4A (Expenses $ 405254297 including grants of $ 200000) (Revenue $ 567180077)
SwedishAmerican Hospital (SAH) operates two full service acute care hospitals with a combined total of 339 licensed beds serving the greater Rockford region, Northern Illinois and Southern Wisconsin. Our vision is to develop a fully integrated healthcare delivery network that will continuously set the standard for quality care and service, accept responsibility for building a healthier population, provide regional access, improve resource utilization through collaboration with key stakeholders, and manage patient care and our resources in such a way that we create value for our patients and benefit for our community. During 2022, we cared for 19,627 inpatients and performed 1,439,107 outpatient procedures. This includes 73,754 emergency room visits and 2,936 deliveries. We sponsor the University of Illinois - College of Medicine Program and provided $5.5 million in education for primary care residents. Our employees and volunteers provided near 2,900 hours in unpaid community services. SwedishAmerican recognizes its responsibility to all the people of our community, regardless of their ability to pay for care.

4B (Expenses $ 127673963 including grants of $ 0) (Revenue $ 99434244)
SwedishAmerican Hospital employs primary care and specialty physicians who practice at 42 locations throughout our service area. We employ specialists in orthopedics, cardiology, cardiothoracic surgery, endocrinology, allergy, neurology, neurosurgery, pulmonology/critical care, hematology/oncology, obstetrics and gynecology, maternal fetal medicine, rheumatology, psychiatry, podiatry, otolaryngology, as well as internal medicine, family practice, immediate care and pediatric physicians. During 2022, our physician encounters were 507,110.

4C (Expenses $ 53959686 including grants of $ 0) (Revenue $ 83795264)
SwedishAmerican Regional Cancer Center opened to the public in October 2013 and has been providing leading edge cancer care treatment for the Rock River Valley. The center is part of a collaborative with UW Health and its nationally recognized University of Wisconsin Carbone Cancer Center. The two-story facility offers radiation therapy, medical oncology, chemotherapy and infusion services. Patients have access to clinical trials, state-of-the-art linear acceleratory treatments such as IGRT, IMRT, Rapid Arc, OBI and stereotactic services, and advanced medical imaging. The Regional Cancer Center is staffed by medical and radiation oncologists, physicists, dosimetrists, radiation therapists and nurses. During 2022, our out-patient encounters were over 27,000.

4D (Expenses $ 5533261 including grants of $ 0) (Revenue $ 4648693)
SwedishAmerican Home Health Care is a quality leader in providing individualized care in patients' homes. Working in partnership with a patient's doctor, our certified, trained staff provides a wide range of services and specializes in helping patients to remain independent and comfortable. Our experienced caregivers include registered nurses; certified nursing assistants, dietitians; physical, occupational and speech therapists; and medical social workers. RNs provide assessments, treatments and medication administration and patient education/teaching. Our therapists provide assessments and treatments. Medical social workers assist with assessments, counseling and helping patients and their families' access available community resources. CNAs provide baths and personal grooming. Our staff has the credentials and advanced training needed to assure that patients receive the highest quality of care possible. During 2022, we recorded 14,109 visits.

Part V, Section B
Facility Reporting Group A

Facility Reporting Group A consists of:
- Facility 1: SwedishAmerican Hospital dba UW Health, - Facility 2: SwedishAmerican Medical Ctr. Belvidere

Group A-Facility 1 -- SwedishAmerican Hospital dba UW Health Part V, Section B, line 5:
SwedishAmerican Hospital (SAH) and Belvidere Medical Center (SAMC) have completed this CHNA to identify community health priorities and make decisions on where to commit resources that can most effectively improve overall community health and wellness.SAH and SAMC partnered with Advis, Inc. (hereinafter Advis), a third-party healthcare consulting firm, to conduct a systematic, data-driven approach to provide a CHNA that incorporated data from both qualitative and quantitative sources. Conducting this CHNA allows SAH and SAMC to better understand the unique needs, concerns and priorities of the community it serves. To complete this CHNA, the Advis team and SwedishAmerican leadership drew upon the 2020 Healthy Community Study conducted by the Rockford Regional Health Council and internal information for primary data. Secondary data was collected from other agencies and organizations to provide insight into community health needs and priorities, challenges, resources, and potential solutions.The Rockford Regional Health Council is comprised of steering committee partners from several health and community organizations including the Boone County Health Department, Mercyhealth, OSF, SwedishAmerican Health System, Transform Rockford, United Way of Rock River Valley, University of Illinois College of Medicine Rockford, Department of Family and Community Medicine and the Division of Health Policy and Social Science Research. Data collection was gathered using surveys distributed on paper and digitally. The paper and digital versions of the survey were available in English and Spanish. Respondents included a wide cross section of residents in Boone and Winnebago counties. This cross section includes residents of units operated by the Rockford Housing Authority, Winnebago County Housing Authority and Zion Development; parents/guardians of students in the Harlem School District and Belvidere District 100; a purchased list of email and physical addresses for 13,000 residents of Boone and Winnebago Counties; clients of Crusader Clinic and Northern Illinois Food Bank; and people who learned about the survey on social media platforms.Health needs were identified across all socio-economic groups, races, ethnicities, ages and genders. Special considerations were made to ensure health disparities and the needs of medically underserved and uninsured populations were analyzed. While several health needs were identified throughout the development of this CHNA, SAH and SAMC prioritized health needs with the largest impact on the community as well as those that would be best addressed through a coordinated response from healthcare and community resources.

Group A-Facility 1 -- SwedishAmerican Hospital dba UW Health Part V, Section B, line 6a:
SwedishAmerican Hospital (SAH) in Rockford, Illinois and SwedishAmerican Medical Center (SAMC) in Belvidere, Illinois collaborated for the purposes of executing the Community Health Needs Assessment. Both hospital facilities defined their communities geographically in the same way, serve the same demographic and geographic areas, work with the same community organizations and strategic partners, and in the same arenas for community benefit activities. Additionally, SAH and SAMC are part of the same legal entity, SwedishAmerican, and share a leadership team and medical staff.

Group A-Facility 1 -- SwedishAmerican Hospital dba UW Health Part V, Section B, line 11:
"SAH and SAMC prioritized the following significant health needs, which are a continuation of the priorities from the 2019 CHNA. Below is a list of the identified health priorities for 2022-2025 as well as some of the impacts in these areas from the 2019 CHNA implementation plan:CancerCancer remains a top health priority for SwedishAmerican as it is a leading cause of death within the SwedishAmerican community service area. The percentage of deaths caused by cancer was 18.4% in Winnebago County and 17% in Boone County.Since the 2019 CHNA, SwedishAmerican has implemented the following related to cancer care within the community:- Expanded radiation oncology procedures not yet offered to patients in the service area to include Space OAR Program.- Met patient education and perception goals for lung cancer clinical indicators.- Completed National Accreditation Program for Breast Centers (NAPBC) standards, applied for and received accreditation.- Participated in American Cancer Society ""Real Men Wear Pink"".- Provided keynote speaker at prostate cancer Annual Purple Tea Coalition.- Provided patient education on aromatherapy for cancer patients, benefits of oncology rehabilitation, palliative care and the anti-inflammatory benefits of spices as a part of Cancer Survivor Week.ObesityThe issues related to obesity remain two-fold: factors causing the development of obesity and the diseases that result from obesity. As determined through the 2020 Health Community Study and Survey, 12% of the survey participants were obese. Moreover, the survey included a self-assessment of the participants' weight. Across all samples, ""overweight"" was the most common answer given by respondents.According to the CDC, obesity is a leading cause of diabetes, hypertension, high cholesterol and heart diseases. Data gathered from the Centers for Disease Control (CDC) indicate high rates of diabetes, hypertension, high cholesterol and heart diseases in both Winnebago and Boone Counties.Since the 2019 CHNA, SwedishAmerican has implemented the following related to Obesity within the community:- Created Employer Based Clinics (EBC) and Woodward Health Center (WHC). - Health Coaching - Walk with a coach at WHC- Referred patients to New Directions weight loss program.- Utilized Better Life Wellness (BLW) for corporate clients focused on wellness.- Offered Grocery tours with a registered dietician.- Offered HRA (health risk assessment) and wellness screenings with corporate clients (aggregate data reports include BMI (body mass index)).- Held various wellness challenges.- Prior to COVID restrictions offered Walk with a Doc.- Ensured that BMI was obtained at every patient visit.- Established questionnaire regarding activity level/exercise regimen at all wellness visits (pediatrics and adult).- Recommendations regarding lifestyle included in all assessment/plan for wellness visits (pediatrics and adult).- EMR reminders for missing cholesterol screening; we start this at age 9 years old (pediatric population) and continue through adulthood.- Partnership with Diabetes center/nutrition center for additional referrals as needed.Tobacco CessationApproximately a quarter of adults in the region are current smokers, an increase from the last time the region was surveyed, but only 3% are regular smokers (smoke every day). The rate of adults in the region who currently smoke cigarettes is higher than the state and national findings, which only shows 15% of the population being current smokers.Since the 2019 CHNA, SwedishAmerican has implemented the following related to Tobacco Cessation within the community:- Tobacco use screening at all visits, tobacco cessation encouraged at all wellness visits.- Provider education regarding Lung Cancer Screening for tobacco use history.- Provider education regarding smoking cessation counseling.- EMR reminders regarding need for Abdominal Aortic Aneurysm screening in males' age 65+ with history of tobacco use.- EMR reminders for Pneumonia vaccine in all patients with tobacco use.- Smoking cessation program offered to EBC and BLW corporate clients.Poverty and UnemploymentApproximately 14.6% of the total Winnebago County population lives in poverty, compared to the 11% of population that live in poverty in the State of Illinois. Moreover, both Boone and Winnebago counties have a significantly higher penetration of low-income residents compared to the penetration of low-income residents across the state. Specifically, Winnebago County has a 49.5% rate of penetration of low-income residents, and Boone County has a rate of 43.7% penetration of low-income residents. Comparatively, the State of Illinois has a rate of 38.8%.Since the 2019 CHNA, SwedishAmerican has implemented the following related to Poverty and Unemployment within the community:- Provided grants and resources to area non-profits that support unmet, basic needs in our service area such as:- $15,000.00 - Provide tutors for struggling students Pre-K to 12 in reading and math.- $17,735.00 - Counseling for those who have anxiety, depression, bullying, self-harm and suicide along with childhood trauma and abuse.- $6,265.00 - Youth weightlifting outreach which targets at-risk youth who live in poverty, have experienced trauma and struggle with social-emotional well being.- $10,000.00 - Community partnership with Rockford East High School students to provide a new construction trades program.- $10,000.00 - Project name ""Happy Kids are Healthy Kids"" to provide students enrolled in summer camp cooking classes that taught them about making healthier food options.- $5,000.00 - Provide 24-hour medical advocacy at hospitals in Winnebago, Boone and Ogle counties. Staff and volunteers provided support, education, referrals and/or clothes to sexual assault survivors.- $17,500.00 - Equip a home for relational mentoring with at-risk and justice involved youth, ages 15-23.- $5,000.00 - Provide field trip enrichment opportunities for inner city children ages 6-16.- $11,188.65 - Improve the social and emotional well-being of school age kids through physical activity and strength training.- $10,000.00 - Re-engage youth in outdoor activities that will improve their health and keep them safe and active. Also provides financial assistance to anyone in need that cannot afford the programs, team sports, lessons and camps.- $6,609.00 - Purchase equipment for education and employment center at homeless shelter to help the unemployed get a job.- $4,500.00 - Conduct a musical theatre to introduce children of color in poverty the skills learned from participating in musical theatre which offers future career opportunities in this field.- $12,000.00 - Further development of the Juvenile Justice Ministry program.Access to Medical CareAccess to medical care remains a challenge to the SwedishAmerican community for a wide range of reasons including transportation availability, communication barriers, clinic hours and supply and availability.Since the 2019 CHNA, SwedishAmerican has implemented the following related to Access to Medical Care within the community:- Provided $4 million per year to the University of Illinois College of Medicine family practice residency to educate physicians.- Provided school physicals to Lincoln School (neighborhood school).- Partnered with Rockford Fire Department to provide mobile integrated health outreach to community.- Partnered with local FQHC's (federally qualified health centers) to assure access to hospital services.- Contracted with all Medicaid Managed Care organizations to assure access to our physicians and hospital for all of the Medicaid population in our service area.- Set a goal of 48% of new primary care patients seen within 10 days; currently at 45.86%.Vulnerable Populations: Hispanic/Latino PopulationThe Hispanic and Latino population was identified as particularly vulnerable within the community, and especially impacted by adverse health issues and outcomes. For example, the survey indicated that compared to some other races, Hispanics have higher incidences of high cholesterol, arthritis, obesity and liver disease. Moreover, Hispanic adults were identified as more likely to be current drinkers in the region compared to other races.See Line 11 continuted at the end of Part V."

Group A-Facility 1 -- SwedishAmerican Hospital dba UW Health Part V, Section B, line 16j:
The hospital's financial assistance policy is transparent and available to all, at all points in the continuum, in languages appropriate for Hospital's service area. The hospital's financial assistance policy, application form, signage, and financial counselor contact information are available in English and Spanish. Signage is posted prominently at all points of admission and registration (including the emergency department). Written information about the hospital's financial assistance policy and copies of the financial assistance form are available in admission and registration areas. The hospital's financial assistance policy, application form and financial counselor contact information are also posted on the hospital's website. The hospital will make efforts to publicize its policy in print and television media, wherever practicable. Patient billing communications also inform patients of the availability of financial assistance. Each bill, invoice, or other summary of charges to an uninsured patient includes with it, or on it, a prominent statement that an uninsured patient who meets certain income requirements may qualify for financial assistance and information on how to apply for consideration under the hospital's financial assistance policy. All third-party agents who submit or collect bills on behalf of hospital are required to follow this policy.

Group A-Facility 2 -- SwedishAmerican Medical Ctr. Belvidere Part V, Section B, line 5:
SwedishAmerican Hospital (SAH) and Belvidere Medical Center (SAMC) have completed this CHNA to identify community health priorities and make decisions on where to commit resources that can most effectively improve overall community health and wellness.SAH and SAMC partnered with Advis, Inc. (hereinafter Advis), a third-party healthcare consulting firm, to conduct a systematic, data-driven approach to provide a CHNA that incorporated data from both qualitative and quantitative sources. Conducting this CHNA allows SAH and SAMC to better understand the unique needs, concerns and priorities of the community it serves. To complete this CHNA, the Advis team and SwedishAmerican leadership drew upon the 2020 Healthy Community Study conducted by the Rockford Regional Health Council and internal information for primary data. Secondary data was collected from other agencies and organizations to provide insight into community health needs and priorities, challenges, resources, and potential solutions.The Rockford Regional Health Council is comprised of steering committee partners from several health and community organizations including the Boone County Health Department, Mercyhealth, OSF, SwedishAmerican Health System, Transform Rockford, United Way of Rock River Valley, University of Illinois College of Medicine Rockford, Department of Family and Community Medicine and the Division of Health Policy and Social Science Research. Data collection was gathered using surveys distributed on paper and digitally. The paper and digital versions of the survey were available in English and Spanish. Respondents included a wide cross section of residents in Boone and Winnebago counties. This cross section includes residents of units operated by the Rockford Housing Authority, Winnebago County Housing Authority and Zion Development; parents/guardians of students in the Harlem School District and Belvidere District 100; a purchased list of email and physical addresses for 13,000 residents of Boone and Winnebago Counties; clients of Crusader Clinic and Northern Illinois Food Bank; and people who learned about the survey on social media platforms.Health needs were identified across all socio-economic groups, races, ethnicities, ages and genders. Special considerations were made to ensure health disparities and the needs of medically underserved and uninsured populations were analyzed. While several health needs were identified throughout the development of this CHNA, SAH and SAMC prioritized health needs with the largest impact on the community as well as those that would be best addressed through a coordinated response from healthcare and community resources.

Group A-Facility 2 -- SwedishAmerican Medical Ctr. Belvidere Part V, Section B, line 6a:
SwedishAmerican Hospital (SAH) in Rockford, Illinois and SwedishAmerican Medical Center (SAMC) in Belvidere, Illinois collaborated for the purposes of executing the Community Health Needs Assessment. Both hospital facilities defined their communities geographically in the same way, serve the same demographic and geographic areas, work with the same community organizations and strategic partners, and in the same arenas for community benefit activities.

Group A-Facility 2 -- SwedishAmerican Medical Ctr. Belvidere Part V, Section B, line 11:
"SAH and SAMC prioritized the following significant health needs, which are a continuation of the priorities from the 2019 CHNA. Below is a list of the identified health priorities for 2022-2025 as well as some of the impacts in these areas from the 2019 CHNA implementation plan:CancerCancer remains a top health priority for SwedishAmerican as it is a leading cause of death within the SwedishAmerican community service area. The percentage of deaths caused by cancer was 18.4% in Winnebago County and 17% in Boone County.Since the 2019 CHNA, SwedishAmerican has implemented the following related to cancer care within the community:- Expanded radiation oncology procedures not yet offered to patients in the service area to include Space OAR Program.- Met patient education and perception goals for lung cancer clinical indicators.- Completed National Accreditation Program for Breast Centers (NAPBC) standards, applied for and received accreditation.- Participated in American Cancer Society ""Real Men Wear Pink"".- Provided keynote speaker at prostate cancer Annual Purple Tea Coalition.- Provided patient education on aromatherapy for cancer patients, benefits of oncology rehabilitation, palliative care and the anti-inflammatory benefits of spices as a part of Cancer Survivor Week.ObesityThe issues related to obesity remain two-fold: factors causing the development of obesity and the diseases that result from obesity. As determined through the 2020 Health Community Study and Survey, 12% of the survey participants were obese. Moreover, the survey included a self-assessment of the participants' weight. Across all samples, ""overweight"" was the most common answer given by respondents.According to the CDC, obesity is a leading cause of diabetes, hypertension, high cholesterol and heart diseases. Data gathered from the Centers for Disease Control (CDC) indicate high rates of diabetes, hypertension, high cholesterol and heart diseases in both Winnebago and Boone Counties.Since the 2019 CHNA, SwedishAmerican has implemented the following related to Obesity within the community:- Created Employer Based Clinics (EBC) and Woodward Health Center (WHC). - Health Coaching - Walk with a coach at WHC- Referred patients to New Directions weight loss program.- Utilized Better Life Wellness (BLW) for corporate clients focused on wellness.- Offered Grocery tours with a registered dietician.- Offered HRA (health risk assessment) and wellness screenings with corporate clients (aggregate data reports include BMI (body mass index)).- Held various wellness challenges.- Prior to COVID restrictions offered Walk with a Doc.- Ensured that BMI was obtained at every patient visit.- Established questionnaire regarding activity level/exercise regimen at all wellness visits (pediatrics and adult).- Recommendations regarding lifestyle included in all assessment/plan for wellness visits (pediatrics and adult).- EMR reminders for missing cholesterol screening; we start this at age 9 years old (pediatric population) and continue through adulthood.- Partnership with Diabetes center/nutrition center for additional referrals as needed.Tobacco CessationApproximately a quarter of adults in the region are current smokers, an increase from the last time the region was surveyed, but only 3% are regular smokers (smoke every day). The rate of adults in the region who currently smoke cigarettes is higher than the state and national findings, which only shows 15% of the population being current smokers.Since the 2019 CHNA, SwedishAmerican has implemented the following related to Tobacco Cessation within the community:- Tobacco use screening at all visits, tobacco cessation encouraged at all wellness visits.- Provider education regarding Lung Cancer Screening for tobacco use history.- Provider education regarding smoking cessation counseling.- EMR reminders regarding need for Abdominal Aortic Aneurysm screening in males' age 65+ with history of tobacco use.- EMR reminders for Pneumonia vaccine in all patients with tobacco use.- Smoking cessation program offered to EBC and BLW corporate clients.Poverty and UnemploymentApproximately 14.6% of the total Winnebago County population lives in poverty, compared to the 11% of population that live in poverty in the State of Illinois. Moreover, both Boone and Winnebago counties have a significantly higher penetration of low-income residents compared to the penetration of low-income residents across the state. Specifically, Winnebago County has a 49.5% rate of penetration of low-income residents, and Boone County has a rate of 43.7% penetration of low-income residents. Comparatively, the State of Illinois has a rate of 38.8%.Since the 2019 CHNA, SwedishAmerican has implemented the following related to Poverty and Unemployment within the community:- Provided grants and resources to area non-profits that support unmet, basic needs in our service area such as:- $15,000.00 - Provide tutors for struggling students Pre-K to 12 in reading and math.- $17,735.00 - Counseling for those who have anxiety, depression, bullying, self-harm and suicide along with childhood trauma and abuse.- $6,265.00 - Youth weightlifting outreach which targets at-risk youth who live in poverty, have experienced trauma and struggle with social-emotional well being.- $10,000.00 - Community partnership with Rockford East High School students to provide a new construction trades program.- $10,000.00 - Project name ""Happy Kids are Healthy Kids"" to provide students enrolled in summer camp cooking classes that taught them about making healthier food options.- $5,000.00 - Provide 24-hour medical advocacy at hospitals in Winnebago, Boone and Ogle counties. Staff and volunteers provided support, education, referrals and/or clothes to sexual assault survivors.- $17,500.00 - Equip a home for relational mentoring with at-risk and justice involved youth, ages 15-23.- $5,000.00 - Provide field trip enrichment opportunities for inner city children ages 6-16.- $11,188.65 - Improve the social and emotional well-being of school age kids through physical activity and strength training.- $10,000.00 - Re-engage youth in outdoor activities that will improve their health and keep them safe and active. Also provides financial assistance to anyone in need that cannot afford the programs, team sports, lessons and camps.- $6,609.00 - Purchase equipment for education and employment center at homeless shelter to help the unemployed get a job.- $4,500.00 - Conduct a musical theatre to introduce children of color in poverty the skills learned from participating in musical theatre which offers future career opportunities in this field.- $12,000.00 - Further development of the Juvenile Justice Ministry program.Access to Medical CareAccess to medical care remains a challenge to the SwedishAmerican community for a wide range of reasons including transportation availability, communication barriers, clinic hours and supply and availability.Since the 2019 CHNA, SwedishAmerican has implemented the following related to Access to Medical Care within the community:- Provided $4 million per year to the University of Illinois College of Medicine family practice residency to educate physicians.- Provided school physicals to Lincoln School (neighborhood school).- Partnered with Rockford Fire Department to provide mobile integrated health outreach to community.- Partnered with local FQHC's (federally qualified health centers) to assure access to hospital services.- Contracted with all Medicaid Managed Care organizations to assure access to our physicians and hospital for all of the Medicaid population in our service area.- Set a goal of 48% of new primary care patients seen within 10 days; currently at 45.86%.Vulnerable Populations: Hispanic/Latino PopulationThe Hispanic and Latino population was identified as particularly vulnerable within the community, and especially impacted by adverse health issues and outcomes. For example, the survey indicated that compared to some other races, Hispanics have higher incidences of high cholesterol, arthritis, obesity and liver disease. Moreover, Hispanic adults were identified as more likely to be current drinkers in the region compared to other races.See Line 11 continued at the end of Part V."

Group A-Facility 2 -- SwedishAmerican Medical Ctr. Belvidere Part V, Section B, line 16j:
The hospital's financial assistance policy is transparent and available to all, at all points in the continuum, in languages appropriate for Hospital's service area. The hospital's financial assistance policy, application form, signage, and financial counselor contact information are available in English and Spanish. Signage is posted prominently at all points of admission and registration (including the emergency department). Written information about the hospital's financial assistance policy and copies of the financial assistance form are available in admission and registration areas. The hospital's financial assistance policy, application form and financial counselor contact information are also posted on the hospital's website. The hospital will make efforts to publicize its policy in print and television media, wherever practicable. Patient billing communications also inform patients of the availability of financial assistance. Each bill, invoice, or other summary of charges to an uninsured patient includes with it, or on it, a prominent statement that an uninsured patient who meets certain income requirements may qualify for financial assistance and information on how to apply for consideration under the hospital's financial assistance policy. All third-party agents who submit or collect bills on behalf of hospital are required to follow this policy.

Group A-Facility 1 -- SwedishAmerican Hospital
Part V, Section B, line 11, continuted:Since the 2019 CHNA, SwedishAmerican has implemented the following related to the vulnerable Hispanic and Latino Populations and other underserved populations within the community:- Created diversity, equity and inclusion committee to address diverse needs of our population - most recent project included providing hair care products to our African American inpatients.- Participated on Rockford transit committee to make sure our patients have bus access to our hospital from anywhere in Rockford.- Teamed up with two local hospitals to provide better in-person sign language interpreter access.- Employed in-person Spanish interpreters.- Maintain 40 video interpreter computers that provide interpretation in over 200 languages available to the entire hospital.Heart CareThe SwedishAmerican community service area leading causes of death include heart disease, with 21% of deaths in Winnebago County, and 19.3% of deaths in Boone County caused by heart disease.Since the 2019 CHNA, SwedishAmerican has implemented the following related to Heart Care within the community:- Created and sustained a Heart Institute: Recruited a complete cardiology team, renovated the clinic space for expansion and increased the number of providers.- Expanded Cardiac Catheterization Labs.- Offered full-time pediatric general cardiology services and some pediatric electrophysiology services in Rockford.Maternal/Prenatal/Early Childhood HealthMaternal, Prenatal and Early Childhood health continue to be a top priority for SwedishAmerican as a large portion of the SwedishAmerican diagnoses-related groups from 2019-2021 were related to Pregnancy, Childbirth & the Puerperium, coupled with the fact that Winnebago County has a teen pregnancy rate much higher than the state average.Since the 2019 CHNA, SwedishAmerican has implemented the following related to Maternal/ Prenatal/Early Childhood Health within the community:- Completed a new patient tower for Women and Children.- Converted the 10 bed special care nursery to a NICU and added 14 additional NICU beds to offer 24 NICU beds to our patients.- Offered donor breast milk program including a drop-off site for donors.- Promoted bonding between birth mom and child with rooming together.- Supported and educated patients on breastfeeding.Substance AbuseThe percentage of adults in the region that reported using drugs is around 27%. Adults reporting using/illegally using a wide variety of illicit drugs including marijuana or TCH products, prescription opioids, cocaine, amphetamines and heroin.Since the 2019 CHNA, SwedishAmerican has implemented the following related to combating substance abuse within the community:- Implemented state grant for opioid response to create program named Screening, Outreach, Linkage And Referral At SwedishAmerican (SOLARAS).- SOLARAS has connected with local FQHC's, mental health providers and substance abuse organizations to create referral source for treatment.- SOLARAS peer recovery specialists have been hired to assist with warm hand-off from treatment to local support services. Staff participated in warm hand-off meetings and have hired a case manager to assist with community involvement and connectivity to support services.- SOLARAS staff have created a relationship with Remedies, a local support group for addiction and recovery, to address women's needs to address housing and violence.- Collaboration between SOLARAS staff and our Women and Children's services staff to participate on Opioid committee and develop a screening tool to identify high risk patients and reduce narcotic use after surgery.The health priorities from the 2019 CHNA are continuing for the 2022-2025 CHNA and SAH and SAMC will develop a three-year implementation plan to address some of the most crucial health needs of the population defined within its community service area. The findings from this CHNA will determine how best to commit resources to address priority health needs that improve the overall health and well-being of its community.Group A-Facility 2 -- SwedishAmerican Medical Ctr. BelviderePart V, Section B, line 11, continuted:Since the 2019 CHNA, SwedishAmerican has implemented the following related to the vulnerable Hispanic and Latino Populations and other underserved populations within the community:- Created diversity, equity and inclusion committee to address diverse needs of our population - most recent project included providing hair care products to our African American inpatients.- Participated on Rockford transit committee to make sure our patients have bus access to our hospital from anywhere in Rockford.- Teamed up with two local hospitals to provide better in-person sign language interpreter access.- Employed in-person Spanish interpreters.- Maintain 40 video interpreter computers that provide interpretation in over 200 languages available to the entire hospital.Heart CareThe SwedishAmerican community service area leading causes of death include heart disease, with 21% of deaths in Winnebago County, and 19.3% of deaths in Boone County caused by heart disease.Since the 2019 CHNA, SwedishAmerican has implemented the following related to Heart Care within the community:- Created and sustained a Heart Institute: Recruited a complete cardiology team, renovated the clinic space for expansion and increased the number of providers.- Expanded Cardiac Catheterization Labs.- Offered full-time pediatric general cardiology services and some pediatric electrophysiology services in Rockford.Maternal/Prenatal/Early Childhood HealthMaternal, Prenatal and Early Childhood health continue to be a top priority for SwedishAmerican as a large portion of the SwedishAmerican diagnoses-related groups from 2019-2021 were related to Pregnancy, Childbirth & the Puerperium, coupled with the fact that Winnebago County has a teen pregnancy rate much higher than the state average.Since the 2019 CHNA, SwedishAmerican has implemented the following related to Maternal/ Prenatal/Early Childhood Health within the community:- Completed a new patient tower for Women and Children.- Converted the 10 bed special care nursery to a NICU and added 14 additional NICU beds to offer 24 NICU beds to our patients.- Offered donor breast milk program including a drop-off site for donors.- Promoted bonding between birth mom and child with rooming together.- Supported and educated patients on breastfeeding.Substance AbuseThe percentage of adults in the region that reported using drugs is around 27%. Adults reporting using/illegally using a wide variety of illicit drugs including marijuana or TCH products, prescription opioids, cocaine, amphetamines and heroin.Since the 2019 CHNA, SwedishAmerican has implemented the following related to combating substance abuse within the community:- Implemented state grant for opioid response to create program named Screening, Outreach, Linkage And Referral At SwedishAmerican (SOLARAS).- SOLARAS has connected with local FQHC's, mental health providers and substance abuse organizations to create referral source for treatment.- SOLARAS peer recovery specialists have been hired to assist with warm hand-off from treatment to local support services. Staff participated in warm hand-off meetings and have hired a case manager to assist with community involvement and connectivity to support services.- SOLARAS staff have created a relationship with Remedies, a local support group for addiction and recovery, to address women's needs to address housing and violence.- Collaboration between SOLARAS staff and our Women and Children's services staff to participate on Opioid committee and develop a screening tool to identify high risk patients and reduce narcotic use after surgery.The health priorities from the 2019 CHNA are continuing for the 2022-2025 CHNA and SAH and SAMC will develop a three-year implementation plan to address some of the most crucial health needs of the population defined within its community service area. The findings from this CHNA will determine how best to commit resources to address priority health needs that improve the overall health and well-being of its community.

Part I, Line 7g:
The following subsidized health services are for physicians. These physicians are necessary to serve the community, are difficult to recruit, and the reimbursement does not cover the cost of the services.Hospital based physicians' specialty clinics and coverage payments: $24,860,533Emergency department physicians: $2,916,732Total: $27,777,265

Part I, Ln 7 Col(f):
The bad debt expense on Part IX, Column A subtracted for the purpose of calculating the percentage of expense is $22,985,125.

Part I, Line 7:
7a and 7f costs were calculated using the 2022 Medicare cost report cost to charge ratio. Lines 7b and 7c costs were calculated using the cost accounting system. The cost accounting system addresses all patient segments. All other amounts in Line 7 were calculated using direct costs.

Part III, Line 2:
Methodology for determining bad debt expense: It is our practice to identify, to the extent possible, charity cases at the time of service. If a patient provides documentation they meet our charity care policy, they are not sent to collection. Patients who do not meet presumptive eligibility and fail to apply or provide documentation are sent to collection after 90 days. The organization and its agents follow the fair patient billing act. If during the collection process we or our agents become aware of a patient qualifying for charity care or financial assistance and the patient cooperates with the requirements of the charity care policy, collection efforts are ceased and the account is written off to charity. Bad debt expense reported on line 2 represents the allowance for doubtful accounts. It is determined based on historical experience of uncollectible amounts, after contractual discounts, patient payments and amounts qualifying under charity assistance policy.

Part III, Line 3:
As of January 2022, SwedishAmerican Hospital's charity policy allows a 100% charity write-off for those with household income of 300% or less of the federal poverty level and partial charity write-off for those up to 600% of the poverty level. The latest data from the 2022 U.S. Census bureau QuickFacts for Winnebago and Boone counties, which are the counties served by the healthcare facilities, indicates the following: Winnebago County 14.2% of the population is below the poverty level, the median household income was $57,779 and a household size of 2.44, Boone County 10.1% of the population is below the poverty level, the median household income was $74,076 and a household size of 2.82. The 2022 poverty guidelines per the Office of Assistant Secretary for Planning and Evaluation, (https://aspe.hhs.gov/poverty-guidelines) indicate for the household size of 3, and income of $69,090 is 300% of the poverty level and $138,180 is 600% of the poverty level. Approximately 90% of our charity write-offs are for patients without insurance while 60% of our bad debt write-offs are for patients without insurance. During FY2022 only .5% of all accounts written off to bad debt were recovered. This portion was not included as community benefit in Part I because it is an estimate based on the small percentage of bad debt this is recovered and the demographics of our service area.

Part III, Line 4:
Please refer to Pages 12 and 14 of the attached audit report for footnotes describing accounts receivable and patient service revenue.

Part III, Line 8:
SA Hospital must treat patients regardless of their ability to pay. The government sets non-negotiable Medicare rates and the reimbursement from Medicare has not kept pace with the rising cost of providing those services. The cost of care has increased due to: wages and benefits necessary to keep high demand skilled practitioners, medical supplies in particular cardiovascular and orthopedic implants and pharmaceuticals, malpractice insurance costs, and capital equipment. SA Hospital's treatment of Medicare beneficiaries relieves the federal government burden of directly providing medical care which by law they are required to provide to eligible beneficiaries. Due to the requirement to provide care and the inability of Medicare reimbursement to keep pace with the cost of providing services, we feel the loss from services provided to Medicare beneficiaries is a part of our mission and is a benefit to our community. The following is a reconciliation of the shortfall from Medicare reported on the cost report on Line 7 to the Medicare shortfall from all of the Medicare programs at SA Hospital. These shortfalls were calculated using the cost to charge ratio. Medicare shortfall hospital programs Part III, line 7: ($11,809,638)Medicare shortfall physician programs: ($46,163,424)Total Medicare Shortfall ($57,973,062)

Part III, Line 9b:
The organization and its agents follow the fair patient billing act. If during the collection process we or our agents become aware of a patient qualifying for charity care of financial assistance and the patient cooperates with the requirements of the charity care policy, collection efforts are ceased.

Part VI, Line 4:
"Explanation on Brand ChangeSwedishAmerican Health System was founded in 1911 and has a rich tradition in the Rock River Valley of being committed to caring for the community. Since 2015, when SwedishAmerican became a division of UW Health, that involvement continued as we worked together to provide remarkable patient care. On September 9, 2021, SwedishAmerican transitioned from a division to fully integrate with the UW Health brand. Aligning with the UW Health brand will continue to bring greater access to medical specialties, research and physicians to northern Illinois. Legally, SwedishAmerican Health System still exists but is doing business as UW Health. For the purposes of this report, we will refer to the community involvement in the northern Illinois area only, excluding the many additional gifts the Madison-based team brings to its community in Wisconsin.SwedishAmerican HospitalTwo of the remaining entities that still bear the SwedishAmerican name are the SwedishAmerican Foundation and the UW Health SwedishAmerican Hospital in downtown Rockford. The hospital was founded in 1911 and serves residents of 12 counties in northern Illinois and southern Wisconsin through a major acute care hospital; a medical center in Belvidere; a free-standing outpatient cancer center; a large network of primary care and multi-specialty clinics; a home healthcare agency; a full spectrum of outpatient, wellness and education programs; and the charitable endeavors of the SwedishAmerican Foundation. Recognized nationally for quality and excellence, UW Health SwedishAmerican Hospital has won many national awards, including designation as a 100 Top Hospital, a Magnet-designated hospital and a J.D. Power and Associates Distinguished Hospital. Community DescriptionFor more than 100 years, Rockford, IL has been known as a major industrial manufacturing center of machine tools, industrial fasteners, automotive parts and aerospace components. The Rockford metropolitan population was recorded as 153,283 (2010 US Census) people. Recent estimates show that the current population has since declined to 147,070 (V2020, Census.gov). Major employers in our service area include Fiat Chrysler Automobiles, Collins Aerospace, Woodward, City of Rockford, Rockford Public Schools, UPS, and three area hospitals. Rockford boasts many great parks, shopping, dining, cultural activities, entertainment and educational opportunities. But like many cities in the upper Midwest, it also continues to struggle to compete in what is now a global manufacturing economy. In the 1980s, Rockford's unemployment rate reached 25 percent, the highest in the nation, and it became a symbol for the plight of a ""rust belt"" city. Although the economy is more diversified now, Rockford remains heavily dependent on manufacturing. Also in the 1980s, charges of discrimination were leveled at the public school district, culminating in a federal lawsuit and 12 years of federal supervision. These two major developments have had their effect on the local economy, the stability of good paying jobs and the psyche and self-esteem of the community. They also have affected Rockford's changing role and importance to the region, state, and to some degree the nation.Unquestionably, these dynamics have impacted healthcare in the community. Today, Rockford's metro area unemployment rate is 13.8 (October 2020) percent, which is an 8.8 percent increase from 2019. Community surveys have identified coronary heart disease, obesity, diabetes, cancer, pre-natal care and depression as major healthcare issues in our market.By virtue of its mission, location in the central city and relationships with other providers, UW Health serves the needs of many of the community's underserved. Finding ways to improve the health of all and to make Rockford a model community in which to live, work and worship are significant and strategic initiatives for UW Health.UW Health's Vision for a Healthier Community Community ChallengesIn recent years, UW Health helped fund the Winnebago and Boone Counties Healthy Community Study in partnership with the Rockford Regional Health Council. The purpose of the study was to develop information on the quality of life in the Rockford area to create and implement strategies to improve the lives of all residents. The study is an invaluable opportunity to connect with community stakeholders and discover unmet needs. The most recent study (2020) was dramatically impacted by COVID-19. Strengths included that 80-90 percent of respondents said they were able to get medical care when they needed it and that nearly 70 percent of people had seen a doctor for a checkup within the last 12 months. Weaknesses included that only half of the people in the region reported being able to access mental health/substance abuse care and that Blacks and Hispanics report being able to access medical care less easily than whites.The survey also found that 39 percent of local residents are overweight. Poverty, access to healthy food and activity-friendly spaces and a lack of education about nutrition and following nutritional guidelines are culprits, according to community leaders who responded to surveys as part of the study.Behavioral health: In 2020, the local area had 167 mental health care providers - psychiatrists, psychologists, clinical social workers and counselors - for every 100,000 residents, substantially lower than the same ratios for the state (230) and nation (202).Maternal/prenatal/early childhood: The rate of total births to women age 15-19 per 1,000 female population age 15-19 was 24.6, significantly higher than the state ratio of 19.2.Access to care: The Affordable Care Act reduced by half the number of adults and children who lacked health insurance. But among those with less than a high school education, 25 percent of adults say it is hard for them to understand information that doctors and nurses and other health professionals tell them.Demographic ProfileIndividuals between ages 18 and 64 (working-aged adults) constitute 59.4% of the total population in Boone County and 58.7% of the total population in Winnebago County. Of the remaining population, 16.1% are ages 65 and older and 24.5% are under 18 in Boone County, and 18% are ages 65 and older and 23.34% are under 18 in Winnebago County. Overall, the population aged 65 and older in Winnebago County is slighter higher than that of Boone County and even higher than that of the State of Illinois.Population: The majority of the population in Boone County identified as White (72%). The next largest race is Hispanic (22%), followed by Black (3%). The majority of the population in Winnebago County identified as White (68%). The next largest races are Hispanic (13%) and Black (13%) followed by Asian (3%) and Other (3%).Ethnicity: Boone County has a higher Hispanic population than Winnebago County. Both Counties reported slightly lower Hispanic populations than the state and national metrics. Boone County has approximately 8500 individuals with a primary language of Spanish. This represents 16.9% of the population and is significantly higher than Winnebago County and State percentages.Social/Economic ProfileBoone County has an average per capita income of approximately $51,000, while Winnebago has a slightly lower average per capita income of around $47,000. The per capita income in Boone County is slightly higher than the state average, whereas the per capita income in Winnebago County is slightly lower than the state average of $50,000. Approximately 14.6% of the total Winnebago County population live in poverty. This is significantly higher than the total population living in Boone County and higher than the population living in poverty across both the state and county.Poverty is defined as the percent of low-income residents living below 300% of the Federal Poverty Level in the county. Both Boone and Winnebago counties see a significantly higher penetration of low-income residents vs. the penetration of low-income residents across the state.Education RatesBoth Boone and Winnebago Counties have lower percentages of the population with high school degrees compared to both sate and national percentages. Similarly, both counties have significantly lower percentages of the population with bachelor degrees or higher education compared to both state and national percentages.Health OutcomesWinnebago County has a medically underserved area (MUA 7011). The MUA designation was developed by the Health Resources and Services Administration (HRSA) and indicates that a combination of four components exists in the area:- A low ratio of primary medical care physicians per 1,000 population;- A high infant mortality rate;- A high percentage of the population with incomes below the poverty level;- A high percentage of the population age 65 or over."

Part VI, Line 6:
"Caring For Our Community ContributionsUW Health gives back directly to local non-profit organizations serving community members' greatest needs. Our strongest partnerships are with organizations aligned with our community health improvement priorities, addressing social determinants of health, and providing crucial health services. In fiscal year 2023, we will donate $300,000 locally. Key contributions in 2022 include:- $30,000 to the Boys and Girls Club of Rockford. This unrestricted contribution helps the club continue to offer critical afterschool programs, educational support, character and leadership training, career exploration and more. The club is a safe, trusted place for youth to go outside of school. For many children, especially during the pandemic, the programs help improve their mental health by offering healthy role models and structure.- $25,000 to the Crusader Community Health, the local federally qualified health center. Crusader is a valuable partner to UW Health Northern Illinois and serves some of the most vulnerable people in our community.- $10,000 to the Rockford Fire Department to support fire prevention and community risk reduction programs.- $10,000 to Rosecrance. UW Health Northern Illinois has a long history of supporting their work addressing mental health and substance use. Their services are needed more than ever, and they provide the path people need to successfully manage their recovery.- $10,000 to the University of Illinois College of Medicine - Rockford. UW Health partners with the College of Medicine to develop the future of the healthcare workforce.- $10,000 to the YWCA of Northwestern Illinois. The YWCA offers a wide variety of programs and services aligned with UW Health's priorities, and the two organizations continue to grow a partnership.- $5,000 to The Haven Network, which provides critical services to families facing the loss of an infant. UW Health's Women & Children's Services team work closely with The Haven and connect patients with their services.- $5,000 to Northern Illinois Hospice, which provides compassionate end of life care for many UW Health patients.Lifestyle Medicine and Wellness ProgramsUW Health is committed to building a healthier community of senior adults. In 2001, the health system and ZION Development Corporation began discussing the unique health needs of low-income senior residents living at Longwood Plaza, a 65-unit facility located two blocks from SwedishAmerican Hospital's campus. The two partners wanted to not only provide a way for seniors to have safe housing; they also wanted to equip residents with the tools and education for living healthier lives. With the assistance of a generous donation by the Walter D. Williams estate, SwedishAmerican and ZION created a wellness program to meet the needs of seniors' right where they lived. The program has been going strong since 2001.Every week, participants check in with a registered nurse for blood pressure, weight and fasting glucose if needed. Current health status, medication adherence, diet and nutrition are some of the topics discussed. Twice weekly, participants receive a therapeutic massage and meet individually with a fitness trainer for exercise. Monthly, healthy meals and nutrition presentations are held. Periodically, speakers from the community such as the fire and police department provide presentations. Several participants take advantage of the Licensed Clinic Professional Counselor that the program provides. As an incentive for participation, residents receive up to $40 off of their monthly rent.Better Life Wellness/YMCA PartnershipIn 2014, SwedishAmerican created a medical wellness center called BetterLife Wellness within the downtown Rockford YMCA. In 2018, the medical wellness center moved to the lower level of Camelot Tower on the hospital campus. The center offers a variety of services for SwedishAmerican associates, corporate partners and the general public, including:1) Wellness educational programs, classes and support groups2) Screenings and health risk assessments3) Personal health coaching4) Healthy cooking classes and grocery tours5) Relaxation and stress management education6) Weight management programs7) Nutrition education8) Therapeutic Massage9) Smoking Cessation programs10) Interactive customized wellness web portalBetterLife expands our capacity to help people of all ages, physical abilities and limitations lead healthier lives. The powerful combination of active medical oversight, experienced and credentialed staff, and the utilization of an individual's personal health status are intended to reduce health risks, improve wellbeing and bring a measurable impact upon improving the overall health of our community.Academic & Career PromotionIn order to help young people understand the economics of life and open their minds to career possibilities within the business world, UW Health has made a major commitment to the community's public school system. Our employees have shared their professional experiences in the classroom and served as volunteers to tutor students. We've partnered with area schools as a part of our mission to care for our community through compassionate service. We realize that a stronger neighborhood, with achieving children and fully functioning families, is an environment where tomorrow's leaders may be nurtured and protected. As a major corporate anchor in the neighborhood and a source of influence within the greater community, UW Health believes that it has a responsibility to help create an environment at area schools that enables it to serve as an agent for growth, maturation and positive change. A UW Health representative has been involved with the schools' planning process since our partnerships began two decades ago. Over the last 20 years UW Health has positively impacted students and faculty in a number of ways, including:Academy ExpoIn 2022, we continued our efforts as a key community partner in expanding Rockford's Academy Expo. The purpose of the Academy Expo was to expose Rockford Public Schools 9th, 10th and 11th graders to a variety of careers to assist them in making an academy and forge a relevant link between high school curriculum and future careers. Unlike a job fair where students visit companies, the Academy Expo invited companies to present career options for students to explore. The main focus of the event, therefore, was to showcase a broad spectrum of possible careers. Students at the Academy Expo learned about classroom curriculum that will prompt them to develop professional behaviors and to evaluate their strengths/interests related to careers.Employees' Children Scholarship ProgramIn 2022, UW Health awarded 10 one-year $1,000 scholarships to children of UW Health associates. The Associates' Children Scholarship Program is designed to assist children of UW Health associates pursue higher education. Ready to Learn With the Basics initiative with Alignment RockfordUW Health partnered with Alignment Rockford in the fall of 2022 to launch the Ready to Learn With the Basics program. The program distributes educational kits to parents by UW Health providers. The kits also have links to connect families to community resources for assistance with housing, food security, domestic violence, immigration and more. The kits are uniquely designed to encourage healthy and proper emotional, physical, social and intellectual development. It has activity books, handouts, a list of phone apps to support language and literacy, as well as materials that can connect a child with their parent. Health EducationAccording to the Community Assessment, cancer and heart disease are the leading causes of death in the three-county area surrounding SwedishAmerican Hospital. These conditions also are leading contributors to ""years of life lost"" before age 65. In the last decade, the number of baby boomers born between 1946 and 1964 increased more than 31 percent in the Rockford area. As this demographic segment continues to age, it will result in an increased incidence of disease, as well as a range of health issues affecting older adults. UW Health is committed to educating public and professional audiences within our community about matters of prevention, detection and treatment."

Part VI, Line 7:
SA Hospital files a community benefit report with the Illinois Attorney General.

Part VI, Line 2:
SA hospital has provided monetary support for the 2020 Healthy Community Study, conducted by the Rockford Health council. The Council consists of the major health care providers in our metropolitan area such as the three hospitals, Crusader Clinic (a federally qualified healthcare clinic), the University of Illinois College of Medicine, Janet Wattles Mental Health Center, Rosecrance Substance Abuse Center as well as several representatives of not-for-profit agencies, and member of the corporate community. Since 2001, an assessment has been completed every three years to identify and track trends as well as areas to address. These stakeholders understand the need for a comprehensive community study that is focused on the overall needs of the community. SA has used this data to launch innovative programs and collaborative partnerships such as cardiac screenings within minority communities. In June of 2022, SA Hospital contracted with RSM-US LLP to complete a three year follow-up Community Health Needs Assessment (CHNA) for both SA Hospital and SA Medical Center Belvidere as required by the Internal Revenue Code, Section 501(r). An implementation strategy has been adopted to meet the prioritized needs identified by the CHNA.

Part VI, Line 3:
For services provided in the hospital, our employees and our agents follow the fair patient billing act and provide information regarding the availability of charity and financial assistance at all points during the collection process. We have posted signage disclosing the availability of charity care and financial assistance in emergency rooms and on our website. Inpatients are provided various written communications regarding the availability of charity care and financial assistance and any uninsured discount eligibility. For services provided in physician offices, financial counselors are instructed to make the patients aware of the charity care and financial assistance policy during the collection process and educate them on the process of applying for Medicaid. For services provided by home health, social workers assist patients by screening for Medicaid eligibility and completing the application, completing charity care application, assisting in applying for Medicare and social security disability benefits, and assisting with applications for food stamp, low income energy assistance, and circuit breaker/Illinois cares prescription programs.

The SwedishAmerican CSA lies within the 40420 (Rockford, IL)
"Core-Based Statistical Area (""CBSA""). A CBSA is a U.S. geographic area defined by the Office of Management and Budget (0MB) that consists of one or more counties (or equivalents) anchored by an urban center of at least 10,000 people plus adjacent counties that are socioeconomically tied to the urban center by commuting.The SwedishAmerican CBSA has a Hierarchical Condition Categories (HCC) Risk Score of 1.02. The CMS-HCC risk score for a beneficiary is the sum of the score or weight attributed to each of the demographic factors and HCCs within the model. The CMS-HCC model is normalized to 1.0 (the national average). Beneficiaries would be considered relatively healthy, and therefore less costly, with a risk score less than 1.0. Thus, the beneficiaries in the SwedishAmerican CBSA are considered slightly less healthy and more costly compared to the national average (approximately a 1.09% difference).Other key findings from across the CBSA include a higher number of emergency department visits per 1,000 beneficiaries compared to the national average. Additionally, the number of emergency department visits and number of acute hospital readmissions at SwedishAmerican make up .1% of all emergency department visits and number of acute hospital readmissions throughout the county. Finally, the hospital readmission rate for the CBSA is consistent with the national average.The SwedishAmerican CSA leading causes of death include heart disease, influenza and pneumonia, kidney disease, accidents, chronic lower respiratory diseases, Alzheimer's, cancer, COVID-19 and diabetes. Within the CSA, chronic health conditions, particularly cancer, chronic lower respiratory disease, kidney disease and heart disease, were shown to be among the leading causes of death higher than the state average. Additionally, it was identified that the teen birth rate in Winnebago County was significantly higher than the State average. Other health conditions of note include the prevalence of diabetes and obesity are approximately equal to or higher than the state averages.Access to primary care remains a challenge within the SwedishAmerican CSA for both Boone and Winnebago counties. On average, the ratio of patient visits to primary care physicians in Boone County far exceeds ratio for the same in Winnebago County and both counties saw in 4-5% increase over the previous year. An analysis of patient visit data between 2019-2021 shows that approximately 60% of all SwedishAmerican patient visits fall within the following DRG categories: 1) Pregnancy, childbirth and puerperium; 2) Circulatory System; 3) Musculoskeletal System and Connective Tissue; 4) Respiratory system; and 5) Endocrine, nutritional & metabolic diseases and disorders."

Part VI, Line 5:
Making a DifferenceAlthough UW Health's community service efforts reach a broad segment of the population throughout northern Illinois, the hospital devotes a great deal of its energy and resources to serving the city's neediest people, many of whom live in the urban core where SwedishAmerican is located. Our organization contributes millions of dollars to charity and Medicaid care each year.Recognizing that healthy communities are characterized by strong interconnections between residents, infrastructure, organizations and services, we have worked in partnership with other community-based organizations as part of the non-profit Rockford Health Council Inc. The council seeks to build and improve community health through education, action, dialogue and legislative activity and serve as a catalyst and coordinator for agency and individual action to ensure access, cost effectiveness and quality. Beyond our work with the council, some of our initiatives take place in concert with other individual community organizations and healthcare providers, while others are carried out by UW Health teams.In the past, SwedishAmerican has worked with the City of Rockford and other area development groups - including ZION Development, Habitat for Humanity and Kids Around the World - to serve as a catalyst for revitalizing the area surrounding our campus with homes, green space and commerce. A large part of this movement was a $100 million campus expansion and renovation project. Despite economic and strategic pressures to move eastward, as many businesses in our area have done, UW Health joined several other area organizations and made a commitment to remain in central Rockford. One immediate benefit of our redevelopment effort was the expansion of the hospital's emergency department. Among the state's busiest, this is where many of our community's underserved residents come for medical care.UW Health has sought to improve the community's health by taking effective lifestyle modification programs to the people who need them most. Although this applies to the community at large, we have taken special efforts to bring these strategies to the city's elderly and underserved residents. This is demonstrated by our successful program to improve the health of residents at Longwood Plaza, a senior housing facility located two blocks from our hospital's campus. Finally, beyond lifestyle modification our ongoing community health initiatives involve research-based health screening programs, as well as unique health education events that target both at-risk members of the community and healthcare providers.In the spring of 2022, UW Health Northern Illinois launched a mobile health unit in partnership with the City of Rockford, Rockford Fire Department, and Molina Health. The van is intended to serve as a mobile clinic, taking care to people who need it and removing as many barriers as possible.UW Health's organization-led efforts to improve the quality of life in our community are not exclusively health-related. One example is the partnership we formed 20 years ago with nearby public schools, where a very high percentage of the students come from underserved families. The long-term and ongoing goal of our partnership with area schools has been to improve the academic and socioemotional well-being of the school environment and student body. While UW Health has come forward with a number of ideas and proposals for additional ways in which it can impact the students and faculty at area schools, it always has been sensitive to the wishes and desires of the community in implementing only those programs that correspond with the school's agenda and strategic goals.Beyond large-scale, organization-led initiatives, our employees independently devote extensive amounts of time and resources to a large number of programs, services and activities throughout northern Illinois.We continue to recognize that improving the health of our community means investing in our community. Following a detailed assessment of the region's population trends and projected healthcare needs, and keeping in line with our well-thought-out strategic planning process, UW Health announced completed plans for a $165 million investment in our community. This major construction, modernization and expansion project will help us continue to provide the outstanding, top-quality healthcare that residents of Rockford and surrounding communities expect and deserve. UW Health's building, renovation and modernization project has benefitted the community in a number of important ways. The total project consisted of these major components:Four-Story Women's and Children's Tower. With nearly 2,000 deliveries and growing each year, we've designed this new facility to provide state-of-the-art care for new mothers and their infants. The Hospital is home to the region's newest Level III NICU, and includes in-house specialists from the University of Wisconsin American Family Children's Hospital. The facility features private labor and delivery suites and mother/baby suites as well as outpatient pediatric specialty clinics.New and Expanded Behavioral Health Services. Despite the increase of psychiatric afflictions such as depression and personality disorders, and the presence of a massive opioid epidemic sweeping our nation, many communities have downsized or eliminated behavioral health services. SwedishAmerican has chosen to go in a different direction. In response to the increased need for these services, we expanded our behavioral health program to 26 beds including a new, much-needed, 16-bed child and adolescent unit - a service that has not been available in Rockford for more than 15 years.Three Additional Rockford Clinics. UW Health opened two primary care clinics in 2019 (Riverwest Clinic on the southwest side of Rockford and Creekside Medical Center on the north east side) and one in 2020 (Edgewater Medical Center on the north west side), illustrating the organization's unwavering commitment to provide services where they are most needed. These locations have proven to be of particular importance to our community with the 2021 from a competing hospital that they are removing west-side services on Rockton Avenue.Community Benefits Plan SummaryUW Health SwedishAmerican Hospital's Community Benefits Plan is focused on five objectives:1. Caring For Our Community Contributions2. Lifestyle Medicine and Wellness3. Academic & Career Promotion4. Health Education5. Community ServiceInitiatives designed to meet these objectives are on the following pages. Together, they illustrate our concerted effort to make improvements in the lives of residents at every life stage and income level. These programs reach young children, the elderly and underserved, people who are at risk for chronic diseases and healthcare professionals.

Opioid Education, Free Narcan Kits
"Drug overdose is the #1 cause of accidental death for adults in Illinois - 80% involve heroin. UW Health's EMS services in partnership with the Winnebago County Health Department and Hope Over Addiction offer free Narcan training classes. Free Narcan kits are provided after completion of the class. Our hospital also still participates in the Opioid Warm Hand-Off Program. Additionally, we have a partnership with Rockford Fire for our Mobile Integrated Health Behavioral Program that will allow us to meet patients in the community to assist with linking them to outpatient resources.Community ServicePartnership with IDHS in Fight against Opioid AddictionSwedishAmerican has been recognized by the Illinois Department of Human Services (IDHS) as one of only 14 Illinois hospitals that will participate in its Warm Hand-off Program to combat opioid addiction. The IDHS Hospital Warm Hand-off Program connects recovery support specialists directly to patients with opioid use disorder while they are in the hospital recovering from an overdose or receiving other hospital treatment. SwedishAmerican will now have a recovery specialist that will do a Warm Hand-off with a patient when they leave the hospital to enter a treatment center. The grant will allow SwedishAmerican to hire and train nine employees to be involved in the collaborative relationship between the patient and recovery support specialist.Community Paramedic ProgramsIn 2016, SwedishAmerican, a division of UW Health continued to help connect underutilized resources to the underserved population at SwedishAmerican through its Mobile Integrated Healthcare (MIH) program with Rockford Fire. Officials from both SwedishAmerican and Rockford Fire provided the community with an update on its partnership and the benefits it's had on the city of Rockford and surrounding communities. From August 2016 to December 2017, the program concentrated on SwedishAmerican patients with a high probability of readmission. Patients enrolled in the program experienced a reduction of Emergency Department (ED) visits by 35 percent, ambulance runs by 42 percent and hospital admissions by 40 percent.In 2018 the patients enrolled in the program came from referrals made by the Case Management program. During this time the MIH Manager saw 20 patients on a weekly basis often accompanied by a SwedishAmerican nurse case manager. Each patient received regularly scheduled home visits where the MIH Manager provided a medical assessment, ensured the patient was taking their prescribed medications and was following up with their primary care provider. The MIH Manager offered community resource support to help improve the patients' health and wellbeing. In addition, the MIH Manager checked smoke detectors, CO2 detectors and any hazards that may exist in the patient's home.Additionally, in 2018 expanded to include a partnership with Humana Inc., a large health insurance provider. With an expanded population to serve, an additional MIH Manager was appointed in April. MIH Managers made nearly 500 patient visits in 2018 and served 250 individual patients. The MIH Program's success can be measured by both evaluating the impact on the enrollee's overall health, and the cost savings to the healthcare system.1) MIH Patients had a 50% decrease in ED arrival by ambulance.2) MIH Patients had a 22% decrease in hospital admissions.3) Rockford Fire and Swedish American realized a cost savings of $3,289.77 per enrolled MIH Patient.The MIH program began a program called ""Knock and Talk"" in 2018 to begin addressing the opioid epidemic in Rockford. This initiative was put in place due to a 28% increase in overdose deaths in Winnebago County from 2017 to 2018. This program involves an MIH Manager visiting an overdose patient transported by Rockford Fire within 72 hours to provide Naloxone. Naloxone is the only medication that is able to reverse an opioid overdose. This program is offered in conjunction with the Winnebago County Health Department Drug Overdose Prevention Program. Through a grant the Health Department is able to provide the Naloxone at no charge to the patient. Naloxone distribution through the MIH program was expanded to include patients who were active in their addiction, attempting to be in recovery, and many community groups. In all, the MIH program distributed over 2,000 Naloxone kits in the community including many SwedishAmerican staff who work in the hospital and SwedishAmerican clinics in order to raise awareness of the program and the local epidemic. In 2019, instead of the prediction of another year with increased overdose deaths, Winnebago County experienced a 27% reduction of overdose deaths. MIH also continued to provide in home patient visits providing over 600 patient interventions for patient education, medication reconciliation, connections to local resources such as food banks and housing, and home safety inspections.The MIH program has continued with the programs that began in 2019. In addition to the referrals from UW Health Case Management there has been an increase of referrals from within Rockford Fire as well. An additional MIH Manager was hired. The program began a pilot utilizing an MIH Manager and UW Health nursing staff from the Center for Mental Health. Connections with local resources have expanded to include Community Services for the homeless population. Drives and DonationsSwedishAmerican employees have long been committed to serving the community by organizing several drives and donations throughout the year. Even with their challenging and busy schedules, employees have given back to the community in multiple ways, including:1) Rock River Valley Food Pantry Drive2) Child Life Wish List Donations3) Foster Care Alliance Adopt-An-Angel Drive 4) Rock House Kids Donation5) Goodwill Drive6) Hat, Scarf and Mittens Drive to benefit the local homeless community and the Rockford Rescue Mission7) Riverwest Clinic Backpack Drive8) Riverwest Clinic Trunk or Treat"