4A (Expenses $ 461203581 including grants of $ 1461395) (Revenue $ 547788587)
"AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE (AMITA HEALTH HINSDALE, OR THE HOSPITAL) IS A 261-BED ACUTE-CARE HOSPITAL IN HINSDALE, ILLINOIS, THAT HAS SERVED THE HEALTHCARE NEEDS OF HINSDALE AND SURROUNDING AREAS FOR MORE THAN 100 YEARS. LOCATED AT 120 NORTH OAK STREET, AMITA HEALTH HINSDALE IS A FULL-SERVICE HOSPITAL THAT INCLUDES A LEVEL III NEONATAL INTENSIVE CARE UNIT AND THE AMITA HEALTH CANCER INSTITUTE & OUTPATIENT CENTER IN HINSDALE. THE HOSPITAL HAS ADDITIONAL SPECIALTIES IN BEHAVIORAL MEDICINE, CARDIOLOGY, NEUROSCIENCES AND ORTHOPEDICS. IT HAS EXPANDED ITS NEUROSCIENCES AND BEHAVIORAL MEDICINE PROGRAMS AND HAS BECOME A LEADER IN ROBOTIC SURGERY PROGRAMS INCLUDING DA VINCI ROBOTIC SURGERIES. OTHER SERVICES OFFERED BY THE HOSPITAL INCLUDE OPEN HEART SURGERY, EMERGENCY SERVICES, ENDOCRINOLOGY, GASTROENTEROLOGY, GERIATRICS, HOME HEALTH, HOSPICE, IMAGING, INTERVENTIONAL RADIOLOGY, OUTPATIENT SERVICES, A PAIN CENTER, PEDIATRIC SERVICES, PHYSICAL REHABILITATION, RHEUMATOLOGY, SLEEP DISORDERS, SURGICAL SERVICES, UROLOGY, VASCULAR LAB SERVICES AND WOMEN'S CARE. THE HOSPITAL OPERATES AN IMAGING CENTER IN WESTMONT AND WOODRIDGE, ILLINOIS; AN OUTPATIENT BEHAVIORAL HEALTH SITE IN WESTMONT; AND AN OUTPATIENT ADOLESCENT MENTAL HEALTH SITE IN WESTMONT. IN PARTNERSHIP WITH PT SOLUTIONS, THE HOSPITAL ALSO OPERATES AN OUTPATIENT PHYSICAL REHABILITATION SITE IN HINSDALE. A FIXTURE IN HINSDALE SINCE 1904, AMITA HEALTH HINSDALE PLAYS AN ACTIVE ROLE IN THE COMMUNITY, SPONSORING A VARIETY OF EVENTS AND PROVIDING WELLNESS SERVICES FOR THE VILLAGE'S EMPLOYEES. THE HOSPITAL HAS A SPECIAL COLLABORATIVE RELATIONSHIP WITH SISTER HOSPITAL AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE (AMITA HEALTH LA GRANGE) IN LA GRANGE, ILLINOIS. ABOUT TWO MILES SEPARATE THE HOSPITALS, AND BECAUSE OF THEIR PROXIMITY TO EACH OTHER, THEY HAVE WORKED TO INTEGRATE THEIR SERVICES AND TO WORK COLLABORATIVELY INSTEAD OF COMPETING AGAINST EACH OTHER. THE HOSPITALS SHARE THE SAME SENIOR MANAGEMENT TEAM, DEPARTMENT LEADERS, AND MEDICAL STAFF, AND THEY PARTNERED TO DEVELOP THE AMITA HEALTH CANCER INSTITUTE AND OUTPATIENT CENTER, WHICH OPENED IN 2016 IN HINSDALE. THE INTEGRATION PROCESS HAS REDUCED OPERATING COSTS FOR THE TWO HOSPITALS, AND THEY HAVE REINVESTED THE SAVINGS TO EXPAND AND ENHANCE SERVICES. THE TWO HOSPITALS OPERATE FAMILY-PRACTICE RESIDENCY PROGRAMS IN WHICH MEDICAL-SCHOOL GRADUATES SERVE THEIR RESIDENCIES, DOING CLINICAL ROTATIONS. THE PROGRAMS ARE A CONSISTENT SOURCE OF FAMILY-PRACTICE PHYSICIANS FOR THE COMMUNITY PROVIDING A FULL SCOPE OF PRIMARY CARE SERVICES. THE AMITA HEALTH LAGRANGE FAMILY MEDICINE CENTER ALSO PROVIDES OBSTETRICAL CARE AT A LOCAL FEDERALLY QUALIFIED HEALTH CENTER IN LAGRANGE (PILLARS COMMUNITY HEALTH). AMITA HEALTH HINSDALE IS AWARDED MAGNET NURSING DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER, CERTIFIED BY THE JOINT COMMISSION AND THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION AS A PRIMARY STROKE CENTER, AND HAS RECEIVED NATIONAL QUALITY APPROVAL FROM THE JOINT COMMISSION. THE BLUE CROSS AND BLUE SHIELD ASSOCIATION HAS AWARDED ITS BLUE DISTINCTION CENTER + DESIGNATION TO AMITA HEALTH HINSDALE FOR DELIVERING SAFE, HIGH-QUALITY AND COST-EFFICIENT CARDIAC CARE, MATERNITY CARE, SPINE SURGERY AND HIP AND KNEE REPLACEMENT. IN 2020, AMITA HEALTH HINSDALE AND LA GRANGE MAINTAINED A FIVE-STAR RATING -THE HIGHEST POSSIBLE- POSTED ON THE CENTERS FOR MEDICARE & MEDICAID SERVICES. THE HOSPITAL ALSO EARNED AN ""A,"" THE HIGHEST POSSIBLE SCORE, IN THE SPRING 2020 AND FALL 2020 EDITIONS OF THE LEAPFROG GROUP'S BIANNUAL HOSPITAL SAFETY GRADE. IN 2019, AMITA HEALTH HINSDALE ALSO EARNED HEALTHGRADE'S PATIENT SAFETY EXCELLENCE AWARD AND HEALTHGRADE'S OUTSTANDING PATIENT EXPERIENCE AWARD. AMITA HEALTH HINSDALE IS RANKED 15TH IN THE CHICAGO AREA AND 18TH IN ILLINOIS IN U.S. NEWS & WORLD REPORT'S LATEST BEST HOSPITALS REPORT, EARNING RECOGNITION FOR HIGH PERFORMANCE IN ONE ADULT SPECIALTY (CARDIOLOGY AND HEART SURGERY) AND THREE ADULT PROCEDURES/CONDITIONS (HEART FAILURE, HIP REPLACEMENT, AND KNEE REPLACEMENT). THE AMITA HEALTH CANCER INSTITUTE AT HINSDALE WAS RECOGNIZED FOR OUTSTANDING ACHIVEMENT IN 2019 BY THE AMERICAN COLLEGE OF SURGEONS WHICH IS ACHIEVED BY FEWER THAN 10% OF CANCER PROGRAMS NATIONWIDE. IN 2021, AMITA HEALTH HINSDALE AND LAGRANGE COMBINED HAD 16,985 PATIENT ADMISSIONS, 82,588 PATIENT DAYS, AND 229,179 OUTPATIENT VISITS. AMITA HEALTH HINSDALE AND LAGRANGE PROVIDE CARE FOR ALL, INCLUDING THE FINANCIALLY DISADVANTAGED, UNINSURED, UNDERINSURED, HOMELESS AND THOSE WHO RECEIVE PUBLIC AID. IN 2021, AMITA HEALTH HINSDALE AND LAGRANGE PROVIDED $5,574,141 OF CHARITY CARE AT COST. THIS WAS IN ADDITION TO $16,314,036 IN COMMUNITY EDUCATION COSTS, INCLUDING THE HOSPITAL'S RESIDENCY PROGRAM AND $247,388 IN OTHER COMMUNITY BENEFITS SERVICES, $207,790 OF UNREIMBURSED MEDICARE COSTS TO PATIENTS, $106,356 OF BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO CHARITY CARE, AND $15,579,075 OF UNREIMBURSED MEDICAID AT COST. THE TOP-TIER PARENT OF THE FILING ORGANIZATION, ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION, OWNS A REGIONAL HEALTH SYSTEM WHICH INCLUDES A NETWORK OF FOUR NOT-FOR-PROFIT HOSPITALS AND THEIR OUTPATIENT-BASED HEALTHCARE FACILITIES OPERATING IN CHICAGO'S WESTERN SUBURBS. THE FOUR CHICAGO NOT-FOR-PROFIT HOSPITALS TAKE A HOLISTIC APPROACH TO WELLNESS, ADDRESSING THE PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL NEEDS OF THE PEOPLE IT SERVES. THE FOUR HOSPITALS AND OTHER FACILITIES ARE INTEGRAL TO THE FABRIC OF THEIR COMMUNITIES. THE HOSPITALS PARTNER WITH LOCAL CIVIC ORGANIZATIONS AND BUSINESSES TO BRING STATE-OF-THE-ART TREATMENTS AND PREVENTIVE HEALTHCARE SERVICES CLOSE TO WHERE PEOPLE LIVE AND WORK. AS PART OF ADVENTHEALTH, THE LARGEST, NOT-FOR-PROFIT PROTESTANT HOSPITAL SYSTEM IN THE NATION, THE FILING ORGANIZATION IS GROUNDED IN CHRISTIAN VALUES AND COMMITTED TO EXTENDING THE HEALING MINISTRY OF CHRIST. THE FILING ORGANIZATION WELCOMES PATIENTS FROM ANY RELIGIOUS DENOMINATION AS WELL AS PATIENTS WHO DO NOT ASCRIBE TO ANY RELIGION. IN FEBRUARY 2015, AMH AND ALEXIAN BROTHERS HEALTH SYSTEM (ABHS) FORMED A JOINT OPERATING COMPANY (JOC). A JOC ALLOWS SEPARATE OWNERS TO INTEGRATE OPERATIONS TO ACHIEVE A COMMON GOAL WHILE MAINTAINING SEPARATE OWNERSHIP OF ASSETS. IT ALSO ALLOWS AMH AND ABHS TO WORK IN UNISON WHILE PRESERVING THE ADVENTIST AND CATHOLIC IDENTITIES AND MISSION PRIORITIES THAT DEFINE AMH AND ABHS, RESPECTIVELY. IN APRIL 2015, ALEXIAN BROTHERS-AHS MIDWEST REGION HEALTH CO., D/B/A AMITA HEALTH, WAS ANNOUNCED AS THE NEW NAME OF THE JOC. THE NAME AMITA IS INSPIRED BY THE MEANING IT HAS IN SEVERAL LANGUAGES -- FRIENDSHIP IN ITALIAN, HONESTY AND TRUTH IN HEBREW, AND SPIRITUAL LIGHT AND BOUNDLESSNESS IN HINDI. THE NAME REFLECTS AMITA HEALTH'S FAITH-BASED CALL TO HEALING, ITS CORE VALUES, AND THE COMPASSION AND DEDICATION THAT ITS CAREGIVERS SHOW EVERY DAY TO PATIENTS, THEIR FAMILIES AND EACH OTHER."

ADVENTHEALTH HINSDALE
PART V, SECTION B, LINE 5: ADVENTIST MIDWEST HEALTH, DBA ADVENTHEALTH HINSDALE, (AMH HINSDALE OR THE HOSPITAL) COLLABORATED WITH OTHER HOSPITAL AND NON-HOSPITAL ORGANIZATIONS TO CONDUCT A JOINT CHNA IN 2019. ALL THE COLLABORATORS IN THE 2019 JOINT CHNA DEFINED THEIR COMMUNITY TO BE DUPAGE COUNTY, ILLINOIS. DUPAGE COUNTY, ILLINOIS HAS A POPULATION OF OVER 900,000. THE 2019 JOINT CHNA WAS A COLLABORATIVE EFFORT OF IMPACT DUPAGE. IMPACT DUPAGE IS A COALITION OF ORGANIZATIONS THAT WAS FORMED WITH THE PURPOSE OF CREATING A COMMON UNDERSTANDING OF COMMUNITY NEEDS, GAPS, AND PRIORITIES THAT WILL ADVANCE THE WELL-BEING OF THE DUPAGE COUNTY COMMUNITY. THE HOSPITAL IS A MEMBER OF THE STEERING COMMITTEE OF IMPACT DUPAGE AS A HOSPITAL ORGANIZATION OF AMITA HEALTH THAT SERVES THE RESIDENTS OF DUPAGE COUNTY. IMPACT DUPAGE UTILIZED A COMMUNITY DRIVEN, STRATEGIC PLANNING PROCESS IN DEVELOPING AND IMPLEMENTING EFFORTS AROUND THE PRIORITIZATION OF PUBLIC HEALTH ISSUES. AS A PART OF THE COMMUNITY HEALTH ASSESSMENT AND DATA COLLECTION EFFORTS, A SPECIFIC EFFORT WAS MADE TO INCLUDE INPUT FROM UNDERREPRESENTED POPULATION GROUPS AND PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. IMPACT DUPAGE CONDUCTED A SURVEY AMONG DUPAGE COUNTY RESIDENTS TO ASSESS THE COMMUNITY'S PERCEPTIONS, THOUGHTS AND OPINIONS OF HEALTH AND THE QUALITY OF LIFE IN THEIR COMMUNITY. THE SURVEY WAS OPEN TO ALL DUPAGE COUNTY RESIDENTS AND 1,577 SURVEYS WERE COLLECTED. THE SURVEY WAS CONDUCTED ONLINE AND BY PAPER. PRIOR TO THE SURVEY LAUNCH, COMMUNICATION TOOLS WERE DEVELOPED AND DISSEMINATED TO PROMOTE THE SURVEY. THE SURVEY CONTAINED QUESTIONS ON DUPAGE COUNTY'S GREATEST STRENGTHS, IMPORTANT HEALTH CONCERNS, RISKY BEHAVIORS, COMMUNITY AND PERSONAL HEALTH, AND WHERE THE COMMUNITY SHOULD FOCUS ITS ATTENTION TO MAKE THINGS BETTER IN DUPAGE COUNTY. USING ITS NETWORK OF COMMITTEE MEMBERS, INFORMATION REGARDING THE LAUNCH OF THE SURVEY WAS DISTRIBUTED TO THE FOLLOWING ORGANIZATIONS IN ORDER TO ENSURE REPRESENTATION FROM THE BROAD COMMUNITY OF DUPAGE COUNTY: ADDISON RESOURCES CONNECTBENEDICTINE UNIVERSITYDUPAGE CHIEFS OF POLICE ASSOCIATIONDUPAGE COUNTY BOARD OF HEALTHDUPAGE COUNTY HEALTH DEPARTMENT PUBLIC HEALTH CLINICSDUPAGE COUNTY JUVENILE JUSTICE COUNCILDUPAGE COUNTYDUPAGE EARLY CHILDHOOD COLLABORATIONDUPAGE MAYORS AND MANAGERS CONFERENCEFAMILY SHELTER SERVICE GLENDALE HEIGHTS YOUTH COMMISSIONHEALTHY LOMBARDIMPACT DUPAGE NETWORKSLOVE CHRISTIAN CLEARINGHOUSE NEWSLETTERMUNICIPAL PIOSNORTH CENTRAL COLLEGEOHSEM EOC TOUR GIRL SCOUT PARENTSPEOPLE'S RESOURCE CENTER WEEKLY EMAILSPREVENTION LEADERSHIP TEAMVIRTUAL BACKPACKSWALK IN MINISTRIESWEATHER SPOTTER TRAINING COURSE ATTENDEES, ANDWOODRIDGE PARK DISTRICT. PAPER SURVEYS WERE LOCATED AT MULTIPLE DUPAGE COUNTY HEALTH DEPARTMENT PUBLIC HEALTH CLINICS THROUGHOUT THE COUNTY. THE SURVEY WAS FEATURED IN VILLAGE NEWSLETTERS AND VARIOUS AGENCY WEBSITES AND SOCIAL MEDIA ACCOUNTS.

ADVENTHEALTH LA GRANGE
PART V, SECTION B, LINE 5: ADVENTIST MIDWEST HEALTH, DBA AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE (AMH LA GRANGE OR THE HOSPITAL) WAS A PARTICIPANT IN A COLLABORATIVE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT FOR CHICAGO AND SUBURBAN COOK COUNTY, ILLINOIS CONDUCTED BY THE ALLIANCE FOR HEALTH EQUITY. THE ALLIANCE FOR HEALTH EQUITY IS A COLLABORATIVE OF 37 HOSPITALS, 6 LOCAL HEALTH DEPARTMENTS INCLUDING THE CHICAGO DEPARTMENT OF PUBLIC HEALTH AND THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, AND NEARLY 100 COMMUNITY-BASED ORGANIZATIONS. THE ILLINOIS PUBLIC HEALTH INSTITUTE SERVED AS THE BACKBONE ORGANIZATION TO FACILITATE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS CONDUCTED BY THE ALLIANCE FOR HEALTH EQUITY. THE ALLIANCE FOR HEALTH EQUITY'S METHODS OF COMMUNITY ENGAGEMENT FOR THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDED AMONG OTHERS THE FOLLOWING: - GATHERING INPUT FROM COMMUNITY RESIDENTS WHO ARE UNDERREPRESENTED;- PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS FOR COLLECTION OF COMMUNITY INPUT THROUGH SURVEYS AND FOCUS GROUPS; AND - ENGAGING COMMUNITY-BASED ORGANIZATIONS AND COMMUNITY RESIDENTS AS MEMBERS OF IMPLEMENTATION COMMITTEES AND WORKGROUPS. PRIMARY DATA FOR THE CHNA WAS COLLECTED THROUGH COMMUNITY INPUT SURVEYS, COMMUNITY RESIDENT FOCUS GROUPS AND LEARNING MAP SESSIONS, HEALTH CARE AND SOCIAL SERVICE PROVIDER FOCUS GROUPS, AND TWO STAKEHOLDER ASSESSMENTS LED BY PARTNER HEALTH DEPARTMENTS. THE ALLIANCE FOR HEALTH EQUITY PARTNERS COLLECTED 5,934 COMMUNITY INPUT SURVEYS FROM INDIVIDUALS 18 OR OLDER LIVING IN CHICAGO AND SUBURBAN COOK COUNTY. THE SURVEYS WERE AVAILABLE ON PAPER AND ONLINE AND WERE DISSEMINATED IN ENGLISH, SPANISH, CHINESE, AND POLISH. HOSPITALS, COMMUNITY-BASED ORGANIZATIONS, AND HEALTH DEPARTMENTS DISTRIBUTED THE SURVEYS WITH THE INTENTION OF GAINING INSIGHT FROM PRIORITY POPULATIONS THAT ARE TYPICALLY UNDERREPRESENTED, SUCH AS COMMUNITIES OF COLOR, IMMIGRANTS, LGBTQ+ COMMUNITY MEMBERS, INDIVIDUALS WITH DISABILITIES, AND LOW-INCOME COMMUNITIES. A TOTAL OF 52 COMMUNITY INPUT SESSIONS (FOCUS GROUPS AND LEARNING MAP SESSIONS) WERE HELD IN 2018-2019 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. IN ADDITION TO THE 52 COMMUNITY INPUT SESSIONS, THERE WERE THREE FOCUS GROUPS WITH HEALTH CARE AND SOCIAL SERVICE PROVIDERS HOSTED BY THREE CHNA PARTICIPANT HOSPITALS. STAKEHOLDER ASSESSMENTS INCLUDED A FORCES OF CHANGE ASSESSMENT FOCUSING ON THE TRENDS, FACTORS AND EVENTS THAT ARE CURRENTLY AFFECTING OR ARE ANTICIPATED TO AFFECT THE PUBLIC HEALTH SYSTEM IN THE NEXT THREE TO FIVE YEARS AND CONSISTED OF AN ONLINE SURVEY OF 122 RESPONDENTS REPRESENTING 86 ORGANIZATIONS IN CHICAGO AND SUBURBAN COOK COUNTY. A HEALTH EQUITY CAPACITY STAKEHOLDER ASSESSMENT WAS ALSO CONDUCTED WITH 80 PEOPLE FROM ACROSS CHICAGO AND SUBURBAN COOK COUNTY.

ADVENTHEALTH HINSDALE
PART V, SECTION B, LINE 6A: ADVENTIST MIDWEST HEALTH, DBA ADVENTHEALTH HINSDALE (THE HOSPITAL), COLLABORATED WITH OTHER HOSPITAL AND NON-HOSPITAL ORGANIZATIONS TO CONDUCT A JOINT CHNA IN 2019. ALL THE COLLABORATORS IN THE 2019 JOINT CHNA DEFINED THEIR COMMUNITY TO BE DUPAGE COUNTY, ILLINOIS. DUPAGE COUNTY, ILLINOIS HAS A POPULATION OF OVER 900,000. THE 2019 JOINT CHNA WAS A COLLABORATIVE EFFORT OF IMPACT DUPAGE, A COLLABORATION OF PARTNERS FORMED WITH THE PURPOSE OF CREATING A COMMON UNDERSTANDING OF COMMUNITY NEEDS, GAPS AND PRIORITIES THAT WILL ADVANCE THE WELL-BEING OF THE DUPAGE COUNTY COMMUNITY. THE HOSPITAL, AS A PART OF AMITA HEALTH SYSTEM, WAS A MEMBER OF THE STEERING COMMITTEE OF IMPACT DUPAGE, ALONG WITH OTHER HOSPITAL AND NON-HOSPITAL ORGANIZATIONS AND INCLUDING THE DUPAGE COUNTY HEALTH DEPARTMENT. THE OTHER HOSPITAL ORGANIZATIONS THAT PARTICIPATED IN THE 2019 JOINT CHNA AS A MEMBER OF THE STEERING COMMITTEE OF IMPACT DUPAGE WERE ADVOCATE AURORA HEALTH CARE, EDWARD ELMHURST HEALTH AND NORTHWESTERN MEDICINE.

ADVENTHEALTH LA GRANGE
PART V, SECTION B, LINE 6A: ADVENTIST MIDWEST HEALTH, DBA AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE (AMH LA GRANGE OR THE HOSPITAL) WAS A PARTICIPANT IN A COLLABORATIVE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT FOR CHICAGO AND SUBURBAN COOK COUNTY, ILLINOIS CONDUCTED BY THE ALLIANCE FOR HEALTH EQUITY. THE ALLIANCE FOR HEALTH EQUITY IS A COLLABORATIVE OF 37 HOSPITALS, 6 LOCAL HEALTH DEPARTMENTS INCLUDING THE CHICAGO DEPARTMENT OF PUBLIC HEALTH AND THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, AND NEARLY 100 COMMUNITY-BASED ORGANIZATIONS. THE ILLINOIS PUBLIC HEALTH INSTITUTE SERVED AS THE BACKBONE ORGANIZATION TO FACILITATE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS CONDUCTED BY THE ALLIANCE FOR HEALTH EQUITY. THE HOSPITAL PARTICIPANTS IN THE 2018-2018 CHNA CONDUCTED BY THE ALLIANCE FOR HEALTH EQUITY INCLUDED THE FOLLOWING: NONPROFIT HOSPITAL MEMBERSADVOCATE AURORA CHILDREN'S HOSPITALADVOCATE AURORA CHRIST MEDICAL CENTERADVOCATE AURORA ILLINOIS MASONIC MEDICAL CENTERADVOCATE AURORA LUTHERAN GENERAL HOSPITALADVOCATE AURORA SOUTH SUBURBAN HOSPITALADVOCATE AURORA TRINITY HOSPITALAMITA ADVENTIST MEDICAL CENTER LA GRANGEAMITA ALEXIAN BROTHERS MEDICAL CENTER, ELK GROVE VILLAGEAMITA HOLY FAMILY MEDICAL CENTERAMITA RESURRECTION MEDICAL CENTERAMITA ST. ALEXIUS MEDICAL CENTER AND ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITALAMITA SAINT FRANCIS HOSPITALAMITA SAINT JOSEPH HOSPITALAMITA SAINTS MARY AND ELIZABETH MEDICAL CENTERANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGOJACKSON PARK HOSPITALTHE LORETTO HOSPITALLOYOLA MEDICINE- GOTTLIEB MEMORIAL HOSPITALLOYOLA MEDICINE- LOYOLA UNIVERSITY MEDICAL CENTERLOYOLA MEDICINE- MACNEAL HOSPITALMERCY HOSPITAL & MEDICAL CENTERNORTHWESTERN MEMORIAL HOSPITALNORWEGIAN AMERICAN HOSPITALPALOS COMMUNITY HOSPITALROSELAND COMMUNITY HOSPITALRUSH OAK PARKRUSH UNIVERSITY MEDICAL CENTERSINAI HEALTH SYSTEM- HOLY CROSS HOSPITALSINAI HEALTH SYSTEM- MOUNT SINAI HOSPITALSINAI HEALTH SYSTEM- SCHWAB REHABILITATION HOSPITALSOUTH SHORE HOSPITALSWEDISH COVENANT HOSPITALUNIVERSITY OF CHICAGO MEDICINEUNIVERSITY OF CHICAGO MEDICINE-INGALLS MEMORIAL HOSPITAL PUBLIC HOSPITAL PARTNERSCOOK COUNTY HEALTH- STROGER HOSPITAL UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEMCOOK COUNTY HEALTH- PROVIDENT HOSPITAL PUBLIC HEALTH DEPARTMENT PARTNERSCHICAGO DEPARTMENT OF PUBLIC HEALTH COOK COUNTY DEPARTMENT OF PUBLIC HEALTH EVANSTON HEALTH AND HUMAN SERVICES DEPARTMENTVILLAGE OF SKOKIE, HEALTH DEPARTMENT

ADVENTHEALTH HINSDALE
PART V, SECTION B, LINE 6B: ADVENTIST MIDWEST HEALTH, DBA ADVENTHEALTH HINSDALE (THE HOSPITAL), COLLABORATED WITH OTHER HOSPITAL AND NON-HOSPITAL ORGANIZATIONS TO CONDUCT A JOINT CHNA IN 2019. ALL THE COLLABORATORS IN THE 2019 JOINT CHNA DEFINED THEIR COMMUNITY TO BE DUPAGE COUNTY, ILLINOIS. DUPAGE COUNTY, ILLINOIS HAS A POPULATION OF OVER 900,000. THE 2019 JOINT CHNA WAS A COLLABORATIVE EFFORT OF IMPACT DUPAGE, A COLLABORATION OF PARTNERS FORMED WITH THE PURPOSE OF CREATING A COMMON UNDERSTANDING OF COMMUNITY NEEDS, GAPS AND PRIORITIES THAT WILL ADVANCE THE WELL-BEING OF THE DUPAGE COUNTY COMMUNITY. THE HOSPITAL, AS A PART OF AMITA HEALTH SYSTEM, WAS A MEMBER OF THE STEERING COMMITTEE OF IMPACT DUPAGE, ALONG WITH OTHER HOSPITAL AND NON-HOSPITAL ORGANIZATIONS AND INCLUDING THE DUPAGE COUNTY HEALTH DEPARTMENT. THE OTHER NON-HOSPITAL ORGANIZATIONS THAT PARTICIPATED IN THE 2019 JOINT CHNA AS MEMBERS OF THE STEERING COMMITTEE OF IMPACT DUPAGE WERE ADVOCATE AURORA HEALTH CARE, COMMUNITY CONSOLIDATED SCHOOL DISTRICT 89, DUPAGE HEALTH COALITION, DUPAGE COUNTY COMMUNITY SERVICES, DUPAGE COUNTY HEALTH DEPARTMENT, DUPAGE COUNTY PUBLIC DEFENDER'S OFFICE, DUPAGE FEDERATION ON HUMAN SERVICES REFORM, DUPAGE FOUNDATION, DUPAGE PADS, FAMILY SHELTER SERVICE, LINDEN OAKS BEHAVIORAL HEALTH (EDWARD ELMHURST HEALTH), METROPOLITAN FAMILY SERVICES DUPAGE, NORTHWESTERN MEDICINE, PEOPLE'S RESOURCE CENTER, PRAIRIE STATE LEGAL SERVICES, INC., WORKNET DUPAGE DUPAGE COUNTY WORKFORCE DEVELOPMENT, AND UNITED WAY OF METRO CHICAGO.

ADVENTHEALTH LA GRANGE
PART V, SECTION B, LINE 6B: ADVENTIST MIDWEST HEALTH, DBA AMITA HEALTH ADVENTIST MEDICAL CENTER LA GRANGE (AMH LA GRANGE OR THE HOSPITAL) WAS A PARTICIPANT IN A COLLABORATIVE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT FOR CHICAGO AND SUBURBAN COOK COUNTY, ILLINOIS CONDUCTED BY THE ALLIANCE FOR HEALTH EQUITY. THE ALLIANCE FOR HEALTH EQUITY IS A COLLABORATIVE OF 37 HOSPITALS, 6 LOCAL HEALTH DEPARTMENTS INCLUDING THE CHICAGO DEPARTMENT OF PUBLIC HEALTH AND THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, AND NEARLY 100 COMMUNITY-BASED ORGANIZATIONS. THE ILLINOIS PUBLIC HEALTH INSTITUTE SERVED AS THE BACKBONE ORGANIZATION TO FACILITATE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS CONDUCTED BY THE ALLIANCE FOR HEALTH EQUITY. THE NON-HOSPITAL PARTICIPANTS IN THE 2018-2018 CHNA CONDUCTED BY THE ALLIANCE FOR HEALTH EQUITY INCLUDED THE FOLLOWING 4 PUBLIC HEALTH DEPARTMENTS (TWO ADDITIONAL HEALTH DEPARTMENTS ARE PARTICIPANTS IN THE ALLIANCE FOR HEALTH EQUITY BUT WERE NOT DIRECT PARTNERS IN THIS CHNA PROCESS): NONPROFIT HOSPITAL MEMBERSADVOCATE AURORA CHILDREN'S HOSPITALADVOCATE AURORA CHRIST MEDICAL CENTERADVOCATE AURORA ILLINOIS MASONIC MEDICAL CENTERADVOCATE AURORA LUTHERAN GENERAL HOSPITALADVOCATE AURORA SOUTH SUBURBAN HOSPITALADVOCATE AURORA TRINITY HOSPITALAMITA ADVENTIST MEDICAL CENTER LA GRANGEAMITA ALEXIAN BROTHERS MEDICAL CENTER, ELK GROVE VILLAGEAMITA HOLY FAMILY MEDICAL CENTERAMITA RESURRECTION MEDICAL CENTERAMITA ST. ALEXIUS MEDICAL CENTER AND ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITALAMITA SAINT FRANCIS HOSPITALAMITA SAINT JOSEPH HOSPITALAMITA SAINTS MARY AND ELIZABETH MEDICAL CENTERANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGOJACKSON PARK HOSPITALTHE LORETTO HOSPITALLOYOLA MEDICINE- GOTTLIEB MEMORIAL HOSPITALLOYOLA MEDICINE- LOYOLA UNIVERSITY MEDICAL CENTERLOYOLA MEDICINE- MACNEAL HOSPITALMERCY HOSPITAL & MEDICAL CENTERNORTHWESTERN MEMORIAL HOSPITALNORWEGIAN AMERICAN HOSPITALPALOS COMMUNITY HOSPITALROSELAND COMMUNITY HOSPITALRUSH OAK PARKRUSH UNIVERSITY MEDICAL CENTERSINAI HEALTH SYSTEM- HOLY CROSS HOSPITALSINAI HEALTH SYSTEM- MOUNT SINAI HOSPITALSINAI HEALTH SYSTEM- SCHWAB REHABILITATION HOSPITALSOUTH SHORE HOSPITALSWEDISH COVENANT HOSPITALUNIVERSITY OF CHICAGO MEDICINEUNIVERSITY OF CHICAGO MEDICINE-INGALLS MEMORIAL HOSPITAL PUBLIC HOSPITAL PARTNERSCOOK COUNTY HEALTH- STROGER HOSPITAL UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEMCOOK COUNTY HEALTH- PROVIDENT HOSPITAL PUBLIC HEALTH DEPARTMENT PARTNERSCHICAGO DEPARTMENT OF PUBLIC HEALTH COOK COUNTY DEPARTMENT OF PUBLIC HEALTH EVANSTON HEALTH AND HUMAN SERVICES DEPARTMENTVILLAGE OF SKOKIE, HEALTH DEPARTMENT

ADVENTHEALTH HINSDALE
PART V, SECTION B, LINE 7D: THE HOSPITAL HAS ADOPTED A POLICY THAT ADDRESSES THE PUBLIC POSTING REQUIREMENTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. UNDER THIS POLICY, THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS MUST BE POSTED ON THE HOSPITAL'S WEBSITE AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE WIDELY AVAILABLE ON ITS WEBSITE ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. THE HOSPITAL WILL ALSO MAKE A PAPER COPY OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AND WITHOUT CHARGE, AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE AVAILABLE FOR PUBLIC INSPECTION ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. COPIES OF THE CHNA REPORT WERE MAILED AND/OR E-MAILED TO COMMUNITY PARTNERS WHO PARTICIPATED IN THE CHNA PROCESS. PARTNERS WERE ALSO PROVIDED LINKS TO THE WEBSITE FOR DISSEMINATION TO THEIR MAILING LISTS AND RESPECTIVE CONSTITUENTS. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE AT ADVENTHEALTH.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS AND IS ALSO BROADLY DISTRIBUTED WITHIN OUR COMMUNITY TO STAKEHOLDERS INCLUDING COMMUNITY LEADERS, GOVERNMENT OFFICIALS, AND SERVICE ORGANIZATIONS.

ADVENTHEALTH LA GRANGE
PART V, SECTION B, LINE 7D: THE HOSPITAL HAS ADOPTED A POLICY THAT ADDRESSES THE PUBLIC POSTING REQUIREMENTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. UNDER THIS POLICY, THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS MUST BE POSTED ON THE HOSPITAL'S WEBSITE AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE WIDELY AVAILABLE ON ITS WEBSITE ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. THE HOSPITAL WILL ALSO MAKE A PAPER COPY OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AND WITHOUT CHARGE, AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE AVAILABLE FOR PUBLIC INSPECTION ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. COPIES OF THE CHNA REPORT WERE MAILED AND/OR E-MAILED TO COMMUNITY PARTNERS WHO PARTICIPATED IN THE CHNA PROCESS. PARTNERS WERE ALSO PROVIDED LINKS TO THE WEBSITE FOR DISSEMINATION TO THEIR MAILING LISTS AND RESPECTIVE CONSTITUENTS. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE AT ADVENTHEALTH.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS AND IS ALSO BROADLY DISTRIBUTED WITHIN OUR COMMUNITY TO STAKEHOLDERS INCLUDING COMMUNITY LEADERS, GOVERNMENT OFFICIALS, AND SERVICE ORGANIZATIONS.

ADVENTHEALTH HINSDALE
"PART V, SECTION B, LINE 11: THE INFORMATION PROVIDED BELOW EXPLAINS HOW THE HOSPITAL FACILITY ADDRESSED IN 2021 THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, AND ANY SUCH NEEDS THAT WERE NOT ADDRESSED AND THE REASONS WHY SUCH NEEDS WERE NOT ADDRESSED. THE HOSPITAL FACILITY CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT BY 12/31/19 AND ADOPTED AN IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT IN 2020 PRIOR TO MAY 15, 2020. THIS IS THE SECOND-YEAR UPDATE FOR ADVENTHEALTH HINSDALE'S (THE HOSPITAL) 2020-2022 COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY. FOR THE DEVELOPMENT OF BOTH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY, ADVENTHEALTH HINSDALE WORKED TO DEFINE AND ADDRESS THE NEEDS OF LOW-INCOME, MINORITY AND UNDERSERVED POPULATIONS IN ITS SERVICE AREA. THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT USED PRIMARY DATA INTERVIEWS AND SURVEYS; SECONDARY DATA FROM LOCAL, REGIONAL AND NATIONAL HEALTH-RELATED SOURCES; AND HOSPITAL PREVALENCE DATA TO HELP THE HOSPITAL DETERMINE THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. ONCE THE DATA WAS GATHERED, THE PRIMARY ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE PRIORITIZED BY COMMUNITY AND HOSPITAL STAKEHOLDERS, WHO THEN SELECTED KEY ISSUES FOR THE HOSPITAL TO ADDRESS IN ITS 2020-2022 COMMUNITY HEALTH PLAN. THE SECOND-YEAR PROGRESS ON THE COMMUNITY HEALTH PLAN IS NOTED BELOW. THE NARRATIVE DESCRIBES THE PRIORITIZED ISSUES IDENTIFIED IN 2019 AND GIVES AN UPDATE ON THE STRATEGIES ADDRESSING THOSE ISSUES. THERE IS ALSO A DESCRIPTION OF THE IDENTIFIED ISSUES THAT THE HOSPITAL DID NOT ADDRESS. ADVENTHEALTH HINSDALE CHOSE TWO PRIORITIES FOR ITS 2020-2022 COMMUNITY HEALTH PLAN: 1. BEHAVIORAL HEALTH 2. HEALTH STATUS IMPROVEMENT PRIORITY 1: BEHAVIORAL HEALTH 2019 DESCRIPTION OF THE ISSUE:BEHAVIORAL HEALTH IS A TERM THAT INCLUDES BOTH MENTAL HEALTH AND SUBSTANCE USE DISORDERS. THE BURDEN OF MENTAL ILLNESS IN THE UNITED STATES IS AMONG THE HIGHEST OF ALL DISEASES, AND MENTAL DISORDERS ARE AMONG THE MOST COMMON CAUSES OF DISABILITY FOR ADULTS, CHILDREN AND ADOLESCENTS. WHEN MENTAL HEALTH DISORDERS ARE UNTREATED, THOSE AFFECTED ARE AT HIGH RISK FOR MANY UNHEALTHY AND UNSAFE BEHAVIORS, INCLUDING ALCOHOL OR DRUG ABUSE, VIOLENT OR SELF-DESTRUCTIVE BEHAVIOR AND SUICIDE. MENTAL HEALTH DISORDERS ARE THE 11TH LEADING CAUSE OF DEATH IN THE UNITED STATES FOR ALL AGE GROUPS AND THE SECOND LEADING CAUSE OF DEATH AMONG PEOPLE AGES 25 TO 34. BEHAVIORAL HEALTH CONTINUES TO BE A PRIMARY CONCERN IN DUPAGE COUNTY. ADDRESSING BEHAVIORAL HEALTH REQUIRES ATTENTION TO SUBSTANCE USE DISORDERS AS WELL AS MENTAL HEALTH. THE RECENT CHNA ALSO EMPHASIZED THE NEED FOR PREVENTION OF SUBSTANCE USE AT AN EARLY AGE AND THE REDUCTION OF STIGMA SURROUNDING BEHAVIORAL HEALTH. DRUG ABUSE AND MENTAL HEALTH ISSUES WERE THE TOP TWO CONCERNS ON THE COMMUNITY SURVEY DURING THE LAST ASSESSMENT.2021 UPDATE: THE ADVENTHEALTH HINSDALE COMMUNITY HEALTH PLAN HAS ONE DESIRED GOAL STATEMENT UNDER THE BEHAVIORAL HEALTH PRIORITY. 1. IMPROVING MENTAL HEALTH AND DECREASING SUBSTANCE ABUSE. GOAL 1: IMPROVING MENTAL HEALTH AND DECREASING SUBSTANCE ABUSE. OBJECTIVE 1: THE FIRST OBJECTIVE IS A SHARED INITIATIVE BETWEEN ADVENTHEALTH BOLINGBROOK, ADVENTHEALTH GLENOAKS, ADVENTHEALTH HINSDALE AND ADVENTHEALTH LA GRANGE. THESE HOSPITALS ARE PART OF THE MULTI-STATE DIVISION OF ADVENTHEALTH. THE HOSPITALS PARTNERED ON THIS INITIATIVE BECAUSE OF A SHARED CHNA PRIORITY. THIS OBJECTIVE, TO INCREASE PERSONS TRAINED IN THE COMMUNITY ON MENTAL HEALTH FIRST AID (MHFA) TO INCREASE IDENTIFICATION OF THOSE IN A CRISIS AND REDUCE STIGMA ASSOCIATED WITH MENTAL HEALTH ISSUES IS FUNDED AND CONDUCTED THROUGH ALL HOSPITALS, HOWEVER REPORTED OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THIS INITIATIVE PROVIDES A TRAINING FOR COMMUNITY RESIDENTS AND FIRST RESPONDERS TO RECOGNIZE, RESPOND AND SEEK ASSISTANCE FOR SIGNS OF MENTAL ILLNESS AND SUBSTANCE USE DISORDERS. THE HOSPITALS PROGRESSED ON THEIR SET METRIC OF 220 WITH 15 INDIVIDUALS SERVED. IN 2021 THERE WAS ONLY ONE MHFA FACILITATOR THAT WAS SHARED AMONGST 14 HOSPITALS AND ENDED IN AUGUST. NO FACILITATOR WAS AVAILABLE FOR THE REST OF 2021. PRIORITY 2: HEALTH STATUS IMPROVEMENT2019 DESCRIPTION OF THE ISSUE:DATA FROM THE MOST RECENT CHNA INDICATED A NEED FOR CONTINUED FOCUS ON ISSUES INVOLVING RESIDENTS' ACCESS TO HEALTH AND MOVEMENT TOWARDS MORE POSITIVE HEALTH OUTCOMES FOR DUPAGE RESIDENTS. ONE OF THE SOCIAL DETERMINANTS OF HEALTH CLOSELY ASSOCIATED WITH POSITIVE HEALTH OUTCOMES IS THE AVAILABILITY OF AFFORDABLE, HEALTHY FOODS. DATA FROM THE MOST RECENT CHNA INDICATED A NEED FOR CONTINUED FOCUS ON ISSUES INVOLVING RESIDENTS' ACCESS TO HEALTH AND MOVEMENT TOWARDS MORE POSITIVE HEALTH OUTCOMES FOR DUPAGE RESIDENTS. ACCESS TO HEALTH CARE AND HEALTH INSURANCE ESPECIALLY FOR LOW-INCOME PERSONS IN THE DUPAGE COMMUNITY CONTINUES TO BE AN ISSUE. EIGHTY-FIVE PERCENT OF DUPAGE COUNTY RESIDENTS REPORTED HAVING A USUAL HEALTH CARE PROVIDER WHILE A TOP ""RISKY BEHAVIOR"" GROUP NOTED ON THE LAST ASSESSMENT RESIDENT SURVEY REPORTED HAVING NO HEALTH INSURANCE. DATA FROM THE MOST RECENT CHNA INDICATED A NEED FOR CONTINUED FOCUS ON ISSUES INVOLVING RESIDENTS' ACCESS TO HEALTH AND MOVEMENT TOWARDS MORE POSITIVE HEALTH OUTCOMES FOR DUPAGE RESIDENTS. ASSISTING PATIENTS AND COMMUNITY MEMBERS TO PROGRAMS AND SERVICES THAT CAN IMPROVE THEIR SOCIAL DETERMINANTS OF HEALTH ARE NEEDED.2021 UPDATE: THE ADVENTHEALTH HINSDALE COMMUNITY HEALTH PLAN HAS ONE DESIRED GOAL STATEMENT UNDER THE HEALTH STATUS IMPROVEMENT PRIORITY. 1. INCREASING ACCESS TO CARE AND COMMUNITY RESOURCES.GOAL 1: INCREASING ACCESS TO CARE AND COMMUNITY RESOURCES.OBJECTIVE 1: THE FIRST OBJECTIVE IS A SHARED INITIATIVE BETWEEN ADVENTHEALTH HINSDALE AND ADVENTHEALTH LA GRANGE. THESE HOSPITALS ARE PART OF THE MULTI-STATE DIVISION OF ADVENTHEALTH., THE HOSPITALS PARTNERED ON THIS INITIATIVE BECAUSE OF A SHARED CHNA PRIORITY. THEIR OBJECTIVE, TO INCREASE THE AVAILABILITY OF HEALTHY FOODS WITHIN THE LOW-INCOME COMMUNITY, IS CONDUCTED THROUGH ADVENTHEALTH HINSDALE AND ALL FUNDING AND OUTCOMES REPORTED ARE SPECIFIC TO THE REPORTING HOSPITAL. THIS INITIATIVE PROVIDES IN COLLABORATION WITH NORTHERN ILLINOIS FOOD BANK, HINSDALE SEVENTH-DAY ADVENTIST CHURCH AND THE COMMUNITY MEMORIAL FOUNDATION THE RX MOBILE FOOD PANTRY, AN ON-SITE MOBILE FOOD PANTRY TWICE A MONTH. THE RX MOBILE FOOD PANTRY PROVIDES FREE PRODUCE, MEAT AND DAIRY TO PATIENTS SCREENED FOR FOOD INSECURITY AS WELL AS TO THE COMMUNITY AT LARGE. THE HOSPITAL EXCEEDED ITS SET METRIC OF 400 INDIVIDUALS PROVIDED WITH FREE HEALTHY FOOD OPTIONS A MONTH WITH 786 INDIVIDUALS SERVED. THIS INITIATIVE HAS BEEN A GREAT COLLABORATION IN WHICH MANY PEOPLE WHO ARE EXPERIENCING FOOD INSECURITY FOR THE FIRST TIME ARE CONNECTED TO FOOD. IN ADDITION, WRAP AROUND SERVICES SUCH AS SNAP BENEFIT ENROLLMENT OPPORTUNITIES ARE AVAILABLE AND HEALTH EDUCATION MATERIALS ARE OFTEN PROVIDED. OBJECTIVE 2: THE SECOND OBJECTIVE IS A SHARED INITIATIVE BETWEEN ADVENTHEALTH HINSDALE AND ADVENTHEALTH GLENOAKS. THESE HOSPITALS ARE PART OF THE MULTI-STATE DIVISION OF ADVENTHEALTH. THE HOSPITALS PARTNERED ON THIS INITIATIVE BECAUSE OF A SHARED CHNA PRIORITY. THIS OBJECTIVE PROVIDES FINANCIAL SUPPORT FOR SILVER ACCESS PROGRAM OF ACCESS DUPAGE AND IS FUNDED BY BOTH HOSPITALS. THIS SUPPORT PROVIDES SUPPORT FOR QUALIFYING RESIDENTS WITH A SUBSIDY FOR THEIR HEALTH INSURANCE PREMIUM TO INCREASE ACCESS TO HEALTH CARE. THE HOSPITALS PROGRESSED ON THEIR SET METRIC OF INCREASING MEMBERS IN TOTAL FUNDING WITH 476 INDIVIDUALS SERVED. THE CONTRIBUTION WAS SPLIT BETWEEN THE HOSPITALS WITH ADVENTHEALTH HINSDALE CONTRIBUTING $226,137 AND ADVENTHEALTH GLENOAKS CONTRIBUTING $130,757. ALTHOUGH THE NUMBER OF INDIVIDUALS SERVED DECREASED FROM 2020 THAT WAS DUE IN PART TO MORE INDIVIDUALS QUALIFYING FOR MEDICAID UNDER THE CORONAVIRUS AID RELIEF ECONOMIC SECURITY ACT. SEE CONTINUATION"

ADVENTHEALTH LA GRANGE
PART V, SECTION B, LINE 11: THE INFORMATION PROVIDED BELOW EXPLAINS HOW THE HOSPITAL FACILITY ADDRESSED IN 2021 THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, AND ANY SUCH NEEDS THAT WERE NOT ADDRESSED AND THE REASONS WHY SUCH NEEDS WERE NOT ADDRESSED. THE HOSPITAL FACILITY CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT BY 12/31/19 AND ADOPTED AN IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT IN 2020 PRIOR TO MAY 15, 2020.THIS IS THE SECOND-YEAR UPDATE FOR ADVENTHEALTH LA GRANGE'S (THE HOSPITAL) 2020-2022 COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY. FOR THE DEVELOPMENT OF BOTH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY, ADVENTHEALTH LA GRANGE WORKED TO DEFINE AND ADDRESS THE NEEDS OF LOW-INCOME, MINORITY AND UNDERSERVED POPULATIONS IN ITS SERVICE AREA. THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT USED PRIMARY DATA INTERVIEWS AND SURVEYS; SECONDARY DATA FROM LOCAL, REGIONAL AND NATIONAL HEALTH-RELATED SOURCES; AND HOSPITAL PREVALENCE DATA TO HELP THE HOSPITAL DETERMINE THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. ONCE THE DATA WAS GATHERED, THE PRIMARY ISSUES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE PRIORITIZED BY COMMUNITY AND HOSPITAL STAKEHOLDERS, WHO THEN SELECTED KEY ISSUES FOR THE HOSPITAL TO ADDRESS IN ITS 2020-2022 COMMUNITY HEALTH PLAN. THE SECOND-YEAR PROGRESS ON THE COMMUNITY HEALTH PLAN IS NOTED BELOW. THE NARRATIVE DESCRIBES THE PRIORITIZED ISSUES IDENTIFIED IN 2019 AND GIVES AN UPDATE ON THE STRATEGIES ADDRESSING THOSE ISSUES. ADVENTHEALTH LA GRANGE CHOSE FOUR PRIORITIES FOR ITS 2020-2022 COMMUNITY HEALTH PLAN: 1. SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH2. ACCESS TO CARE, COMMUNITY RESOURCES AND SYSTEMS IMPROVEMENTS3. MENTAL HEALTH AND SUBSTANCE USE DISORDERS4. CHRONIC CONDITION PREVENTION AND MANAGEMENTPRIORITY 1: SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH2019 DESCRIPTION OF THE ISSUE:THE SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH SUCH AS POVERTY, UNEQUAL ACCESS TO COMMUNITY RESOURCES, UNEQUAL EDUCATION FUNDING AND QUALITY, STRUCTURAL RACISM, AND ENVIRONMENTAL CONDITIONS ARE UNDERLYING ROOT CAUSES OF HEALTH INEQUITIES. ADDITIONALLY, SOCIAL DETERMINANTS OF HEALTH OFTEN VARY BY GEOGRAPHY, GENDER, SEXUAL ORIENTATION, AGE, RACE, DISABILITY, AND ETHNICITY. THE STRONG CONNECTIONS BETWEEN SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS AND HEALTH ARE APPARENT IN CHICAGO AND SUBURBAN COOK COUNTY, WITH HEALTH INEQUITIES BEING EVEN MORE PRONOUNCED THAN MANY NATIONAL TRENDS. WITHIN THE ADVENTHEALTH LA GRANGE PRIMARY SERVICE AREA THERE ARE IDENTIFIED FOOD DESERTS ESPECIALLY NEAR LOW-INCOME AND HIGHER POVERTY COMMUNITIES.2021 UPDATE: THE ADVENTHEALTH LA GRANGE COMMUNITY HEALTH PLAN HAS ONE DESIRED GOAL STATEMENT UNDER THE SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH PRIORITY. 1. TO DEVELOP AFFORDABLE, HEALTHY FOOD OPTIONS FOR ALL RESIDENTS OF WILL COUNTY GOAL 1: TO DEVELOP AFFORDABLE, HEALTHY FOOD OPTIONS FOR ALL RESIDENTS OF WILL COUNTYOBJECTIVE 1: THE FIRST OBJECTIVE IS A SHARED INITIATIVE WITH ADVENTHEALTH HINSDALE AND ADVENTHEALTH LA GRANGE. THESE HOSPITALS ARE PART OF THE MULTI-STATE DIVISION OF ADVENTHEALTH. THE HOSPITALS PARTNERED ON THIS INITIATIVE BECAUSE OF A SHARED CHNA PRIORITY. THEIR OBJECTIVE, TO INCREASE THE AVAILABILITY OF HEALTHY FOODS WITHIN THE LOW-INCOME COMMUNITY, IS CONDUCTED THROUGH ADVENTHEALTH HINSDALE AND ALL FUNDING AND OUTCOMES REPORTED ARE SPECIFIC TO THE REPORTING HOSPITAL. THIS INITIATIVE PROVIDES IN COLLABORATION WITH NORTHERN ILLINOIS FOOD BANK, HINSDALE SEVENTH-DAY ADVENTIST CHURCH AND THE COMMUNITY MEMORIAL FOUNDATION THE RX MOBILE FOOD PANTRY, AN ON-SITE MOBILE FOOD PANTRY TWICE A MONTH. THE RX MOBILE FOOD PANTRY PROVIDES FREE PRODUCE, MEAT AND DAIRY TO PATIENTS SCREENED FOR FOOD INSECURITY AS WELL AS TO THE COMMUNITY AT LARGE. THE HOSPITAL EXCEEDED ITS SET METRIC OF 400 INDIVIDUALS PROVIDED WITH FREE HEALTHY FOOD OPTIONS A MONTH WITH 786 INDIVIDUALS SERVED. THIS INITIATIVE HAS BEEN A GREAT COLLABORATION IN WHICH MANY PEOPLE WHO ARE EXPERIENCING FOOD INSECURITY FOR THE FIRST TIME ARE CONNECTED TO FOOD. IN ADDITION, WRAP AROUND SERVICES SUCH AS SNAP BENEFIT ENROLLMENT OPPORTUNITIES ARE AVAILABLE AND HEALTH EDUCATION MATERIALS ARE OFTEN PROVIDED. PRIORITY 2: ACCESS TO CARE, COMMUNITY RESOURCES AND SYSTEMS IMPROVEMENTS2019 DESCRIPTION OF THE ISSUE:HEALTHY PEOPLE 2020 STATES THAT ACCESS TO COMPREHENSIVE HEALTHCARE SERVICES IS IMPORTANT FOR ACHIEVING HEALTH EQUITY AND IMPROVING QUALITY OF LIFE FOR EVERYONE. DISPARITIES IN ACCESS TO CARE AND COMMUNITY RESOURCES WERE IDENTIFIED AS UNDERLYING ROOT CAUSES OF MANY OF THE HEALTH INEQUITIES EXPERIENCED BY RESIDENTS IN COOK COUNTY. INCREASING TIMELY LINKAGE TO APPROPRIATE CARE INCLUDING BEHAVIORAL HEALTH AND SOCIAL SERVICES IS A PRIORITY. 2021 UPDATE: THE ADVENTHEALTH LA GRANGE COMMUNITY HEALTH PLAN HAS ONE DESIRED GOAL STATEMENT UNDER THE ACCESS TO CARE, COMMUNITY RESOURCES AND SYSTEMS IMPROVEMENTS PRIORITY. 1. INCREASING ACCESS TO CARE AND COMMUNITY RESOURCES.GOAL 1: INCREASING ACCESS TO CARE AND COMMUNITY RESOURCES.OBJECTIVE 1: THE FIRST OBJECTIVE IS TO INCREASE ACCESS TO HEALTH CARE FOR HOMELESS PERSONS IN THE ADVENTHEALTH LA GRANGE SERVICE AREA. THE BED PLUS COLLABORATION IS AN INITIATIVE IN COLLABORATION WITH PILLARS COMMUNITY HEALTH AND THE LA GRANGE FAMILY RESIDENCY CLINIC AND IS FUNDED THROUGH ADVENTHEALTH LA GRANGE AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE BEDS PLUS COLLABORATION PROVIDES DAY PROGRAM PARTICIPANTS HEALTH CONSULTATIONS AND LINKAGES TO ROUTINE HEALTH SERVICES WHICH INCREASES ACCESS TO CARE. THE HOSPITAL SURPASSED ITS SET METRIC OF 70% OF PERSONS UTILIZING THE BEDS PLUS DAY PROGRAM BEING CONNECTED TO A MEDICAL HOME WITH 90% OF INDIVIDUALS CONNECTED. THOSE INDIVIDUALS WHO ACCESSED THE DAY PROGRAM ALSO WERE CONNECTED TO DENTAL AND MENTAL HEALTH SERVICES, 22 INDIVIDUALS FOR DENTAL CARE AND 51 FOR MENTAL HEALTH, RESPECTIVELY. OBJECTIVE 2: THE SECOND OBJECTIVE IS A SHARED INITIATIVE BETWEEN ADVENTHEALTH LA GRANGE, ADVENTHEALTH BOLINGBROOK, ADVENTHEALTH GLENOAKS AND ADVENTHEALTH HINSDALE. THESE HOSPITALS ARE PART OF THE MULTI-STATE DIVISION OF ADVENTHEALTH, THE SAME DIVISION AS THE REPORTING HOSPITAL. THE HOSPITALS PARTNERED ON THIS INITIATIVE BECAUSE OF A SHARED CHNA PRIORITY. THIS OBJECTIVE, TO INCREASE PATIENT AND COMMUNITY MEMBERS CONNECTION TO SERVICES TO REDUCE SOCIAL DETERMINANTS OF HEALTH THROUGH THE PROVISION OF THE COMMUNITY RESOURCE DIRECTORY, IS FUNDED AND DEPLOYED THROUGH ALL HOSPITALS, HOWEVER REPORTED OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THIS INITIATIVE PROVIDES AN ONLINE DIRECTORY OF FREE OR REDUCED COST SERVICES THAT ADDRESS SOCIAL NEEDS OF PATIENTS AND COMMUNITY MEMBERS, INCREASING ACCESS TO COMMUNITY RESOURCES. THE HOSPITALS DID NOT MEET THEIR SET METRIC OF 200 CONNECTIONS WITH 0 INDIVIDUALS SERVED. SEVERAL REASONS CONTRIBUTED TO NOT MEETING THIS METRIC. ONE OF THE PRIMARY REASONS WAS A LACK OF AWARENESS OF THE COMMUNITY RESOURCE DIRECTORY AVAILABILITY. THE COVID-19 PANDEMIC DELAYED THE PROGRAM. AS A RESULT OF THE CONTINUED PANDEMIC, ADVENTHEALTH HAS PIVOTED WHERE NECESSARY TO ADDRESS THE IMMEDIATE NEEDS OF OUR COMMUNITY. WE ARE WORKING TO IDENTIFY WAYS TO SUPPORT THOSE NEEDS ORIGINALLY IDENTIFIED IN OUR CHNAS, AS RESOURCES AND PUBLIC HEALTH RECOMMENDATIONS DEVELOP. SEE CONTINUATION

ADVENTHEALTH HINSDALE
PART V, SECTION B, LINE 13H: EFFECTIVE MARCH 1, 2020, THE FILING ORGANIZATION'S HOSPITAL FACILITY (OR FACILITIES) AUGMENTED THEIR FINANCIAL ASSISTANCE POLICY WITH A COVID-19 FINANCIAL GRACE ADDENDUM. PURSUANT TO THE COVID-19 FINANCIAL GRACE ADDENDUM, UNINSURED PATIENTS TREATED FOR COVID-19 RELATED EVALUATIONS ARE TO RECEIVE FREE OR DISCOUNTED CARE DEPENDING ON THE PATIENT'S COOPERATION IN SUBMITTING NECESSARY FINANCIAL ASSISTANCE INFORMATION. INSURED PATIENTS TESTED FOR COVID-19 ARE NOT EXPECTED TO HAVE OUT-OF-POCKET EXPENSES BASED ON INSURANCE COMMUNITY RESPONSE TO WAIVE PATIENT FINANCIAL RESPONSIBILITY. IF A PAYER UNEXPECTEDLY FAILS TO WAIVE PATIENT RESPONSIBILITY FOR COVID-19 RELATED TESTING, THE FILING ORGANIZATION WILL NOT BALANCE BILL PATIENTS FOR ANY OUT-OF-POCKET EXPENSES RELATED TO COVID-19. IN ADDITION, PATIENTS WITH EXISTING PAYMENT PLANS ARE PROVIDED OPPORTUNITIES FOR REDUCING THEIR MONTHLY PAYMENTS.

ADVENTHEALTH LA GRANGE
PART V, SECTION B, LINE 13H: EFFECTIVE MARCH 1, 2020, THE FILING ORGANIZATION'S HOSPITAL FACILITY (OR FACILITIES) AUGMENTED THEIR FINANCIAL ASSISTANCE POLICY WITH A COVID-19 FINANCIAL GRACE ADDENDUM. PURSUANT TO THE COVID-19 FINANCIAL GRACE ADDENDUM, UNINSURED PATIENTS TREATED FOR COVID-19 RELATED EVALUATIONS ARE TO RECEIVE FREE OR DISCOUNTED CARE DEPENDING ON THE PATIENT'S COOPERATION IN SUBMITTING NECESSARY FINANCIAL ASSISTANCE INFORMATION. INSURED PATIENTS TESTED FOR COVID-19 ARE NOT EXPECTED TO HAVE OUT-OF-POCKET EXPENSES BASED ON INSURANCE COMMUNITY RESPONSE TO WAIVE PATIENT FINANCIAL RESPONSIBILITY. IF A PAYER UNEXPECTEDLY FAILS TO WAIVE PATIENT RESPONSIBILITY FOR COVID-19 RELATED TESTING, THE FILING ORGANIZATION WILL NOT BALANCE BILL PATIENTS FOR ANY OUT-OF-POCKET EXPENSES RELATED TO COVID-19. IN ADDITION, PATIENTS WITH EXISTING PAYMENT PLANS ARE PROVIDED OPPORTUNITIES FOR REDUCING THEIR MONTHLY PAYMENTS.

ADVENTHEALTH HINSDALE
PART V, SECTION B, LINE 16J: THE FILING ORGANIZATION USES MULTIPLE METHODS OF COMMUNICATING ITS MISSION OF PROVIDING CARE TO ALL WHO NEED IT REGARDLESS OF ABILITY TO PAY. SIGNS POSTED AT REGISTRATION CLEARLY POINT OUT THAT CHARITY CARE OR FINANCIAL ASSISTANCE IS AVAILABLE. REGISTRATION IS EDUCATED ON PROVIDING FINANCIAL ASSISTANCE POLICY INFORMATION AND FORMS TO PATIENTS. THE MAIN WEBSITE FOR ALL SYSTEM HOSPITALS FEATURES INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE ON-LINE. IN THE HOSPITAL SETTING, WE EMPLOY FINANCIAL COUNSELORS WHO ARE AVAILABLE TO WORK WITH PATIENTS AND WE ALSO HAVE MEDICAID APPLICATION SPECIALISTS TO ASSIST PATIENTS THAT MAY QUALIFY. IN ADDITION, ALL BILLS AND STATEMENTS INCLUDE INFORMATION REGARDING FINANCIAL ASSISTANCE.

ADVENTHEALTH LA GRANGE
PART V, SECTION B, LINE 16J: THE FILING ORGANIZATION USES MULTIPLE METHODS OF COMMUNICATING ITS MISSION OF PROVIDING CARE TO ALL WHO NEED IT REGARDLESS OF ABILITY TO PAY. SIGNS POSTED AT REGISTRATION CLEARLY POINT OUT THAT CHARITY CARE OR FINANCIAL ASSISTANCE IS AVAILABLE. REGISTRATION IS EDUCATED ON PROVIDING FINANCIAL ASSISTANCE POLICY INFORMATION AND FORMS TO PATIENTS. THE MAIN WEBSITE FOR ALL SYSTEM HOSPITALS FEATURES INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE ON-LINE. IN THE HOSPITAL SETTING, WE EMPLOY FINANCIAL COUNSELORS WHO ARE AVAILABLE TO WORK WITH PATIENTS AND WE ALSO HAVE MEDICAID APPLICATION SPECIALISTS TO ASSIST PATIENTS THAT MAY QUALIFY. IN ADDITION, ALL BILLS AND STATEMENTS INCLUDE INFORMATION REGARDING FINANCIAL ASSISTANCE.

SCHEDULE H, PART V, SECTION B, LINE 11: CONTINUATION FOR AMH HINSDALE
OBJECTIVE 3: THE THIRD OBJECTIVE IS A SHARED INITIATIVE BETWEEN ADVENTHEALTH HINSDALE, ADVENTHEALTH BOLINGBROOK, ADVENTHEALTH GLENOAKS AND ADVENTHEALTH LA GRANGE. THESE HOSPITALS ARE PART OF THE MULTI-STATE DIVISION OF ADVENTHEALTH. THE HOSPITALS PARTNERED ON THIS INITIATIVE BECAUSE OF A SHARED CHNA PRIORITY. THIS OBJECTIVE, TO INCREASE PATIENT AND COMMUNITY MEMBERS CONNECTION TO SERVICES TO REDUCE SOCIAL DETERMINANTS OF HEALTH THROUGH THE PROVISION OF THE COMMUNITY RESOURCE DIRECTORY, IS FUNDED AND DEPLOYED THROUGH ALL HOSPITALS, HOWEVER REPORTED OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THIS INITIATIVE PROVIDES AN ONLINE DIRECTORY OF FREE OR REDUCED COST SERVICES THAT ADDRESS SOCIAL NEEDS OF PATIENTS AND COMMUNITY MEMBERS, INCREASING ACCESS TO COMMUNITY RESOURCES. THE HOSPITALS PROGRESSED ON THEIR SET METRIC OF 200 CONNECTIONS WITH 13 INDIVIDUALS SERVED. SEVERAL REASONS CONTRIBUTED TO NOT MEETING THIS METRIC. ONE OF THE PRIMARY REASONS WAS A LACK OF AWARENESS OF THE COMMUNITY RESOURCE DIRECTORY AVAILABILITY. THE COVID-19 PANDEMIC DELAYED THE PROGRAM. AS A RESULT OF THE CONTINUED PANDEMIC, ADVENTHEALTH HAS PIVOTED WHERE NECESSARY TO ADDRESS THE IMMEDIATE NEEDS OF OUR COMMUNITY. WE ARE WORKING TO IDENTIFY WAYS TO SUPPORT THOSE NEEDS ORIGINALLY IDENTIFIED IN OUR CHNAS, AS RESOURCES AND PUBLIC HEALTH RECOMMENDATIONS DEVELOP. THE PRIMARY AND SECONDARY DATA IN THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED MULTIPLE COMMUNITY ISSUES. THE HOSPITAL AND COMMUNITY STAKEHOLDERS USED THE FOLLOWING CRITERIA TO NARROW THE LARGER LIST TO THE PRIORITY AREAS NOTED ABOVE:1. HOW ACUTE IS THE NEED? (BASED ON DATA AND COMMUNITY CONCERN)2. WHAT IS THE TREND? IS THE NEED GETTING WORSE?3. DOES THE HOSPITAL PROVIDE SERVICES THAT RELATE TO THE PRIORITY? 4. IS SOMEONE ELSE - OR MULTIPLE GROUPS - IN THE COMMUNITY ALREADY WORKING ON THIS ISSUE? 5. IF THE HOSPITAL WERE TO ADDRESS THIS ISSUE, ARE THERE OPPORTUNITIES TO WORK WITH COMMUNITY PARTNERS? BASED ON THIS PRIORITIZATION PROCESS, THE HOSPITAL DID NOT CHOOSE THE FOLLOWING COMMUNITY ISSUES: AFFORDABLE HOUSINGAFFORDABLE HOUSING, WHILE CRITICALLY IMPORTANT TO OVERALL COMMUNITY HEALTH, FOR THE AREA NOT CHOSEN, THERE ARE SERVICE PROVIDERS IN THE COMMUNITY BETTER RESOURCED TO ADDRESS THESE PRIORITIES. THE HOSPITAL WILL WORK COLLABORATIVELY WITH THESE ORGANIZATIONS AS APPROPRIATE TO ENSURE OPTIMAL SERVICE COORDINATION AND UTILIZATION. ADDITIONALLY, THE PROVISION OF THE COMMUNITY RESOURCE DIRECTORY TO ASSOCIATES AND PHYSICIANS, WILL CONNECT THOSE IN NEED TO FREE OR REDUCED COST SERVICES SUCH AS MEDICAL CARE, FOOD, JOB TRAINING, TRANSPORTATION, HOUSING, LEGAL, AND MORE.

SCHEDULE H, PART V, SECTION B, LINE 11: CONTINUATION FOR LA GRANGE
PRIORITY 3: MENTAL HEALTH AND SUBSTANCE USE DISORDERS2019 DESCRIPTION OF THE ISSUE:BEHAVIORAL HEALTH IS A TERM THAT INCLUDES BOTH MENTAL HEALTH AND SUBSTANCE USE DISORDERS. THE BURDEN OF MENTAL ILLNESS IN THE UNITED STATES IS AMONG THE HIGHEST OF ALL DISEASES, AND MENTAL DISORDERS ARE AMONG THE MOST COMMON CAUSES OF DISABILITY FOR ADULTS, CHILDREN AND ADOLESCENTS. WHEN MENTAL HEALTH DISORDERS ARE UNTREATED, THOSE AFFECTED ARE AT HIGH RISK FOR MANY UNHEALTHY AND UNSAFE BEHAVIORS, INCLUDING ALCOHOL OR DRUG ABUSE, VIOLENT OR SELF-DESTRUCTIVE BEHAVIOR AND SUICIDE. MENTAL HEALTH DISORDERS ARE THE 11TH LEADING CAUSE OF DEATH IN THE UNITED STATES FOR ALL AGE GROUPS AND THE SECOND LEADING CAUSE OF DEATH AMONG PEOPLE AGE 25 TO 34. BEHAVIORAL HEALTH CONTINUES TO BE A PRIMARY CONCERN IN COOK COUNTY. ADDRESSING BEHAVIORAL HEALTH REQUIRES ATTENTION TO SUBSTANCE USE DISORDERS AS WELL AS MENTAL HEALTH. THE ADVENTHEALTH LA GRANGE SERVICE AREA HAS A HIGHER INCIDENCE OF EMERGENCY DEPARTMENT VISITS FOR MENTAL HEALTH AND SUBSTANCE USE DISORDERS.2021 UPDATE: THE ADVENTHEALTH LA GRANGE COMMUNITY HEALTH PLAN HAS TWO DESIRED GOAL STATEMENTS UNDER THE BEHAVIORAL HEALTH AND SUSTANCE USE PRIORITY. 2. IMPROVING MENTAL HEALTH AND DECREASING SUBSTANCE ABUSE.GOAL 1: IMPROVING MENTAL HEALTH AND DECREASING SUBSTANCE ABUSE.OBJECTIVE 1: THE FIRST OBJECTIVE IS A SHARED INITIATIVE BETWEEN ADVENTHEALTH BOLINGBROOK, ADVENTHEALTH GLENOAKS, ADVENTHEALTH HINSDALE AND ADVENTHEALTH LA GRANGE. THESE HOSPITALS ARE PART OF THE MULTI-STATE DIVISION OF ADVENTHEALTH, THE SAME DIVISION AS THE REPORTING HOSPITAL. THE HOSPITALS PARTNERED ON THIS INITIATIVE BECAUSE OF A SHARED CHNA PRIORITY. THIS OBJECTIVE IS TO INCREASE PERSONS TRAINED IN THE COMMUNITY ON MENTAL HEALTH FIRST AID TO INCREASE IDENTIFICATION OF THOSE IN A CRISIS AND REDUCE STIGMA ASSOCIATED WITH MENTAL HEALTH ISSUES. THIS OBJECTIVE, IS FUNDED AND CONDUCTED THROUGH ALL HOSPITALS, HOWEVER REPORTED OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THIS INITIATIVE PROVIDES A TRAINING FOR COMMUNITY RESIDENTS AND FIRST RESPONDERS TO RECOGNIZE, RESPOND AND SEEK ASSISTANCE FOR SIGNS OF MENTAL ILLNESS AND SUBSTANCE USE DISORDERS. THE HOSPITALS PROGRESSED ON THEIR SET METRIC OF 220 WITH 8 INDIVIDUALS SERVED. IN 2021 THERE WAS ONLY ONE MHFA FACILITATOR THAT WAS SHARED AMONGST 14 HOSPITALS AND ENDED IN AUGUST. NO FACILITATOR WAS AVAILABLE FOR THE REST OF 2021. OBJECTIVE 2: THE SECOND OBJECTIVE IS TO INCREASE ACCESS AND ENGAGEMENT IN MENTAL HEALTH SERVICES THAT ARE INTEGRATED IN THE PRIMARY CARE SETTING. THE PARTNERSHIP WITH PILLARS COMMUNITY HEALTH IS FUNDED THROUGH ADVENTHEALTH LA GRANGE AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE COLLABORATION WITH PILLARS COMMUNITY HEALTH PROVIDES ACCESS AND ENGAGEMENT IN MENTAL HEALTH SERVICES THAT ARE INTEGRATED IN THE PRIMARY CARE SETTING. THE PILLARS COMMUNITY HEALTH COLLABORATION IS AN ADVENTHEALTH PROGRAM WHICH INCREASES ACCESS TO MENTAL HEALTH SERVICES BY IDENTIFYING THOSE WITH MENTAL HEALTH NEEDS AND NAVIGATING SERVICES ESPECIALLY TO THE LOW-INCOME POPULATION . A MENTAL HEALTH SCREENING IS INTEGRATED TO ALL PRIMARY CARE VISITS. THROUGH THIS COLLABORATION WITH PILLARS COMMUNITY HEALTH, LOW INCOME/LOW ACCESS COMMUNITIES ARE PROVIDED WITH MENTAL HEALTH SERVICES. THE HOSPITAL EXCEEDED ITS SET METRIC THAT 70% OF PATIENTS IDENTIFIED AS NEEDING A BEHAVIORAL HEALTH APPOINTMENT WILL ENGAGE IN AT LEAST ONE VISIT WITH A BEHAVIORAL HEALTH CONSULTANT WITH 78% OF SUCH PATIENTS SEEN BY A BEHAVIORAL HEALTH CONSULTANT. IN ADDITION, 79% OF PATIENTS AGES 12 AND UP WERE SCREENED FOR DEPRESSION, ANXIETY, SUBSTANCE ABUSE AND DOMESTIC VIOLENCE. IF THE SCREENING IS POSITIVE A FOLLOW UP PLAN IS DOCUMENTED. SIXTY-NINE PERCENT OF PATIENTS AGES 4-11 WERE ALSO SCREENED FOR DEPRESSION, ANXIETY, DOMESTIC VIOLENCE AND DEVELOPMENTAL DELAYS AND IF THE SCREENING WAS POSITIVE A FOLLOW-UP PLAN WAS DOCUMENTED. PRIORITY 4: CHRONIC CONDITION PREVENTION AND MANAGEMENT2019 DESCRIPTION OF THE ISSUE:IN THE UNITED STATES, CHRONIC DISEASES ARE THE LEADING CAUSES OF DISABILITY AND DEATH. IN ADDITION, CHRONIC DISEASE RATES ARE ACCELERATING GLOBALLY ACROSS ALL SOCIOECONOMIC CLASSES. HOWEVER, SOCIOECONOMIC INEQUITIES HAVE PROFOUND IMPACTS ON POPULATIONS AND COMMUNITIES THAT HAVE THE GREATEST BURDEN OF DISEASE. CHRONIC CONDITIONS SUCH AS HEART DISEASE, STROKE, CANCER, DIABETES, ARTHRITIS, ASTHMA, MENTAL ILLNESS, AND HIV/AIDS ACCOUNT FOR 90% OF THE NATION'S $3.3 TRILLION IN ANNUAL HEALTH CARE EXPENDITURES. PREVENTION AND MANAGEMENT OF CHRONIC ILLNESS CAN HELP REDUCE THE COSTLY PHYSICAL AND SOCIOECONOMIC BURDEN OF THESE DISEASES FOR INDIVIDUALS AND SOCIETY AS A WHOLE. THE NUMBER OF INDIVIDUALS IN THE U.S. WHO ARE LIVING WITH A CHRONIC DISEASE IS PROJECTED TO CONTINUE INCREASING WELL INTO THE FUTURE. SIXTY-FIVE PERCENT OF DEATHS IN SUBURBAN COOK COUNTY WERE DUE TO CHRONIC DISEASES. AS A RESULT, IT WILL BE INCREASINGLY IMPORTANT FOR THE HEALTHCARE SYSTEM TO FOCUS ON PREVENTION OF CHRONIC DISEASE AND THE PROVISION OF ONGOING CARE MANAGEMENT.2021 UPDATE: THE ADVENTHEALTH LA GRANGE COMMUNITY HEALTH PLAN HAS ONE DESIRED GOAL STATEMENT UNDER THE CHRONIC CONDITION PREVENTION AND MANAGEMENT PRIORITY. 1. PREVENTING AND REDUCING CHRONIC CONDITIONS, WITH A FOCUS ON RISK FACTORS.GOAL 1: PREVENTING AND REDUCING CHRONIC CONDITIONS, WITH A FOCUS ON RISK FACTORS.OBJECTIVE 1: THE FIRST OBJECTIVE IS TO INCREASE ACCESS TO CARE FOR LOW-INCOME POPULATIONS IN THE LA GRANGE SERVICE AREA FOR THE PREVENTION AND MANAGEMENT OF CHRONIC CONDITIONS. THE COLLABORATION WITH PILLARS COMMUNITY HEALTH IS FUNDED THROUGH ADVENTHEALTH LA GRANGE AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE COLLABORATION WITH PILLARS COMMUNITY HEALTH ADDRESSES CHRONIC HEALTH ISSUES THAT DISPROPORTIONATELY AFFECTS THE LOW INCOME POPULATION, INCLUDING OBESITY AND DIABETES. ADULTS AND YOUTH (3-17) WITH ELEVATED BMI LEVELS WILL RECEIVE A DOCUMENTED FOLLOW UP PLAN INCLUDING NUTRITION AND PHYSICAL ACTIVITY AND COUNSELING SESSIONS. ADULTS WITH DIABETES WILL BE MANAGED TO KEEP HEMOGLOBIN A1C < 9. THE HOSPITAL MET ITS SET METRIC OF 70% OF ADULT PATIENTS DIAGNOSED WITH DIABETES KEEPING THEIR HEMOGLOBIN A1C < 9 WITH 72% OF ADULT PATIENTS DIAGNOSED WITH DIABETES KEEPING THEIR A1C < 9. ACCESS TO NUTRITION AND PHYSICAL ACTIVITY PROVIDES INDIVIDUALS AND FAMILIES THE TOOLS NEEDED TO ADDRESS ISSUES THAT DISPROPORTIONATELY AFFECT THIS TARGET POPULATION. OTHER CHRONIC DISEASES ADDRESSED THROUGH THIS EFFORT HAVE ALSO PROVIDED RESOURCES FOR BODY MASS INDEX (BMI), HYPERTENSION AND ASTHMA. COMMUNITY NEEDS NOT CHOSEN BY ADVENTHEALTH LA GRANGETHE PRIMARY AND SECONDARY DATA IN THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED MULTIPLE COMMUNITY ISSUES. THE HOSPITAL AND COMMUNITY STAKEHOLDERS USED THE FOLLOWING CRITERIA TO NARROW THE LARGER LIST TO THE PRIORITY AREAS NOTED ABOVE:1. HOW ACUTE IS THE NEED? (BASED ON DATA AND COMMUNITY CONCERN)2. WHAT IS THE TREND? IS THE NEED GETTING WORSE?3. DOES THE HOSPITAL PROVIDE SERVICES THAT RELATE TO THE PRIORITY? 4. IS SOMEONE ELSE - OR MULTIPLE GROUPS - IN THE COMMUNITY ALREADY WORKING ON THIS ISSUE? 5. IF THE HOSPITAL WERE TO ADDRESS THIS ISSUE, ARE THERE OPPORTUNITIES TO WORK WITH COMMUNITY PARTNERS?THE FOLLOWING PRIORITIZED HEALTH NEEDS WILL NOT BE DIRECTLY ADDRESSED IN THE 2020-2022 IMPLEMENTATION STRATEGY: MATERNAL & CHILD HEALTH SAFETY, TRAUMA & INJURYWHILE CRITICALLY IMPORTANT TO OVERALL COMMUNITY HEALTH, FOR THE AREAS NOT CHOSEN, THERE ARE SERVICE PROVIDERS IN THE COMMUNITY BETTER RESOURCED TO ADDRESS THESE PRIORITIES. AMITA HEALTH ADVENTIST MEDICAL CENTER LAGRANGE WILL WORK COLLABORATIVELY WITH THESE ORGANIZATIONS AS APPROPRIATE TO ENSURE OPTIMAL SERVICE COORDINATION AND UTILIZATION. ADDITIONALLY, THE PROVISION OF THE AMITA HEALTH COMMUNITY RESOURCE DIRECTORY (AUNT BERTHA) TO OUR ASSOCIATES AND PHYSICIANS, WILL CONNECT THOSE IN NEED TO FREE OR REDUCED COST SERVICES SUCH AS MEDICAL CARE, FOOD, JOB TRAINING, TRANSPORTATION, HOUSING, LEGAL, AND MORE. THIS IMPLEMENTATION STRATEGY WAS APPROVED BY THE ADVENTIST MIDWEST HEALTH BOARD ON JANUARY 23, 2020. THE COLLECTIVE MONITORING, REPORTING PROGRESS AND REVISING WILL ENSURE THE PLAN REMAINS RELEVANT AND EFFECTIVE.

SCHEDULE H, PART V, SECTION B, LINE 7A
EACH HOSPITAL FACILITY'S CHNA REPORT IS WIDELY AVAILABLE THROUGH THE FOLLOWING WEBSITE:HTTPS://WWW.ADVENTHEALTH.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS

SCHEDULE H, PART V, SECTION B, LINE 10A:
EACH HOSPITAL FACILITY'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS WIDELY AVAILABLE THROUGH THE FOLLOWING WEBSITE:HTTPS://WWW.ADVENTHEALTH.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS

SCHEDULE H, PART V, SECTION B, LINE 16A,B,C:
EACH HOSPITAL'S FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT:HTTPS://WWW.ADVENTHEALTH.COM/LEGAL/FINANCIAL-ASSISTANCEEACH HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY APPLICATION IS WIDELY AVAILABLE THROUGH THE FOLLOWING WEBSITE:HTTPS://WWW.ADVENTHEALTH.COM/LEGAL/FINANCIAL-ASSISTANCEEACH HOSPITAL FACILITY'S PLAIN LANGUAGE SUMMARY IS AVAILABLE AT:HTTPS://WWW.ADVENTHEALTH.COM/LEGAL/FINANCIAL-ASSISTANCE

PART I, LINE 3C:
EVERY UNINSURED PERSON, REGARDLESS OF INCOME, RECEIVES AN AUTOMATIC 15% DISCOUNT OFF OF CHARGES. PERSONS WHO EARN LESS THAN 600% OF THE FEDERAL POVERTY GUIDELINES ARE GIVEN MORE SIGNIFICANT DISCOUNTS, DEPENDING ON THEIR INDIVIDUAL SITUATIONS.FEDERAL POVERTY LEVEL - 0-200% UNINSURED PATIENT DISCOUNT - 95%FEDERAL POVERTY LEVEL - 201-300% UNINSURED PATIENT DISCOUNT - 75%FEDERAL POVERTY LEVEL - 301-600% UNINSURED PATIENT DISCOUNT - 74%FEDERAL POVERTY LEVEL - > 600% UNINSURED PATIENT DISCOUNT - 74%

PART I, LINE 6A:
"THE FILING ORGANIZATION WAS A WHOLLY OWNED SUBSIDIARY OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC) DURING ITS CURRENT TAX YEAR. DURING THE CURRENT YEAR, AHSSHC SERVED AS A PARENT ORGANIZATION TO 30 TAX-EXEMPT 501(C)(3) HOSPITAL ORGANIZATIONS AND A NUMBER OF OTHER HEALTH CARE FACILITIES THAT OPERATED IN 10 STATES WITHIN THE U.S. THE SYSTEM OF ORGANIZATIONS UNDER THE CONTROL AND OWNERSHIP OF AHSSHC IS KNOWN AS ""ADVENTHEALTH"".ALL HOSPITAL ORGANIZATIONS WITHIN ADVENTHEALTH COLLECT, CALCULATE, AND REPORT THE COMMUNITY BENEFITS THEY PROVIDE TO THE COMMUNITIES THEY SERVE. ADVENTHEALTH ORGANIZATIONS EXIST SOLELY TO IMPROVE AND ENHANCE THE LOCAL COMMUNITIES THEY SERVE. ADVENTHEALTH HAS A SYSTEM-WIDE COMMUNITY BENEFITS ACCOUNTING POLICY THAT PROVIDES GUIDELINES FOR ITS HEALTH CARE PROVIDER ORGANIZATIONS TO CAPTURE AND REPORT THE COSTS OF SERVICES PROVIDED TO THE UNDERPRIVILEGED AND TO THE BROADER COMMUNITY. EACH ADVENTHEALTH HOSPITAL FACILITY REPORTS THEIR COMMUNITY BENEFITS TO THEIR BOARD OF DIRECTORS AND STRIVES TO COMMUNICATE THEIR COMMUNITY BENEFITS TO THEIR LOCAL COMMUNITIES. ADDITIONALLY, THE FILING ORGANIZATION'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT AND ASSOCIATED IMPLEMENTATION STRATEGY CAN BE ACCESSED ON THE FILING ORGANIZATION'S WEBSITE. THE FILING ORGANIZATION IS INCLUDED IN THE SUBMISSION OF THE ANNUAL NONPROFIT HOSPITAL COMMUNITY BENEFIT PLAN REPORT WITH THE ATTORNEY GENERAL'S OFFICE OF THE STATE OF ILLINOIS. THIS REPORT IS PREPARED ON A CONSOLIDATED BASIS AND INCLUDES DATA FOR ADVENTIST MIDWEST HEALTH, ADVENTIST GLENOAKS HOSPITAL, AND ADVENTIST BOLINGBROOK HOSPITAL. THESE HOSPITAL ORGANIZATIONS ARE ALL RELATED ORGANIZATIONS."

PART I, LINE 7:
THE FOLLOWING COSTING METHODOLOGIES WERE USED: - CHARITY AT COST - A COST TO CHARGE METHODOLOGY BASED ON THE MOST RECENTLY FILED MEDICARE COST REPORT WAS USED TO CALCULATE COSTS. - UNREIMBURSED MEDICAID - COSTS ARE CALCULATED USING THE MOST RECENTLY FILED MEDICAID COST REPORT. - OTHER BENEFITS - COSTS ARE DETERMINED BY ACTIVITY REPORTED IN ACCORDANCE WITH GUIDELINES PUBLISHED BY THE CATHOLIC HEALTH ASSOCIATION. COSTS COULD INCLUDE THE VALUE OF HOURLY WAGES, COSTS OF MATERIALS, VALUE OF SPACE LOANED TO COMMUNITY GROUPS FOR MEETINGS, AND INDIRECT COSTS WHERE APPLICABLE.

PART II, COMMUNITY BUILDING ACTIVITIES:
COMMUNITY BUILDING ACTIVITIES INCLUDE PROGRAMS THAT IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL HAZARDS. PARTICIPATION IN COLLABORATIVE COMMUNITY EFFORTS TO PROMOTE PUBLIC HEALTH INITIATIVES IS ALSO INCLUDED, SUCH AS ENGAGEMENT IN COALITIONS AND ADVOCACY FOR HEALTH IMPROVEMENT. THESE ACTIVITIES STRENGTHEN THE COMMUNITY'S CAPACITY TO PROMOTE THE HEALTH AND WELL-BEING OF ITS RESIDENTS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HEALTH CARE ORGANIZATION. ADVENTIST MIDWEST HEALTH ENGAGES IN A VARIETY OF COMMUNITY-BUILDING ACTIVITIES WHICH ULTIMATELY IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE ARE PRIVILEGED TO SERVE, EVEN THOUGH THEY ARE NOT SPECIFIC HEALTH ACTIVITIES.

PART III, LINE 2:
AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE FILING ORGANIZATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY AMITA HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE FILING ORGANIZATION'S POLICIES.

PART III, LINE 4:
FINANCIAL STATEMENT FOOTNOTE RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS:THE FINANCIAL INFORMATION OF THE FILING ORGANIZATION IS INCLUDED IN A CONSOLIDATED AUDITED FINANCIAL STATEMENT FOR THE CURRENT YEAR.THE APPLICABLE FOOTNOTE FROM THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ADDRESSES ACCOUNTS RECEIVABLE, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS, AND THE PROVISION FOR BAD DEBTS CAN BE FOUND ON PAGES 8-9. PLEASE NOTE THAT DOLLAR AMOUNTS ON THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE IN THOUSANDS.

PART III, LINE 8:
COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO.RATIONALE FOR INCLUDING A MEDICARE SHORTFALL AS COMMUNITY BENEFIT:AS A 501(C)(3) ORGANIZATION, THE FILING ORGANIZATION PROVIDES EMERGENCY AND NON-ELECTIVE CARE TO ALL REGARDLESS OF ABILITY TO PAY. ALL HOSPITAL SERVICES ARE PROVIDED IN A NON-DISCRIMINATORY MANNER TO PATIENTS WHO ARE COVERED BENEFICIARIES UNDER THE MEDICARE PROGRAM. AS A PUBLIC INSURANCE PROGRAM, MEDICARE PROVIDES A PRE-ESTABLISHED REIMBURSEMENT RATE/AMOUNT TO HEALTH CARE PROVIDERS FOR THE SERVICES THEY PROVIDE TO PATIENTS. IN SOME CASES, THE REIMBURSEMENT AMOUNT PROVIDED TO A HOSPITAL MAY EXCEED ITS COSTS OF PROVIDING A PARTICULAR SERVICE OR SERVICES TO A PATIENT. IN OTHER CASES, THE MEDICARE REIMBURSEMENT AMOUNT MAY RESULT IN THE HOSPITAL EXPERIENCING A SHORTFALL OF REIMBURSEMENT RECEIVED OVER COSTS INCURRED. IN THOSE CASES WHERE AN OVERALL SHORTFALL IS GENERATED FOR PROVIDING SERVICES TO ALL MEDICARE PATIENTS, THE SHORTFALL AMOUNT SHOULD BE CONSIDERED AS A BENEFIT TO THE COMMUNITY. TAX-EXEMPT HOSPITALS ARE REQUIRED TO ACCEPT ALL MEDICARE PATIENTS REGARDLESS OF THE PROFITABILITY, OR LACK THEREOF, WITH RESPECT TO THE SERVICES THEY PROVIDE TO MEDICARE PATIENTS. THE POPULATION OF INDIVIDUALS COVERED UNDER THE MEDICARE PROGRAM IS SUFFICIENTLY LARGE SO THAT THE PROVISION OF SERVICES TO THE POPULATION IS A BENEFIT TO THE COMMUNITY AND RELIEVES THE BURDENS OF GOVERNMENT. IN THOSE SITUATIONS WHERE THE PROVISION OF SERVICES TO THE TOTAL MEDICARE PATIENT POPULATION OF A TAX-EXEMPT HOSPITAL DURING ANY YEAR RESULTS IN A SHORTFALL OF REIMBURSEMENT RECEIVED OVER THE COST OF PROVIDING CARE, THE TAX-EXEMPT HOSPITAL HAS PROVIDED A BENEFIT TO A CLASS OF PERSONS BROAD ENOUGH TO BE CONSIDERED A BENEFIT TO THE COMMUNITY. DESPITE A FINANCIAL SHORTFALL, A TAX-EXEMPT HOSPITAL MUST AND WILL CONTINUE TO ACCEPT AND CARE FOR MEDICARE PATIENTS. TYPICALLY, TAX-EXEMPT HOSPITALS PROVIDE HEALTH CARE SERVICES BASED UPON AN ASSESSMENT OF THE HEALTH CARE NEEDS OF THEIR COMMUNITY AS OPPOSED TO THEIR TAXABLE COUNTERPARTS WHERE PROFITABILITY OFTEN DRIVES DECISIONS ABOUT PATIENT CARE SERVICES THAT ARE OFFERED. PATIENT CARE PROVIDED BY TAX-EXEMPT HOSPITALS THAT RESULTS IN MEDICARE SHORTFALLS SHOULD BE CONSIDERED AS PROVIDING A BENEFIT TO THE COMMUNITY AND RELIEVING THE BURDENS OF GOVERNMENT.

PART VI, LINE 7, REPORTS FILED WITH STATES
IL

PART III, LINE 3:
THE FILING ORGANIZATION PROACTIVELY WORKS TO PRESUMPTIVELY ASSESS AND GRANT CHARITY TO ALL UNINSURED PATIENTS. THE HOSPITAL SCREENS ALL UNINSURED PATIENTS AGAINST CREDIT SCORE DATA IN ORDER TO PRESUMPTIVELY APPLY ITS FINANCIAL ASSISTANCE POLICY. BASED ON THIS PROCESS, APPROXIMATELY 96% OF THE UNINSURED PATIENT POPULATION IS DEFINED AS ELIGIBLE FOR A PARTIAL CHARITY ADJUSTMENT ON THEIR ACCOUNTS. THE AVERAGE DISCOUNT GIVEN TO THE UNINSURED PATIENT POPULATION IS 81%. IN PRIOR YEARS, PROACTIVE EFFORTS WERE LIMITED TO ONLY THOSE ACCOUNTS WITH BALANCES > $5,000. UNDER THAT SCENARIO, IT WAS ESTIMATED THAT 1/3 OF OUR BAD DEBT PLACEMENTS MAY HAVE BEEN ELIGIBLE FOR CHARITY CARE DISCOUNTS. WITH A MORE COMPREHENSIVE PRESUMPTIVE CHARITY PROGRAM, MANY MORE ACCOUNTS ARE GRANTED CHARITY EARLIER IN THE PROCESS AND PRIOR TO BAD DEBT PLACEMENT. THEREFORE, IT IS ESTIMATED THAT APPROXIMATELY 10% OF OUR CURRENT BAD DEBT PLACEMENTS WOULD BE ELIGIBLE FOR ADDITIONAL CHARITY IF A FULL PRESUMPTIVE CHARITY PROCESS WAS CONDUCTED ACROSS 100% OF OUR SELF-PAY AFTER INSURANCE ACCOUNTS.DISCOUNTS AND PAYMENTS ARE NOT INCLUDED IN BAD DEBT EXPENSE IN THE FINANCIAL STATEMENTS UNLESS THE PAYMENT IS A RECOVERY OF AMOUNTS PREVIOUSLY WRITTEN OFF AS BAD DEBT. RECOVERIES ARE CLASSIFIED AS A DECREASE TO BAD DEBT EXPENSE.RATIONALE FOR INCLUDING CERTAIN BAD DEBTS IN COMMUNITY BENEFIT:THE FILING ORGANIZATION IS DEDICATED TO THE VIEW THAT MEDICALLY NECESSARY HEALTH CARE FOR EMERGENCY AND NON-ELECTIVE PATIENTS SHOULD BE ACCESSIBLE TO ALL, REGARDLESS OF AGE, GENDER, GEOGRAPHIC LOCATION, CULTURAL BACKGROUND, PHYSICIAN MOBILITY, OR ABILITY TO PAY. THE FILING ORGANIZATION TREATS EMERGENCY AND NON-ELECTIVE PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THE AVAILABILITY OF THIRD-PARTY COVERAGE. BY PROVIDING HEALTH CARE TO ALL WHO REQUIRE EMERGENCY OR NON-ELECTIVE CARE IN A NON-DISCRIMINATORY MANNER, THE FILING ORGANIZATION IS PROVIDING HEALTH CARE TO THE BROAD COMMUNITY IT SERVES. AS A 501(C)(3) HOSPITAL ORGANIZATION, THE FILING ORGANIZATION MAINTAINS A 24/7 EMERGENCY ROOM PROVIDING CARE TO ALL WHOM PRESENT. WHEN A PATIENT'S ARRIVAL AND/OR ADMISSION TO THE FACILITY BEGINS WITHIN THE EMERGENCY DEPARTMENT, TRIAGE AND MEDICAL SCREENING ARE ALWAYS COMPLETED PRIOR TO REGISTRATION STAFF PROCEEDING WITH THE DETERMINATION OF A PATIENT'S SOURCE OF PAYMENT. IF THE PATIENT REQUIRES ADMISSION AND CONTINUED NON-ELECTIVE CARE, THE FILING ORGANIZATION PROVIDES THE NECESSARY CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THE FILING ORGANIZATION'S OPERATION OF A 24/7 EMERGENCY DEPARTMENT THAT ACCEPTS ALL INDIVIDUALS IN NEED OF CARE PROMOTES THE HEALTH OF THE COMMUNITY THROUGH THE PROVISION OF CARE TO ALL WHOM PRESENT. CURRENT INTERNAL REVENUE SERVICE GUIDANCE THAT TAX-EXEMPT HOSPITALS MAINTAIN SUCH EMERGENCY ROOMS WAS ESTABLISHED TO ENSURE THAT EMERGENCY CARE WOULD BE PROVIDED TO ALL WITHOUT DISCRIMINATION. THE TREATMENT OF ALL AT THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT IS A COMMUNITY BENEFIT. UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, EVERY EFFORT IS MADE TO OBTAIN A PATIENT'S NECESSARY FINANCIAL INFORMATION TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, NOT ALL PATIENTS WILL COOPERATE WITH SUCH EFFORTS AND A FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION CANNOT BE MADE BASED UPON INFORMATION SUPPLIED BY THE INDIVIDUAL. IN THIS CASE, A PATIENT'S PORTION OF A BILL THAT REMAINS UNPAID FOR A CERTAIN STIPULATED TIME PERIOD IS WHOLLY OR PARTIALLY CLASSIFIED AS BAD DEBT. BAD DEBTS ASSOCIATED WITH PATIENTS WHO HAVE RECEIVED CARE THROUGH THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT SHOULD BE CONSIDERED COMMUNITY BENEFIT AS CHARITABLE HOSPITALS EXIST TO PROVIDE SUCH CARE IN PURSUIT OF THEIR PURPOSE OF MEETING THE NEED FOR EMERGENCY MEDICAL CARE SERVICES AVAILABLE TO ALL IN THE COMMUNITY.

PART III, LINE 9B:
IT IS THE POLICY OF THE FILING ORGANIZATION TO OFFER PATIENTS A PAYMENT PLAN AND/OR CHARITY ASSISTANCE WHEN IT BECOMES KNOWN OR EVEN SUSPECTED THAT A PATIENT NEEDS FINANCIAL ASSISTANCE. SIGNS AND BROCHURES ARE POSTED IN FACILITY REGISTRATION AREAS. FINANCIAL COUNSELORS ARE NOTIFIED AND EVERY ATTEMPT IS MADE TO CONTACT AND WORK WITH THE PATIENT OR THEIR FAMILY TO HELP THEM COMPLETE A FINANCIAL ASSISTANCE APPLICATION WITH COMPASSION AND DIGNITY. FINANCIAL COUNSELORS WORK WITH PATIENTS TO HELP DETERMINE IF THERE ARE ANY THIRD-PARTY PAYORS WHICH MAY BE AVAILABLE TO HELP THE PATIENT MEET THEIR OBLIGATIONS. THE HOSPITAL WORKS WITH THE PATIENT TO DETERMINE IF THEY ARE ELIGIBLE FOR FEDERAL PROGRAMS INCLUDING MEDICAID, STATE FUNDED PROGRAMS INCLUDING CRIME VICTIMS, ALTERNATIVE INSURANCE INCLUDING COBRA, WORKER'S COMPENSATION AND OR OTHER SPECIALIZED GRANT PROGRAMS SUCH AS OUR MAMMOGRAPHY GRANT PROGRAM FOR LOW INCOME WOMEN. IN THE EVENT NO THIRD-PARTY PROGRAMS ARE IDENTIFIED, THE HOSPITAL THEN WORKS WITH THE PATIENT TO HELP THEM APPLY FOR FINANCIAL ASSISTANCE DISCOUNTS AND PAYMENT PLANS. IN ADDITION, ALL BILLS AND STATEMENTS INCLUDE INFORMATION REGARDING FINANCIAL ASSISTANCE.

PART VI, LINE 2:
THE FILING ORGANIZATION'S HOSPITALS CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) EVERY THREE YEARS. ITS 2019 CHNAS WERE ADOPTED BY ITS GOVERNING BOARD BY DECEMBER 31, 2019, THE END OF THE FILING ORGANIZATION'S TAXABLE YEAR IN WHICH IT CONDUCTED THE CHNAS. THE FILING ORGANIZATION'S 2019 CHNAS COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN FINAL REGULATION SECTION 1.501(R)-3. IN ADDITION TO THE CHNAS DISCUSSED ABOVE, A VARIETY OF PRACTICES AND PROCESSES ARE IN PLACE TO ENSURE THAT THE FILING ORGANIZATION IS RESPONSIVE TO THE HEALTH NEEDS OF ITS COMMUNITIES. SUCH PRACTICES AND PROCESSES INVOLVE THE FOLLOWING:1. HOSPITAL OPERATING/COMMUNITY BOARDS COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF EACH COMMUNITY, COMMUNITY LEADERS, AND THOSE WITH SPECIALIZED MEDICAL TRAINING AND EXPERTISE;2. POST-DISCHARGE PATIENT FOLLOW-UP RELATED TO THE ON-GOING CARE AND TREATMENT OF PATIENTS WHO SUFFER FROM CHRONIC DISEASES; 3. SPONSORSHIP AND PARTICIPATION IN COMMUNITY HEALTH AND WELLNESS ACTIVITIES THAT REACH A BROAD SPECTRUM OF THE FILING ORGANIZATION'S COMMUNITIES; AND 4. COLLABORATION WITH OTHER LOCAL COMMUNITY GROUPS TO ADDRESS THE HEALTH CARE NEEDS OF THE FILING ORGANIZATION'S COMMUNITIES.

PART VI, LINE 3:
THE FINANCIAL ASSISTANCE POLICY (FAP), FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM), AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY (PLS) OF THE FILING ORGANIZATION'S HOSPITAL FACILITIES ARE TRANSPARENT AND AVAILABLE TO ALL INDIVIDUALS SERVED AT ANY POINT IN THE CARE CONTINUUM. THE FAP, FAA FORM, PLS, AND CONTACT INFORMATION FOR EACH HOSPITAL FACILITY'S FINANCIAL COUNSELORS ARE PROMINENTLY AND CONSPICUOUSLY POSTED ON EACH OF THE FILING ORGANIZATION'S HOSPITAL FACILITY'S WEBSITES. THE WEBSITES INDICATE THAT A COPY OF THE FAP, FAA FORM, AND PLS IS AVAILABLE AND HOW TO OBTAIN SUCH COPIES IN THE PRIMARY LANGUAGES OF ANY POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE MEMBERS OF THE COMMUNITY SERVED BY EACH HOSPITAL FACILITY (REFERRED TO BELOW AS LEP DEFINED POPULATIONS). SIGNAGE IS DISPLAYED IN PUBLIC LOCATIONS OF THE FILING ORGANIZATION'S HOSPITAL FACILITIES, INCLUDING AT ALL POINTS OF ADMISSION AND REGISTRATION AND THE EMERGENCY DEPARTMENT. THE SIGNAGE CONTAINS EACH HOSPITAL FACILITY'S WEBSITE ADDRESS WHERE THE FAP, FAA FORM, AND PLS CAN BE ACCESSED AND THE TELEPHONE NUMBER AND PHYSICAL LOCATION THAT INDIVIDUALS CAN CALL OR VISIT TO OBTAIN COPIES OF THE FAP, FAA FORM AND PLS OR TO OBTAIN MORE INFORMATION ABOUT EACH HOSPITAL FACILITY'S FAP, FAA FORM AND PLS. PAPER COPIES OF EACH HOSPITAL FACILITY'S FAP, FAA FORM AND PLS ARE AVAILABLE UPON REQUEST AND WITHOUT CHARGE, BOTH IN PUBLIC LOCATIONS IN EACH HOSPITAL FACILITY AND BY MAIL. PAPER COPIES ARE MADE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGES OF ANY LEP DEFINED POPULATIONS. THE FILING ORGANIZATION'S HOSPITAL FACILITIES' FINANCIAL COUNSELORS SEEK TO PROVIDE PERSONAL FINANCIAL COUNSELING TO ALL INDIVIDUALS ADMITTED TO THE HOSPITAL FACILITY WHO ARE CLASSIFIED AS SELF-PAY DURING THE COURSE OF THEIR HOSPITAL STAY OR AT TIME OF DISCHARGE TO EXPLAIN THE FAP AND FAA FORM AND TO PROVIDE INFORMATION CONCERNING OTHER SOURCES OF ASSISTANCE THAT MAY BE AVAILABLE, SUCH AS MEDICAID. A PAPER COPY OF THE HOSPITAL FACILITY'S PLS WILL BE OFFERED TO EVERY PATIENT AS A PART OF THE INTAKE OR DISCHARGE PROCESS. A CONSPICUOUS WRITTEN NOTICE IS INCLUDED ON ALL BILLING STATEMENTS SENT TO PATIENTS THAT NOTIFIES AND INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, INCLUDING THE FOLLOWING: 1) THE TELEPHONE NUMBER OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATION ABOUT THE FAP AND THE FAA FORM; AND 2) THE WEBSITE ADDRESS WHERE COPIES OF THE FAP, FAA FORM AND PLS MAY BE OBTAINED. REASONABLE ATTEMPTS ARE MADE TO INFORM INDIVIDUALS ABOUT THE HOSPITAL FACILITY'S FAP IN ALL ORAL COMMUNICATIONS REGARDING THE AMOUNT DUE FOR THE INDIVIDUAL'S CARE. COPIES OF THE PLS ARE DISTRIBUTED TO MEMBERS OF THE COMMUNITY IN A MANNER REASONABLY CALCULATED TO REACH THOSE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE.

PART VI, LINE 5:
"THE PROVISION OF COMMUNITY BENEFIT IS CENTRAL TO THE FILING ORGANIZATION'S MISSION OF SERVICE AND COMPASSION. RESTORING AND PROMOTING THE HEALTH AND QUALITY OF LIFE OF THOSE IN THE COMMUNITIES SERVED BY THE FILING ORGANIZATION IS A FUNCTION OF ""EXTENDING THE HEALING MINISTRY OF CHRIST AND EMBODIES THE FILING ORGANIZATION'S COMMITMENT TO ITS VALUES AND PRINCIPLES. THE FILING ORGANIZATION COMMITS SUBSTANTIAL RESOURCES TO PROVIDE A BROAD RANGE OF SERVICES TO BOTH THE UNDERPRIVILEGED AS WELL AS THE BROADER COMMUNITY. IN ADDITION TO THE COMMUNITY BENEFIT AND COMMUNITY BUILDING INFORMATION PROVIDED IN PARTS I, II AND III OF THIS SCHEDULE H, THE FILING ORGANIZATION CAPTURES AND REPORTS THE BENEFITS PROVIDED TO ITS COMMUNITY THROUGH FAITH-BASED CARE. EXAMPLES OF SUCH BENEFITS INCLUDE THE COST ASSOCIATED WITH CHAPLAINCY CARE PROGRAMS AND MISSION PEER REVIEWS AND MISSION CONFERENCES. THE FILING ORGANIZATION ALSO PROVIDES BENEFITS TO ITS COMMUNITY'S INFRASTRUCTURE BY INVESTING IN CAPITAL IMPROVEMENTS TO ENSURE THAT FACILITIES AND TECHNOLOGY PROVIDE THE BEST POSSIBLE CARE TO THE COMMUNITY. DURING THE CURRENT YEAR, THE FILING ORGANIZATION EXPENDED $14,786,811 IN NEW CAPITAL IMPROVEMENTS. AS FAITH-BASED MISSION-DRIVEN COMMUNITY HOSPITALS, THE FILING ORGANIZATION IS CONTINUALLY INVOLVED IN MONITORING ITS COMMUNITIES, IDENTIFYING UNMET HEALTH CARE NEEDS AND DEVELOPING SOLUTIONS AND PROGRAMS TO ADDRESS THOSE NEEDS. IN ACCORDANCE WITH ITS CONSERVATIVE APPROACH TO FISCAL RESPONSIBILITY, SURPLUS FUNDS OF THE FILING ORGANIZATION ARE CONTINUALLY BEING INVESTED IN RESOURCES THAT IMPROVE THE AVAILABILITY AND QUALITY OF DELIVERY OF HEALTH CARE SERVICES AND PROGRAMS TO ITS COMMUNITIES."

PART VI, LINE 4:
THE FILING ORGANIZATION CURRENTLY OPERATES 2 HOSPITAL FACILITIES, ADVENTHEALTH HINSDALE AND ADVENTHEALTH LA GRANGE. BOTH LOCATED IN ILLINOIS, THESE FACILITIES ARE MAJOR HEALTHCARE PROVIDERS IN THE COMMUNITIES THEY SERVE. ADVENTIST MIDWEST HEALTH, DBA ADVENTHEALTH HINSDALE (AHH), IS LOCATED IN HINSDALE, ILLINOIS. IT CURRENTLY OPERATES A HOSPITAL FACILITY AND IS LICENSED FOR 261 BEDS. IN ADDITION TO OPERATING A HOSPITAL, AHH ALSO OPERATES A CANCER TREATMENT CENTER, 2 IMAGING CENTERS, 2 OUTPATIENT REHABILITATION FACILITIES, 1 BEHAVIORAL HEALTH CENTER, 1 VASCULAR INTERVENTION CENTER, AND 2 FAMILY HEALTH MEDICINE CENTERS. AHH IS A CRUCIAL COMMUNITY AND REGIONAL ASSET. IT IS THE ONLY TEACHING HOSPITAL IN DUPAGE COUNTY, ILLINOIS. MANY OF THE MEDICAL STAFF MEMBERS HOLD TEACHING POSITIONS AT CHICAGO'S PREMIER MEDICAL SCHOOLS AND ACADEMIC MEDICAL CENTERS AND PARTICIPATE IN MEDICAL RESEARCH STUDIES AND CLINICAL TRIALS. PLEASE SEE OUR RESPONSE TO FORM 990 PART III, LINE 4A FOR A DETAILED EXPLANATION OF THE SERVICES AND PROGRAMS OFFERED BY AHH. THE AHH COMMUNITY CONSISTS PRIMARILY OF HINSDALE AND THE SURROUNDING AREA. WE DEFINE THE AHH PRIMARY SERVICE AREA AS THE COLLECTION OF ZIP CODES WHERE APPROXIMATELY 75% OF HOSPITAL PATIENTS RESIDE, AND WE FOCUS OUR COMMUNITY HEALTH IMPROVEMENT ON THIS SERVICE AREA. THE MAJORITY OF THE SERVICE AREA RESIDES IN DUPAGE COUNTY. THE EASTERN PART OF THE SERVICE AREA IS IN SUBURBAN COOK COUNTY. ACCORDING TO US CENSUS DATA (2018) THE POPULATION OF THIS SERVICE AREA IS 660,745. THE AVERAGE AGE IS 41.7 YEARS WITH AN AVERAGE FAMILY INCOME OF $92,006. THE AGE SPREAD OF THE PRIMARY SERVICE AREA IS SIMILAR IN DUPAGE COUNTY, COOK COUNTY AND ILLINOIS. SEVEN PERCENT OF THOSE THAT RESIDE IN THIS SERVICE AREA ARE LIVING IN POVERTY. THE PRIMARY SERVICE AREA OF AHH HAS A SLIGHTLY HIGHER HISPANIC/LATINO POPULATION AND NON-HISPANIC BLACK POPULATION THAN DUPAGE COUNTY.DURING 2021, THE AHH'S PATIENT PERCENTAGE POPULATION WAS MADE UP OF THE BELOW PAYORS WITH THE REMAINING PERCENTAGE OF THE PATIENTS BEING COVERED UNDER COMMERCIAL INSURANCE. IN 2021, ABOUT 51.7% OF AHH'S IN-PATIENTS WERE ADMITTED THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT. - MEDICARE PATIENTS 42.5% - MEDICAID PATIENTS 12.6% - SELF-PAY PATIENTS 1.1% THE DEMOGRAPHIC MAKEUP OF THE HOSPITAL'S DUPAGE COUNTY COMMUNITY IS AS FOLLOWS: - POPULATION 929,026 - POPULATION OVER 65 15.67% - POVERTY (BELOW 100% FPL) 6.8% - UNINSURED ADULTS 6.3% - UNINSURED CHILDREN 3% ADVENTHEALTH LA GRANGE (THE HOSPITAL) IS A 186-BED FACILITY PROVIDING OUTPATIENT AND INPATIENT PRIMARY CARE, TRAUMA CARE AND WELLNESS SERVICES TO RESIDENTS OF CHICAGO'S WESTERN SUBURBS. THE HOSPITAL IS A LEADER IN OFFERING COMPREHENSIVE ONCOLOGY SERVICES, ORTHOPEDIC SERVICES, ADVANCED CARDIAC CARE, WOMEN'S HEALTH AND MATERNITY CARE, EMERGENCY, GERIATRIC AND MANY OTHER SPECIALTIES THAT CATER TO THE COMMUNITIES IT SERVES. THE HOSPITAL COMMUNITY CONSISTS PRIMARILY OF LA GRANGE AND THE SURROUNDING AREA. WE DEFINE THE PRIMARY SERVICE AREA (PSA) AS THE COLLECTION OF ZIP CODES WHERE APPROXIMATELY 75% OF HOSPITAL PATIENTS RESIDE, AND WE FOCUS OUR COMMUNITY HEALTH IMPROVEMENT ON THIS SERVICE AREA. THE MAJORITY OF THE SERVICE AREA POPULATION RESIDES IN SUBURBAN COOK COUNTY WITH PART OF THE WESTERN SERVICE AREA IN DUPAGE COUNTY. ACCORDING TO US CENSUS DATA (2018) THE POPULATION OF THIS SERVICE AREA IS 452,150. THE AVERAGE AGE IS 39.4 YEARS WITH AN AVERAGE FAMILY INCOME OF $77,969. THE AGE SPREAD OF THE PRIMARY SERVICE AREA IS SIMILAR TO DUPAGE COUNTY, COOK COUNTY AND ILLINOIS. TEN PERCENT OF THOSE THAT RESIDE IN THIS SERVICE AREA ARE LIVING IN POVERTY. LA GRANGE AND ITS SURROUNDING AREAS ARE ROUGHLY EQUALLY SPLIT BETWEEN HISPANIC/LATINO AND NON-HISPANIC WHITE POPULATIONS. DURING 2021, THE HOSPITAL'S PATIENT PERCENTAGE POPULATION WAS MADE UP OF THE BELOW PAYORS WITH THE REMAINING PERCENTAGE OF THE PATIENTS BEING COVERED UNDER COMMERCIAL INSURANCE. IN 2021, ABOUT 80.6% OF THE HOSPITAL'S IN-PATIENTS WERE ADMITTED THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT. - MEDICARE PATIENTS 56.5% - MEDICAID PATIENTS 11.4% - SELF-PAY PATIENTS 1.5% THE DEMOGRAPHIC MAKEUP OF THE HOSPITAL'S COOK COUNTY COMMUNITY IS AS FOLLOWS: - POPULATION 5,132,480 - POPULATION OVER 65 14% - POVERTY (BELOW 100% FPL) 16% - UNEMPLOYMENT RATE 10% - POP. AGE 25+ WITH NO HIGH SCHOOL DIPLOMA 15% - UNINSURED ADULTS 11% - UNINSURED CHILDREN 4%

PART VI, LINE 6:
THE FILING ORGANIZATION IS A PART OF A FAITH-BASED HEALTHCARE SYSTEM OF ORGANIZATIONS WHOSE PARENT IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). THE SYSTEM IS KNOWN AS ADVENTHEALTH. AHSSHC IS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). AHSSHC AND ITS SUBSIDIARY ORGANIZATIONS OPERATE 48 HOSPITALS THROUGHOUT THE U.S., PRIMARILY IN THE SOUTHEASTERN PORTION OF THE U.S. AHSSHC AND ITS SUBSIDIARIES ALSO OPERATE 10 NURSING HOME FACILITIES AND OTHER ANCILLARY HEALTH CARE PROVIDER FACILITIES, SUCH AS AMBULATORY SURGERY CENTERS AND DIAGNOSTIC IMAGING CENTERS. THE FILING ORGANIZATION IS ALSO A COVERED AFFILIATE OF A JOINT OPERATING COMPANY THAT DOES BUSINESS UNDER THE NAME OF AMITA HEALTH. AMITA HEALTH HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A TAX-EXEMPT ORGANIZATION UNDER IRC SECTION 501(C)(3). AMITA HEALTH PROVIDES VARIOUS MANAGEMENT AND EXECUTIVE SUPPORT SERVICES TO THE FILING ORGANIZATION. THE PROVISION OF THESE EXECUTIVE AND SUPPORT SERVICES ON A CENTRALIZED BASIS BY AMITA HEALTH AND BY AHSSHC PROVIDES AN APPROPRIATE BALANCE BETWEEN PROVIDING THE HOSPITAL ORGANIZATION WITH MISSION-DRIVEN CONSISTENT LEADERSHIP AND SUPPORT WHILE ALLOWING THE HOSPITAL ORGANIZATION TO FOCUS ITS RESOURCES ON MEETING THE SPECIFIC HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. THE READER OF THIS FORM 990 SHOULD KEEP IN MIND THAT THIS REPORTING ENTITY MAY DIFFER IN CERTAIN AREAS FROM THAT OF A STAND-ALONE HOSPITAL ORGANIZATION DUE TO ITS INCLUSION AS A COVERED AFFILIATE OF AMITA HEALTH AND AS PART OF A LARGER SYSTEM OF HEALTHCARE ORGANIZATIONS. AS A PART OF A SYSTEM OF HOSPITALS AND OTHER HEALTH CARE ORGANIZATIONS, THE FILING ORGANIZATION BENEFITS FROM REDUCED COSTS DUE TO SYSTEM EFFICIENCIES, SUCH AS LARGE GROUP PURCHASING DISCOUNTS, AND THE AVAILABILITY OF INTERNAL RESOURCES SUCH AS INTERNAL LEGAL COUNSEL. AS A RESULT, MANAGEMENT FEE EXPENSE REPORTED BY THE FILING ORGANIZATION MAY APPEAR GREATER IN RELATION TO MANAGEMENT FEE EXPENSE THAT MAY BE REPORTED BY A SINGLE STAND-ALONE HOSPITAL. THE SINGLE STAND-ALONE HOSPITAL WOULD LIKELY REPORT COSTS ASSOCIATED WITH MANAGEMENT AND OTHER PROFESSIONAL SERVICES ON VARIOUS EXPENSE LINE ITEMS IN ITS STATEMENT OF REVENUE AND EXPENSE AS OPPOSED TO REPORTING SUCH COSTS IN ONE OVERALL MANAGEMENT FEE EXPENSE. AS THE REPORTING OF THE FORM 990 IS DONE ON AN ENTITY BY ENTITY BASIS, THERE IS NO SINGLE FORM 990 THAT CAPTURES THE PROGRAMS AND OPERATIONS OF ADVENTHEALTH OR OF AMITA HEALTH AS A WHOLE. THE READER IS DIRECTED TO VISIT THE WEB-SITE OF ADVENTHEALTH AT WWW.ADVENTHEALTH.COM TO LEARN MORE ABOUT THE MISSION AND OPERATIONS OF ADVENTHEALTH.