4A (Expenses $ 2962057620 including grants of $ 1652351) (Revenue $ 3547988722)
FINANCIAL ASSISTANCEPROVIDING 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 FINANCIAL ASSISTANCE AND TRAUMA CARE. AS PART OF ITS COMMUNITY BENEFITS STRATEGY AND ITS VISION AND VALUES, ADVOCATE IS COMMITTED TO PROMOTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE FOR PEOPLE WHO ARE UNINSURED, UNDERINSURED AND LOW INCOME. ADVOCATE OFFERS A VERY GENEROUS FINANCIAL ASSISTANCE PROGRAM, REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED AND PROVIDING DISCOUNTS TO UNINSURED AND INSURED PATIENTS. PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL (FPL) AND INSURED PATIENTS EARNING UP TO TWO AND HALF TIMES THE FPL, MAY QUALIFY FOR A FULL OR PARTIAL FINANCIAL ASSISTANCE DISCOUNT. ADDITIONALLY, A CATASTROPHIC ASSISTANCE DISCOUNT IS AVAILABLE FOR UNINSURED AND INSURED PATIENTS WHOSE INCOMES EXCEED THE TRADITIONAL FINANCIAL ASSISTANCE INCOME GUIDELINES AND HAVE OUTSTANDING PATIENT BALANCES OF $25,000 OR MORE FOR A SINGLE DATE OF SERVICE OR SUM OF SEVERAL DATES OF SERVICE. THESE PATIENTS MAY QUALIFY TO RECEIVE A FINANCIAL ASSISTANCE DISCOUNT THAT REDUCES THEIR OUTSTANDING BALANCE TO 25% OF THEIR NET INCOME. FOR UNINSURED PATIENTS, ADVOCATE WILL PRESUMPTIVELY PROVIDE FINANCIAL ASSISTANCE IF THE FINANCIAL STATUS HAS BEEN VERIFIED BY A THIRD PARTY. IN THESE CASES, THE PATIENT IS NOT REQUIRED TO SUBMIT A SEPARATE CHARITY APPLICATION. IF PRESUMPTIVE CRITERIA ARE NOT AVAILABLE FOR UNINSURED PATIENTS, FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. ADVOCATE EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL. ADVOCATE CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THOSE WHO NEED HELP.ADVOCATE HEALTH CARE IS DEDICATED TO PROVIDING EXPERT EMERGENCY CARETODAY 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 HOSPITALSADVOCATE CHRIST, ADVOCATE CONDELL, ADVOCATE GOOD SAMARITAN, ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERALCARE 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 2021, ADVOCATE'S LEVEL I TRAUMA HOSPITALS TREATED 2,744 TRAUMA PATIENTS. AN ADDITIONAL 192 TRAUMA PATIENTS WERE TREATED AT ADVOCATE'S LEVEL II DESIGNATED TRAUMA HOSPITAL ADVOCATE SHERMAN. ADVOCATE GOOD SHEPHERD TRANSITIONED TO A LEVEL I HOSPITAL AND ADVOCATE BROMENN WAS NO LONGER PART OF ADVOCATE IN 2021. IN ADDITION TO THE TRAUMA I AND II PATIENTS, THERE WERE 439,692 NON-TRAUMA ER VISITS TO ADVOCATE'S HOSPITALS IN 2021. (TRAUMA CASES REPRESENT WHEN A HOSPITAL TRAUMA TEAM WAS ACTIVATED. ALSO INCLUDES ACH-OL/PR)

4B (Expenses $ 1583559205 including grants of $ 0) (Revenue $ 1210813731)
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 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. EACH YEAR, APPROXIMATELY 2,000 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. 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. REIMBURSEMENT IS REDUCED GIVEN MORE TIME IS PROVIDED TO EACH PATIENT VISIT TO ALLOW INDIVIDUALS WITH DOWN SYNDROME TO PARTICIPATE IN THEIR OWN HEALTH CARE. FURTHER, ONLY ONE-THIRD OF THE COST OF THE CLINIC IS REIMBURSED THROUGH BILLING INSURANCE DUE TO THE PAYOR MIX. ADVOCATE GENEROUSLY PROVIDES SOME SERVICES THROUGH THE CENTER THAT ARE KEY TO HEALTH PROMOTION BUT THAT ARE NOT REIMBURSABLE OR BILLABLE. IN ADDITION TO PATIENT CARE, THE MISSION OF THE CENTER INCLUDES EDUCATION AND RESEARCH. IN 2021, THE CENTER STAFF PROVIDED NUMEROUS EDUCATIONAL EVENTS AND CLASSES (VIRTUALLY, OF COURSE, DURING THE PANDEMIC), PUBLISHED RESEARCH STUDIES, PROVIDED EXTENSIVE EDUCATIONAL MATERIALS ONLINE AND IN PRINT FORM, AND PARTICIPATED IN NATIONAL AND INTERNATIONAL PROJECTS EDUCATING ABOUT AND RESEARCHING THE EFFECT COVID-19 HAS ON PEOPLE WITH DOWN SYNDROME.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, 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. THE CLINIC HAS A SMALL PHARMACY THAT PROVIDES LIMITED MEDICATIONS FOR STUDENTS IN NEED 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. THE CENTER PROVIDES FREE OR LOW-COST SERVICES INCLUDING PHYSICALS, IMMUNIZATIONS, EMERGENT CARE, BEHAVIORAL HEALTH TREATMENT, NUTRITIONAL COUNSELING AND EDUCATIONAL PROGRAMS. IN 2021, THE SBHC PROGRAM SERVED 2,612 STUDENTS; OF THE 2,612 ENCOUNTERS, 493 WERE RELATED TO MENTAL HEALTH SERVICES AND 2,154 RELATED TO GENERAL MEDICAL ENCOUNTERS. BY SCHOOL YEAR CALENDAR (AUGUST 2020/JUNE 2021), THE SBHC SERVED 2,656 STUDENTS, 528 ENCOUNTERS WERE RELATED TO MENTAL HEALTH. MEDFEST. IN 2021, THE COVID-19 PANDEMIC CONTINUED TO AFFECT THE SPECIAL OLYMPICS OF ILLINOIS FROM HOLDING MEDFESTAN ANNUAL EVENT THAT THE ADVOCATE MEDICAL GROUP HAD PLANNED TO SPONSOR FOR THE 23RD TIME IN A ROW. WHILE THE TEAM DID NOT ANTICIPATE CANCELING THIS EVENT IN 2021, THE ADVOCATE MEDICAL GROUP IS INVESTED IN THE CAUSE AND PLANS TO RESUME ITS INVOLVEMENT ONCE THE PANDEMIC SUBSIDES AND IT IS SAFE TO DO SO. 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. ADVOCATE MEDICAL GROUP PHYSICIANS ARE PASSIONATE ABOUT PROVIDING THE FREE CLINICAL SERVICES, WHICH RESULT IN PARTICIPANTS ENHANCED PHYSICAL FITNESS AND COMFORT WITH THE MEDICAL COMMUNITY.

4C (Expenses $ 83573355 including grants of $ 0) (Revenue $ 26986312)
MEDICAL EDUCATION (UNDERGRADUATE MEDICAL EDUCATION [UME]/GRADUATE MEDICAL EDUCATION [GME]/POST-GRADUATE [CME] MEDICAL EDUCATION. THE ADVOCATE MEDICAL EDUCATION DEPARTMENT'S 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). ADVOCATE IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION (ACCME) TO PROVIDE CONTINUING MEDICAL EDUCATION (CME) FOR PHYSICIANS. ADVOCATE'S 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. ADVOCATE'S MEDICAL STAFF SHARE THEIR EXPERTISE THROUGH GRAND ROUNDS, MORTALITY AND MORBIDITY CONFERENCES, AND ENDURING MATERIALAS WELL AS SINGLE ACTIVITIES ADDRESSING A VARIETY OF CLINICAL AND RESEARCH TOPICS. IN 2021, ADVOCATE HOSTED 5915.75 HOURS OF ACCREDITED EDUCATION TO 108,593 PARTICIPANTS, OF WHICH 75,133 WERE PHYSICIANS. DUE TO THE PANDEMIC, MOST EDUCATION WAS PROVIDED VIRTUALLY WHICH EXPANDED OUR REACH TO A BROADER AUDIENCE ACROSS THE ADVOCATE SYSTEM.IN ADDITION TO TEACHING GME AND CME STUDENTS, ADVOCATE MEDICAL GROUP (AMG) PHYSICIANS ALSO DEVOTE ONE-ON-ONE TIME TO TEACHING PHYSICIAN ASSISTANTS (PA) AND NURSE PRACTIONER (NP) STUDENTS FROM MULTIPLE AREA UNIVERSITIES. WHILE THE COVID-19 PANDEMIC REDUCED THE NUMBER OF STUDENTS TAUGHT IN 2020, THAT NUMBER INCREASE IN 2021. AMG PHYSICIANS WERE ABLE TO DEVOTE 16,690 HOURS TO TEACHING NP STUDENTS IN PHYSICIAN'S OFFICES, A 9,369 HOURS INCREASE WHEN COMPARED TO 2020. SIMILARLY, AMG NP'S PICKED UP CONSIDERABLY MORE HOURS TEACHING NP STUDENTS AT 17,325 HOURS IN 2021 WHEN COMPARED TO THE 11,224 HOURS IN 2020. AMG PHYSICIANS ALSO DEVOTED 9,870 HOURS TO TEACHING PA STUDENTS IN PHYSICIANS' OFFICES, AN INCREASE FROM THE 3,780 PHYSICIAN HOURS REPORTED IN 2020. THE VALUE OF THEIR TIME TEACHING NP AND PA STUDENTS EXCLUSIVELY TOTALED OVER $6.2M IN 2021.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., ALSO OCCURS THROUGHOUT ADVOCATE'S MULTIPLE SITES. IN 2021, A TOTAL OF 12,482 HEALTH PROFESSIONALS WERE TAUGHT ACROSS ALL ADVOCATE HOSPITALS AND SITES THAT REPORT COMMUNITY BENEFITS FOR ILLINOIS. ADDITIONALLY, ADVOCATE'S SPIRITUAL LEADERS OVERSEE A NATIONALLY ACCREDITED CLINICAL PASTORAL EDUCATION PROGRAM AS WELL. SUPERVISING OVER 200 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 EXPENSE AND REVENUE AMOUNTS YET VERY IMPORTANT TO THE ORGANIZATION'S ROLE IN TRAINING HEALTH CARE PROFESSIONALS, ARE THE NURSING RESIDENCY PROGRAMS AT TWO HOSPITALSADVOCATE GOOD SAMARITAN AND ADVOCATE ILLINOIS MASONIC. RESIDENCY PROGRAMS OCCUR IN OTHER DISCIPLINES, SUCH AS THE PHARMACY RESIDENCY PROGRAM FOR EXAMPLE, AT MULTIPLE ADVOCATE SITES.

4D (Expenses $ 1088240712 including grants of $ 0) (Revenue $ 1690067899)
"DESCRIPTION OF ADVOCATE AURORA HEALTH. ADVOCATE AURORA HEALTH IS ONE OF THE 12 LARGEST NOT-FOR-PROFIT, INTEGRATED HEALTH SYSTEMS IN THE UNITED STATES AND A LEADING EMPLOYER IN THE MIDWEST WITH MORE THAN 75,000 EMPLOYEES, INCLUDING MORE THAN 22,000 NURSES AND THE REGION'S LARGEST EMPLOYED MEDICAL STAFF AND HOME HEALTH ORGANIZATION. A NATIONAL LEADER IN CLINICAL INNOVATION, HEALTH OUTCOMES, CONSUMER EXPERIENCE AND VALUE-BASED CARE, THE SYSTEM SERVES NEARLY 3 MILLION PATIENTS ANNUALLY IN ILLINOIS AND WISCONSIN ACROSS MORE THAN 500 SITES OF CARE. ADVOCATE AURORA HEALTH IS ENGAGED IN HUNDREDS OF CLINICAL TRIALS AND RESEARCH STUDIES, AND IS NATIONALLY RECOGNIZED FOR ITS EXPERTISE IN CARDIOLOGY, NEUROSCIENCES, ONCOLOGY, AND PEDIATRICS. THE ORGANIZATION CONTRIBUTED $2.5 BILLION IN CHARITABLE CARE AND COMMUNITY BENEFIT OUTREACH TO ITS COMMUNITIES IN 2020 TO HELP PEOPLE LIVE WELL. FOR REPORTING COMMUNITY BENEFITS IN COMPLIANCE WITH THE ILLINOIS COMMUNITY BENEFITS ACT (2003), THE CONTENT OF THIS REPORT WILL FOCUS ON ADVOCATE AURORA'S ILLINOIS HOSPITALS WHICH ARE IDENTIFIED AS ""ADVOCATE"" FOR STATE REPORTING AND LOCAL BRAND IDENTITY PURPOSES. THIS DOCUMENT PROVIDES A SUMMARY OF COMMUNITY HEALTH PROGRAMS AND ACTIVITIES COMPLETED ACROSS ADVOCATE IN 2021--DEMONSTRATING FULFILLMENT OF ALL FEDERAL AND ILLINOIS STATE REQUIREMENTS WHILE ALSO LIVING OUT OUR COMMITMENT TO ADDRESSING THE ROOT CAUSES OF HEALTH INEQUITY. DESCRIPTION OF ADVOCATE HEALTH CARE (ILLINOIS). WHILE ADVOCATE IS ONE OF TWO ORGANIZATIONS THAT MERGED IN APRIL 2018 TO BECOME ADVOCATE AURORA HEALTH, ADVOCATE IN ILLINOIS MAINTAINS A SEPARATE FEIN AND THEREFORE THE NARRATIVE THAT IMMEDIATELY FOLLOWS PERTAINS PREDOMINANTLY TO ADVOCATE HEALTH CARE (ILLINOIS). ADVOCATE IS A NOT-FOR-PROFIT PROVIDER THAT IS AFFILIATED WITH BOTH THE EVANGELICAL LUTHERAN CHURCH IN AMERICA AND THE UNITED CHURCH OF CHRIST. THE ORGANIZATION IS ONE OF THE LARGEST FULLY INTEGRATED HEALTH CARE SYSTEMS IN ILLINOIS AND ONE OF THE LARGEST HEALTH CARE PROVIDERS IN THE MIDWEST. IN 2021, AS PART OF A NETWORK OF NEARLY 400 SITES OF CARE IN ILLINOIS, ADVOCATE'S MORE THAN 37,000 TEAM MEMBERS PROVIDED CARE AT NINE HOSPITALS, INCLUDING A CHILDREN'S HOSPITAL LOCATED ON TWO CAMPUSES (OAK LAWN AND PARK RIDGE, ILLINOIS), TOTALING 3,285 LICENSED BEDS. ADVOCATE HAD A COMBINED TOTAL OF 165,782 INPATIENT ADMISSIONS, 1,469,614 OUTPATIENT VISITS AND 442,628 EMERGENCY DEPARTMENT VISITS (TOTAL TRAUMA AND NON-TRAUMA) IN 2021. IN ADDITION, ADVOCATE IS RECOGNIZED AS HAVING ONE OF THE LARGEST HOME HEALTH CARE COMPANIES IN THE STATE WITH 28,937 ADMITS IN 2021, AND ADVOCATE HOSPICE HAD 136,437 HOSPICE PATIENT DAYS. RECOGNITIONS & ACCOMPLISHMENTS CHICAGO TRIBUNE'S 2021 TOP WORKPLACES (ADVOCATE AURORA). ADVOCATE AURORA HEALTH, ONE OF THE 12 LARGEST NOT-FOR-PROFIT, INTEGRATED HEALTH CARE SYSTEMS IN THE NATION, HAS ONCE AGAIN BEEN RECOGNIZED AMONG THE CHICAGO TRIBUNE'S TOP WORKPLACES. AWARDED AMID THE ONGOING CHALLENGES OF THE PANDEMIC, THIS IS THE THIRD TOP WORKPLACE RECOGNITION FOR ADVOCATE AURORA HEALTH SINCE ADVOCATE HEALTH CARE AND AURORA HEALTH CARE MERGED IN APRIL 2018. ADVOCATE HEALTH CARE HAD WON THE TRIBUNE HONOR SIX TIMES PREVIOUSLY. THIS YEAR, ADVOCATE AURORA IS THE ONLY INTEGRATED HEALTH SYSTEM ON THE TRIBUNE'S LIST OF EXEMPLARY WORKPLACES.2021 TOP WORKPLACES USA (ADVOCATE AURORA). ADVOCATE AURORA HEALTH, ONE OF THE LARGEST NOT-FOR-PROFIT, INTEGRATED HEALTH CARE SYSTEMS IN THE NATION, HAS EARNED THE 2021 TOP WORKPLACES USA AWARD. THIS BRAND NEW, NATIONAL AWARD IS BASED SOLELY ON THE FEEDBACK THROUGH TEAM MEMBER SURVEYS SURROUNDING BUSINESS OUTCOMES, LEADERSHIP, CULTURE DRIVERS, ORGANIZATION BASICS, HEALTH CARE AND DIVERSITY, EQUITY, AND INCLUSION. ADVOCATE AURORA IS THE ONLY HEALTH SYSTEM IN ILLINOIS AND WISCONSIN TO RECEIVE THIS RECOGNITION.DAILY HERALD BUSINESS LEDGER'S 2021 BEST PLACES TO WORK (ADVOCATE AURORA). ADVOCATE AURORA HEALTH HAS BEEN NAMED ONE OF THE BEST PLACES TO WORK IN ILLINOIS. THE RECOGNITION WAS DESIGNED TO IDENTIFY, RECOGNIZE AND HONOR THE BEST PLACES OF EMPLOYMENT IN ILLINOIS, BENEFITING THE STATE'S ECONOMY, WORKFORCE AND BUSINESSES.FORBES' AMERICA'S BEST-IN-STATE EMPLOYERS (ADVOCATE AURORA). ADVOCATE AURORA HEALTH HAS BEEN NAMED ONE OF FORBES' BEST-IN-STATE EMPLOYERS FOR THE HEALTHCARE & SOCIAL CATEGORY. ADVOCATE AURORA RANKED #68 IN ILLINOIS AND #55 IN WISCONSIN.U.S. NEWS & WORLD REPORT RECOGNITION (ADVOCATE AURORA). THREE ADVOCATE AURORA ADULT HOSPITALS (ADVOCATE CHRIST, ADVOCATE ILLINOIS MASONIC, AND ADVOCATE LUTHERAN EARNED NATIONAL RANKING. CHRIST RANKED 36TH IN THE COUNTRY IN CARDIOLOGY AND HEART SURGERY AND 49TH IN GYNECOLOGY; ILLINOIS MASONIC RANKED 48TH IN GASTROENTEROLOGY AND GI SURGERY; AND LUTHERAN RANKED 46TH IN GASTROENTEROLOGY AND GI SURGERY, 48TH IN GYNECOLOGY AND 38TH IN PULMONOLOGY) WERE NAMED TO U.S. NEWS & WORLD REPORT 'BEST HOSPITALS 2021-2022' LIST.EIGHT ADVOCATE HOSPITALS (ADVOCATE CHRIST, ADVOCATE CONDELL, ADVOCATE GOOD SAM, ADVOCATE GOOD SHEPHERD, ADVOCATE ILLINOIS MASONIC, ADVOCATE LUTHERAN, ADVOCATE SOUTH SUB AND ADVOCATE TRINITY) WERE RANKED AMONG THE BEST REGIONAL HOSPITALS IN ILLINOIS. ADDITIONALLY, 14 ADVOCATE AURORA HOSPITALS RATED 'HIGH PERFORMING' BY U. S. NEWS & WORLD REPORT'S BEST HOSPITALS IN MATERNITY CARE (UNCOMPLICATED PREGNANCY) FOR 2021. EIGHT OF THE 15 HOSPITALS ON THE ILLINOIS LIST ARE ADVOCATE HOSPITALS AND SIX OF THE 11 ON THE WISCONSIN LIST ARE AURORA HOSPITALS.U.S. NEWS & WORLD REPORT RECOGNITION (ADVOCATE CHILDREN'S). ADVOCATE CHILDREN'S HOSPITAL WAS RECOGNIZED AS A TOP 50 'BEST CHILDREN'S HOSPITAL 2021-2022' IN THE NATION FOR PEDIATRIC CARDIOLOGY AND HEART SURGERY PROGRAM. FOR THE LAST TWO CONSECUTIVE YEARS, THE HOSPITAL RANKED 25TH AND THE YEAR PRIOR RANKED 13TH.IN ADDITION, U.S. NEWS CREATED THE 'BEST CHILDREN'S REGIONAL HOSPITALS' WHICH RANKS AND RECOGNIZES HOSPITALS IN 7 MAJOR REGIONS IN 10 PEDIATRIC SPECIALTIES. ADVOCATE CHILDREN'S HOSPITAL RANKED 3RD IN ILLINOIS AND 23RD IN THE MIDWEST.ADVOCATE TREATS MORE PEDIATRIC PATIENTS THAN ANY OTHER HOSPITAL OR SYSTEM IN THE STATE THROUGH THE ADVOCATE CHILDREN'S HOSPITAL. NAMED AS ONE OF THE NATION'S BEST CHILDREN'S HOSPITALS FOR CARDIOLOGY AND HEART SURGERY AS WELL AS NEONATOGY BY U.S. NEWS & WORLD REPORT, ADVOCATE CHILDREN'S WAS THE FIRST CHILDREN'S HOSPITAL IN THE COUNTRY TO RECEIVE CONGENITAL HEART DISEASE ACCREDITATION FROM ACE (ACCREDITATION FOR CARDIOVASCULAR EXCELLENCE) FOR SETTING THE HIGHEST STANDARDS OF QUALITY CARE FOR CHILDREN. THE HOSPITAL IS DESCRIBED AS ONE OF 12 ""WORLD CLASS"" NEWBORN INTENSIVE CARE UNITS BY THE NATIONAL VERMONT OXFORD ""YOUR IDEAL NICU"" PROJECT. IN ADDITION, ADVOCATE CHILDREN'S PROVIDES SERVICES FOR COMPLEX SURGERIES DURING PREGNANCY AND NEONATAL PERIODS. THE ADVOCATE CHILDREN'S CENTER FOR FETAL CARE IS ONE OF THE FIRST IN CHICAGOLAND, AND ONE OF ONLY 34 SUCH MEDICAL CENTERS IN NORTH AMERICA. IN FACT, ADVOCATE CHILDREN'S IS ONE OF LESS THAN 30 HOSPITALS NATIONWIDE THAT PERFORM ADVANCED IN-UTERO FETAL THERAPY PROCEDURES.THREE OF ADVOCATE'S HOSPITALS ARE DESIGNATED LEVEL III (THE STATE'S HIGHEST LEVEL) NEONATAL INTENSIVE CARE UNITS (NICUS). THESE HOSPITALSADVOCATE CHRIST, ADVOCATE GOOD SAMARITAN AND ADVOCATE LUTHERAN GENERALHANDLE THE MOST ILL BABIES FROM OTHER ADVOCATE HOSPITALS AND THROUGH TRANSFERS FROM NON-ADVOCATE HOSPITALS IN THE CHICAGOLAND AREA. IN 2021, THERE WERE 1,639 NICU ADMISSIONS TO ADVOCATE'S NICU-DESIGNATED HOSPITALS."

CHRIST HOSP INCL HOPE CHILDREN'S HOSP
PART V, SECTION B, LINE 5: THE ALLIANCE FOR HEALTH EQUITY. ADVOCATE CHRIST AND ADVOCATE CHILDREN'S ARE MEMBERS OF THE ALLIANCE FOR HEALTH EQUITY (AHE), A COLLABORATION OF 37 NON-PROFIT AND PUBLIC HOSPITALS/MEDICAL CENTERS WORKING WITH HEALTH DEPARTMENTS AND REGIONAL AND COMMUNITY-BASED ORGANIZATIONS TO IMPROVE HEALTH EQUITY, WELLNESS AND QUALITY OF LIFE ACROSS CHICAGO AND SUBURBAN COOK COUNTY. DETAILED INFORMATION RELATED TO THIS COLLABORATIVE ASSESSMENT AND PARTICIPATING HOSPITALS, HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS MAY BE FOUND IN THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR CHICAGO AND SUBURBAN COOK COUNTY, 2019, AS POSTED ALONGSIDE CHRIST'S 2017-2019 CHNA REPORT ON THE ADVOCATE CHNA WEBPAGE AT: ADVOCATE CHRIST MEDICAL CENTER CHNA REPORT 2019 : ADVOCATE HEALTH CARECOMMUNITY HEALTH COUNCIL (CHC). ADVOCATE CHRIST AND ADVOCATE CHILDREN'S CONVENED A CHC FROM MARCH-OCTOBER 2019 TO OVERSEE ITS CHNA PROCESS, PRIORITIZE HEALTH NEEDS AND OVERSEE COMMUNITY HEALTH STRATEGY FOR THE MEDICAL CENTER, INCLUDING THE DEVELOPMENT OF AN IMPLEMENTATION PLAN TO ADDRESS PRIORITIZED COMMUNITY HEALTH NEEDS. THE CHC COMPRISED OF A VARIETY OF REPRESENTATIVES FROM THE COMMUNITY, REPRESENTED MEDICALLY UNDERSERVED LOW-INCOME AND/OR MINORITY POPULATIONS.GOVERNING COUNCIL (GC). FOLLOWING CHC APPROVAL OF THE SELECTED PRIORITIES, THE CHNA WAS PRESENTED TO THE MEDICAL CENTER'S DIRECTOR GC FOR APPROVAL. THE GC IS COMPRISED OF COMMUNITY LEADERS AND EXECUTIVE LEVEL MEDICAL CENTER STAFF. THE GC CONSISTS OF 26 MEMBERS REPRESENTING A BROAD SPECTRUM OF COMMUNITY SECTORS, INCLUDING FAITH COMMUNITY, MEDICAL, BUSINESS AND INDUSTRY FIELDS. THE 2017-2019 CHNA AND ITS PRIORITIZED HEALTH NEEDS WERE FULLY APPROVED BY THE GC ON OCTOBER 17, 2019, AND THEN FORWARDED TO THE SYSTEM LEVEL ADVOCATE HEALTH CARE NETWORK BOARD OF DIRECTORS, WHICH APPROVED THE ADVOCATE CHRIST/ADVOCATE CHILDREN'S 2017-2019 CHNA AND PRIORITIZED NEEDS ON DECEMBER 16, 2019.

GOOD SHEPHERD HOSPITAL
PART V, SECTION B, LINE 5: LAKE COUNTY HEALTH DEPARTMENT COLLABORATIVE SURVEY/PARTNER CONSULTATIONS. IN 2018, ADVOCATE GOOD SHEPHERD HOSPITAL (ADVOCATE GOOD SHEPHERD) COMMUNITY HEALTH STAFF COLLABORATED WITH THE LAKE COUNTY HEALTH DEPARTMENT (LCHD) TO ADMINISTER A SURVEY TO ASSESS THE CURRENT HEALTH STATUS OF TWO COMMUNITIES IN LAKE COUNTY. THESE COMMUNITIES ARE GURNEE (60031) AND NORTHWEST LAKE COUNTY INCLUDING ANTIOCH (60002) AND LAKE VILLA (60046). THE RESULTS OF THESE SURVEYS WERE COMBINED WITH QUANTITATIVE DATA TO IDENTIFY THE KEY HEALTH CHALLENGES FACING LAKE COUNTY COMMUNITIES. ADVOCATE GOOD SHEPHERD ALSO CONSULTED WITH A NUMBER OF ADDITIONAL PARTNER ORGANIZATIONS FOR THE MEDICAL CENTER'S CHNA. THESE INCLUDED TWO PARTNER FEDERALLY QUALIFIED HEALTH CENTERS (LAKE COUNTY HEALTH DEPARTMENT AND ERIE HEALTHREACH WAUKEGAN), THE LAKE COUNTY OPIOID TASK FORCE AND THE HEALTH CARE FOUNDATION OF NORTHERN LAKE COUNTY. EACH OF THE ORGANIZATIONS HAVE A FOCUS ON MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS.MCHENRY COUNTY ASSESSMENTS. IN MCHENRY COUNTY, A COMMUNITY SURVEY, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED TO GATHER INPUT FROM COMMUNITY RESIDENTS ON KEY HEALTH ISSUES AS PART OF THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT (CHA). IN ADDITION, A BROAD DATA REVIEW OF MCHENRY COUNTY USING SECONDARY SOURCES WAS CONDUCTED, WHICH INCLUDED DEMOGRAPHICS, HOUSING, INCOME AND POVERTY, EDUCATION, EMPLOYMENT, CRIME AND SAFETY, BIRTH AND DEATH RATES, HEALTH STATUS AND BEHAVIORS, AND HEALTH UTILIZATION. COMMUNITY HEALTH COUNCIL (CHC). ADVOCATE GOOD SHEPHERD CONVENED A CHC FROM JANUARYMARCH 2019 TO REVIEW THE RESULTS OF THE CHNA, SELECT THE TOP HEALTH NEEDS AND TO ASSIST WITH DEVELOPMENT OF IMPLEMENTATION PLANS TO ADDRESS PRIORITIZED COMMUNITY HEALTH NEEDS. THE CHC, COMPRISED OF A VARIETY OF REPRESENTATIVES FROM THE COMMUNITY, REPRESENT MEDICALLY UNDERSERVED, LOW INCOME AND/OR MINORITY POPULATIONS.GOVERNING COUNCIL (GC). FOLLOWING CHC APPROVAL, THE CHNA AND SELECTED PRIORITIES WERE PASSED TO THE ADVOCATE GOOD SHEPHERD GOVERNING COUNCIL FOR REVIEW AND APPROVAL. THE GC IS COMPRISED OF COMMUNITY LEADERS AND EXECUTIVE LEVEL HOSPITAL STAFF. THE GC CONSISTS OF 19 MEMBERS REPRESENTING A BROAD SPECTRUM OF COMMUNITY SECTORS, INCLUDING FAITH COMMUNITY, MEDICAL, BUSINESS AND INDUSTRY FIELDS. THE SELECTED TOP HEALTH PRIORITIES AND FULL CHNA REPORT WERE APPROVED BY THE ADVOCATE GOOD SHEPHERD GOVERNING COUNCIL ON OCTOBER 8, 2019. THIS WAS FOLLOWED BY ADVOCATE HEALTH CARE NETWORK BOARD APPROVAL OF ADVOCATE GOOD SHEPHERD'S 2017-2019 CHNA REPORT AT THE SYSTEM LEVEL ON DECEMBER 16, 2019.

GOOD SAMARITAN HOSPITAL
PART V, SECTION B, LINE 5: ADVOCATE GOOD SAMARITAN HOSPITALIMPACT DUPAGE. THE IMPACT DUPAGE STEERING COMMITTEE IS A COLLABORATIVE OF 18 DUPAGE COUNTY HOSPITALS AND COMMUNITY ORGANIZATIONS THAT OVERSEE THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS AND ACTION PLAN FOR THE COUNTY. ADVOCATE GOOD SAMARITAN'S DIRECTOR OF COMMUNITY HEALTH IS A MEMBER OF THIS COMMITTEE AND IS ACTIVELY ENGAGED IN IDENTIFYING AND ADDRESSING THE COUNTY'S COMMUNITY HEALTH NEEDS IN PARTNERSHIP WITH OTHER STEERING COMMITTEE MEMBERS AND ORGANIZATIONS.COMMUNITY HEALTH COUNCIL (CHC). THE ADVOCATE GOOD SAMARITAN COMMUNITY HEALTH COUNCIL (CHC) WAS FORMED IN 2016 AND SERVES IN AN ADVISORY CAPACITY FOR THE HOSPITAL'S COMMUNITY HEALTH PROGRAMMING, IMPLEMENTATION PLAN AND CHNA, AND WORKS CLOSELY WITH THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT TO IDENTIFY COMMUNITY PARTNERS FOR IMPLEMENTATION PLANNING. THE CHC IS LED BY THE HOSPITAL'S REGIONAL DIRECTOR OF COMMUNITY HEALTH AND IS A MULTI-SECTORIAL COUNCIL COMPRISED OF HOSPITAL LEADERS AND COMMUNITY REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS. THERE ARE A TOTAL OF 13 CHC MEMBERS OF WHICH SEVEN ARE COMMUNITY ORGANIZATION REPRESENTATIVES AND SIX ARE HOSPITAL REPRESENTATIVES. MEMBERS FROM THE COMMUNITY SERVING ON THE CHC REPRESENT THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS IN DUPAGE COUNTY. UNDER THE DIRECTION OF THE DIRECTOR OF COMMUNITY HEALTH AND THE DUPAGE COUNTY HEALTH DEPARTMENT, THE CHC SUPPORTED THE COLLABORATIVE DUPAGE COUNTY/IMPACT DUPAGE CHNA THROUGH DATA COLLECTION, DATA REVIEW AND PRIORITIZING IDENTIFIED HEALTH NEEDS. THE CHC CONDUCTED AN ADDITIONAL ASSESSMENT AND IDENTIFIED HEALTH NEED PRIORITIES FOR THE BOLINGBROOK-ROMEOVILLE COMMUNITY, WHICH IS OUTSIDE OF DUPAGE COUNTY BUT WITHIN THE HOSPITAL'S SERVICE AREA.GOVERNING COUNCIL (GC). THE HOSPITAL'S GOVERNING COUNCIL IS COMPRISED OF COMMUNITY LEADERS AND EXECUTIVE LEVEL HOSPITAL STAFF. THE ROLE OF EACH GOVERNING COUNCIL MEMBER INCLUDES SUPPORTING HOSPITAL LEADERSHIP IN ACHIEVING THE HOSPITAL'S GOALS, REPRESENTING THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVING AS A HOSPITAL AMBASSADOR IN THE COMMUNITY. THE GOVERNING COUNCIL ALSO MONITORS CLINICAL OUTCOMES, PATIENT AND TEAM MEMBER SATISFACTION, PHYSICIAN CREDENTIALING AND RELATIONS, FINANCIAL PERFORMANCE, STRATEGIC DIRECTION AND OVERALL COMMUNITY HEALTH. THE HOSPITAL'S GOVERNING COUNCIL IS RESPONSIBLE FOR APPROVING AND ENDORSING THE CHNA REPORT PASSED TO THEM BY THE HOSPITAL'S CHC. THE DIRECTOR OF COMMUNITY HEALTH PRESENTED THE PROCESS AND FINDINGS OF THE COLLABORATIVE DUPAGE COUNTY CHNA IN SEPTEMBER 2019 TO THE FULL GOVERNING COUNCIL. THE PRESENTATION INCLUDED DETAILS OF THE DATA REVIEW AND ANALYSIS, THE HOSPITAL'S ROLE IN THE COLLABORATIVE CHNA, THE COLLABORATIVE PRIORITIZATION PROCESS AND THE SELECTION OF THE PRIORITIZED HEALTH NEEDS. THE ADVOCATE GOOD SAMARITAN GOVERNING COUNCIL APPROVED THE 2019 CHNA AND THE PRIORITY HEALTH NEEDS ON SEPTEMBER 19, 2019. THIS WAS FOLLOWED BY APPROVAL OF ADVOCATE GOOD SAMARITAN'S 2017-2019 CHNA REPORT BY THE ADVOCATE HEALTH CARE NETWORK BOARD OF DIRECTORS ON DECEMBER 16, 2019.

LUTHERAN GEN HOSP INCL LUTH GEN CHILD
PART V, SECTION B, LINE 5: ADVOCATE LUTHERAN GENERAL HOSPITALALLIANCE FOR HEALTH EQUITY. ADVOCATE LUTHERAN GENERAL HOSPITAL (ADVOCATE LUTHERAN GENERAL) AND ADVOCATE CHILDREN'S HOSPITAL IN PARK RIDGE (ADVOCATE CHILDREN'S-PARK RIDGE), WHICH IS LOCATED ON ADVOCATE LUTHERAN GENERAL'S CAMPUS, PARTICIPATE IN THE ALLIANCE FOR HEALTH EQUITY COLLABORATIVE ASSESSMENT PROCESS. THE ALLIANCE FOR HEALTH EQUITY (AHE) IS A COLLABORATION OF 37 NON-PROFIT AND PUBLIC HOSPITALS/MEDICAL CENTERS WORKING WITH HEALTH DEPARTMENTS AND COMMUNITY-BASED ORGANIZATIONS TO IMPROVE HEALTH EQUITY, WELLNESS AND QUALITY OF LIFE ACROSS CHICAGO AND SUBURBAN COOK COUNTY. DETAILED INFORMATION RELATED TO THIS COLLABORATIVE ASSESSMENT AND PARTICIPATING HOSPITALS, HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS MAY BE FOUND IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT FOR CHICAGO AND SUBURBAN COOK COUNTY. THE REPORT IS POSTED ALONGSIDE ADVOCATE LUTHERAN GENERAL'S 2017-2019 CHNA REPORT AT: ADVOCATE LUTHERAN GENERAL HOSPITAL CHNA REPORT 2019 : ADVOCATE HEALTH CARE. COMMUNITY HEALTH COUNCIL (CHC). ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FROM 2017-2019. THE HOSPITAL CONVENED ITS COMMUNITY HEALTH COUNCIL (CHC) TO OVERSEE AND ADVISE THE PROCESS, WHICH IDENTIFIED AND PRIORITIZED HEALTH NEEDS. THE CHC IS COMPRISED OF 19 MEMBERS, INCLUDING 11 COMMUNITY STAKEHOLDERS AND EIGHT HOSPITAL REPRESENTATIVES. THE MEMBERS FROM THE COMMUNITY ON THE CHC REPRESENT VARIOUS VULNERABLE POPULATIONS AND SECTORS, SUCH AS LOW-INCOME, UNDERINSURED, IMMIGRANT, YOUTH, HOMELESS AND FOOD INSECURE. THE CHC MEETINGS INCLUDED DATA REVIEW, ANALYSIS OF KEY HEALTH ISSUES, AND ANALYSIS AND DEVELOPMENT OF HEALTH IMPROVEMENT STRATEGIES. ADVOCATE LUTHERAN GENERAL'S CHC ALSO WORKED WITH ADVOCATE CHILDREN'S TO ENSURE CHILDREN'S DATA WAS COLLECTED AND THOROUGHLY ANALYZED. GOVERNING COUNCIL (GC). FOLLOWING THE CHC'S IDENTIFICATION AND APPROVAL OF THE CHNA HEALTH NEED PRIORITIES, THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT PRESENTED THIS INFORMATION TO THE ADVOCATE LUTHERAN GENERAL'S GOVERNING COUNCIL FOR APPROVAL. THE GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. THE GC 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. MEMBERS OF THE GC REPRESENT VARIOUS COMMUNITY SECTORS, INCLUDING THE FAITH COMMUNITY, MEDICAL, BUSINESS AND INDUSTRY FIELDS. THE 2017-2019 CHNA REPORT AND ITS PRIORITIZED HEALTH NEEDS WERE APPROVED BY ADVOCATE LUTHERAN'S GC IN LATE 2019, AND THEN FORWARDED TO THE SYSTEM LEVEL ADVOCATE HEALTH CARE NETWORK BOARD OF DIRECTORS, WHICH APPROVED THE ADVOCATE LUTHERAN GENERAL/ADVOCATE CHILDREN'S 2017-2019 CHNA REPORT ON DECEMBER 16, 2019.

ADVOCATE SOUTH SUBURBAN HOSPITAL
PART V, SECTION B, LINE 5: ADVOCATE SOUTH SUBURBAN HOSPITALTHE ALLIANCE FOR HEALTH EQUITY. ADVOCATE SOUTH SUBURBAN IS A MEMBER OF THE ALLIANCE FOR HEALTH EQUITY, A COALITION OF 37 NON-PROFIT AND PUBLIC HOSPITALS, HEALTH DEPARTMENTS AND REGIONAL COMMUNITY-BASED ORGANIZATIONS WORKING TO IMPROVE HEALTH EQUITY, WELLNESS, AND QUALITY OF LIFE ACROSS CHICAGO AND SUBURBAN COOK COUNTY. DETAILED INFORMATION RELATED TO THIS COLLABORATIVE ASSESSMENT AND PARTICIPATING HOSPITALS, HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS MAY BE FOUND IN THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR CHICAGO AND SUBURBAN COOK COUNTY, 2019, AS POSTED ALONGSIDE ADVOCATE SOUTH SUBURBAN'S 2017-2019 CHNA REPORT ON THE ADVOCATE CHNA WEBPAGE AT: ADVOCATE SOUTH SUBURBAN HOSPITAL CHNA REPORT 2019 : ADVOCATE HEALTH CARECOMMUNITY HEALTH COUNCIL (CHC). ADVOCATE SOUTH SUBURBAN CONVENED CHC MEETINGS FROM MARCH THROUGH OCTOBER 2019 TO OVERSEE THE CHNA PROCESS, PRIORITIZE HEALTH NEEDS AND OVERSEE COMMUNITY HEALTH STRATEGIES FOR THE HOSPITAL. THE CHC, COMPRISED OF A VARIETY OF REPRESENTATIVES FROM THE COMMUNITY AND HOSPITAL LEADERSHIP, REPRESENTS THE COMMUNITY'S UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS AND CONTRIBUTED TO THE DEVELOPMENT OF THE HOSPITAL'S IMPLEMENTATION PLAN TO ADDRESS PRIORITIZED COMMUNITY HEALTH NEEDS.GOVERNING COUNCIL (GC). FOLLOWING THE CHC APPROVAL OF THE SELECTED PRIORITIES, THE CHNA WAS PRESENTED TO THE HOSPITAL'S GC FOR APPROVAL. THE GC IS COMPRISED OF EXECUTIVE LEVEL HOSPITAL STAFF AND COMMUNITY LEADERS REPRESENTING A BROAD SPECTRUM ACROSS COMMUNITY SECTORS INCLUDING THE FAITH COMMUNITY, MEDICAL, BUSINESS AND INDUSTRY FIELDS. IN NOVEMBER 2019, LEADERS OF THE CHC PRESENTED THE 2017-2019 CHNA REPORT AND PRIORITIZED HEALTH NEEDS THEREIN TO THE HOSPITAL'S GOVERNING COUNCIL. THE GOVERNING COUNCIL APPROVED AND ADOPTED THE HOSPITAL'S 2017-2019 CHNA REPORT ON NOVEMBER 21, 2019. THE ADVOCATE HEALTH CARE NETWORK BOARD APPROVED THE ADVOCATE SOUTH SUBURBAN 2017-2019 CHNA REPORT AT THE SYSTEM LEVEL ON DECEMBER 16, 2019.

ADVOCATE TRINITY HOSPITAL
PART V, SECTION B, LINE 5: ADVOCATE TRINITY HOSPITALTHE ALLIANCE FOR HEALTH EQUITY. ADVOCATE TRINITY IS A MEMBER OF THE ALLIANCE, A COLLABORATIVE OF 37 NON-PROFIT AND PUBLIC HOSPITALS, HEALTH DEPARTMENTS AND REGIONAL AND COMMUNITY-BASED ORGANIZATIONS WORKING TO IMPROVE HEALTH EQUITY, WELLNESS, AND QUALITY OF LIFE ACROSS CHICAGO AND SUBURBAN COOK COUNTY. FACILITATED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE, THE COLLABORATIVE SHARES RESOURCES AND WORKS TOGETHER ON A CHNA PROCESS INCLUDING DATA COLLECTION, PRIORITY SETTING AND HEALTH IMPROVEMENT IMPLEMENTATION PLANNING FOR THE REGION. DETAILS CAN BE FOUND ON THE HOSPITAL WEBPAGE AT:HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/TRINITY-CHNA-REPORT-2019COMMUNITY HEALTH COUNCIL (CHC). ADVOCATE TRINITY CONVENED A CHC IN MARCH 2019. THE CHC'S RESPONSIBILITIES ARE TO OVERSEE COMMUNITY HEALTH STRATEGY FOR THE HOSPITAL, REVIEW DATA AND PRIORITIZE HEALTH NEEDS IDENTIFIED FOR THE 2017-2019 CHNA, AND TO OVERSEE THE DEVELOPMENT AND IMPLEMENTATION OF THE HOSPITAL'S COMMUNITY HEALTH STRATEGIES. CHAIRED BY A MEMBER OF ADVOCATE TRINITY'S GOVERNING COUNCIL AND MANAGED BY THE REGIONAL DIRECTOR AND MANAGER OF COMMUNITY HEALTH, THE CHC IS COMPRISED OF A VARIETY OF REPRESENTATIVES FROM THE COMMUNITY, MANY OF WHICH REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME AND/OR MINORITY POPULATIONS. THE CHC FUNCTIONS AS A SUBSET OF THE HOSPITAL'S GOVERNING COUNCIL AND ALL ACTIVITIES AND DECISIONS MADE BY THE CHC REGARDING THE CHNA ARE SUBMITTED FOR APPROVAL BY THE FULL GOVERNING COUNCIL. GOVERNING COUNCIL (GC). THE HOSPITAL'S GOVERNING COUNCIL IS COMPRISED OF COMMUNITY LEADERS AND EXECUTIVE-LEVEL HOSPITAL STAFF. THE PRINCIPAL ROLES OF EACH GOVERNING COUNCIL MEMBER ARE TO SUPPORT HOSPITAL LEADERSHIP IN THE ACHIEVEMENT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTERESTS TO THE HOSPITAL AND TO SERVE AS A HOSPITAL AMBASSADOR IN THE COMMUNITY. ADVOCATE TRINITY'S GOVERNING COUNCIL IS COMPRISED OF 16 MEMBERS REPRESENTING A BROAD SPECTRUM ACROSS MULTIPLE COMMUNITY SECTORS, INCLUDING THE FAITH COMMUNITY, MEDICAL, BUSINESS AND INDUSTRY FIELDS. ONE MEMBER OF THE GOVERNING COUNCIL ALSO SERVES AS THE CHAIR OF THE COMMUNITY HEALTH COUNCIL TO ENSURE THE SHARING OF INFORMATION BETWEEN THE TWO COUNCILS. THE HOSPITAL'S GOVERNING COUNCIL REVIEWS AND APPROVES THE CHNA REPORT, INCLUDING THE PRIORITIZED HEALTH NEEDS. IN NOVEMBER 2019, LEADERS OF THE CHC PRESENTED THE CHNA PROCESS AND PRIORITIZED HEALTH NEEDS TO THE HOSPITAL'S GOVERNING COUNCIL. THIS RESULTED IN THE GOVERNING COUNCIL'S APPROVAL AND ADOPTION OF ADVOCATE TRINITY'S 2017-2019 CHNA REPORT ON NOVEMBER 26, 2019. THE 2017-2019 CHNA REPORT WAS APPROVED BY THE ADVOCATE HEALTH CARE NETWORK BOARD AT THE SYSTEM LEVEL ON DECEMBER 16, 2019.

CHRIST HOSP INCL HOPE CHILDREN'S HOSP
PART V, SECTION B, LINE 6A: ADVOCATE CHRIST AND ADVOCATE CHILDREN'S PARTICIPATED IN THE ALLIANCE FOR HEALTH EQUITY (AHE) COLLABORATIVE AND SURVEY THAT INCLUDED OVER 30 HOSPITALS, 7 HEALTH DEPARTMENTS AND OVER 100 COMMUNITY ORGANIZATIONS. A LIST OF RELATED AHE HOSPITALS, AS WELL AS UNRELATED HOSPITALS IN CLOSE PROXIMITY TO ADVOCATE CHRIST, ARE PROVIDED BELOW. RELATED? ADVOCATE CHILDREN'S (OAK LAWN, IL); ADVOCATE SOUTH SUBURBAN HOSPITAL (HAZEL CREST, IL); ADVOCATE TRINITY HOSPITAL (CHICAGO, IL) HTTP://ALLHEALTHEQUITY.ORG/

GOOD SHEPHERD HOSPITAL
PART V, SECTION B, LINE 6A: RELATED? ADVOCATE CONDELL MEDICAL CENTER (LIBERTYVILLE, IL) THROUGH THE LAKE COUNTY HEALTH DEPARTMENT; ADVOCATE SHERMAN HOSPITAL (ELGIN, IL) THROUGH THE MCHENRY COUNTY HEALTH DEPARTMENTUNRELATED? NORTHWESTERN MEDICINE MCHENRY (MCHENRY, IL); AND THREE HOSPITALS THROUGH THE LAKE COUNTY HEALTH DEPARTMENT, INCLUDING: LOVELL FEDERAL HEALTHCARE CENTER (NORTH CHICAGO, IL); NORTHWESTERN LAKE FOREST HOSPITAL (LAKE FOREST, IL); AND VISTA HEALTH SYSTEMS (WAUKEGAN, IL).

GOOD SAMARITAN HOSPITAL
PART V, SECTION B, LINE 6A: ADVOCATE GOOD SAMARITAN HOSPITALRELATED? N/AUNRELATED? ADVENTIST HINSDALE HOSPITAL, NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL, LINDEN OAKS HOSPITAL, EDWARD-ELMHURST HOSPITAL

LUTHERAN GEN HOSP INCL LUTH GEN CHILD
PART V, SECTION B, LINE 6A: ADVOCATE LUTHERAN GENERAL HOSPITALADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S PARTICIPATED IN THE ALLIANCE FOR HEALTH EQUITY COLLABORATIVE AND SURVEY WHICH WAS LED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE AND INCLUDED OVER 30 HOSPITALS, 7 HEALTH DEPARTMENTS AND OVER 100 COMMUNITY ORGANIZATIONS. AHE COMPLETED A CHNA FOR COOK COUNTY. A LIST OF RELATED HOSPITALS, AS WELL AS UNRELATED HOSPITALS IN CLOSE PROXIMITY TO ADVOCATE LUTHERAN GENERAL, ARE PROVIDED BELOW. RELATED? ADVOCATE CHILDREN'S HOSPITAL (PARK RIDGE, IL); ADVOCATE CHRIST MEDICAL CENTER (OAK LAWN, IL); ADVOCATE ILLINOIS MASONIC MEDICAL CENTER (CHICAGO, IL); ADVOCATE SOUTH SUBURBAN HOSPITAL (HAZEL CREST, IL); AND ADVOCATE TRINITY HOSPITAL (CHICAGO, IL). UNRELATED? AMITA ALEXIAN BROTHERS MEDICAL CENTER (ELK GROVE, IL) AMITA RESURRECTION MEDICAL CENTER (EDISON PARK-CHICAGO, IL) RUSH UNIVERSITY MEDICAL CENTER AMITA ST. ALEXIUS MEDICAL CENTER AND ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL (HOFFMAN ESTATES, IL) AMITA SAINT FRANCIS HOSPITAL (EVANSTON, IL) FOR FULL DETAILS ON THE COLLABORATIVE AND A COMPLETE LIST OF ORGANIZATIONS INVOLVED, PLEASE REFER TO THE ALLIANCE FOR HEALTH EQUITY'S WEBPAGE AT HTTP://ALLHEALTHEQUITY.ORG/

ADVOCATE SOUTH SUBURBAN HOSPITAL
PART V, SECTION B, LINE 6A: ADVOCATE SOUTH SUBURBAN HOSPITALADVOCATE SOUTH SUBURBAN PARTICIPATED IN THE ALLIANCE FOR HEALTH EQUITY (AHE) COLLABORATIVE AND SURVEY THAT INCLUDED OVER 30 HOSPITALS, 4 HEALTH DEPARTMENTS AND OVER 100 COMMUNITY ORGANIZATIONS. A LIST OF RELATED AHE HOSPITALS, AS WELL AS UNRELATED HOSPITALS NEAR ADVOCATE SOUTH SUBURBAN, ARE PROVIDED BELOW. RELATED? ADVOCATE CHRIST MEDICAL CENTER AND ADVOCATE CHILDREN'S (OAK LAWN, IL); ADVOCATE TRINITY HOSPITAL (CHICAGO, IL) UNRELATED? PALOS COMMUNITY HOSPITAL (PALOS HEIGHTS, IL); UNIVERSITY OF CHICAGO MEDICINE-INGALLS MEMORIAL HOSPITAL (HARVEY, IL). FOR A COMPLETE LIST OF HOSPITALS AS WELL AS FULL DETAILS ON THE COLLABORATIVE, PLEASE SEE THE FOLLOWING WEBSITE: HTTP://ALLHEALTHEQUITY.ORG/

ADVOCATE TRINITY HOSPITAL
PART V, SECTION B, LINE 6A: ADVOCATE TRINITY HOSPITALADVOCATE TRINITY PARTICIPATED IN THE ALLIANCE FOR HEALTH EQUITY (AHE) COLLABORATIVE AND SURVEY THAT INCLUDED OVER 30+ HOSPITALS, 7 HEALTH DEPARTMENTS AND OVER 100 COMMUNITY ORGANIZATIONS. A LIST OF RELATED AHE HOSPITALS, AS WELL AS UNRELATED HOSPITALS NEAR ADVOCATE TRINITY, ARE PROVIDED BELOW. RELATED? ADVOCATE CHRIST MEDICAL CENTER & ADVOCATE CHILDREN'S (OAK LAWN, IL); ADVOCATE SOUTH SUBURBAN HOSPITAL (HAZEL CREST, IL)UNRELATED? ROSELAND HOSPITAL (CHICAGO, IL); SOUTH SHORE HOSPITAL (CHICAGO, IL); JACKSON PARK MEDICAL CENTER (CHICAGO, IL), ACCESS COMMUNITY HEALTH NETWORK (CHICAGO, IL), AUNT MARTHA'S COMMUNITY HEALTH CENTER (CHICAGO, IL), CHICAGO FAMILY HEALTH CENTER (CHICAGO, IL), MILES SQUARE HEALTH CENTER (CHICAGO, IL), COOK COUNTY HEALTH CENTER (CHICAGO, IL), CHICAGO DEPARTMENT OF PUBLIC HEALTH (CHICAGO, IL). FOR FULL DETAILS ON THE COLLABORATIVE, PLEASE SEE THE FOLLOWING WEBSITE. HTTP://ALLHEALTHEQUITY.ORG/

CHRIST HOSP INCL HOPE CHILDREN'S HOSP
PART V, SECTION B, LINE 6B: OTHER NON-HOSPITAL FACILITIES THAT PARTICIPATED IN THE AHE INCLUDED THE ILLINOIS PUBLIC HEALTH INSTITUTE, CHICAGO DEPARTMENT OF PUBLIC HEALTH, COOK COUNTY HEALTH DEPARTMENT, NATIONAL ALLIANCE FOR MENTAL HEALTH, PARK FOREST HEALTH DEPARTMENT, AND STICKNEY HEALTH DEPARTMENT. FOR A COMPLETE LIST OF COMMUNITY-BASED ORGANIZATIONS NAMES THAT PARTICIPATED IN THE ASSESSMENT, PLEASE SEE THE FOLLOWING WEBSITE. HTTP://ALLHEALTHEQUITY.ORG/

GOOD SHEPHERD HOSPITAL
PART V, SECTION B, LINE 6B: OTHER NON-HOSPITAL FACILITIES THAT PARTICIPATED IN THE CHNA INCLUDED THE MCHENRY COUNTY DEPARTMENT OF HEALTH, MCHENRY COUNTY MENTAL HEALTH BOARD, MCHENRY COUNTY SUBSTANCE ABUSE COALITION, UNITED WAY OF GREATER MCHENRY COUNTY, LAKE COUNTY HEALTH DEPARTMENT, HEALTHIER BARRINGTON COALITION, AND THE WAUCONDA CHOSE YOUR OWN PATH COALITION.

GOOD SAMARITAN HOSPITAL
PART V, SECTION B, LINE 6B: ADVOCATE GOOD SAMARITAN HOSPITALTHE 2019 CHNA WAS CONDUCTED WITH THE DUPAGE COUNTY HEALTH DEPARTMENT (WHEATON, IL) AND WITH THE IMPACT DUPAGE STEERING COMMITTEE (WHEATON, IL).

LUTHERAN GEN HOSP INCL LUTH GEN CHILD
PART V, SECTION B, LINE 6B: ADVOCATE LUTHERAN GENERAL HOSPITALOTHER NON-HOSPITAL FACILITIES THAT PARTICIPATED IN THE AHE COLLABORATIVE ASSESSMENT INCLUDED THE CHICAGO DEPARTMENT OF PUBLIC HEALTH; EVANSTON HEALTH AND HUMAN SERVICES DEPARTMENT; COOK COUNTY DEPARTMENT OF PUBLIC HEALTH; AND VILLAGE OF SKOKIE HEALTH DEPARTMENT A COMPLETE LIST OF COMMUNITY ORGANIZATIONS INVOLVED IN THE ASSESSMENT CAN BE VIEWED AT HTTPS://ALLHEALTHEQUITY.ORG/PROJECTS/2019-CHNA-REPORTS/.

ADVOCATE SOUTH SUBURBAN HOSPITAL
PART V, SECTION B, LINE 6B: ADVOCATE SOUTH SUBURBAN HOSPITALOTHER NON-HOSPITAL FACILITIES THAT PARTICIPATED IN THE AHE CHNA INCLUDED THE ILLINOIS PUBLIC HEALTH INSTITUTE (CHICAGO, IL), THE CHICAGO DEPARTMENT OF PUBLIC HEALTH (CHICAGO, IL), COOK COUNTY DEPARTMENT OF PUBLIC HEALTH (CHICAGO, IL), EVANSTON HEALTH AND HUMAN SERVICES DEPARTMENT (EVANSTON, IL) AND THE VILLAGE OF SKOKIE HEALTH DEPARTMENT (SKOKIE, IL). FOR A COMPLETE LIST OF ALL ORGANIZATIONS THAT PARTICIPATED IN THE ASSESSMENT, PLEASE VISIT: HTTP://ALLHEALTHEQUITY.ORG/

ADVOCATE TRINITY HOSPITAL
PART V, SECTION B, LINE 6B: ADVOCATE TRINITY HOSPITALOTHER NON-HOSPITAL FACILITIES THAT PARTICIPATED IN THE ALLIANCE INCLUDED THE ILLINOIS PUBLIC HEALTH INSTITUTE (CHICAGO, IL), CHICAGO DEPARTMENT OF PUBLIC HEALTH (CHICAGO, IL), COOK COUNTY HEALTH DEPARTMENT (CHICAGO, IL), FOR A COMPLETE LIST OF COMMUNITY-BASED ORGANIZATIONS NAMES THAT PARTICIPATED IN THE ASSESSMENT, PLEASE SEE THE FOLLOWING WEBSITE. HTTP://ALLHEALTHEQUITY.ORG/

GOOD SHEPHERD HOSPITAL
PART V, SECTION B, LINE 7D: THE HOSPITAL ISSUED AN ANNOUNCEMENT AND A BRIEF SUMMARY OF THE CHNA RESULTS TO ADVOCATE GOOD SHEPHERD TEAM MEMBERS, WHICH ALSO INCLUDED A LINK TO THE FULL REPORT. COMMUNITY HEALTH STAFF ALSO PRESENTED THE CHNA RESULTS TO THE HEALTHIER BARRINGTON COALITION AND ADVOCATE GOOD SHEPHERD EXECUTIVE AND SENIOR LEADERSHIP TEAMS.

LUTHERAN GEN HOSP INCL LUTH GEN CHILD
PART V, SECTION B, LINE 7D: AN OVERVIEW OF THE ADVOCATE LUTHERAN GENERAL 2017-2019 CHNA REPORT WAS PROVIDED IN JANUARY 2020 TO THE DES PLAINES MINISTERIAL ASSOCIATION, WHICH IS COMPRISED OF LOCAL COMMUNITY ORGANIZATIONS AND LEADERS. IN ADDITION, AN OVERVIEW OF THE CHNA REPORT WAS PROVIDED TO THE BELMONT-CRAGIN COALITION, LED BY THE NORTH WESTSIDE HOUSING CENTER, WHICH IS A COMMUNITY COALITION COMPRISED OF COMMUNITY RESIDENTS, ORGANIZATIONS AND FAITH-BASED INSTITUTIONS.

CHRIST HOSP INCL HOPE CHILDREN'S HOSP
PART V, SECTION B, LINE 11: HEALTH NEEDS SELECTEDAS A RESULT OF THE 2017-2019 CHNA PROCESS, ADVOCATE CHRIST SELECTED THREE PRIORITIES FOR 2020-2022 IMPLEMENTATION PLANNING, INCLUDING: 1) MENTAL HEALTH/SUBSTANCE ABUSE;2) DIABETES; AND 3) VIOLENCE PREVENTION (SOCIAL, ECONOMIC AND STRUCTURAL DETERMINANTS OF HEALTH). (FOR PRIORITY SELECTION PROCESS DETAILS, SEE PAGES 77-78 OF THE 2017-2019 CHNA REPORT AT HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/IMAGES/CHNA/0802_CHRIST_CHNA_F_1_16_2020JANUARY28.PDF )MENTAL HEALTH/SUBSTANCE ABUSE. ADVOCATE CHRIST WILL ADDRESS THE MENTAL HEALTH AND SUBSTANCE USE ISSUES OF INDIVIDUALS IMPACTED BY TRAUMA THROUGH THE TRAUMA RECOVERY CENTER. THE MEDICAL CENTER WILL ADOPT STRATEGIES THAT IMPROVE THE RATES OF MENTAL HEALTH EMERGENCIES AND DECREASE ED VISITS AND HOSPITALIZATION DUE TO MENTAL HEALTH ISSUES. IN ADDITION, ADVOCATE CHRIST WILL CONTINUE TO BUILD A PARTNERSHIP WITH STAFF FROM THE MEDICAL CENTER'S TRAUMA RECOVERY CENTER. GOALS TO ADDRESS MENTAL HEALTH INCLUDE PROVIDING ACCESS TO MENTAL HEALTH FIRST AID TRAININGS AND INCREASING EDUCATION, AWARENESS AND ACCESS TO SERVICES FOR MENTAL HEALTH. IN 2020, ADVOCATE CHRIST PARTNERED WITH SERTOMA CENTRE, INC., TO PROVIDE VIRTUAL PROGRAMMING FOR MENTAL HEALTH EDUCATION, COMPLETING THREE WEB-BASED TRAININGS WITH TOPICS IN SELF-CARE, UNDERSTANDING ANXIETY AND MANAGING CONFLICT. THE COMMUNITY HEALTH TEAM ALSO PARTNERED WITH THE ALLIANCE FOR HEALTH EQUITY TO COLLABORATE ON ADDRESSING ACCESS TO MENTAL HEALTH SERVICES AND PROGRAMS.DIABETES. ED VISITS FOR DIABETES ARE HEAVILY CONCENTRATED IN THE WEST AND SOUTH SIDES OF CHICAGO AND THE SOUTHERN REGION OF SUBURBAN COOK COUNTY. THE AREAS WITH HIGH RATES OF ED VISITS LARGELY OVERLAP WITH COMMUNITIES WITH HIGH RATES OF POVERTY, UNEMPLOYMENT AND COST-BURDENED HOUSEHOLDS. AS A RESULT, THE MEDICAL CENTER'S CHC DECIDED THAT DIABETES INITIATIVES IN THIS SERVICE AREA ARE STILL NEEDED AND CONTINUE TO BE A BURDEN FOR RESIDENTS (THE ALLIANCE FOR HEALTH EQUITY, 2019). IN 2020, ADVOCATE CHRIST CONTINUED TO IMPLEMENT THE NATIONAL DIABETES PREVENTION PROGRAM (DPP). THE NATIONAL DPP IS A CENTERS FOR DISEASE CONTROL AND PREVENTION PROGRAM TO PREVENT OR DELAY TYPE 2 DIABETES. ADVOCATE CHRIST OFFERED TWO DIABETES PREVENTION PROGRAMS 1) THE YEAR-LONG NATIONAL DIABETES PREVENTION PROGRAM (DPP), AND 2) THE EIGHT-WEEK DIABETES EMPOWERMENT AND EDUCATION PROGRAM (DEEP). THE MEDICAL CENTER ACHIEVED PRELIMINARY RECOGNITION STATUS AS A CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) NATIONAL DIABETES PREVENTION PROGRAM IN 2020. THE PROGRAM GRADUATED THREE COHORTS WITH 33 PARTICIPANTS IN THE DEEP PROGRAM AND 16 PARTICIPANTS FROM THE DPP PROGRAM. DUE TO THE COVID-19 PANDEMIC, THE PROGRAM WAS TRANSITIONED FROM IN-PERSON LEARNING TO DISTANCE LEARNING (ONLINE/VIRTUAL). IN 2020, PROGRAM PARTICIPANTS ACHIEVED AN AVERAGE DECREASE IN BODY MASS INDEX (BMI) OF FIVE PERCENT AFTER COMPLETING THE PROGRAM. VIOLENCE PREVENTION. THE MEDICAL CENTER'S CHC IDENTIFIED VIOLENCE PREVENTION AS A SIGNIFICANT DETERMINANT OF HEALTH IN THE PSA AND WILL WORK WITH INTERNAL AND EXTERNAL STAKEHOLDERS TO DEVELOP NEW AND STRENGTHEN EXISTING EFFORTS TO PREVENT VIOLENCE IN THE COMMUNITY. IN 2020, ADVOCATE CHRIST ENGAGED IN THE FOLLOWING ACTIVITIES TO ADDRESS VIOLENCE PREVENTION. ADVOCATE CHRIST PARTICIPATED IN THE CHICAGO HEAL INITIATIVE WHICH BRINGS TOGETHER HOSPITALS FROM LEADING HEALTH SYSTEMS TO ADDRESS VIOLENCE IN TARGETED CHICAGO NEIGHBORHOODS. THE ADVOCATE TRAUMA RECOVERY CENTER PROVIDED TRAUMA RECOVERY SERVICES TO 772 VICTIMS OF TRAUMA. THE ACCLIVUS COMMUNITY SUPPORT PROGRAM ASSISTED 745 VICTIMS OF VIOLENCE WITH REFERRALS TO COMMUNITY SUPPORT AND CASE MANAGEMENT SERVICES. ADVOCATE CHRIST PARTNERED WITH UNIVERSITY OF CHICAGO MEDICINE TO CONTINUE IMPLEMENTATION OF THE SOUTHLAND RISE INITIATIVE DEVELOPED TO ADDRESS VIOLENCE IN SOUTHSIDE CHICAGO NEIGHBORHOODS. THE SOUTHLAND RISE PARTNERSHIP PROVIDED 100,000 DOLLARS IN GRANT FUNDING TO COMMUNITY BASED ORGANIZATIONS TO ADDRESS YOUTH VIOLENCE, COVID-19 STRATEGIES AND SOCIAL DETERMINANTS OF HEALTH (SDOH) IDENTIFIED DURING THE COVID-19 PANDEMIC. IN ADDITION, A SOUTHLAND RISE VIOLENCE PREVENTION SUMMIT WAS CONDUCTED IN MARCH 2020 WITH CLOSE TO 200 PEOPLE IN ATTENDANCE. AS A RESULT OF THE 2017-2019 CHNA PROCESS, ADVOCATE CHILDREN'S-OAK LAWN WILL ADDRESS THE FOLLOWING PRIORITY AREAS FOR IMPLEMENTATION PLANNING FROM 2020-2022, INCLUDING: 1) ACCESS TO PRIMARY HEALTH CARE FOR LOW-INCOME CHILDREN; 2) SCHOOL-BASED BEHAVIORAL HEALTH ASSISTANCE; AND 3) INFANT MORTALITY/PRE-TERM DELIVERIES/LOW BIRTH WEIGHT.ACCESS TO PRIMARY CARE. ADVOCATE CHILDREN'S WILL OFFER SCHOOL-BASED HEALTH SERVICES AT NO CHARGE TO HIGH-RISK, LOW-INCOME CHILDREN WHO ARE UNINSURED OR RECEIVING MEDICAID. SERVICES PROVIDED BY THE RONALD MCDONALD CARE MOBILE (RMCM) WILL INCLUDE FREE PHYSICALS, IMMUNIZATIONS, COMPLETION OF HPV VACCINE SERIES, ASSISTANCE WITH SECURING A MEDICAL HOME, WELLNESS AND HEALTH EDUCATION, COMMUNITY-BASED SOCIAL SERVICE REFERRALS AND FOOD INSECURITY SCREENING. IN 2020, ADVOCATE CHILDREN'S CONTINUED TO PARTNER WITH RONALD MCDONALD HOUSE CHARITIES OF CHICAGOLAND AND NORTHWEST INDIANA TO PROVIDE ACCESS TO FREE SCHOOL PHYSICALS AND IMMUNIZATIONS FOR AT-RISK CHILDREN THROUGH THE RMCM. STAFFED BY AN ADVOCATE CHILDREN'S TEAM, INCLUDING A NURSE PRACTITIONER, MEDICAL ASSISTANT, HEALTH EDUCATOR AND DRIVER, THE ADVOCATE CHILDREN'S RMCM TEAM PROVIDES IMMUNIZATIONS, ROUTINE CHECK-UPS, AND SCREENINGS TO THE MOST VULNERABLE STUDENTS IN THE ADVOCATE CHILDREN'S-OAK LAWN PSA. THE RMCM SAW LIMITED OPERATIONS DURING SPRING/SUMMER 2020 DUE TO SCHOOL CANCELLATIONS, AND HYBRID AND ONLINE LEARNING MODELS WHICH LIMITED STUDENT AND SCHOOL ACCESS NECESSITATED BY THE COVID-19 PANDEMIC. HOWEVER, THE CARE MOBILE WAS ABLE TO SEE 689 PATIENTS AND PROVIDED 1,317 VACCINATIONS IN 2020. IN ADDITION, THE CARE MOBILE WAS REDEPLOYED FOR COMMUNITY-BASED COVID-19 TESTING AT EIGHT SITES IN 2020, COMPLETING A TOTAL OF 694 COVID-19 TESTS WITH A 7.7% POSITIVITY RATE. SCHOOL-BASED BEHAVIORAL HEALTH ASSISTANCE. ADVOCATE CHILDREN'S WILL OFFER SCHOOL-BASED SOCIAL SERVICES AND RESOURCE ASSISTANCE TO IMPROVE SOCIAL AND PSYCHOLOGICAL FUNCTIONING OF CHILDREN AND FAMILIES TO MAXIMIZE FAMILY WELL-BEING AND THE ACADEMIC FUNCTIONING OF CHILDREN. SERVICES WILL BE PROVIDED BY A LICENSED CLINICAL SOCIAL WORKER ON SITE AT SELECT PARTNER SCHOOLS. CLINICAL FUNCTIONS WILL INCLUDE SCREENING AND ASSESSMENTS FOR IDENTIFIED FAMILIES, BRIEF INTERVENTIONS AND REFERRAL TO TREATMENT, COORDINATION WITH PEDIATRICIANS, SCHOOL PERSONNEL, COMMUNITY PARTNERS AND ALLIED THERAPISTS, AND PARENT EDUCATION AND TRAINING. ADVOCATE CHILDREN'S PLANNED TO IMPLEMENT A PROGRAM TO EMBED A LICENSED CLINICAL PROFESSIONAL COUNSELOR (LCPC) IN PARTNERING CHICAGO PUBLIC SCHOOLS IN ORDER TO PROVIDE BEHAVIORAL HEALTH SERVICES AND EDUCATION TO STUDENTS, FACULTY AND PARENTS. FOR THE 2020-2021 SCHOOL YEAR, THE PROGRAM WAS PUT ON PAUSE DUE TO COVID-19. THE LCPC WAS REDEPLOYED TO ASSIST IN THE PEDIATRIC OUTPATIENT CLINIC IN OAK LAWN AND THE ADOLESCENT MEDICINE CLINIC IN EVERGREEN PARK. DISCUSSIONS HAVE RESUMED WITH CHICAGO PUBLIC SCHOOLS TO PROVIDE SERVICES IN THE AUBURN-GRESHAM NEIGHBORHOOD OF CHICAGO BEGINNING IN THE 2021-22 SCHOOL YEAR. INFANT MORTALITY/PRE-TERM DELIVERIES/LOW BIRTH WEIGHT. ADVOCATE CHILDREN'S WILL PROVIDE THE CENTERING PREGNANCY PROGRAM, A GROUP PRENATAL CARE MODEL WHERE PREGNANT WOMEN RECEIVE MONTHLY EXAMS, SOCIAL SUPPORT AND EXTENSIVE EDUCATION IN A GROUP SETTING. THE PROGRAM IS DESIGNED TO ENGAGE WOMEN IN THEIR PREGNANCY WITH THE GOAL TO REDUCE PREMATURE BIRTHS, INFANT MORTALITY AND LOW BIRTH WEIGHT BABIES WHILE DEVELOPING A MUCH-NEEDED SOCIAL SUPPORT SYSTEM. IN 2020, ADVOCATE CHILDREN'S IMPLEMENTED THE CENTERING PREGNANCY PROGRAM IN THE PRIMARY SERVICE AREA. THE CENTERING PREGNANCY PROGRAM BRINGS TOGETHER A SMALL GROUP OF POTENTIALLY AT-RISK WOMEN TO GAIN KNOWLEDGE AND SUPPORT TO ENSURE A SUCCESSFUL PREGNANCY AND BIRTH. EACH GROUP FOLLOWS THE RECOMMENDED SCHEDULE OF PRENATAL VISITS BUT EACH VISIT IS LONGER, GIVING WOMEN MORE TIME WITH THEIR PROVIDER AND SUPPORT TEAM. BESIDES ASSESSMENT, THE VISIT INCLUDES DISCUSSION AND INTERACTIVE ACTIVITIES DESIGNED TO ADDRESS HEALTH TOPICS SUCH AS NUTRITION, COMMON DISCOMFORTS, STRESS MANAGEMENT, LABOR AND DELIVERY, BREASTFEEDING, AND INFANT CARE. DUE TO COVID-19, IMPLEMENTATION OF THIS PROGRAM HAS BEEN PLACED ON A BRIEF PAUSE AND WILL BE REACTIVATED ONCE IT IS SAFE FOR SMALL GROUP GATHERINGS. HEALTH NEEDS NOT SELECTED AND WHYWHILE CANCER, HEART DISEASE/STROKE AND ASTHMA ARE IMPORTANT HEALTH CONCERNS IN THE PSA, THE CHC FELT THAT THESE HEALTH CONCERNS WERE AMONG THE HIGHEST RESOURCED HEALTH NEEDS IN THE COMMUNITY. ALSO, ADVOCATE CHRIST ALREADY HAS WELL ESTABLISHED CLINICAL INSTITUTES AND RESPIRATORY HEALTH RESOURCES THAT ARE FOCUSED ON CANCER, HEART DISEASE/STROKE AND ASTHMA.

GOOD SHEPHERD HOSPITAL
PART V, SECTION B, LINE 11: HEALTH NEEDS SELECTEDAS A RESULT OF THE 2017-2019 CHNA PROCESS, ADVOCATE GOOD SHEPHERD SELECTED TWO PRIORITIES FOR 2020-2022 IMPLEMENTATION PLANNING, INCLUDING: 1) OBESITY (DIABETES, HEART DISEASE, NUTRITION, AND EXERCISE) AND 2) SUBSTANCE ABUSE. FOR PRIORITY SELECTION PROCESS DETAILS, SEE PAGES 110-111 OF THE ADVOCATE GOOD SHEPHERD 2017-2019 CHNA REPORT AT ADVOCATE GOOD SHEPHERD HOSPITAL CHNA REPORT 2019 : ADVOCATE HEALTH CAREOBESITY. OBESITY WAS SELECTED AS A PRIORITY FOR THE 2014-2016 CHNA CYCLE. SINCE THIS TIME PERIOD, THE PREVALENCE OF OBESITY IN THE U.S. HAS CONTINUED TO STEADILY INCREASE. OBESITY IS A SERIOUS CONCERN BECAUSE IT IS ASSOCIATED WITH POORER MENTAL HEALTH OUTCOMES, REDUCED QUALITY OF LIFE, AND THE LEADING CAUSES OF DEATH IN THE U.S. AND WORLDWIDE, INCLUDING DIABETES, HEART DISEASE, STROKE, AND SOME TYPES OF CANCER (CENTERS FOR DISEASE CONTROL AND PREVENTION, ADULT OVERWEIGHT AND OBESITY CAUSES AND CONSEQUENCES, 2017). BECAUSE OF ITS STRONG CORRELATION TO CHRONIC DISEASES AND OTHER HEALTH CONDITIONS, THE CHC VOTED TO CONTINUE FOCUSING ON OBESITY AS A PRIORITY HEALTH ISSUE FOR THE 2020-2022 IMPLEMENTATION PLAN CYCLE. THE GOAL IS TO REDUCE THE PROPORTION OF ADULTS WHO ARE OBESE IN THE PSA. ADVOCATE GOOD SHEPHERD IS COLLABORATING WITH SENIOR SERVICE ORGANIZATIONS IN ITS SERVICE AREA TO SCREEN SENIORS FOR FOOD INSECURITY, USING THE HUNGER VITAL SIGN FOOD INSECURITY 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 2021, ADVOCATE GOOD SHEPHERD STAFF CONTINUED TO DISTRIBUTE THE COVID-19 FOOD AND NUTRITION RESOURCE GUIDE, INCLUDING ALL AREA FOOD DISTRIBUTION SITES AND FOOD PANTRY'S NEW PROCEDURES AND POLICIES BASED ON THE PANDEMIC. DURING THE COVID-19 PANDEMIC SEVERAL LOCAL FOOD PANTRIES AND FOOD ASSIST PROGRAMS EXPERIENCED CHANGES IN POLICIES AND PROCEDURES, SCHEDULING, STAFFING AND SUPPLIES, SO KEEPING INDIVIDUALS AND FAMILIES WHO IDENTIFY AS FOOD INSECURE INFORMED OF THESE CHANGES WAS IMPERATIVE. THIS GUIDE WAS SENT TO ALL SENIOR CENTERS AND NONPROFITS IN THE SERVICE AREA. IN 2021, THE HOSPITAL COLLABORATED WITH THE MCHENRY HEALTH DEPARTMENT TO JOURNEY TO A HEALTHIER YOU, A SUMMER CAMPAIGN SURROUNDED AROUND OBESITY, NUTRITION AND PHYSICAL ACTIVITY. A DIETITIAN FROM GOOD SHEPHERD WROTE A NEWSLETTER ON NUTRITION FOR THE PROGRAM THAT WAS SENT OUT TO ALL THE PARTICIPANTS.COMMUNITY RELATIONS AND THE COMMUNITY HEALTH STAFF ALSO ORGANIZED A FOOD AND GIFT CERTIFICATE FOR THE CRYSTAL LAKE FOOD PANTY. THE VALUE OF THE GIFT CARDS DONATED WAS $1,438 AND 1,177 FOOD AND PERSONAL HYGIENE ITEMS WERE COLLECTED AND DONATED TO THE PANTRY. SUBSTANCE ABUSE. SUBSTANCE ABUSE WAS THE SECOND HEALTH ISSUE IDENTIFIED AS A PRIORITY NEED WITHIN THE ADVOCATE GOOD SHEPHERD PSA. TWO SPECIFIC HEALTH BEHAVIORS WERE DISCUSSED AS CENTRAL TO THE ISSUE IN THE PSAEXCESSIVE ALCOHOL USE IN ADULTS AND THE HIGH PERCENTAGE OF TEENS VAPING. THE GOAL IS TO REDUCE THE PERCENT OF ADOLESCENTS AND ADULTS WHO ARE ABUSING SUBSTANCES. THE WARM HANDOFF PROGRAM WAS IMPLEMENTED IN THE EMERGENCY DEPARTMENT (ED) AND IS A PARTNERSHIP WITH GATEWAY FOUNDATION, A COMMUNITY-BASED ADDICTION MEDICINE PROVIDER. A GATEWAY FOUNDATION ENGAGEMENT SPECIALIST MEETS WITH A PATIENT IN THE ED WHO HAS COME IN FOR OPIOID-RELATED HEALTH ISSUES AND SCREENS AND REFERS HIM OR HER TO TREATMENT. A GATEWAY FOUNDATION RECOVERY COACH ON THE TEAM PROVIDES SUPPORT TO PATIENTS AS THEY TRANSITION INTO TREATMENT. THE COMMUNITY HEALTH STAFF HAS ALIGNED WITH KEY COMMUNITY-BASED COALITIONS TO IMPLEMENT SUBSTANCE ABUSE PREVENTION PROGRAMMING, SUCH AS THE MCHENRY SUBSTANCE ABUSE COALITION, HEALTHIER BARRINGTON COALITION, BE STRONG TOGETHER, LAKE COUNTY OPIOID TASK FORCE, LAKE COUNTY UNDERAGE DRINKING TASK FORCE AND THE WAUCONDA SUBSTANCE ABUSE PREVENTION COALITION. IN 2021, THE CHOOSE YOUR OWN PATH COALITION HOSTED TWO COMMUNITIES TALK EVENTS TO PREVENT UNDERAGE DRINKING TARGETED FOR THE UPCOMING HOMECOMING WEEK AT WAUCONDA HIGH SCHOOL. THE EVENTS TOOK PLACE AT THE WAUCONDA FARMER'S MARKET ON SEPTEMBER 16TH AND 23RD AND MEMBERS OF THE CHOOSE YOUR OWN PATH COALITION WERE PRESENT TO DISCUSS THE DANGERS OF UNDERAGE DRINKING AND SOCIAL HOSTING LAWS WITH INTERESTED COMMUNITY MEMBERS. THE COALITION HAS ALSO DEVELOPED A STRATEGIC AND ACTION PLANNING COMMITTEE TO REVIEW COMMUNITY DATA AND PLAN PROGRAMMING AROUND UNDERAGE DRINKING IN THE COMMUNITY. THE GOOD SHEPHERD COMMUNITY HEALTH TEAM IS PART OF THE COMMITTEE. THE COMMUNITY HEALTH TEAM PARTNERED WITH BARRINGTON SCHOOL DISTRICT 220 AND THE NONPROFIT GROUP BSTRONG TOGETHER TO HOST A VIRTUAL EVENT FOR PARENTS, EDUCATORS AND COMMUNITY MEMBERS ABOUT THE DANGERS OF FENTANYL HELD ON OCTOBER 28TH. THE EVENT WAS RECORDED AND SENT OUT THROUGH MULTIPLE ORGANIZATIONS. GOOD SHEPHERD'S DIRECTOR OF ROBERT ROMOLO DO, CHAIRMAN AND MEDICAL DIRECTOR OF THE EMERGENCY DEPARTMENT SPOKE ON THE PANEL, ALONG WITH LAURIE CRAIN FROM THE MCHENRY COUNTY SUBSTANCE ABUSE COALITION AND A POLICE OFFICER FROM THE BARRINGTON POLICE DEPARTMENT. TOPICS COVERED WERE INFORMATION ABOUT FENTANYL, HOW ARE KIDS ACCESSING IT AND THE ONE PILL CAN KILL CAMPAIGN. FOR MORE IMPLEMENTATION PLAN DETAILS, PLEASE SEE THE ADVOCATE GOOD SHEPHERD 2020-2022 COMMUNITY HEALTH IMPLEMENTATION PLAN AT HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/DOCUMENTS/GOOD-SHEPHERD-2020-2022-CMTY-HLTH-IMPLEMENTATION-PLAN-FINAL-LR-4-24-20.PDF HEALTH NEEDS NOT SELECTED AND WHYDIABETES. DIABETES WAS NOT IDENTIFIED AS ONE OF THE PRIORITY HEALTH NEEDS FOR THE ADVOCATE GOOD SHEPHERD PSA, ALTHOUGH DIABETES PREVALENCE IS INCREASING OVER TIME BOTH NATIONALLY AND LOCALLY. ACTION TEAMS ARE ACTIVELY ADDRESSING DIABETES IN BOTH LAKE AND MCHENRY COUNTIES, COORDINATED THROUGH EACH OF THE LOCAL HEALTH DEPARTMENTS. EVIDENCE-BASED INITIATIVES ARE UNDERWAY, INCLUDING THE DIABETES SELF-MANAGEMENT PROGRAM (STANFORD MODEL) AND DIABETES PREVENTION PROGRAM IN BOTH COUNTIES. ACTIVITIES INCLUDE DIABETES PREVENTION, DIABETES SCREENING TO IDENTIFY DIABETES AND PRE-DIABETES, AND EDUCATION ON DIABETES SELF-MANAGEMENT. THESE INITIATIVES INVOLVE A WIDE RANGE OF STAKEHOLDERS INCLUDING IMMIGRANT-RIGHTS ORGANIZATIONS, PUBLIC LIBRARIES, FQHCS AND HOSPITAL SYSTEMS. BECAUSE PROGRAMS TO ADDRESS DIABETES ARE ALREADY IN PLACE, ADVOCATE GOOD SHEPHERD'S CHC MADE THE DECISION TO CONTINUE TO FOCUS ON OBESITY AS A PRIORITY, GIVEN ITS IMPACT ON THE RISK FOR PRE-DIABETES AND DIABETES.CARDIOVASCULAR DISEASE. CARDIOVASCULAR DISEASE WAS NOT SELECTED AS A HEALTH PRIORITY. OVER THE PAST DECADE, HEART DISEASE DEATH RATES HAVE DROPPED IN BOTH LAKE AND MCHENRY COUNTIES. WHILE HEART DISEASE RATES ARE DECLINING, MALES AND OLDER ADULTS HAVE SLIGHTLY HIGHER RATES. THE HOSPITAL CURRENTLY PROMOTES AND CONDUCTS HEART HEALTH RISK ASSESSMENTS USING THE AMERICAN HEART ASSOCIATION TOOL, CONDUCTS HEART SCAN CTS TO IDENTIFY CALCIUM IN THE HEART, AND PROMOTES PREVENTION MEASURES, SUCH AS GOOD NUTRITION AND PHYSICAL ACTIVITY IN THE COMMUNITY. ALL OF THESE ACTIVITIES ARE COORDINATED WITH THE ADVOCATE HEART INSTITUTE PROGRAMS FOCUSED ON TREATING CARDIOVASCULAR DISEASE IN THE HOSPITAL'S PSA AND THE PUBLIC HEALTH DEPARTMENTS IN MCHENRY AND LAKE COUNTIES. SINCE HEART DISEASE DEATH RATES ARE DECLINING AND MANY COMMUNITY-BASED PROGRAMS TO ADDRESS CARDIOVASCULAR DISEASE ARE ALREADY ACTIVE, THE CHC DECIDED IT WAS MORE BENEFICIAL TO PRIORITIZE OBESITY BECAUSE OF ITS IMPACT ON THE RISK FOR HEART DISEASE.

GOOD SAMARITAN HOSPITAL
PART V, SECTION B, LINE 11: ADVOCATE GOOD SAMARITAN HOSPITALAS A RESULT OF THE 2017-2019 CHNA PROCESS, ADVOCATE GOOD SAMARITAN SELECTED TWO HEALTH PRIORITIES FOR THE HOSPITAL TO ADDRESS FOR 2020-2022 IMPLEMENTATION PLANNING: 1) BEHAVIORAL HEALTH; AND 2) HEALTH STATUS IMPROVEMENT, WHICH INCLUDES ACCESS TO HEALTH CARE, OBESITY PREVENTION, NUTRITION AND PHYSICAL ACTIVITY. (FOR PRIORITY SELECTION PROCESS DETAILS, SEE PAGE 41 OF ADVOCATE GOOD SAMARITAN'S 2017-2019 CHNA REPORT AT MICROSOFT WORD - 0715_GSAM_CHNA.DOCX (ADVOCATEHEALTH.COM)DUPAGE COUNTY HEALTH NEEDS SELECTED BEHAVIORAL HEALTH. THE ADVOCATE GOOD SAMARITAN CHC INITIALLY LOOKED AT SUBSTANCE USE AND MENTAL HEALTH AS SEPARATE HEALTH ISSUES HOWEVER, AFTER CAREFUL REVIEW OF DATA, IT WAS EVIDENT THAT MENTAL HEALTH AND SUBSTANCE USE ARE STRONGLY CORRELATED AND PRESENT AS CO-OCCURRING HEALTH ISSUES. TAKING THIS INTO CONSIDERATION, THE CHC AND THE IMPACT DUPAGE STEERING COMMITTEE IDENTIFIED BEHAVIORAL HEALTH AS THE PRIORITY HEALTH NEED AND THE MOST EFFECTIVE WAY TO ADDRESS MENTAL HEALTH AND SUBSTANCE USE. DATA TRENDS INDICATED THAT MENTAL HEALTH ISSUES ARE INCREASING AND THE NEED FOR MENTAL HEALTH SERVICES AND PROGRAMMING CONTINUES TO GROW. ADOLESCENTS AND YOUNG ADULTS HAVE SOME OF THE HIGHEST HOSPITALIZATION AND ER RATES DUE TO MENTAL HEALTH ISSUES AND THE GREATEST NEED FOR MENTAL HEALTH SERVICES. THE CHC IS INTERESTED IN COLLABORATING WITH COMMUNITY ORGANIZATIONS SUCH AS THE NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI) TO INCREASE THE AMOUNT OF COMMUNITY PROGRAMS AND RESOURCES AVAILABLE TO TEENS AND YOUNG ADULTS WHO EXPERIENCE MENTAL HEALTH ISSUES. THE HOSPITAL WILL WORK WITH THE DUPAGE COUNTY HEALTH DEPARTMENT AND IMPACT DUPAGE TO EFFECTIVELY ADDRESS BEHAVIORAL HEALTH NEEDS IN DUPAGE COUNTY. PROGRESS AND OUTCOMES FOR 2021 ARE AS FOLLOWS. IN PARTNERSHIP WITH NAMI DUPAGE, ADVOCATE GOOD SAMARITAN IMPLEMENTED THE TEEN RECOVERY SUPPORT GROUP, WHICH AIMS TO REDUCE MENTAL HEALTH CRISES. IN 2021, 12 SESSIONS WERE HELD VIRTUALLY WITH 25 PARTICIPANTS. IN 2021, VIRTUAL MENTAL HEALTH FIRST AID, A TRAINING THAT AIMS TO HELP INDIVIDUALS IDENTIFY AND ADDRESS MENTAL HEALTH CRISES, WAS PROVIDED TO 68 EMS STUDENTS AND DUPAGE PADS PROFESSIONAL STAFF. ADVOCATE GOOD SAMARITAN ALSO CONTINUED TO PARTNER WITH NAMI DUPAGE TO PROVIDE ENDING THE SILENCE TO DUPAGE COUNTY SCHOOLS. THE PROGRAM AIMS TO REDUCE MENTAL HEALTH STIGMA AMONG ADOLESCENTS. IN 2021, 203 MIDDLE AND HIGH SCHOOL STUDENTS COMPLETED THE CLASS. IN PARTNERSHIP WITH THE DUPAGE COUNTY HEALTH DEPARTMENT, NARCAN (AN OPIOID OVERDOSE REVERSAL DRUG) KITS WERE DISTRIBUTED TO 29 GOOD SAMARITAN HOSPITAL EMERGENCY DEPARTMENT (ED) PATIENTS WITH SUBSTANCE USE DISORDER. HEALTH STATUS IMPROVEMENT. HEALTH STATUS IMPROVEMENT INCLUDES ACCESS TO HEALTH CARE, OBESITY PREVENTION, NUTRITION AND PHYSICAL ACTIVITY. THE CHC AND IMPACT DUPAGE IDENTIFIED HEALTHY LIFESTYLES AND ACCESS TO HEALTH CARE AS A CRITICAL HEALTH NEED FOR DUPAGE COUNTY. OBESITY AND NUTRITION ARE THE LEADING CAUSES OF MANY CHRONIC DISEASES AND HEALTH ISSUES, INCLUDING HEART DISEASE, STROKE, SOME CANCERS AND DIABETES. TAKING THIS INTO CONSIDERATION, THE CHC AND IMPACT DUPAGE SELECTED HEALTH STATUS IMPROVEMENT DUE TO THE ABILITY TO IMPACT THE QUALITY OF LIFE AND OVERALL HEALTH STATUS OF COMMUNITY MEMBERS. PROGRESS AND OUTCOMES FOR 2021 ARE AS FOLLOWS. IN PARTNERSHIP WITH PEOPLE'S RESOURCE CENTER, WEST SUBURBAN COMMUNITY PANTRY, NORTHERN ILLINOIS FOOD BANK AND UNIVERSITY OF ILLINOIS EXTENSION, ADVOCATE GOOD SAMARITAN IMPLEMENTED 16 VIRTUAL HEALTHY LIFESTYLE WORKSHOPS. WORKSHOPS PROVIDED NUTRITION EDUCATION AND INCREASED ACCESS TO HEALTHY FOODS FOR OVER 30 LOW-INCOME RESIDENTS IN DUPAGE COUNTY. ADVOCATE GOOD SAMARITAN PARTNERED WITH SCHAFER AND NORTH ELEMENTARY SCHOOLS TO PROVIDE PHYSICAL ACTIVITY CLASSES AND NUTRITION EDUCATION. IN 2021, THE HOSPITAL PROVIDED 100 WATER BOTTLES FOR STUDENTS TO INCREASE WATER CONSUMPTION. THE HOSPITAL IMPLEMENTED YOGA IN THE PARK FOR OVER 25 FAMILIES AND DISTRIBUTED 45 FRESH PRODUCE BOXES. RIDE WITH D45, COLLABORATIVE INITIATIVE FOR STUDENTS AND FAMILIES TO ENGAGE IN PHYSICAL ACTIVITY TOGETHER WAS A DISTRICT WIDE BIKE INITIATIVE. THE HOSPITAL PROVIDED 120 HELMETS AND BIKE SAFETY EDUCATION TO STUDENTS, FAMILIES AND COMMUNITY RESIDENTS. ADVOCATE GOOD SAMARITAN PARTNERED WITH ACCESS DUPAGE TO PROVIDE A COMMUNITY COVID-19 VACCINE CLINIC AND DISTRIBUTE NUTRITION EDUCATION AND FRESH PRODUCE BOXES TO OVER 30 LOW-INCOME INDIVIDUALS AND FAMILIES. TO ADDRESS THE INCREASING NEED FOR ACCESS TO FOOD, ADVOCATE GOOD SAMARITAN LAUNCHED A HOSPITAL-BASED FOOD PANTRY PILOT IN DECEMBER 2020 TO SERVE FOOD INSECURE ONCOLOGY PATIENTS. IN 2021, THE PANTRY SERVED 15 PATIENTS AND IS AIMING TO EXPAND TO NEW SERVICE LINES AND DEPARTMENTS IN 2022. THE TRANSITION SUPPORT PROGRAM (TSP) AIMS TO INCREASE ACCESS TO PRIMARY CARE, SPECIFICALLY FOR UNINSURED AND LOW-INCOME PATIENTS. IN 2021, THE PROGRAM DOUBLED PATIENT VOLUME WITH 150-180 PATIENTS ON THE DAILY CENSUS. PATIENTS WERE PROVIDED WITH NAVIGATION SERVICES TO PRIMARY CARE PHYSICIANS AND SOCIAL SERVICES.BOLINGBROOK-ROMEOVILLE HEALTH NEEDS SELECTED CHRONIC DISEASE PREVENTION AND MANAGEMENT. CHRONIC DISEASE PREVENTION AND MANAGEMENT WAS SELECTED AS A HEALTH PRIORITY FOR THE BOLINGBROOK-ROMEVILLE COMMUNITY. THIS IS DUE TO THE POTENTIAL IMPACT IT CAN HAVE ON DECREASING OBESITY, INCREASING HEALTHY LIFESTYLES AND IMPROVING ACCESS TO AFFORDABLE HEALTHY FOODS. THE HOSPITAL WILL PARTNER WITH BOLINGBROOK-ROMEOVILLE VNA HEALTH CARE, WILL COUNTY HEALTH DEPARTMENT AND WEST SUBURBAN COMMUNITY PANTRY (WSCP) TO ADDRESS CHRONIC DISEASE PREVENTION AND MANAGEMENT. THE HOSPITAL WILL WORK WITH VNA TO REVIEW THEIR HEALTHY LIFESTYLE CURRICULUM, WHICH INCLUDES NUTRITION EDUCATION, COOKING DEMONSTRATIONS AND HEALTHY FOOD TASTE TESTING. THE HOSPITAL WILL ALSO EXPLORE A PARTNERSHIP WITH THE WSCP MOBILE PRODUCE PROGRAM, WHICH DELIVERS FRESH PRODUCE TO LOW-INCOME HOUSEHOLDS AND COMMUNITY ORGANIZATIONS TO ADDRESS FOOD INSECURITY. FURTHERMORE, THE HOSPITAL WILL BE ENGAGED IN THE WILL COUNTY FOOD ACCESS WORKSHOP TO ADDRESS FOOD INSECURITY IN WILL COUNTY. PROGRESS AND OUTCOMES FOR 2021 ARE AS FOLLOWS. ADVOCATE GOOD SAMARITAN PARTNERED WITH WEST SUBURBAN COMMUNITY PANTRY TO PROVIDE NUTRITION EDUCATION TO OVER 100 INDIVIDUALS AND THEIR FAMILIES. THE HOSPITAL ALSO WORKED CLOSELY WITH WEST SUBURBAN COMMUNITY PANTRY TO IMPLEMENT A SCHOOL-BASED PANTRY FOR FOOD INSECURE STUDENTS AND FAMILIES. IN 2021, THE PANTRY SERVED OVER 150 FAMILIES AND DISTRIBUTED OVER 7,500 POUNDS OF FOOD.

LUTHERAN GEN HOSP INCL LUTH GEN CHILD
"PART V, SECTION B, LINE 11: ADVOCATE LUTHERAN GENERAL HOSPITALHEALTH NEEDS SELECTEDAS A RESULT OF THE 2017-2019 CHNA PROCESS, ADVOCATE LUTHERAN SELECTED THREE PRIORITIES FOR 2020-2022 IMPLEMENTATION PLANNING, INCLUDING: 1) OBESITY/HEALTHY LIFESTYLES; 2) BEHAVIORAL HEALTH; AND 3) SOCIAL DETERMINANTS OF HEALTH. (FOR PRIORITY SELECTION PROCESS DETAILS, SEE PAGES 46-48 OF THE HOSPITAL'S 2017-2019 CHNA REPORT AT MICROSOFT WORD - LGH 2019 CHNA NE-LR CHANGES - READY FOR MEDIA CTR TO LINK TOC 1 9 2020.DOCX (ADVOCATEHEALTH.COM). ADVOCATE LUTHERAN GENERAL HEALTHY LIFESTYLES. THE CHC CHOSE OBESITY/HEALTHY LIFESTYLES DUE TO THE MANY CHRONIC DISEASES AND HEALTH ISSUES THAT ARE RELATED TO POOR NUTRITION AND PHYSICAL INACTIVITY. MOREOVER, THE CHC RECOGNIZED THE LARGE IMPACT THIS ISSUE HAS ON QUALITY OF LIFE AND OVERALL HEALTH OUTCOMES IN THE PSA. IMPLEMENTATION ACTIVITY AND OUTCOMES IN 2021 ARE AS FOLLOWS. ADVOCATE LUTHERAN GENERAL PARTNERED WITH THE IRVING PARK FOOD PANTRY TO IMPLEMENT THE LGH PANTRY PILOT PROGRAM AS PART OF OUR STRATEGY TO ADDRESS FOOD INSECURITY (FI) AND OBESITY. THE LGH HOSPITAL-BASED FOOD PANTRY PROGRAM OFFICIALLY LAUNCHED IN OCTOBER OF 2021. FROM JANUARY 2021 TO DECEMBER 2021, THE PROGRAM IDENTIFIED AND SERVED OVER 70 PATIENTS. MANY OF THE PATIENTS SERVED BY THE PROGRAM REPORTED AT LEAST ONE OR MORE EXISTING HEALTH CONDITIONS. ADVOCATE LUTHERAN GENERAL PARTNERED WITH PRODUCE ALLIANCE AND BELMONT-CRAGIN EARLY CHILDHOOD CENTER TO ESTABLISH A POP-UP PANTRY FOR LOCAL RESIDENTS. THROUGH THIS PARTNERSHIP, OUR TEAM WAS ABLE TO DISTRIBUTE OVER 6,000 BOXES; ROUGHLY 186,000 POUNDS OF FOOD WAS DISTRIBUTED TO FOOD INSECURE COMMUNITIES. FROM FEBRUARY THROUGH THE END OF APRIL, THE PROGRAM OFFERED WEEKLY ACCESS TO HEALTHY FOOD. ADDITIONALLY, ADVOCATE LUTHERAN GENERAL PARTNERED WITH SKOKIE SCHOOL DISTRICT 69 TO IMPLEMENT A POP-UP PRODUCE MARKET FOR FAMILIES THAT SCREENED POSITIVE FOR FOOD INSECURITY. THE PROGRAM OFFERED FRESH PRODUCE FOR 50 FAMILIES PER EVENT, A TOTAL OF FOUR EVENTS WERE ORGANIZED AT THE END OF 2021. A DIETITIAN WAS ALSO ONSITE TO OFFER HEALTH EDUCATION TO FAMILIES. BEHAVIORAL HEALTH. THE CHC SELECTED BEHAVIORAL HEALTH AS A PRIORITY, INCLUDING MENTAL HEALTH AND SUBSTANCE/ALCOHOL USE. AFTER INITIALLY PRIORITIZING MENTAL HEALTH, THE HOSPITAL'S CHC CONSIDERED THE STRONG CORRELATION BETWEEN SUBSTANCE USE AND MENTAL HEALTH, MAKING IT ESSENTIAL FOR THE HOSPITAL TO ADDRESS BOTH HEALTH ISSUES IN TANDEM. THE RATE OF MENTAL HEALTH ISSUES AND SUBSTANCE USE ARE CONTINUING TO INCREASE IN THE PSA. DATA AND HOSPITALIZATION RATES INDICATE THAT THERE IS A GREAT NEED FOR EXPANSION OF BEHAVIORAL HEALTH SERVICES, SUCH AS MENTAL HEALTH SERVICES, SUBSTANCE USE DISORDER TREATMENT, HOUSING AND PREVENTATIVE PROGRAMMING. IMPLEMENTATION PLAN ACTIVITIES AND OUTCOMES FOR 2021 ARE AS FOLLOWS. TO ADDRESS AN IDENTIFIED NEED, ADVOCATE LUTHERAN GENERAL'S COMMUNITY HEALTH TEAM PARTNERED WITH SERTOMA CENTRE TO IMPLEMENT TWO, MENTAL HEALTH FIRST AID (MHFA) TRAININGS FOR ADVOCATE LUTHERAN GENERAL'S EMERGENCY MEDICAL SERVICE (EMS) DEPARTMENT AND LOCAL HEALTH PROFESSIONALS. A TOTAL OF 40, HOSPITAL AND COMMUNITY, HEALTH PROFESSIONALS WERE TRAINED, IN PERSON, BY TWO MHFA INSTRUCTORS FROM THE SERTOMA CENTRE. THE TWO TRAININGS INCLUDED FIRE FIGHTERS, PARAMEDICS, FIRE CHIEFS, DISPATCHERS, TELE COMMUNICATORS AND OTHER HEALTH PROFESSIONALS. ADVOCATE LUTHERAN GENERAL HOSPITAL ALSO PARTNERS WITH TURNING POINT IN SKOKIE TO SUPPORT THE LIVING ROOM PROGRAM, WHICH PROVIDES MENTAL HEALTH SERVICES FOR THOSE IN CRISES. SUPPORT IS PROVIDED THROUGH TRAININGS AND WORKSHOPS FOR TURNING POINTS LIVING ROOM STAFF. ADVOCATE LUTHERAN GENERAL ALSO WORKED WITH GATEWAY FOUNDATIONAN ORGANIZATION SPECIALIZING IN SUBSTANCE USE DISORDER TREATMENTTO ESTABLISH A PARTNERSHIP AGREEMENT FOR A TREATMENT LINKAGE PROGRAM IN THE HOSPITAL'S EMERGENCY DEPARTMENT. SOCIAL DETERMINANTS OF HEALTH (SDOH). SOCIAL DETERMINANTS OF HEALTH AFFECT A WIDE RANGE OF HEALTH CONDITIONS, MAY CONTRIBUTE TO ADVERSE HEALTH OUTCOMES AND ARE COMMONLY THE ROOT CAUSE OF POOR HEALTH OUTCOMES; THEREFORE, ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S SELECTED SOCIAL DETERMINANTS OF HEALTH AS A PRIORITY HEALTH NEED FOR THE PSA. ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S WILL PARTNER WITH THE ALLIANCE FOR HEALTH EQUITY TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, INCLUDING ACCESS TO CARE, AND EMPLOYMENT AND TRAINING. ADDITIONAL INFORMATION CAN BE FOUND AT ADVOCATE LUTHERAN GENERAL HOSPITAL CHNA REPORT 2019 : ADVOCATE HEALTH CARE. IN ADDITION, ADVOCATE LUTHERAN GENERAL CONTINUED TO WORK WITH DISTRICT 207 SCHOOLS IN 2021 TO OFFER PAID INTERNSHIPS AND HANDS ON EXPERIENCE. THE HOSPITAL'S COMMUNITY HEALTH TEAM HAS PARTNERED WITH JUMPSTART, A YOUTH EMPLOYMENT PROGRAM THAT PROVIDES PAID WORK EXPERIENCES FOR AT-RISK YOUTH IN DISTRICT 207. THE PROGRAM FOCUSES ON DEVELOPING YOUTH'S WORK READINESS SKILLS WHILE PROVIDING ACADEMIC SUPPORT. THE HOSPITAL PROVIDES INTERNSHIP PLACEMENT FOR STUDENTS AND THE COMMUNITY HEALTH TEAM WORKS CLOSELY WITH THE CAREER ADVISORS TO ENSURE PROPER ORIENTATION AND EXPAND INTERNAL OPPORTUNITIES FOR INTERNS. ADDITIONAL INFORMATION FOR 2021 OUTCOMES CAN BE FOUND BELOW. ADVOCATE LUTHERAN GENERAL HOSPITAL CONTINUES TO WORK WITH SCHOOL D207 TO OFFER PAID INTERNSHIPS AND HANDS ON EXPERIENCE TO LOCAL HIGH SCHOOL STUDENTS THAT ARE INTERESTED IN JOINING THE HEALTHCARE WORKFORCE AFTER GRADUATION. LUTHERAN GENERAL ALSO AIMS TO PROVIDE PERMANENT EMPLOYMENT TO STUDENTS. ADVOCATE LUTHERAN GENERAL'S COMMUNITY HEALTH TEAM PROVIDED TWO ORIENTATIONS TO JUMPSTART STUDENTS PLACED IN INTERNSHIPS AT LUTHERAN GENERAL HOSPITAL. SEVEN STUDENTS COMPLETED THE ORIENTATION AND WERE PLACED IN PAID INTERNSHIPS WITH ADVOCATE LUTHERAN GENERAL'S FOOD AND NUTRITION DEPARTMENT. IN PARTNERSHIP WITH MAINE EAST SCHOOL DISTRICT 207 AND ADVOCATE LUTHERAN GENERAL'S LICENSED CLINICAL SOCIAL WORKER, A ONE HOUR, STRESS MANAGEMENT WORKSHOP WAS HELD FOR LOCAL HIGH SCHOOL STUDENTS. THE PROGRAM FOCUSED ON STRESS MANAGEMENT IN THE WORKPLACE AND OFFERED COPING STRATEGIES.ADVOCATE CHILDREN'S HOSPITAL AS A RESULT OF THE 2017-2019 CHNA PROCESS, ADVOCATE CHILDREN'S-PR WILL ADDRESS THE FOLLOWING PRIORITY AREAS FOR IMPLEMENTATION PLANNING FROM 2020-2022, INCLUDING: 1) SCHOOL-BASED BEHAVIORAL HEALTH ASSISTANCE; 2) ACCESS TO PRIMARY HEALTH CARE FOR LOW-INCOME CHILDREN; AND 3) INFANT MORTALITY/PRE-TERM DELIVERIES/LOW BIRTH WEIGHT. BEHAVIORAL HEALTH. ADVOCATE CHILDREN'S CONTINUES TO OPERATE THE MAINE TOWNSHIP SCHOOL-BASED HEALTH CENTER (SBHC) LOCATED ON THE CAMPUS OF MAINE EAST HIGH SCHOOL, WHICH SERVES STUDENTS AT MAINE TOWNSHIP HIGH SCHOOL DISTRICT 207. THE GOAL OF THE SBHC IS TO IMPROVE THE PHYSICAL AND EMOTIONAL HEALTH OF THE STUDENTS IN THE DISTRICT, WHICH INCLUDES ALL OF PARK RIDGE AND MOST OF DES PLAINES AS WELL AS PORTIONS OF GLENVIEW, HARWOOD HEIGHTS, MORTON GROVE, NILES, NORRIDGE, AND NORWOOD PARK TOWNSHIP. NEARLY 50 PERCENT OF THE STUDENTS AT TWO OF THE DISTRICT'S SCHOOLS ARE LOW INCOME. SERVICES PROVIDED INCLUDE HEALTH ASSESSMENTS AND SCREENINGS, PHYSICALS, DENTAL SERVICES, IMMUNIZATIONS, ASSESSMENT OF STRESS/EMOTIONAL STATE, ASSESSMENT OF ALCOHOL AND DRUG USE AND ABUSE, INDIVIDUAL AND FAMILY COUNSELING, COUNSELING FOR EMOTIONAL, BEHAVIORAL AND ADJUSTMENT-RELATED ISSUES. IN PARTNERSHIP WITH ADVOCATE LUTHERAN GENERAL, ADVOCATE CHILDREN'S WILL ALSO WORK WITH COMMUNITY SCHOOLS TO INCREASE AWARENESS ABOUT MENTAL HEALTH THROUGH IMPLEMENTATION OF ENDING THE SILENCE PROGRAM. ADVOCATE CHILDREN'S WILL ALSO COMPLETE A FIVE-YEAR PATH 2 PURPOSE RESEARCH STUDY TO PROVIDE TWO DEPRESSION EARLY INTERVENTION/PREVENTION TREATMENT MODELS IN ADOLESCENTS 13-18 YEARS. STUDY COMPARES ""GOLDEN STANDARD"" COGNITIVE BEHAVIORAL HEALTH PREVENTION GROUP TREATMENT (8-WEEKLY SESSIONS) VS SELF-DIRECTED ONLINE PREVENTION PROGRAM. OVER 500 ADOLESCENTS WHO HAVE ELEVATED SYMPTOMS OF DEPRESSION AND ANXIETY WILL RECEIVE SERVICES THOUGH THE RESEARCH STUDY.IN 2021, ADVOCATE CHILDREN'S CONTINUED TO PROVIDE MENTAL HEALTH SERVICES THROUGH MAINE TOWNSHIP HIGH SCHOOL DISTRICT 207'S SBHC. THE CLINICAL TEAM ADAPTED TO A VIRTUAL FORMAT FOR PATIENT VISITS DUE TO COVID RESTRICTIONS. THE SBHC PROVIDES HEALTH ASSESSMENTS AND SCREENINGS, PHYSICALS, DENTAL SERVICES AND IMMUNIZATIONS. MENTAL HEALTH SERVICES INCLUDED ASSESSMENT OF STRESS AND EMOTIONAL STATE, DRUG USE AND ABUSE, INDIVIDUAL FAMILY COUNSELING, AS WELL AS COUNSELING FOR EMOTIONAL, BEHAVIORAL AND ADJUSTMENT-RELATED ISSUES. IN 2021, THE MENTAL HEALTH TEAM TREATED 493 PATIENTS."

ADVOCATE SOUTH SUBURBAN HOSPITAL
PART V, SECTION B, LINE 11: ADVOCATE SOUTH SUBURBAN HOSPITALHEALTH NEEDS SELECTEDAS A RESULT OF THE 2017-2019 CHNA PROCESS, ADVOCATE SOUTH SUBURBAN SELECTED THREE PRIORITIES FOR IMPLEMENTATION PLANNING INCLUDING: DIABETES; MENTAL HEALTH; AND WORKFORCE DEVELOPMENT (SOCIAL, ECONOMIC, AND STRUCTURAL DETERMINANTS OF HEALTH). FOR PRIORITY SELECTION PROCESS DETAILS, SEE PAGE 65 OF THE 2017-2019 CHNA REPORT AT: HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/SOUTH-SUBURBAN-CHNA-REPORT-2019 DIABETES. UNCONTROLLED DIABETES CONTINUES TO BE A SIGNIFICANT FACTOR IN BOTH THE HOSPITAL'S PSA AND IN THE COUNTY. SINCE 2017, THE PREVENT T2 DIABETES PREVENTION PROGRAM HAS PROVEN SUCCESSFUL FOR PARTICIPANTS WHO HAVE COMPLETED THE YEAR-LONG CLASSES. TO ESTABLISH THE HOSPITAL AS A DESIGNATED DIABETES PREVENTION PROGRAM SITE, THE HOSPITAL WILL CONTINUE TO OFFER PRE-DIABETES EDUCATION CLASSES AND DATA WILL BE SUBMITTED IN ACCORDANCE WITH THE PROGRAM GUIDELINES. DIABETES AFFECTS PEOPLE OF DIFFERENT BACKGROUNDS, AGES, AND ETHNICITIES CONTINUING THIS PROGRAM EMPOWERS INDIVIDUALS TO TAKE CONTROL OF THEIR HEALTH. IN JANUARY 2020, ADVOCATE SOUTH SUBURBAN ACHIEVED RECOGNITION STATUS AS A CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) NATIONAL DIABETES PREVENTION PROGRAM (DPP) SITE IN JANUARY 2020 FOR THE PREVENT T2 PROGRAM. DURING 2021, ADVOCATE SOUTH SUBURBAN PROGRAM CONTINUED ITS DIABETES PREVENTION PROGRAM VIA DISTANCE LEARNING (ONLINE) DUE TO THE COVID-19 PANDEMIC. THE PROGRAM GRADUATED THREE COHORTS IN 2021: JANUARY, SEPTEMBER AND OCTOBER. THERE WAS A TOTAL OF 41 PARTICIPANTS AND 51% OF THESE PARTICIPANTS MET THEIR GOAL OF AT LEAST A 5% WEIGHT LOSS. THE PROGRAM CONTINUES TO EXPAND ITS REACH THROUGH THE VIRTUAL PLATFORM. PARTICIPANTS ARE NOT ONLY ENROLLED WITHIN THE HOSPITAL'S PSA, BUT ALSO FROM 10 STATES ACROSS THE COUNTRY. ADVOCATE SOUTH SUBURBAN INTRODUCED TWO NEW COHORTS IN 2021: MARCH-28 PARTICIPANTS; SEPTEMBER-36 PARTICIPANTS. BOTH COHORTS ARE CURRENTLY ACTIVE AND THRIVING. THE HOSPITAL INTRODUCED THE FOOD FARMACY PROGRAM TO PARTICIPANTS IN OCTOBER 2021 IN AN EFFORT TO ENCOURAGE EATING HEALTHY FRESH FRUITS AND VEGETABLES. THE HOSPITAL PARTNERED WITH FOOD SMART AND PARTNERSHIP FOR A HEALTHIER AMERICA AS PART OF A PILOT PROGRAM TO PROVIDE FRESH FRUITS AND VEGETABLES TO DPP PARTICIPANTS. THE ORGANIZATION CONDUCTED A STUDY ON ITS OUTREACH TO PARTICIPANTS AND OUTCOMES AS A RESULT DELIVERING ADDITIONAL FRESH FOOD BOXES TO PARTICIPANTS HOMES OVER A PERIOD OF 16 WEEKS. 779 BOXES WERE DELIVERED.MENTAL HEALTH. THE HOSPITAL ADOPTED STRATEGIES THAT IMPROVE THE RATES OF MENTAL HEALTH EMERGENCIES AND DECREASE ED VISITS AND HOSPITALIZATIONS DUE TO MENTAL HEALTH ISSUES.STRATEGIES INCLUDE PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS, FAITH INSTITUTIONS AND EDUCATIONAL INSTITUTIONS TO EDUCATE COMMUNITY MEMBERS ABOUT MENTAL HEALTH ILLNESS; CONDUCTING ASSET MAPPING FOR THE HOSPITAL'S PSA TO DETERMINE GAPS IN SERVICES; AND COORDINATING WITH COMMUNITY PARTNERS TO CONDUCT MENTAL HEALTH FIRST AID TRAININGS FOCUSED ON UNDERSTANDING AND RESPONDING TO MENTAL HEALTH ILLNESS. IN 2021 ADVOCATE SOUTH SUBURBAN AND TRINITY HOSPITALS PARTNERED WITH TEAM MEMBERS FROM FAITH AND HEALTH PARTNERSHIPS AND THE SERTOMA CENTER TO HOST A MENTAL HEALTH WEBINAR. THE PROGRAM FOCUSED ON MANAGING STRESS DURING THE HOLIDAYS AND THE CHALLENGES INDIVIDUALS MAY ENCOUNTER DURING THE HOLIDAY SEASON, LOSS OF A LOVED ONE, LONELINESS, SELF-CARE, AND A VARIETY OF OTHER TOPICS. THE PRESENTATION ALSO COVERED TIPS ON HOW TO ASSIST OTHERS WHO MAY ENCOUNTER THE SAME CHALLENGES. 34 REGISTERED; 29 PARTICIPANTS ATTENDED WITH ONE CHURCH GROUP PRESENT. THERE WAS A PROGRAM SCHEDULED FOR FIRST RESPONDERS AND THE COMMUNITY, HOWEVER DUE TO LOW ENROLLMENT, THE PROGRAM WAS CANCELLED.WORKFORCE DEVELOPMENT. THE ADVOCATE WORKFORCE INITIATIVE GRANT CONCLUDED IN 2020 AND BECAME MORE SYSTEM-FOCUSED VS. SITE-FOCUSED. BASED ON ITS SUCCESS TO DATE, THE ADVOCATE WORKFORCE INITIATIVE (AWI) AND NAVIGATE ARE NOW CORE COMPONENTS OF THE WORKFORCE DEVELOPMENT STRATEGY. USING LESSONS LEARNED AND BEST PRACTICES FROM THE FIVE-YEAR CHICAGOLAND INITIATIVE. MOVING FORWARD, ADVOCATE AURORA HEALTH WILL: LEVERAGE AWI'S WORKFORCE DEVELOPMENT STRATEGIES FOR FUNDING, APPRENTICESHIPS, INTERNSHIPS, HEALTH CARE COLLABORATIVES, YOUTH WORKFORCE DEVELOPMENT AND IMPROVING OPPORTUNITIES FOR DIVERSE ABILITIES. CONTINUE DEVELOPING COMMUNITY-BASED AND EDUCATIONAL PARTNERSHIPS IN THE COMMUNITIES SERVED BY AAH. IDENTIFY HOW TO PROCEED WITH ONLINE AND IN-PERSON TEACHING, DURING AND AFTER THE PANDEMIC. CENTRALIZE TOOLS AND RESOURCES FOR PARTICIPANTS. CENTRALIZE DATA AND FEEDBACK TO IMPROVE AND MAXIMIZE PROGRAM VALUE IN EACH AAH COMMUNITY, WORKFORCE, AND FACILITY. IN 2021, OVER 3,000 INTERNAL TEAM MEMBERS AND COMMUNITY MEMBERS WERE IMPACTED ACROSS AAH'S GEOGRAPHY.

ADVOCATE TRINITY HOSPITAL
PART V, SECTION B, LINE 11: ADVOCATE TRINITY HOSPITALHEALTH NEEDS SELECTEDAS A RESULT OF THE 2017-2019 CHNA PROCESS, ADVOCATE TRINITY SELECTED THREE PRIORITIES FOR 2020-2022 IMPLEMENTATION PLANNING, INCLUDING: 1) MENTAL HEALTH; 2) DIABETES; AND 3) FOOD SECURITY (SOCIAL, ECONOMIC, AND STRUCTURAL DETERMINANTS OF HEALTH). (FOR PRIORITY SELECTION PROCESS DETAILS, SEE PAGES 69-70 OF THE 2017-2019 CHNA REPORT AT: HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/DOCUMENTS/CHNA/TRINITY-HOSPITAL/0805_TRINITY_CHNA_2017-2019-FINAL-LINKED-(LR).PDFMENTAL HEALTH. THE CHC SELECTED MENTAL HEALTH AS THE MOST PERTINENT HEALTH NEED PRIORITY DUE TO THE INCREASE IN ED AND HOSPITALIZATION RATES, AND THE GROWING NEED FOR COMMUNITY SERVICES AND RESOURCES. THIS IS A HEALTH NEED THAT IS ALSO RELATED TO SUBSTANCE ABUSE AS MANY SUBSTANCE USERS/ABUSERS ALSO EXPERIENCE MENTAL HEALTH ISSUES AND MANY INDIVIDUALS WITH MENTAL HEALTH DISORDERS EXPERIENCE SUBSTANCE ABUSE ISSUES. THE HIGH RATES OF ED VISITS AND HOSPITALIZATION DUE TO MENTAL HEALTH ISSUES ARE PREVENTABLE THROUGH EMPLOYING COPING MECHANISMS AND RESILIENCE TRAINING. IN 2021, ADVOCATE TRINITY PARTNERED WITH TEAM MEMBERS FROM THE FAITH AND HEALTH PARTNERSHIPS AND THE SERTOMA CENTRE, INC., TO HOST A MENTAL HEALTH WEBINAR. THE PROGRAM FOCUSED ON MANAGING STRESS DURING THE HOLIDAYS AND THE CHALLENGES INDIVIDUALS MAY ENCOUNTER DURING THE HOLIDAY SEASON, LOSS OF LOVED ONES, LONELINESS, SELF-CARE, AND A VARIETY OF OTHER TOPICS. A TOTAL OF 34 PARTICIPANTS WERE REGISTERED AND 29 PARTICIPANTS ATTENDED THE PROGRAM. THE PROGRAM WAS INTENDED FOR THE COMMUNITY AT LARGE AND TO ASSIST FIRST RESPONDERS WITH CONTINUING EDUCATION OPPORTUNITIES THAT ADDRESS MENTAL HEALTH DISPARITIES. DIABETES. ADVOCATE TRINITY'S COMMUNITY HEALTH COUNCIL AND COMMUNITY HEALTH DEPARTMENT SELECTED DIABETES AS A CHRONIC CONDITION THAT NEEDS TO CONTINUE. UNCONTROLLED DIABETES CONTINUES TO BE A FACTOR IN THE HOSPITAL'S PSA AS WELL AS IN COOK COUNTY. ADVOCATE TRINITY HAS IMPLEMENTED THE EVIDENCE-BASED CDC NATIONAL DIABETES PREVENTION PROGRAM, PREVENT T2, IN THE COMMUNITY AND IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS AND FAITH COMMUNITIES. SINCE 2017, THE PROGRAM HAS PROVEN SUCCESSFUL FOR PARTICIPANTS WHO HAVE COMPLETED THE YEAR-LONG SERIES OF CLASSES. TO ESTABLISH THE HOSPITAL AS A DESIGNATED DIABETES PREVENTION PROGRAM, THE HOSPITAL WILL CONTINUE TO IMPLEMENT THIS STRATEGY, AND DATA WILL BE COLLECTED AND SUBMITTED IN ACCORDANCE WITH THE PROGRAM GUIDELINES. DIABETES AFFECTS PEOPLE OF DIFFERENT BACKGROUNDS, AGES, AND ETHNICITIES. CONTINUING THIS PROGRAM EMPOWERS INDIVIDUALS TO TAKE CONTROL OF THEIR HEALTH. IN 2021, ADVOCATE TRINITY MAINTAINED ITS RECOGNITION STATUS AS A CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) NATIONAL DIABETES PREVENTION PROGRAM (DPP). THE HOSPITAL ESTABLISHED THREE COHORTS IN 2021 SERVING 44 PARTICIPANTS WITH A TOTAL OF 282 POUNDS LOST AMONG THE PARTICIPANTS. ADVOCATE TRINITY ALSO ESTABLISHED A PARTNERSHIP WITH FOOD SMART, PARTNERS FOR A HEALTHIER AMERICA, AND TOP BOX TO SUPPORT HEALTHY EATING BEHAVIORS. OVER A PERIOD OF 16- WEEKS, A TOTAL OF 520 FRESH PRODUCE BOXES WERE DELIVERED DIRECTLY TO THE HOMES OF DPP PARTICIPANTS. THE PROGRAM'S REACH WAS EXPANDED THROUGH THE VIRTUAL PLATFORM, RESULTING IN ENROLLED PARTICIPANTS NOT ONLY WITHIN THE HOSPITAL'S PSA BUT FROM NEIGHBORING COMMUNITIES AND STATES. AN 8-WEEK DIABETES MANAGEMENT PROGRAM DEEP( DIABETES EMPOWERMENT EDUCATION PROGRAM), ALSO TOOK PLACE FROM DECEMBER 2020- FEBRUARY 2021. THERE WERE 33 PARTICIPANTS ENROLLED AND 13 COMPLETED WITH AN AVERAGE WEIGHT LOSS OF 2.7 POUNDS AND A REDUCED A1C AVERAGE OF 6.3. PARTICIPANTS RECEIVED EXTENSIVE DIABETES EDUCATION OVER A BROAD RANGE OF TOPICS, INCLUDING HOW TO HANDLE DIABETES DURING AN ILLNESS, HOW TO SUSTAIN A CHANGED BEHAVIOR TO FOSTER HEALTHY HABITS, AS WELL AS LOW IMPACT EXERCISES THEY CAN DO WHILE SEATED. FOOD SECURITY. ADVOCATE TRINITY WILL ADDRESS FOOD INSECURITY (FI) FOR THE 2020-2022 CHNA COMMUNITY HEALTH IMPROVEMENT IMPLEMENTATION CYCLE IN A COMMITMENT TO ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND HEALTH INEQUITY. FI WAS ALSO SELECTED TO ALIGN WITH EFFORTS AND STRATEGIES FOR DIABETES PREVENTION. FI IS A HOUSEHOLD LEVEL FACTOR OF LIMITED OR UNCERTAIN ACCESS TO ADEQUATE FOOD AND CONTRIBUTES TO STRESS AND POOR NUTRITION MAKING INDIVIDUALS SUSCEPTIBLE TO CHRONIC DISEASE. THE LACK OF ACCESS TO ADEQUATE FOOD CAN WORSEN HEALTH PROBLEMS AND INCREASE FINANCIAL STRAIN THROUGH DECREASED EMPLOYABILITY DUE TO CHRONIC DISEASE (THE ALLIANCE FOR HEALTH EQUITY, COMMUNITY HEALTH NEEDS ASSESSMENT, 2019). SEVERAL COMMUNITY AREAS IN THE ADVOCATE TRINITY PSA ARE AT RISK FOR FI. THE HOSPITAL WILL ESTABLISH SEVERAL STRATEGIES TO ENHANCE INITIATIVES THAT INCREASE ACCESS TO HEALTHY FOOD CHOICES WITHIN ITS PSA AND PATIENT POPULATION. IN 2020, A CONTACTLESS DRIVE-THROUGH FOOD PANTRY, KNOWN AS THE HEALTHY LIVING FOOD FARMACY, WAS ESTABLISHED WITH SEVERAL PARTNERS DUE TO IN-PERSON RESTRICTIONS FROM THE COVID-19 PANDEMIC. THE HEALTHY LIVING FOOD FARMACY WAS CREATED TO ACCOMMODATE THE NEEDS OF ADVOCATE TRINITY'S FOOD-INSECURE PATIENTS. IN 2021, THERE WERE 870 PATIENT VISITS TO THE HEALTHY LIVING FOOD FARMACY AND A TOTAL OF 59, 993.63 POUNDS OF FOOD WAS DISTRIBUTED TO PROGRAM PARTICIPANTS. IN NOVEMBER 2021, ONE HUNDRED AND SIXTY-FIVE TURKEYS AND CHICKENS WERE GIVEN AWAY DURING THE THANKSGIVING HOLIDAY.

ADVOCATE TRINITY HOSPITAL
PART V, SECTION B, LINE 13B: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 13BALL HOSPITAL FACILITIESN/A

CHRIST HOSP INCL HOPE CHILDREN'S HOSP
PART V, SECTION B, LINE 13H: OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WITH RELIGIOUS AFFILATION WITH A VOW OF POVERTY, PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, FREE LUNCH AND BREAKFAST PROGRAM, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), INFANTS AND CHILDREN (WIC), MEDICAID ELIGIBLE PATIENTS BUT NOT ON THE DATE OF SERVICE, WHY WAIT AND WISE WOMEN PROGRAMS; COUNTY HEALTH CLINIC PATIENTS; LEGAL ASSSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUSIDIZED HOUSING; QUALIFIED INDIVIDUALS OF LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, INCARCERATED INDIVIIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS.

GOOD SHEPHERD HOSPITAL
PART V, SECTION B, LINE 13H: OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WITH RELIGIOUS AFFILATION WITH A VOW OF POVERTY, PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, FREE LUNCH AND BREAKFAST PROGRAM, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), INFANTS AND CHILDREN (WIC), MEDICAID ELIGIBLE PATIENTS BUT NOT ON THE DATE OF SERVICE, WHY WAIT AND WISE WOMEN PROGRAMS; COUNTY HEALTH CLINIC PATIENTS; LEGAL ASSSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUSIDIZED HOUSING; QUALIFIED INDIVIDUALS OF LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, INCARCERATED INDIVIIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS.

GOOD SAMARITAN HOSPITAL
PART V, SECTION B, LINE 13H: OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WITH RELIGIOUS AFFILATION WITH A VOW OF POVERTY, PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, FREE LUNCH AND BREAKFAST PROGRAM, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), INFANTS AND CHILDREN (WIC), MEDICAID ELIGIBLE PATIENTS BUT NOT ON THE DATE OF SERVICE, WHY WAIT AND WISE WOMEN PROGRAMS; COUNTY HEALTH CLINIC PATIENTS; LEGAL ASSSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUSIDIZED HOUSING; QUALIFIED INDIVIDUALS OF LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, INCARCERATED INDIVIIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS.

LUTHERAN GEN HOSP INCL LUTH GEN CHILD
PART V, SECTION B, LINE 13H: OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WITH RELIGIOUS AFFILATION WITH A VOW OF POVERTY, PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, FREE LUNCH AND BREAKFAST PROGRAM, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), INFANTS AND CHILDREN (WIC), MEDICAID ELIGIBLE PATIENTS BUT NOT ON THE DATE OF SERVICE, WHY WAIT AND WISE WOMEN PROGRAMS; COUNTY HEALTH CLINIC PATIENTS; LEGAL ASSSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUSIDIZED HOUSING; QUALIFIED INDIVIDUALS OF LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, INCARCERATED INDIVIIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS.

ADVOCATE SOUTH SUBURBAN HOSPITAL
PART V, SECTION B, LINE 13H: OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WITH RELIGIOUS AFFILATION WITH A VOW OF POVERTY, PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, FREE LUNCH AND BREAKFAST PROGRAM, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), INFANTS AND CHILDREN (WIC), MEDICAID ELIGIBLE PATIENTS BUT NOT ON THE DATE OF SERVICE, WHY WAIT AND WISE WOMEN PROGRAMS; COUNTY HEALTH CLINIC PATIENTS; LEGAL ASSSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUSIDIZED HOUSING; QUALIFIED INDIVIDUALS OF LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, INCARCERATED INDIVIIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS.

ADVOCATE TRINITY HOSPITAL
PART V, SECTION B, LINE 13H: OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WITH RELIGIOUS AFFILATION WITH A VOW OF POVERTY, PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, FREE LUNCH AND BREAKFAST PROGRAM, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), INFANTS AND CHILDREN (WIC), MEDICAID ELIGIBLE PATIENTS BUT NOT ON THE DATE OF SERVICE, WHY WAIT AND WISE WOMEN PROGRAMS; COUNTY HEALTH CLINIC PATIENTS; LEGAL ASSSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUSIDIZED HOUSING; QUALIFIED INDIVIDUALS OF LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, INCARCERATED INDIVIIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS.

CHRIST HOSP INCL HOPE CHILDREN'S HOSP
PART V, SECTION B, LINE 16J: 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 RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT).3. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION ARE GIVEN TO ALL UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE.4. ADVOCATE'S WEBSITE PROMINENTLY NOTES THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLAINATION OF THE APPLICATION PROCESS, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION.

GOOD SHEPHERD HOSPITAL
PART V, SECTION B, LINE 16J: 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 RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT).3. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION ARE GIVEN TO ALL UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE.4. ADVOCATE'S WEBSITE PROMINENTLY NOTES THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLAINATION OF THE APPLICATION PROCESS, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION.

GOOD SAMARITAN HOSPITAL
PART V, SECTION B, LINE 16J: 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 RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT).3. BROCHURES ARE PLACED IN HOSPITAL RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT) AND INCLUDE GUIDANCE ON HOW A PATIENTS MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPTIAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED. 4. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION ARE GIVEN TO ALL UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE.5. ADVOCATE'S WEBSITE PROMINENTLY NOTES THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLAINATION OF THE APPLICATION PROCESS, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION.

LUTHERAN GEN HOSP INCL LUTH GEN CHILD
PART V, SECTION B, LINE 16J: 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 RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT).3. BROCHURES ARE PLACED IN HOSPITAL RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT) AND INCLUDE GUIDANCE ON HOW A PATIENTS MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPTIAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED. 4. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION ARE GIVEN TO ALL UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE.5. ADVOCATE'S WEBSITE PROMINENTLY NOTES THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLAINATION OF THE APPLICATION PROCESS, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION.

ADVOCATE SOUTH SUBURBAN HOSPITAL
PART V, SECTION B, LINE 16J: 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 RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT).3. BROCHURES ARE PLACED IN HOSPITAL RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT) AND INCLUDE GUIDANCE ON HOW A PATIENTS MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPTIAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED. 4. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION ARE GIVEN TO ALL UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE.5. ADVOCATE'S WEBSITE PROMINENTLY NOTES THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLAINATION OF THE APPLICATION PROCESS, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION.

ADVOCATE TRINITY HOSPITAL
PART V, SECTION B, LINE 16J: 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 RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT).3. BROCHURES ARE PLACED IN HOSPITAL RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT) AND INCLUDE GUIDANCE ON HOW A PATIENTS MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPTIAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED. 4. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION ARE GIVEN TO ALL UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE.5. ADVOCATE'S WEBSITE PROMINENTLY NOTES THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLAINATION OF THE APPLICATION PROCESS, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION.

GOOD SHEPHERD HOSPITAL
PART V, SECTION B, LINE 18E: 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.

GOOD SAMARITAN HOSPITAL
PART V, SECTION B, LINE 18E: 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.

LUTHERAN GEN HOSP INCL LUTH GEN CHILD
PART V, SECTION B, LINE 18E: 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.

ADVOCATE SOUTH SUBURBAN HOSPITAL
PART V, SECTION B, LINE 18E: 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.

ADVOCATE TRINITY HOSPITAL
PART V, SECTION B, LINE 18E: 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.

CHRIST HOSP INCL HOPE CHILDREN'S HOSP
PART V, SECTION B, LINE 19E: 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.

GOOD SHEPHERD HOSPITAL
PART V, SECTION B, LINE 19E: 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.

GOOD SAMARITAN HOSPITAL
PART V, SECTION B, LINE 19E: 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.

LUTHERAN GEN HOSP INCL LUTH GEN CHILD
PART V, SECTION B, LINE 19E: 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.

ADVOCATE SOUTH SUBURBAN HOSPITAL
PART V, SECTION B, LINE 19E: 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.

ADVOCATE TRINITY HOSPITAL
PART V, SECTION B, LINE 19E: 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.

CHRIST HOSP INCL HOPE CHILDREN'S HOSP
"PART V, SECTION B, LINE 20E: ADVOCATE MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER ITS FAP, INCLUDING SENDING A SERIES OF LETTERS AND ATTEMPTING TO WORK WITH THE PATIENT THROUGH THE FINANCIAL COUNSELING PROCESS AND/OR PHONE CALLS. ALL CORRESPONDENCE ASKS THE PATIENT TO NOTIFY THE HOSPITAL IF HE/SHE IS EXPERIENCING ""DIFFICULTY IN PAYING YOUR BILL"". ADVOCATE ALSO USES EARLY OUT AND PRECOLLECTION VENDORS TO ASSIST IN OBTAINING PAYMENTS OR COLLECTING FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION. THESE VENDORS HAVE THE FOLLOWING LANGUAGE IN THEIR CONTRACT: ""VENDOR WILL COMMUNICATE THE ADVOCATE HEALTH CARE POLICY AND GUIDELINE TO ANY PATIENT EXPRESSING A DIFFICULTY IN PAYING THEIR BILL AND, ""VENDOR WILL MAIL THE ADVOCATE HEALTH CARE FINANCIAL ASSISTANCE APPLICATION TO ANY PATIENTS EXPRESSING A DIFFICULTY IN PAYING THEIR BILL"". ADVOCATE'S BAD DEBT AGENCY CONTRACTS HAVE THE FOLLOWING LANGUAGE: ""AGENCY SHALL EVALUATE EACH PATIENT WHOSE ACCOUNT IS REFERRED TO AGENCY, WHERE THE PATIENT EXPRESSES DIFFICULTY OR INABILITY TO PAY THEIR BILL, FOR ELIGIBILITY UNDER ADVOCATE'S FINANCIAL ASSISTANCE POLICY."" VENDOR AND AGENCY CONTRACTS ARE STANDARD ACROSS ADVOCATE'S SYSTEM."

GOOD SHEPHERD HOSPITAL
"PART V, SECTION B, LINE 20E: ADVOCATE MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER ITS FAP, INCLUDING SENDING A SERIES OF LETTERS AND ATTEMPTING TO WORK WITH THE PATIENT THROUGH THE FINANCIAL COUNSELING PROCESS AND/OR PHONE CALLS. ALL CORRESPONDENCE ASKS THE PATIENT TO NOTIFY THE HOSPITAL IF HE/SHE IS EXPERIENCING ""DIFFICULTY IN PAYING YOUR BILL"". ADVOCATE ALSO USES EARLY OUT AND PRECOLLECTION VENDORS TO ASSIST IN OBTAINING PAYMENTS OR COLLECTING FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION. THESE VENDORS HAVE THE FOLLOWING LANGUAGE IN THEIR CONTRACT: ""VENDOR WILL COMMUNICATE THE ADVOCATE HEALTH CARE POLICY AND GUIDELINE TO ANY PATIENT EXPRESSING A DIFFICULTY IN PAYING THEIR BILL AND, ""VENDOR WILL MAIL THE ADVOCATE HEALTH CARE FINANCIAL ASSISTANCE APPLICATION TO ANY PATIENTS EXPRESSING A DIFFICULTY IN PAYING THEIR BILL"". ADVOCATE'S BAD DEBT AGENCY CONTRACTS HAVE THE FOLLOWING LANGUAGE: ""AGENCY SHALL EVALUATE EACH PATIENT WHOSE ACCOUNT IS REFERRED TO AGENCY, WHERE THE PATIENT EXPRESSES DIFFICULTY OR INABILITY TO PAY THEIR BILL, FOR ELIGIBILITY UNDER ADVOCATE'S FINANCIAL ASSISTANCE POLICY."" VENDOR AND AGENCY CONTRACTS ARE STANDARD ACROSS ADVOCATE'S SYSTEM."

GOOD SAMARITAN HOSPITAL
"PART V, SECTION B, LINE 20E: ADVOCATE MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER ITS FAP, INCLUDING SENDING A SERIES OF LETTERS AND ATTEMPTING TO WORK WITH THE PATIENT THROUGH THE FINANCIAL COUNSELING PROCESS AND/OR PHONE CALLS. ALL CORRESPONDENCE ASKS THE PATIENT TO NOTIFY THE HOSPITAL IF HE/SHE IS EXPERIENCING ""DIFFICULTY IN PAYING YOUR BILL"". ADVOCATE ALSO USES EARLY OUT AND PRECOLLECTION VENDORS TO ASSIST IN OBTAINING PAYMENTS OR COLLECTING FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION. THESE VENDORS HAVE THE FOLLOWING LANGUAGE IN THEIR CONTRACT: ""VENDOR WILL COMMUNICATE THE ADVOCATE HEALTH CARE POLICY AND GUIDELINE TO ANY PATIENT EXPRESSING A DIFFICULTY IN PAYING THEIR BILL AND, ""VENDOR WILL MAIL THE ADVOCATE HEALTH CARE FINANCIAL ASSISTANCE APPLICATION TO ANY PATIENTS EXPRESSING A DIFFICULTY IN PAYING THEIR BILL"". ADVOCATE'S BAD DEBT AGENCY CONTRACTS HAVE THE FOLLOWING LANGUAGE: ""AGENCY SHALL EVALUATE EACH PATIENT WHOSE ACCOUNT IS REFERRED TO AGENCY, WHERE THE PATIENT EXPRESSES DIFFICULTY OR INABILITY TO PAY THEIR BILL, FOR ELIGIBILITY UNDER ADVOCATE'S FINANCIAL ASSISTANCE POLICY."" VENDOR AND AGENCY CONTRACTS ARE STANDARD ACROSS ADVOCATE'S SYSTEM."

LUTHERAN GEN HOSP INCL LUTH GEN CHILD
"PART V, SECTION B, LINE 20E: ADVOCATE MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER ITS FAP, INCLUDING SENDING A SERIES OF LETTERS AND ATTEMPTING TO WORK WITH THE PATIENT THROUGH THE FINANCIAL COUNSELING PROCESS AND/OR PHONE CALLS. ALL CORRESPONDENCE ASKS THE PATIENT TO NOTIFY THE HOSPITAL IF HE/SHE IS EXPERIENCING ""DIFFICULTY IN PAYING YOUR BILL"". ADVOCATE ALSO USES EARLY OUT AND PRECOLLECTION VENDORS TO ASSIST IN OBTAINING PAYMENTS OR COLLECTING FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION. THESE VENDORS HAVE THE FOLLOWING LANGUAGE IN THEIR CONTRACT: ""VENDOR WILL COMMUNICATE THE ADVOCATE HEALTH CARE POLICY AND GUIDELINE TO ANY PATIENT EXPRESSING A DIFFICULTY IN PAYING THEIR BILL AND, ""VENDOR WILL MAIL THE ADVOCATE HEALTH CARE FINANCIAL ASSISTANCE APPLICATION TO ANY PATIENTS EXPRESSING A DIFFICULTY IN PAYING THEIR BILL"". ADVOCATE'S BAD DEBT AGENCY CONTRACTS HAVE THE FOLLOWING LANGUAGE: ""AGENCY SHALL EVALUATE EACH PATIENT WHOSE ACCOUNT IS REFERRED TO AGENCY, WHERE THE PATIENT EXPRESSES DIFFICULTY OR INABILITY TO PAY THEIR BILL, FOR ELIGIBILITY UNDER ADVOCATE'S FINANCIAL ASSISTANCE POLICY."" VENDOR AND AGENCY CONTRACTS ARE STANDARD ACROSS ADVOCATE'S SYSTEM."

ADVOCATE SOUTH SUBURBAN HOSPITAL
"PART V, SECTION B, LINE 20E: ADVOCATE MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER ITS FAP, INCLUDING SENDING A SERIES OF LETTERS AND ATTEMPTING TO WORK WITH THE PATIENT THROUGH THE FINANCIAL COUNSELING PROCESS AND/OR PHONE CALLS. ALL CORRESPONDENCE ASKS THE PATIENT TO NOTIFY THE HOSPITAL IF HE/SHE IS EXPERIENCING ""DIFFICULTY IN PAYING YOUR BILL"". ADVOCATE ALSO USES EARLY OUT AND PRECOLLECTION VENDORS TO ASSIST IN OBTAINING PAYMENTS OR COLLECTING FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION. THESE VENDORS HAVE THE FOLLOWING LANGUAGE IN THEIR CONTRACT: ""VENDOR WILL COMMUNICATE THE ADVOCATE HEALTH CARE POLICY AND GUIDELINE TO ANY PATIENT EXPRESSING A DIFFICULTY IN PAYING THEIR BILL AND, ""VENDOR WILL MAIL THE ADVOCATE HEALTH CARE FINANCIAL ASSISTANCE APPLICATION TO ANY PATIENTS EXPRESSING A DIFFICULTY IN PAYING THEIR BILL"". ADVOCATE'S BAD DEBT AGENCY CONTRACTS HAVE THE FOLLOWING LANGUAGE: ""AGENCY SHALL EVALUATE EACH PATIENT WHOSE ACCOUNT IS REFERRED TO AGENCY, WHERE THE PATIENT EXPRESSES DIFFICULTY OR INABILITY TO PAY THEIR BILL, FOR ELIGIBILITY UNDER ADVOCATE'S FINANCIAL ASSISTANCE POLICY."" VENDOR AND AGENCY CONTRACTS ARE STANDARD ACROSS ADVOCATE'S SYSTEM."

ADVOCATE TRINITY HOSPITAL
"PART V, SECTION B, LINE 20E: ADVOCATE MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER ITS FAP, INCLUDING SENDING A SERIES OF LETTERS AND ATTEMPTING TO WORK WITH THE PATIENT THROUGH THE FINANCIAL COUNSELING PROCESS AND/OR PHONE CALLS. ALL CORRESPONDENCE ASKS THE PATIENT TO NOTIFY THE HOSPITAL IF HE/SHE IS EXPERIENCING ""DIFFICULTY IN PAYING YOUR BILL"". ADVOCATE ALSO USES EARLY OUT AND PRECOLLECTION VENDORS TO ASSIST IN OBTAINING PAYMENTS OR COLLECTING FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION. THESE VENDORS HAVE THE FOLLOWING LANGUAGE IN THEIR CONTRACT: ""VENDOR WILL COMMUNICATE THE ADVOCATE HEALTH CARE POLICY AND GUIDELINE TO ANY PATIENT EXPRESSING A DIFFICULTY IN PAYING THEIR BILL AND, ""VENDOR WILL MAIL THE ADVOCATE HEALTH CARE FINANCIAL ASSISTANCE APPLICATION TO ANY PATIENTS EXPRESSING A DIFFICULTY IN PAYING THEIR BILL"". ADVOCATE'S BAD DEBT AGENCY CONTRACTS HAVE THE FOLLOWING LANGUAGE: ""AGENCY SHALL EVALUATE EACH PATIENT WHOSE ACCOUNT IS REFERRED TO AGENCY, WHERE THE PATIENT EXPRESSES DIFFICULTY OR INABILITY TO PAY THEIR BILL, FOR ELIGIBILITY UNDER ADVOCATE'S FINANCIAL ASSISTANCE POLICY."" VENDOR AND AGENCY CONTRACTS ARE STANDARD ACROSS ADVOCATE'S SYSTEM."

ADVOCATE TRINITY HOSPITAL
PART V, SECTION B, LINE 23: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 23ALL HOSPITAL FACILITIESN/A

ADVOCATE TRINITY HOSPITAL
PART V, SECTION B, LINE 24: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 24ALL HOSPITAL FACILITIESN/A

SCHEDULE H, PART V, SEC B, LINE 11 - CHRIST HOSP INCL HOPE CHILDREN'S CONT.
CANCER. ADVOCATE CHRIST'S CANCER PROGRAM HAS BEEN CERTIFIED BY THE AMERICAN COLLEGE OF SURGEONS, COMMISSION ON CANCER AND INCLUDES BOTH INPATIENT AND OUTPATIENT UNITS, A RADITION ONCOLOGY UNIT, A CYBERKNIFE TREATMENT, INTRAOPERATIVE ELECTRON RADIATION THERAPY (IOERT), A HOME HEALTH/HOSPICE PROGRAM, A BREAST HEALTH PROGRAM AND A COMMUNITY EDUCATION PROGRAM.HEART DISEASE/STROKE. THE ADVOCATE HEART INSTITUTE HAS BEEN CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIAC AND PULMONARY REHABILATION AND IS ILLINOIS' MOST COMPREHENSIVE CENTER FOR HEART CARE. THE HEART INSTITUTE OFFERS A FULL RANGE OF TREATMENTS AND PROGRAMS INCLUDING PREVENTATIVE, DIAGNOSTICS, CLINICAL TRIALS, HEART TRANSPLANTS AND REHABILITATION SERVICES. IN ADDITION, ADVOCATE CHRIST OFFERS A SERIES OF COMMUNITY HEALTH CLASSES AND SUPPORT GROUPS, AS WELL AS THE LIVE FROM THE HEART PROGRAM-WHICH EDUCATES HIGH SCHOOL STUDENTS ABOUT HEART HEALTH THROUGH LIVE INTERACTIVE HEART SURGERIES PROVIDED THROUGH VIDEO MONITORING IN THE CLASSROOM AND FOSTERS IN THE HEALTH SCIENCES. ADVOCATE CHILDREN'S IS THE FIRST CHILDREN'S HOSPITAL IN THE COUNTRY TO RECEIVE CONGENITAL HEART DISEASE ACCREDITATION FROM ACE (ACCREDITATION FOR CARDIOVASCULAR EXCELLENCE) FOR SETTING THE HIGHEST STANDARDS OF QUALITY CARE FOR CHILDREN AND IS A DESIGNATED PEDIATRIC CRITICAL CARE CENTER BY THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH. ASTHMA. ADVOCATE CHRIST OFFERS COMPREHENSIVE, MULT-DISCIPLINARY SERVICES FOR LUNG AND RESPIRATORY CARE, INCLUDING TREATMENT OF ASTHMA. THE LUNG AND RESPIRATORY CARE CENTER PROVIDES INPATIENT AND OUTPATIENT RESPIRATORY CARE SERVICES. IN ADDITION, ADVOCATE CHILDREN'S ALLERGY AND ASTHMA SPECIALISTS AND RESPIRATORY CARE SPECIALIST WORK WITH CHILDREN AND THEIR FAMILIES TO MANAGE ASTHMA, EDUCATE THEM ON ALLERGY AND ASTHMA TRIGGERS. ONE-ON-ONE ASTHMA MANAGEMENT EDUCATION IS ALSO PROVIDED BY ADVOCATE CHILDREN'S ASTHMA CENTER, OFFERING A VARIETY OF EDUCATIONAL RESOURCES FOR CHILDREN, TEENS AND PARENTS, AND ONE-TO-ONE ASTHMA EDUCATION TO PATIENTS ON THE RONALD MCDONALD CARE MOBILE.FOR MORE DETAILS ON WHAT ADVOCATE CHRIST/CHILDREN'S DID SELECT TO ADDRESS, AND DID NOT SELECT AND WHY, SEE PAGE 78-81 OF THE ADVOCATE CHRIST 2017-2019 CHNA REPORT AT MICROSOFT WORD - 0802_CHRIST_CHNA .DOCX (ADVOCATEHEALTH.COM)

SCHEDULE H, PART V, SEC B, LINE 11 - ADVOCATE GOOD SHEPHERD HOSPITAL CONT.
MENTAL HEALTH. MENTAL HEALTH WAS NOT SELECTED AS A PRIORITY FOR THE CURRENT CHNA CYCLE EVEN THOUGH IT WAS SELECTED IN THE PREVIOUS CHNA CYCLE. ADVOCATE GOOD SHEPHERD HAS WORKED CLOSELY WITH THE NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI) BARRINGTON CHAPTER TO DEVELOP AND LAUNCH A WEBSITE NAMED HEALTHY BARRINGTON, WHICH HELPS INDIVIDUALS FIND MENTAL HEALTH PROVIDERS IN THE BARRINGTON AREA AND THROUGHOUT THE CHICAGOLAND AREA. THERE ARE ALSO ACTIVE BEHAVIORAL HEALTH COUNCILS IN PLACE FOR BOTH LAKE COUNTY AND MCHENRY COUNTY, FOCUSING ON IMPROVING MENTAL HEALTH PROVIDER CAPACITY AND STREAMLINING SERVICE PROVISION. THE DIRECTOR OF COMMUNITY HEALTH SITS ON THESE COMMITTEES. SINCE A GREAT DEAL OF WORK IS ALREADY BEING DONE TO ADDRESS MENTAL HEALTH IN THE PSA, THE CHC VOTED FOR THE HOSPITAL TO TURN ITS ATTENTION TO SUBSTANCE ABUSE FOR THE NEXT THREE-YEAR PERIOD.CANCER. AS PART OF THE REQUIREMENTS TO MAINTAIN CERTIFICATION WITH THE COMMISSION ON CANCER, ADVOCATE GOOD SHEPHERD IMPLEMENTS CANCER SCREENING AND PREVENTION EDUCATION ON AN ANNUAL BASIS. OVER THE PAST THREE YEARS, COMMUNITY HEALTH STAFF HAVE WORKED WITH THE ADVOCATE GOOD SHEPHERD CANCER CENTER STAFF TO ADDRESS BARRIERS TO NAVIGATION, AND PROMOTE EARLY SCREENING AND DETECTION FOR COLORECTAL CANCER, SKIN CANCER AND LUNG CANCER. BECAUSE ACTIVITIES RELATED TO CANCER SCREENING AND PREVENTION ARE ALREADY INTEGRATED INTO THE REGULAR PROGRAMMING OF BOTH THE COMMUNITY HEALTH PROGRAM AND THE CANCER CENTER, AND CANCER INCIDENCE RATES ARE TRENDING DOWN FOR ALL BUT BREAST CANCER, THE CHC DETERMINED IT WAS PRUDENT TO FOCUS ON OTHER HEALTH PRIORITIES. FOR MORE DETAIL RELATED TO PRIORITIES SELECTED TO ADDRESS, AND NOT SELECTED TO ADDRESS AND WHY, PLEASE SEE PAGES 110-112 OF THE ADVOCATE GOOD SHEPHERD 2020-2022 COMMUNITY HEALTH IMPLEMENTATION PLAN AT HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/DOCUMENTS/GOOD-SHEPHERD-2020-2022-CMTY-HLTH-IMPLEMENTATION-PLAN-FINAL-LR-4-24-20.PDF

SCHEDULE H, PART V, SEC B, LINE 11 - LUTHERAN GEN HOSP INCL LUTH GEN CHILD 2
ACCESS TO HEALTH CARE. IN ADDITION TO THE COLLABORATIVE PRIORITIES (BEHAVIORAL HEALTH AND HEALTHY LIFESTYLES), ADVOCATE CHILDREN'S WILL CONTINUE TO OFFER FREE SCHOOL-BASED HEALTH SERVICES TO HIGH RISK, LOW-INCOME CHILDREN WHO ARE UNINSURED OR RECEIVE MEDICAID THROUGH THE RONALD MCDONALD CARE MOBILES (RMCM). SERVICES PROVIDED BY THE TWO RCMCS INCLUDE PHYSICALS, IMMUNIZATIONS, COMPLETION OF HPV VACCINE SERIES, ASSISTANCE WITH SECURING A MEDICAL HOME, HEALTH AND WELLNESS EDUCATION, COMMUNITY-BASED SOCIAL SERVICE REFERRALS AND FOOD INSECURITY SCREENING AND RESOURCING. IN 2021, ADVOCATE CHILDREN'S CONTINUED TO PARTNER WITH RONALD MCDONALD HOUSE CHARITIES OF CHICAGOLAND AND NORTHWEST INDIANA TO PROVIDE ACCESS TO FREE SCHOOL PHYSICALS AND IMMUNIZATIONS FOR AT-RISK CHILDREN THROUGH THE RMCMS. DUE TO COVID-19, THE RMCMS SAW LIMITED OPERATIONS DURING THE 2021 SCHOOL SEMESTERS DUE TO HYBRID AND ONLINE LEARNING MODELS IN THE PARTNERING SCHOOLS. HOWEVER, IN 2021, THE RMCMS WERE ABLE TO SEE 1,406 PATIENTS AND PROVIDED 2,663 VACCINATIONS. INFANT MORTALITY/PRETERM DELIVERIES/LOW BIRTHWEIGHT. ADVOCATE CHILDREN'S ALSO HAS PLANS TO PROVIDE A CENTERING PREGNANCY PROGRAM, A GROUP PRENATAL CARE MODEL WHERE POTENTIALLY AT-RISK PREGNANT WOMEN RECEIVE MONTHLY EXAMS, SOCIAL SUPPORT AND EXTENSIVE EDUCATION IN A GROUP SETTING. THE PROGRAM IS DESIGNED TO ENGAGE WOMEN IN THEIR PREGNANCY WITH THE GOAL TO REDUCE PREMATURE BIRTHS, INFANT MORTALITY AND LOW BIRTH WEIGHT BABIES WHILE DEVELOPING A MUCH-NEEDED SOCIAL SUPPORT SYSTEM. DUE TO COVID-19, THE IMPLEMENTATION OF THIS PROGRAM HAS BEEN PLACED ON A BRIEF PAUSE AND WILL BE IMPLEMENTED ONCE IT IS SAFE FOR SMALL GATHERINGS AT THE RAVENSWOOD FAMILY PRACTICE CLINIC, AS WELL AS ADDITIONAL COMMUNITY-BASED PARTNERS. HEALTH NEEDS NOT SELECTED AND WHY ADVOCATE LUTHERAN GENERAL HEART DISEASE. WHILE HEART DISEASE WAS NOT SELECTED AS A PRIORITY BY ADVOCATE LUTHERAN GENERAL, THE HOSPITAL IS COMMITTED TO DECREASING THE RATE OF HEART DISEASE THROUGH ADDRESSING AND PRIORITIZING HEALTHY LIFESTYLES AND OBESITY PREVENTION. NATIONAL DATA MAPS FROM THE CDC INDICATE THAT HIGHER HEART DISEASE AND STROKE DEATH RATES OCCUR IN STATES THAT ALSO HAVE HIGHER OBESITY RATES. THE CHC DECIDED IT WAS MORE BENEFICIAL TO PRIORITIZE OBESITY BECAUSE OF ITS IMPACT ON REDUCING THE RISK FOR HEART DISEASE, INCLUDING HOSPITALIZATIONS AND ER VISITS DUE TO HEART DISEASE. THE HOSPITAL ALSO ADDRESSES HEART DISEASE THROUGH ITS MANY ADVOCATE HEART INSTITUTE PROGRAMS. DIABETES. WHILE THE ADVOCATE LUTHERAN GENERAL CHC ACKNOWLEDGES DIABETES IS A HEALTH ISSUE, IT WAS NOT SELECTED AS A PRIORITY. INSTEAD, THEY DECIDED TO ADDRESS DIABETES PREVENTION AND MANAGEMENT THROUGH THE OBESITY PREVENTION/HEALTHY LIFESTYLES PRIORITY, WHICH WILL INCLUDE INTERVENTIONS AND PARTNERSHIPS TO ADDRESS NUTRITION AND PHYSICAL ACTIVITYKEY ELEMENTS OF DIABETES PREVENTION AND MANAGEMENT. IMMUNIZATION AND INFECTIOUS DISEASES. WHILE CONSIDERED, IMMUNIZATION AND INFECTIOUS DISEASES WAS NOT SELECTED BY THE CHC TO ADDRESS GIVEN CURRENT COMMUNITY-BASED EFFORTS BEING IMPLEMENTED TO ADDRESS THIS HEALTH NEED. THROUGHOUT THE PSA, VACCINATIONS/ IMMUNIZATIONS ARE BEING ADDRESSED BY THE RETAIL AND NON-PROFIT SECTORS. ADVOCATE AURORA HAS SEVERAL WALGREENS CLINICS IN WHICH VACCINATIONS ARE OFFERED AT A LOW-COST TO THE COMMUNITY. IN ADDITION, THERE ARE SEVERAL COMMUNITY CLINICS THAT OFFER VACCINATIONS AT LOW OR NO COST TO PSA RESIDENTS, INCLUDING THOSE WITH NO INSURANCE. ADVOCATE CHILDREN'S ASTHMA/RESPIRATORY DISEASE. THE CHC DID NOT RECOMMEND ASTHMA/RESPIRATORY DISEASE AS A HEALTH PRIORITY DUE TO THE LACK OF COMMUNITY PARTNERS AND THE INEFFECTIVENESS/AVAILABILITY OF ASTHMA PREVENTION PROGRAMS. ADVOCATE CHILDREN'S RMCM STAFF CURRENTLY PROVIDE ASTHMA EDUCATION TO PEDIATRIC PATIENTS IN ADDITION TO PRIMARY HEALTH CARE PROVIDED TO LOW-INCOME CHILDREN THAT HAVE BARRIERS TO RECEIVING CARE. ADVOCATE CHILDREN'S WILL ALSO EXPLORE THE IMPLEMENTATION OF KICKIN' ASTHMA, A PROGRAM CREATED BY THE AMERICAN LUNG ASSOCIATION, THAT AIMS TO IMPROVE ASTHMA SELF-MANAGEMENT.

SCHEDULE H, PART V, SEC B, LINE 11 - ADVOCATE GOOD SAMARITAN HOSPITAL CONT.
DUPAGE COUNTY HEALTH NEEDS NOT SELECTED AFFORDABLE HOUSING. ALTHOUGH AFFORDABLE HOUSING WAS IDENTIFIED AS A SIGNIFICANT HEALTH NEED, IT WAS NOT VOTED AS A PRIORITY FOR DUPAGE COUNTY BY THE IMPACT DUPAGE STEERING COMMITTEE. THE GOOD SAMARITAN CHC DETERMINED THE HOSPITAL'S CAPACITY AND AVAILABILITY OF RESOURCES WAS LIMITED TO TWO HEALTH PRIORITIES AND THEREFORE DID NOT SELECT AFFORDABLE HOUSING. HOWEVER, IN EFFORTS TO EFFECTIVELY ADDRESS BEHAVIORAL HEALTH AND HEALTH STATUS IMPROVEMENT, THE CHC AND THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT DECIDED TO BE ENGAGED IN THE PLANNING, BRAINSTORMING AND PROMOTION PHASE OF THE COUNTY'S AFFORDABLE HOUSING INITIATIVE. ADVOCATE GOOD SAMARITAN RECOGNIZES THE SIGNIFICANCE OF THE NEED FOR AFFORDABLE HOUSING IN DUPAGE COUNTY AND WILL, THEREFORE, CONTINUE TO PARTNER WITH THE DUPAGE COUNTY HEALTH DEPARTMENT AND DUPAGE PADS TO ADVANCE AFFORDABLE HOUSING STRATEGIES IN THE COUNTY.CARDIOVASCULAR DISEASE. FOLLOWING CAREFUL REVIEW OF THE DATA, THE HOSPITAL'S CHC DID NOT SELECT CARDIOVASCULAR DISEASE AS THE PRIORITY TO ADDRESS AS THE COUNCIL ALTERNATIVELY RECOMMENDED THE HOSPITAL ADDRESS CARDIOVASCULAR DISEASE THROUGH THE HEALTH STATUS IMPROVEMENT PRIORITY, WHICH INCLUDES NUTRITION, PHYSICAL ACTIVITY AND OBESITY PREVENTION. THE IMPACT DUPAGE STEERING COMMITTEE ALSO DID NOT SELECT CARDIOVASCULAR DISEASE AS A PRIORITY HEALTH NEED DUE TO THE IMPACT HEALTH STATUS IMPROVEMENT HAS ON DECREASING THE RATE OF CARDIOVASCULAR DISEASE. ASTHMA. WHILE IDENTIFIED AS A HEALTH NEED, ASTHMA WAS NOT SELECTED AS THE RECOMMENDED HEALTH PRIORITY DUE TO THE LACK OF COMMUNITY PARTNERS AND THE INEFFECTIVENESS/AVAILABILITY OF ASTHMA PREVENTION PROGRAMS. THE CHC ALSO IDENTIFIED THE HIGH RATES OF HOSPITALIZATION AND EMERGENCY ROOM (ER) VISITS DUE TO ASTHMA AS A POTENTIAL ACCESS TO HEALTH CARE ISSUE. TAKING THIS INTO CONSIDERATION, CHC MEMBERS SUGGESTED ADDRESSING ACCESS TO CARE THROUGH THE HEALTH STATUS IMPROVEMENT PRIORITY AS A WAY TO ADDRESS THE ER AND HOSPITALIZATION RATES DUE TO ASTHMA.SEXUALLY TRANSMITTED INFECTIONS (STIS). WHILE THE CHC RECOGNIZED THAT STIS ARE AN INCREASING NEED PARTICULARLY IN THE ADOLESCENT POPULATION, THE CHC DID NOT RECOMMEND PRIORITIZING THIS HEALTH ISSUE DUE TO THE MULTIPLE ORGANIZATIONS, INCLUDING DUPAGE COUNTY SCHOOLS, ADDRESSING THE ISSUE. THE HOSPITAL ALSO HAS LIMITED EXPERTISE TO ADDRESS THIS HEALTH NEED IN THE ADOLESCENT POPULATION. THE HOSPITAL, HOWEVER, WILL BE ABLE TO ADDRESS SEXUALLY TRANSMITTED DISEASES THROUGH THE HEALTH STATUS IMPROVEMENT PRIORITY BY IMPROVING ACCESS TO HEALTH CARE FOR DETECTION AND TREATMENT OF STIS. SENIOR HEALTH. ADVOCATE GOOD SAMARITAN RECOGNIZES THE IMPORTANCE OF SENIOR HEALTH AND ENGAGES IN MULTIPLE COMMUNITY ACTIVITIES AND PROGRAMS THAT ADDRESS THE HEALTH NEEDS OF SENIORS, THEREFORE THE CHC DID NOT SELECT SENIOR HEALTH AS A HEALTH PRIORITY. THE HOSPITAL IMPLEMENTS THE MATTER OF BALANCE PROGRAM, WHICH AIMS TO DECREASE FALLS AMONG SENIORS THROUGH INCREASING EDUCATION AROUND PREVENTING FALLS AND CREATING FALL-FREE ENVIRONMENTS. IN ADDITION, THE HOSPITAL IMPLEMENTS SENIOR HEALTH FAIRS AND HEALTH EDUCATION WORKSHOPS ACROSS DUPAGE COUNTY IN PARTNERSHIP WITH VARIOUS SENIOR CENTERS AND RESIDENCES.IMMUNIZATION FOR PREVENTABLE DISEASES. THE CHC ACKNOWLEDGED THE CURRENT EFFORTS UNDERWAY BY THE RETAIL AND NON-PROFIT SECTORS TO PROVIDE ACCESS TO VACCINATIONS/ IMMUNIZATIONS THROUGHOUT DUPAGE COUNTY AND THEREFORE DID NOT SELECT IT AS THE HEALTH PRIORITY TO FOCUS ON FOR IMPLEMENTATION PLANNING. ADVOCATE AURORA HEALTH HAS SEVERAL WALGREENS CLINICS IN WHICH VACCINATIONS ARE OFFERED AT LOW-COST TO THE COMMUNITY. IN ADDITION, THE DUPAGE COUNTY HEALTH DEPARTMENT OFFERS VACCINATIONS AT LOW OR NO COST TO DUPAGE COUNTY RESIDENTS, INCLUDING THOSE WITH NO INSURANCE.BOLINGBROOK-ROMEOVILLE HEALTH NEEDS NOT SELECTED HEART DISEASE. WHILE HEART DISEASE WAS NOT SPECIFICALLY SELECTED AS THE HEALTH NEED PRIORITY FOR BOLINGBROOK-ROMEOVILLE, THE ADVOCATE GOOD SAMARITAN CHC DID SELECT CHRONIC DISEASE MANAGEMENT, WHICH INCLUDES MANAGEMENT OF VARIOUS CHRONIC HEART CONDITIONS. THIS HEALTH ISSUE WILL ALSO BE ADDRESSED THROUGH CHRONIC DISEASE PREVENTION FOCUSING ON PROPER NUTRITION AND PHYSICAL ACTIVITY (HEALTHY LIFESTYLES). DIABETES. THE CHC ALSO DID NOT SELECT DIABETES AS THE HEALTH NEED PRIORITY FOR BOLINGBROOK-ROMEOVILLE GIVEN CHRONIC DISEASE MANAGEMENT WAS SELECTED, WHICH INCLUDES DIABETES MANAGEMENT EDUCATION AND PROGRAMS. THIS HEALTH ISSUE WILL ALSO BE ADDRESSED THROUGH CHRONIC DISEASE PREVENTION FOCUSING ON PROPER NUTRITION AND PHYSICAL ACTIVITY. ACCORDING TO THE NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES, NUTRITION AND PHYSICAL ACTIVITY ARE IMPORTANT PARTS OF A HEALTHY LIFESTYLE WHEN DIAGNOSED WITH DIABETES. PROGRAMMING AND SUPPORT FOR HEALTHY LIFESTYLES IS ESSENTIAL IN ADDRESSING CHRONIC DISEASE PREVENTION AND MANAGEMENT. ASTHMA. WHILE ASTHMA WAS NOT SELECTED AS THE HEALTH NEED PRIORITY FOR BOLINGBROOK-ROMEOVILLE, THE CHC DID SELECT CHRONIC DISEASE MANAGEMENT, WHICH INCLUDES ASTHMA MANAGEMENT. THIS HEALTH ISSUE WILL ALSO BE ADDRESSED THROUGH CHRONIC DISEASE PREVENTION FOCUSING ON PROPER NUTRITION AND PHYSICAL ACTIVITY (HEALTHY LIFESTYLES), BOTH OF WHICH ARE CRUCIAL COMPONENTS IN MANAGING ASTHMA. BEHAVIORAL HEALTH. BEHAVIORAL HEALTH WAS NOT SELECTED AS A PRIORITY DUE TO OTHER COMMUNITY PARTNERS AND HOSPITALS ALREADY ADDRESSING THE HEALTH ISSUE. AFTER THE BOLINGBROOK-ROMEOVILLE VNA PRESENTATION AND FEEDBACK FROM AMITA, ANOTHER HOSPITAL SYSTEM, IT WAS DETERMINED THAT THE HEALTH NEED WAS SUFFICIENTLY BEING ADDRESSED WHILE THE ISSUE OF CHRONIC DISEASE WAS NOT. ALTHOUGH BEHAVIORAL HEALTH WAS NOT SELECTED AS A PRIORITY, THE HOSPITAL WILL PROVIDE SUPPORT TO PARTNER ORGANIZATIONS AND HOSPITALS WHERE RESOURCES ARE AVAILABLE. FOR ADDITIONAL DETAILS ON THE HEALTH PRIORITIES SELECTED TO ADDRESS, AS WELL AS THOSE NOT SELECTED AND WHY, PLEASE SEE PAGES 43-45 OF THE ADVOCATE GOOD SAMARITAN 2017-2019 CHNA REPORT AT MICROSOFT WORD - 0715_GSAM_CHNA.DOCX (ADVOCATEHEALTH.COM)

SCHEDULE H, PART V, SEC B, LINE 11 - ADVOCATE TRINITY HOSPITAL CONT.
HEALTH NEEDS NOT SELECTED AND WHYCANCER. ADVOCATE TRINITY DID NOT SELECT CANCER AS A HEALTH PRIORITY BECAUSE THE HOSPITAL HAS MULTIPLE PROGRAMS AND SERVICES IN PLACE TO ADDRESS THIS HEALTH ISSUE. ADVOCATE TRINITY'S ONCOLOGY CENTER PROGRAMS ARE STRUCTURED TO FACILITATE A MULTIDISCIPLINARY ENVIRONMENT THAT PROVIDES MINIMALLY INVASIVE PROCEDURES AND ADVANCED SURGICAL INTERVENTION TO TREAT CANCER. THE ONCOLOGY CENTER INCLUDES ADVANCED DIAGNOSTICS, IMAGING SERVICES, INTERVENTIONAL RADIOLOGY, AND AN INFUSION CENTER. THE HOSPITAL HAS A CANCER COMMITTEE TO DEVELOP, APPROVE AND IMPLEMENT THE STRATEGIC PLANS, GOALS AND OBJECTIVES OF ADVOCATE TRINITY'S CANCER PROGRAMS AND TO PROVIDE OVERSIGHT FOR ONGOING PROGRAMS AND OUTREACH SERVICES. THE CANCER COMMITTEE ENSURES THAT COMMUNITY OUTREACH PLANS REFLECT THE CANCER EXPERIENCE AT ADVOCATE TRINITY AND THAT THE DEFINED COMMUNITY NEEDS ARE ADDRESSED. ADVOCATE TRINITY'S ONCOLOGY NURSE NAVIGATOR, IN COLLABORATION WITH THE COMMUNITY HEALTH DEPARTMENT, WORKS TO IMPLEMENT OUTREACH SERVICES IN THE COMMUNITY. OUTREACH ACTIVITIES INCLUDE COMMUNITY EDUCATION FOR BREAST CANCER PREVENTION, PROSTATE CANCER PREVENTION AND ADDITIONAL COMMUNITY HEALTH EDUCATION, INCLUDING HEALTHY LIFESTYLE EDUCATION FOR CANCER PREVENTION. SUBSTANCE ABUSE. A SECOND HEALTH NEED IDENTIFIED BUT NOT SELECTED IS SUBSTANCE ABUSE. ADVOCATE TRINITY IS A COMMUNITY HOSPITAL THAT DOES NOT HAVE A PSYCHIATRIC UNIT AND DOES NOT PROVIDE ONGOING TREATMENT FOR SUBSTANCE ABUSE. HOWEVER, TO MEET THE IMMEDIATE NEEDS OF ITS ED PATIENTS AND INPATIENTS AND FOR CONTINUITY OF CARE, THE HOSPITAL PROVIDES TREATMENT OPTIONS THROUGH ADVOCATE BEHAVIORAL HEALTH SERVICES AND THE FAMILY CARE NETWORK LOCATED AT ADVOCATE CHRIST. ADVOCATE BEHAVIORAL HEALTH SERVICES AND FAMILY CARE NETWORK PROVIDE AN ADULT INPATIENT PSYCHIATRIC PROGRAM, OLDER ADULT INPATIENT PROGRAM TO HELP OLDER ADULTS REGAIN PSYCHOLOGICAL STABILITY, ADOLESCENT PARTIAL HOSPITALIZATIONS, AND SUBSTANCE ABUSE-PARTIAL HOSPITALIZATION FOR SHORT-TERM INTENSIVE TREATMENT OF CHEMICAL DEPENDENCE. UPON TREATMENT AND PRIOR TO DISCHARGE, PATIENTS ARE CONNECTED TO THE BEHAVIORAL HEALTH PROGRAMS AND PROVIDED RESOURCES TO ORGANIZATIONS THAT ASSIST THE PATIENT BASED ON THE PATIENT'S UNIQUE NEEDS (I.E., SUBSTANCE ABUSE FACILITY OR DETOX CENTER).HEART DISEASE. ONE OF THE HEALTH ISSUES IDENTIFIED BUT NOT SELECTED AS A PRIORITIZED HEALTH NEED WAS HEART DISEASE. ADVOCATE TRINITY IS ADDRESSING THE COMMUNITY'S HEART DISEASE NEEDS THROUGH THE ADVOCATE HEART INSTITUTE. THE ADVOCATE HEART INSTITUTE'S 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.ASTHMA. ASTHMA WAS ANOTHER HEALTH ISSUE IDENTIFIED BUT NOT SELECTED AS A PRIORITIZED HEALTH NEED DURING THIS CHNA CYCLE. ADVOCATE TRINITY'S ASTHMA PROGRAM USES A UNIQUE, MULTI-DISCIPLINARY TEAM APPROACH TO ASTHMA CARE. THE PROGRAM OFFERS BOARD CERTIFIED PULMONOLOGISTS TO DEVELOP AND MONITOR TREATMENT PROTOCOLS AND STANDING ORDERS FOR CARE, AND AN ASTHMA NURSE EDUCATOR WHO OVERSEES THE PROGRAM, PROVIDES PATIENT EDUCATION AND SERVES AS A LINK TO THE COMMUNITY TO ENSURE THE PATIENT'S ASTHMA IS MANAGED. OTHER TEAM MEMBERS INCLUDE RESPIRATORY CARE PRACTITIONERS WHO PROVIDE BREATHING TREATMENTS AND TEACH PATIENT EDUCATION IN THE HOSPITAL AND COMMUNITY. IN ADDITION, THE ASTHMA PROGRAM OFFERS MANY EDUCATIONAL PROGRAMS TO HELP PEOPLE BETTER UNDERSTAND THEIR CONDITION AND MANAGE THEIR ASTHMA. THESE PROGRAMS INCLUDE ONE-ON-ONE INDIVIDUALIZED EDUCATION SESSIONS FOR PEOPLE ENCOUNTERING DIFFICULTIES MANAGING THEIR ASTHMA, AND MONTHLY ASTHMA EDUCATION CLASSES COVERING SELF-MANAGEMENT, PEAK FLOW MONITORING AND ADDRESSING ENVIRONMENTAL TRIGGERS.FOR MORE DETAIL ON WHAT ADVOCATE TRINITY DID SELECT TO ADDRESS, AND DID NOT SELECT TO ADDRESS AND WHY, SEE PAGES 68-71 OF THE ADVOCATE TRINITY 2017-2019 CHNA REPORT AT ADVOCATE TRINITY HOSPITAL CHNA REPORT 2019 : ADVOCATE HEALTH CARE

PART I, LINE 6A:
A SYSTEM-WIDE COMMUNITY BENEFIT REPORT IS FILED BY:ADVOCATE HEALTH CARE NETWORK 3075 HIGHLAND PARKWAY, DOWNERS GROVE, IL 60515. EIN 36-2167779

PART I, LINE 7:
A COST-TO-CHARGE RATIO, DERIVED FROM SCHEDULE H INSTRUCTIONS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7A. SCHEDULE H INSTRUCTIONS WORKSHEET 3, UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7B. A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINES 7E, 7F, 7G, AND 7I.

PART I, LINE 7G:
ADVOCATE 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, MENTAL, BEHAVIORAL AND CHEMICAL DEPENDENCY HEALTH SERVICES, REHABILITATION SERVICES, CARDIAC SURGERY, ORTHOPEDIC AND HOSPICE SERVICES.

PART I, LN 7 COL(F):
$169,338,934 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).

SCHEDULE H, PART I, LINE 7E - SYSTEM-WIDE
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 SCREENING ARE ALSO PROVIDED; VARIOUS PROGRAMS REGARDING JOINT PAIN AND REPLACEMENT INCLUDING TREATMENT OPTIONS AND INFORMATION ON PAIN RELIEF; VARIOUS WOMEN AND BABY, BREASTFEEDING, MULTIPLES 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 HEALTH 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 OF THESE PROGRAMS ARE GEARED TO THE LOW INCOME AND DIVERSE STUDENT POPULATIONS.

PART III, LINE 4:
FOR AHHC, IN 2021 THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERED 24.29% OF NET PATIENT ACCOUNTS RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUBE. 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 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 7, REPORTS FILED WITH STATES
IL

PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.
"AT BOTH THE SYSTEM AND SITE LEVELS, ADVOCATE IS WORKING TO EXAMINE AND ADDRESS THE ROOT CAUSES OF HEALTH INEQUITIES IN OUR COMMUNITIES. TO SUPPORT THE ADVOCATE HOSPITALS IN CONDUCTING CHNA'S, ADVOCATE PURCHASED ACCESS TO METOPIO, A CHNA DATA TOOL. METOPIO IS A SOFTWARE AND SERVICES COMPANY THAT IS GROUNDED IN THE PHILOSOPHY THAT COMMUNITIES ARE CONNECTED THROUGH PLACES AND PEOPLE. METOPIO'S TOOLS AND VISUALIZATIONS USE DATA TO REVEAL VALUABLE, INTERCONNECTED FACTORS THAT INFLUENCE HEALTH OUTCOMES IN DIFFERENT LOCATIONS. METOPIO OFFERS A DATA, TAILORED TO SUPPORT ALL ADVOCATE AURORA HEALTH HOSPITALS WITH IDENTIFYING HEALTH INEQUITIES IN COMMUNITIES. METOPIO USES THE MOST CURRENT DATA SOURCES AND CREATES TOOLS AND INDICES THAT FOCUS ON THE COMMUNITIES WITHIN THE AAH SERVICES AREAS. THE DATA CAN BE USED TO FOCUS ON SPECIFIC REGIONS, COMMUNITIES, AND HOSPITAL SERVICES AREAS. BELOW IS A DESCRIPTION OF TWO IMPORTANT INDICES FOUND IN METOPIO. HARDSHIP INDEX DESCRIPTION. THE HARDSHIP INDEX WAS ORIGINALLY DEVELOPED BY RICHARD P. NATHAN AND CHARLES F. ADAMS, JR. IN 1976 TO COMPARE SOCIOECONOMIC CONDITIONS BETWEEN COMMUNITIES. IT IS HIGHLY CORRELATED WITH OTHER MEASURES OF ECONOMIC HARDSHIP, SUCH AS LABOR FORCE STATISTICS, AND WITH POOR HEALTH OUTCOMES. THE INDEX COMBINES THE FOLLOWING TOPICS INTO A SINGLE COMPOSITE VALUE ON A SCALE OF 0-100: CROWDED HOUSING (MORE THAN ONE PERSON PER ROOM) POVERTY RATE FOR HOUSEHOLDS UNEMPLOYMENT RATE ADULTS WITH A HIGH SCHOOL DEGREE OR EQUIVALENT AGE DEPENDENCY RATIO (% OF RESIDENTS WHO ARE <18 OR >65 YEARS OLD, COMPARED TO THOSE OF WORKING AGE) PER-CAPITA INCOME HIGHER VALUES INDICATE GREATER HARDSHIP AND CORRELATE HIGHER WITH POOR HEALTH OUTCOMES. THE INDEX DOES NOT PRESERVE THE RATIO BETWEEN TWO PLACES, SO IF ONE PLACE HAS TWICE THE HARDSHIP INDEX OF ANOTHER, WE CANNOT SAY THAT IT EXPERIENCES ""TWICE AS MUCH HARDSHIP"" AS ANOTHER PLACE. INSTEAD, COMPARE DIFFERENT PLACES USING THE CONSTITUENT TOPICS. SOCIAL VULNERABILITY INDEX. THE SOCIAL VULNERABILITY INDEX (SVI) WAS DEVELOPED BY THE CENTER FOR DISEASE CONTROL AND PREVENTION (CDC) TO HELP PUBLIC HEALTH OFFICIALS AND EMERGENCY RESPONSE PLANNERS IDENTIFY AND MAP THE COMMUNITIES THAT WILL MOST LIKELY NEED SUPPORT BEFORE, DURING, AND AFTER A HAZARDOUS EVENT, SUCH AS A NATURAL DISASTER, DISEASE OUTBREAK, OR CHEMICAL SPILL. SVI INDICATES RELATIVE VULNERABILITY BY RANKING PLACES ON 15 SOCIAL FACTORS THAT CAN BE DIVIDED INTO 4 CATEGORIES: SOCIOECONOMIC HOUSEHOLD COMPOSITION & DISABILITY MINORITY STATUS & LANGUAGE HOUSING TYPE & TRANSPORTATION THE ORIGINAL SCORE IS ON A SCALE FROM 0-1, BUT IT IS MULTIPLIED BY 100 FOR READABILITY ON METOPIO. A HIGHER SCORE REPRESENTS A COMMUNITY MORE VULNERABLE TO A HAZARDOUS EVENT. DETAILED DOCUMENTATION IS AVAILABLE FROM THE CDC HERE .ADVOCATE CONTINUES TO WORK LOCALLY AND NATIONALLY WITH MANY PROMINENT COMMUNITY PARTNERS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. EXAMPLES OF THESE EFFORTS INCLUDE THE FOLLOWING. HEALTH CARE ANCHOR NETWORK (HAN). AAH IS A FOUNDING MEMBER OF THE HEALTHCARE ANCHOR NETWORK WHICH HAS EXPANDED TO INCLUDE 70 OTHER AREA HEALTH SYSTEM AND HOSPITAL PARTNERS. AAH HAS SIGNIFICANT ECONOMIC AND HUMAN RESOURCES ACROSS ITS SERVICE AREA AS THE LARGEST EMPLOYER IN THE MILWAUKEE AREA AND THE FOURTH LARGEST IN CHICAGO. TO LEVERAGE THESE RESOURCES, IN 2019, AAH ANNOUNCED A COMMITMENT TO INVEST $50 MILLION TO HELP ADDRESS THE ECONOMIC, RACIAL, AND ENVIRONMENTAL DISPARITIES THAT IMPACT COMMUNITY HEALTH OUTCOMES AND DECREASE HEALTH INEQUITY. ADDITIONALLY, AAH COMMITTED TO DRIVING COMMUNITY HEALTH AND WELL-BEING THROUGH ITS INCLUSIVE, LOCAL HIRING AND LOCAL PURCHASING STRATEGIES AND INITIATIVES.ADVOCATE AURORA $50M INVESTMENT PLEDGE. AAH IS AMONG THE FIRST HEALTH SYSTEMS IN THE COUNTRY TO MAKE A SIGNIFICANT COMMITMENT TO INVESTING IN TARGETED COMMUNITY DEVELOPMENT. THE ANCHOR STRATEGY INVESTMENTS ARE TARGETED TO ENHANCE CRITICAL SERVICES SUCH AS AFFORDABLE OR SUPPORTIVE HOUSING AND FOOD ACCESS IN COMMUNITIES THAT LEAD TO IMPROVED HEALTH AND DEMONSTRATED DOWNSTREAM BENEFITS TO OUR PATIENTS AND THE COMMUNITY. INITIALLY, THE INVESTMENT WORK WAS DONE IN PARTNERSHIP WITH COMMUNITY DEVELOPMENT FINANCING INSTITUTIONS (CDFIS) TO FUND PROJECTS. ALTHOUGH NOT A PROFIT MAXIMIZING ACTIVITY, THIS INVESTMENT COMMITMENT WILL RESULT IN A RETURN OF THE PRINCIPAL TO THE ORGANIZATION WITH INTEREST TO ENSURE A SUSTAINABLE INVESTMENT CAPACITY FOR REINVESTMENT OVER TIME. A COMMUNITY INVESTMENT STRATEGY TEAM WAS FORMED TO PLAN AND GUIDE THE WORKCONSISTING OF FINANCE AND TREASURY, COMMUNITY HEALTH AND OPERATIONS TEAMS TO DEVELOP THE SCOPE AND PROCESS. THE TEAM IS RESPONSIBLE FOR DEPLOYING $50 MILLION IN LOANS TO CDFIS ACROSS OUR FOOTPRINT BY THE END OF 2025. TO DATE, THE TEAM HAS COMPLETED 4 CONTRACTS WITH LOCAL CDFIS: $25M WITH LOCAL INITIATIVE SUPPORT CORPORATION (LISC) $5M WITH IFF $2.5M WITH CHICAGO COMMUNITY LOAN FUND (CCLF) $1M WITH WISCONSIN WOMEN'S BUSINESS INITIATIVE CORPORATION (WWBIC)ADVOCATE AURORA PURCHASING COMMITMENT. THIS ANCHOR STRATEGY BUILDS ON THE EXISTING DIVERSITY, EQUITY, AND INCLUSION PURCHASING STRATEGIES AND ESTABLISHES TARGETS RELATED TO INCREASING THE NUMBER OF LOCAL AND DIVERSE VENDORS WITH THE POSSIBILITY OF THE INVESTMENT STRATEGY ALSO FUNDING STRATEGIC BUSINESSES SUCH AS URBAN AGRICULTURE VENTURES TO QUALIFY MORE BUSINESS AS VENDORS. ON JUNE 9, 2021, AAH ANNOUNCED SIGNING THE ""IMPACT PURCHASING COMMITMENT""DESIGNED BY THE HEALTH ANCHOR NETWORK (HAN)TO BUILD HEALTHY, EQUITABLE, AND CLIMATE-RESILIENT LOCAL ECONOMIES THROUGH SPENDING. THE COMMITMENT INCLUDES INCREASING SPENDING WITH MINORITY AND WOMEN OWNED BUSINESS ENTERPRISES (MWBES) AS WELL AS LOCAL AND EMPLOYEE-OWNED, COOPERATIVELY OWNED AND/OR NONPROFIT-OWNED ENTERPRISES, BY AT LEAST $1 BILLION OVER FIVE YEARS. AAH WILL ALSO WORK WITH AT LEAST TWO OF THEIR LARGE EXISTING VENDORS TO CREATE HIRING PIPELINES IN THE DISINVESTED COMMUNITIES THAT IT SERVES AND WILL COMMIT TO ADOPTING SUSTAINABLE PROCUREMENT GOALS. THERE ARE SEVERAL ADDITIONAL EXAMPLES OF EFFORTS TO STRENGTHEN CORPORATE OPTIONS THROUGH HUMAN RESOURCE, SUPPLY CHAIN, ENVIRONMENTAL STEWARDSHIP AND INVESTMENT POLICIES THAT IMPACT THE SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITIES SERVED BY ADVOCATE.ADVOCATE IS ALSO STRENGTHENING CORPORATE OPTIONS THROUGH HUMAN RESOURCE, SUPPLY CHAIN, ENVIRONMENTAL STEWARDSHIP AND INVESTMENT POLICIES TO IMPACT THE SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITIES IT SERVES.ENVIRONMENTAL LEADERSHIP. ADVOCATE HEALTH CARE IS COMMITTED TO GREENING HEALTH CARE BECAUSE IT IS DEEPLY CONNECTED TO THE PURPOSE OF OUR ORGANIZATION HEALTH AND HEALING. WE UNDERSTAND THAT THE HEALTH OF THE ENVIRONMENT AND THE HEALTH OF THE PATIENTS AND COMMUNITIES WE SERVE IS INEXTRICABLY LINKED AND THAT A HEALTHY PLANET SUPPORTS HEALTHY PEOPLE. REDUCING WASTE, CONSERVING ENERGY AND WATER, MINIMIZING USE OF TOXIC CHEMICALS, AND CONSTRUCTING ECO-FRIENDLY BUILDINGS FOR TODAY AND TOMORROW ALL THESE EFFORTS HAVE A DIRECT BENEFIT ON THE HEALTH OF LOCAL COMMUNITIES VIA CLEANER COMMUNITIES, HEALTHIER AIR QUALITY, REDUCED GREENHOUSE GASES, AND PRESERVATION OF NATURAL RESOURCES. AS WE WORK TO REDUCE THE ENVIRONMENTAL AND HEALTH IMPACT OF HEALTH CARE, OUR ENVIRONMENTAL STEWARDSHIP PRACTICES HELP EASE THE BURDEN OF HEALTH CARE COSTS BOTH DIRECTLY (LOWER ENERGY COSTS) AND INDIRECTLY (LOWER ENVIRONMENTALLY RELATED DISEASE BURDEN). 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. ADVOCATE SERVES IN A LEADERSHIP, ADVOCACY AND MENTORING ROLE NATIONALLY THROUGH PARTICIPATION IN SEVERAL HEALTHCARE SUSTAINABILITY LEADERSHIP GROUPS AND ADVISORY BOARDS, ADDRESSING SAFER CHEMICALS IN FURNISHING AND MEDICAL PRODUCTS, GREEN BUILDING, CLIMATE CHANGE, PLASTICS RECYCLING, AND ENVIRONMENTALLY PREFERABLE PURCHASING: HEALTH CARE CLIMATE COUNCIL HEALTHCARE ANCHOR NETWORK HEALTHCARE PLASTICS RECYCLING COALITION HEALTHCARE FACILITY ADVISORY BOARD PRACTICE GREENHEALTH MARKET TRANSFORMATION GROUP SAFER CHEMICALS HEALTHY BUILDING NETWORK PREMIER ENVIRONMENTAL ADVISORY COUNCIL STEERING COUNCIL OVERSIGHT AND SIGNATORY OF THE CHEMICAL FOOTPRINT PROJECTADVOCATE ALSO COMMONLY PROVIDES MENTORING TO HEALTH CARE COMMUNITY ON SUSTAINABILITY BEST PRACTICES THROUGH PRESENTATIONS AND WEBINARS, AS WELL AS TO INDIVIDUAL HEALTH CARE INSTITUTIONS ON A CASE-BY-CASE BASIS."

PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.
"ADVOCATE HEALTH CARE SYSTEM 2021 ENVIRONMENTAL INITIATIVES: PLEDGED TO POWER ITS FACILITIES WITH 100% RENEWABLE ELECTRICITY BY 2030. REDUCED ENERGY INTENSITY UTILIZATION BY 1.3% FROM 2020. AVOIDED 31 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO OVER 75,000 MILLION MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES. RECYCLED 2,983 TONS OF WASTE FROM HOSPITAL OPERATIONS. RECYCLED 84 PERCENT, OR 1,090 TONS, OF CONSTRUCTION AND DEMOLITION DEBRIS. SAVED 26 TONS OF WASTE FROM LANDFILL VIA OUR SURGICAL AND MEDICAL DEVICE REPROCESSING PROGRAMS. REDUCED PAPER UTILIZATION BY 1.6% FROM 2020. CONTINUED OUR DONATION PROGRAM WITH PROJECT C.U.R.E., A NON-PROFIT ORGANIZATION THAT WILL RESPONSIBLY REDISTRIBUTE DONATED MEDICAL SUPPLIES AND EQUIPMENT TO UNDER-RESOURCED AREAS AROUND THE GLOBE, FOR ALL ADVOCATE HEALTH CARE FACILITIES. IN 2021, ADVOCATE HEALTH CARE DONATED 128 PALLETS OF MEDICAL SUPPLIES TO PROJECT CURE. SPENT OVER $68,000, OR 84% 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 99% OF TOTAL PURCHASES. PURCHASED OVER $1,000,000 OF MEAT PRODUCTS FROM LIVESTOCK AND POULTRY RAISED WITHOUT THE ROUTINE USE OF ANTIBIOTICS (32% OF TOTAL), SUPPORTING THE JUDICIOUS AND RESPONSIBLE USE OF ANTIBIOTICS IN AGRICULTURE WHICH CAN HELP SLOW THE EMERGENCE OF ANTIBIOTIC-RESISTANT BACTERIA. PLEASE SEE ADVOCATE HEALTH CARE'S PUBLICLY FACING SUSTAINABILITY & WELLNESS WEBSITE FOR MORE INFORMATION.PROJECT C.U.R.E. (COMMISSION ON URGENT RELIEF AND EQUIPMENT). ADVOCATE IS A MEDICAL EQUIPMENT AND SUPPLY DONATION PARTNER OF PROJECT C.U.R.E., THE WORLD'S LEADING MEDICAL SUPPLY DISTRIBUTION ORGANIZATION BENEFITING RESOURCE-LIMITED AREAS ACROSS THE GLOBE. IN 2021, ADVOCATE DONATED A TOTAL OF 128 PALLETS OF MISCELLANEOUS MEDICAL SUPPLIES TO PROJECT C.U.R.E.STAKEHOLDER HEALTH. ADVOCATE IS A FOUNDING MEMBER AND INVESTING PARTNER OF STAKEHOLDER HEALTH, FORMERLY KNOWN AS THE HEALTH SYSTEMS LEARNING GROUP. STAKEHOLDER HEALTH IS A LOOSELY ORGANIZED LEARNING COLLABORATIVE OF MORE THAN 50 HEALTH SYSTEMS AND OTHER INVESTED INSTITUTIONS ADVANCING PROFOUND CHANGES NEEDED FOR JUST, EQUITABLE, AND EFFECTIVE HEALTH CARE. THE COLLABORATIVE SUPPORTS THREE KEY INTERVENTIONSENGAGE THE SOCIAL COMPLEXITY OF PATIENTS; WORK WITH LARGE-SCALE COMMUNITY PARTNERSHIPS; CAPTURE GREATER VALUE FROM FUNDS ALREADY GOING TO CHARITY CARE. ADVOCATE STAFF SERVE ON THE ADVISORY COUNCIL AND HAVE BEEN ACTIVELY INVOLVED IN OFFERING THOUGHT LEADERSHIP SINCE ITS INCEPTION. AAH STAFF RECENTLY ATTENDED A MEETING THAT INCLUDED GUIDED CONVERSATIONS BY THOUGHT LEADERS SCOTT REINER, FORMER CEO OF ADVENTIST HEALTH AND CO-FOUNDER AND PRESIDENT OF THE REINER FOUNDATION; AND SOMAVA (SOMA) SAHA, MD, EXECUTIVE LEAD, WELL-BEING AND EQUITY (WE) IN THE WORLD AND WELL-BEING IN THE NATION (WIN) NETWORK, AROUND IMPROVING THE HEALTH AND WELLBEING OF COMMUNITIES.ADVOCATE WORKS TO LEVERAGE RESOURCES AND MAXIMIZE COMMUNITY ENGAGEMENT BY BUILDING AND STRENGTHENING COMMUNITY PARTNERSHIPS WITH HEALTH DEPARTMENTS AND OTHER DIVERSE COMMUNITY ORGANIZATIONS. A PRIMARY VALUE OF ADVOCATE'S COMMUNITY HEALTH DEPARTMENT IS COLLABORATION WITH PARTNERS, PREFERABLY THROUGH A COLLECTIVE IMPACT MODEL. IN ORDER TO ALIGN INITIATIVES WITH LOCAL HEALTH DEPARTMENTS AND THEIR COMMUNITY HEALTH PRIORITIES, ALL ADVOCATE HOSPITALS COLLABORATE WITH THEIR RESPECTIVE HEALTH DEPARTMENTS DURING THE CHNA AND HEALTH IMPROVEMENT (IMPLEMENTATION PLAN) CYCLES. ONE SUCH NOTABLE COLLABORATION IN WHICH ADVOCATE SYSTEM LEADERSHIP PLAYED A VITAL ROLE IS AS FOLLOWS. THE ALLIANCE FOR HEALTH EQUITY (FORMERLY KNOWN AS THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY [HICCC]). ADVOCATE AURORA HEALTH, PRESENCE HEALTH (NOW KNOWN AS AMITA HEALTH) AND THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) WERE THE THREE FOUNDING ORGANIZATIONS OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC). THESE ORGANIZATIONS INVITED HEALTH DEPARTMENTS AND ALL COOK COUNTY NONPROFIT HOSPITALS TO JOIN THEM IN CREATING WHAT IS NOW ONE OF THE LARGEST CHNA AND COMMUNITY HEALTH IMPROVEMENT COLLABORATIVES IN THE COUNTRY. THE INITIAL PARTICIPATING HOSPITALS AND HEALTH DEPARTMENTS WORKED TOGETHER TO DESIGN A SHARED LEADERSHIP MODEL AND COLLABORATIVE INFRASTRUCTURE TO SUPPORT COMMUNITY-ENGAGED PLANNING PARTNERSHIPS AND STRATEGIC ALIGNMENT OF IMPLEMENTATION PLANS TO FACILITATE MORE EFFECTIVE AND SUSTAINABLE COMMUNITY HEALTH IMPROVEMENT. IN LATE 2017, HICCC MERGED WITH THE HEALTHY CHICAGO HOSPITALS COLLABORATIVE TO CREATE THE ALLIANCE FOR HEALTH EQUITY (THE ALLIANCE). IPHI SERVES AS THE BACKBONE ORGANIZATION FOR THE COLLABORATIVE AND THE HOSPITALS PROVIDE FUNDING FOR THE SHARED ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLANNING WORK. IN 2019, THE ALLIANCE GREW TO INCLUDE 37 NONPROFIT AND PUBLIC HOSPITALS, SIX LOCAL HEALTH DEPARTMENTS AND MORE THAN 100 COMMUNITY ORGANIZATIONS. THE ALLIANCE COMPLETED A COLLABORATIVE CHNA BETWEEN MARCH 2018 AND MARCH 2019 .THIS CHNA CAN BE VIEWED AT ALLHEALTHEQUITY.ORG/FINAL2019 CHNA-REPORT.PDF.PRIMARY AND SECONDARY DATA FROM A DIVERSE RANGE OF SOURCES WERE UTILIZED FOR ROBUST DATA ANALYSIS AND TO IDENTIFY COMMUNITY HEALTH NEEDS IN CHICAGO AND SUBURBAN COOK COUNTY. FOR THE 2019 CHNA, THE ALLIANCE FOR HEALTH EQUITY BUILT ON THE PREVIOUS COLLABORATIVE CHNA WORK (2016), PREVIOUS CHNA REPORTS FROM MEMBER HOSPITALS, HEALTHY CHICAGO 2.0 (2016), AND WEPLAN 2020 (2016). ADVOCATE CONTINUES TO BE ACTIVELY INVOLVED IN LEADERSHIP OF THE ALLIANCE PARTNERSHIP, SERVING ON THE STEERING COMMITTEE. ADVOCATE HOSPITALS, AS WELL AS THE OTHER MEMBER HOSPITALS, PROVIDE THE MONETARY SUPPORT FOR THE COLLABORATIVE'S WORK AND SUPPORT THE COST OF STAFF AND OVERSIGHT PROVIDED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE. ADDITIONALLY, ADVOCATE HAS BEEN INVOLVED IN LEADING THIS ASSESSMENT WORK AS AN ACTIVE MEMBER OF THE STEERING COMMITTEE, PROVIDING FINANCIAL SUPPORT TO THE ALLIANCE AGAIN IN 2020.THE PRIORITY AREAS SELECTED BY THE ALLIANCE INCLUDE SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH, ACCESS TO CARE, MENTAL HEALTH AND SUBSTANCE USE DISORDERS, CHRONIC HEALTH CONDITIONS, INJURY INCLUDING VIOLENCE, AND MATERNAL/FETAL HEALTH. ALL PARTICIPATING HOSPITALS SELECTED SOME OF THE PRIORITIES TO ADDRESS IN THE AREAS SERVED. THERE ARE MULTIPLE WORK GROUPS ADDRESSING THE PRIORITY AREAS AND ADVOCATE STAFF SERVE ON MOST OF THE WORK GROUPS.ADVOCATE PROMOTES ACCOUNTABILITY FOR SYSTEM AND SITE ALIGNMENT BY INCREASING PROGRAM COORDINATION AND DEVELOPING STRONG GOVERNANCE RELATIONSHIPS.SYSTEM OVERSIGHT OF COMMUNITY HEALTH. ADVOCATE HAS TAKEN SEVERAL STEPS TO ASSURE SYSTEM AND SITE ACCOUNTABILITY FOR AND ALIGNMENT OF COMMUNITY HEALTH IMPROVEMENT EFFORTS. THESE ACTIONS INCLUDE DEVELOPING A GOVERNANCE AND DEPARTMENTAL INFRASTRUCTURE AT THE SITES AND SYSTEM LEVELS TO LEAD AND SUPPORT EFFORTS, AND TO INCLUDE ADVOCATE'S AMPLE CLINICAL EXPERTISE IN DEVELOPING AND SUSTAINING EVIDENCE-BASED PROGRAMS THAT MEASURABLY IMPACT/IMPROVE COMMUNITY HEALTH.HOSPITAL GOVERNING COUNCILS. COMMUNITY HEALTH IS STRONGLY INTEGRATED INTO ADVOCATE'S GOVERNANCE STRUCTURES. COMMUNITY HEALTH COUNCILS, COMPRISED OF COMMUNITY EXPERTS AND HOSPITAL LEADERS, HAVE BEEN DEVELOPED AT EACH OF THE ADVOCATE HOSPITALS. THESE COUNCILS ARE CO-LED BY THE HOSPITAL COMMUNITY HEALTH LEADER AND A HOSPITAL GOVERNING COUNCIL MEMBER. A MINIMUM OF 50% OF THE COUNCIL MEMBERS FOR THE 2019 CHNA REPORT AND 2020-2022 COMMUNITY HEALTH IMPLEMENTATION PLAN CYCLES WERE COMMUNITY REPRESENTATIVES WITH A FOCUS ON PEOPLE WHO REPRESENTED UNDERSERVED AND VULNERABLE POPULATIONS. DEPENDENT ON THE HOSPITAL, THE COUNCILS MET THREE OR FOUR TIMES DURING THE YEAR.HOSPITAL COMMUNITY HEALTH STAFF ANALYZED AND PRESENTED PRIMARY AND SECONDARY COMMUNITY HEALTH DATA TO THE HOSPITALS' COMMUNITY HEALTH COUNCILS. THE COUNCIL MEMBERS IDENTIFIED THE HOSPITAL SERVICE AREAS' SIGNIFICANT HEALTH NEEDS, SUBSEQUENTLY EMPLOYING CONSENSUS-BASED, PRIORITY-SETTING PROCESSES TO DETERMINE THE NEEDS UPON WHICH TO FOCUS. AS PART OF THE PRIORITIZATION PROCESS, THE COUNCILS SCANNED HOSPITAL AND COMMUNITY CHALLENGES AND ASSETS, AS WELL AS POTENTIAL PARTNERSHIPS WITH OTHER ORGANIZATIONS THAT MIGHT RESULT IN LARGER HEALTH IMPROVEMENT IMPACT.TO LEARN MORE ABOUT THE 2017-2019 CHNA CYCLE DATA ASSESSMENT RESULTS FOR EACH HOSPITAL, VISIT HOSPITAL CHNA REPORTS IMPLEMENTATION PLANS PROGRESS REPORTS : ADVOCATE HEALTH CARE."

PART II, COMMUNITY BUILDING ACTIVITIES:
"ENVIRONMENTAL IMPROVEMENTS ADVOCATE HEALTH CARE IS COMMITTED TO GREENING HEALTH CARE BECAUSE IT IS DEEPLY CONNECTED TO THE PURPOSE OF OUR ORGANIZATION HEALTH AND HEALING. WE UNDERSTAND THAT THE HEALTH OF THE ENVIRONMENT AND THE HEALTH OF THE PATIENTS AND COMMUNITIES WE SERVE IS INEXTRICABLY LINKED AND THAT A HEALTHY PLANET SUPPORTS HEALTHY PEOPLE. REDUCING WASTE, CONSERVING ENERGY AND WATER, MINIMIZING USE OF TOXIC CHEMICALS, AND CONSTRUCTING ECO-FRIENDLY BUILDINGS FOR TODAY AND TOMORROW ALL OF THESE EFFORTS HAVE A DIRECT BENEFIT ON THE HEALTH OF LOCAL COMMUNITIES VIA CLEANER COMMUNITIES, HEALTHIER AIR QUALITY, REDUCED GREENHOUSE GASES, AND PRESERVATION OF NATURAL RESOURCES. AS WE WORK TO REDUCE THE ENVIRONMENTAL AND HEALTH IMPACT OF HEALTH CARE, OUR ENVIRONMENTAL STEWARDSHIP PRACTICES HELP EASE THE BURDEN OF HEALTH CARE COSTS BOTH DIRECTLY (LOWER ENERGY COSTS) AND INDIRECTLY (LOWER ENVIRONMENTALLY-RELATED DISEASE BURDEN). 1. MENTORING AND EDUCATIONAS WE WORK TO SERVE THE HEALTH NEEDS OF TODAY'S PATIENTS AND FAMILIES WITHOUT COMPROMISING THE NEEDS OF FUTURE GENERATIONS, ADVOCATE HAS COMMITTED RESOURCES TO SHARING LESSONS LEARNED AND BEST PRACTICES WITH OTHER HOSPITALS AND HEALTH SYSTEMS, BOTH LOCALLY AND NATIONALLY. ADVOCATE SERVES IN A LEADERSHIP, ADVOCACY AND MENTORING ROLE NATIONALLY THROUGH PARTICIPATION IN SEVERAL HEALTHCARE SUSTAINABILITY LEADERSHIP GROUPS AND ADVISORY BOARDS, ADDRESSING SAFER CHEMICALS IN FURNISHING AND MEDICAL PRODUCTS, CLIMATE CHANGE, PLASTICS RECYCLING, AND ENVIRONMENTALLY-PREFERABLE PURCHASING:- HEALTH CARE CLIMATE COUNCIL - HEALTHCARE ANCHOR NETWORK- HEALTHCARE PLASTICS RECYCLING COALITION HEALTHCARE FACILITY ADVISORY BOARD- PRACTICE GREENHEALTH MARKET TRANSFORMATION GROUP SAFER CHEMICALS- PREMIER ENVIRONMENTAL ADVISORY COUNCIL - SIGNATORY OF THE CHEMICAL FOOTPRINT PROJECTADVOCATE ALSO COMMONLY PROVIDES MENTORING TO HEALTH CARE COMMUNITY ON SUSTAINABILITY BEST PRACTICES THROUGH PRESENTATIONS AND WEBINARS, AS WELL AS TO INDIVIDUAL HEALTH CARE INSTITUTIONS ON A CASE-BY-CASE BASIS.2. ADVOCATE HEALTH CARE SYSTEM 2021 ENVIRONMENTAL INITIATIVES: PLEDGED TO POWER ITS FACILITIES WITH 100% RENEWABLE ELECTRICITY BY 2030. REDUCED ENERGY INTENSITY UTILIZATION BY 1.3% FROM 2020. AVOIDED 31 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO OVER 75,000 MILLION MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES. RECYCLED 2,983 TONS OF WASTE FROM HOSPITAL OPERATIONS. RECYCLED 84 PERCENT, OR 1,090 TONS, OF CONSTRUCTION AND DEMOLITION DEBRIS. SAVED 26 TONS OF WASTE FROM LANDFILL VIA OUR SURGICAL AND MEDICAL DEVICE REPROCESSING PROGRAMS. REDUCED PAPER UTILIZATION BY 1.6% FROM 2020. CONTINUED OUR DONATION PROGRAM WITH PROJECT C.U.R.E., A NON-PROFIT ORGANIZATION THAT WILL RESPONSIBLY REDISTRIBUTE DONATED MEDICAL SUPPLIES AND EQUIPMENT TO UNDER-RESOURCED AREAS AROUND THE GLOBE, FOR ALL ADVOCATE HEALTH CARE FACILITIES. IN 2021, ADVOCATE HEALTH CARE DONATED 128 PALLETS OF MEDICAL SUPPLIES TO PROJECT CURE. SPENT OVER $68,000, OR 84% 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 99% OF TOTAL PURCHASES. PURCHASED OVER $1,000,000 OF MEAT PRODUCTS FROM LIVESTOCK AND POULTRY RAISED WITHOUT THE ROUTINE USE OF ANTIBIOTICS (32% OF TOTAL), SUPPORTING THE JUDICIOUS AND RESPONSIBLE USE OF ANTIBIOTICS IN AGRICULTURE WHICH CAN HELP SLOW THE EMERGENCE OF ANTIBIOTIC-RESISTANT BACTERIA. PLEASE SEE ADVOCATE HEALTH CARE'S PUBLICLY-FACING SUSTAINABILITY & WELLNESS WEBSITE FOR MORE INFORMATION."

PART III, LINE 8:
THE SHORTFALL OF $249,434,115 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 3:
PART VI, 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE (APPLIES TO ALL HOSPITALS).ADVOCATE ASSISTS PATIENTS WITH ENROLLMENT IN GOVERNMENT-SUPPORTED PROGRAMS FOR WHICH THEY ARE ELIGIBLE AND IN SECURING REIMBURSEMENT FROM AVAILABLE THIRD PARTY RESOURCES. FINANCIAL COUNSELING IS PROVIDED TO HELP PATIENTS IDENTIFY AND OBTAIN PAYMENT FROM THIRD PARTIES, INCLUDING ILLINOIS MEDICAID, ILLINOIS CRIME VICTIMS FUND, ETC., AS WELL AS TO DETERMINE ELIGIBILITY UNDER ADVOCATE'S HOSPITAL FINANCIAL ASSISTANCE POLICY. ADVOCATE UTILIZES A FINANCIAL SCREENING SOFTWARE PROGRAM TO HELP IDENTIFY PUBLIC ASSISTANCE PROGRAMS FOR WHICH THE PATIENT MAY BE ELIGIBLE OR ADVOCATE'S FINANCIAL ASSISTANCE AT THE TIME OF REGISTRATION OR AS SOON AS PRACTICABLE THEREAFTER. IN ADDITION, HEALTHADVISOR, ADVOCATE'S EDUCATION REGISTRATION AND PHYSICIAN REFERRAL TELEPHONE CENTER, SERVES AS A COMMUNITY RESOURCE PROVIDING REFERRALS TO GOVERNMENT-FUNDED AND OTHER PROGRAMS VIA TELEPHONE FROM 7 A.M. TO 7 P.M., MONDAY THROUGH FRIDAY AND SATURDAYS 9 A.M. TO 2 P.M. ADVOCATE ASSISTS PATIENTS WITH APPLYING FOR ADVOCATE'S OWN FINANCIAL ASSISTANCE SERVICES, IF PATIENTS ARE NOT ELIGIBLE FOR GOVERNMENT-SUPPORTED PROGRAMS. ADVOCATE 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 ASSISTANCE CONSIDERATION IS AVAILABLE UPON REQUEST.2. SIGNS ARE CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO HOSPITAL PATIENT ACCESS, REGISTRATION AND EMERGENCY DEPARTMENT LOCATIONS.3. BROCHURES ARE PLACED IN HOSPITAL PATIENT ACCESS, REGISTRATION, EMERGENCY DEPARTMENT AND BUSINESS OFFICE LOCATIONS, AND WILL INCLUDE GUIDANCE ON HOW A PATIENT MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED.4. UPON REQUEST, A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION WILL BE GIVEN TO UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE.5. ADVOCATE'S WEBSITE POSTS NOTICE IN A PROMINENT PLACE THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLANATION OF THE FINANCIAL ASSISTANCE APPLICATION PROCESS, AND ENABLE PRINTING OF THE FINANCIAL ASSISTANCE APPLICATION.6. HOSPITAL BILLS TO UNINSURED PATIENTS INCLUDE A SUMMARY OF ADVOCATE'S FINANCIAL ASSISTANCE POLICY, A FINANCIAL ASSISTANCE APPLICATION, AND A TELEPHONE NUMBER TO REQUEST FINANCIAL ASSISTANCE.

PART VI, LINE 6:
"6. AFFILIATED HEALTH CARE SYSTEM. ADVOCATE HEALTH CARE (ILLINOIS) AND AURORA HEALTH CARE (WISCONSIN) MERGED IN 2018 TO BECOME ADVOCATE AURORA HEALTH. ADVOCATE AURORA HEALTH'S ILLINOIS HOSPITALS (ADVOCATE) ARE NOT-FOR-PROFIT AND ARE RELATED TO BOTH THE EVANGELICAL LUTHERAN CHURCH IN AMERICA AND THE UNITED CHURCH OF CHRIST. THE ADVOCATE HEALTH CARE NETWORK BOARD MEMBERS, LEADERSHIP AND TEAM MEMBERS (STAFF/EMPLOYEES) ARE COMMITTED TO POSITIVELY AFFECTING THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY THE ORGANIZATION THROUGH PROGRAMS AND PRACTICES THAT SUPPORT THE ADVOCATE AURORA VISION OF ""WE HELP PEOPLE LIVE WELL."" PRIOR TO 2016, THE COMMUNITY FACING FUNCTION WAS LED BY A TEAM OF ADVOCATE SYSTEM-LEVEL INDIVIDUALS WHOSE JOB RESPONSIBILITIES INCLUDED VARIOUS COMMUNITY ROLES MORE CLOSELY ALIGNED WITH COMMUNITY RELATIONS. IN AN ONGOING EFFORT TO SUPPORT ITS HOSPITALS IN ADDRESSING COMMUNITY HEALTH PRIORITIES, ADVOCATE AURORA'S SYSTEM LEADERSHIP DIRECTED THE FORMATION OF A COMMUNITY HEALTH DEPARTMENT IN 2016. THE DEPARTMENT IS LED BY A SYSTEM EXECUTIVE AND STAFFED WITH PUBLIC/COMMUNITY HEALTH SPECIALISTS WHO ARE RESPONSIBLE FOR COMMUNITY BENEFITS REPORTING, EXECUTING COMMUNITY NEEDS ASSESSMENTS, EVIDENCE-BASED PROGRAM DEVELOPMENT AND IMPLEMENTATION, AND COLLABORATIVE PARTNERSHIPS WITHIN THE COMMUNITIES SERVED BY ADVOCATE. THE COMMUNITY HEALTH TEAM HAS SINCE LED TWO CHNA CYCLES. THE MOST RECENT CHNA REPORTS WERE APPROVED BY THE ADVOCATE HEALTH CARE NETWORK BOARD AND POSTED IN DECEMBER 2019, FOLLOWED BY APPROVAL AND POSTING OF THE HOSPITALS' COMMUNITY HEALTH IMPLEMENTATION PLANS IN 2020. IN OCTOBER 2019, THE ADVOCATE AURORA BOARD APPROVED A COMMUNITY STRATEGY THAT WOULD SUPPORT ORGANIZATIONAL VALUES AND CONTINUE TO SUPPORT SYSTEM-WIDE PROGRAMS THAT ADDRESS THE HEALTH NEEDS OF PATIENTS, FAMILIES AND THE COMMUNITIES SERVED BY ADVOCATE AURORA. THROUGH THIS STRATEGY, WE WILL BUILD HEALTH EQUITY, ENSURE ACCESS AND IMPROVE HEALTH OUTCOMES IN OUR COMMUNITIES THROUGH EVIDENCE-INFORMED SERVICES AND INNOVATIVE PARTNERSHIPS BY ADDRESSING MEDICAL NEEDS AND SOCIAL DETERMINANTS. BASED ON NEED AND EFFECT ON HEALTH EQUITY, AS IDENTIFIED IN ADVOCATE AURORA'S 27 HOSPITAL CHNA REPORTS AND IN INDUSTRY LITERATURE, ADVOCATE AURORA PRIORITIZED THE FOLLOWING SIX FOCUS AREAS ON WHICH THE INDIVIDUAL HOSPITAL COMMUNITY HEALTH IMPLEMENTATION PLANS ARE BUILT AND SUPPORT, INCLUDING: 1) ACCESS/PRIMARY MEDICAL HOMES; 2) ACCESS/ BEHAVIORAL HEALTH SERVICES; 3) 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 ADVOCATE (AAH ILLINOIS). ADVOCATE'S BOARD, SYSTEM LEADERSHIP AND TEAM MEMBERS ARE FULLY ENGAGED IN PROGRAMS AND ACTIVITIES THAT SUPPORT SYSTEM AND SITE EFFORTS IN ACHIEVING MILESTONES IN EACH OF THESE COMMUNITY STRATEGY FOCUS AREAS. EXAMPLES OF AFFILIATED SYSTEM PROGRAMS/SERVICES THAT ALIGN WITH THE ORGANIZATION'S COMMUNITY STRATEGY AND SUPPORT EFFORTS TO ADDRESS THESE KEY FOCUS AREAS ARE PROVIDED IN THE FOLLOWING NARRATIVE. 1. ACCESS/PRIMARY MEDICAL HOMES. THE FIRST OF SIX KEY AREAS TARGETED BY ADVOCATE'S COMMUNITY STRATEGY IS IMPROVING ACCESS/CONNECTING PATIENTS TO PRIMARY MEDICAL HOMES. ADVOCATE IS COMMITTED TO UNDERTAKING AND SUPPORTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE, INCLUDING FINANCIAL ASSISTANCE, CARE COORDINATION, LANGUAGE ASSISTANCE, CULTURALLY SENSITIVE PROVISION OF CARE, AND PREVENTION EDUCATION AND WELLNESS SERVICES ACROSS THE LIFESPAN AND WITHIN THE DIVERSE COMMUNITIES ADVOCATE SERVES. FINANCIAL ASSISTANCE. ADVOCATE OFFERS A VERY GENEROUS FINANCIAL ASSISTANCE PROGRAM, REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED, AND PROVIDING DISCOUNTS TO UNINSURED AND INSURED PATIENTS. PATIENTS EARNING UP TO SIX TIMES THE FPL, AND INSURED PATIENTS EARNING UP TO TWO AND HALF TIMES THE FPL, MAY QUALIFY FOR A FULL OR PARTIAL FINANCIAL ASSISTANCE DISCOUNT. ADDITIONALLY, A CATASTROPHIC ASSISTANCE DISCOUNT IS AVAILABLE FOR UNINSURED AND INSURED PATIENTS WHOSE INCOMES EXCEED THE TRADITIONAL FINANCIAL ASSISTANCE INCOME GUIDELINES AND HAVE OUTSTANDING PATIENT BALANCES OF $25,000 OR MORE FOR A SINGLE DATE OF SERVICE OR SUM OF SEVERAL DATES OF SERVICE. THESE PATIENTS MAY QUALIFY TO RECEIVE A FINANCIAL ASSISTANCE DISCOUNT THAT REDUCES THEIR OUTSTANDING BALANCE TO 25% OF THEIR NET INCOME. FOR UNINSURED PATIENTS, ADVOCATE WILL PRESUMPTIVELY PROVIDE FINANCIAL ASSISTANCE IF THE FINANCIAL STATUS HAS BEEN VERIFIED BY A THIRD PARTY. IN THESE CASES, THE PATIENT IS NOT REQUIRED TO SUBMIT A SEPARATE CHARITY APPLICATION. IF PRESUMPTIVE CRITERIA ARE NOT AVAILABLE FOR UNINSURED PATIENTS, FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. ADVOCATE EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL. ADVOCATE CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THOSE WHO NEED HELP.FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS). ALL ADVOCATE'S HOSPITALS HAVE RELATIONSHIPS WITH FQHC'S OR OTHER COMMUNITY CLINICS WITHIN THEIR SERVICE AREAS FOR PROVIDING CARE FOR MEDICAID AND UNINSURED PATIENTS. ADVOCATE SHERMAN WORKS CLOSELY WITH GREATER ELGIN FAMILY HEALTH (FQHC), VNA HEALTH CARE AND AUNT MARTHA'S (FQHC) TO COORDINATE CARE FOR LOW-INCOME PATIENTS IN THE ELGIN AREA. THE HOSPITAL PROVIDES COLONOSCOPIES AND MAMMOGRAMS TO GREATER ELGIN FAMILY HEALTH PATIENTS, COORDINATED THROUGH GRANT-FUNDED PROGRAMS. ADVOCATE CONDELL WORKS COLLABORATIVELY WITH THE LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER (FQHC) AND ERIE HEALTHREACH WAUKEGAN (FQHC), BY PROVIDING MAMMOGRAMS AND SOME SPECIALTY CARE TO UNINSURED AND LOW-INCOME PATIENTS AS THEY ARE REFERRED TO THE MEDICAL CENTER. ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERAL ALSO PARTNER WITH HEARTLAND HEALTH CENTERS AND COMMUNITY HEALTH, ONE OF THE LARGEST FREE CLINICS IN THE NATION, TO PROVIDE SPECIALTY CARE TO UNINSURED PATIENTS AND REFERRALS TO FQHCS AND FREE CLINICS FOR PRIMARY CARE SERVICES. IN ADDITION, ADVOCATE ILLINOIS MASONIC PROVIDES OPERATIONS SPACE TO HEARTLAND HEALTH CENTERS ON ITS CAMPUS TO PROVIDE PRIMARY CARE FOR INDIVIDUALS AND FAMILIES THAT ARE UNINSURED. IN PARTNERSHIP WITH THE ACCESS TO CARE ORGANIZATION, ADVOCATE CHRIST PROVIDES MAMMOGRAMS TO AREA UNINSURED AND LOW-INCOME INDIVIDUALS THAT ARE REFERRED BY THE CLINIC TO THE HOSPITAL WHEN THIS SERVICE IS REQUIRED. ADVOCATE TRINITY WORKS WITH CHICAGO FAMILY HEALTH CENTER AND CHRISTIAN COMMUNITY HEALTH CENTER TO COORDINATE CARE FOR LOW INCOME PATIENTS. TO MAINTAIN QUALITY CARE EXCELLENCE AND IMPROVE QUALITY OF LIFE FOR PEOPLE SEEKING CARE FROM ADVOCATE, WORKING TO FIND MEDICAL HOMES AND TO REDUCE EMERGENCY ROOM VISITS AND HOSPITAL ADMISSIONS IS ESSENTIAL. ADVOCATE HAS NUMEROUS PROGRAMS FOCUSED ON MANAGING THE PATIENT EXPERIENCE THROUGH THE CONTINUUM OF CAREIN INPATIENT AND OUTPATIENT SETTINGS, AND IN THE HOME. MEDICAID AND MEDICARE. ADVOCATE ACTIVELY WORKS TO IMPROVE THE PROVISION OF SERVICES TO INDIVIDUALS AND FAMILIES WHO ARE COVERED BY MEDICARE AND MEDICAID AND THAT SEEK SERVICES AT ANY OF ADVOCATE'S 400 SITES OF CARE. ADVOCATE COLLABORATES WITH VARIOUS COMMUNITY-BASED ORGANIZATIONS (CBOS) AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) IN INNOVATIVE WAYS TO ESTABLISH PRIMARY CARE RELATIONSHIPS FOR MEDICAID AND UNINSURED PATIENTS. ADVOCATE CARE ORGANIZATION (ACO). ADVOCATE COLLABORATES WITH MERIDIAN FAMILY HEALTH PLAN (FHP) OF ILLINOIS AS PART OF AN INTEGRATED CARE MODEL FOR PEOPLE ON MEDICAID. ADVOCATE HAS A STRONG HISTORY OF PROVIDING HIGH QUALITY CARE TO THE MEDICAID POPULATION WITHIN ITS NETWORK WITH KEY FOCUS AREAS, INCLUDING IMPROVED CARE COORDINATION, ACCESS AND QUALITY PERFORMANCE. THE RESULT HAS BEEN A REDUCTION IN ED UTILIZATION DUE TO SUCCESSFULLY CONNECTING INDIVIDUALS IN THE PLAN TO A MEDICAL HOME AND DUE TO CONNECTING PATIENTS WITH COMMUNITY RESOURCES FOR UNMET SOCIAL DETERMINANTS OF HEALTH NEEDS."

PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.
"PRIMARY CARE CONNECTION-COMMUNITY HEALTH WORKERS (CHWS) THE PRIMARY CARE CONNECTION (PCC) PROGRAM, DEPLOYS COMMUNITY HEALTH WORKERS (CHWS) AS COMMUNITY RESOURCE NAVIGATORS TO SERVE PATIENTS IN THE ED. THE PURPOSE OF THE PROGRAM IS TO REDUCE UNNECESSARY ED VISITS AND TO CONNECT PATIENTS TO A PRIMARY CARE HOME. CHWS EDUCATE PATIENTS ABOUT ACCESSING THE APPROPRIATE LEVEL OF CARE AND PROVIDING FOLLOW-UP APPOINTMENTS TO A CONVENIENT CARE SITE FOR PATIENTS DURING THE ED VISIT. CHWS ALSO CONDUCT A COMMUNITY HEALTH ASSESSMENT TO IDENTIFY SOCIAL DETERMINANTS OF HEALTH AND LINK THE PATIENTS TO SOCIAL SERVICES AND COMMUNITY RESOURCES THAT CONTRIBUTE TO THE PATIENTS' OVERALL WELLBEING. THE PCC PROGRAM HAS REACHED OVER 34,836 PATIENTS SINCE ITS INCEPTION IN 2017. FROM JANUARY THROUGH DECEMBER 2021, THE PROGRAM SERVED 5,586 PATIENTS WITH A COMBINED 90-DAY READMISSION RATE AMONG ALL PATIENTS OF LESS THAN FOUR PERCENT.ADVOCATE ALSO PROVIDES LANGUAGE AND OTHER CULTURALLY APPROPRIATE SERVICES TO IMPROVE ACCESS TO A BROAD RANGE OF HEALTH-RELATED SERVICES. LANGUAGE SERVICES. ADVOCATE AURORA HEALTH REMAINS VERY COMMITTED TO MAKING SURE OUR PATIENTS RECEIVE THEIR HEALTH INFORMATION IN THEIR NATIVE LANGUAGE. PROVIDING ACCESS TO HEALTH CARE THROUGH COMMUNICATION IS A KEY COMPONENT TO HEALTH EQUITY AND HEALTHY LIVING WHICH EVERYONE DESERVES. OVER THE PAST 3 YEARS WE HAVE EXPANDED ACCESS TO LANGUAGE SERVICES THROUGH SOME OF THE FOLLOWING STRATEGIES.INTERPRETATION PROGRAM: INCREASED TOTAL ENCOUNTERS FROM 653,528 IN 2019 TO 1,070,256 IN 2021, COVERING OVER 129 LANGUAGES. THIS WAS ACHIEVED THROUGH: ROLLING OUT AN UPDATED LANGUAGE SERVICES POLICY AND EDUCATING ALL TEAM MEMBERS ON THE LANGUAGE SERVICES PROGRAM AND EXPECTATIONS. 71,843 TEAM MEMBERS AND PROVIDERS COMPLETED THIS EDUCATION IN 2021. EXPANDING OUR VIDEO INTERPRETATION CAPABILITIES BY DEPLOYING NEW IPADS, BRINGING OUR TOTAL LANGUAGE SERVICES INVENTORY TO 2165. AS THE USE OF TELEHEALTH INCREASED, WE SEAMLESSLY INTEGRATED INTERPRETERS INTO THE TELEHEALTH PLATFORMS TO CONTINUE COMMUNICATING WITH PATIENTS IN THEIR PREFERRED LANGUAGE. CONTINUING TO EXPAND OUR AUXILIARY AIDS THROUGHOUT THE SYSTEM.TRANSLATION PROGRAM: OUR MAIN WEBPAGES HAVE BEEN UPGRADED TO INCLUDE SPANISH TRANSLATIONS WITH PLANS TO INCORPORATE OTHER KEY LANGUAGES. TRANSLATING ALL VITAL DOCUMENTS TO COVER ALL KEY LANGUAGES. EXPANDING ACCESS THROUGH INCORPORATING OUR TEAM MEMBERS AND PROVIDERS. AAH OFFERS CERTIFICATION FOR TEAM MEMBERS AND PROVIDERS WHO ARE BILINGUAL. WE CURRENTLY HAVE OVER 100 APPROVED TEAM MEMBER AND PROVIDERS WITH ANOTHER 252 IN THE PROCESS.ADVOCATE'S LONG-TERM SUPPORT OF PROGRAMS AND SERVICES THAT PROMOTE HEALTH EQUITY HAVE RESULTED IN VARIOUS PROGRAMS/INITIATIVES THAT WORK TO IMPROVE THE HEALTH OF DIVERSE UNDERSERVED POPULATIONS IN THE COMMUNITIES IT SERVES. EXAMPLES OF THESE EFFORTS FOLLOW. LGBTQ (LESBIAN, GAY, BISEXUAL, TRANSGENDER AND QUEER) HEALTH EQUITY INDEX. ADVOCATE ILLINOIS MASONIC WAS THE FIRST ADVOCATE AURORA HOSPITAL TO ACHIEVE, SINCE ITS INCEPTION, ""LEADER"" STATUS DENOMINATION WITH THE HUMAN RIGHTS CAMPAIGN FOUNDATION'S HEALTH EQUALITY INDEX. THE HOSPITAL IS ONE OF 496 LEADERS OUT OF 906 PARTICIPANTS. AS THE LEADING LGBTQ SITE, IT HAS BEEN THE FOUNDATION FOR ADVOCATE AURORA HEALTH TO BE THE 4TH LARGEST HEALTH SYSTEM WITH ALL ITS SITES ACCREDITED IN 2022. LEADERS ARE RECOGNIZED FOR POLICIES AND SERVICES SUPPORTIVE OF LGBTQ RIGHTS, INCLUDING PATIENT VISITATION AND EMPLOYMENT NON-DISCRIMINATION, STAFF TRAINING IN LGBTQ PATIENT-CENTERED CARE AND EMPLOYMENT NON-DISCRIMINATION, LGBTQ PATIENT SERVICES AND SUPPORT, TRANSGENDER PATIENT SERVICES, EMPLOYEE BENEFITS, AND PATIENT AND COMMUNITY ENGAGEMENT. IN 2016, ADVOCATE ILLINOIS MASONIC CREATED A SITE LGBTQ WORK GROUP WORKING ON AFFINITY, ADVOCATING FOR POLICIES AND PROCESSES AFFIRMING TOWARD LGBTQ PATIENTS AND TEAM MEMBERS. THE MEDICAL CENTER HAS DEVELOPED PROCESSES FOR GENDER EXPANSIVE AFFIRMING IDENTIFICATION AND CAPABILITIES TO CAPTURE GENDER IDENTIFY AND SEXUAL ORIENTATION SOGI DATA. ADVOCATE ILLINOIS MASONIC'S EXPERIENCE SERVED AS THE MODEL FOR OTHER MEDICAL CENTERS WITHIN THE ADVOCATE AURORA HEALTH NETWORK TO PARTICIPATE IN THE HEALTH EQUALITY INDEX IN 2020, IMPACTING THOUSANDS OF TEAM MEMBERS AND MILLIONS OF PATIENTS ACROSS ILLINOIS AND WISCONSIN. THE HOSPITAL WAS FEATURED IN THE HEI 15 YEARS REPORT AS ONE OF 4 INITIAL SURVEY RESPONDENTS AND A MODEL FOR COMMUNITY HOSPITALS PARTICIPATION. DESPITE THE CIRCUMSTANCES AND CHALLENGES THAT THE COVID-19 PANDEMIC BROUGHT TO THE ENTIRE HEALTH CARE SYSTEM, ADVOCATE HOSPITALS CONTINUED THEIR COMMITMENT TO INCLUSIVE AND AFFIRMING CARE FOR LGBTQ PATIENTS IN 2022.CULTURAL HEALTH INITIATIVES. IN MARCH 2021, ADVOCATE LUTHERAN GENERAL HOSPITAL RESHAPED TWO PREVIOUS PATIENT NAVIGATOR POSITIONS PREVIOUSLY SERVING THE POLISH AND KOREAN POPULATIONS AND CREATED A MORE ROBUST CULTURAL AND COMMUNITY LIAISON ROLE. THIS POSITION CONTINUES THE MORE THAN DECADE LONG ADVOCATE LUTHERAN COMMITMENT AND DEDICATED RESPONSE TO THE MULTITUDE AND CONTINUALLY CHANGING DIVERSE CULTURES, LANGUAGES, HEALTH LITERACY AND DEMOGRAPHICS OF THE COMMUNITIES THAT WE SERVE. THIS POSITION'S PRIORITY IS TO CREATE AN ENVIRONMENT THAT IS CONDUCIVE TO DEVELOPING LIFELONG RELATIONSHIPS WITH MEMBERS OF THE COMMUNITY, TO INCREASE ACCESS TO HEALTH CARE SERVICES FOR MEMBERS OF THE COMMUNITY AND TO HELP OUR CURRENT PATIENTS ACHIEVE BEST HEALTH OUTCOMES. THE LIAISON ALSO WORKS IN COLLABORATION WITH THE CENTRAL CHICAGOLAND PRIMARY SERVICE AREA (PSA) AND THE COMMUNITY HEALTH AREA TO MEET THE HEALTH CARE, CULTURAL AND SPIRITUAL NEEDS OF OUR PATIENTS AND FAMILIES. THE LIAISON ASSISTS PATIENTS WHO ARE LIMITED/NON-ENGLISH SPEAKING AND HELPS PATIENTS NAVIGATE THE HEALTH CARE FACILITY, PROVIDES LINGUISTICALLY COMPETENT AND CULTURALLY SENSITIVE PATIENT EDUCATION IN THE CONTEXT OF COMMUNITY OUTREACH, AND HELPS TO IDENTIFY POTENTIAL BARRIERS TO HEALTH CARE FOR THE COMMUNITY. THE CULTURAL AND COMMUNITY LIAISON COLLABORATES WITH EXTERNAL STAKEHOLDERS INCLUDING BUT NOT LIMITED TO, CHAMBERS OF COMMERCE, COMMUNITY AGENCIES AND EDUCATIONAL DISTRICTS TO PROMOTE OUR HEALTH CARE SERVICE LINES AND CONCURRENTLY EMBED AND INTEGRATE THE AAH MISSION OF DIVERSITY, EQUITY AND INCLUSION INTO THE SIX COMPONENTS OF THIS ROLE. THEY ARE PATIENT NAVIGATION, COMMUNITY RELATIONS/OUTREACH AND ENGAGEMENT, CULTURAL COMPETENCE, PHYSICIAN RELATIONS/RECRUITMENT AND COMMUNITY HEALTH. THE LIAISON PARTNERS WITH INTERNAL STAKEHOLDERS INCLUDING PHYSICIANS, TEAM MEMBERS, ADMINISTRATORS AND VOLUNTEERS TO PROVIDE GUIDANCE AROUND CULTURAL SENSITIVITIES OF THE PATIENT'S CARE PLAN AND POSSIBLE ALTERATIONS NEEDED TO FURTHER THE GOAL OF SERVICE EXCELLENCE FOR ALL, WHICH IN TURN PROMOTES AN ENVIRONMENT THAT MEETS THE UNEXPRESSED AND EXPRESSED NEEDS OF ALL THOSE IN THE FACILITY. THIS PROVIDES AN OPPORTUNITY TO ALSO IDENTIFY POTENTIAL BARRIERS AND TO ASSESS WHAT EDUCATIONAL MATERIALS AND HOSPITAL RESOURCES ARE NEEDED THAT SUPPORT CULTURAL SENSITIVITIES TO CONTINUE TO FOSTER GREATER COMMUNICATION BETWEEN THE PROVIDER AND PATIENT/FAMILY AROUND THE PATIENT'S CARE PLAN."

PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.
2. ACCESS/BEHAVIORAL HEALTH SERVICESA SECOND ADVOCATE COMMUNITY STRATEGY FOCUS AREA IS ACCESS TO BEHAVIORAL HEALTH SERVICES. ADVOCATE HAS IMPLEMENTED MANY PROGRAMS/SERVICES FOCUSED ON IMPROVING THE CONTINUUM OF CARE FOR THE BENEFIT OF MENTAL HEALTH AND BEHAVIORAL HEALTH PATIENTS. SEVERAL EXAMPLES OF BEHAVIORAL HEALTH PROGRAMS THAT ADVOCATE HOSPITALS HAVE IMPLEMENTED AND IMPROVE ACCESS ARE PROVIDED BELOW. MENTAL HEALTH FIRST AID (MHFA). WITH INCREASING FREQUENCY, MENTAL HEALTH IS SELECTED AS A KEY COMMUNITY HEALTH PRIORITY. MENTAL HEALTH FIRST AID TRAINING FOR COMMUNITY LEADERS, HOSPITAL STAFF, FIRST RESPONDERS AND THE BROADER COMMUNITY CONTINUED IN 2020 AS ONE EVIDENCE-BASED PROGRAM DESIGNED TO IMPACT THIS ISSUE. THE EIGHT-HOUR PROGRAM INCREASES PARTICIPANTS' KNOWLEDGE OF SIGNS, SYMPTOMS AND RISK FACTORS OF MENTAL ILLNESSES AND ADDICTIONS, AND INCREASES THEIR CONFIDENCE IN AND LIKELIHOOD TO HELP AN INDIVIDUAL IN DISTRESS. AS A RESULT OF THE PANDEMIC, THE STRUCTURE OF THE MHFA TRAINING WAS MODIFIED SO IT COULD BE HELD VIRTUALLY TO MEET THE COVID-19 IN-PERSON AND SOCIAL DISTANCING RESTRICTIONS AND GUIDELINES. HOWEVER, CERTAIN GUIDELINES WERE UPHELD AND FOR CERTAIN AREAS, IN-PERSON TRAINING WAS PROVIDED. IN THE CENTRAL REGION, ADVOCATE LUTHERAN GENERAL HOSPITAL'S COMMUNITY HEALTH TEAM PARTNERS WITH THE SERTOMA CENTER TO IMPLEMENT TWO, MHFA TRAININGS FOR EMERGENCY MEDICAL STAFF (EMS) STAFF AND LOCAL HEALTH PROFESSIONALS. A TOTAL OF 40, HOSPITAL AND COMMUNITY, HEALTH PROFESSIONALS WERE TRAINED IN PERSON BY TWO MHFA INSTRUCTORS FROM THE SERTOMA CENTER. THE TWO TRAININGS INCLUDED EMS, FIRE FIGHTERS, PARAMEDICS, FIRE CHIEFS, DISPATCHERS, TELE COMMUNICATORS AND SEVERAL OTHER HEALTH PROFESSIONALS. ADVOCATE GOOD SAMARITAN TRAINED 20 EMERGENCY MEDICAL SERVICES (EMS) STUDENTS IN MHFA IN 2021. FOLLOWING THE TRAINING, NINETY-SEVEN PERCENT OF PARTICIPANTS AGREE OR STRONGLY AGREE THAT THEY ARE MORE CONFIDENT ABOUT RECOGNIZING AND CORRECTING MISCONCEPTIONS ABOUT MENTAL HEALTH AND MENTAL ILLNESS. IN ADDITION, FIVE PSYCHOLOGICAL FIRST AID TRAINING SESSIONS WERE PROVIDED TO A TOTAL OF 125 FAITH LEADERS AND COMMUNITY MEMBERS IN 2021 AND NINE ADDITIONAL MENTAL HEALTH WEBINARS WERE OFFERED TO 109 COMMUNITY MEMBERS IN THE SOUTH CHICAGOLAND REGION. A TOTAL OF 234 FAITH AND COMMUNITY MEMBERS ATTENDED THESE EDUCATIONAL SEMINARFIRST ACCESS PROGRAM GIVEN THE HIGH NUMBER OF ADMISSIONS AND ED VISITS FOR BEHAVIORAL HEALTH CONDITIONS AT ADVOCATE ILLINOIS MASONIC AND THE HIGH NUMBER OF DISCHARGED PATIENTS THAT WERE NOT KEEPING THEIR OUTPATIENT FOLLOW-UP APPOINTMENTS, THE HOSPITAL'S BEHAVIORAL HEALTH DEPARTMENT CREATED THE FIRST ACCESS PROGRAM IN 2013. THE GOAL OF FIRST ACCESS IS TO PROVIDE IMMEDIATE ACCESS TO FOLLOW-UP BEHAVIORAL HEALTH SERVICES TO SUPPORT RECOVERY AND PREVENT RELAPSES. THROUGH THIS PROGRAM, BEHAVIORAL HEALTH ED PATIENTS, AS WELL AS PATIENTS REFERRED BY THE HOSPITAL'S INPATIENT PSYCHIATRIC UNIT, MEDICAL FLOORS AND PHYSICIANS, ARE LITERALLY WALKED OVER TO OUTPATIENT CARE BY A STAFF MEMBER TO ENSURE SAME DAY FOLLOW-UP FOR OUTPATIENT APPOINTMENTS. SINCE ITS IMPLEMENTATION, FIRST ACCESS HAS CONSISTENTLY INCREASED BEHAVIORAL HEALTH PATIENTS' APPOINTMENT FOLLOW-THROUGH RATES FROM 40 PERCENT IN 2013 TO 100 PERCENT IN 2019. ALL DISCHARGED PATIENTS RECEIVED WARM HAND-OFFS TO BEHAVIORAL HEALTH SERVICES AND LEFT WITH AN OUTPATIENT PLAN OF CARE. HAVING ACHIEVED THAT, FIRST ACCESS STARTED TO FOCUS ON PROVIDING ACCESS TO CARE TO ALL ADVOCATE AURORA PATIENTS AND ITS VOLUMES HAVE STEADILY GROWN, PROVIDING 1,828 INTAKES TO PATIENTS IN 2021.MEDICALLY INTEGRATED CRISIS COMMUNITY SUPPORT (MICCS). THE MICCS TEAM AT ADVOCATE ILLINOIS MASONIC IS COMPRISED OF TWO CLINICIANS, CASE MANAGER, A REGISTRY CHAPLAIN, REGISTERED NURSE AND A PEER SUPPORT SPECIALIST WHO PROVIDE ONE-TO-TWO THERAPEUTIC, COMMUNITY-BASED CONTACTS PER PATIENT PER DAY TO ACUTELY ILL BEHAVIORAL HEALTH PATIENTS ON THE NORTHSIDE OF CHICAGO. THIS IS PARTICULARLY IMPORTANT GIVEN THE STATE'S CLOSURE OF NUMEROUS MENTAL HEALTH HOSPITALS IN ILLINOIS. THE TEAM GOES INTO THE COMMUNITY TO HELP HOMELESS AND INDIGENT PATIENTS WITH SITUATIONS IMPACTING THEIR BEHAVIORAL HEALTH, SUCH AS HOUSING AND MEDICATION STABILIZATION, THUS HELPING CLIENTS IMPROVE THEIR OVERALL HEALTH. IN 2021, MICCS SERVED 64 INDIVIDUALS ON THE CASELOAD. IN ADDITION, 100 INDIVIDUALS WERE SERVED BY THE INJECTION CLINIC, MANY OF WHICH ARE UNIQUE PATIENTS GIVEN THEY DO NOT NEED/RECEIVE INTENSIVE CASE MANAGEMENT. DEAF AND HARD OF HEARING PROGRAM. AS BRIEFLY MENTIONED EARLIER UNDER LANGUAGE SERVICES, AIMMC'S DEAF AND HARD OF HEARING PROGRAM PROVIDES COMPREHENSIVE MENTAL HEALTH CARE IN AMERICAN SIGN LANGUAGE (ASL) TO DEAF AND HARD OF HEARING CHILDREN, ADOLESCENTS, AND ADULTS ACROSS ILLINOIS. THE PROGRAM OFFERS A CONTINUUM OF CARE THAT INCLUDES CLINICAL ASSESSMENTS; PRE-SCREENINGS AND LINKAGE; INDIVIDUAL AND FAMILY THERAPY; PSYCHIATRIC EVALUATIONS AND MEDICATION MONITORING; AS WELL AS CRISIS INTERVENTION WITH A 24-HOUR PHONE LINE. TELE-PSYCHIATRY IS AVAILABLE TO CLIENTS USING A VARIETY OF METHODS, INCLUDING VIDEOPHONE EQUIPMENT SUPPORTED BY THE FEDERAL COMMUNICATIONS COMMISSION (FCC) AND TEAMS/ZOOM, THAT SUIT THE INDIVIDUAL'S LINGUISTIC AND TECHNOLOGICAL NEEDS TO ENABLE THE PROVISION OF OTHERWISE SCARCE DEAF-FRIENDLY PSYCHIATRIC SERVICES IN THE HOMES OF DEAF PATIENTS. OVER THE YEARS, THE HOSPITAL HAS DISTRIBUTED SEVERAL THOUSAND FREE ASL DVDS ON HIV/AIDS, STDS, BREAST HEALTH, DIABETES, DEPRESSION, AND SMOKING CESSATION. IN 2021, THE BHS DEAF AND HARD OF HEARING PROGRAM PROVIDED 1129 SERVICES TO 61 DISTINCT PATIENTS.COMMUNITY LINKAGE SPECIALIST (CLS). IN RESPONSE TO THE INCREASING RATES OF SUBSTANCE ABUSE AND MENTAL ILLNESS IN DUPAGE COUNTY, ADVOCATE GOOD SAMARITAN EMPLOYED A COMMUNITY LINKAGE SPECIALIST THAT WORKS WITH DETOX AND BEHAVIORAL HEALTH UNIT PATIENTS TO CONNECT THEM TO THE APPROPRIATE COMMUNITY SUPPORT SERVICES AND RESOURCES. THIS INDIVIDUAL ALSO CONDUCTS COMMUNITY AND HOME VISITS WITH DISCHARGED PATIENTS. IN 2021, THE CLS HELPED COORDINATE SERVICES FOR PATIENTS AND CONDUCTED 280 PATIENT CONTACTS VIA PHONE OR HOME VISITS.

PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.
"3. WORKFORCE DEVELOPMENT. ADVOCATE WORKS WITH NON-TRADITIONAL COMMUNITY PARTNERS, SUCH AS SCHOOL DISTRICTS, EMPLOYMENT AGENCIES, COLLEGES AND UNIVERSITIES, AND OTHER PUBLIC AND PRIVATE BUSINESS LEADERS TO ADDRESS BOTH THE HIGH UNEMPLOYMENT RATES AND ECONOMIC DISPARITIES IN SOME CHICAGO NEIGHBORHOODS AS WELL AS TO CONTRIBUTE TO SOLVING THE CITY'S HEALTHCARE SECTOR TALENT SHORTAGE. ADVOCATE WORKFORCE INITIATIVE (AWI). THE ADVOCATE AURORA HEALTH, WORKFORCE DEVELOPMENT TEAM ORIGINATED FROM A GENEROUS GRANT FROM JPMORGAN CHASE IN 2015 VIA A GRANT ENTITLED THE ""ADVOCATE WORKFORCE INITIATIVE"" (AWI). AWI WAS CREATED TO ADDRESS HIGH-UNEMPLOYMENT RATES AND EMPLOYMENT DISPARITIES IN THE CITY OF CHICAGO'S MOST UNDERSERVED AREAS. SINCE THE GRANT COMPLETION IN 2020, AAH HAS CONTINUED THIS WORK BY ESTABLISHING A SYSTEMWIDE WORKFORCE DEVELOPMENT TEAM ACROSS WISCONSIN AND ILLINOIS. THIS TEAM HAS CREATED AND CONTINUES TO SCALE PROGRAMS AIMED TO CREATE EQUITABLE WORKPLACE PROGRAMS, MEETING THE TALENT NEEDS OF THE ORGANIZATION AND BUILDING SUSTAINABLE WORKFORCE DEVELOPMENT PROGRAMMING. THESE PROGRAMS INCLUDE, BUT AREN'T LIMITED TO:REGISTERED APPRENTICESHIP: LAUNCHING IN 2019, AAH HAS CREATED SEVERAL APPRENTICESHIP MODELS THROUGH THE WISCONSIN DEPARTMENT OF WORKFORCE DEVELOPMENT (DWD) AND THE US DEPARTMENT OF LABOR (DOL) TO ADDRESS URGENT TALENT NEEDS. THESE PROGRAMS INCLUDE A FACILITIES MAINTENANCE AND CULINARY ARTS APPRENTICESHIP IN PARTNERSHIP WITH LOCAL COLLEGEDIVERSE ABILITIES: SINCE 2017, AAH HAS CREATED A FOCUSED EFFORT TO SOURCE AND EMPLOY INDIVIDUALS WITH DISABILITIES WHILE CREATING A MORE INCLUSIVE HIRING PROCESS. TO DATE, AAH HAS EMPLOYED 35 INDIVIDUALS THROUGH THE PROGRAM AND HAS OVER A 70% RETENTION RATE.TEAM MEMBER SUCCESS COACHING: LAUNCHING IN MID-2022, THIS EFFORT WILL ADDRESS SOCIAL DETERMINANTS TO RETENTION BY PROVIDING COMPLEX CASE MANAGEMENT AND PROVIDE WRAPAROUND SUPPORTS TO SELECT NEW TEAM MEMBERS FROM THE MOST VULNERABLE TALENT POPULATIONS. THIS EFFORT WILL BE LAUNCHING AT ADVOCATE ILLINOIS MASONIC MEDICAL CENTER AND ADVOCATE CHRIST MEDICAL CENTER IN JUNE 2022 WITH TWO ""TEAM MEMBER SUCCESS COACHES.""CORPORATE INTERNSHIPS: EACH SUMMER, AAH EMPLOYS 20+ CORPORATE INTERNS FROM AROUND THE COUNTRY TO INTRODUCE COLLEGE STUDENTS TO CAREERS IN HR, FINANCE, IT AND OTHER CORPORATE FUNCTIONS.COMMUNITY SCHOLARSHIP: STARTING IN 2021, THE AAH COMMUNITY SCHOLARSHIP PROGRAM AWARDS $5,000 SCHOLARSHIPS TO BOTH COMMUNITY MEMBERS AND DEPENDENTS OF AAH TEAM MEMBERS. IN 2022, AAH AWARDED TWENTY, $5,000 SCHOLARSHIPS FOR STUDENTS ACROSS ILLINOIS AND WISCONSIN THAT ARE PURSUING STEM-RELATED CAREERS.HISTORICALLY BLACK COLLEGES AND UNIVERSITY (HBCU): STARTING IN 2021, AAH PARTNERED WITH SEVERAL HBCUS ACROSS THE NATION TO PROVIDE SPONSORSHIPS, SCHOLARSHIPS, INTERNSHIPS, MENTORING AND CASE COMPETITIONS FOR STUDENTS ENROLLED IN COLLEGE PROGRAMS. PARTNER SCHOOLS INCLUDE FLORIDA A&M, CENTRAL STATE UNIVERSITY AND MOREHOUSE COLLEGE.HERZING UPSKILLING PROGRAMS: STARTING IN 2021, AAH DEVELOPED AND LAUNCHED TWO UPSKILLING PROGRAMS WITH HERZING UNIVERSITY 'STERILE PROCESSING TO SURGICAL TECHNOLOGIST AND 'MEDICAL ASSISTANT'. AAH TEAM MEMBERS IN ENTRY-LEVEL ROLES CAN ENROLL IN REGULARLY SCHEDULED COHORTS AS THEY WORK THROUGH ONLINE EDUCATION AND ON-SITE SKILLS TRAINING. TO DATE, OVER 30-TEAM MEMBERS HAVE ENROLLED ACROSS ILLINOIS AND WISCONSIN WITH MANY MORE ON THE WAY.MAAPET (MEDICAL ASSISTANT ACCELERATED PATH TO EMPLOYMENT TRAINING PROGRAM): THE MAAPET PROGRAM IS PAID TRAINING PROGRAM IN PARTNERSHIP WITH THE CENTER FOR HEALTHCARE CAREERS OF SE WI (CHCSEW) AND MADE POSSIBLE BY A $500K GRANT THROUGH THE MEDICAL COLLEGE OF WISCONSIN'S ADVANCING A HEALTHIER WISCONSIN ENDOWMENT (AHW). THIS PROGRAM, IN COLLABORATION WITH THE REGION'S FOUR LARGEST HEALTHCARE SYSTEMS, IS POSED TO TRAIN 100 NEW MEDICAL ASSISTANTS FROM UNDERSERVED COMMUNITIES BY 2022. OVER THE COURSE OF THIS PAID, 14-WEEK, ACCELERATED TRAINING PROGRAM, EMPLOYEES OF ALL FOUR SYSTEMS TRAIN TO BECOME MAS AND SIT FOR A NATIONAL MA CERTIFICATION UPON COMPLETION. IN 2021, THE AAH WORKFORCE DEVELOPMENT TEAM IMPACTED ALMOST 4,000 COMMUNITY MEMBERS AND PROGRAM PARTICIPANTS!TRAINING FUTURE HEALTH PROFESSIONALS. TO FURTHER THE TRADITION OF PROVIDING MEDICAL EDUCATION TO UNDERGRADUATE AND GRADUATE MEDICAL STUDENTS, NURSING STUDENTS AND STUDENTS IN OTHER HEALTH PROFESSIONS, ADVOCATE 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. MEDICAL EDUCATION (UNDERGRADUATE MEDICAL EDUCATION [UME]/GRADUATE MEDICAL EDUCATION [GME]/POST-GRADUATE [CME] MEDICAL EDUCATION. THE ADVOCATE MEDICAL EDUCATION DEPARTMENT'S 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). ADVOCATE IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION (ACCME) TO PROVIDE CONTINUING MEDICAL EDUCATION (CME) FOR PHYSICIANS. ADVOCATE'S 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. ADVOCATE'S MEDICAL STAFF SHARE THEIR EXPERTISE THROUGH GRAND ROUNDS, MORTALITY AND MORBIDITY CONFERENCES, AND ENDURING MATERIALAS WELL AS SINGLE ACTIVITIES ADDRESSING A VARIETY OF CLINICAL AND RESEARCH TOPICS. IN 2021, ADVOCATE HOSTED 5915.75 HOURS OF ACCREDITED EDUCATION TO 108,593 PARTICIPANTS, OF WHICH 75,133 WERE PHYSICIANS. DUE TO THE PANDEMIC, MOST EDUCATION WAS PROVIDED VIRTUALLY WHICH EXPANDED OUR REACH TO A BROADER AUDIENCE ACROSS THE ADVOCATE SYSTEM.NURSING EDUCATION. UNDERGRADUATE AND GRADUATE (APN/NP/MANAGEMENT) NURSING EDUCATION OCCURS AT TEN ADVOCATE HOSPITALS AND SUPPORT CENTERS, MANY ADVOCATE MEDICAL GROUP SITES, AND ADVOCATE HOME HEALTH-HOSPICE. NOTABLY, EIGHT ADVOCATE HOSPITALS HAVE EARNED MAGNET RECOGNITION FROM THE AMERICAN NURSE CREDENTIALING CENTER (ANCC), INCLUDING ADVOCATE CHILDREN'S, ADVOCATE CONDELL, ADVOCATE CHRIST, ADVOCATE GOOD SAMARITAN, ADVOCATE GOOD SHEPHERD, ADVOCATE ILLINOIS MASONIC, ADVOCATE LUTHERAN GENERAL AND ADVOCATE SHERMAN. 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. ALLIED HEALTH EDUCATION. ADVOCATE IS COMMITTED TO TEACHING STUDENTS IN A BROAD RANGE OF SPECIALTIES. THESE STUDENTS COME FROM LOCAL UNIVERSITIES AND COLLEGES WITH WHOM ADVOCATE HAS CONTRACTED TO PROVIDE EDUCATION. STUDENTS ARE PROVIDED A CLINICAL ENVIRONMENT IN WHICH TO LEARN IN OVER TWENTY HEALTH CARE DISCIPLINES/FIELDS, INCLUDING, BUT NOT LIMITED TO: PHARMACEUTICAL; CARDIO DIAGNOSTICS; CARDIAC REHABILITATION; RADIOLOGY, NUCLEAR MEDICINE, MRI AND X-RAY; RADIATION THERAPY; EXERCISE PHYSIOLOGY; PHYSICAL, OCCUPATIONAL, SPEECH AND RECREATIONAL THERAPY; PSYCHIATRY; BEHAVIORAL HEALTH; RESPIRATORY; AUDIOLOGY; PATHOLOGY; PODIATRY; PHLEBOTOMY; NUTRITION/DIETARY; AND DENTISTRY (DENTISTRY IS ONLY AVAILABLE THROUGH ADVOCATE ILLINOIS MASONIC)."

PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.
SEVERAL ADVOCATE HOSPITALS PROVIDE EMERGENCY MEDICAL TECHNICIAN (EMT) EDUCATION FROM BASIC THROUGH PARAMEDIC LEVEL. IN FACT, SOME OF THESE ADVOCATE FACILITIES SERVE AS THE LEAD HOSPITAL IN THEIR COUNTIES/SERVICE AREAS, PROVIDING EDUCATION, STANDARDIZATION OF PROTOCOLS OF CARE AMONG ALL HOSPITALS (NON-ADVOCATE INCLUDED) AND EMS RESPONDERS, AND DIRECTION OF COUNTY-WIDE EMERGENCY MEDICAL SERVICES IN RESPONSE TO COMMUNITY-BASED, MASS INJURY/CASUALTY DISASTERS. MULTIPLE ADVOCATE SYSTEM AND HOSPITAL DEPARTMENTS ALSO PROVIDE LEARNING ENVIRONMENTS FOR UNDERGRADUATE AND GRADUATE STUDENTS IN PUBLIC HEALTH AND HEALTH INFORMATION MANAGEMENT.CLINICAL PASTORAL EDUCATION (CPE). ADVOCATE'S SPIRITUAL LEADERS OVERSEE A NATIONALLY ACCREDITED CPE PROGRAM. THE PROGRAM PROVIDES OPPORTUNITIES FOR SEMINARY STUDENTS, CHAPLAINS AND LOCAL FAITH LEADERS TO GROW AND DEVELOP SELF-AWARENESS AND SPIRITUAL CARE MINISTRY SKILLS. IN 2021, A TOTAL OF 80 CPE STUDENTS WERE SUPERVISED IN ILLINOIS, NOT INCLUDING THE ADDITIONAL 23 STUDENTS IN WISCONSIN. PATHWAYS TO HEALTH CAREERS. SEVERAL ADVOCATE HOSPITALS PROVIDE EXPERIENTIAL LEARNING TO AREA HIGH SCHOOL STUDENTS THAT ARE ON AN EDUCATIONAL TRACK TO A HEALTH CARE CAREER. THESE STUDENTS RECEIVE CREDIT TOWARDS GRADUATION IN ADDITION TO HELPING THEM DISCERN IN WHICH HEALTH CARE AREA THEY WISH TO SPECIALIZE. TO GIVE CHICAGO SOUTHSIDE STUDENTS BETTER JOB OPPORTUNITIES, ADVOCATE TRINITY WORKS WITH STUDENTS FROM CHICAGO VOCATIONAL CAREER ACADEMY, AND SOUTH SHORE AND JULIAN HIGH SCHOOLS. THESE STUDENTS ARE ROTATED IN HOSPITAL UNITS TO LEARN MARKETABLE JOB SKILLS. 4. COMMUNITY SAFETY: ADVOCATE ALSO WORKS WITH COMMUNITY PARTNERS TO ADDRESS COMMUNITY SAFETY/VIOLENCEANOTHER COMMUNITY STRATEGY FOCUS AREA. SOME EXAMPLES ARE PROVIDED BELOW.CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION. THE CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION WORKS TO ADVANCE HEALTH EQUITY BY PARTNERING WITH FAITH-BASED AND COMMUNITY ORGANIZATIONS TO BUILD COMMUNITY, NURTURE LEADERS AND CONNECT THE UNIQUE SPIRIT POWER OF FAITH COMMUNITIES TO PROMOTE SOCIAL JUSTICE AND ABUNDANT LIFE FOR INDIVIDUALS, FAMILIES AND COMMUNITIES. THE CENTER IS A PARTNERSHIP BETWEEN ADVOCATE AND THE OFFICE FOR COMMUNITY ENGAGEMENT AND NEIGHBORHOOD HEALTH PARTNERSHIPS AT THE UNIVERSITY OF ILLINOIS AT CHICAGO. CURRENTLY, THE CENTER IS CONVENING A TRAUMA INFORMED CONGREGATIONS NETWORK TO SUPPORT THE CAPACITY OF FAITH COMMUNITIES TO PREVENT TRAUMA AND TO BE PLACES OF HEALING FOR THOSE WHO HAVE EXPERIENCED ADVERSITY IN CHILDHOOD OR THROUGHOUT THEIR LIVES.SEXUAL ASSAULT NURSE EXAMINERS (SANE). ADVOCATE CONDELL, ADVOCATE CHILDREN'S AND ADVOCATE'S SOUTH REGION (ADVOCATE'S CHRIST, SOUTH SUBURBAN AND TRINITY) SANE PROGRAMS CONSIST OF SEXUAL ASSAULT NURSE EXAMINERS WHO ARE NATIONALLY, AND STATE CERTIFIED BY THE OFFICE OF THE ILLINOIS ATTORNEY GENERAL. SANES ARE AVAILABLE EITHER IN THE ED OR ON AN ON-CALL BASIS TO PROVIDE COMPASSIONATE, TRAUMA-INFORMED CARE TO SEXUAL ASSAULT VICTIMS SEEKING CARE IN THE ED. THESE HIGHLY TRAINED PRACTITIONERS PERFORM HEAD-TO-TOE EXAMS PERTAINING TO SEXUAL ASSAULT/ABUSE, ADDRESS MEDICAL CONCERNS SUCH AS STI (SEXUALLY TRANSMITTED INFECTION), HIV AND PREGNANCY, COLLECT FORENSIC EVIDENCE, TESTIFY IN COURT AS EXPERT WITNESSES, AND OFFER ACCESS TO AFTER-CARE RESOURCESSUPPORTING THE VICTIM THROUGH THE ENTIRE PROCESS. IN 2021, ADVOCATE CHRIST SERVED 51 PATIENTS, SOUTH SUBURBAN SERVED 40 PATIENTS, TRINITY SERVED 30 PATIENTS AND CONDELL SERVED A TOTAL OF 82 PATIENTS. THE THREE SANE PROGRAM COORDINATORS WORK CLOSELY WITH A MULTI-DISCIPLINARY TEAM, INCLUDING LOCAL RAPE ADVOCATES, LAW ENFORCEMENT, DEPARTMENT OF CHILDREN AND FAMILY SERVICES (DCFS) AND PROSECUTORS TO ASSURE VICTIMS OF SEXUAL ASSAULT RECEIVE THE BEST CARE POSSIBLE AT ALL CONTACT POINTS. SANE PROGRAM COORDINATORS ALSO COLLABORATE TO PROVIDE BEST PRACTICE STANDARDIZED SEXUAL ASSAULT CARE THROUGHOUT ADVOCATE SO THAT BY JANUARY 1, 2023, A SEXUAL ASSAULT NURSE EXAMINER WILL BE AVAILABLE 24/7, 365 DAYS A YEAR TO CARE FOR SEXUALLY ASSAULTED PATIENTS. ADVOCATE'S SANE PROGRAM SERVED 188 SEXUALLY ASSAULTED OR ABUSED, ADULT, PATIENTS IN THE ED IN 2021, HAVING PROVIDED CARE DESPITE THE CHALLENGES OF COVID-19 AND CONCERNS THAT PREVENTED MANY INDIVIDUALS FROM SEEKING CARE IN A HOSPITAL SETTING. IN ADDITION, ADVOCATE CONDELL CONTINUED TO PROVIDE TRAINING REGARDING SEXUAL ASSAULT TREATMENT IN RESPONSE TO COMMUNITY PARTNER REQUESTS FOR EDUCATION FROM RAPE ADVOCACY CENTERS, LAW ENFORCEMENT, MEDICAL STUDENTS, AND OTHERS, AS WELL AS INCREASED ITS PARTICIPATION IN COUNTYWIDE HUMAN TRAFFICKING AWARENESS AND PREVENTION INITIATIVES.PEDIATRIC PRE-PUBESCENT SEXUALLY ASSAULTED/ABUSED PATIENTS ARE TRANSFERRED TO ADVOCATE CHILDREN'S HOSPITAL FOR SPECIALTY CARE. ADVOCATE CHILDREN'S CHILD PROTECTION AND SANE TEAM PARTNERS WITH AREA CHILDREN ADVOCACY CENTERS, DCFS AND LAW ENFORCEMENT TO PROVIDE CARE TO THESE SEXUALLY ASSAULTED/ABUSED CHILDREN. IN GENERAL, VERY FEW PROGRAMS IN ILLINOIS CAN MEET THE NEEDS OF THIS PATIENT POPULATION. SEXUALLY ASSAULTED CHILDREN WHO REQUIRE EVIDENCE COLLECTION ARE REFERRED TO THE PEDIATRIC ED (PED) AT THE ADVOCATE CHILDREN'S HOSPITAL CAMPUSES IN EITHER OAK LAWN OR PARK RIDGE. IN 2021, 190 SEXUALLY ASSAULTED CHILDREN WERE CARED FOR IN THE PED. SEXUALLY ASSAULTED CHILDREN NOT REQUIRING EVIDENCE COLLECTION ARE REFERRED TO ONE OF THE ADVOCATE CHILDREN'S CERTIFIED PEDIATRIC SANE CHILD PROTECTION NURSE PRACTITIONERS AND ARE SEEN IN THE OUTPATIENT SEXUAL ABUSE CLINICS. IN 2021, 96 CHILDREN WERE SEEN IN ADVOCATE'S OUTPATIENT CHILD PROTECTION SEXUAL ABUSE CLINICS. AS WITH THE ADULT PROGRAM, THE PEDIATRIC PROGRAM COORDINATORS COLLABORATE THROUGHOUT EACH YEAR TO PROVIDE BEST PRACTICE STANDARDIZED PEDIATRIC SEXUAL ASSAULT CARE.ACCLIVUS PARTNERSHIP ACCLIVUS IS A COMMUNITY OUTREACH ORGANIZATION SEEKING TO REDUCE THE INCIDENCE OF DEADLY STREET VIOLENCE IN CHICAGO NEIGHBORHOODS. ADVOCATE ILLINOIS MASONIC, LEVEL I TRAUMA CENTERS SERVING THE NORTH PORTIONS OF CHICAGO AND THE SUBURBS, PARTNERED WITH ACCLIVUS TO PROVIDE OUTREACH INTERVENTION SERVICES AND COMMUNITY RESOURCES FOR VICTIMS OF VIOLENCE. NEARLY ONE-THIRD OF TRAUMAS AT THE MEDICAL CENTER EACH YEAR ARE VICTIMS OF INTENTIONAL VIOLENCE, SUCH AS GUNSHOTS, STABBINGS AND/OR BATTERY. VIOLENCE, LIKE OTHER EPIDEMICS, IS PREDICTABLE AND OFTEN ENGAGED IN AS AN ACT OF RETALIATION, SO IMMEDIATE INTERVENTION IS NECESSARY. WHEN VIOLENTLY INJURED PATIENTS FROM THE CHICAGO AREA ARE TRANSPORTED TO ADVOCATE ILLINOIS MASONIC, CHAPLAINS NOTIFY ACCLIVUS. ACCLIVUS HAS A HOSPITAL RESPONDER AND A CASE MANAGER ASSIGNED TO EACH ADVOCATE SITE WHO PROVIDE COUNSELING TO PATIENTS AND THEIR LOVED ONES, AIMING TO REDUCE ONGOING CONFLICT IN THE COMMUNITY AND RISK OF RETALIATION. ACCLIVUS' CASE MANAGER SEES THE PATIENTS IN THE TRAUMA CLINIC AFTER DISCHARGE ENSURING COMPREHENSIVE FOLLOW-UP CARE. DUE TO THE PANDEMIC AND HOSPITAL VISITOR RESTRICTION POLICIES, ACCLIVUS PROVIDED SERVICES AND REFERRALS TO ADVOCATE ILLINOIS MASONIC PATIENTS REMOTELY FROM MARCH THROUGH JULY 2020. THE HOSPITAL RESPONDERS AT ADVOCATE ILLINOIS MASONIC SERVED 147 PATIENTS IN 2021, MANY OF WHICH WERE PROVIDED REFERRALS TO EXISTING COMMUNITY RESOURCES. AS OF 2021, ADVOCATE CHRIST MEDICAL CENTER IS NO LONGER PARTNERING WITH ACCLIVUS. ADVOCATE CHRIST NOW HAS INTERNAL TRAUMA OUTREACH WORKERS THAT ARE CONNECTING TO LOCAL OUTREACH ORGANIZATIONS THROUGH COMMUNITIES PARTNERING 4 PEACE (CP4P).

PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.
5. AFFORDABLE HOUSING: ACCORDING TO HEALTHY PEOPLE 2020, DATA INDICATES THAT POOR-QUALITY HOUSING IS ASSOCIATED WITH VARIOUS NEGATIVE HEALTH OUTCOMES, INCLUDING CHRONIC DISEASE AND INJURY, AND POOR MENTAL HEALTH. IT IS FOR THIS REASON THAT ADVOCATE HAS VOWED AS A FIFTH COMMUNITY STRATEGY FOCUS AREA TO DECREASE THE NUMBER OF ED PATIENTS WHO ARE SCREENED POSITIVE FOR HOMELESSNESS BY 5% BY 2025. WHILE WORK TOWARDS THIS GOAL IS STILL EMERGING, SEVERAL ADVOCATE HOSPITALS ARE TAKING STEPS TO PROVIDE PATIENTS WITH A HEALTHY AND SAFE ENVIRONMENT IN WHICH TO HEAL. FLEXIBLE HOUSING POOL. IN 2021, THE FLEXIBLE HOUSING POOL (FHP) AT ADVOCATE ILLINOIS MASONIC PLACED FOUR BEHAVIORAL HEALTH PATIENTS IN PERMANENT HOUSING. THE FHP PLACED AN ADDITIONAL THREE BEHAVIORAL HEALTH PATIENTS IN TRANSITIONAL HOUSING. THE MEDICAL CENTER ALSO PROVIDES INDIVIDUALS PLACED IN PERMANENT HOUSING WITH BEHAVIORAL HEALTH AND CASE MANAGEMENT SERVICES.WARMING CENTER. ADVOCATE ILLINOIS MASONIC ALSO PROVIDES A WARMING CENTER, A SAFE WARM PLACE FOR HOMELESS INDIVIDUALS TO STAY OVERNIGHT OUT OF CHICAGO'S BITTERLY COLD, WINTERY WEATHER. DUE TO COVID-19, THE WARMING CENTER DID NOT OPERATE IN 2021. 6. FOOD SECURITY. ANOTHER KEY ADVOCATE COMMUNITY STRATEGY FOCUS AREA IS FOOD SECURITY. ACCESS TO FRESH, AFFORDABLE FOOD IS A KEY INGREDIENT IN THE RECIPE TO ADDRESS FOOD INSECURITYAND IN KEEPING THE COMMUNITY HEALTHY. ADVOCATE IS INVOLVED WITH MULTIPLE NON-TRADITIONAL COMMUNITY PARTNERS IN LOCAL AND SUSTAINABLE FOOD INITIATIVES TO ADDRESS FOOD INSECURITY. LOCAL FOOD PANTRY PARTNERSHIPS. ADVOCATE GOOD SAMARITAN PARTNERED WITH LOCAL FOOD PANTRIES AND THE UNIVERSITY OF ILLINOIS EXTENSION TO DEVELOP A PROGRAM THAT OFFERS HEALTHY FRESH FOOD, NUTRITION AND COOKING CLASSES TO CLIENTS OF THE PANTRIES. IN ADDITION TO THE FRESH PRODUCE AND NUTRITION EDUCATION PROVIDED, AN UNEXPECTED BONUS OF THE PROGRAM WAS THAT PARTICIPANTS BEGAN TO SHARE SOME OF THEIR OWN HEALTHY MENUS WITH EACH OTHER DURING THE SESSIONS, EXPRESSING THAT THEY LOOKED FORWARD TO COMING TO THE CLASSES. DUE TO THE COVID-19 PANDEMIC, WORKSHOPS WERE MADE VIRTUAL AND HEALTHY FOOD WAS DELIVERED TO PARTICIPANTS' HOMES. IN 2021, THIS PROGRAM PROVIDED 16 VIRTUAL WORKSHOPS SERVING 27 FOOD PANTRY CLIENTS. ONE HUNDRED PERCENT OF PARTICIPANTS STATED THAT THE WORKSHOPS EMPOWERED THEM TO SUSTAIN A HEALTHY LIFESTYLE. ADVOCATE GOOD SAMARITAN HOSPITAL-BASED FOOD PANTRY. IN NOVEMBER OF 2020, ADVOCATE GOOD SAMARITAN HOSPITAL'S COMMUNITY HEALTH TEAM IMPLEMENTED A HOSPITAL-BASED FOOD PANTRY PILOT TO ADDRESS FOOD INSECURITY. IN PARTNERSHIP WITH PEOPLE'S RESOURCE CENTER AND ADVOCATE GOOD SAMARITAN'S CANCER CARE CENTER, 19 ONCOLOGY PATIENTS WERE SERVED THROUGH THE PILOT PROGRAM IN 2021. THE PROGRAM IS FOCUSED ON PROVIDING IMMEDIATE ASSISTANCE TO HIGH-RISK PATIENTS THAT SCREEN POSITIVE FOR FOOD INSECURITY WHILE VISITING A HEALTH CARE PROVIDER. THE GOAL IS NOT TO SERVE AS THEIR LOCAL FOOD PANTRY BUT AS AN IMMEDIATE AID. THE COMMUNITY HEALTH TEAM INCLUDES HEALTH RECIPES AND ADDITIONAL COMMUNITY RESOURCES IN EACH FOOD PANTRY BAG. AS IS THE CASE WITH THE ADVOCATE LUTHERAN FOOD PANTRY MENTIONED EARLIER, THE ADVOCATE GOOD SAMARITAN PILOT WILL CONTINUE FOR SIX MONTHS AT WHICH TIME THE COMMUNITY HEALTH TEAM WILL EVALUATE THE LESSONS LEARNED, BARRIERS AND CHALLENGES IN EFFORTS TO CREATE A SUSTAINABLE PROGRAMLAKEVIEW FOOD PANTRY. IN JUNE 2018, ADVOCATE ILLINOIS MASONIC ESTABLISHED A HOSPITAL-BASED FOOD PANTRY TO ADDRESS THE NEEDS OF FOOD INSECURE ONCOLOGY PATIENTS. IN PARTNERSHIP WITH THE LAKEVIEW FOOD PANTRY, THE MEDICAL CENTER PROVIDES DRY-GOOD FOOD BAGS, RE-USABLE WHEELIE GROCERY BAGS AND GIFT CARDS TO LOW-INCOME AND FOOD INSECURE PATIENTS. NUTRITION EDUCATION AND COMMUNITY FOOD PROGRAM RESOURCES WERE ALSO DISTRIBUTED TO ALL PROGRAM PARTICIPANTS. TO BETTER MEET THE NEEDS OF PATIENTS AND TEAM MEMBERS DURING THE PANDEMIC, THE MEDICAL CENTER EXPANDED THE PANTRY TO THREE NEW SERVICES LINES (OB/GYN, FAMILY MEDICINE AND THE DENTAL MOBILE VAN) AND FOOD INSECURE TEAM MEMBERS. IN 2021, THE PANTRY SERVED OVER 80 PATIENTS WITH MOST PATIENTS UTILIZING THE PANTRY MONTHLY. OVER 1,600 POUNDS OF FOOD WAS DISTRIBUTED TO FOOD INSECURE PATIENTS AND TEAM MEMBERS AT ADVOCATE ILLINOIS MASONIC. THE MEDICAL CENTER ALSO PARTNERED WITH IRV AND SHELLY'S FRESH PICKS TO PROVIDE FRESH PRODUCE BOXES TO PATIENTS. BOXES WERE DELIVERED DIRECTLY TO THE HOMES OF FOOD PANTRY PARTICIPANTS. IN 2021, IRV AND SHELLY'S FRESH PICKS DELIVERED 312 FRESH PRODUCE BOXES TO 46 FOOD INSECURE PATIENTS. IN 2022, THE COMMUNITY HEALTH DEPARTMENT PLANS TO CONTINUE EXPANDING THE HOSPITAL-BASED PANTRY TO ADDITIONAL SERVICE LINES AND DEPARTMENTS, AND TO UTILIZE TECHNOLOGY TO ENHANCE DATA COLLECTION AND PROGRAM EVALUATION.COMMUNITY GARDENS. ADVOCATE GOOD SHEPHERD PARTNERS WITH SMART FARM, A LOCAL NON-PROFIT ORGANIZATION WHOSE MISSION IS TO BE AN EDUCATIONAL RESOURCE ON SUSTAINABLE GARDENING AND HEALTHY EATING. SMART FARM MANAGES THE ON-SITE GARDEN ON OVER 10 ACRES OF LAND OWNED BY ADVOCATE. THE HARVEST OF FRESH VEGETABLES IS DONATED TO LOCAL FOOD PANTRIES. ON ADVOCATE SHERMAN'S CAMPUS, A LARGE COMMUNITY GARDEN DRAWS HOSPITAL STAFF AND COMMUNITY MEMBERS TO PLANT AND MAINTAIN RAISED GARDEN BEDS. IN 2021, ADVOCATE SHERMAN DONATED 640 POUNDS OF FRESH PRODUCE FOR STUDENTS WHO ARE FOOD INSECURE ACCESSING THE ELGIN COMMUNITY COLLEGE STUDENT FOOD PANTRY AND THE YWCA OF ELGIN; AN INCREASE WHEN COMPARED TO THE 330.5 POUNDS DONATED IN 2020. OVERALL, ADVOCATE FUNDS MANY SYSTEM LEVEL PROGRAMS AND ACTIVITIES FOCUSED ON POSITIVELY AFFECTING THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY ADVOCATE. IN ADDITION TO THE MANY PROGRAM EXAMPLES PROVIDED PREVIOUSLY, ANOTHER SYSTEM-LEVEL FUNDED PROGRAM IS PROVIDED BELOW.FAITH AND HEALTH PARTNERSHIPS. ADVOCATE AURORA HEALTH'S FAITH AND HEALTH PARTNERSHIPS PROGRAM WORKS SIDE BY SIDE WITH FAITH COMMUNITIES TO PROMOTE HEALTH EQUITY BY MOBILIZING THE TRANSFORMING POWER OF SOCIAL CONNECTEDNESS AND SPIRITUAL WISDOM. THE PROGRAM SUPPORTS A NEIGHBORHOOD MODEL THAT EMBEDS AAH TEAM MEMBERS IN SPECIFIC NEIGHBORHOODS IDENTIFIED AS PRIORITIES THROUGH THE AAH COMMUNITY STRATEGY. TEAM MEMBERS WORK WITH A COLLABORATIVE NETWORK OF FAITH COMMUNITIES AND COMMUNITY-BASED ORGANIZATIONS TO ADDRESS HEALTH ISSUES THAT HAVE BEEN IDENTIFIED BY COMMUNITY MEMBERS AS ISSUES THAT ARE IMPORTANT TO THEM. IN ILLINOIS WE HAVE NEIGHBORHOOD NETWORK PROGRAMS IN SOUTH CHICAGO AND AVONDALE AND ARE FOCUSED EFFORTS ON REDUCING STRESS AND INCREASING SOCIAL CONNECTEDNESS, MANAGING CHRONIC DISEASE, AND SUPPORTING FOOD ACCESS. FAITH AND HEALTH PARTNERSHIPS ALSO WORKS ACROSS OUR FOOTPRINT ON BUILDING CAPACITY OF FAITH LEADERS AND CONGREGATIONS TO PROMOTE THE WHOLISTIC HEALTH OF THEIR MEMBERS AND THE COMMUNITIES THEY SERVE, PARTICULARLY AROUND MENTAL HEALTH. AAH ALSO SUPPORTS A FAITH COMMUNITY NURSE NETWORK OF 27 NURSES THAT SERVE CONGREGATIONS ACROSS THE CHICAGOLAND REGION.

PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.
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. FOLLOWING ARE TWO EXAMPLES OF EDUCATION AND PROGRAMMING ALIGNED WITH POPULATION HEALTH AND SERVICE LINE DEVELOPMENT THAT REFLECT THIS INTEGRATED APPROACH. FOOD INSECURITY. ADVOCATE'S COMMUNITY HEALTH DEPARTMENT IS WORKING CLOSELY WITH INTERNAL SERVICES LINES TO IMPLEMENT HOSPITAL-BASED FOOD PANTRY PROGRAMS AND ADDRESS FOOD INSECURITY BY WORKING WITH CLINICAL AND NON-CLINICAL LEADERS. BEHAVIORAL HEALTH. AS MENTIONED EARLIER, BEHAVIORAL HEALTH COUNCIL INTEGRATION STRATEGIES HAVE INCLUDED COMMUNITY HEALTH STAFF OFFERING THE EVIDENCE-BASED MENTAL HEALTH FIRST AID CLASSES TO TARGETED COMMUNITY MEMBERS FOR THE PURPOSE OF REDUCING STIGMA, AND TRAINING COMMUNITY MEMBERS TO RECOGNIZE MENTAL HEALTH ISSUES AND UNDERSTAND APPROPRIATE INTERVENTIONS.ADVOCATE PHYSICIAN PARTNERS (APP). ADVOCATE POPULATION HEALTH LEADERS AND ADVOCATE COMMUNITY HEALTH LEADERS ARE ALSO PARTNERING TO DEVELOP NEW APPROACHES TO PATIENT SCREENING AND RESOURCING FOR SOCIAL DETERMINANTS OF HEALTH. ADVOCATE ALSO PROVIDES AN INFRASTRUCTURE TO ALLOW COMMUNITY MEMBERS WITH AN OPPORTUNITY TO VOLUNTEER AT VARIOUS ADVOCATE SITES OF CARE, AS WELL AS PROVIDING OPPORTUNITIES FOR ADVOCATE TEAM MEMBERS TO VOLUNTEER IN THE COMMUNITIES SERVED BY ADVOCATE.VOLUNTEERS FROM THE COMMUNITY. EACH YEAR, VOLUNTEERS FROM THE COMMUNITY SHARE THEIR TIME AND TALENTS THROUGH SERVICE AT ADVOCATE'S HOSPITALS, ADVOCATE MEDICAL GROUP AND ADVOCATE AT HOME, AND IN THEIR OWN WAY, FURTHER ADVOCATE'S COMMITMENT TO PROVIDING EXCELLENT HEALTH CARE. IN 2020, MOST VOLUNTEERS WERE LIMITED TO SERVING FROM JANUARY THROUGH MID-MARCH DUE TO ADVOCATE'S ADHERENCE TO COVID-19 SAFETY GUIDELINES, WHICH SIGNIFICANTLY REDUCED THE HOURS THEY WERE ABLE TO DEVOTE TO ADVOCATE SITES. IN 2021, ADVOCATE AURORA HEALTH MANAGED TO OPEN VOLUNTEER SERVICES AND WELCOMED A TOTAL OF 1,561 COMMUNITY VOLUNTEERS IN 2021. THAT ENGAGED PATIENTS, FAMILIES AND STAFF IN A VARIETY OF ACTIVITIES, SOME OF WHICH WERE: PROVIDING INFORMATION DESK SERVICES TO VISITORS; CLERICAL SUPPORT TO STAFF; SERVING CUSTOMERS IN HOSPITAL GIFT AND RESALE SHOPS; OFFERING COMPASSIONATE CONCERN TO PATIENTS AND THEIR LOVED ONES IN MULTIPLE HOSPITAL AREAS, SUCH AS THE EMERGENCY DEPARTMENT, INTENSIVE CARE UNIT, SURGERY WAITING ROOM, POST-ANESTHESIA CARE AND NURSERY INTENSIVE CARE UNITS; ASSISTING WITH COMMUNITY HEALTH SCREENINGS AND BLOOD DRIVE EVENTS; PROVIDING CHEERFUL SERVICE TO PATIENTS BY DELIVERING FLOWERS, MAIL AND NEWSPAPERS; AND PROVIDING SUPPORT SERVICES IN THE HOSPITAL THAT HAVE LIBRARIES AND/OR WELLNESS CENTERS. VOLUNTEERS FROM THE COMMUNITY ALSO GIVE THEIR TIME AND TALENTS TO VARIOUS OTHER PROGRAMS AND FUNDRAISING ACTIVITIES. MEMBERS OF ADVOCATE'S HOSPITAL AUXILIARIES PLAN AND ENGAGE IN FUNDRAISING EFFORTS TO SUPPORT NOT ONLY SERVICES IN THE HOSPITAL BUT ALSO COMMUNITY-FOCUSED PROGRAMS AND SERVICES. STUDENTS FROM THE COMMUNITY VOLUNTEER THEIR TIME TO TAKING CARE OF CHILDREN IN THE PEDIATRIC DEVELOPMENTAL CENTER LOCATED ON ADVOCATE ILLINOIS MASONIC'S CAMPUS SO THAT PARENTS CAN MEET WITH THE CENTER'S STAFF TO LEARN THE SKILLS NECESSARY TO WORK WITH THEIR CHILDREN WITH SPECIAL NEEDS SO THEY CAN REACH THEIR FULL POTENTIAL. THE HEARTS FOR HOPE GROUP AT ADVOCATE CHILDREN'SOAK LAWN IS COMPRISED OF GRATEFUL PARENTS, CONCERNED FAMILIES AND CARING COMMUNITY MEMBERS WHO SUPPORT THE MISSION OF THE HOSPITAL. THE VOLUNTEERS ENSURE THEY HAVE A PRESENCE IN THE HOSPITAL BY POSITIVELY IMPACTING FAMILY-CENTERED CARE, AS WELL AS WORKING TO RAISE FUNDS AND AWARENESS THROUGH PHILANTHROPIC EVENTS AND ACTIVITIES BENEFITING ADVOCATE CHILDREN'S. ADVOCATE TEAM MEMBERS (STAFF) VOLUNTEERING IN THE COMMUNITY. ADVOCATE TEAM MEMBERS (EMPLOYEES) AND PHYSICIANS ARE ENCOURAGED TO DONATE TO, VOLUNTEER AT AND HELP RAISE FUNDS FOR COMMUNITY INITIATIVES. ADVOCATE PROMOTES AND SUPPORTS TEAM MEMBER, PHYSICIAN AND HOSPITAL PARTICIPATION IN FOUR COMPANY-SPONSORED WALKS FOR MULTIPLE HEALTH-RELATED, NOT-FOR-PROFIT ORGANIZATIONS, INCLUDING THE AMERICAN HEART ASSOCIATION (AHA HEART WALK), AMERICAN CANCER SOCIETY (MAKING STRIDES AGAINST BREAST CANCER), ALZHEIMER'S ASSOCIATION (WALK TO END ALZHEIMER'S) AND THE MARCH OF DIMES (MARCH FOR BABIES). IN 2021, DUE TO THE COVID-19 PANDEMIC, THESE WALKS WERE HELD EITHER VIRTUALLY OR AS HYBRID EVENTS (VIRTUAL + IN-PERSON) WITH 1,272 ADVOCATE TEAM MEMBERS REGISTERED IN THE ANNUAL LOCAL FUNDRAISERS AND $273,612 IN CHARITABLE CONTRIBUTIONS RAISED TO SUPPORT THESE PARTNER ORGANIZATIONS. THIS YEAR, ADVOCATE WAS DESIGNATED BY THE AMERICAN HEART ASSOCIATION AS THE #1 HEALTH CARE COMPANY IN THE MIDWEST. IN ADDITION, ADVOCATE'S ASSOCIATES AND PHYSICIANS GENEROUSLY SUPPORT MULTIPLE COMMUNITY PARTNERS, PROGRAMS AND INITIATIVES, INCLUDING SOME OF ADVOCATE'S OWN SYSTEM-WIDE AND HOSPITAL-BASED COMMUNITY HEALTH PROGRAMS. IN 2021, ADVOCATE TEAM MEMBERS, NURSES AND PHYSICIANS CONTRIBUTED MORE THAN $1.1 MILLION THROUGH THE ANNUAL ADVOCATE AURORA TEAM MEMBER GIVING CAMPAIGN. ADVOCATE ASSOCIATES DEVOTE WORK TIME VOLUNTEERING ON DOZENS OF COMMUNITY BOARDS, COMMITTEES, COUNCILS, TASK FORCES AND COALITIONS, USING THEIR TALENTS TO SUPPORT A VARIETY OF COMMUNITY-BASED ORGANIZATIONS. AN EXAMPLE OF ASSOCIATE VOLUNTEERISM IS ADVOCATE SHERMAN'S DIRECTOR OF SERVICE EXCELLENCE AND POPULATION HEALTH PARTICIPATION IN LEADING THE ALIGNMENT FOR COLLABORATIVE EDUCATION (ACE). THE DIRECTOR SERVES AS A MEMBER OF THE ACE OPERATING BOARD. THE COLLABORATIVE IS FOCUSED ON SUPPORTING PUBLIC SCHOOL STRATEGIES THAT PROMOTE STUDENT ACHIEVEMENT TO ASSIST ELGIN AREA CHILDREN IN BECOMING RESILIENT, HEALTHY AND PRODUCTIVE MEMBERS OF SOCIETY. ADVOCATE GOOD SAMARITAN'S VICE PRESIDENT OF SUPPORT OPERATIONS AND THE PRESIDENT OF MEDICAL STAFF DEVOTE TIME TO SERVE ON THE DUPAGE HEALTH COALITION'S BOARDDUPAGE HEALTH COALITION IS AN ORGANIZATION THAT LINKS UNINSURED AND UNDOCUMENTED INDIVIDUALS TO PRIMARY AND SPECIALTY HEALTHCARE AND INSURANCE. YET ANOTHER EXAMPLE OF ASSOCIATE VOLUNTEERISM IS ADVOCATE TRINITY HOSPITAL'S PRESIDENT AND AAH'S REGIONAL VICE PRESIDENT TIME DEVOTED TO THE SOUTH SIDE HEALTHY COMMUNITY ORGANIZATION, A COMMUNITY COALITION FOCUSED ON IMPROVING HEALTH EQUITY ON THE SOUTH SIDE OF CHICAGO.

SCHEDULE H, PART VI, LINE 2 - CHRIST HOSP INCL HOPE CHILDREN'S HOSP
NEEDS ASSESSEMENTFOCUS GROUPS. BETWEEN AUGUST 2018 AND FEBRUARY 2019, IPHI WORKED WITH AHE PARTNERS TO HOLD A TOTAL OF 52 COMMUNITY INPUT SESSIONS (FOCUS GROUPS AND LEARNING MAP SESSIONS) WITH PRIORITY POPULATIONS SUCH AS VETERANS, INDIVIDUALS LIVING WITH MENTAL ILLNESS, COMMUNITIES OF COLOR, OLDER ADULTS, CAREGIVERS, TEENS AND YOUNG ADULTS, LGBTQ+ COMMUNITY MEMBERS, ADULTS AND TEENS EXPERIENCING HOMELESSNESS, FAMILIES WITH CHILDREN, FAITH COMMUNITIES, ADULTS WITH DISABILITIES, AND CHILDREN AND ADULTS LIVING WITH CHRONIC CONDITIONS, SUCH AS DIABETES AND ASTHMA. THE COMMUNITY INPUT SESSIONS INCLUDED 31 FOCUS GROUPS CONDUCTED BY IPHI AND 21 LEARNING MAP SESSIONS LED BY WEST SIDE UNITED, WITH NOTETAKING BY IPHI. IN ADDITION, THESE INPUT SESSIONS, THERE WERE ALSO LIVE FOCUS GROUPS WITH HEALTH CARE AND SOCIAL SERVICE PROVIDERS.

SCHEDULE H, PART VI, LINE 4 - CHRIST HOSP INCL HOPE CHILDREN'S HOSP
COMMUNITY INFORMATIONDESCRIPTION OF THE COMMUNITY/POPULATIONFOR THE 2017-2019 CHNA, ADVOCATE CHRIST DEFINED THE COMMUNITY AS THE MEDICAL CENTER'S PSA, CONSISTING OF 28 ZIP CODES IN CHICAGO AND SUBURBAN COOK COUNTY, INCLUDING THE COMMUNITIES OF ALSIP, ASHBURN, AUBURN GRESHAM, BEDFORD PARK, BURBANK, CHICAGO LAWN, CHICAGO RIDGE, CLEARING, EVERGREEN PARK, EDISON, HICKORY HILLS, HOMETOWN, JUSTICE, MIDLOTHIAN, MORGAN PARK, OAK FOREST, MT. GREENWOOD, OAK LAWN, ORLAND HILLS, ORLAND PARK, PALOS HILLS, PALOS HEIGHTS, PALOS PARK, TINLEY PARK, WEST ENGLEWOOD AND WORTH.DEMOGRAPHICS POPULATION. IN THE AVAILABLE CENSUS DATA, FROM 2015-2019, ADVOCATE CHRIST'S TOTAL POPULATION WAS 904,699. (METOPIO, AMERICAN COMMUNITY SURVEY, 2020)AGE. IN THE AVAILABLE CENSUS DATA, FROM 2015-2019, ADVOCATE CHRIST'S DEMOGRAPHIC DATA BY AGE INCLUDES INFANTS (0-4 YEARS) 58, 333 OR 6.4%; JUVENILES (5-17 YEARS) 158,797 OR 15.8%; YOUNG ADULTS (18-39 YEARS) 256,964 OR 28.4%; MIDDLE-AGED ADULTS (40-64 YEARS) 289,962 OR 32.1%; AND SENIORS (65-OLDER) 140,643 OR 15.5%. (METOPIO, AMERICAN COMMUNITY SURVEY, 2020)GENDER. IN THE AVAILABLE CENSUS DATE, FROM 2015-2019, ADVOCATE CHRIST'S PSA MALE AND FEMALE POPULATION NEARLY MIRROR THE POPULATION WHEN COMPARED TO COOK COUNTY. THERE ARE 51.6% FEMALES IN THE PSA COMPARED TO 51.5% IN THE COOK COUNTY. SIMILARLY, THERE ARE 48.4% MALES IN THE PSA COMPARED TO 48.4% MALES IN COOK COUNTY. (METOPIO, AMERICAN COMMUNITY SURVEY, 2020)RACE/ETHNICITY. ADVOCATE CHRIST'S PSA POPULATION IS 43.0 % NON-HISPANIC WHITE; 22.7 % BLACK OR AFRICAN AMERICAN; 30.5 % HISPANIC OR LATINO; 1.1 % 2+ RACES; 2.5 % ASIAN OR PACIFIC ISLANDER; AND 0.1 % NATIVE AMERICAN. (METOPIO, AMERICAN COMMUNITY SURVEY, 2020)INCOME. IN 2020, THE MEDIAN HOUSEHOLD INCOME ADVOCATE CHRIST'S PSA WAS $66,501 UP $1,128 FROM THE PREVIOUS YEAR, COMPARED TO $77,546 IN COOK COUNTY, WHICH WAS UP ONLY $602. NATIVE AMERICANS HAD THE HIGHEST MEDIAN HOUSEHOLD INCOME AT $106,868, FOLLOWED BY ASIAN OR PACIFIC ISLANDER AT $91,264, FOLLOWED BY HISPANIC OR LATINOS AT $72,445, AND BY NON-HISPANIC WHITES AT $67,220. NON-HISPANIC BLACK OR AFRICAN AMERICANS HAD THE LOWEST MEDIAN HOUSEHOLD INCOME AT $54,500, WHICH ALSO FELL BELOW THE TOTAL POPULATION. (METOPIO, AMERICAN COMMUNITY SURVEY, 2020)POVERTY. THE NUMBER OF FAMILIES LIVING BELOW 100 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL) IN ADVOCATE CHRIST'S PSA IS 13.29 % OF THE POPULATION COMPARED TO 11.99 % IN THE STATE OF ILLINOIS. THE NUMBER OF CHILDREN IDENTIFIED AS LIVING BELOW THE FEDERAL POVERTY LEVEL IN THE PSA IS 38.61 % COMPARED TO THE STATE OF ILLINOIS AT 33.24 %. BETWEEN THE YEARS 2016-2020, THERE WERE 10.09 % OF PEOPLE 65 YEARS AND OLDER IN THE PSA LIVING BELOW THE FPL COMPARED TO 8.78 % IN THE STATE OF ILLINOIS AND 9.31 % IN THE U.S. (AMERICAN COMMUNITY SURVEY, 2020)ADULTS WITH HEALTH INSURANCE. IN 2020, 63.05 % OF RESIDENTS IN CHRIST'S PSA HAD PRIVATE HEALTH INSURANCE COMPARED 70.63 % IN THE STATE OF ILLINOIS AND 68.06 % IN THE US. THE YEAR PRIOR, THE PSA COUNTED 21.39 % OF ADULTS WITH NO HEALTH, COMPARED TO 18.23 % IN THE STATE OF ILLINOIS, AND 18.18 % IN THE US. (AMERICAN COMMUNITY SURVEY, 2020)CHILDREN WITH HEALTH INSURANCE. IN COOK COUNTY, 97.0 PERCENT OF CHILDREN HAVE HEALTH INSURANCE. THIS VALUE IS COMPARABLE TO THE STATE OF ILLINOIS VALUE OF 97.1 PERCENT AND HIGHER THAT THE U.S. VALUE OF 95.0 PERCENT. DATA INDICATES THAT IN ALL RACE AND ETHNICITY CATEGORIES, MORE THAN 95 PERCENT OF CHILDREN UNDER AGE 19 HAD HEALTH INSURANCE. INTERESTINGLY, 100 PERCENT OF CHILDREN SURVEYED IN THE AMERICAN INDIAN/ALASKA NATIVE POPULATION HAD HEALTH INSURANCE.PERSONS WITH PUBLIC HEALTH INSURANCE ONLY. IN 2020, 38.40 % OF RESIDENTS IN CHRIST'S PSA HAD PUBLIC HEALTH INSURANCE OR MEDICAID COMPARED 33.67 % IN THE STATE OF ILLINOIS AND 35.27 % IN THE US. (AMERICAN COMMUNITY SURVEY, 2020)HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. CURRENTLY THERE ARE THREE HOSPITALS/MEDICAL CENTERS AND FIVE FQHC'S WITHIN THE ADVOCATE CHRIST PSA. THE CHICAGO DEPARTMENT OF PUBLIC HEALTH (CDPH) AND COOK COUNTY HEALTH SYSTEM (CCHS) CLINICS ALSO SERVE THE MEDICAL CENTER'S PSA POPULATION. THERE ARE FOUR COMMUNITIES WHICH ARE MEDICALLY UNDERSERVED AREAS (MUAS) AND EXHIBIT THE HIGHEST SOCIAL NEEDS, INCLUDING ELSDON (60632), CHICAGO LAWN (60629), WEST ENGLEWOOD (60636) AND AUBURN GRESHAM (60620).

SCHEDULE H, PART VI, LINE 4 - LUTHERAN GEN HOSP INCL LUTH GEN CHILD
COMMUNITY INFORMATIONDESCRIPTION OF THE COMMUNITY. FOR THE 2017-2019 CHNA, ADVOCATE LUTHERAN GENERAL DEFINED COMMUNITY AS THE HOSPITAL'S PRIMARY SERVICE AREA (PSA). THERE ARE 28 ZIP CODES25 IN COOK COUNTY AND THREE IN LAKE COUNTY WITHIN THE HOSPITAL'S PSA. (SEE COMPLETE LIST OF COMMUNITIES/ZIP CODES UNDER SOCIAL DETERMINANTS OF HEALTH.) SOCIAL DETERMINANTS OF HEALTH. FOR THE 2017-2019 CHNA, ADVOCATE USED THE CONDUENT HEALTHY COMMUNITIES INSTITUTE (CONDUENT HCI) CHNA DATA TOOL. CONDUENT HCI DETERMINED THE SOCIOECONOMIC NEED AND RANKED COMMUNITIES USING A SOCIONEEDS INDEX. THE SOCIONEEDS INDEX USED SIX MAJOR SOCIO-NEED INDICATORS THAT WERE CORRELATED WITH POOR HEALTH OUTCOMES, INCLUDING INCOME, UNEMPLOYMENT, OCCUPATION, EDUCATION, LANGUAGE AND POVERTY. INDICATORS FOR THE INDEX ARE WEIGHTED TO MAXIMIZE THE CORRELATION OF THE INDEX WITH PREMATURE DEATH AND PREVENTABLE HOSPITALIZATION RATES. INDEX VALUES RANGE FROM ZERO TO 100 AND CAN BE COMPARED ACROSS GEOGRAPHIC LOCATIONS. THE RANKING OF ONE TO FIVE IS A COMPARISON OF THE INDEX VALUE FOR EACH ZIP CODE TO ALL OTHERS WITHIN THE PSA; A FIVE REPRESENTS AREAS OF HIGHER SOCIO-ECONOMIC NEED RELATIVE TO OTHERS IN THE DEFINED GEOGRAPHIC AREA. ADVOCATE LUTHERAN GENERAL'S PSA INCLUDES THE FOLLOWING COMMUNITIES, LISTED IN ORDER OF GREATEST SOCIOECONOMIC TO LOWEST SOCIOECONOMIC NEED, AS DEFINED BY THE SOCIONEEDS INDEX: IRVING PARK/PORTAGE (60641), ELMWOOD PARK (60707), DES PLAINES (60018), DUNNING (60634), JEFFERSON PARK (60630), PALATINE (60074), HARWOOD HEIGHTS (60706), MOUNT PROSPECT (60656), NILES (60714), WHEELING (60090), SKOKIE (60077), DES PLAINES (60016), PROSPECT HEIGHTS (60070), MORTON GROVE (60053), SKOKIE (60076), HARWOOD HEIGHTS (60056), NORWOOD PARK (60631), ARLINGTON HEIGHTS (60005), FOREST GLEN (60646), ARLINGTON HEIGHTS (60004), PALATINE (60067), GLENVIEW (60025), BUFFALO GROVE (60089), PARK RIDGE (60068), NORTHBROOK (60062), LAKE ZURICH (60047), GLENVIEW (60026) AND DEERFIELD (60015). WHEN COMPARED TO THE 2014-2016 CHNA COMMUNITY RANKINGS, JEFFERSON PARK (60630) AND HARDWOOD HEIGHTS (60706) IMPROVED FROM A LEVEL 5 TO A LEVEL 4 RANKING. DEMOGRAPHICS POPULATION. THE HOSPITAL'S PSA INCLUDES APPROXIMATELY 1,052,976 INDIVIDUALS, WHICH IS A SLIGHT POPULATION INCREASE FROM THE 2016 (CONDUENT HEALTH COMMUNITIES INSTITUTE, CLARITAS, 2018). AGE. THE MEDIAN AGE FOR ADVOCATE LUTHERAN GENERAL'S PSA POPULATION IS 42.3 YEARS, SLIGHTLY HIGHER THAN THE MEDIAN AGE FOR ILLINOIS (38.5) AND COOK COUNTY (37.5). GENDER. THE MALE POPULATION ACCOUNTS FOR 49 PERCENT OF THE POPULATION WHILE THE FEMALE POPULATION ACCOUNTS FOR 51 PERCENT OF THE POPULATION. RACE/ETHNICITY. THE PSA POPULATION BY RACE IS 73.12 PERCENT WHITE, 12.8 PERCENT ASIAN, 8.36 PERCENT SOME OTHER RACE, 2.45 PERCENT BLACK/AFRICAN AMERICAN, 2.83 PERCENT TWO OR MORE RACES, 0.36 PERCENT AMERICAN INDIAN/ALASKAN NATIVE AND 0.03 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER. THE WHITE POPULATION IS THE LARGEST GROUP. WHEN COMPARED TO COOK COUNTY, THE HOSPITAL SERVES A LARGER ASIAN POPULATION (7.59 PERCENT) AND A LOWER AFRICAN AMERICAN POPULATION (2.45 PERCENT). THE LARGEST ASIAN POPULATED COMMUNITIES IN THE PSA ARE 60076 SKOKIE (29.10 PERCENT), 60077 SKOKIE (32.61 PERCENT) AND 60016 DES PLAINES (22.22 PERCENT). FOR THE AFRICAN AMERICAN POPULATION, THE LARGEST COMMUNITIES ARE 60076 SKOKIE (8.17 PERCENT), 60707 ELMWOOD PARK (8.11 PERCENT) AND 60077 SKOKIE (7.46 PERCENT). INSURANCE. THE MAJORITY OF THE HOSPITAL'S PSA HAS COMMERCIAL HEALTH INSURANCE AT 60 PERCENT OF THE POPULATION, FOLLOWED BY MEDICARE AT 25 PERCENT, AND THEN MEDICAID AT 6 PERCENT. AN ESTIMATED 3.5 PERCENT OF THE POPULATION IS UNINSURED. LANGUAGE. THE DOMINANT LANGUAGE SPOKEN AT HOME BY THE HOSPITAL'S PSA POPULATION AGE 5 YEARS AND OLDER IS ENGLISH. FIFTY-SIX PERCENT OF THE PSA POPULATION SPEAKS ENGLISH, LOWER THAN COOK COUNTY (64.94 PERCENT) AND ILLINOIS (77.20 PERCENT). ADVOCATE LUTHERAN GENERAL SERVES A LARGER INDO-EUROPEAN SPEAKING POPULATION (18.68 PERCENT) WHEN COMPARED TO COOK COUNTY (8.45 PERCENT) AND ILLINOIS (5.49 PERCENT). ACCORDING TO THE U.S. CENSUS BUREAU, INDO-EUROPEAN LANGUAGES INCLUDE POLISH, RUSSIAN, FRENCH, ITALIAN, GERMAN, GREEK, YIDDISH, PORTUGUESE, HINDI, GUJARATI AND MORE. THE THIRD LARGEST LANGUAGE WITHIN THE PSA IS SPANISH AT 15.63 PERCENT. WHEN CONSIDERING THE PSA'S TOTAL HISPANIC/LATINO POPULATION (20.12 PERCENT), THE PERCENT OF THE POPULATION SPEAKING SPANISH AT HOME IS ALMOST 5 PERCENT LOWER. INCOME. THE MEDIAN HOUSEHOLD INCOME FOR THE OVERALL PSA IS $85,370, WHICH IS SIGNIFICANTLY HIGHER WHEN COMPARED TO THE ILLINOIS VALUE ($66,487). THE ASIAN POPULATION IS THE HIGHEST EARNING RACIAL AND ETHNIC GROUP WITH A MEDIAN INCOME OF $100,618. THE SECOND HIGHEST EARNING RACIAL GROUP IS THE WHITE POPULATION, WITH A MEDIAN INCOME OF $87,015WHICH IS HIGHER WHEN COMPARED TO THE OVERALL WHITE POPULATION IN ILLINOIS ($71,965). THE LOWEST EARNING GROUP IS AMERICAN INDIAN/ALASKAN NATIVE. THE TOP THREE COMMUNITIES WITH THE LOWEST MEDIAN INCOME ARE 60707 ELMWOOD PARK ($55,566), 60641 IRVING PARK ($56,488) AND 60714 NILES ($58,298). CONVERSELY, 60015 DEERFIELD ($141,268), 60047 LAKE ZURICH ($132,803) AND 60087 BUFFALO GROVE ($106,630) ARE THE TOP THREE COMMUNITIES WITH THE HIGHEST MEDIAN INCOME. POVERTY. OF THE 403,196 HOUSEHOLDS IN THE PSA, 8.2 PERCENT OF PEOPLE ARE LIVING BELOW THE FEDERAL POVERTY LEVEL (FPL), EQUIVALENT TO 33,062 FAMILIES. NO COMMUNITIES ARE IN THE WORST 25TH PERCENTILE IN THE PSAMEANING THAT NO COMMUNITIES HAVE RATES HIGHER THAN 16.2 PERCENT. HOWEVER, THE TOP THREE COMMUNITIES IN THE PSA ARE 60018 DES PLAINES (14.2 PERCENT), 60074 PALATINE (13.7 PERCENT), AND BOTH 60641 IRVING PARK AND 60077 SKOKIE, WHICH HAVE A RATE OF 13.3 PERCENT. FOR PEOPLE 65+ YEARS LIVING BELOW THE FPL (2007 TO 2017), THE PERCENTAGE RATE INCREASED BY 1.2 PERCENT. COMMUNITIES WITH THE HIGHEST RATES OF POVERTY AMONG THOSE AGED 65 AND OLDER INCLUDE: 60077 SKOKIE (14.7 PERCENT), 60641 IRVING PARK (13.4 PERCENT), 60706 HARWOOD HEIGHTS (13.2 PERCENT), 60074 PALATINE (12.5 PERCENT), 60005 ARLINGTON HEIGHTS (12 PERCENT), 60707 ELMWOOD PARK (11.6 PERCENT), 60016 DES PLAINES (11.3 PERCENT), 60646 FOREST GLEN (11 PERCENT) AND 60634 DUNNING AT 10.5 PERCENT (CONDUENT HCI, AMERICAN COMMUNITY SURVEY, 2013-2017). EDUCATION. APPROXIMATELY 90.1 PERCENT OF ADULTS AGED 25 AND OLDER HAVE COMPLETED AT LEAST A HIGH SCHOOL DEGREE OR EQUIVALENT IN THE PSA. EDUCATIONAL ATTAINMENT IS HIGHER IN THE HOSPITAL'S PSA WHEN COMPARED TO THE ILLINOIS VALUE (88.6 PERCENT) AND THE U.S VALUE (87.3 PERCENT). EIGHT COMMUNITIES IN THE PSA HAVE AN 87.4 PERCENT RATE OR LOWER, WHICH PLACES THEM IN THE WORST 25TH PERCENTILE WHEN COMPARED TO OTHER ZIP CODES IN ILLINOIS. THE COMMUNITIES WITH THE LOWEST EDUCATIONAL ATTAINMENT ARE 60641 IRVING PARK AT 79.9 PERCENT AND 60018 DES PLAINES AT 80.6 PERCENT (CONDUENT HCI, AMERICAN COMMUNITY SURVEY, 2013-2017). HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. CURRENTLY THERE ARE SIX HOSPITALS, IN ADDITION TO ADVOCATE LUTHERAN GENERAL, THREE COMMUNITY CLINICS AND TWO FQHCS WITHIN ADVOCATE LUTHERAN GENERAL'S PSA. THE HOSPITAL ALSO SERVES SEVERAL COMMUNITIES THAT ARE DESIGNATED MEDICALLY UNDERSERVED POPULATIONS (MUP) BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION. MUPS WITHIN THE HOSPITAL'S SERVICE AREA INCLUDE IRVING PARK (60641), DUNNING (60634) AND NORWOOD PARK (60631).

SCHEDULE H, PART VI, LINE 5 - LUTHERAN GEN HOSP INCL LUTH GEN CHILD
PROMOTION OF COMMUNITY HEALTHADVOCATE LUTHERAN GENERAL'S GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. SIXTY-THREE PERCENT OF THE CURRENT GC 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. CULTURAL HEALTH INITIATIVES. AS OF LATE 2020, ADVOCATE LUTHERAN GENERAL HIRED A CULTURAL AND COMMUNITY LIAISON TO SUPPORT LGH'S DIVERSE COMMUNITIES. THE CULTURAL AND COMMUNITY LIAISON IS RESPONSIBLE FOR INTEGRATING CULTURALLY APPROPRIATE SERVICES IN THE LATINX, POLISH, RUSSIAN, SOUTH ASIAN, AND SENIOR POPULATIONS. IN ALIGNMENT WITH ADVOCATE AURORA HEALTH, THE PROGRAM SEEKS TO EMBED DIVERSITY AND INCLUSION IN ALL FORMS OF PATIENT CARE. ADDITIONALLY, THE CULTURAL AND COMMUNITY LIAISON PROGRAM SUPPORTS COMMUNITY EFFORTS AND WORKS IN COLLABORATION WITH LGH'S COMMUNITY HEALTH DEPARTMENT. THIS PROGRAM IS DESIGNED TO PROMOTE AN ENVIRONMENT THAT MEETS THE UNEXPRESSED AND EXPRESSED NEEDS OF ALL PATIENTS AND FAMILIES IN THE FACILITY. THE CAROL STREET APARTMENTS. THE ADVOCATE LUTHERAN GENERAL CARE MANAGEMENT DEPARTMENT PLANS SAFE DISCHARGES FOR PATIENTS RECOVERING FROM HOSPITALIZATION, WHO HAVE NO HOUSING RESOURCES. THE DEPARTMENT MANAGES FIVE OF THE ADVOCATE LUTHERAN CAROL STREET APARTMENTS, WHICH ARE LOCATED ON THE HOSPITAL'S CAMPUS. THESE FIVE APARTMENTS ARE AVAILABLE FOR RENT ON A DAILY, WEEKLY OR MONTHLY BASIS FOR LGH PATIENTS AND/OR THEIR FAMILY MEMBERS. PATIENTS THAT ARE ACTIVELY RECEIVING SERVICES ON CAMPUS (I.E. CHEMOTHERAPY, RADIATION) AND HAVE CHALLENGES AROUND HOUSING ARE ELIGIBLE TO RESIDE IN THE APARTMENTS. IN ADDITION, THE APARTMENTS ARE ALSO AVAILABLE FOR FAMILY MEMBERS OF INPATIENTS THAT DO NOT LIVE NEAR THE HOSPITAL. TRAUMA RECOVERY CENTER. IN 2020, THE HOSPITAL OPENED A TRAUMA RECOVERY CENTER (TRC), WHICH PROVIDES TRAUMA INFORMED SERVICES SUCH AS INDIVIDUAL THERAPY, SUPPORT GROUPS, CASE MANAGEMENT AND INTENSIVE OUTREACH. TRC ALSO PROVIDES REFERRALS TO COMMUNITY RESOURCES AND SOCIAL SUPPORT, SUCH AS HOUSING AND FOOD, FOR VICTIMS OF VIOLENCE. THE PROGRAM IS FREE OF CHARGE AND AIMS TO INCREASE SAFETY AND TRAUMA SUPPORT SERVICES IN VULNERABLE COMMUNITIES. ADVOCATE CHILDREN'S CAR SEAT PROGRAM. IN 2021, ADVOCATE CHILDREN'S HOSPITALS CONTINUED TO OFFER ONE-ON-ONE CAR SEAT EDUCATION WITH THE FAMILY DETAILING THE IMPORTANCE OF PROPER CAR SEAT SAFETY, WHICH INCLUDED ONE-ON-ONE CAR SEAT INSTALLATION EDUCATION WITH REQUIRED TEACH BACK BY THE FAMILY. THE CHILD REQUIRING A CAR SEAT IS EVALUATED FOR PROPER FIT IN THE CURRENT CAR SEAT. THE CAR SEAT IS ALSO INSPECTED FOR ANY DEFECTS AND IS EVALUATED FOR COMPATIBILITY IN THE VEHICLE. IN 2021, THE PROGRAM WAS ABLE TO PROVIDE 104 CAR SEATS TO FAMILIES IN NEED AND REACHED 6295 FAMILIES WITH CAR SEAT INFORMATION AND ASSISTANCE. COMMUNITY LEADERSHIP. ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S LEADERS ARE ACTIVELY INVOLVED IN THE COMMUNITY THROUGH REPRESENTATION AND/OR PARTICIPATION IN MANY COMMUNITY ORGANIZATIONS, SUCH AS LOCAL CHAMBERS OF COMMERCE, INCLUDING THE PARK RIDGE CHAMBERS OF COMMERCE. ADVOCATE LUTHERAN LEADERS ALSO SERVE ON MULTIPLE BOARDS INCLUDING THE CATHOLIC CHARITIES OF DES PLAINES BOARD, THE JULIE ORGANIZATION FOR OVARIAN CANCER BOARD, PARTNERSHIP FOR RESILIENCE, THE MAINE TOWNSHIP HIGH SCHOOL DISTRICT 207 BOARD AND THE ALLIANCE FOR HEALTH EQUITY COLLABORATIVE. ADVOCATE LUTHERAN GENERAL HOSPITAL IS COMMITTED TO THE COMMUNITY AND ENSURES LEADERSHIP INVOLVEMENT IN THE COMMUNITY. COVID-19 PREVENTION AND MITIGATION. IN RESPONSE TO THE HEALTH NEEDS DURING THE ONGOING COVID-19 PANDEMIC, ADVOCATE LUTHERAN GENERAL HOSPITAL AND ADVOCATE CHILDREN'S HOSPITAL PARTNERED WITH LOCAL ORGANIZATIONS TO PROVIDE COVID-19 TESTING AND VACCINATIONS IN UNDERSERVED COMMUNITIES WITH HIGH RATES OF COVID-19. IN 2021, THE PARTNERSHIP OFFERED THE COVID-19 VACCINATION TO THOUSANDS OF INDIVIDUALS. IN ADDITION, ADVOCATE LUTHERAN GENERAL PARTICIPATED IN THE NEIGHBOR-TO-NEIGHBOR VACCINE CHAMPION PROGRAM, WHICH AIMED TO INCREASE VACCINATION RATES IN HARD-HIT COMMUNITIES OF COLOR. IN PARTNERSHIP WITH THE CENTRAL CHICAGOLAND AND SYSTEM COMMUNITY HEALTH TEAM, THE HOSPITAL PROVIDED VACCINE TRAINING TO COMMUNITY PARTNERS IN ADVOCATE LUTHERAN GENERAL'S SERVICE AREA TO INCREASE VACCINATION RATES AND DECREASE VACCINE HESITANCY AND MISINFORMATION. IN ADDITION, ADVOCATE LUTHERAN GENERAL WORKED WITH THE CITY OF PARK RIDGE TO ENSURE ACCESS TO VACCINATIONS FOR SENIORS. THE HOSPITAL'S CHIEF NURSING OFFICER WORKED WITH THE CITY OF PARK RIDGE OFFICIALS TO SCHEDULE CLINIC VACCINATION HOURS FOR SENIORS. THROUGH THIS INITIATIVE, OVER 24,000 FULL VACCINATIONS WERE PROVIDED TO COMMUNITY AND TEAM MEMBERS. LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN (LEED). ADVOCATE LUTHERAN GENERAL ALSO ASSURES ENVIRONMENTAL RESPONSIVENESS, RESOURCE EFFICIENCY AND COMMUNITY SENSITIVITY THROUGH LEED DESIGNATION FOR THE HOSPITAL'S NEW BED TOWER AND ONGOING EDUCATIONAL ACTIVITIES. AWARDED BY THE U.S. GREEN BUILDING COUNCIL, LEED IS A FOUNDATIONAL PROFESSIONAL CREDENTIAL SIGNIFYING CORE COMPETENCY IN GREEN BUILDING PRINCIPLES.

SCHEDULE H, PART VI, LINE 4 - ADVOCATE GOOD SAMARITAN HOSPITAL
"COMMUNITY INFORMATIONDESCRIPTION OF COMMUNITY. ADVOCATE GOOD SAMARITAN DEFINED ITS COMMUNITY AS DUPAGE COUNTY FOR THE 2017-2019 CHNA. IN PARTNERSHIP WITH THE DUPAGE COUNTY HEALTH DEPARTMENT AND ALONG WITH DUPAGE COUNTY HOSPITALS AND COMMUNITY ORGANIZATIONS, ADVOCATE GOOD SAMARITAN CONDUCTED A JOINT CHNA FOR DUPAGE COUNTY, WHICH INCLUDES 36 ZIP CODES AND 31 COMMUNITIES. THE DUPAGE COUNTY COMMUNITIES INCLUDE ZIP CODES 60101 (ADDISON), 60504 (AURORA), 60502 (AURORA), 60103 (BARTLETT), 60106 (BENSENVILLE), 60108 (BLOOMINGDALE), 60527 (BURR RIDGE), 60188 (CAROL STREAM), 60514 (CLARENDON HILLS), 60561 (DARIEN), 60515 (DOWNERS GROVE), 60516 (DOWNERS GROVE), 60126 (ELMHURST), 60519 (EOLA), 60137 (GLEN ELLYN), 60139 (GLENDALE HEIGHTS), 60521 (HINSDALE), 60143 (ITASCA), 60532 (LISLE), 60148 (LOMBARD), 60157 (MEDINAH), 60540 (NAPERVILLE), 60565 (NAPERVILLE), 60563 (NAPERVILLE), 60523 (OAK BROOK), 60172 (ROSELLE), 60181 (VILLA PARK), 60555 (WARRENVILLE), 60184 (WAYNE), 60185 (WEST CHICAGO), 60559 (WESTMONT), 60187 (WHEATON), 60189 (WHEATON), 60190 (WINFIELD), 60191 (WOOD DALE), 60517 (WOODRIDGE). ADVOCATE GOOD SAMARITAN ALSO CONDUCTED A SUPPLEMENTAL CHNA FOR TWO COMMUNITIES WITHIN THE HOSPITAL'S PSA BUT OUTSIDE OF DUPAGE COUNTY. THE COMMUNITIES INCLUDE BOLINGBROOK (60440) AND ROMEOVILLE (60446), WHICH ARE HIGH SOCIONEEDS COMMUNITIES IN WILL COUNTY. THE SUPPLEMENTAL CHNA IS INCLUDED IN THE APPENDIX OF THE DUPAGE COUNTY CHNA AND INCLUDES DEMOGRAPHIC AND SOCIOECONOMIC DATA. DEMOGRAPHICS POPULATION. THE TOTAL POPULATION FOR DUPAGE COUNTY IS 929,026 (CONDUENT HEALTHY COMMUNITIES INSTITUTE [HCI], 2018). THE TOTAL POPULATION FOR THE TWO ADDITIONAL WILL COUNTY HIGH SOCIONEEDS COMMUNITIES THAT WERE ASSESSED IS 93,181 PERSONS, WITH 41,410 IN ROMEOVILLE AND 51,771 IN BOLINGBROOK. AGE. TWENTY-THREE PERCENT OF THE DUPAGE COUNTY POPULATION IS UNDER THE AGE OF 18, WHILE 9.3 PERCENT OF THE POPULATION IS BETWEEN THE AGES OF 18 AND 24. THE LARGEST AGE GROUP IS THE 25-64-YEAR-OLD AGE GROUP, WITH A POPULATION OF 53.01 PERCENT (CONDUENT HCI, CLARITAS, 2018). THE THIRD LARGEST AGE GROUP IS THE SENIOR POPULATION (65 YEARS AND OLDER) AT 17 PERCENT. THE LIFE EXPECTANCY FOR THE COUNTY IS 82.5 YEARS, WHICH IS HIGHER THAN THE STATE OF ILLINOIS AT 79.2 YEARS AND THE U.S. AT 79.1 YEARS OF AGE. GENDER. FEMALES MAKE UP 51 PERCENT OF DUPAGE COUNTY WHILE MALES MAKE UP 49 PERCENT OF THE COUNTY. RACE/ETHNICITY. DUPAGE COUNTY IS 74.7 PERCENT WHITE, FOLLOWED BY THE ASIAN POPULATION AT 11.68 PERCENT, THE ""OTHER"" POPULATION AT 5.45 PERCENT, THE BLACK/AFRICAN AMERICAN POPULATION AT 5.22 PERCENT, TWO OR MORE RACES AT 2.6 PERCENT, AMERICAN INDIAN/ALASKAN NATIVE AT 0.3 PERCENT AND THE NATIVE HAWAIIAN/PACIFIC ISLANDER POPULATION AT 0.04 PERCENT. THE ETHNIC MAKE-UP OF THE COUNTY IS 15 PERCENT HISPANIC/LATINO AND 85 PERCENT NON-HISPANIC/LATINO (CONDUENT HCI, CLARITAS, 2018). INCOME. THE MEDIAN HOUSEHOLD INCOME IN DUPAGE COUNTY IS $88,988, WHICH IS SIGNIFICANTLY HIGHER THAN THE STATE'S MEDIAN HOUSEHOLD INCOME OF $64,87 (CONDUENT HCI, CLARITAS, 2018). THERE IS A LARGE RACIAL DISPARITY IN THE MEDIAN HOUSEHOLD INCOME WITH THE WHITE AND ASIAN POPULATIONS HAVING THE HIGHEST HOUSEHOLD INCOMES AND THE AFRICAN AMERICAN, ""OTHER AND AMERICAN INDIAN/ALASKAN NATIVE POPULATIONS HAVING THE LOWEST MEDIAN HOUSEHOLD INCOMES. POVERTY. THE NUMBER OF FAMILIES LIVING BELOW THE FEDERAL POVERTY LEVEL (FPL) IS 1,982, WHICH ACCOUNTS FOR FIVE PERCENT OF FAMILIES IN DUPAGE COUNTY. IN ADDITION, THERE ARE 9,162 FAMILIES WITH CHILDREN THAT LIVE BELOW THE FPL, WHICH ACCOUNTS FOR 3.9 PERCENT OF FAMILIES WITH CHILDREN. FURTHERMORE, 5.4 PERCENT OF SENIORS AGED 65 AND OLDER LIVE BELOW THE FPL. ADULTS WITH HEALTH INSURANCE. DUPAGE COUNTY ADULTS WITH HEALTH INSURANCE ACCOUNT FOR 92.6 PERCENT OF THE ADULT POPULATION, WHICH IS HIGHER THAN THE STATE OF ILLINOIS AT 90.2 PERCENT AND THE U.S. AT 87.7 PERCENT. THERE IS A RACIAL AND ETHNIC DISPARITY IN THE RATES OF HEALTH INSURANCE AMONG ADULTS WITH THE WHITE POPULATION HAVING THE HIGHEST COVERAGES RATES AT 95.1 PERCENT COMPARED TO THE HISPANIC/LATINO POPULATION AT 80.3 PERCENT.CHILDREN WITH HEALTH INSURANCE. DUPAGE COUNTY CHILDREN WITH HEALTH INSURANCE ACCOUNT FOR 96.3 PERCENT OF THE POPULATION AMONG THOSE AGED 18 YEARS AND YOUNGER, WHICH IS SLIGHTLY LOWER THAN THE STATE OF ILLINOIS AT 97.1 PERCENT AND SLIGHTLY MORE THAN THE U.S. AT 95 PERCENT. THERE IS A RACIAL DISPARITY IN INSURANCE RATES AMONG CHILDREN IN DUPAGE COUNTY WITH 98 PERCENT OF WHITE NON-HISPANIC CHILDREN HAVING HEALTH INSURANCE AND ONLY 88.4 PERCENT OF AFRICAN AMERICAN CHILDREN HAVING HEALTH INSURANCE. PERSONS WITH PUBLIC HEALTH INSURANCE ONLY. PUBLIC HEALTH INSURANCE COVERS 14.1 PERCENT OF THE POPULATION IN DUPAGE COUNTY, WHICH IS LESS THAT THE STATE OF ILLINOIS AT 23.3 PERCENT AND THE U.S. AT 23.6 PERCENT. HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. THERE ARE FIVE HOSPITALS IN ADDITION TO ADVOCATE GOOD SAMARITAN LOCATED IN THE PSA, INCLUDING EDWARD HOSPITAL IN NAPERVILLE, AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE IN HINSDALE, AMITA HEALTH ADVENTIST MEDICAL CENTER BOLINGBROOK IN BOLINGBROOK, AND ELMHURST MEMORIAL HOSPITAL IN ELMHURST. THE DUPAGE COUNTY HEALTH DEPARTMENT, AS WELL AS THE ACCESS COMMUNITY HEALTH NETWORK, WHICH IS A FQHC, 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 COUNTY'S LOW-INCOME AND MEDICALLY UNINSURED RESIDENTS. IT REPRESENTS A UNIQUE PARTNERSHIP OF COUNTY HOSPITALS (INCLUDING ADVOCATE GOOD SAMARITAN), PHYSICIANS, LOCAL GOVERNMENT, HUMAN SERVICE AGENCIES AND COMMUNITY GROUPS WORKING TOGETHER TO ADDRESS THIS FORMIDABLE ISSUE. THERE ARE SEVERAL MEDICALLY UNDERSERVED POPULATIONS (MUP) AS DESIGNATED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION. MUPS IN THE HOSPITAL'S SERVICE AREA INCLUDE VILLA PARK (60181), BOLINGBROOK (60440) AND ADDISON (60101)."

SCHEDULE H, PART VI, LINE 5 - ADVOCATE GOOD SAMARITAN HOSPITAL
PROMOTION OF COMMUNITY HEALTHTHE GOVERNING COUNCIL AT ADVOCATE GOOD SAMARITAN 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. 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.ADVOCATE GOOD SAMARITAN 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 TO HAZARD VULNERABILITY ANALYSIS (HVA). THESE EXERCISES, COMPLETED IN CONJUNCTION WITH STATE, COUNTY AND COMMUNITY PARTNERS, IMPROVE THE THOROUGHNESS AND EFFICIENCY OF THE REGION 8 EMERGENCY PREPAREDNESS PLAN.IN 2021, AS A RESPONSE TO THE COVID-19 PANDEMIC, ADVOCATE GOOD SAMARITAN PARTNERED WITH THE DUPAGE COUNTY HEALTH DEPARTMENT TO INCREASE ACCESS AND ADMINISTER COVID VACCINATIONS. IN 2021, THE HOSPITAL ADMINISTERED OVER 30,000 FULL VACCINATIONS TO TEAM MEMBERS, LOCAL HEALTH CARE PROVIDERS AND VULNERABLE POPULATIONS. TO ENSURE QUALITY AND SAFE CARE ADVOCATE GOOD SAMARITAN INVESTED OVER $1.9 MILLION IN PURCHASING A SURGICAL ROBOT TO ENSURE THE HOSPITAL PROVIDES TECHNOLOGICALLY ADVANCED CARE TO PATIENTS AND THE COMMUNITY.

SCHEDULE H, PART VI, LINE 4 - ADVOCATE GOOD SHEPHERD HOSPITAL
COMMUNITY INFORMATIONDESCRIPTION OF THE COMMUNITY/POPULATION. FOR THE PURPOSE OF THIS 2017-2019 CHNA, ADVOCATE GOOD SHEPHERD DEFINES COMMUNITY AS THE HOSPITAL'S PSA. THE PSA INCLUDES COMMUNITIES IN MCHENRY COUNTY AND LAKE COUNTY, AND A SMALL PORTION OF BARRINGTON THAT LIES IN COOK COUNTY. THE PSA INCLUDES THE FOLLOWING VILLAGES AND CITIES: BARRINGTON (ZIP CODE 60010); CRYSTAL LAKE (60014); LAKE ZURICH (60047); CARY (60013); FOX RIVER GROVE (60021); ISLAND LAKE (60042); WAUCONDA (60084); MCHENRY (60050, 60051); ALGONQUIN (60102); AND LAKE IN THE HILLS (60156).DEMOGRAPHICS POPULATION. ADVOCATE GOOD SHEPHERD'S PSA POPULATION IS 309,765. FOR ADVOCATE AURORA, THE PSA IS DEFINED AS THE GEOGRAPHICAL AREA WHERE 75 PERCENT OF PATIENTS RESIDE. THE PSA EXPERIENCED SLOW POPULATION GROWTH OF 0.59 PERCENT FROM 2010 TO 2019. SIX COMMUNITIES EXPERIENCED AN INCREASE IN POPULATION FROM 2010 TO 2019 (MCHENRYBOTH ZIP CODES, LAKE IN THE HILLS, BARRINGTON, LAKE ZURICH AND WAUCONDA), WHILE THE OTHER FIVE HAD A DECREASE IN POPULATION (FOX RIVER GROVE, CRYSTAL LAKE, ALGONQUIN, ISLAND LAKE AND CARY).AGE. THE MEDIAN AGE OF ALL RESIDENTS IN THE HOSPITAL'S PSA IS 41.68 YEARS; THE MEDIAN AGE FOR FEMALES IS 42.83 YEARS AND 40.45 YEARS FOR MALES. THE PSA MEDIAN AGE HAS INCREASED BY 0.7 YEARS SINCE THE 2016 CHNA.GENDER. A TOTAL OF 49.6 PERCENT OF THE HOSPITAL'S PSA RESIDENTS ARE MALE AND 50.4 PERCENT ARE FEMALE.RACE/ETHNICITY. THE POPULATION OF THE HOSPITAL'S PSA IS 86.6 PERCENT WHITE, 5.8 PERCENT ASIAN AND 1.5 PERCENT AFRICAN AMERICAN. NINETY PERCENT OF RESIDENTS ARE NON-HISPANIC, AND 10.4 PERCENT ARE OF HISPANIC ETHNICITY. THE ZIP CODES IN THE HOSPITAL'S PSA WITH THE HIGHEST PERCENT OF HISPANIC RESIDENTS ARE WAUCONDA (19.8 PERCENT), ISLAND LAKE (17.9 PERCENT), MCHENRY (14.6 PERCENT), LAKE IN THE HILLS (13.8 PERCENT) AND CRYSTAL LAKE (13.5 PERCENT).INCOME. THE MEDIAN HOUSEHOLD INCOME FOR THE PSA POPULATION IS $104,718. THE GROUP WITH THE HIGHEST MEDIAN HOUSEHOLD INCOME IS ASIAN AT $151,905 AND THE LOWEST IS AMERICAN INDIAN/PACIFIC ISLANDER AT $42,405. NON-HISPANICS HAVE A HIGHER MEDIAN HOUSEHOLD INCOME AT $107,714 THAN HISPANICS AT $68,679.POVERTY. IN THE PSA, 5.4 PERCENT OF PEOPLE ARE LIVING BELOW 100 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL). SIXTY-SEVEN PERCENT OF CHILDREN AND 4.8 PERCENT OF ADULTS AGE 65 AND OLDER ARE LIVING BELOW THE POVERTY LEVEL. IN LAKE COUNTY, 13.8 PERCENT OF PERSONS WITH A DISABILITY ARE LIVING IN POVERTY AND THE RATE IS 13.3 PERCENT FOR PERSONS WITH A DISABILITY IN MCHENRY COUNTY.ADULTS WITH HEALTH INSURANCE. IN LAKE COUNTY, 91.7 PERCENT OF ADULTS AGES 19-64 YEARS HAVE ANY TYPE OF HEALTH INSURANCE COVERAGE, WHILE THE PERCENTAGE OF MCHENRY COUNTY ADULTS IS 93.5 PERCENT. HISPANICS HAVE DISPROPORTIONATELY LOWER RATES OF INSURANCE IN BOTH LAKE AND MCHENRY COUNTIES, AT 76.6 PERCENT AND 79.6 PERCENT, RESPECTIVELY.CHILDREN WITH HEALTH INSURANCE. THE PERCENT OF CHILDREN WITH HEALTH INSURANCE IN LAKE COUNTY (97.2 PERCENT) IS SLIGHTLY HIGHER THAN IN MCHENRY COUNTY (97 PERCENT); THE INDICATOR CONSIDERS CHILDREN UNDER 19 THAT HAVE ANY TYPE OF HEALTH INSURANCE COVERAGE.PERSONS WITH PUBLIC HEALTH INSURANCE ONLY. IN LAKE AND MCHENRY COUNTIES, THE PERCENTAGE OF PERSONS WITH PUBLIC HEALTH INSURANCE ONLY IS 18.5 PERCENT AND 15.9 PERCENT, RESPECTIVELY. BOTH COUNTIES HAVE LOWER PERCENTAGES OF PERSONS WITH PUBLIC HEALTH INSURANCE THAN ILLINOIS (23.3 PERCENT) AND THE U.S. (23.6 PERCENT). THE RATES FOR BOTH COUNTIES ARE TRENDING UP NON-SIGNIFICANTLY OVER TIME.HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. THE HOSPITALS AND FQHCS IN THE ADVOCATE GOOD SHEPHERD PSA INCLUDE ADVOCATE SHERMAN HOSPITAL (ELGIN, IL), ADVOCATE CONDELL MEDICAL CENTER (LIBERTYVILLE, IL), NORTHWESTERN MEDICINE-HUNTLEY HOSPITAL (HUNTLEY, IL), GREATER ELGIN FAMILY CARE CENTER (GEFCC) (FQHC), AUNT MARTHA'S CLINIC (FQHC), LAKE COUNTY HEALTH DEPARTMENT AND ERIE HEALTH WAUKEGAN (FQHC). IN LAKE COUNTY, THERE ARE FOUR DESIGNATED MEDICALLY UNDERSERVED AREAS (MUAS)ONE FOR THE NORTH CHICAGO SERVICE AREA, ONE FOR WAUKEGAN SERVICE AREA, ONE FOR ZION SERVICE AREA AND ONE FOR THE HIGHLAND PARK/HIGHWOOD SERVICE AREA. IN MCHENRY COUNTY, THERE IS ONE DESIGNATED MEDICALLY UNDERSERVED POPULATION (MUP) FOR THE POVERTY POPULATION OF WOODSTOCK.

SCHEDULE H, PART VI, LINE 5 - ADVOCATE GOOD SHEPHERD HOSPITAL
PROMOTION OF COMMUNITY HEALTHADVOCATE GOOD SHEPHERD GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. FORTY-SEVEN PERCENT OF THE CURRENT GC 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 SHEPHERD DONATES STAFF TIME AND EXPERTISE TO SEVERAL LOCAL COUNCILS, BOARDS, COALITIONS AND COMMITTEES. THE HOSPITAL'S PRESIDENT SERVES ON THE BOARD OF THE BARRINGTON AREA COMMUNITY FOUNDATION, AND THE VICE PRESIDENT OF PHYSICIAN STRATEGY AND CLINICAL OPERATIONS SERVES ON THE BOARD OF THE FOGLIA YMCA WHICH FOCUSES ON YOUTH DEVELOPMENT, HEALTHY LIVING AND SOCIAL RESPONSIBILITY. THE HOSPITAL'S DIRECTOR OF THE EMERGENCY DEPARTMENT AND CRITICAL CARE SERVES ON THE BOARD OF THE SAMARITAN COUNSELING CENTER. THE DIRECTOR OF COMMUNITY HEALTH REPRESENTS THE HOSPITAL ON THE MCHENRY COUNTY SUBSTANCE ABUSE COALITION AND THE LAKE COUNTY OPIOID INITIATIVE TASK FORCE, WHICH FOCUS ON ISSUES OF SUBSTANCE ABUSE PREVENTION AND TREATMENT IN THE SERVICE AREA. THE COMMUNITY HEALTH DIRECTOR ALSO SERVES ON THE LIVE WELL LAKE COUNTY STEERING COMMITTEE, WHICH PROVIDES OVERSIGHT TO THE IMPLEMENTATION OF THE LAKE COUNTY HEALTH DEPARTMENT'S STRATEGIC PLAN. BOTH THE COMMUNITY HEALTH DIRECTOR AND COMMUNITY HEALTH COORDINATOR SIT ON THE MCHENRY COUNTY HEALTH COALITION, ALONG WITH REPRESENTATIVES FROM NORTHWESTERN HOSPITAL AND THE MCHENRY COUNTY MENTAL HEALTH BOARD, TO PROVIDE OVERSIGHT OF THE MCHENRY COUNTY HEALTH DEPARTMENT'S STRATEGIC PLAN. THE ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH COORDINATOR AND THE DIRECTOR OF COMMUNITY RELATIONS SIT ON THE HEALTHIER BARRINGTON COALITION, A COMMITTEE OF ELECTED OFFICIALS, BUSINESS LEADERS, SOCIAL SERVICE, MENTAL HEALTH AND MEDICAL PROVIDERS FOCUSED ON IMPROVING THE HEALTH OF THE BARRINGTON AREA. THE COMMUNITY RELATIONS DIRECTOR ALSO SERVES ON THE HARPER COLLEGE FOUNDATION BOARD, EL VALOR BOARD AND MANO A MANO FAMILY RESOURCE CENTER BOARD. THE HOSPITAL'S SENIOR SERVICES COORDINATOR SERVES ON THE BOARD OF THE FAMILY HEALTH PARTNERSHIP CLINIC, A FREE CLINIC SERVING UNINSURED RESIDENTS OF THE SERVICE AREA. THE COMMUNITY HEALTH COORDINATOR SITS ON THE BE STRONG TOGETHER BOARD AND THE WAUCONDA CHOOSE YOUR OWN PATH COALITION, A COALITION ADDRESSING THE HEALTH AND COMMUNITY DEVELOPMENT NEEDS OF THE WAUCONDA AREA. IN ADDITION, THE HOSPITAL ROUTINELY MAKES CASH AND IN-KIND DONATIONS TO PARTNERS, SUCH AS THE PIONEER CENTER AND FAMILY HEALTH PARTNERSHIP CLINIC, TO FURTHER THE HEALTH OF THE COMMUNITY, INCLUDING THE DONATION OF MEDICAL SUPPLIES THROUGH COMMUNITY ORGANIZATIONS.

SCHEDULE H, PART VI, LINE 2 - ADVOCATE SOUTH SUBURBAN HOSPITAL
NEEDS ASSESSMENTFOCUS GROUPS. BETWEEN AUGUST 2018 AND FEBRUARY 2019, ILLINOIS PUBLIC HEALTH INSTITUTE WORKED WITH THE ALLIANCE PARTNERS, INCLUDING ADVOCATE SOUTH SUBURBAN TO HOLD A TOTAL OF 52 COMMUNITY INPUT SESSIONS (FOCUS GROUPS AND LEARNING MAP SESSIONS) WITH PRIORITY POPULATIONS, SUCH AS VETERANS, INDIVIDUALS LIVING WITH MENTAL ILLNESS, COMMUNITIES OF COLOR, OLDER ADULTS, CAREGIVERS, TEENS AND YOUNG ADULTS, LGBTQ+ COMMUNITY MEMBERS, ADULTS AND TEENS EXPERIENCING HOMELESSNESS, FAMILIES WITH CHILDREN, FAITH COMMUNITIES, ADULTS WITH DISABILITIES, AND CHILDREN AND ADULTS LIVING WITH CHRONIC CONDITIONS SUCH AS DIABETES AND ASTHMA. THE COMMUNITY INPUT SESSIONS INCLUDED 31 FOCUS GROUPS CONDUCTED BY IPHI AND 21 LEARNING MAP SESSIONS LED BY WEST SIDE UNITED WITH NOTETAKING BY IPHI. IN ADDITION TO THE 52 COMMUNITY INPUT SESSIONS, THERE WERE ALSO FIVE FOCUS GROUPS WITH HEALTH CARE AND SOCIAL SERVICE PROVIDERS. OTHER NATIONAL AND LOCAL DATA. BETWEEN JUNE 2018 AND JUNE 2019, ADVOCATE SOUTH SUBURBAN STAFF COLLECTED PERTINENT COMMUNITY HEALTH DATA FOR THE HOSPITAL'S PSA. OTHER DATA SOURCES REVIEWED INCLUDED THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, ILLINOIS DEPARTMENT OF PUBLIC HEALTH, ADVOCATE SOUTH SUBURBAN PATIENT UTILIZATION DATA, HEALTHY PEOPLE 2020, AND THE CDC (STATE AND COUNTY HEALTH DATA).

SCHEDULE H, PART VI, LINE 2 - ADVOCATE TRINITY HOSPITAL
NEEDS ASSESSMENTFOCUS GROUPS. BETWEEN AUGUST 2018 AND FEBRUARY 2019, THE ILLINOIS PUBLIC HEALTH INSTITUTE WORKED WITH THE ALLIANCE PARTNERS TO HOLD A TOTAL OF 52 COMMUNITY INPUT SESSIONS (FOCUS GROUPS AND LEARNING MAP SESSIONS) WITH PRIORITY POPULATIONS SUCH AS VETERANS, INDIVIDUALS LIVING WITH MENTAL ILLNESS, COMMUNITIES OF COLOR, OLDER ADULTS, CAREGIVERS, TEENS AND YOUNG ADULTS, LGBTQ+ COMMUNITY MEMBERS, ADULTS AND TEENS EXPERIENCING HOMELESSNESS, FAMILIES WITH CHILDREN, FAITH COMMUNITIES, ADULTS WITH DISABILITIES, AND CHILDREN AND ADULTS LIVING WITH CHRONIC CONDITIONS, SUCH AS DIABETES AND ASTHMA. THE COMMUNITY INPUT SESSIONS INCLUDED 31 FOCUS GROUPS CONDUCTED BY IPHI AND 21 LEARNING MAP SESSIONS LED BY WEST SIDE UNITED. IN ADDITION TO THE 52 COMMUNITY INPUT SESSIONS, THERE WERE ALSO FIVE FOCUS GROUPS WITH HEALTH CARE AND SOCIAL SERVICE PROVIDERS HOSTED BY SWEDISH COVENANT HOSPITAL, MACNEAL HOSPITAL AND SOUTH SHORE HOSPITAL. OTHER AVAILABLE NATIONAL AND LOCAL DATA. BETWEEN JUNE 2018 AND JUNE 2019, ADVOCATE TRINITY'S STAFF COLLECTED PERTINENT COMMUNITY HEALTH DATA FOR THE HOSPITAL'S PSA. OTHER DATA SOURCES REVIEWED INCLUDED THE CHICAGO HEALTH ATLAS, ILLINOIS DEPARTMENT OF PUBLIC HEALTH, CHICAGO DEPARTMENT OF PUBLIC HEALTH, ADVOCATE TRINITY PATIENT UTILIZATION DATA, CITY OF CHICAGO-HEALTHY CHICAGO 2.0, HEALTHY PEOPLE 2020, AND THE CDC (STATE AND COUNTY HEALTH DATA). A COMPREHENSIVE LIST OF DATA RESOURCES IS PROVIDED IN APPENDIX 1 OF ADVOCATE TRINITY'S 2017-2019 CHNA REPORT AT: HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/DOCUMENTS/CHNA/TRINITY-HOSPITAL/0805_TRINITY_CHNA_2017-2019-FINAL-LINKED-(LR).PDF

SCHEDULE H, PART VI, LINE 4 - ADVOCATE SOUTH SUBURBAN HOSPITAL
"COMMUNITY INFORMATIONFOR THE 2017-2019 CHNA, ADVOCATE SOUTH SUBURBAN DEFINED THE COMMUNITY AS THE HOSPITAL'S PSA. THIS AREA INCLUDES THE FOLLOWING CITIES AND TOWNS: CALUMET CITY, CHICAGO HEIGHTS, COUNTRY CLUB HILLS, DOLTON, FLOSSMOOR, GLENWOOD, HARVEY, MARKHAM, HAZEL CREST, HOMEWOOD, LANSING, MATTESON, MIDLOTHIAN, OAK FOREST, OLYMPIA FIELDS, PARK FOREST, RICHTON PARK, SOUTH HOLLAND, THORNTON, TINLEY PARK, AND FRANKFORT.DEMOGRAPHICS POPULATION. IN 2019, THE TOTAL POPULATION FOR ADVOCATE SOUTH SUBURBAN'S PSA CONSISTED OF 479,400 PERSONS. THE PSA POPULATION DECREASED BY 0.82 PERCENT FROM 2010 TO 2019. SIMILARLY, THE STATE OF ILLINOIS POPULATION DECREASED 0.46 PERCENT (CONDUENT HEALTHY COMMUNITIES INSTITUTE, 2019).AGE. AS OF 2019, THE MEDIAN AGE IN THE HOSPITAL'S PSA IS 39 YEARS, WHICH IS EQUAL TO THE STATE OF ILLINOIS' MEDIAN AGE AT 39. IN THE ADVOCATE SOUTH SUBURBAN PSA, THE MEDIAN AGE FOR MEN IS 36 YEARS, WHILE THE MEDIAN AGE FOR WOMEN IS 41 YEARS. INDIVIDUALS AGED 25-64 YEARS MAKE UP MOST OF THE PSA'S POPULATION (52.08 PERCENT), WHICH IS SIMILAR TO THE STATE OF ILLINOIS (52.34 PERCENT). OVERALL, INDIVIDUALS AGED 55-64 MAKE UP 13.84 PERCENT OF THEPSA, WHILE INDIVIDUALS AGED 25-34 MAKE UP 13.48 PERCENT OF THE PSAGENDER. THERE ARE 52.46 PERCENT FEMALES IN THE HOSPITAL'S PSA WHILE 47.54 PERCENT ARE MALES. THE PERCENTAGE OF FEMALES COMPARED TO MALES IS COMPARABLE TO THE STATE OF ILLINOIS AT 50.82 PERCENT FEMALE AND 49.18 PERCENT MALE. OVERALL, THERE ARE NO NOTABLE DIFFERENCES IN GENDER BETWEEN THE HOSPITAL'S PSA AND THE STATE OF ILLINOIS AMONG THE MALE AND FEMALE POPULATION.RACE/ETHNICITY. ADVOCATE SOUTH SUBURBAN'S PSA POPULATION IS 47.40 PERCENT BLACK/AFRICAN AMERICAN; 41.70 PERCENT WHITE; 5.99 PERCENT ""OTHER RACE; 2.77 PERCENT 2+ RACES; 1.84 PERCENT ASIAN; 0.27 PERCENT AMERICAN INDIAN/ALASKAN NATIVE; AND 0.03 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER. THE HOSPITAL'S PSA HAS A SUBSTANTIALLY HIGHER REPRESENTATION OF BLACK/AFRICAN AMERICAN POPULATION WHEN COMPARED TO THE STATE OF ILLINOIS. THE ETHNIC MAKEUP OF THE PSA IS 87.06 PERCENT NON-HISPANIC AND 12.94 PERCENT HISPANIC/LATINO. THE PSA HAS A SMALLER HISPANIC/LATINO POPULATION COMPARED TO THE STATE OF ILLINOIS AT 17.62 HISPANIC/LATINO AND 82.38 PERCENT NON-HISPANIC/LATINO.INCOME. AS OF 2019, 16.62 PERCENT OF HOUSEHOLDS IN THE PSA HAVE A HOUSEHOLD INCOME BETWEEN $50,000-$74,499. COMPARATIVELY, THE STATE OF ILLINOIS HAS 16.36 PERCENT OF HOUSEHOLDS WITH AN INCOME BETWEEN 50,000-$74,499.POVERTY. AS OF 2019, THE NUMBER OF FAMILIES IN THE HOSPITAL'S PSA LIVING BELOW 100 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL) IS 14,168 PEOPLE OR 11.46 PERCENT OF THE POPULATION, WHICH IS HIGHER THAN THE STATE OF ILLINOIS AT 9.80 (313,034 PEOPLE). THE NUMBER OF FAMILIES WITH CHILDREN LIVING BELOW THE 100 PERCENT FPL IN THE PSA IS 10,468 OR 8.47 PERCENT AS COMPARED TO 235,695 OR 7.38 PERCENT IN THE STATE OF ILLINOIS. THE NUMBER OF CHILDREN IDENTIFIED AS LIVING BELOW THE POVERTY LEVEL IS 21.7 PERCENT COMPARED TO THE STATE OF ILLINOIS AT 18.8 PERCENT. BETWEEN THE YEARS 2013-2017, 9.6 PERCENT OF PEOPLE 65 YEARS AND OLDER RESIDING IN THE HOSPITAL'S PSA WERE LIVING BELOW THE FPL COMPARED TO 8.8 PERCENT IN THE STATE OF ILLINOIS AND 9.3 PERCENT IN THE U.S.ADULTS WITH HEALTH INSURANCE. IN COOK COUNTY, 87.4 PERCENT OF ADULTS AGE 19 AND OVER ARE IDENTIFIED AS HAVING HEALTH INSURANCE. THIS VALUE IS SLIGHTLY LOWER THAN THE STATE AND U.S. VALUES OF 90.2 PERCENT AND 87.7 PERCENT, RESPECTIVELY. MORE FEMALES (89.0 PERCENT) HAVE HEALTH INSURANCE WHEN COMPARED TO MALES (85.7 PERCENT) IN THE COUNTY. THIS VALUE IS THE LOWEST WHEN COMPARED TO THE SIX COUNTIES SURROUNDING COOK COUNTY (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2019). CHILDREN WITH HEALTH INSURANCE. IN COOK COUNTY, 97.0 PERCENT OF CHILDREN HAVE HEALTH INSURANCE. THIS VALUE IS COMPARABLE TO THE STATE OF ILLINOIS VALUE OF 97.1 PERCENT AND HIGHER THAT THE U.S. VALUE OF 95.0 PERCENT. DATA INDICATES THAT IN ALL RACE AND ETHNICITY CATEGORIES, MORE THAN 95 PERCENT OF CHILDREN UNDER AGE 19 HAD HEALTH INSURANCE. SURPRISINGLY, 100 PERCENT OF CHILDREN SURVEYED IN THE AMERICAN INDIAN/ALASKA NATIVE POPULATION HAD HEALTH INSURANCE. PERSONS WITH PUBLIC HEALTH INSURANCE ONLY. IN COOK COUNTY, 27.0 PERCENT OF THE POPULATION HAD PUBLIC HEALTH INSURANCE, WHICH IS HIGHER THAN THE STATE RATE OF 23.3 PERCENT AND THE U.S. RATE OF 23.6. THE AGE GROUPS OF 65 AND OVER (46.1 PERCENT) AND 0-18 YEARS (42.7 PERCENT) HAD THE HIGHEST LEVELS OF PUBLIC HEALTH INSURANCEHOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. INCLUDING ADVOCATE SOUTH SUBURBAN, THERE ARE THREE HOSPITALS AND THREE FEDERALLY QUALIFIED HEALTH CENTERS IN THE HOSPITAL'S PSA. THE COOK COUNTY HEALTH CENTER CLINIC IN OAK FOREST ALSO SERVES THE HOSPITAL'S PSA POPULATION. THERE ARE FIVE COMMUNITIES WHICH ARE MEDICALLY UNDERSERVED AREAS (MUAS) AND EXHIBIT THE HIGHEST SOCIAL NEEDS, INCLUDING HARVEY (60426), CHICAGO HEIGHTS (60411), MARKHAM (60428), CALUMET CITY (60409), AND DOLTON (60419)."

SCHEDULE H, PART VI, LINE 5 - ADVOCATE SOUTH SUBURBAN HOSPITAL
PROMOTION OF COMMUNITY HEALTHADVOCATE SOUTH SUBURBAN'S GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. FIFTY NINE PERCENT OF THE CURRENT GC 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 IS AN ACUTE-CARE FACILITY PROVIDING A WIDE RANGE OF COMPREHENSIVE INPATIENT, OUTPATIENT, DIAGNOSTIC AND AMBULATORY MEDICAL SERVICES. DUE TO THE COVID-19 PANDEMIC, MANY OF THE COMMUNITY PROGRAMS AND SERVICES HAD TO BE CONVERTED TO VIRTUAL PROGRAMS. 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: ADVOCATE SOUTH SUBURBAN SERVES A LARGE SENIOR POPULATION AND PARTICIPATES IN A VARIETY OF PROGRAMS AND SCREENINGS IN THE COMMUNITY FOR SENIORS, INCLUDING: 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 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, OSTOMY, PLATELET, AND STROKE AT THE HOSPITALALL PROVIDED FREE OF CHARGE TO THE COMMUNITY.LIFESTYLE CLASSES: TO AID THE COMMUNITY WITH LIFESTYLE ADJUSTMENTS, ADVOCATE SOUTH SUBURBAN 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 OFFERS WELLNESS CLASSES FOR CANCER PATIENTS THROUGH THE CANCER SUPPORT CENTER, AN EXTERNAL SUPPORT CENTER WITH TWO LOCATIONS IN HOMEWOOD AND MOKENA, IL. 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, SUCH AS DOMESTIC VIOLENCE. EXPERIENCED SANES CAN BE A VALUABLE RESOURCE TO PROSECUTORS, PARTICULARLY IN CASES WHERE THE VICTIM MAY BE UNWILLING OR UNABLE TO TESTIFY, AS THEY ASSIST LAW ENFORCEMENT AND THE COURTS IN SENDING THOSE PERPETRATORS OF SEXUAL ASSAULT AND/OR DOMESTIC VIOLENCE TO JAIL.WOMEN AND INFANTS CENTER: IN OCTOBER 2018, ADVOCATE SOUTH SUBURBAN OPENED THE WOMEN AND INFANTS CENTER. THE CENTER UNDERTOOK MEASURES TO ENHANCE IT WOMEN'S HEALTH AND OB SERVICES BY INVESTING IN THE UNIT'S REDESIGN. THE REDESIGN INCLUDED CONSTRUCTION THAT ENHANCES PATIENT PRIVACY AND PROMOTES THE BEST ENVIRONMENT IN WHICH TO HEAL. THE UNIT INCLUDES 16 PRIVATE AND STATE-OF-THE-ART SUITES, 4 SEMI-PRIVATE TRIAGE ROOMS FOR OUTPATIENT TESTING, 2 SURGICAL SUITES, 2 RECOVERY SUITES AND COMPREHENSIVE CLASSES AND SUPPORT. SURGICAL SERVICES EXPANSION: IN OCTOBER 2018, ADVOCATE SOUTH SUBURBAN UNDERTOOK MEASURES TO EXPAND AND MODERNIZE THE SURGICAL AND PROCEDURE SUITES. THE CENTER FOR ADVANCED CARE (CAC) PROJECT INCLUDED ENLARGING AND UPDATING SURGICAL SUITES, ADDING NINE OPERATING ROOMS, THREE CARDIAC CATHETERIZATION LABS AND NEW PREPARATION AND RECOVERY SPACES. THESE ENHANCEMENTS PROVIDE THE HOSPITAL THE OPPORTUNITY TO TAKE ADVANTAGE OF EFFICIENCIES AND NEW TECHNOLOGY AND DELIVER HIGH-QUALITY CARE FOR THE PATIENTS IT SERVES. THE CENTER FOR ADVANCED CARE OPENED IN AUGUST 2020.

SCHEDULE H, PART VI, LINE 5 - ADVOCATE TRINITY HOSPITAL
ADVOCATE TRINITY GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. SIXTY-FIVE PERCENT OF THE CURRENT GC 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.OTHER HOSPITAL PROGRAMS THAT CONTRIBUTE TO THE HEALTH OF THE COMMUNITY ARE DESCRIBED BELOW.COVID-19 PREVENTION. IL MOBILE HEALTH TEAM: IN 2021, THE MOBILE HEALTH TEAM IN IL PROVIDED OUTREACH SERVICES TO ILLINOIS' MOST VULNERABLE COMMUNITIES BY WORKING WITH SEVERAL COMMUNITY PARTNERS ACROSS THE STATE. THE MOBILE HEALTH TEAM PROVIDED OVER 2,600 IN-HOME AND MOBILE COMMUNITY COVID-19 VACCINATIONS TO SOUTHSIDE COMMUNITY RESIDENTS, SUPPORTED BY THE PROTECT CHICAGO AT HOME VACCINATION PROGRAM WITH THE CITY OF CHICAGO. PATHWAYS TO HEALTH CAREERS. IN THE SUMMER OF 2021, FIVE STUDENTS FROM LOCAL CHICAGO PUBLIC HIGH SCHOOLS ENROLLED IN THE ONE SUMMER CAREER AND TECHNICAL EDUCATION PROGRAM FROM JULY 6- AUGUST 13, 2021. STUDENTS SUCCESSFULLY COMPLETED THE 6-WEEK PROGRAM WITH A TOTAL OF 600 PAID INTERNSHIP HOURS. STUDENTS WORKED ALONGSIDE A CERTIFIED NURSING ASSISTANT ON CLINICAL PATIENT UNITS AT THE HOSPITAL, WHERE THEY LEARNED ABOUT HEALTH PROFESSIONS AND ENGAGED IN RELATED EXPERIENTIAL LEARNING OPPORTUNITIES TO BROADEN THEIR KNOWLEDGE OF HEALTHCARE AS A POTENTIAL CAREER PATH.

SCHEDULE H, PART VI, LINE 4 - ADVOCATE TRINITY HOSPITAL
"COMMUNITY INFORMATIONDESCRIPTION OF THE COMMUNITY/POPULATION. FOR THE 2017-2019 CHNA, ADVOCATE TRINITY DEFINES COMMUNITY AS THE HOSPITAL'S PSA, CONSISTING OF 6 ZIP CODES, ALL WITHIN THE CITY OF CHICAGO, ILLINOIS. THESE ZIP CODES INCLUDE: SOUTH CHICAGO, GREATER GRAND CROSSING, AUBURN GRESHAM, ROSELAND, MORGAN PARK AND SOUTH SHORE. DEMOGRAPHICS POPULATION. IN 2019, THE TOTAL POPULATION IN ADVOCATE TRINITY'S PRIMARY SERVICE AREA (PSA) WAS ESTIMATED AT 374,433 PERSONS. THE PSA POPULATION DECREASED BY 3.8 PERCENT FROM 2010 TO 2019. COMPARATIVELY, THE STATE OF ILLINOIS POPULATION DECREASED BY 0.46 PERCENT (CONDUENT HEALTHY COMMUNITIES INSTITUTE, 2019). AGE. THE MEDIAN AGE IN THE HOSPITAL'S PSA IS 39 YEARS, WHICH IS EQUAL TO THE STATE OF ILLINOIS MEDIAN AGE OF 39. IN THE ADVOCATE TRINITY PSA, THE MEDIAN AGE FOR MALES IS 36 YEARS WHILE THE MEDIAN AGE FOR FEMALES IS 41 YEARS. THIS IS COMPARABLE TO THE STATE OF ILLINOIS MEDIAN AGE RANGE FOR MALES (37 YEARS) AND FEMALES (40 YEARS). INDIVIDUALS AGED 25-64 YEARS MAKE UP THE MAJORITY OF THE PSA'S POPULATION (50.83 PERCENT), WHICH IS SLIGHTLY LOWER THAN THE STATE OF ILLINOIS (52.34 PERCENT). OVERALL, INDIVIDUALS AGED 25-34 MAKE UP 13.89 PERCENT OF THE PSA, WHILE INDIVIDUALS AGED 55-64 MAKE UP 13.24 PERCENT OF THE PSA (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019).GENDER. THE HOSPITAL'S PSA POPULATION IS 54.57 PERCENT FEMALE COMPARED TO 50.82 PERCENT FOR THE STATE OF ILLINOIS. THERE ARE 45.43 PERCENT MALES IN THE HOSPITAL'S PSA COMPARED TO 49.18 PERCENT IN THE STATE OF ILLINOIS. OVERALL, THERE ARE SLIGHT DIFFERENCES IN GENDER BETWEEN THE PSA AND THE STATE OF ILLINOIS AMONG THE MALE AND FEMALE POPULATION. RACE/ETHNICITY. ADVOCATE TRINITY'S PSA POPULATION IS 83.64 PERCENT BLACK/AFRICAN AMERICAN; 9.15 PERCENT WHITE; 4.39 PERCENT OTHER RACE; 2.21 PERCENT 2+ RACES; 0.27 PERCENT ASIAN; 0.33 PERCENT AMERICAN INDIAN/ALASKAN NATIVE; AND 0.02 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019). THE PSA HAS A SUBSTANTIALLY LARGER BLACK/AFRICAN AMERICAN POPULATION WHEN COMPARED TO THE STATE OF ILLINOIS. THE ETHNIC MAKEUP OF THE HOSPITAL'S PSA IS 89.85 PERCENT NON-HISPANIC AND 10.15 PERCENT HISPANIC/LATINO. THE HISPANIC/LATINO POPULATION IN THE HOSPITAL'S PSA IS SMALLER AS COMPARED TO THE STATE OF ILLINOIS AT 17.62 PERCENT.INCOME. POVERTY CREATES BARRIERS TO ACCESS, INCLUDING HEALTH SERVICES, HEALTHY FOOD CHOICES AND OTHER FACTORS THAT CONTRIBUTE TO POOR HEALTH. TWENTY-THREE-POINT SIX PERCENT OF THE POPULATION IN THE HOSPITAL'S PSA LIVE IN POVERTY, WHICH IS HIGHER THAN COOK COUNTY AT 15.9 PERCENT. AS OF 2019, 21 PERCENT OF HOUSEHOLDS HAVE A HOUSEHOLD INCOME LEVEL UNDER $15,000, WHILE 14 PERCENT HAVE A HOUSEHOLD INCOME LEVEL BETWEEN $15,000 TO $25,000. COMPARATIVELY, THE STATE OF ILLINOIS HAS 10 PERCENT OF HOUSEHOLDS WITH INCOME LEVELS UNDER $15,000 AND EIGHT PERCENT OF HOUSEHOLDS HAVE INCOME LEVELS BETWEEN $15,000 TO $25,000. THE HOSPITAL'S PSA HAS 45 PERCENT OF HOUSEHOLD INCOME LEVELS BELOW $34,000 COMPARED TO THE STATE OF ILLINOIS WITH 26 PERCENT OF HOUSEHOLD INCOME LEVELS BELOW $34,000 (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019).POVERTY. AS OF 2019, THE NUMBER OF FAMILIES IN THE PSA LIVING BELOW 100 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL) IS 19,146 OR 20.82 PERCENT OF THE POPULATION, WHICH IS DOUBLE COMPARED TO THE STATE OF ILLINOIS AT 313,034 OR 9.80 PERCENT. THE NUMBER OF FAMILIES WITH CHILDREN IN THE HOSPITAL'S PSA LIVING BELOW 100 PERCENT OF THE FPL IS 14,082 OR 15.31 PERCENT. THIS IS MORE THAN TRIPLE THE STATE OF ILLINOIS NUMBER OF FAMILIES WITH CHILDREN LIVING BELOW 100 PERCENT OF THE FPL AT 235,695 OR 7.38 PERCENT. THERE ARE 38.8 PERCENT OF CHILDREN RESIDING IN THE HOSPITAL'S PSA THAT LIVE BELOW THE FPL, WHICH IS SUBSTANTIALLY HIGHER THAN THE STATE OF ILLINOIS AT 18.8 PERCENT. BETWEEN THE YEARS 2013-2017, THERE WERE 26.3 PERCENT OF PEOPLE LIVING BELOW THE FPL AS COMPARED TO 13.5 PERCENT IN THE STATE OF ILLINOIS AND 14.6 PERCENT IN THE U.S. ADULTS WITH HEALTH INSURANCE. IN COOK COUNTY, 87.4 PERCENT OF ADULTS AGE 19 AND OVER ARE IDENTIFIED AS HAVING HEALTH INSURANCE. THIS VALUE IS SLIGHTLY LOWER THAN THE STATE OF ILLINOIS AND U.S. VALUES OF 90.2 PERCENT AND 87.7 PERCENT RESPECTIVELY. MORE FEMALES (89.0 PERCENT) HAVE HEALTH INSURANCE WHEN COMPARED TO MALES (85.7 PERCENT) IN THE COUNTY. COOK COUNTY HAS THE LOWEST PERCENT OF ADULTS WITH HEALTH INSURANCE COMPARED TO THE SURROUNDING SIX COUNTIES (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2018).CHILDREN WITH HEALTH INSURANCE. HEALTH INSURANCE FOR CHILDREN IS PARTICULARLY IMPORTANT. TO STAY HEALTHY, CHILDREN REQUIRE REGULAR CHECKUPS, DENTAL AND VISION CARE, AND MEDICAL ATTENTION FOR ILLNESS AND INJURY. CHILDREN WITH HEALTH INSURANCE ARE MORE LIKELY TO HAVE BETTER HEALTH THROUGHOUT THEIR CHILDHOOD AND ADOLESCENCE. THEY ARE MORE LIKELY TO RECEIVE REQUIRED IMMUNIZATIONS, FALL ILL LESS FREQUENTLY, OBTAIN NECESSARY TREATMENT WHEN THEY DO GET SICK, AND PERFORM BETTER AT SCHOOL. HAVING HEALTH INSURANCE LOWERS BARRIERS TO ACCESSING CARE, WHICH IS LIKELY TO PREVENT THE DEVELOPMENT OF MORE SERIOUS ILLNESSES. THIS IS NOT ONLY OF BENEFIT TO THE CHILD BUT ALSO HELPS LOWER OVERALL FAMILY HEALTH COSTS. DUE TO THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT, CHANGES WERE MADE TO THE DEFINITION OF A ""QUALIFYING CHILD."" UNDER THE ACA, A QUALIFYING CHILD IS UNDER AGE 19 AT THE CLOSE OF THE CALENDAR YEAR. THEREFORE, AGE CATEGORIES USED TO MEASURE HEALTH INSURANCE NOW DEFINE THOSE AGED 18 AND UNDER AS CHILDREN (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2019).IN COOK COUNTY, 97.0 PERCENT OF CHILDREN HAD HEALTH INSURANCE IN 2017. THIS VALUE IS COMPARABLE TO THE STATE OF ILLINOIS AT 97.1 PERCENT AND HIGHER THAN THE U.S. AT 95.0 PERCENT. IN ALL RACE AND ETHNICITY CATEGORIES, DATA INDICATES MORE THAN 95 PERCENT OF CHILDREN UNDER AGE 19 HAD HEALTH INSURANCE. ONE HUNDRED PERCENT OF CHILDREN SURVEYED IN THE AMERICAN INDIAN/ALASKA NATIVE POPULATION HAD HEALTH INSURANCE (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2017).PERSONS WITH PUBLIC HEALTH INSURANCE ONLY. PUBLIC HEALTH COVERAGE INCLUDES THE FEDERAL PROGRAMS MEDICARE, MEDICAID, AND VA HEALTH CARE (PROVIDED THROUGH THE DEPARTMENT OF VETERANS AFFAIRS), THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) AND INDIVIDUAL STATE HEALTH PLANS. IN COOK COUNTY, 27.0 PERCENT OF THE POPULATION HAD PUBLIC HEALTH INSURANCE, WHICH IS MORE THAN THE STATE AT 23.3 PERCENT AND THE U.S. AT 23.6 PERCENT. THE 65 AND OVER AND 0-18 AGE GROUPS IN COOK COUNTY HAD THE GREATEST LEVEL OF PUBLIC HEALTH INSURANCE AT 46.1 AND 42.7 PERCENT RESPECTIVELY (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2018).HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. THERE ARE SEVERAL HOSPITALS, FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), THE CHICAGO DEPARTMENT OF PUBLIC HEALTH (CDPH) AND THE COOK COUNTY HEALTH SYSTEM (CCHS) CLINICS WHICH SERVE ADVOCATE TRINITY'S PSA. THERE ARE THREE COMMUNITIES WHICH ARE MEDICALLY UNDERSERVED AREAS (MUAS) AND EXHIBIT THE HIGHEST SOCIAL NEEDS, INCLUDING AUBURN GRESHAM (60620), SOUTH CHICAGO (60617), AND ROSELAND (60628)."