2024-11-14T17:14:18+00:00 2023-12-31 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2023-01-01 362179813 Swedish Covenant Health SWED 7738788200 5145 N California Avenue Chicago IL 60625 Douglas D Welday Treasurer & Chief Financial Officer 8475702000 2024-11-14 true Jess Wagener P01622613 3128792000 2024-11-14 2023 2024-10-15 13:58:12Z Gerald P Gallagher 5145 N California Avenue Chicago IL 60625 352313579 false X swedishcovenant. org X 1907 IL Swedish Covenant Health follows the mission of Endeavor Health to "help everyone in our communities be their best." 17 11 2496 61 1691757 0 8558071 4101202 288125140 346574113 50307 67561 3771261 1570703 300504779 352313579 983178 984124 0 0 150949955 157530800 0 0 0 155244640 177610715 307177773 336125639 -6672994 16187940 840938672 430490764 653184889 226195453 187753783 204295311 See Schedule O false false 292791578 984124 346584343 See Schedule O 292791578 true false false true false false false false true true false 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VP, Clinical Quality and Transformation 40.0 0 X 497078 0 28222 5132134 9106128 4044631 256 false true false ARAMARK FOOD AND SUPPORT SERVICES 1250 Village Dr Arlington Heights IL 60004 Catering Services 1396045 MAXIM STAFFING SOLUTIONS 12558 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 Temporary Labor Services 1330409 BEAR CONSTRUCTION COMPANY 1501 Rohlwing Rd Rolling Meadows IL 60008 General contracting services 857037 INTERIOR INVESTMENTS LLC LOCK BOX 778208 8208 SOLUTIONS CENTER CHICAGO IL 60677 Designing/Remodeling Services 791084 SCH LABORATORY PHYSICIANS S C 5145 N CALIFORNIA AVE ATTN PATHOLOGY CHICAGO IL 60625 Healthcare Services 690000 21 4075462 25740 1742 4101202 Health Care Services 622110 326515337 326515337 Outpatient Pharmacy 621400 7517601 7517601 Physician Office Rental 532000 6048942 6048942 Medical Fitness Facility 713940 4777451 4777451 Lab Reference Testing 621500 1539756 1539756 175026 175026 0 0 346574113 67561 67561 0 0 0 0 Child Care Center 624410 665261 152001 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187753783 204295311 840938672 430490764 X 16187940 353588 X false true X true true true X false true false false false false false false true 150000 150000 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY In the course of regular business activities, Swedish Covenant Health or its lobbyist perform some lobbying activities on matters of interest to itself and its patients. 22327250 1576617 536701 1292061 23148507 23007772 1263923 -656297 1288148 22327250 22765823 262195 150165 170411 23007772 22124964 1496298 768722 1624161 22765823 22595758 1436848 192855 2100497 22124964 0.2203 0.7797 0.0 false true true 32028937 32028937 171469039 28081753 143387286 35637484 15750256 19887228 74272045 17735743 56536302 251839753 Due from Affiliates 70692179 All Other Current Assets 9560423 Other Investments Leases 275085 Due from Third Party Payers 19953249 100480936 Due to Affiliates 186267518 Asset Retirement Obligation 1939284 Accrued Malpractice Liability Leases - Long-Term 188206802 X Schedule D, Part V, Line 4 Intended uses of endowment funds The earnings are to be used for education, charity care, and other hospital programs. Swedish Covenant Health is the related beneficiary of the endowment funds held by Swedish Covenant Hospital Foundation. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The affiliates and subsidiaries of the System are primarily tax-exempt organizations under Internal Revenue Code Section 501(c)(3), and their related income is exempt from federal income tax. Accordingly, there is no material provision for income tax for these entities. Some of the income received by exempt entities is subject to taxation as unrelated business income. The System files federal income tax returns and returns for various states in the U.S. ASC 740-10, Income Taxes, requires that realization of an uncertain income tax position is more likely than not (i.e., greater than 50% likelihood of receiving a benefit) before it can be recognized in the consolidated financial statements. Furthermore, this interpretation prescribes the benefit to be recorded in the consolidated financial statements as the amount most likely to be realized assuming a review by tax authorities having all relevant information and applying current conventions. This interpretation also clarifies the financial statement classification of tax-related penalties and interest and sets forth new disclosures regarding unrecognized tax benefits. No amount was recorded for the year ended December 31, 2023. At year-end December 31, 2023, the System has a net operating loss carryforward of $371,890, which generated deferred tax assets of $107,621. These assets are offset by a valuation allowance of $101,354. true true X true X true X 600 true true true false true true 8446336 8446336 0.0251 107063423 133707118 0 0.0 0 0.0 0 0 115509759 133707118 8446336 0.0251 3211172 5610 3205562 0.0095 11015440 3330195 7685245 0.0229 1273545 1273545 0.0038 0 0.0 999065 999065 0.0030 0 0 16499222 3335805 13163417 0.0392 0 0 132008981 137042923 21609753 0.0643 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 4864 4864 0.0000 48463 48463 0.0001 0 0.0 0 0.0 0 0 53327 0 53327 0.0002 true 2903531 64188380 49333445 14854935 X true true 1 1 Swedish Hospital 5145 N California Avenue Chicago IL 60625 swedishcovenant.org 0002717 X X X X I/P & O/P Hospital Services, Skilled Nursing Facility Swedish Hospital 1 false false true X X X X X X X X X 22 true true true true X SWEDISHCOVENANT.ORG/COMMUNITY/COMMUNITY-OUTREACH X true 22 true SWEDISHCOVENANT.ORG/COMMUNITY/COMMUNITY-OUTREACH false true X 200.0 600.0 X X X X X true true X X X true X SWEDISHCOVENANT.ORG/FOR-PATIENTS-AND-VISITORS/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE X SWEDISHCOVENANT.ORG/FOR-PATIENTS-AND-VISITORS/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE X SWEDISHCOVENANT.ORG/FOR-PATIENTS-AND-VISITORS/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE X X X X X X true X false X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Swedish Hospital. Swedish Hospital (Swedish) and members of the Alliance for Health Equity (AHE), a collaborative of over 30 hospitals partnering with health departments and community based organizations, worked together throughout 2021-2022 to build a comprehensive Community Health Needs Assessment (CHNA) in Chicago and Cook County. Swedish Hospital and the Alliance for Health Equity adapted the Mobilizing for Action through Planning and Partnerships (MAPP) model for the CHNA, emphasizing the importance of community engagement, partnership development, and both primary and secondary data. The Alliance for Health Equity chose this inclusive, community-driven process to leverage and align with health department assessments and to actively engage stakeholders, including community members, in identifying and addressing strategic priorities to advance health equity. Swedish Hospital worked with the Alliance for Health Equity and local community partners in the communities we serve to identify and prioritize the health needs within our community through 2024. As part of the hospital's community outreach efforts, Swedish established a Community Leader Engagement Program, to invite leaders from throughout the community to convene several times per year to discuss community health needs and ways to collaborate for the benefit of all. Together, the group has worked on the following health initiatives: head injury prevention/bike helmet safety, bystander CPR and community wellness (fitness, nutrition, mind/body, prevention). This Community Leader group consists of more than 100 social service organizations, health care providers, elected officials, schools and others. Members include: Apna Ghar, Between Friends, Budlong Elementary School, Centro Romero, Chicago Police - 20th District, Common Pantry, Erie Family Health, The Friendship Center, HANA Center, Hamdard Health, Hatzalah, Heartland Health Centers, ICNA Relief, Lutheran Social Services, Neighborhood Boys and Girls Club and Rohingya Culture Center. As part of the CHNA process, Swedish's Community Leader group met with hospital leaders and the Alliance for Health Equity staff to provide feedback on initial findings and priorities from the CHNA. Additionally, various organizations from the Community Leader group were active contributors to focus groups related to health care providers and social services, including immigrant and refugee-serving organizations. The Alliance for Health Equity's collaborative CHNA combined robust public health data, community input, existing research, existing plans, and existing assessments to document the health status of communities within Chicago and Suburban Cook County and to highlight systemic inequities that are negatively impacting health. The CHNA also provided insight into community-based assets and resources that would benefit from support and leverage during the implementation of health improvement strategies. Swedish Hospital partnered with the Alliance for Health Equity (AHE), other hospitals, the Chicago Department of Public Health, Cook County Department of Public Health, and community organizations to complete this collaborative CHNA between March 2021 and March 2022, during a time that communities across our county, country, and globe have been experiencing profound impacts from the COVID-19 pandemic. The health, economic, and social impacts of the pandemic are strongly present in what we heard from community members and healthcare and public health workers over the course of the assessment. Primary and secondary data from a diverse range of sources were utilized for robust data analysis and to identify community health needs in Chicago and Suburban Cook County. Primary data for the CHNA was collected through three methods: Community input surveys, community resident focus groups, and social service provider focus groups. Epidemiologists from the Cook County Department of Public Health (CCDPH) and Chicago Department of Public Health (CDPH) and Metopio are invaluable partners in identifying, compiling, and analyzing secondary data for the CHNA. IPHI and the Alliance for Health Equity steering committee worked with CDPH and CCDPH to refine a common set of indicators based on an adapted version of the County Health Rankings and Roadmaps Model. Secondary data used in the CHNA were compiled from a range of sources. In alignment with the purpose, vision, and values, the Alliance for Health Equity prioritizes engagement of community members and community-based organizations as a critical component of assessing and addressing community health needs. Community partners have been involved in the assessment and ongoing implementation process in several ways both in providing community input and in decision making processes. The community based organizations engaged in the Alliance for Health Equity represent a broad range of sectors such as workforce development, housing and homeless services, food access and food justice, community safety, planning and community development, immigrant rights, youth development, community organizing, faith communities, mental health services, substance use services, policy and advocacy, transportation, older adult services, health care services, higher education, and many more. All community partners work with or represent communities that are disproportionately affected by health inequities such as communities of color, immigrants, youth, older adults and caregivers, LGBTQ+, individuals experiencing homelessness or housing instability, individuals living with mental illness or substance use disorders, individuals with disabilities, veterans, and unemployed youth and adults. Community input is the most important data input into the Alliance for Health Equity Community Health Needs Assessment. Particularly in the context of the current COVID-19 pandemic, first-hand information from communities most impacted by inequities is the most up-to-date data we have available about priority community health needs. Swedish Hospital (Swedish) worked closely with the AHE and community-based organizations that are members of Swedish's Community Leader Program to collect in-depth community input data through a community input survey and focus groups. We collected 1108 surveys and conducted 8 focus groups with residents from Swedish's service area. The community input survey was a qualitative tool designed to understand community health needs and assets from community members, with a focus on hearing from community members most impacted by health inequities. The community input surveys, along with focus group data, informed the priority areas and strategies for community health improvement in Chicago and suburban Cook County. Between August 2021 and February 2022, the Illinois Public Health Institute (IPHI) worked with Alliance for Health Equity partners to hold a total of 43 focus groups with priority populations such as veterans, individuals living with mental illness, communities of color, older adults, caregivers, teens and young adults, LGBTQ+ community members, adults and teens experiencing homelessness, families with children, faith communities, adults with disabilities, and children and adults living with chronic conditions such as diabetes and asthma. In total, eight focus groups were held with community members and service providers in Swedish's service area. Swedish Hospital values the community health needs assessment process as an opportunity to engage with community leaders and organizations and with our colleagues from other healthcare institutions across the County through the Alliance for Health Equity. In partnership with communities, the Chicago Department of Public Health, the Illinois Public Health Institute, and the Alliance for Health Equity, we have taken an in-depth look at the needs and assets in the communities we serve, and we are committed to addressing those needs through implementation strategies in partnership with communities most impacted by health inequities. We undertake this collaborative, collective impact approach to community health needs assessment and implementation in order to address the underlying root causes of health disparities and to support greater community health and well-being in the communities we serve. Swedish Hospital makes the Community Health Needs Assessment available at SwedishCovenant.org/community-benefit. It is also shared broadly with internal and external stakeholders, including employees, volunteers, physicians, elected officials and members of our community, including the Community Leader Engagement Program. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Swedish Hospital. Swedish Hospital (Swedish) and members of the Alliance for Health Equity (AHE), a collaborative of over 30 hospitals partnering with health departments and community based organizations, worked together throughout 2021-2022 to build a comprehensive Community Health Needs Assessment (CHNA) in Chicago and Cook County. The following hospitals were included in the collaborate CHNA with Swedish Hospital: - Advocate Aurora Children's Hospital - Advocate Aurora Christ Medical Center - Advocate Aurora Illinois Masonic Medical Center - Advocate Aurora Lutheran General Hospital - Advocate Aurora South Suburban Hospital - Advocate Aurora Trinity Hospital - Advent Health Medical Center La Grange - Ascension Alexian Brothers Medical Center, Elk Grove Village - Ascension Holy Family Medical Center - Ascension Resurrection Medical Center - Ascension St. Alexius Medical Center and Alexian Brothers Behavioral Health Hospital - Ascension Saint Francis Hospital - Ascension Saint Joseph Hospital - Ascension Saints Mary and Elizabeth Medical Center - Ann & Robert H. Lurie Children's Hospital of Chicago - Humboldt Park Health - Jackson Park Hospital - The Loretto Hospital - Loyola Medicine- Gottlieb Memorial Hospital - Loyola Medicine- Loyola University Medical Center - Loyola Medicine- MacNeal Hospital - Northwestern Memorial Hospital - Northwestern Palos Community Hospital - OSF Little Company of Mary Medical Center - Roseland Community Hospital - Rush Oak Park - Rush University Medical Center - Sinai Health System- Holy Cross Hospital - Sinai Health System- Mount Sinai Hospital - Sinai Health System- Schwab Rehabilitation Hospital - South Shore Hospital - University of Illinois Hospital and Health Sciences System Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Swedish Hospital. The CHNA was conducted with the following organizations other than hospital facilities: - Chicago Department of Public Health - Cook County Department of Public Health - Cook County Health - Illinois Public Health Institute Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Swedish Hospital. The implementation strategy was developed after the comprehensive Community Health Needs Assessment (CHNA) was completed. Swedish Hospital intends to undertake the following strategies to meet the identified community health needs. It is important to note that our health equity and social determinants of health (SDOH) work is fundamental and integrated throughout our priority needs' strategies. Access to Health and Social Services - Expand efforts to identify and respond to social determinants of health (SDOH). - Expand efforts to support benefits enrollment for under resourced community members. - Increase access to specialty care and diabetes education via Healthcare Transformation Program. - Strengthen Swedish Hospital's capacity to respond to survivors of sexual and intimate partner violence via Pathway Programs. - Develop Community Health strategy addressing health and racial disparities through community partnership and program development. Mental and Behavioral Health - Deepen partnerships with community organizations addressing mental health - Continue and enhance behavioral mental health and substance abuse services. - Explore opportunities to educate the community about mental health via programs and partnerships. Chronic Health Conditions and Wellness - Address high blood pressure, diabetes and preventative cancer screenings through targeted interventions and outreach. - Enhance partnerships with local community organizations to better address chronic health conditions. - Expand education and outreach to community and patients to promote nutrition, health lifestyle choices and wellbeing. - Enhance Galter LifeCenter offerings to support health and wellbeing. Below is a list of the other significant health needs identified through the CHNA and the reasons why Swedish Hospital did not identify as a priority need in the implementation strategy plan. Many of these needs are incorporated into other priority areas or are a part of existing hospital programs or services. - Age Related Illness: incorporated into Chronic Health Conditions and Wellness. - Child and Adolescent Health: incorporated into Mental & Behavioral Health and other priority areas through SDOH screenings and other programs. The hospital is also committed to working with other organizations where possible to support these efforts and elevate awareness of these issues. - COVID-19: Swedish Hospital has a robust focus on COVID-19. This need is incorporated into Access to Health & Social Services and the active partnership between Swedish's Healthy Chicago Equity Zones team and the City of Chicago. - Homelessness and Housing Instability: incorporated into Access to Health & Social Services via SDOH screening enhancements and is also addressed via the hospital's Housing Connections program. The hospital is also committed to working with other organizations where possible to support these efforts and elevate awareness of these issues. - Violence: incorporated into Access to Health & Social Services priority via Swedish Hospital's Pathways Program. - Obesity: incorporated into Chronic Health Conditions and Wellbeing and Health Equity. It is also being addressed through existing work with the Nutrition & Diabetes Center. - Food Insecurity: Swedish Hospital has a robust focus on Food Insecurity via the Food Connections program. This need is incorporated into both the Access to Health & Social Services priority as well as Chronic Health Conditions & Wellness and is part of our SDOH screening enhancements. Actions taken during 2023 to address the needs identified in the CHNA include the following programs and services: Access to Health and Social Services - SDOH Screening and Referrals - Expanded efforts to identify and respond to social determinants of health (SDOH) by implementing a screening referral tool in some inpatient and outpatient settings. In 2023, 13,261 screenings were completed, with 11% screening positive for one or more SDOH needs. A total of 2,207 internal and external referrals to resources or services were initiated. - Benefits Enrollment Support - Enhanced efforts to support benefits enrollment for under-resourced community members, including initiating a referral process to enroll patients who screen positive for food insecurity into programs like LINK, SNAP and WIC. In 2023, 233 individuals were connected to benefits through the Food Connections program. - Specialty Care and Diabetes Education - Increased access to specialty care and diabetes education via the Healthcare Transformation Program, partnering with local FQHCs to provide specialty medical services and access to individual diabetes education. In 2023, 1,563 new office visits and 2,134 follow-up visits were provided, including 376 uninsured new patients. A total of 367 patients received individual diabetes education. - Support for Survivors of Violence - Strengthened the capacity to respond to survivors of sexual and intimate partner violence via Pathways Program. In 2023, 520 team members were trained on topics such as the neurobiology of trauma, domestic violence, human trafficking and sexual assault. Additionally, 117 team members were trained in de-escalation techniques. The program responded to 130 crisis intervention requests and provided counseling and case management to 126 people. Key highlights included hiring a trauma counselor, hosting a symposium on brain injury and intimate partner violence, and establishing a SANE (Sexual Assault Nurse Examiner) simulation lab supported by a federal grant. Swedish currently has are 14 SANE nurses. - Addressing Health Disparities - Developed community health strategies to address health and racial disparities through partnerships and program development, playing a Regional Lead role for the North/Central Zone of Healthy Chicago Equity Zones (HCEZ) initiative. In 2023, there were a total of 50 partners within the North/Central HCEZ zone. - Community Wellness Center Programs - Offered educational programming, support groups and wellness events via the Community Wellness Center at Galter Life Center. In 2023, 114 programs were hosted. Mental and Behavioral Health - Partnerships with Community Organizations - Strengthened partnerships with organizations addressing mental health, including continued collaboration with Lutheran Social Services of Illinois (LSSI) through inpatient and outpatient services on campus (Project IMPACT within the ED, The Welcoming Center and LSSI Mobile Crisis Team). This includes treatment for patients needing medical stabilization for substance or alcohol abuse. - Mental Health Programs - Hosted 42 programs addressing mental health and stigma, in collaboration with area nonprofits. This included 13 new partnerships and 12 partner education sessions in 2023. - Integrated Behavioral Health Services - Continued and enhanced behavioral, mental health and substance abuse services, including a team-based approach that co-locates a clinical psychologist among primary care providers to better facilitate warm handoffs and streamlined connection to behavioral health services. - Bilingual Community Health Social Worker - Hired a bilingual (English/Spanish) LCSW, funded by a $100,000 grant from Cigna Foundation, to provide psychoeducation in the community and individual services. - Opioid Addiction Clinic - Initiated a suboxone opioid addiction clinic pilot within the Emergency Department. - Family Connects Program - Supported Chicago families who have newborns through the Family Connects program, serving 164 families in 2023 with CDPH funding. - School Collaborations - Hosted 12 community events across 7 schools focused on mental health education and training, with more than 80 participants and professional development sessions for over 200 participants. - Support Groups for New Moms - Continued free weekly support groups for new moms, open to all community members. In 2023, 48 sessions were held with 129 attendees. - Counseling Services - Provided more than $30,000 worth of free counseling services to uninsured or underinsured women via Swedish Hospital Foundation's Women's Care Fund. Chronic Health Conditions and Wellness - Preventative Screenings and Interventions - Addressed high blood pressure, diabetes and preventative cancer screenings through targeted interventions and outreach, including navigating patients with no record of mammogram history to Breast Health Center and providing funding for free screening as needed. In 2023, more than 860 no-charge cancer detection services were provided. Additionally, 76% of female patients from Swedish/NorthShore medical group aged 50-75 received a screening mammogram within the prior 27 months. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - Swedish Hospital. - Blood Pressure and Diabetes Control - Controlled blood pressure in 74% of patients with hypertension within the Swedish/NorthShore medical group. 72% of patients with diabetes had A1c controlled. - Chronic Health Management - Enhanced partnerships with local organizations to address chronic health conditions, including deeper collaboration with FQHCs via the Transformation Program. In 2023, 871 appointments were completed for patients managing A1c and 568 appointments were completed for patients managing hypertension. - Community Education and Outreach - Expanded education and outreach, promoting nutrition, healthy lifestyles and wellbeing. Programs included: - Veggies for Health program - An 8-week nutrition class for individuals managing chronic disease, with 18 participants in 2023. - Nutrition & Diabetes Center - Provided 460 encounters in 2023 through individual and group support. - Bystander CPR & AED Training - Held 11 events with 187 participants in 2023. - Healthy Eating and Physical Activity - Promoted healthy eating and physical activity through partnerships with the Healthy Chicago Equity Zones and the Community Outreach Registered Dietitian. Activities included cooking demonstrations, bike helmet giveaways and safety tips, healthy eating tips with the interactive Smoothie Bike and more. In 2023, the Swedish HCEZ team participated in 76 engagement or outreach events with 2,572 attendees. - Smoking Cessation Programs - Provided 5 smoking cessation programs in 2023 for 34 participants (each program included eight one-hour sessions), including discounted fees for under-resourced individuals. - Galter Life Center (GLC) Offerings - Enhanced offerings to support health and wellbeing, including approximately 117 discounted scholarship memberships and programs such as Fundamental Fitness and Eat, Move, Lose. Supported the Integrated Cancer Care Program (ICCP) with free services, including support groups, integrative therapies (massage, acupuncture, etc.), fitness programming, nutrition counseling and more. In 2023, 118 individuals were referred into programs, and over 760 services were provided to more than 40 participants in the ICCP program. - Epic Referral Pathway - Finalized the implementation of an Epic referral pathway for providers to directly refer patients to GLC wellness programs. This process will begin in 2024. 1 Galter LifeCenter 5157 N Francisco Avenue Chicago IL 60625 Physical Rehabilitation / Medical Fitness Facility Schedule H, Part I, Line 7d On Schedule H, Line 7b, Column (c), the $107,063,423 in the community benefit expense includes the provider assessment tax of $20,249,998. Had the provider tax been excluded, the total community benefit expense would have been $86,813,425. On Schedule H, Line 7b, Column (d), the direct offsetting revenue of $133,707,118 includes the provider tax revenue of $65,742,766. Had the public aid provider revenue been excluded from Schedule H, the direct offsetting revenue would have been $67,964,352. Using an adjusted total community benefit expense of $86,813,425 noted above, minus an adjusted direct offsetting revenue amount of $67,964,352, also noted above, the resulting community benefit dollar amount on Schedule H, Line 7b, Column (e) would have been $18,849,073. On Schedule H, Line 7b, Column (f) percentage of total expense would have increased from 0% to 5.5%. The provider assessment tax benefit is not reimbursement for direct patient care and therefore we believe it should be excluded from the Schedule H calculations. Schedule H, Part I, Line 3c Other Factors Used to Determine Eligibility for Financial Assistance In addition to the Federal Poverty Guidelines, Endeavor Health Clinical Operations uses the following factors to determine eligibility for financial assistance: asset level, medical indigency, insurance status, underinsurance status, and residency. Schedule H, Part I, Line 7g Subsidized Health Services No physician clinic costs have been included on Line 7g. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance SWEDISH HOSPITAL CALCULATED THE COST OF CHARITY CARE USING THE COST-TO-CHARGE RATIO. AMOUNTS IN THE OTHER BENEFITS SECTION OF LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS FROM THE FINANCIAL ACCOUNTING SYSTEM. Schedule H, Part II Community Building Activities Members of Swedish Hospital staff work with other organizations and participate in many activities to advocate for health improvement in our community. These include: involvement with the association for community safety net hospitals and the IHA advocacy outreach team, participation in the Medicaid rate reform tag group, community meetings, chambers of commerce, education, and seeking of resources to enhance health care services in the community. During the fiscal year, Swedish Hospital continued its active involvement in a collaborative of area hospitals entitled the Alliance for Health Equity (AHE). AHE is a partnership between the Illinois Public Health Institute, hospitals, health departments, and community organizations across Chicago and Cook County. This initiative is one of the largest collaborative hospital-community partnerships in the country with the current involvement of over 30 hospitals, 7 health departments, and 100 community partners throughout Chicago and Cook County serving on various action teams. AHE is a collaboration of Chicago and Cook County -based hospitals that strives to promote a collective impact on health outcomes in the city of Chicago through an environment that fosters learning, sharing of resources, data and best practices. They are also the driving force to facilitate and execute the community health needs assessment (CHNA) for their hospital members. Swedish Hospital has staff who participate in a variety of sub-groups via AHE including the following: AHE steering committee, social and structural determinants of health committee, housing and health workgroup, food security/food access workgroup, mental health and substance use disorders committee, CHNA committee, policy committee and trauma informed hospitals collaborative. In addition to the above mentioned activities, Swedish Hospital regularly engages in conversation to advocate for community health improvement and support, including attending meetings with the local police districts on safety/community policing and meeting with organizations who serve disadvantaged populations within our community to develop relationships/partnerships to provide preventive health screenings (including mammograms), violence prevention resources, and other free health education offerings throughout the community. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Bad debt expense was reported at cost using a cost-to-charge methodology. The Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges calculated to report charity care on Part I, Line 7a was multiplied by the bad debt expense to determine the bad debt expense at cost. Discounts and payments on patient accounts are excluded from bad debt expense in order to reflect the expected amount to be paid. Schedule H, Part III, Line 3 Bad Debt Expense Methodology There are no bad debt amounts included in community benefits. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote See pages 9 and 14-18 of the audited financial statements for footnotes describing accounts receivable and bad debt expense. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The Medicare allowable costs were determined from the amounts in the Medicare Cost Report excluding costs already reported on Schedule H, Part I, Line 7f as health professions education. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Swedish Hospital is included in the billing and collections policy for Endeavor Health. The policy applies to all patients. Patients are screened for eligibility for financial assistance before collection procedures begin. Financial counseling will be provided to help patients identify available federal or state healthcare coverage programs which may be available to them, as well as to determine eligibility under the financial assistance policy. Collection activity will be placed on hold pending the outcome of these determinations. After a patient meets the qualifications for financial assistance, the account balance is either partially or entirely written off. Any remaining balance would be collected under the existing billing and collections policy. Schedule H, Part V, Section B, Line 16a FAP website - Swedish Hospital: Line 16a URL: SWEDISHCOVENANT.ORG/FOR-PATIENTS-AND-VISITORS/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website - Swedish Hospital: Line 16b URL: SWEDISHCOVENANT.ORG/FOR-PATIENTS-AND-VISITORS/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Swedish Hospital: Line 16c URL: SWEDISHCOVENANT.ORG/FOR-PATIENTS-AND-VISITORS/PAY-YOUR-BILL/FINANCIAL-ASSISTANCE; Schedule H, Part VI, Line 2 Needs assessment Swedish Hospital (Swedish) and members of the Alliance for Health Equity (AHE), a collaborative of over 30 hospitals partnering with health departments and community based organizations, worked together throughout 2021-2022 to build a comprehensive Community Health Needs Assessment (CHNA) in Chicago and Cook County. The CHNA was reviewed and approved by the hospital board of directors during August 2022. Swedish Hospital and the Alliance for Health Equity adapted the Mobilizing for Action through Planning and Partnerships (MAPP) model for the CHNA, emphasizing the importance of community engagement, partnership development, and both primary and secondary data. The Alliance for Health Equity chose this inclusive, community-driven process to leverage and align with health department assessments and to actively engage stakeholders, including community members, in identifying and addressing strategic priorities to advance health equity. Swedish Hospital worked with the Alliance for Health Equity and local community partners in the communities we serve to identify and prioritize health needs within our community through 2024. Swedish Hospital serves the culturally-diverse residents of Chicago's north and northwest side communities, with a full service hospital campus located in Lincoln Square at the intersection of Foster and California Avenues. Swedish Hospital provides a full range of comprehensive health and wellness services including an acute care hospital, primary care and specialists in the medical group, strong community outreach programs and Chicago's only certified medical fitness center, Galter LifeCenter. Swedish offers more than 50 medical specialties with practices conveniently placed throughout hospital's campus and on multiple sites throughout Chicago's north side communities (including several Immediate Care Centers) to make care accessible to our patients, wherever they are. Swedish maintains a department dedicated to addressing its outreach objectives of serving the entire community, not only those who come through its doors. Building on a long tradition of service, the Community Relations Department utilizes hospital strengths alongside those of other well-established community partners. This strategy allows Swedish to better understand and reach the most vulnerable sectors of the community, while meeting pressing healthcare needs. The goal is to improve the community's health status by empowering citizens to make healthy life choices. Based on assessment and analysis of the primary and secondary data compiled for the Swedish Hospital Service Area, Swedish plans to focus on the following needs, with health equity and social determinants of health woven throughout: Access to Health and Social Services, Mental and Behavioral Health, and Chronic Health Conditions and Wellness. Based on relationships with community partners, clinical expertise, strategic priorities and an ongoing commitment to community engagement, Swedish believes it is best equipped to make an impact in the above priority needs, including focused attention within communities of greatest need. The corresponding Community Health Implementation Plan describes programs Swedish is undertaking over the coming years to address the prioritized health needs within our community. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Charity or discounted care is available for medically necessary services as defined by Medicare, to patients who meet the financial and documentation criteria defined below. Each situation is reviewed on an individual case-by-case basis. While not absolutely essential, the need for potential charity or discounted care should be established in advance of admission or rendering of service, or shortly thereafter. Notices in English, Arabic, Assyrian, German, Japanese, Korean, Mongolian, Polish, Russian, Spanish, and Vietnamese about the availability of Charity or Discounted Care are posted in the Emergency Room registration area, and the inpatient and outpatient registration areas. The information is also contained in the Patient Handbook, given to all patients upon inpatient admission. Patients and families are encouraged to speak to a financial counselor for more information and assistance, The Guidelines, along with the financial questionnaire, are posted in English, Arabic, Assyrian, German, Japanese, Korean, Mongolian, Polish, Russian, Spanish, and Vietnamese on the hospital's website. In order to be eligible for charity or discounted care, the patient must be willing to provide verification of income by filling out the Patient Financial Statement. The patient is responsible to voluntarily submit any and all documentation in order to be eligible to receive this discount. Swedish Hospital has 5 full-time financial counselors representing our hospitals, clinics, and physician offices. These counselors are responsible for helping patients understand their bills and coordinating financial assistance and insurance eligibility when appropriate. Any uninsured patient admitted to our hospitals will have their case reviewed by a financial counselor. Swedish has also earned Certified Application Counselor Organization (CACO) status with the Centers for Medicare and Medicaid Services (CMS). Our counselors are certified and capable of helping patients navigate Medicaid and Insurance Exchange options. During the registration and information gathering process, the financial counselors determine if the patient qualifies for medical assistance from other existing financial resources such as Medicare, Medicaid, Kid Care, Family Care or other state or federal programs, If the patient refuses to apply for existing financial resources or to provide information necessary to the application process, charity or discounted care cannot be granted. If the application for existing financial resources is denied, or has been previously denied, consideration for charity or discounted care will then be given. Once the Financial Assistance Application form is received, the Financial Service Center determines the eligibility for charity or discount care. SCH suspends the collection process while the Financial Assistance Application is being reviewed. The only criteria considered for Financial Assistance is income and family size. Income is evaluated against the matrix of Federal Poverty Guidelines to determine whether full or partial discount can be approved, Documentation of income is submitted in the form of paycheck stubs, income tax returns, Social Security checks, and/or other documents that are indicative of income. If the information submitted is not perceived to be accurate or reliable, SCH reserves the right to request additional documentation to substantiate income or family size. Patients who are approved for financial assistance and earn a family income less than 200% of the federal poverty guidelines will receive care at no cost for their patient balance after $150 per inpatient stay or outpatient services. The insured patient with a large balance due to deductibles and/or co-payments may be eligible for charity or discounted care. In order to qualify, the patient must complete the Patient Financial Statement and return it to the financial counselors for evaluation and recommendation. No legal action is taken against uninsured patients for the first one hundred twenty (120) days after discharge. Patients who have a family income that is no more than 600% of the Federal Poverty Guidelines (as determined each year), and who do not have any health insurance (or coverage under workers' compensation, accident liability insurance, or other third party liability) as documented through SCH's insurance verification procedures, receive a discount in accordance with the Hospital Uninsured Patient Discount Act (210 ILCS 89/) (the Act). Schedule H, Part VI, Line 4 Community information Swedish's community, as defined for the purposes of the Community Health Needs Assessment, includes each of the residential ZIP Codes that comprise the hospital's Primary Service Area (PSA) and Secondary Service Area (SSA): 60613, 60618, 60625, 60626, 60630, 60640, 60641, 60645, 60646, 60659, 60660 and 60712, as shown in the map in Figure 1. These zip codes encompass fourteen community areas in Chicago-Albany Park, Avondale, Edgewater, Forest Glen, Irving Park, Jefferson Park, Lake View, Lincoln Square, North Center, North Park, Portage Park, Rogers Park, Uptown, West Ridge-and the village of Lincolnwood. This community definition was determined because most Swedish's patients originate from these areas. The total population in Swedish's service area is 686,000. In the service area, 25% of the population identifies as Hispanic/Latinx and 75% Non-Hispanic. Fifty-three percent of the population identifies as white, 10% Asian, 8% Black/African American, 3% identifies as two or more races, and less than 1% as Native American. There is substantial variation in median income within Swedish's service area. The median income in Rogers Park is nearly $100,000 less than the median income in North Center. In addition, poverty rates are highest in Rogers Park and Uptown. Swedish Hospital serves a remarkably diverse population, and many of the community areas are home to large immigrant and refugee populations. Five of the 14 community areas within Swedish's service area have a limited English speaking population of 10% or greater. The Spanish language represents the majority of interpretive assistance requested at the hospital. To meet this need on an inpatient and outpatient basis, the hospital employs a full time Spanish medical interpreter. The hospital additionally uses telephonic and video interpretive services to meet the needs in other languages, as well as for when the employed interpreter is not present. During 2023, approximately 27% of Swedish's patients were uninsured or were Medicaid recipients. Within Swedish's service area, there are three federally-designated medically underserved areas. Swedish's service area also includes 3 other hospitals. Schedule H, Part VI, Line 5 Promotion of community health In keeping with the hospital's mission to provide a continuum of excellent healthcare services, any surplus funds are invested in capital improvements related to patient care or in community benefit programs. The hospital extends medical staff privileges to all qualified physicians in the communities it serves, in accordance with our medical staff development process. The hospital has an active Board of Directors who meet every two months. In addition to reviewing the hospital's financial results, they discuss the hospital's plans and programs in support of our efforts to enhance the health care environment for the entire community we service. There is a dedicated committee of the board entitled the Community & Mission Committee, whose focus is to oversee and evaluate community outreach programs and services, as well as pastoral care and chaplaincy offerings. The hospital helps community members gain access to health care services by assisting low income families in applying for the Illinois Department of Public Aid's KidCare and FamilyCare programs. Information about these services is distributed to numerous community organizations, churches, health fairs and school events. It is also publicized throughout the hospital campus and on the hospital web site. Medicaid applications continue to be processed for all inpatients who qualify. Schedule H, Part VI, Line 6 Affiliated health care system Swedish Hospital is part of Endeavor Health. Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights), Skokie, and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. Located in Naperville, Linden Oaks Behavioral Health provides for the mental health needs of area residents. Endeavor Health desires to continue providing clinical programs and services to meet community health needs, while also pursuing continuous improvement in existing and future programs to improve the overall health of individuals in the communities it serves. As such, hospitals within the Endeavor Health system conduct Community Health Needs Assessments (CHNA's) every three years, using primary and secondary data, to ensure community benefit programs and resources are focused on significant health needs as perceived by the community at large, as well as alignment with Endeavor Health's mission, services, and strategic priorities. Schedule H, Part VI, Line 7 State filing of community benefit report IL true ERIE FAMILY HEALTH CENTER 1701 W SUPERIOR STREET 3RD FLOOR Chicago IL 60622 363088628 501(C)(3) 947800 TO HELP DEFRAY THE COSTS OF UNCOMPENSATED CARE TO LOWER INCOME AND MEDICALLY UNDERSERVED PATIENTS AT THE HEALTH CENTER. 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. The mission of Swedish Covenant Health is to provide excellent healthcare services for our culturally diverse community. In pursuit of this mission, the hospital will fund or otherwise sponsor programs which advance our mission. If a grant is approved by the Board of Directors, yearly progress reports will be required, with a final report required at the conclusion of the project. An annual audit may be requested, if appropriate. true true false false false false false true false Gerald P Gallagher System President and CEO 0 1988061 0 2102878 0 9594 0 2145878 0 37118 0 6283529 0 0 Anthony Guaccio President (until 8/30/23), CEO (until 12/31/23) 564098 0 462994 0 237475 0 76394 0 29845 0 1370805 0 0 0 Jonathan Lind President of SCH 377813 0 282205 0 13941 0 14850 0 34264 0 723074 0 0 0 Mahalakshmi Halasyamani Director 0 863771 0 831282 0 25158 0 517238 0 3650 0 2241099 0 0 Kristen Murtos Director 0 748233 0 779365 0 7038 0 538277 0 36506 0 2109419 0 0 Oluwadamilola Adeyemi Director 154646 0 0 0 1174 0 7012 0 35763 0 198595 0 0 0 Douglas D Welday Chief Financial Officer 0 861244 0 869308 0 20196 0 257414 0 26751 0 2034913 0 0 Kathryn Donofrio Senior VP, CNO 257908 0 59766 0 7829 0 14648 0 23930 0 364080 0 0 0 Bruce McNulty Chief Medical Officer 436611 0 354476 0 29950 0 14850 0 40465 0 876352 0 0 0 Shameem A Abbasy VP, Clinical Quality and Transformation 402450 0 91406 0 3222 0 14850 0 13372 0 525300 0 0 0 Saliba Kokaly AVP, Operations 252517 0 59883 0 8102 0 14423 0 37695 0 372619 0 0 0 Noly Grace Lagrosa RN House Operations Administrator 225303 0 25412 0 4504 0 11485 0 30397 0 297100 0 0 0 Karen M Sheehan VP, Information Technology 76810 0 67713 0 379625 0 14850 0 10229 0 549227 0 0 0 Domenico Vigilante Director, Applications 187849 0 76497 0 7957 0 12254 0 30223 0 314781 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation A detailed compensation review of the top executives, including the Chief Executive Officer, is conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting within the healthcare industry. The work product from this study is reviewed separately with Endeavor Health legal counsel. Market data for base and variable compensation is assessed annually for integrated delivery systems and academic medical centers that are similar in size and complexity. The market assessment includes assessing job content in order to make appropriate market data comparisons. Specific recommendations are then reviewed, discussed and approved as appropriate with the Endeavor Health Compensation Committee, in session with legal counsel present, in advance of implementation. Schedule J, Part I, Line 4a Severance or change-of-control payment The following individual received a severance payment based upon mutually agreed-upon separation agreement entered into with the organization: Karen Sheehan - $300,466 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The following individuals participated in a supplemental nonqualified retirement plan and below are the increases to the plan balances during 2023: Anthony Guaccio - $34,421 Gerald P Gallagher - $1,707,569 Mahalakshmi Halasyamani - $352,516 Kristen Murtos - $387,232 Douglas D Welday - $77,789 The following individuals received payments from a supplemental nonqualified retirement plan: Anthony Guaccio - $213,960 Karen Sheehan - $26,516 Schedule J, Part I, Line 7 Non-fixed payments Swedish Covenant Health provides incentive payments to certain employees after operating and performance goals are achieved. Incentive payment plans are reviewed and approved by the Compensation Committee of the Board of Directors. Tony Donofrio Family member of Kathryn Donofrio, Key Employee 69752 Employment false Anthony M Guaccio Family member of Anthony Guaccio, Director and Officer 11172 Employment false Antonio Medina Family member of Bruce McNulty, Key Employee 48846 Employment false Form 990, Part III, Line 1 Organization's Mission Swedish Covenant Health (Swedish Hospital) follows the mission of Endeavor Health. The mission of Endeavor Health is to "help everyone in our communities be their best." Central to this mission is a commitment to providing clinical programs and services that meet community health needs, while also pursuing continuous improvement to identify and understand future needs. Form 990, Part III, Line 4 Program Service Description Endeavor Health Swedish Hospital, which opened in 1886, serves the culturally-diverse residents of Chicago's north and northwest side communities as a safety-net hospital, with a full-service hospital campus located in the Lincoln Square neighborhood. Swedish Hospital offers advanced clinical care in more than 50 medical specialties, which includes the Jack and Mayora Rosenberg Women's Health Center, offering 3-D mammography, and their Joint Commission-certified Primary Stroke Center. Swedish provides a full range of comprehensive health and wellness services offering 150+ wellness programs annually, and Chicago's only certified medical fitness center, Galter Life Center, and is one of six regional leads for Healthy Chicago Equity Zones. During 2023, Swedish Hospital total admissions were 18,514 and total patient days were 54,794. Physical Medicine/Rehab Services - Swedish Hospital is dedicated to providing a comprehensive Rehab Unit that combines the disciplines of physical therapy, speech therapy, occupational therapy and social work to help patients regain their strength and skills. The Rehab unit features a special room that simulates a home environment so patients can practice with home-like carpeting, furniture and fixtures while supervised by nurses. During 2023, 178,449 inpatient and outpatient treatments for rehab, speech and occupational therapy were provided for a total cost of $6,399,320. Cardiac Care and Rehab - The Cardiac Rehabilitation program offered by Swedish Hospital has improved the lives of many individuals with such innovative programs as "coronary Heart Disease Reversal." Swedish Hospital also offers a state-of-the-art Cardiac Catheterization Lab, and other diagnostic and preventive programs. During 2023, Swedish Hospital performed 2,039 procedures in the Cardiac Catheterization Lab for a total cost of $11,774,618. In addition to the program services listed above, Swedish Hospital also offers health screenings, health promotions, education, and prevention services. Swedish Hospital offers year-round health screenings to members of the community. Blood pressure screening events are provided in collaboration with the hospital's Stroke Education Coordinator. Each year free or reduced-cost cancer screenings are offered to the community. These included prostate, skin, cervical and breast screenings. Additionally, dozens of programs led by physicians, nurses, dietitians, personal trainers and other clinicians and experts from the hospital address topics of cancer prevention, treatment, nutrition, fitness and other healthy lifestyle recommendations. During 2023, Swedish Hospital hosted 114 programs at the new Community Wellness Center on the hospital campus, with more than 900 attendees. Additionally, Swedish Hospital participated in dozens of community outreach events in collaboration with community partners to serve thousands of local community members. Programs included health fairs, health education seminars, screenings and other health related activities. Community Wellness and Prevention programs continue to serve the community with more than 100 events held at the Hospital or in the community through collaboration with community partners. These events include health fairs, screenings, daytime and evening lectures, seminars, classes, Speakers' Bureau presentations, children's events and other health related activities. Throughout the year the Hospital collaborated with dozens of community organizations to provide wellness and prevention programs. During 2023, Swedish Hospital also offered transportation services to the community at a net cost of $149,280. In addition to the above, during 2023, Swedish Hospital voluntarily provided $8,446,336 at cost in charity care/uninsured discounts. Interpreter Services Swedish Hospital provides in-house interpreters for patients who speak Spanish, the primary non-English languages in the community. Swedish Hospital uses professional telephone interpretive assistance and had a total of 1,209,194 audio or video interpretation minutes (86,936 audio or video calls) in 93 languages. For deaf or hearing impaired patients who request sign language interpreters, the Hospital provides interpreters through CAIRS and Chicago Hearing Society. Swedish Hospital incurred a total cost of $1,228,526 for interpreter services. Medical Education Swedish Hospital is a teaching hospital and part of Endeavor Health, with residency programs in emergency medicine, family medicine, internal medicine, and podiatric medicine and surgery. Swedish Hospital also has fellowship programs in critical care medicine and pulmonary critical care medicine. Swedish Hospital utilizes board-certified physicians who are either independent contractors or are employed by Endeavor Medical Group, to provide teaching, training and supervision of the residents in Swedish Hospital's Family Medicine (15 residents), Internal Medicine (30 residents), Podiatric Medicine and Surgery (6 residents) residency programs as well as the Critical Care (2 fellows) and Pulmonary Critical Care Fellowships (3 fellows). Swedish Hospital has an affiliation agreement with McGaw, the postgraduate arm of Northwestern University, to be a training site for their family medicine residents. Surgical residents from the Ascension St Joseph's general surgery residency program also rotate at Swedish Hospital. OBGYN residents from UIC also rotate at Swedish Hospital. Swedish Hospital is also a training site for students of three medical schools; Chicago College of Osteopathic Medicine (33), and Arizona College of Osteopathic Medicine (15), both part of Midwestern University, and for the University of Nicosia (40). Form 990, Part VI, Line 15 A detailed compensation review of the top executives, including the Chief Executive Officer, is conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting within the healthcare industry. The work product from this study is reviewed separately with Endeavor Health legal counsel. Market data for base and variable compensation is assessed annually for integrated delivery systems and academic medical centers that are similar in size and complexity. The market assessment includes assessing job content in order to make appropriate market data comparisons. Specific recommendations are then reviewed, discussed and approved as appropriate with the Endeavor Health Compensation Committee, in session with legal counsel present, in advance of implementation. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Kurt D Anderson and Lawrence P Anderson - Family relationship, Kristen Murtos and Mahalakshmi Halasyamani - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders The sole member is Endeavor Health Clinical Operations (formerly known as NorthShore University HealthSystem). On December 5, 2023, NS-EE Holdings was renamed to Endeavor Health and NorthShore University HealthSystem was renamed to Endeavor Health Clinical Operations. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The system parent, Endeavor Health, elects the Board of Directors. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Endeavor Health, through action of the Endeavor Health Board of Directors or President & CEO, holds the following reserved powers over Swedish Covenant Health. - Develop, approve and modify annual operating and capital budgets and strategic plans for the Corporation and its Affiliate Entities - Determine all material changes in the clinical programs and services to be provided by the Corporation and its Affiliate Entities, including the establishment, expansion, reconfiguration, reduction or discontinuation of clinical programs and services - Any discontinuation of a "category of service" (as defined by the Illinois Health Facilities Services Review Board) and any closure or permanent repurposing of any material licensed health care facility owned or operated by the Corporation and its Affiliate Entities - Initiate and/or approve amendments or restatements of the governing documents of the Corporation and its Affiliate Entities - Establish or change existing medical education programs - Approve indebtedness and unbudgeted capital expenditures above a designated dollar threshold set for the Corporation and its Affiliate Entities by the System Parent from time to time - Establish, amend or terminate third-party payor relationships of the Corporation and its Affiliate Entities - Approve ordinary course of business contractual relationships between the Corporation and/or its Affiliate Entities and a third party involving: (1) consideration in excess of a designated dollar threshold set for the Corporation and its Affiliate Entities by the System Parent from time to time, (2) a restrictive covenant applicable to the Corporation and/or its Affiliate Entities; or (3) a term in excess of three (3) years that cannot be terminated without cause - Approve any changes to any of the Corporation's or Affiliate Entities' employee benefit or compensation plans or executive agreements - Approve any agreement involving the licensing of trademarks or intellectual property to or from a third party - Hire, terminate and evaluate the terms of employment for the Corporation's President and Chief Executive Officer and the President and Chief Executive Officer of the Affiliate Entities, as applicable - Approve any real property acquisitions, dispositions or lease transactions of the Corporation and its Affiliate Entities above a designated dollar threshold set for the Corporation and its Affiliate Entities by the System Parent from time to time, as well as any mortgage or encumbrance of real property of the Corporation and its Affiliate Entities above a designated dollar threshold set for the Corporation and its Affiliate Entities by the System Parent from time to time - Evaluate and approve any acquisition, affiliation, joint venture, merger, corporate consolidation or restructuring, sale of all or substantially all of the assets or similar transaction by or involving the Corporation and/or its Affiliate Entities, as well as any dissolution, liquidation or termination of any affiliation or joint venture by or involving the Corporation and/or its Affiliate Entities - Select the auditor for, and approval of all audits of, the Corporation and its Affiliate Entities - Select outside legal counsel and approve any waiver, settlement or compromise of any legal proceeding, suit, claim, regulatory or other action involving the Corporation and/or its Affiliate Entities if the amount in controversy is in excess of a designated dollar threshold set for the Corporation and its Affiliate Entities by the System Parent from time to time - Approve the filing of any petition for bankruptcy of the Corporation and/or any of its Affiliate Entities. - Approve the nomination and/or remove with cause any member of the board of directors of the Corporation or its Affiliate Entities - Establish and ensure implementation of system-wide quality standards that protect and enhance the Corporation's and Affiliate Entities' brands - Establish and ensure implementation of financial goals and standards that protect and enhance the operations of the Corporation and its Affiliate Entities, and - Determine the extent to which and the manner in which the powers described in this section which are reserved to the System Parent with respect to the Corporation and its Affiliate Entities are to be exercised by the System Parent. Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 was reviewed by executive management and an outside accounting firm. The Form 990 was then provided to the Endeavor Health's Board of Trustees for review for the ability to ask questions of management prior to filing. Form 990, Part VI, Line 12c Conflict of interest policy All officers, directors and employees are required to report potential conflicts of interest to the Compliance Officer when his/her circumstances could create a conflict of interest, or prior to their arising, so that the health system can proactively review the report to identify actual and potential Conflicts of Interest. In addition, on an annual basis, members of the Board of Directors, Corporate Officers, and other key employees will be provided with a Conflict of Interest Questionnaire, which is used for purposes of reporting potential Conflicts of Interest. Subsequent to reporting, and depending on the nature of the matter, the Compliance Officer will review the reported information and arrive at a determination regarding the matter based upon his/her knowledge of the organization and/or in consultation with other members of management. Determinations will be reviewed with the Executive Leadership Team or designee for members of management, all categories of physicians, and the Board of Directors. Determinations will be reviewed with the Board of Directors for senior management and members of the Board of Directors. If it is determined that a Conflict of Interest exists, appropriate mitigating or remedial measures may be taken through a management plan. If a management plan has yet to be developed and the individual is involved in discussion related to his/her conflict, the individual must disclose the Conflict of Interest to those involved in the conversation and must recuse him/herself from participating in the conversation and making a decision on behalf of the health system. If this conversation takes place at a Board meeting, the minutes of the meeting should reflect the fact that the Conflict of Interest has been disclosed and the individual has recused him/herself. If the issue or circumstances cannot be adequately addressed through a management plan or if the proposed or actual arrangement is inconsistent with the health system's Guiding Principles for Conflicts of Interest, the conflict will be eliminated. Disclosure of the management plan may be made to appropriate individuals or committees, which may include patients, students, a department, group, or others as necessary. Monitoring and oversight of Conflicts of Interest and management plans will be conducted by the Executive Leadership Team. In the event that an individual engages in prohibited activities or does not provide prompt or transparent Reporting in compliance with this policy or does not comply with a determination and/or management plan, a review will be performed and appropriate corrective action may be taken, including retraining, referral for further action, termination of employment, termination of the agreement with the health system, or removal from the Board of Directors. Form 990, Part VI, Line 19 Required documents available to the public The governing documents, conflict of interest policy, and financial statements are available to the public upon request. The annual audit report and financial statements are also available to the public through GuideStar and the Illinois Attorney General's Office websites as part of the state filing. Form 990, Part VIII, Line 2f Other Program Service Revenue Home Health Care - Total Revenue: 175026, Related or Exempt Function Revenue: 175026, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other revenue - Total Revenue: 10230, Related or Exempt Function Revenue: 10230, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Net Asset Transfers with Swedish Covenant Hospital Foundation - 341473; Adjustment for pledges and irrevocable trust - 12115; Endeavor Health Medical Group 3040 W Salt Creek Lane Arlington Heights IL 60005 363738206 Healthcare IL 501(c)(3) 10 Endeavor Health Clinical Operations true Endeavor Health Clinical Operations 3040 W Salt Creek Lane Arlington Heights IL 60005 362167060 Healthcare IL 501(c)(3) 3 Endeavor Health false Radiation Medicine Institute 3040 W 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Corporation true NorthShore Physician Associates Value Based Care LLC 3040 W Salt Creek Lane Arlington Heights IL 60005 822268872 Healthcare IL NorthShore Legacy NPA Inc C Corporation true NorthShore University HealthSystem Insurance International 980419452 Insurance CJ Endeavor Health Clinical Operations C Corporation true Northwest Community Health Services Inc 800 West Central Road Arlington Heights IL 60005 363312906 Healthcare IL Northwest Community Healthcare C Corporation true EEH SPC - Segregated Portfolio A 981238485 Insurance CJ Edward-Elmhurst Healthcare C Corporation true EEH SPC - Segregated Portfolio B 981185160 Insurance CJ Edward-Elmhurst Healthcare C Corporation true EEH SPC - Segregated Portfolio D Insurance CJ Edward-Elmhurst Healthcare C Corporation true DuPage Medical Group Portfolio Insurance Company Insurance CJ Edward-Elmhurst Healthcare C Corporation true Elmhurst Memorial Health Technologies LLC 855 North Church Court Elmhurst IL 60126 363229839 Practice Management IL Elmhurst Memorial Healthcare C Corporation true IHP ACO 1100 West 31st Street Suite 300 Downers Grove IL 60515 462848987 Healthcare IL Edward-Elmhurst Healthcare C Corporation false false false false false false false false false false false false false false false false false false true true Swedish Covenant Hospital Foundation S 341473 FMV