4A (Expenses $ 176364286 including grants of $ 56029) (Revenue $ 214270448)
THE FILING ORGANIZATION DOES BUSINESS UNDER THE NAME AMITA HEALTH ADVENTIST MEDICAL CENTER BOLINGBROOK (AMITA HEALTH BOLINGBROOK, OR THE HOSPITAL). AMITA HEALTH BOLINGBROOK, WHICH IS PART OF ADVENTHEALTH, OPERATES A 138-BED ACUTE-CARE HOSPITAL IN BOLINGBROOK, ILLINOIS, THAT HAS SERVED THE HEALTHCARE NEEDS OF THE BOLINGBROOK COMMUNITY AND SURROUNDING AREAS SINCE THE HOSPITAL OPENED IN 2008. LOCATED AT 500 REMINGTON BLVD., AMITA HEALTH BOLINGBROOK IS A FULL-SERVICE HOSPITAL THAT INCLUDES TWO MEDICAL OFFICE BUILDINGS ON ITS CAMPUS IN BOLINGBROOK, AN AMBULATORY-CARE SITE IN PLAINFIELD, ILLINOIS, AND SEVEN OUTPATIENT PHYSICAL REHABILITATION SITES IN PARTNERSHIP WITH PT SOLUTIONS. SPECIALTY CARE AND OTHER SERVICES AVAILABLE AT THE HOSPITAL INCLUDE BARIATRICS, A BREAST CENTER, CANCER CARE, CARDIAC CARE, A CHRONIC DISEASE CENTER, EMERGENCY SERVICES, EXECUTIVE HEALTH, GASTROENTEROLOGY, GERIATRICS, HOME HEALTH, HOSPICE, INTERVENTIONAL RADIOLOGY, NEUROLOGY, A PAIN MANAGEMENT CENTER, PEDIATRICS, PHYSICAL REHABILITATION, RADIOLOGY, SLEEP DISORDERS, SURGICAL SERVICES, AND WOMEN'S CARE. IN 2015, THE HOSPITAL OPENED A 24-BED GEROPSYCHIATRY UNIT TO ADDRESS A GROWING COMMUNITY NEED FOR MENTAL HEALTH TREATMENT FOR OLDER ADULTS. IN 2017, AMITA HEALTH BOLINGBROOK OPENED A HEPATITIS-C CLINIC DEDICATED TO THE DIAGNOSIS AND TREATMENT OF THE DISEASE, WHICH KILLS TENS OF THOUSANDS OF PEOPLE A YEAR. THE HOSPITAL HAS EXPANDED ITS OUTPATIENT SERVICES STEADILY IN RECENT YEARS, OFFERING OUTPATIENT SERVICES SUCH AS BARIATRIC SURGERY, INTERVENTIONAL PAIN MANAGEMENT, AND A MOBILE PET/CT SERVICE. THE HOSPITAL'S AMBULATORY-CARE SITE IN PLAINFIELD, ILLINOIS, OFFERS IMAGING, LABORATORY AND REHABILITATION SERVICES. AMITA HEALTH BOLINGBROOK PLAYS AN ACTIVE ROLE IN THE COMMUNITY, SPONSORING A WIDE VARIETY OF COMMUNITY OUTREACH PROGRAMS, INCLUDING FREE HEALTH SCREENINGS AND EDUCATIONAL PROGRAMS. IN ADDITION, THE HOSPITAL PROVIDES HEALTH SERVICES TO LOCAL EMPLOYERS.AMITA HEALTH BOLINGBROOK HAS BUILT A REPUTATION FOR CLINICAL EXCELLENCE, EARNING RECOGNITION FROM SEVERAL INDEPENDENT AUTHORITIES. THE JOINT COMMISSION HAS ACCREDITED THE HOSPITAL WITH THE GOLD SEAL OF APPROVAL FOR QUALITY. THE JOINT COMMISSION AND THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION HAVE CERTIFIED THE HOSPITAL AS A PRIMARY STROKE CENTER. THE BLUE CROSS BLUE SHIELD ASSOCIATION HAS RECOGNIZED THE MEDICAL CENTER AS A BLUE DISTINCTION CENTER+ FOR DELIVERING SAFE, HIGH-QUALITY AND COST-EFFICIENT MATERNITY CARE. THE HOSPITAL'S WOMEN'S IMAGING CENTER HAS BEEN DESIGNATED BY THE AMERICAN COLLEGE OF RADIOLOGY AS A BREAST IMAGING CENTER OF EXCELLENCE, AND ITS SLEEP DISORDERS CENTER HAS BEEN ACCREDITED BY THE AMERICAN ACADEMY OF SLEEP MEDICINE. IN 2021, AMITA HEALTH BOLINGBROOK TREATED 5,724 INPATIENTS, PERFORMED 961 INPATIENT SURGERIES AND DELIVERED 630 BABIES. THE HOSPITAL'S MEDICAL STAFF INCLUDES APPROXIMATELY 480 PHYSICIANS REPRESENTING 47 MEDICAL AND SURGICAL SPECIALTIES.AMITA HEALTH BOLINGBROOK PROVIDES CARE FOR ALL, INCLUDING THE FINANCIALLY DISADVANTAGED, UNINSURED, UNDERINSURED, HOMELESS AND THOSE WHO RECEIVE PUBLIC AID. IN 2021, THE HOSPITAL PROVIDED $4,534,256 OF CHARITY CARE AT COST. THIS WAS IN ADDITION TO $147,003 IN OTHER COMMUNITY BENEFITS SERVICES, AND $8,094,812 OF UNREIMBURSED MEDICAID AT COST.ABOUT ADVENTIST MIDWEST HEALTHAMITA HEALTH BOLINGBROOK IS A SUBSIDIARY ORGANIZATION OF ADVENTIST MIDWEST HEALTH (AMH), A NETWORK OF FOUR NOT-FOR-PROFIT HOSPITALS AND THEIR OUTPATIENT-BASED HEALTHCARE FACILITIES IN CHICAGO'S WESTERN SUBURBS. AMH TAKES A HOLISTIC APPROACH TO WELLNESS, ADDRESSING THE PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL NEEDS OF THE PEOPLE IT SERVES. AMH'S HOSPITALS AND OTHER FACILITIES ARE INTEGRAL TO THE FABRIC OF THEIR COMMUNITIES. AMH PARTNERS 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, AMH IS GROUNDED IN CHRISTIAN VALUES AND COMMITTED TO EXTENDING THE HEALING MINISTRY OF CHRIST. AMH 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.AMITA HEALTH BOLINGBROOK SERVICES DIAGNOSTIC SERVICESTHE HOSPITAL'S DIAGNOSTIC SERVICES INCLUDE THE LATEST TECHNOLOGY AND PRACTICES, WHICH ARE ACCREDITED BY NATIONALLY AND STATE RECOGNIZED AGENCIES AND ASSOCIATIONS, SUCH AS THE ILLINOIS EMERGENCY MANAGEMENT AGENCY, THE AMERICAN COLLEGE OF RADIOLOGY, THE COLLEGE OF AMERICAN PATHOLOGISTS, THE CLINICAL LABORATORY IMPROVEMENT AMENDMENTS AND THE JOINT COMMISSION.DIAGNOSTIC SERVICES OFFERED INCLUDE: -- DIAGNOSTIC IMAGING (GENERAL X-RAY, CT, MRI [INCLUDING OPEN MRI], PET, ULTRASOUND, NUCLEAR MEDICINE)-- BREAST-CARE SERVICES (SCREENING AND 3-D DIAGNOSTIC MAMMOGRAPHY, BREAST BIOPSY ULTRASOUND, STEREOTACTIC BREAST BIOPSY, BONE DENSITOMETRY, GENETIC COUNSELING) -- CARDIOLOGY (CARDIAC CATHETERIZATION, ELECTROPHYSIOLOGY, ELECTROCARDIOGRAMS [EKGS], STRESS TESTING, ECHOCARDIOGRAPHY, HOLTER MONITORING OF ARRHYTHMIAS)-- PULMONARY DIAGNOSTICS (ARTERIAL BLOOD GAS ANALYSIS)-- GASTROENTEROLOGY (COLONOSCOPY, BRONCHOSCOPY)-- LABORATORY/PATHOLOGY (CHEMISTRY, MICROBIOLOGY, HEMATOLOGY, HISTOLOGY, CYTOLOGY, PHLEBOTOMY, TRANSFUSION SERVICES)EMERGENCY DEPARTMENTEMERGENCY MEDICAL CARE IS PROVIDED 24/7 FOR ALL AGES AND TYPES OF PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES.OUTPATIENT SERVICES PERFORMED IN 2021: -- 2,618 OUTPATIENT SURGERIES-- 32,516 EMERGENCY ROOM VISITS.

ADVENTIST BOLINGBROOK HOSPITAL
PART V, SECTION B, LINE 5: ADVENTIST BOLINGBROOK HOSPITAL (ABH 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 WILL COUNTY, ILLINOIS. WILL COUNTY, ILLINOIS HAS A POPULATION OF OVER 700,000 AND IS COMPRISED OF 23 CITIES, INCLUDING JOLIET, PLAINFIELD, BOLINGBROOK, AND ROMEOVILLE. THE 2019 JOINT CHNA WAS A COLLABORATIVE EFFORT OF THE MOBILIZING FOR ACTION IN PLANNING AND PARTNERSHIP (MAPP) COLLABORATIVE. THE HOSPITAL WAS AN EXECUTIVE COMMITTEE MEMBER OF THE MAPP COLLABORATIVE, ALONG WITH OTHER HOSPITAL AND NON-HOSPITAL ORGANIZATIONS AND INCLUDING THE WILL COUNTY HEALTH DEPARTMENT. MAPP IS A COMMUNITY DRIVEN, STRATEGIC PLANNING PROCESS THAT ASSISTS COMMUNITIES 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. THE WILL COUNTY MAPP COLLABORATIVE CONDUCTED A SURVEY AMONG WILL 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 WILL COUNTY RESIDENTS AND 1,688 SURVEYS WERE COLLECTED. THE MAPP COLLABORATIVE MADE A SPECIAL EFFORT TO GATHER INPUT FROM UNDERREPRESENTED POPULATIONS, INCLUDING THE FOLLOWING GROUPS: LATINO/HISPANIC, AFRICAN AMERICAN, YOUTH, AND RESIDENTS FROM CERTAIN IDENTIFIED COMMUNITY AREAS. IN ORDER TO REACH THESE POPULATIONS, PAPER COPIES OF THE SURVEY WERE DISTRIBUTED TO VARIOUS GROUPS THROUGHOUT WILL COUNTY, INCLUDING THE SPANISH COMMUNITY CENTER, NORTHERN ILLINOIS FOOD BANK MOBILE PANTRY SITES, AND YMCA SITES. SURVEYS WERE ALSO COLLECTED FROM CLIENTS OF THE WILL COUNTY COMMUNITY HEALTH CENTER IN WAITING AREAS. QUESTIONS ADDRESSING HEALTH EQUITY WERE INCLUDED IN THE SURVEY TO HELP MEASURE THE EFFECTS OF DISCRIMINATION ON HEALTH. RESPONDENTS WERE ASKED TO IDENTIFY PERCEPTIONS OF DISCRIMINATION DUE TO RACE, ETHNICITY, AND COLOR IN WILL COUNTY.

ADVENTIST BOLINGBROOK HOSPITAL
PART V, SECTION B, LINE 6A: ADVENTIST BOLINGBROOK HOSPITAL (ABH 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 WILL COUNTY, ILLINOIS. WILL COUNTY, ILLINOIS HAS A POPULATION OF OVER 700,000 AND IS COMPRISED OF 23 CITIES, INCLUDING JOLIET, PLAINFIELD, BOLINGBROOK, AND ROMEOVILLE. THE 2019 JOINT CHNA WAS A COLLABORATIVE EFFORT OF THE MOBILIZING FOR ACTION IN PLANNING AND PARTNERSHIP (MAPP) COLLABORATIVE. THE HOSPITAL WAS AN EXECUTIVE COMMITTEE MEMBER OF THE MAPP COLLABORATIVE, ALONG WITH OTHER HOSPITAL AND NON-HOSPITAL ORGANIZATIONS AND INCLUDING THE WILL COUNTY HEALTH DEPARTMENT. THE OTHER HOSPITAL ORGANIZATIONS THAT PARTICIPATED IN THE 2019 JOINT CHNA AS EXECUTIVE COMMITTEE MEMBERS OF THE MAPP COLLABORATIVE INCLUDED AMITA HEALTH SAINT JOSEPH MEDICAL CENTER, SILVER CROSS HOSPITAL, AND EDWARD ELMHURST HEALTH.

ADVENTIST BOLINGBROOK HOSPITAL
PART V, SECTION B, LINE 6B: ADVENTIST BOLINGBROOK HOSPITAL (ABH 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 WILL COUNTY, ILLINOIS. WILL COUNTY, ILLINOIS HAS A POPULATION OF OVER 700,000 AND IS COMPRISED OF 23 CITIES, INCLUDING JOLIET, PLAINFIELD, BOLINGBROOK, AND ROMEOVILLE. THE 2019 JOINT CHNA WAS A COLLABORATIVE EFFORT OF THE MOBILIZING FOR ACTION IN PLANNING AND PARTNERSHIP (MAPP) COLLABORATIVE. THE HOSPITAL WAS AN EXECUTIVE COMMITTEE MEMBER OF THE MAPP COLLABORATIVE, ALONG WITH OTHER HOSPITAL AND NON-HOSPITAL ORGANIZATIONS AND INCLUDING THE WILL COUNTY HEALTH DEPARTMENT. THE OTHER NON-HOSPITAL ORGANIZATIONS THAT PARTICIPATED IN THE 2019 JOINT CHNA AS EXECUTIVE COMMITTEE MEMBERS OF THE MAPP COLLABORATIVE INCLUDED THE WILL COUNTY HEALTH DEPARTMENT, WILL COUNTY EXECUTIVE'S OFFICE, WILL COUNTY COMMUNITY HEALTH CENTER, THE WILL COUNTY BOARD, AUNT MARTHA'S YOUTH SERVICES, GOVERNORS STATE UNIVERSITY, GREATER JOLIET YMCA, SENIOR SERVICES OF WILL COUNTY, STEPPING STONES, INC., UNITED WAY OF WILL COUNTY, CATHOLIC CHARITIES, EASTERSEALS JOLIET REGION, INC., VALLEY VIEW SCHOOL DISTRICT, AND THE WILL-GRUNDY MEDICAL CLINIC.

ADVENTIST BOLINGBROOK HOSPITAL
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-ASSESMENTS AND IS ALSO BROADLY DISTRIBUTED WITHIN OUR COMMUNITY TO STAKEHOLDERS INCLUDING COMMUNITY LEADERS, GOVERNMENT OFFICIALS, AND SERVICE ORGANIZATIONS.

ADVENTIST BOLINGBROOK HOSPITAL
PART V, SECTION B, LINE 11: THE INFORMATION PROVIDED BELOW EXPLAINS HOW ADVENTIST BOLINGBROOK HOSPITAL (THE HOSPITAL) 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 BOLINGBROOK'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 BOLINGBROOK WORKED TO DEFINE AND ADDRESS THE NEEDS OF LOW-INCOME, MINORITY AND UNDERSERVED POPULATIONS IN ITS SERVICE AREA. 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 BOLINGBROOK CHOSE FOUR PRIORITIES FOR ITS 2020-2022 COMMUNITY HEALTH PLAN: 1. BEHAVIORAL HEALTH AND SUSTANCE USE2. ACCESS TO HEALTH CARE3. ACCESS TO FOOD AND NUTRITION4. STABILIZING THE BUILT ENVIRONMENT PRIORITY 1: BEHAVIORAL HEALTH AND SUSTANCE USE2019 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. IN THE ADVENTHEALTH BOLINGBROOK COUNTY AREA, MENTAL HEALTH DISORDERS ATTRIBUTED TO 7.8% OF WILL COUNTY HOSPITALIZATIONS IN 2014 AND IS THE THIRD LEADING CAUSE OF HOSPITALIZATIONS OVERALL. BEHAVIORAL HEALTH CONTINUES TO BE A PRIMARY CONCERN IN WILL COUNTY. 2021 UPDATE: THE ADVENTHEALTH BOLINGBROOK COMMUNITY HEALTH PLAN HAS ONE DESIRED GOAL STATEMENT UNDER THE BEHAVIORAL HEALTH AND SUSTANCE USE 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. THE HOSPITALS PARTNERED ON THIS INITIATIVE BECAUSE OF A SHARED CHNA PRIORITY. THE 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 200 INDIVIDUALS TO BE TRAINED WITH 11 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: ACCESS TO HEALTH CARE2019 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 WILL COUNTY. IN 2016, 10.35% OF THE WILL COUNTY WORKING AGE POPULATION (18-64 YEARS OLD) WAS UNINSURED. ACCESS HAS MULTIPLE COMPONENTS TO ADDRESS INCLUDING AVAILABILITY, AFFORDABILITY, PROXIMITY, AND TIMELINESS. ADDRESSING THE COORDINATION AND LINKAGE TO A PRIMARY MEDICAL HOME, BENEFITS ENROLLMENT AND ACCESS TO SERVICES AND RESOURCES ARE OPPORTUNITIES TO ADDRESS. 2021 UPDATE: THE ADVENTHEALTH BOLINGBROOK COMMUNITY HEALTH PLAN HAS ONE DESIRED GOAL STATEMENT UNDER THE ACCESS TO HEALTH CARE 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 THE NUMBER OF PERSONS WITH A PRIMARY MEDICAL HOME. THE PARTNERSHIP WITH VNA HEALTH CARE IS DEPLOYED THROUGH ADVENTHEALTH BOLINGBROOK AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE PARTNERSHIP WITH VNA HEALTH CARE PROVIDES PRIMARY HEALTH CARE FOR THOSE UNINSURED AND UNDERINSURED. A VNA HOSPITAL LIAISON WILL ROUND IN THE EMERGENCY DEPARTMENT AS WELL AS INPATIENT UNITS TO COORDINATE PRIMARY CARE VISITS FOR PATIENTS. THE HOSPITAL FELL SHORT OF ITS SET METRIC OF 75% OF PATIENTS SCHEDULED FOR POST-DISCHARGE AT VNA WHO WILL ATTEND THEIR APPOINTMENTS WITH 0 INDIVIDUALS SERVED. THIS OBJECTIVE FELL SHORT FOR SEVERAL REASONS INCLUDING THE LACK OF FUNDING FOR THE VNA HOSPITAL LIAISON IN THE EMERGENCY DEPARTMENT AND INPATIENT UNITS THAT ENDED IN 2019, STAFF TURNOVER AND THE COVID-19 PANDEMIC. OBJECTIVE 2: THE SECOND OBJECTIVE IS A SHARED INITIATIVE BETWEEN ADVENTHEALTH BOLINGBROOK, ADVENTHEALTH GLENOAKS AND ADVENTHEALTH HINSDALE AND ADVENTHEALTH LA GRANGE. 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 MANAGED 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 SUCH AS MEDICAL CARE, FOOD, JOB TRAINING, UTILITY ASSISTANCE, HOUSING, TRANSPORTATION, LEGAL SERVICES AND MORE. THE HOSPITALS DID NOT MEET THEIR SET METRIC OF 60% OF PATIENTS IN NEED WILL BE DIRECTLY REFERRED TO A LOCAL AGENCY FOR ASSISTANCE 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. IN ADDITION THE COVID-19 PANDEMIC DELAYED THE PROGRAM. SEE CONTINUATION

ADVENTIST BOLINGBROOK HOSPITAL
PART V, SECTION B, LINE 13H: THE FILING ORGANIZATION'S HOSPITAL FACILITY (OR FACILITIES) IMPLEMENTED A COVID-19 EMERGENCY FINANCIAL HARDSHIP POLICY IN WHICH UNINSURED PATIENTS WHO ARE TREATED FOR COVID-19 RELATED EVALUATION AND/OR TREATMENT WILL NOT BE BILLED. 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 INCLUDING A REQUEST TO DEFER ANY PAYMENT PLAN PAYMENT FOR AN INITIAL PERIOD OF UP TO 120 DAYS.

ADVENTIST BOLINGBROOK HOSPITAL
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.

PART V, SECTION B, LINE 11 - CONTINUATION
PRIORITY 3: ACCESS TO FOOD AND NUTRITION2019 DESCRIPTION OF THE ISSUE:ADULTS WHO ARE FOOD INSECURE CAN BE AT AN INCREASED RISK FOR NEGATIVE HEALTH OUTCOMES, INCLUDING OBESITY AND OTHER CHRONIC DISEASES. IN ADDITION, IT CAN IMPACT CHILDREN, PUTTING THEM AT AN INCREASED RISK OF DEVELOPMENTAL PROBLEMS. FOOD INSECURITY IN WILL COUNTY AFFECTS NEARLY 10% OF ALL RESIDENTS, OF WHICH EVEN MORE HAVE NO ACCESS TO HEALTHY FOOD RETAILERS. OF THE MORE THAN 34,000 CHILDREN EXPERIENCING FOOD INSECURITY, 46% ARE INELIGIBLE FOR ASSISTANCE PROGRAMS. THERE ARE GEOGRAPHIC FOOD DESERTS IN PARTS OF WILL COUNTY THAT ARE PRIMARILY IN LOW-INCOME AREAS. OBESITY CONTINUES TO BE AN ISSUE FOR ADULTS AS WELL AS HIGH RATES OF HOSPITALIZATION FOR DIABETES AMONG THE HISPANIC AND LATINO ETHNICITIES. 2021 UPDATE: THE ADVENTHEALTH BOLINGBROOK COMMUNITY HEALTH PLAN HAS ONE DESIRED GOAL STATEMENT UNDER THE ACCESS TO FOOD AND NUTRITION PRIORITY. 2. TO DEVELOP AFFORDABLE, HEALTHY FOOD OPTIONS FOR ALL RESIDENTS OF WILL COUNTYGOAL 1: TO DEVELOP AFFORDABLE, HEALTHY FOOD OPTIONS FOR ALL RESIDENTS OF WILL COUNTYOBJECTIVE 1: THE FIRST OBJECTIVE IS A SHARED INITIATIVE WITH ADVENTHEALTH BOLINGBROOK AND ADVENTHEALTH GLENOAKS. BECAUSE OF A SHARED CHNA PRIORITY. THIS OBJECTIVE, TO INCREASE AVAILABILITY OF HEALTHY FOODS WITHIN THE LOW-INCOME COMMUNITY, IS FUNDED AND DEPLOYED THROUGH ADVENTHEALTH BOLINGBROOK AND ALL FUNDING AND OUTCOMES REPORTED ARE SPECIFIC TO THE REPORTING HOSPITAL. THIS INITIATIVE PROVIDES MOBILE FOOD PANTRIES IN AREAS OF HIGH NEED AS WELL AS MICRO-PANTRIES AT EACH HOSPITAL. THE HOSPITAL FELL SHORT OF ITS SET METRIC OF A MONTHLY AVERAGE OF 200 PERSONS PROVIDED WITH FREE HEALTHY FOOD OPTIONS WITH A MONTHLY AVERAGE OF 28 INDIVIDUALS SERVED. THERE HAS BEEN GREAT COLLABORATION WITH FAITH ORGANIZATIONS AND MUNICIPAL LEADERS TO BE ABLE TO IMPLEMENT THESE INITIATIVES AS WELL AS ENGAGEMENT FROM ASSOCIATES TO VOLUNTEER. THE MICRO-PANTRY LOCATED ON-SITE AT THE HOSPITAL PROVIDES FOOD ACCESS THROUGHOUT THE YEAR. THE MICRO PANTRY ALSO PROVIDES TOILETRIES AND DIAPERS FOR THE COMMUNITY. PRIORITY 4: STABILIZING THE BUILT ENVIRONMENT 2019 DESCRIPTION OF THE ISSUE:IMPROVING HEALTH OUTCOMES INCLUDES ADDRESSING SOCIAL DETERMINANTS OF HEALTH SUCH AS THE BUILT ENVIRONMENT. WHERE PEOPLE LIVE CAN IMPACT THEIR HEALTH AND WELL-BEING. THOSE LIVING IN POVERTY ARE AT GREATER RISK OF FOOD INSECURITY, HOMELESSNESS, INFECTIOUS DISEASES, ENVIRONMENTAL HAZARDS, AND POOR ACADEMIC PERFORMANCE. IN WILL COUNTY, HOUSING SECURITY IS LISTED AS AN ISSUE IN ALL MAJOR STRATEGIC CATEGORIES. 2021 UPDATE:THE ADVENTHEALTH BOLINGBROOK COMMUNITY HEALTH PLAN HAS ONE DESIRED GOAL STATEMENT UNDER THE STABILIZING THE BUILT ENVIRONMENT PRIORITY. 1. TO CREATE THE LINKAGE BETWEEN BETTER BUILT ENVIRONMENT AND HEALTH CARE.GOAL 1: TO CREATE THE LINKAGE BETWEEN BETTER BUILT ENVIRONMENT AND HEALTH CARE.OBJECTIVE 1: THE FIRST OBJECTIVE IS TO INCREASE COMMUNITY MEMBERS' CONNECTION TO SERVICES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH THROUGH THE PROVISION OF THE SOCIAL WORKER IN A LIBRARY PROGRAM. THE SOCIAL WORKER IN A LIBRARY PROGRAM (SWIL), IS MANAGED THROUGH ADVENTHEALTH BOLINGBROOK AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE SOCIAL WORKER IN A LIBRARY PROGRAM PROVIDES A LICENSED CLINICAL SOCIAL WORKER AT A LIBRARY TO CONNECT INDIVIDUALS WHO ARE EXPERIENCING HOMELESSNESS, CHRONIC UNEMPLOYMENT, MENTAL ILLNESS, AND OTHER COMPLEX NEEDS WITH APPROPRIATE REFERRALS AND SUPPORTS UTILIZING THE COMMUNITY RESOURCE DIRECTORY. SWIL PROVIDES A SAFE PLACE WHERE PEOPLE ARE WELCOME. SWIL IS AN ADVENTHEALTH PROGRAM WHICH INCREASES COMMUNITY MEMBERS' CONNECTIONS TO SERVICES TO REDUCE SOCIAL DETERMINANTS OF HEALTH. THE HOSPITAL DID NOT MEET ITS SET METRIC OF 90% OF INDIVIDUALS SERVED WITH AN IDENTIFIED NEED WILL BE REFERRED TO APPROPRIATE SOURCES USING THE COMMUNITY RESOURCE DIRECTORY, WITH 0 INDIVIDUALS SERVED. DUE TO COVID-19, THE PROGRAM WAS DELAYED. THE FOLLOWING HEALTH ISSUES WERE IDENTIFIED IN THE CHNA BUT NOT ADDRESSED SPECIFICALLY AS THEY ARE CONSIDERED TO HAVE BEEN INCORPORATED INTO ONE OF THE PRIORITIZED ISSUES ADDRESSED ABOVE:TRANSPORTATION ACCESS;INTERPRETER/LANGUAGE TRANSLATION ACCESS; ANDHOUSING STABILIZATION.

SCHEDULE H, PART V, SECTION B, LINE 7A:
THE CHNA REPORT CAN BE FOUND AT URL:HTTPS://WWW.ADVENTHEALTH.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS

SCHEDULE H, PART V, SECTION B, LINE 10A:
THE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY CAN BE FOUND AT:HTTPS://WWW.ADVENTHEALTH.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS

SCHEDULE H, PART V, SECTION B, LINE 16A,B,C:
THE FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT URL:HTTPS://WWW.ADVENTHEALTH.COM/LEGAL/FINANCIAL-ASSISTANCETHE FINANCIAL ASSISTANCE POLICY APPLICATION CAN BE FOUND AT:HTTPS://WWW.ADVENTHEALTH.COM/LEGAL/FINANCIAL-ASSISTANCETHE 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 AMOUNTS OF COSTS REPORTED IN THE TABLE IN LINE 7 OF PART I OF SCHEDULE H WERE DETERMINED BY UTILIZING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, CONTAINED IN THE SCHEDULE H INSTRUCTIONS. - 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 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.

SCHEDULE H, PART III, SECTION B
SUPPLEMENTAL SCHEDULE TO SCHEDULE H, PART III, SECTION B, LINE 8 RECONCILIATION OF SCHEDULE H REPORTED MEDICARE SURPLUS/(SHORTFALL) TO UNREIMBURSED MEDICARE COSTS ASSOCIATED WITH THE PROVISION OF SERVICESTO ALL MEDICARE BENEFICIARIES:THE MEDICARE REVENUE AND ALLOWABLE COSTS OF CARE REPORTED IN SECTION B OF PART III OF SCHEDULE H ARE BASED UPON THE AMOUNTS REPORTED IN THE FILING ORGANIZATION'S MEDICARE COST REPORT IN ACCORDANCE WITH THE IRS INSTRUCTIONS FOR SCHEDULE H. ON AN ANNUAL BASIS, THE FILING ORGANIZATION ALSO DETERMINES ITS TOTAL UNREIMBURSED COSTS ASSOCIATED WITH PROVIDING SERVICES TO ALL MEDICARE PATIENTS. UNREIMBURSED COSTS ARE CONSIDERED A COMMUNITY BENEFIT TO THE ELDERLY AND ARE COMBINED INTO AN ANNUAL COMMUNITY BENEFIT STATEMENT PREPARED BY ADVENTHEALTH. THE PRIMARY RECONCILING ITEMS BETWEEN THE MEDICARE SURPLUS/(SHORTFALL) SHOWN ON LINE 7 OF SECTION B OF PART III OF SCHEDULE H AND THE FILING ORGANIZATION'S UNREIMBURSED COSTS OF SERVICES PROVIDED TO ALL MEDICARE PATIENTS ARE AS FOLLOWS:- MEDICARE SURPLUS/(SHORTFALL) SHOWN ON LINE 7 OF SECTION B OF SCHEDULE H: $ (186,253)- DIFFERENCE IN COSTING METHODOLOGY: 2,410,996- UNREIMBURSED COSTS INCURRED FOR SERVICES PROVIDED TO MEDICARE PATIENTS THAT ARE NOT INCLUDED IN THE ORGANIZATION'S MEDICARE COST REPORT: $(3,937,393) -------------TOTAL UNREIMBURSED COSTS OF SERVING ALL MEDICARE PATIENTS PER THE FILING ORGANIZATION'S COMMUNITYBENEFIT REPORTING $ (1,712,650)AS INDICATED ABOVE, THE PRIMARY DIFFERENCES BETWEEN THE MEDICARE SURPLUS/(SHORTFALL) REPORTED ON SCHEDULE H, PART III, SECTION B, LINE 7 AND THE FILING ORGANIZATION'S PORTION OF THE COMPANY'S ANNUAL COMMUNITY BENEFIT STATEMENT IS DUE TO A DIFFERENCE IN THE COSTING METHODOLOGY AND DIFFERENCES IN THE POPULATION OF MEDICARE PATIENTS WITHIN THE CALCULATION. THE COST METHODOLOGY UTILIZED IN CALCULATING ANY MEDICARE SURPLUS/(SHORTFALL) FOR PURPOSES OF THE ANNUAL COMMUNITY BENEFIT REPORTING IS BASED UPON THE COST-TO-CHARGE RATIO OUTLINED IN WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. THE SAME COST-TO-CHARGE RATIO IS USED TO DETERMINE THE COSTS ASSOCIATED WITH SERVICES PROVIDED TO CHARITY CARE PATIENTS AND MEDICAID PATIENTS AS REPORTED IN SCHEDULE H, PART I, LINE 7. IN ADDITION, THE MEDICARE COST REPORT EXCLUDES SERVICES PROVIDED TO MEDICARE PATIENTS FOR PHYSICIAN SERVICES, SERVICES PROVIDED TO PATIENTS ENROLLED IN MEDICARE HMOS, AND CERTAIN SERVICES PROVIDED BY OUTPATIENT DEPARTMENTS OF THE FILING ORGANIZATION THAT ARE REIMBURSED ON A FEE SCHEDULE. THE COMPANY'S OWN COMMUNITY BENEFIT STATEMENT CAPTURES THE UNREIMBURSED COST OF PROVIDING SERVICES TO ALL MEDICARE BENEFICIARIES THROUGHOUT THE ORGANIZATION.

PART VI, LINE 2:
THE HOSPITAL CONDUCTS COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) EVERY THREE YEARS. ITS 2019 CHNA WAS ADOPTED BY ITS GOVERNING BOARD BY DECEMBER 31, 2019, THE END OF THE HOSPITAL'S TAXABLE YEAR IN WHICH IT CONDUCTED THE CHNA. THE HOSPITAL'S 2019 CHNA COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN FINAL REGULATION SECTION 1.501(R)-3. IN ADDITION TO THE CHNA 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 COMMUNITY.SUCH PRACTICES AND PROCESSES INVOLVE THE FOLLOWING:1. A HOSPITAL OPERATING/COMMUNITY BOARD COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF THE 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 COMMUNITY; AND 4. COLLABORATION WITH OTHER LOCAL COMMUNITY GROUPS TO ADDRESS THE HEALTH CARE NEEDS OF THE FILING ORGANIZATION'S COMMUNITY.

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 FACILITY ARE TRANSPARENT AND AVAILABLE TO ALL INDIVIDUALS SERVED AT ANY POINT IN THE CARE CONTINUUM. THE FAP, FAA FORM, PLS, AND CONTACT INFORMATION FOR THE HOSPITAL FACILITY'S FINANCIAL COUNSELORS ARE PROMINENTLY AND CONSPICUOUSLY POSTED ON THE FILING ORGANIZATION'S HOSPITAL FACILITY'S WEBSITE. THE WEBSITE INDICATES 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 THE HOSPITAL FACILITY (REFERRED TO BELOW AS LEP DEFINED POPULATIONS). SIGNAGE IS DISPLAYED IN PUBLIC LOCATIONS OF THE FILING ORGANIZATION'S HOSPITAL FACILITY, INCLUDING AT ALL POINTS OF ADMISSION AND REGISTRATION AND THE EMERGENCY DEPARTMENT. THE SIGNAGE CONTAINS THE 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 THE HOSPITAL FACILITY'S FAP, FAA FORM AND PLS. PAPER COPIES OF THE HOSPITAL FACILITY'S FAP, FAA FORM AND PLS ARE AVAILABLE UPON REQUEST AND WITHOUT CHARGE, BOTH IN PUBLIC LOCATIONS IN THE 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 FACILITY'S 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.

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ADVENTIST BOLINGBROOK HOSPITAL (AHH) IS A 138-BED STATE-OF-THE-ART ACUTE CARE HOSPITAL SERVING THE RESIDENTS OF THE VILLAGE OF BOLINGBROOK, ILLINOIS AND SURROUNDING COMMUNITIES. BOLINGBROOK IS LOCATED IN WILL COUNTY, ILLINOIS. PRIOR TO THE BUILDING OF THE HOSPITAL, ADVENTIST MIDWEST HEALTH, AN AFFILIATE OF THE HOSPITAL, OPERATED A FREE-STANDING EMERGENCY CENTER IN THE VILLAGE OF BOLINGBROOK. THE HOSPITAL IS MEETING A DEMAND FOR ACUTE CARE INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES IN THE COMMUNITY IT SERVES. THE HOSPITAL OFFERS THE LATEST TECHNOLOGICAL ADVANCES AND WAS DESIGNED TO OFFER ALL FAMILY-FRIENDLY PRIVATE PATIENT ROOMS. SERVICES OFFERED AT THE HOSPITAL INCLUDE CARDIAC CARE, IMAGING SERVICES, A WOMEN'S CARE CENTER, INCLUDING A MATERNAL FETAL CENTER, SURGICAL SERVICES AND INTERVENTIONAL RADIOLOGY. THE HOSPITAL OPENED A NEW WOUND CARE CENTER IN 2013 AND HAS ALSO ESTABLISHED AN AGREEMENT WITH VNA HEALTH CARE TO OFFER A FEDERALLY QUALIFIED HEALTH CENTER ON THE HOSPITAL CAMPUS TO PROVIDE CARE FOR THE UNINSURED AND UNDERINSURED.THE ADVENTIST BOLINGBROOK HOSPITAL COMMUNITY CONSISTS PRIMARILY OF BOLINGBROOK 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 LARGEST PRIMARY SERVICE AREA RESIDES IN WILL COUNTY. A SMALL PART OF THE NORTHERN/NORTHEASTERN SERVICE AREA IS IN DUPAGE COUNTY. ZIP CODES FOR THE SERVICE AREA INCLUDED: 60517, 60440, 60439, 60490, 60446, 60544, 60403, 60435, AND 60441. ACCORDING TO US CENSUS DATA (2018) THE POPULATION OF THIS SERVICE AREA IS 300,313. THE AVERAGE AGE IS 37.9 YEARS WITH AN AVERAGE FAMILY INCOME OF $78,826. THE AGE SPREAD OF THE PRIMARY SERVICE AREA IS SIMILAR TO WILL COUNTY, DUPAGE COUNTY AND ILLINOIS. EIGHT PERCENT OF THOSE THAT RESIDE IN THIS SERVICE AREA ARE LIVING IN POVERTY. THE PRIMARY SERVICE AREA OF ADVENTIST BOLINGBROOK HOSPITAL HAS A SLIGHTLY HIGHER HISPANIC/LATINO POPULATION AND NON-HISPANIC BLACK POPULATION THAN WILL COUNTY AND DUPAGE COUNTY. 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. APPROXIMATELY 40% OF THE HOSPITAL'S PATIENTS WERE MEDICARE PATIENTS, ABOUT 18% WERE MEDICAID PATIENTS, ABOUT 2.9% WERE SELF-PAY PATIENTS. IN 2021, ABOUT 76.1% OF THE HOSPITAL'S IN-PATIENTS WERE ADMITTED THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT.

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"THE PROVISION OF COMMUNITY BENEFIT IS CENTRAL TO ADVENTIST BOLINGBROOK HOSPITAL'S MISSION OF SERVICE AND COMPASSION. RESTORING AND PROMOTING THE HEALTH AND QUALITY OF LIFE OF THOSE IN THE COMMUNITIES SERVED BY THE HOSPITAL IS A FUNCTION OF ""EXTENDING THE HEALING MINISTRY OF CHRIST AND EMBODIES THE HOSPITAL'S COMMITMENT TO ITS VALUES AND PRINCIPLES. THE HOSPITAL 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 HOSPITAL 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 HOSPITAL 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 HOSPITAL EXPENDED $4,438,768 IN NEW CAPITAL IMPROVEMENTS. AS A FAITH-BASED MISSION-DRIVEN COMMUNITY HOSPITAL, THE HOSPITAL IS CONTINUALLY INVOLVED IN MONITORING ITS COMMUNITY, 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 HOSPITAL ARE CONTINUALLY BEING INVESTED IN RESOURCES THAT IMPROVE THE AVAILABILITY AND QUALITY OF DELIVERY OF HEALTH CARE SERVICES AND PROGRAMS TO ITS COMMUNITY."

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ADVENTIST BOLINGBROOK HOSPITAL 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 ADVENTHEALTH 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.