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      <ActivityOrMissionDesc>SERVE HEALTH NEEDS OF COMMUNITIES THROUGH WHOLISTIC PHILOSOPHY ROOTED IN FUNDAMENTAL UNDERSTANDING OF HUMANS AS CREATED IN THE IMAGE OF GOD.</ActivityOrMissionDesc>
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      <MissionDesc>THE MISSION OF ADVOCATE SHERMAN HOSPITAL IS TO SERVE THE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH A WHOLISTIC PHILOSOPHY ROOTED IN OUR FUNDAMENTAL UNDERSTANDING OF HUMAN BEINGS AS CREATED IN THE IMAGE OF GOD.</MissionDesc>
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      <Desc>FINANCIAL ASSISTANCE (CHARITY CARE) AND TRAUMA CARE. PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY.AS PART OF ITS COMMUNITY HEALTH STRATEGY, ADVOCATE SHERMAN HOSPITAL (ADVOCATE SHERMAN) IS COMMITTED TO PROMOTING INITIATIVES THAT ENAHANCE ACCESS TO HEALTH CARE FOR THE UNINSURED AND UNDERINSURED. AN EXAMPLE OF THIS IS THE PROVISION OF FINANCIAL ASSISTANCE. ADVOCATE SHERMAN HOSPITAL OFFERS A VERY GENEROUS FINANCIAL ASSISTANCE PROGRAM, REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED, AND PROVIDING DISCOUNTS TO UNINSURED AND INSURED PATIENTS. PATIENTS EARNING UP TO SIX TIMES THE FPL, AND INSURED PATIENTS EARNING UP TO TWO AND HALF TIMES THE FPL, MAY QUALIFY FOR A FULL OR PARTIAL FINANCIAL ASSISTANCE DISCOUNT. ADDITIONALLY, A CATASTROPHIC ASSISTANCE DISCOUNT IS AVAILABLE FOR UNINSURED AND INSURED PATIENTS WHOSE INCOMES EXCEED THE TRADITIONAL FINANCIAL ASSISTANCE INCOME GUIDELINES AND HAVE OUTSTANDING PATIENT BALANCES OF $25,000 OR MORE FOR A SINGLE DATE OF SERVICE OR SUM OF SEVERAL DATES OF SERVICE. THESE PATIENTS MAY QUALIFY TO RECEIVE A FINANCIAL ASSISTANCE DISCOUNT THAT REDUCES THEIR OUTSTANDING BALANCE TO 25% OF THEIR NET INCOME. FOR UNINSURED PATIENTS, ADVOCATE SHERMAN HOSPITAL WILL PRESUMPTIVELY PROVIDE FINANCIAL ASSISTANCE IF THE FINANCIAL STATUS HAS BEEN VERIFIED BY A THIRD PARTY. IN THESE CASES, THE PATIENT IS NOT REQUIRED TO SUBMIT A SEPARATE CHARITY APPLICATION. IF PRESUMPTIVE CRITERIA ARE NOT AVAILABLE FOR UNINSURED PATIENTS, FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. ADVOCATE SHERMAN HOSPITAL EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL. THE HOSPITAL CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THOSE WHO NEED HELP. THE HOSPITAL MAINTAINS HIGHLY VISIBLE SIGNAGE AND BROCHURES IN MULTIPLE LANGUAGES TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL HELP AND FINANCIAL COUNSELORS. INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM AND AN APPLICATION IS PROVIDED TO ALL UNINSURED PATIENTS DURING REGISTRATION AND IS MAILED TO THEM IN ADVANCE OF THE FIRST PATIENT BILLING. AFTER THAT, EACH UNINSURED PATIENT'S BILL INCLUDES SUMMARY INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAM.</Desc>
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        <Desc>HEALTH CARE SERVICES PROVIDED BY PHYSICIANS EMPLOYED BY THE ORGANIZATION. ADVOCATE SHERMAN CLINICIANS PROVIDE CARE TO THE COMMUNITY BOTH AT THE HOSPITAL AND IN THE COMMUNITY. ADVOCATE SHERMAN HAS MORE THAN 35 YEARS OF CARDIOVASCULAR EXCELLENCE FOCUSING ON PROACTIVELY PREVENTING, DIAGNOSING AND TREATING AN ARRAY OF HEART CONDITIONS. AS AN ACCREDITED CHEST PAIN CENTER THROUGH THE SOCIETY OF CARDIOVASCULAR PATIENT CARE, ADVOCATE SHERMAN IS DEDICATED TO THE CARE OF ITS CARDIAC PATIENTS. THIS ACCREDITATION MEANS THAT THE HOSPITAL INTEGRATES THE INDUSTRY'S BEST PRACTICES TO PROVIDE THE BEST POSSIBLE OUTCOMES IN CARDIAC CARE. THE HOSPITAL'S HEART FAILURE PROGRAM HAS ACHIEVED ADVANCED CERTIFICATION IN HEART FAILURE DESIGNATION FOR BEST PRACTICES IN CARING FOR HEART FAILURE PATIENTS. IN 2022, ADVOCATE SHERMAN PROVIDED 2,318 CARDIAC CATHERIZATIONS AND 88 INPATIENT CARDIOVASCULAR OPEN-HEART SURGERIES. ADVOCATE SHERMAN IS RECOGNIZED AS A CENTER OF EXCELLENCE IN TREATING DISEASES AND INJURIES OF MUSCLES, BONES AND JOINTS AND IS A LEADER IN STATE-OF-THE-ART ORTHOPEDIC DIAGNOSTIC AND TREATMENT OPTIONS. DEPENDING ON THE INJURY OR ILLNESS, TREATMENT CAN RANGE FROM NON-SURGICAL OPTIONS, SUCH AS CASTS, SPLINTS AND PHYSICAL THERAPY, TO SURGICAL OPTIONS, FROM MINIMALLY INVASIVE ARTHROSCOPY TO TOTAL JOINT REPLACEMENT. IN 2023, ADVOCATE SHERMAN PERFORMED 1,462 ORTHOPEDIC SURGERIES (INPATIENT AND OUTPATIENT). ADVOCATE SHERMAN'S CANCER CARE CENTER IS ACCREDITED THROUGH THE COMMISSION ON CANCER (COC) AND THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC). THE HOSPITAL IS A LEADER IN THE GREATER ELGIN AREA FOR CANCER CAREPROMOTING HEALTHY LIFESTYLES, FOCUSING ON PREVENTIVE AND INNOVATIVE MEDICINE, ESTABLISHING A COMPREHENSIVE GENETIC PROGRAM, SECURING NURSE NAVIGATION, ENHANCING THE ONCOLOGY SERVICE LINE (INPATIENT, OUTPATIENT AND COMMUNITY), AS WELL AS PARTNERING WITH THE AMERICAN CANCER SOCIETY, LIVING WELL AND JOURNEY CARE. IN ADDITION, THE HOSPITAL PARTICIPATED IN A COLEMAN GRANT FOR SUPPORTIVE ONCOLOGY AND NATIONAL CANCER INSTITUTE/YALE UNIVERSITY GRANT FOR DISTRESS SCREENING. THE HOSPITAL IS ALSO FOCUSED ON DEVELOPING NEW EDUCATION AND PREVENTION PROGRAMS (INCLUDING COLORECTAL CANCER OUTREACH AND SCREENINGS, AND LUNG CANCER SCREENINGS), ENHANCEMENTS TO GENETIC COUNSELING, THE ADDITION OF AN ONCOLOGY NURSE NAVIGATION RESOURCE, INCLUDING AN ONCOLOGY FINANCIAL NAVIGATOR AND A PARTNERSHIP WITH ADVOCATE LUTHERAN GENERAL FOR RESEARCH AND CLINICAL TRIALS. ADVOCATE SHERMAN'S PRIMARY STROKE CENTER IS ACCREDITED THROUGH DET NORSKE VERITAS HEALTHCARE, INC. (DNV HEALTHCARE). THE SCOPE OF THE PROGRAM ENCOMPASSES THE ADULT POPULATION ENTERING THE HOSPITAL WITH A HEMORRHAGIC/ISCHEMIC STROKE OR TRANSIENT ISCHEMIC ATTACK (TIA) DIAGNOSIS. DATA IS ABSTRACTED, SUBMITTED AND REPORTED THROUGH THE STROKE DATA REGISTRY AND THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. HOSPITAL CLINICIANS ALSO PROVIDE CARE TO PATIENTS AT SEVERAL OFF-SITE LOCATIONS INCLUDING THREE IMMEDIATE CARE CENTERS FOR IMAGING, LABORATORY, PHYSICAL REHABILITATION AND PRIMARY CARE SERVICES, AS WELL AS A STAND-ALONE IMAGING CENTER. ADVOCATE SHERMAN CLINICIANS LEAD PRENATAL/ CHILDBIRTH, PARENTING EDUCATION AND DIABETES EDUCATION CLASSES. THE HOSPITAL ALSO PROVIDES SUPPORT GROUPS FOCUSED ON INDIVIDUALS STRUGGLING WITH HEALTH ISSUES, SUCH AS DIABETES, HEART DISEASE, CANCERS, OSTOMIES AND BREASTFEEDING.</Desc>
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        <Desc>DESCRIPTION OF ADVOCATE SHERMAN HOSPITAL. ADVOCATE HEALTH CARE BASED IN ILLINOIS AND AURORA HEALTH CARE BASED IN WISCONSIN MERGED TO BECOME ADVOCATE AURORA HEALTH IN APRIL 2018. ADVOCATE SHERMAN IS A 255-BED NOT-FOR-PROFIT HOSPITAL LOCATED IN ELGIN, ILLINOIS, AND IS ONE OF 27 ACUTE CARE HOSPITALS IN THE ADVOCATE AURORA HEALTH SYSTEM. ADVOCATE SHERMAN PROVIDES ACUTE INPATIENT AND OUTPATIENT MEDICAL CARE TO INDIVIDUALS RESIDING IN THE GREATER ELGIN, ILLINOIS AREA. FOUNDED IN 1888, THE HOSPITAL HAS EXPANDED ITS SERVICES TO SEVERAL OFF-SITE LOCATIONS, INCLUDING THREE IMMEDIATE CARE CENTERS AND A STAND-ALONE IMAGING CENTER. AT ALL THESE SITES OF CARE, THE HOSPITAL'S 952 CREDENTIALED PHYSICIANS AND 1,681 TEAM MEMBERS (EMPLOYEES) PROVIDE QUALITY AND COMPASSIONATE CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES RECEIVED. THE HOSPITAL HAS OPERATED IN ITS CURRENT LOCATION ON RANDALL ROAD SINCE DECEMBER 2009. ADVOCATE SHERMAN HAS BEEN RECOGNIZED FOR ITS COMMITMENT TO CONTINUALLY IMPROVING PERFORMANCE AND PATIENT CARE AS DEMONSTRATED THROUGH ITS ACHIEVEMENT OF SEVERAL AWARDS. CONSIDERED THE NATIONAL "GOLD STANDARD" FOR NURSING EXCELLENCE AMONG HOSPITALS, THE HOSPITAL HAS RECEIVED MAGNET RECOGNITION BY THE AMERICAN NURSES CREDENTIALING CENTER, AN AFFILIATE OF THE AMERICAN NURSES ASSOCIATION. MAGNET RECOGNITION IS GIVEN ONLY TO HOSPITALS THAT SATISFY A SET OF CRITERIA DESIGNED TO MEASURE STRENGTH AND QUALITY IN NURSING CARE WITH LESS THAN SEVEN PERCENT OF HOSPITALS NATION-WIDE ACHIEVING THIS STATUS. THE CENTER FOR BREAST CARE AT ADVOCATE SHERMAN IS DESIGNATED AS A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY FOR ITS DEDICATION TO IMPROVING WOMEN'S HEALTH. THE HOSPITAL IS ALSO AN ACCREDITED CHEST PAIN CENTER, WHICH MEANS THE HOSPITAL INTEGRATES THE INDUSTRY'S BEST PRACTICES AND NEWEST MODELS TO PROVIDE THE BEST POSSIBLE OUTCOMES IN CARDIAC CARE. THE HOSPITAL'S HEART FAILURE PROGRAM RECEIVED GOLD LEVEL RECOGNITION FROM THE AMERICAN HEART ASSOCIATION'S "GET WITH THE GUIDELINES-HEART FAILURE PROGRAM" FOR COMMITMENT TO IMPROVING QUALITY CARE. THE HOSPITAL IS ALSO CERTIFIED AS A PRIMARY STROKE CENTER BY DNV-GL HEALTHCARE.ADVOCATE SHERMAN'S HEALTHCARE PROVIDERS ARE ENGAGED IN ONGOING EFFORTS FOCUSED ON QUALITY IMPROVEMENT INITIATIVES. THESE PROVIDERS USE EVIDENCE-BASED PRACTICES AS AN APPROACH TO IMPROVE QUALITY WHILE REDUCING UNNECESSARY VARIATION IN PRACTICE, COST AND HOSPITALIZATION. THESE EFFORTS ARE DESIGNED TO MAINTAIN AND ENHANCE PATIENT, STAFF AND VISITOR SAFETY AND TO IMPROVE THE ENVIRONMENT OF CARE. WITH A TEAM OF NEARLY 34 CARDIOLOGISTS, ADVOCATE SHERMAN HAS OVER 35 YEARS OF EXERIENCE WITH OPEN HEART PROCEDURES AND ALL FORMS OF CARDIAC CARE. IN ADDITION TO A WIDE RANGE OF CARDIOVASCULAR SERVICES, THE HOSPITAL IS ALSO AN ACCREDITED CHEST PAIN CENTER WITH DEDICATED INTERVENTIONAL CARDIOLOGISTS AND CARDIOLOGY AND EMERGENCY PERSONNEL TRAINED IN RAPID RESPONSE AND TREATMENT OF HEART ATTACKS, WHICH HELPS ENSURE REDUCED HEART MUSCLE DAMAGE AND SAVES LIVES. THE HOSPITAL'S CENTER FOR CANCER CARE OFFERS THE LATEST CANCER TREATMENTS AND STATE-OF-THE-ART TECHNOLOGY IN AN ENVIRONMENT CUSTOM-DESIGNED FOR HEALING AND COMPASSIONATE CARE. THE CENTER FOR ADVANCED LIVER &amp; PANCREATIC CARE PROVIDES PATIENTS WITH ACCESS TO SPECIALIZED CARE FOR THE TREATMENT OF A WIDE RANGE OF LIVER AND PANCREATIC DISEASES THAT TYPICALLY HAVE ONLY BEEN TREATED AT ACADEMIC MEDICAL CENTERS. ADVOCATE SHERMAN ACHIEVED RECOGNITION AS A BABY FRIENDLY HOSPITAL IN 2016 AND MAINTAINED THIS RECOGNITION IN 2022 THE CORE COMPONENTS OF THE BABY-FRIENDLY HOSPITAL INITIATIVE (BFHI) ARE THE UNICEF/WHO TEN STEPS TO SUCCESSFUL BREASTFEEDING, WHICH ARE DESIGNED TO FACILITATE THE ROLE OF THE BIRTHING FACILITY IN PROVIDING WOMEN THE INFORMATION, CARE PRACTICES AND OPPORTUNITY TO BREASTFEED, REGARDLESS OF THE METHOD OF BIRTH. NATIONAL HEALTHY PEOPLE 2030 OBJECTIVES TO INCREASE AND EXTEND BREASTFEEDING ARE ALIGNED WITH THIS INITIATIVE. AS AN ADVOCATE AURORA HOSPITAL, ADVOCATE SHERMAN SUPPORTS THE ORGANIZATION'S VISION OF "WE HELP PEOPLE LIVE WELL AND TO FULFILL ITS VALUES OF: EXCELLENCE WE ARE A TOP PERFOMER IN ALL THAT WE DO; COMPASSION WE UNSELFISHLY CARE FOR OTHERS; AND RESPECT WE VALUE THE UNIQUE NEEDS AND PREFERENCES OF ALL PEOPLE. POPULATION SERVED. ADVOCATE SHERMAN PROVIDES QUALITY HEALTH CARE TO INDIVIDUALS REGARDLESS OF RACE, CREED, NATIONAL ORIGIN, AGE OR ABILITY TO PAY. IN 2023, THE HOSPITAL'S PHYSICIANS AND TEAM MEMBERS TREATED 11,936 INPATIENT ADMISSIONS, INCLUDING 1,782 DELIVERIES, AND HANDLED 320,684 OUTPATIENT VISITS. AS A LEVEL II TRAUMA CENTER, ADVOCATE SHERMAN PROVIDED 2,494 TRAUMA VISITS AND 60,404 EMERGENCY DEPARTMENT VISITS IN 2023. ADVOCATE SHERMAN SERVES A PRIMARY SERVICE AREA (PSA) INCLUDING 298,893 PEOPLE WHO RESIDE IN THE ILLINOIS COMMUNITIES OF ALGONQUIN, CARPENTERSVILLE, WEST DUNDEE, ELGIN, GILBERTS, HUNTLEY, LAKE IN THE HILLS AND SOUTH ELGIN.ACCORDING TO THE 2022 CHNA, IN THE ADVOCATE SHERMAN PSA, 7.8 PERCENT OF THE POPULATION IS LIVING BELOW THE FEDERAL POVERTY LELVE (FPL). THE COMMUNITIES WITH THE LARGEST PERCENTAGE OF FAMILIES LIVING BELOW THE FEDERAL POVERTY LEVEL ARE THOSE IN ELGIN (60120) AT 13.1 PERCENT, CARPENTERSVILLE (60110) AT 11.6 PERCENT AND ELGIN (60123) AT 10.1 PERCENT. THE PSA MEDIAN HOUSEHOLD INCOME IS $90,927. COMMITMENT TO THE COMMUNITY. EVEN IN THE FACE OF LOW REIMBURSEMENTS, ADVOCATE SHERMAN IS DEDICATED TO MAINTAINING A STRONG PRESENCE WITHIN ITS COMMUNITY AND CONTINUES TO MONITOR EXPENDITURES TO MAKE CERTAIN THAT THE PROGRAMS AND SERVICES SUPPORTED ARE IN DIRECT RESPONSE TO COMMUNITY NEED. IN 2023, ADVOCATE HEALTH CARE PROVIDED OVER $1.2 BILLION IN COMMUNITY BENEFIT PROGRAMS AND SERVICES.THESE BENEFITS INCLUDED NOT ONLY THE COST OF FINANCIAL ASSISTANCE AND UNREIMBURSED MEDICAID AND MEDICARE, FOR EXAMPLE, BUT ALSO THE COST FOR IMPLEMENTING AND SUSTAINING PROGRAMS SPECIFICALLY DESIGNED TO MEET THE HEALTH CARE NEEDS OF THE COMMUNITY.PARTNERING TO ASSESS COMMUNITY NEEDS. ADVOCATE SHERMAN HAS BEEN WORKING COLLABORATIVELY WITH THE MCHENRY COUNTY DEPARTMENT OF PUBLIC HEALTH AND THE KANE COUNTY HEALTH DEPARTMENT TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. PARTICIPATING IN THE COUNTY-WIDE HEALTH ASSESSMENTS LED BY BOTH HEALTH DEPARTMENTS, ADVOCATE SHERMAN'S COMMUNITY HEALTH TEAM MEMBERS HAVE PLAYED IMPORTANT ROLES ON THE EXECUTIVE LEADERSHIP OVERSIGHT COMMITTEES AND SUB-COMMITTEES OF THESE INITIATIVES. OTHER SHERMAN HOSPITAL LEADERS SERVE IN KEY LEADERSHIP ROLES IN THE OVERSIGHT COMMITTEES OF BOTH COUNTIES, AS WELL AS SERVING ON MANY SUBCOMMITTEES. ADVOCATE SHERMAN ALSO FOCUSES ITS INTERNAL STRENGTHS TO ASSESS COMMUNITY NEEDS AND TO GUIDE PROGRAM DEVELOPMENT. THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT PLAYS A KEY ROLE IN WORKING COLLABORATIVELY WITH INTERNAL HOSPITAL DEPARTMENTS AS WELL AS WITH COMMUNITY PARTNERS TO ENHANCE THE HEALTH OF THE COMMUNITY. COMMUNITY STRATEGY AND EXAMPLES OF PROGRAMS AND SERVICE ACCOMPLISHMENTS. AS A HOSPITAL WITHIN THE ADVOCATE AURORA HEALTH SYSTEM, ADVOCATE SHERMAN HOSPITAL IMPLEMENTATION PLANS AND STRATEGIES ALIGN WITH THE AAH SYSTEM STRATEGY. THROUGH THIS COMMUNITY STRATEGY, THE HOSPITAL WILL BUILD HEALTH EQUITY, ENSURE ACCESS AND IMPROVE HEALTH OUCOMES IN ITS COMMUNITY THROUGH EVIDENCE-INFORMED SERVICES AND INNOVATIVE PARTHERSHIPS BY ADDRESSING MEDICAL NEEDS AND SOCIAL DETERMINANTS OF HEALTH. BASED ON NEED AND EFFECT ON HEALTH EQUITY AS IDENTIFIED IN THE AAH HOSPITALS CHNA REPORTS AND ON INDUSTRY LITERATURE, THE FOLLOWING SIX FOCUS AREAS HAVE BEEN PRIORITIZED AND ARE THE FOUNDATION ON WHICH THE HOSPITAL-SPECIFIC IMPLEMENATION PLANS ARE BUILT. THE FOCUS AREAS ARE: 1) ACCESS TO PRIMARY MEDICAL HOMES; 2) ACCESS TO BEHAVIORAL HEALTH SERVICES; 3) WORKFORCE DEVELOPMENT; 4) COMMUNITY SAFETY; 5) AFFORDABLE HOUSING; AND 6) WORKFORCE DEVELOPMENT. EACH STRATEGY FOCUS AREA AND EXAMPLES OF ADVOCATE SHERMAN HOSPITAL PROGRAMS AND ACTIVITIES ADDRESSING THAT STRATEGY ARE PROVIDED BELOW.1. ACCESS/PRIMARY MEDICAL HOMES. MOBILE INTEGRATED HEALTH (MIH). TO IMPROVE THE CARE COORDINATION AND REDUCE READMISSIONS OF THE CHRONICALLY ILL PATIENTS AT ADVOCATE SHERMAN AS THEY TRANSITION FROM HOSPITAL TO HOME, A HOSPITAL-BASED MIH SYSTEM HAS BEEN CREATED. NATIONAL DATA SHOWS THAT MOBILE CARE HELPS PREVENT HOSPITAL READMISSIONS, ESPECIALLY IN AREAS WHERE PEOPLE HAVE LIMITED ACCESS TO HEALTH CARE AND TRADITIONAL HOME HEALTH SERVICES ARE RESTRICTED DUE TO A VARIETY OF REASONS. THE MIH PARTNERSHIP BETWEEN A PHYSICIAN AND AN ON-STAFF PARAMEDIC, ALLOWS OUTREACH TO PATIENTS IN THEIR HOMES. THIS IS IMPORTANT WHEN THE PATIENT IS UNABLE TO MAKE A SCHEDULED CLINIC VISIT OR WHEN SYMPTOMS/CONDITIONS ARISE THAT WOULD BENEFIT FROM AN IN-PERSON HOME ASSESSMENT WITH COMMUNICATION BACK TO THE PHYSICIAN TO DETERMINE THE PLAN OF CARE. ADDITIONALLY, IN 2018, THE STATE OF ILLINOIS APPROVED THE ADDITION OF PROVIDING IV MEDICATIONS FOR HEART FAIL</Desc>
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        <OtherCompensationAmt>130674</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL KERNS</PersonNm>
        <TitleTxt>ASSISTANT SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>55.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>749774</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>111993</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES DOHENY</PersonNm>
        <TitleTxt>ASSISTANT TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>55.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1064007</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>63927</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL VOLANTE</PersonNm>
        <TitleTxt>ASSISTANT TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>55.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>256767</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>47558</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBIN STOEN</PersonNm>
        <TitleTxt>ASSISTANT TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>55.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>327036</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29223</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVE HUSER</PersonNm>
        <TitleTxt>ASSISTANT TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>55.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>806480</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>71656</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES SLINKMAN</PersonNm>
        <TitleTxt>ASSISTANT SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>55.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>712395</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>111416</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHERINE KETNER</PersonNm>
        <TitleTxt>ASSISTANT SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>55.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>317371</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30165</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RACHEL HALVERSON</PersonNm>
        <TitleTxt>ASSISTANT TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>55.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>477791</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>59558</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRAD CLARK</PersonNm>
        <TitleTxt>ASSISTANT TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>55.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1431976</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>145795</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN FITCH</PersonNm>
        <TitleTxt>ASSISTANT TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>55.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>569025</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>85046</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JO AMICK</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>55.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>265120</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32913</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MELISSA O'NEILL</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>55.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>324562</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>44749</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN CHAPMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>55.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>4050</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL ROSENBERG</PersonNm>
        <TitleTxt>DIRECTOR MED EM &amp; CLINICAL DECISION</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>355903</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10609</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JUSTIN MACARIOLA-COAD</PersonNm>
        <TitleTxt>VP &amp; CMO</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>469059</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>58823</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN MORBY</PersonNm>
        <TitleTxt>VP &amp; CNO</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>297703</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37355</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DARREN SMITH</PersonNm>
        <TitleTxt>DIR ED ICU &amp; NURSING OPS</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>215666</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16457</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BYRON ATKINSON</PersonNm>
        <TitleTxt>DIR PERIOPERATIVE SVCS</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>212997</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14867</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2557336</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>33328685</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>2623704</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MIDWEST ANESTHESIA PROVIDERS SC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 639425</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45263</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>11289868</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TRAVEL NURSE ACROSS AMERICA LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5020 NORTHSHORE DR STE 2</AddressLine1Txt>
            <CityNm>NORTH LITTLE ROCK</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72118</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING</ServicesDesc>
        <CompensationAmt>2287885</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VASCULAR AND INTERVENTIONAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>911 N ELM STREET 128</AddressLine1Txt>
            <CityNm>HINSDALE</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60521</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>1067109</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HALL PRANGLE &amp; SCHOONVELD LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>200 S WACKER DR STE 3300</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60606</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
        <CompensationAmt>739427</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TOTAL RENAL CARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2000 16TH ST</AddressLine1Txt>
            <CityNm>DENVER</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>80202</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>692394</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>25</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>152805</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>263986</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>6354</AllOtherContributionsAmt>
      <TotalContributionsAmt>423145</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>174365599</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>174365599</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>BLUE CROSS/MGD CARE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>122755479</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>122755479</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SVC REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>119629238</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>119629238</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>LABORATORY</Desc>
        <BusinessCd>541380</BusinessCd>
        <TotalRevenueColumnAmt>44084942</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>44084942</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY</Desc>
        <BusinessCd>456110</BusinessCd>
        <TotalRevenueColumnAmt>40560628</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>40560628</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>9016935</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9016935</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>510412821</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>14146600</TotalRevenueColumnAmt>
        <ExclusionAmt>14146600</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>237071</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>237071</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>237071</TotalRevenueColumnAmt>
        <ExclusionAmt>237071</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>207659</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
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      <GainOrLossGrp>
        <OtherAmt>198255</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>198255</TotalRevenueColumnAmt>
        <ExclusionAmt>198255</ExclusionAmt>
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        <Desc>CAFETERIA REVENUE</Desc>
        <BusinessCd>722514</BusinessCd>
        <TotalRevenueColumnAmt>640484</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>640484</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>ALL OTHER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>5527</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5527</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1392</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1392</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>647403</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>526065295</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>511060224</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>923423</TotalAmt>
        <ProgramServicesAmt>923423</ProgramServicesAmt>
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        <TotalAmt>100310824</TotalAmt>
        <ProgramServicesAmt>98758036</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1552788</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>2631232</TotalAmt>
        <ProgramServicesAmt>2631232</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>14938911</TotalAmt>
        <ProgramServicesAmt>14489611</ProgramServicesAmt>
        <ManagementAndGeneralAmt>449300</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>7156005</TotalAmt>
        <ProgramServicesAmt>7072319</ProgramServicesAmt>
        <ManagementAndGeneralAmt>83686</ManagementAndGeneralAmt>
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      <FeesForServicesManagementGrp>
        <TotalAmt>2822</TotalAmt>
        <ManagementAndGeneralAmt>2822</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>32049</TotalAmt>
        <ManagementAndGeneralAmt>32049</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>43968</TotalAmt>
        <ManagementAndGeneralAmt>43968</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>16537597</TotalAmt>
        <ManagementAndGeneralAmt>16537597</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>32921</TotalAmt>
        <ProgramServicesAmt>14616</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18305</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>2241362</TotalAmt>
        <ProgramServicesAmt>2193606</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47756</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>114332</TotalAmt>
        <ProgramServicesAmt>109646</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4686</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1952524</TotalAmt>
        <ProgramServicesAmt>2237068</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-284544</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>66690</TotalAmt>
        <ProgramServicesAmt>55964</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10726</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>94216</TotalAmt>
        <ProgramServicesAmt>52535</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41681</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>7169721</TotalAmt>
        <ManagementAndGeneralAmt>7169721</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
        <TotalAmt>-55974</TotalAmt>
        <ProgramServicesAmt>-55974</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>15796312</TotalAmt>
        <ProgramServicesAmt>5808150</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9988162</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>11612998</TotalAmt>
        <ManagementAndGeneralAmt>11612998</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>OTHER INTERCOMPANY</Desc>
        <TotalAmt>135570358</TotalAmt>
        <ProgramServicesAmt>132788542</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2781816</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER</Desc>
        <TotalAmt>69181138</TotalAmt>
        <ProgramServicesAmt>321384</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68859754</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
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            <AddressLine1Txt>1052-1054 NORWOOD LANE</AddressLine1Txt>
            <CityNm>BARTLETT</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>601034556</ZIPCd>
          </USAddress>
          <FacilityTxt>PATIENT CARE - OUT PATIENT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - SHERMAN IMMEDIATE CARE - CRYSTAL LAKE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>741 S MCHENRY AVENUE</AddressLine1Txt>
            <CityNm>CRYSTAL LAKE</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>600147445</ZIPCd>
          </USAddress>
          <FacilityTxt>PATIENT CARE - OUT PATIENT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - THE CENTRE OF ELGIN - PENNY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>201 PENNY AVENUE STE 100</AddressLine1Txt>
            <CityNm>EAST DUNDEE</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>601181431</ZIPCd>
          </USAddress>
          <FacilityTxt>PATIENT CARE - OUT PATIENT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - SHERMAN MOB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1435 N RANDALL RD STES 106 107 108</AddressLine1Txt>
            <AddressLine2Txt>201</AddressLine2Txt>
            <CityNm>ELGIN</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>601205660</ZIPCd>
          </USAddress>
          <FacilityTxt>PATIENT CARE IN PATIENT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - THE CENTRE OF ELGIN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 SYMPHONY WAY</AddressLine1Txt>
            <CityNm>ELGIN</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>601205589</ZIPCd>
          </USAddress>
          <FacilityTxt>PATIENT CARE - OUT PATIENT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - THE CENTRE OF ELGIN - FLETCHER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>745 FLETCHER DRIVE</AddressLine1Txt>
            <CityNm>ELGIN</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>601234747</ZIPCd>
          </USAddress>
          <FacilityTxt>PATIENT CARE - OUT PATIENT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>11 - SHERMAN IMMEDIATE CARE - HAMPSHIRE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1000 S STATE ST</AddressLine1Txt>
            <CityNm>HAMPSHIRE</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>601409688</ZIPCd>
          </USAddress>
          <FacilityTxt>PATIENT CARE - OUT PATIENT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>12 - SHERMAN IMMEDIATE CARE - SOUTH ELGIN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2000 MCDONALD RD</AddressLine1Txt>
            <CityNm>SOUTH ELGIN</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>601773323</ZIPCd>
          </USAddress>
          <FacilityTxt>PATIENT CARE - OUT PATIENT</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>A SYSTEM-WIDE COMMUNITY BENEFIT REPORT IS FILED BY:ADVOCATE HEALTH CARE NETWORK 3075 HIGHLAND PARKWAY, DOWNERS GROVE, IL 60515. EIN 36-2167779</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>A COST-TO-CHARGE RATIO, DERIVED FROM SCHEDULE H INSTRUCTIONS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7A. SCHEDULE H INSTRUCTIONS WORKSHEET 3, UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7B. A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINES 7E, 7F, 7G, AND 7I.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7G:</FormAndLineReferenceDesc>
        <ExplanationTxt>ADVOCATE SHERMAN HOSPITAL PROVIDES SUBSIDIZED HEALTH SERVICES TO THE COMMUNITY. THESE SERVICES ARE PROVIDED DESPITE CREATING A FINANCIAL LOSS FOR ADVOCATE SHERMAN HOSPITAL. THESE SERVICES ARE PROVIDED BECAUSE THEY MEET AN IDENTIFIED COMMUNITY NEED. IF ADVOCATE SHERMAN HOSPITAL DID NOT PROVIDE THE CLINICAL SERVICE, IT IS REASONABLE TO CONCLUDE THAT THESE SERVICES WOULD NOT BE AVAILABLE TO THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTH NEEDS SELECTEDAS A RESULT OF THE 2020-2022 CHNA PROCESS, ADVOCATE SHERMAN SELECTED TWO PRIORITIES FOR 2020-2022 IMPLEMENTATION PLANNING - OBESITY (DIABETES, HEART DISEASE, NUTRITION AND EXERCISE) AND BEHAVIORAL HEALTH (SUBSTANCE ABUSE AND MENTAL HEALTH). (FOR PRIORITY SELECTION PROCESS DETAILS, SEE PAGE 55-57 OF THE 2020-2022 CHNA REPORT AT 2022-OFFICIAL-ADVOCATE-SHERMAN-CHNA-REPORT.PDF (ADVOCATEHEALTH.COM) OBESITY. ADVOCATE SHERMAN SELECTED OBESITY AS A HEALTH PRIORITY GIVEN THE CONTINUAL RISE IN OBESITY RATES IN BOTH KANE AND MCHENRY COUNTIES, AND EVIDENCE SHOWING A DEMONSTRATED LINK BETWEEN OBESITY AND CHRONIC CONDITIONS (DIABETES, HEART DISEASE, NUTRITION, EXERCISE, AND CANCER). THE GOAL IS TO REDUCE THE PROPORTION OF ADULTS WHO ARE OBESE IN THE PRIMARY SERVICE AREA (PSA). SPECIFICALLY ADDRESSING FOOD INSECURITY, THE ADVOCATE SHERMAN ONSITE COMMUNITY GARDEN YIELDED A BOUNTIFUL HARVEST IN THE 2023 GROWING SEASON. THE HOSPITAL DONATED 335 POUNDS OF FRESH PRODUCE FOR STUDENTS WHO ARE FOOD INSECURE AT THE ELGIN COMMUNITY COLLEGE STUDENT SPARTAN FOOD PANTRY AND TO THE FOOD FOR GREATER ELGIN FOOD PANTRY. ADVOCATE SHERMAN CONTINUES TO PARTNER WITH THE UNIVERSITY OF ILLINOIS EXTENSION MASTER GARDENERS FOR THE COMMUNITY GARDEN. THEY ARE AN INTEGRAL PART OF THE PROGRAM, MAINTAINING DEMONSTRATION BEDS, HOLDING LEADERSHIP ROLES ON THE GARDEN COMMITTEE AND MENTORING MASTER GARDENER INTERNS ONSITE. BEHAVIORAL HEALTH. ADVOCATE SHERMAN SELECTED BEHAVIORAL HEALTH AS A PRIORITY, WHICH IS COMPRISED OF BOTH SUBSTANCE USE AND MENTAL HEALTH, GIVEN THAT THESE FREQUENTLY CO-OCCUR AND DUE TO THE HIGH RATES OF MENTAL HEALTH NEEDS IN THE PSA. THE GOAL IS TO REDUCE THE PERCENT OF ADOLESCENTS AND ADULTS WHO ARE USING SUBSTANCES. THE WARM HANDOFF PROGRAM WAS IMPLEMENTED IN THE EMERGENCY DEPARTMENT (ED) ON SEPTEMBER 21, 2020. THE PROGRAM IS A PARTNERSHIP WITH GATEWAY FOUNDATION, A COMMUNITY-BASED ADDICTION MEDICINE PROVIDER. A GATEWAY FOUNDATION ENGAGEMENT SPECIALIST MEETS IN THE ED WITH A PATIENT WHO HAS COME IN FOR OPIOID-RELATED HEALTH ISSUES, AND SCREENS AND REFERS HIM OR HER TO TREATMENT. A GATEWAY FOUNDATION RECOVERY COACH ON THE TEAM PROVIDES SUPPORT TO PATIENTS AS THEY TRANSITION INTO TREATMENT. FOR 2023, GATEWAY FOUNDATION COMPLETED 464 PATIENT ENCOUNTERS AND 139 PATIENTS (30 PERCENT) WERE CONNECTED TO TREATMENT. THE COMMUNITY HEALTH DIRECTOR AND COMMUNITY HEALTH MANAGER SERVE ON THE KANE COUNTY OPIOID TASK FORCE AND THE KANE COUNTY BEHAVIORAL HEALTH COUNCIL. THESE GROUPS HAVE FOCUSED ON ADDRESSING THE GROWING MENTAL HEALTH AND SUBSTANCE USE ISSUES PRIOR TO AND DURING THE PANDEMIC TO INCREASE AWARENESS OF RESOURCES AVAILABLE IN THE COMMUNITY. ADVOCATE SHERMAN IS ALSO AN ACTIVE MEMBER OF THE COALITION FOR A SAFE AND HEALTHY ELGIN (CSHE) WHICH IS FUNDED THROUGH A DRUG FREE COMMUNITIES GRANT. THIS COALITION FOCUSES ON SUBSTANCE USE PREVENTION AND EDUCATION AMONG YOUTH IN THE ELGIN AREA. SHERMAN COORDINATED THE 2023 LOCAL NATIONAL DRUG TAKE BACK DAY EVENT, COLLECTING OVER 291 POUNDS OF PILLS (INCLUDING OTHER DRUGS, LIQUIDS, PATCHES AND SYRINGES).HEALTH NEEDS NOT SELECTED AND WHYCARDIOVASCULAR. CARDIOVASCULAR DISEASE WAS NOT SELECTED DUE TO THE IMPROVING EMERGENCY ROOM VISIT AND HOSPITALIZATION RATES IN THE PSA. ADVOCATE SHERMAN CONTINUES TO FOCUS ON A ROBUST PROGRAM FOR CARDIAC SERVICES INCLUDED THE COMPLETE CARE CENTER (CCC). THE CCC INCLUDES NONINVASIVE CARDIOLOGY SERVICES, HEART FAILURE RECOVERY, NEURODIAGNOSTIC, ANTICOAGULATION, HEALTH MANAGEMENT RESOURCES (HMR) WEIGHT MANAGEMENT PROGRAM, DIABETES, WOUND CARE AND HYPERBARIC OXYGEN THERAPY. THE COUNCIL SELECTED TO CONTINUE FOCUSING ON OBESITY AS A HEALTH PRIORITY, WHICH HAS A DIRECT CORRELATION TO HEART DISEASE.DIABETES. ALTHOUGH DIABETES WAS NOT SELECTED AS A PRIORITY FOR THE NEXT IMPLEMENTATION PLAN, BEING A CHRONIC CONDITION THAT IS ATTRIBUTED TO OBESITY, DIABETES WILL BE INCLUDED AS AN ACTION ITEM UNDER OBESITY. ADVOCATE SHERMAN HAS A COMPREHENSIVE PROGRAM TARGETED TO VULNERABLE PATIENTS IN THE PSA AND WILL CONTINUE THESE EFFORTS GOING FORWARD. MATERNAL, FETAL AND INFANT. MATERNAL, FETAL AND INFANT HEALTH WAS NOT SELECTED AS A HEALTH PRIORITY BASED ON THE DATA PRESENTED IN THE CHNA. ADVOCATE SHERMAN WORKS COLLABORATIVELY WITH THE LOCAL HEALTH DEPARTMENTS AND FQHC'S FOCUSING ON MATERNAL, FETAL, AND INFANT HEALTH IN THE COMMUNITY. ADVOCATE SHERMAN CONTINUES TO BE A BABY-FRIENDLY HOSPITAL FOCUSING ON POSITIVE OUTCOMES FOR BOTH MOM AND BABY. BASED ON THESE EFFORTS, THE CHC DID NOT FEEL THAT THIS HEALTH NEED WAS A PRIORITY FOR THIS CHNA CYCLE.RESPIRATORY. THERE IS CURRENTLY WORK BEING DONE AT THE PSA AND COUNTY LEVEL TO ADDRESS RESPIRATORY DISEASES SUCH AS ASTHMA, COVID19, COPD, PNEUMONIA AND FLU. THIS INCLUDES PATIENTS AT ADVOCATE SHERMAN WHO ARE IDENTIFIED WITH ASTHMA, PNEUMONIA, COPD, OR COVID, WHO ARE REFERRED TO THE ADVOCATE SHERMAN MOBILE INTEGRATED HEALTH COMMUNITY PARAMEDICINE PROGRAM, AND THE PROGRAM HAS DEMONSTRATED A DECREASE IN EMERGENCY ROOM VISITS AND HOSPITAL READMISSIONS. ADVOCATE SHERMAN COMMUNITY HEALTH STAFF WORK COLLABORATIVELY WITH LOCAL HEALTH DEPARTMENTS, THE CANCER CARE CENTER AND AMERICAN CANCER SOCIETY TO COORDINATE LUNG CANCER SCREENINGS AND PREVENTION EFFORTS FOR RESPIRATORY CONDITIONS. THE COUNCIL DECIDED TO CONTINUE FOCUSING ON OTHER HEALTH ISSUES AS PRIORITIES, GIVEN THAT THESE CURRENT PROGRAMS ARE IN PLACE AT THIS TIME.SEXUALLY TRANSMITTED INFECTIONS. ALTHOUGH SEXUALLY TRANSMITTED INFECTIONS ARE A CONSIDERABLE HEALTH ISSUE IN BOTH COUNTIES, THE LOCAL HEALTH DEPARTMENTS ARE TAKING THE LEAD ON IDENTIFICATION AND PREVENTION EFFORTS THROUGH THEIR RESPECTIVE COMMUNICABLE DISEASE DEPARTMENTS. ADVOCATE SHERMAN COMMUNITY HEALTH STAFF ASSIST WITH SHARING PREVENTION MESSAGES AND PRACTICES WITH PRIMARY CARE PROVIDERS IN THE PSA. HOWEVER, BECAUSE THE COUNTY HEALTH DEPARTMENTS ARE LEADING THESE EFFORTS ALREADY, AND THE NUMBER OF RESIDENTS AFFECTED IS SMALL COMPARED TO THOSE AFFECTED BY OBESITY AND BEHAVIORAL HEALTH, SEXUALLY TRANSMITTED INFECTIONS WERE NOT SELECTED AS A PRIMARY FOCUS. UNINTENTIONAL FALLS. THE CHC THOUGHT THAT UNINTENTIONAL FALLS IS MORE OF AN ISSUE WITH EDUCATION ON THE IMPORTANCE OF SAFETY, RATHER THAN A HEALTH PRIORITY OF FOCUS. THERE ARE ALREADY ORGANIZATIONS IN THE COMMUNITY WHO OFFER EDUCATION TO SENIOR POPULATIONS. THEREFORE, THE CHC DECIDED TO FOCUS ON OTHER HEALTH ISSUES. CANCER. CANCER WAS NOT INCLUDED IN THE VOTING PROCESS BECAUSE CANCER PREVENTION AND EDUCATION ARE BEING ADDRESSED THROUGH AN INTER-DISCIPLINARY TEAM INCLUDING COMMUNITY HEALTH CALLED THE INTEGRATED NETWORK CANCER PROGRAM (INCP) WHICH ADHERES TO THE COMMISSION ON CANCER STANDARDS. CHNA DATA IS PRESENTED ANNUALLY TO THE INCP LEADERSHIP AND IS USED TO DEVELOP PREVENTION, SCREENING OUTREACH AND EDUCATIONAL PROGRAMS. COVID-19. ALTHOUGH COVID-19 IS A TOP HEALTH CONCERN AND GREATLY AFFECTED THE ADVOCATE SHERMAN PSA, IT WAS NOT SELECTED AS A HEALTH NEED AS THE HOSPITAL WORKS CLOSELY WITH THE KANE COUNTY HEALTH DEPARTMENT AND MCHENRY COUNTY DEPARTMENT OF HEALTH IN ONGOING PREVENTION, EDUCATION AND TREATMENT OF COVID-19. ADVOCATE SHERMAN CONTINUES TO ENHANCE PREVENTIVE SERVICES TO COMBAT COVID-19 BY CONTINUING TO SHARE HEALTH EDUCATION, PERSONAL PROTECTIVE EQUIPMENT (PPE), COVID-19 TESTING, VACCINATIONS, MEDICAL SERVICES AND TREATMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>ADVOCATE SHERMAN HOSPITAL MAINTAINS BOTH WRITTEN FINANCIAL ASSISTANCE AND BAD DEBT/COLLECTION POLICIES. THE BAD DEBT/COLLECTION POLICY DOES NOT APPLY TO THOSE PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE; THEREFORE, SUCH PATIENTS ARE NOT SUBJECT TO COLLECTION PRACTICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY HEALTH NEEDS ASSESSMENTCOLLABORATIVE COUNTY ASSESSMENTS. ADVOCATE SHERMAN HOSPITAL (ADVOCATE SHERMAN) COLLABORATED WITH THE KANE COUNTY AND MCHENRY COUNTY HEALTH DEPARTMENTS TO CONDUCT A COMPREHENSIVE CHNA. ADVOCATE SHERMAN ALSO CONSULTED WITH A NUMBER OF ADDITIONAL PARTNER ORGANIZATIONS INCLUDING SEVERAL FEDERALLY QUALIFIED HEALTH CENTERS (GREATER FAMILY HEALTH, VNA HEALTH CARE, AUNT MARTHA'S), THE KANE COUNTY SUBSTANCE ABUSE COALITION, MCHENRY COUNTY SUBSTANCE ABUSE COALITION AND THE MENTAL HEALTH 708 INC BOARD. EACH OF THESE ORGANIZATIONS HAVE A FOCUS ON MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS, INCLUDING AFRICAN AMERICAN AND HISPANIC RESIDENTS. IN MCHENRY COUNTY, A COMMUNITY SURVEY, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED TO GATHER INPUT FROM COMMUNITY RESIDENTS ON KEY HEALTH ISSUES AS PART OF THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT (CHA). IN ADDITION, A BROAD DATA REVIEW OF MCHENRY COUNTY USING SECONDARY SOURCES WAS CONDUCTED, WHICH INCLUDED DEMOGRAPHICS, HOUSING, INCOME AND POVERTY, EDUCATION, EMPLOYMENT, CRIME AND SAFETY, BIRTH AND DEATH RATES, HEALTH STATUS AND BEHAVIORS, AND HEALTH UTILIZATION. A VARIETY OF SECONDARY DATA SOURCES WERE CONSULTED FOR KANE COUNTY-LEVEL DATA IN THE AREAS OF DEMOGRAPHICS, PUBLIC HEALTH, MENTAL HEALTH, SUBSTANCE ABUSE, EDUCATION, DISEASE INCIDENCE AND PREVALENCE, ECONOMICS AND PUBLIC SAFETY. COMMUNITY HEALTH COUNCIL (CHC). THE ADVOCATE SHERMAN CHC WAS CONVENED FROM JANUARY-MAY 2022 TO REVIEW QUANTITATIVE AND QUALITATIVE DATA GATHERED FROM 2020 THROUGH 2022, AND TO SELECT THE TOP HEALTH NEEDS OF THE SERVICE AREA. CHC MEMBERS INCLUDE A VARIETY OF REPRESENTATIVES FROM THE COMMUNITY; SEVERAL REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME AND/OR MINORITY POPULATIONS.GOVERNING COUNCIL (GC). FOLLOWING CHC APPROVAL, THE CHNA AND RECOMMENDED PRIORITIES PASS TO THE HOSPITAL'S GOVERNING COUNCIL (GC) FOR APPROVAL. THE ADVOCATE SHERMAN GC IS COMPRISED OF 21 MEMBERS, REPRESENTING A BROAD ARRAY OF COMMUNITY SECTORS AND EXECUTIVE LEVEL HOSPITAL STAFF. COMMUNITY MEMBERS COME FROM THE FIELDS OF EDUCATION, MANUFACTURING, PHILANTHROPY, FAITH COMMUNITIES, MARKETING, FINANCIAL INDUSTRY AND HEALTH CARE. THE 2020-2022 CHNA REPORT AND ITS PRIORITIZED NEEDS WERE APPROVED BY THE GC ON OCTOBER 24, 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEADVOCATE SHERMAN HOSPITAL ASSISTS PATIENTS WITH ENROLLMENT IN GOVERNMENT-SUPPORTED PROGRAMS FOR WHICH THEY ARE ELIGIBLE AND IN SECURING REIMBURSEMENT FROM AVAILABLETHIRD-PARTY RESOURCES. FINANCIAL ASSESSMENT IS PROVIDED TO HELP PATIENTSIDENTIFY AND OBTAIN PAYMENT FROM THIRD PARTIES, INCLUDING ILLINOISMEDICAID, ILLINOIS CRIME VICTIMS FUND, ETC., AS WELL AS TO DETERMINEELIGIBILITY UNDER ANSHNS FINANCIAL ASSISTANCE POLICY. ADVOCATE UTILIZES A FINANCIAL SCREENING SOFTWARE PROGRAM TO HELP IDENTIFYPUBLIC ASSISTANCE PROGRAMS FOR WHICH THE PATIENT MAY BE ELIGIBLE ORADVOCATE'S FINANCIAL ASSISTANCE AT THE TIME OF REGISTRATION OR AS SOON ASPRACTICABLE THEREAFTER. IN ADDITION, HEALTHADVISOR, ADVOCATE'S EDUCATIONREGISTRATION AND PHYSICIAN REFERRAL TELEPHONE CENTER, SERVES AS ACOMMUNITY RESOURCE PROVIDING REFERRALS TO GOVERNMENT-FUNDED AND OTHERPROGRAMS VIA TELEPHONE FROM 7 A.M. TO 7 P.M., MONDAY THROUGH FRIDAY AND SATURDAYS 9 A.M. TO 2 P.M. ADVOCATE SHERMAN HOSPITAL ASSISTS PATIENTS WITH APPLYING FOR ADVOCATE'S OWN FINANCIALASSISTANCE SERVICES, IF PATIENTS ARE NOT ELIGIBLE FOR GOVERNMENT-SUPPORTEDPROGRAMS. ANSHN COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE INTHE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OFCOMMUNICATION INCLUDE:1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITALSERVICES INCLUDES A STATEMENT THAT FINANCIAL ASSISTANCE CONSIDERATION, IS AVAILABLE UPON REQUEST.2. SIGNS ARE CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT AREVISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO HOSPITAL PATIENTACCESS, REGISTRATION, EMERGENCY DEPARTMENT LOCATIONS.3. BROCHURES ARE PLACED IN HOSPITAL PATIENT ACCESS, REGISTRATION,EMERGENCY DEPARTMENT, CASHIER AND BUSINESS OFFICE LOCATIONS, AND WILLINCLUDE GUIDANCE ON HOW A PATIENT MAY APPLY FOR MEDICARE, MEDICAID, ALLKIDS, FAMILY CARE ETC., AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. AHOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE ISINCLUDED.4. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY ANDFINANCIAL ASSISTANCE APPLICATION IS GIVEN TO UNINSURED PATIENTS WHORECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICALTIME OF SERVICE. (UPON REQUEST)ADVOCATE SHERMAN HOSPITAL 36-21679205. ADVOCATE'S WEBSITE POSTS NOTICE IN A PROMINENT PLACE THAT FINANCIALASSISTANCE IS AVAILABLE, WITH AN EXPLANATION OF THE FINANCIAL ASSISTANCEAPPLICATION PROCESS, AND ENABLE PRINTING OF THE FINANCIAL ASSISTANCEAPPLICATION.6. HOSPITAL BILLS TO UNINSURED PATIENTS INCLUDE A REQUEST THAT THEPATIENT INFORM THE HOSPITAL OF ANY AVAILABLE HEALTH INSURANCE COVERAGE (NOT AN OPTION ON BILLING STATEMENT THAT I CAN SEE) AND INCLUDE A SUMMARY OF ADVOCATE'S FINANCIAL ASSISTANCE POLICY, A FINANCIAL ASSISTANCE APPLICATION, AND A TELEPHONE NUMBER TO REQUEST FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF THE COMMUNITY/POPULATION. FOR THE PURPOSES OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ADVOCATE SHERMAN DEFINES THE COMMUNITY AS ITS PRIMARY SERVICE AREA (PSA), WHICH INCLUDES 10 ZIP CODES IN KANE COUNTY AND MCHENRY COUNTY, ILLINOIS: ALGONQUIN (60102), CARPENTERSVILLE (60110), ELGIN (60120), ELGIN (60123), ELGIN (60124), GILBERTS (60136), HUNTLEY (60142), LAKE IN THE HILLS (60156), SOUTH ELGIN (60177) AND WEST DUNDEE (60118).DEMOGRAPHICS POPULATION. THE POPULATION OF THE PSA IS 298,893 RESIDENTS. THE THREE LARGEST COMMUNITIES WITHIN THE PSA ARE ELGIN (60120) WITH A POPULATION OF 50,319 RESIDENTS, ELGIN (60123) WITH 49,765 RESIDENTS AND CARPENTERSVILLE (60110) WITH 39,094 RESIDENTS(METOPIO, AMERICAN COMMUNITY SURVEY, 2016-202).AGE. THE MEDIAN AGE OF THE PSA IS 38.4 YEARS OLD. THE LARGEST POPULATION IN THE PSA ARE THOSE AGES 40-64 YEARS AT 32.8 PERCENT.GENDER. THE PSA IS COMPRISED OF 50.0 PERCENT FEMALES AND 50.0 PERCENT MALES(METOPIO, AMERICAN COMMUNITY SURVEY, 2016-202).RACE/ETHNICITY. FIFTY-SEVEN PERCENT OF THE PSA POPULATION IS NON-HISPANIC WHITE, 30.7 PERCENT HISPANIC OR LATINO, 5.7 PERCENT ASIAN OR PACIFIC ISLANDER, 4.2 PERCENT NON-HISPANIC BLACK, 2.1 PERCENT TWO OR MORE RACES AND 0.02 PERCENT NATIVE AMERICAN(METOPIO, AMERICAN COMMUNITY SURVEY, 2016-202).INCOME. THE MEDIAN HOUSEHOLD INCOME FOR THE PSA POPULATION IS $90,927 WHICH IS HIGHER THAN U.S., ILLINOIS AND KANE COUNTY RATES, BUT LOWER THAN MCHENRY COUNTY. WITHIN THE PSA, THE ZIP CODE WITH THE HIGHEST MEDIAN HOUSEHOLD INCOME IS ELGIN (60124) AT $123,003 AND THE LOWEST MEDIAN HOUSEHOLD INCOME IS ELGIN (60120) AT $71,434(METOPIO, AMERICAN COMMUNITY SURVEY, 2016-202).POVERTY. IN THE PSA, THERE ARE 7.8 PERCENT OF RESIDENTS IN FAMILIES THAT ARE LIVING BELOW THE FEDERAL POVERTY LEVEL, WHICH IS LOWER THAN THE U.S., ILLINOIS AND KANE COUNTY RATE, BUT HIGHER THAN THE RATE IN MCHENRY COUNTY. THE ZIP CODES IN THE PSA WITH THE HIGHEST POVERTY RATES ARE ELGIN (60120) AT 13.1 PERCENT, CARPENTERSVILLE (60110) AT 11.6 PERCENT AND ELGIN (60123) AT 10.1 PERCENT(METOPIO, AMERICAN COMMUNITY SURVEY, 2016-202).ADULTS WITH HEALTH INSURANCE. A TOTAL OF 74.0 PERCENT OF RESIDENTS IN THE PSA HAVE PRIVATE HEALTH INSURANCE. THE ZIP CODES WITH THE HIGHEST UNINSURED RATES IN THE PSA ARE ELGIN (60120) AT 14.3 PERCENT, CARPENTERSVILLE (60110) AT 11.9 PERCENT AND ELGIN (60123) AT 10.6 PERCENT.PERSONS WITH PUBLIC HEALTH INSURANCE ONLY. IN THE PSA, 28.9 PERCENT OF RESIDENTS ARE COVERED BY PUBLIC INSURANCE SUCH AS MEDICARE, MEDICAID AND VETERANS ADMINISTRATION HEALTH CARE (PROVIDED THROUGH THE DEPARTMENT OF VETERANS AFFAIRS), WHICH IS LOWER THAN ILLINOIS (33.7 PERCENT), KANE COUNTY (29.8 PERCENT) AND SLIGHTLY HIGHER THAN MCHENRY COUNTY (25.9 PERCENT). THE ZIP CODES IN THE PSA WITH THE HIGHEST PERCENTAGE OF RESIDENTS COVERED BY PUBLIC HEALTH INSURANCE ARE HUNTLEY (60142) AT 38.1 PERCENT, ELGIN (60120) AT 36.9 PERCENT AND ELGIN (60123) AT 34.5 PERCENT(METOPIO, AMERICAN COMMUNITY SURVEY, 2016-202).HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. THERE ARE THREE HOSPITALS IN THE ADVOCATE SHERMAN PSA INCLUDING ADVOCATE SHERMAN. THE OTHER HOSPITALS ARE AMITA SAINT JOSEPH'S HOSPITAL IN ELGIN AND NORTHWESTERN MEDICINE-HUNTLEY HOSPITAL IN HUNTLEY. THE FQHC'S IN THE PSA INCLUDE GREATER ELGIN FAMILY CARE CENTER (GEFCC), VNA HEALTH CARE (VNA) AND AUNT MARTHA'S CLINIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>ADVOCATE SHERMAN HOSPITAL GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. SEVENTY-ONE PERCENT OF THE CURRENT GC MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.ADVOCATE SHERMAN HAS SEVERAL OTHER PROGRAMS THAT CONTRIBUTE TO THE HEALTH OF THE COMMUNITY AS DESCRIBED BELOW. MOBILE INTEGRATED HEALTH. THE MOBILE INTEGRATED HEALTHCARE (MIH) COMMUNITY PARAMEDICINE PROGRAM PROVIDES HOME VISITS BY A LICENSED PARAMEDIC TO PATIENTS WITH CHRONIC HEALTH CONDITIONS IN ORDER TO IMPROVE HEALTH OUTCOMES. IN 2023, THERE WERE 77 PATIENTS ENROLLED IN THE PROGRAM AND 40 PATIENTS WERE SEEN FOR 154 VISITS. IN THE PAST YEAR, PATIENTS SEEN IN THE MIH PROGRAM HAD A 59 PERCENT DECREASE IN HOSPITALS ADMISSIONS AND A 28 PERCENT DECREASE IN EMERGENCY ROOM VISITS. ENROLLED PATIENTS HAD THE FOLLOWING HEALTH CONDITIONS: HEART FAILURE; CHRONIC OBSTRUCTIVE PULMONARY DISEASE; DIABETES; POST-MYOCARDIAL INFARCTION; PNEUMONIA AND ONE PATIENT WAS UNDERGOING CANCER CARE.COMMUNITY HEALTH WORKER. A CHW IS AN EXPERT IN LOCAL SOCIAL SUPPORT RESOURCES IN A LOCAL COMMUNITY. THE CHW OFTEN IS A MEMBER OF THE COMMUNITY HE OR SHE SERVES AND EDUCATES PATIENTS ON WHERE TO GET ASSISTANCE IN HOUSING, UTILITY ASSISTANCE OR MEDICAID ENROLLMENT. A FULL-TIME CHW IS EMBEDDED IN THE ADVOCATE SHERMAN EMERGENCY DEPARTMENT (ED). HE MEETS WITH PATIENTS AND ASSESSES THEIR SOCIAL DRIVERS OF HEALTH (SDOH) TO IDENTIFY BARRIERS AND NEEDS. HE THEN LINKS PATIENTS TO A PRIMARY CARE HOME AND OTHER AGENCIES FOR SUPPORT NEEDED. IN 2023, THE CHW WORKED WITH 302 PATIENTS AND MADE 424 REFERRALS, INCLUDING 271 REFERRALS TO PHYSICIANS, 29 REFERRALS TO ADVOCATE MEDICAL GROUP CLINICS AND 213 REFERRALS TO FQHC'S. THE TOP NEEDS OF PATIENTS SEEN WERE WOMEN'S HEALTHOBSTETRIC AND GYNECOLOGICAL CARE, EAR-NOSE-THROAT AND ORTHOPEDIC SPECIALTY CARE. AMERICAN RED CROSS BLOOD DRIVES. ADVOCATE SHERMAN HOSPITAL PARTNERS WITH THE AMERICAN RED CROSS TO PROVIDE MONTHLY BLOOD DRIVES HELD AT THE HOSPITAL TO ADDRESS THE ONGOING CRITICAL BLOOD SUPPLY SHORTAGE. IN 2023, A TOTAL OF 17 BLOOD DRIVES WERE COORDINATED. A TOTAL OF 774 DONORS (INCLUDING 84 FIRST TIME DONORS) COLLECTED 660 UNITS OF BLOOD WHICH EQUATES TO APPROXIMATELY 1,980 LIVES SAVED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>I. 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND 2023-2025 COMMUNITY HEALTH IMPLEMENTATION STRATEGIESALL ADVOCATE HEALTH CARE HOSPITALS' 2022 COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) UTILIZED A MIXED METHODOLOGY APPROACH TO COMPLETING A COMPREHENSIVE STUDY OF THE DEMOGRAPHICS AND HEALTH NEEDS OF THE COMMUNITIES WE SERVE. DATA UTILIZED TO COMPLETE THE CHNA REPORTS INCLUDE PRIMARY AND SECONDARY DATA AND BOTH QUALITATIVE AND QUANTITATIVE DATA. AS ENCOURAGED BY THE IRS, EVERY HOSPITAL COLLABORATES WITH OTHER HEALTH CARE PROVIDERS, LOCAL HEALTH DEPARTMENTS AND OTHER COMMUNITY STAKEHOLDERS TO COMPLETE THE CHNA PROCESS EVERY THREE YEARS. FOLLOWING COMPLETION OF THE CHNA REPORT, EACH HOSPITAL DEVELOPS COMMUNITY HEALTH IMPLEMENTATION STRATEGIES (CHIS) TO DESCRIBE HOW THEY PLAN TO ADDRESS PRIORITIZED COMMUNITY HEALTH NEEDS.IN ILLINOIS, NINE HOSPITAL CHNA REPORTS WERE COMPLETED ON AN ALIGNED THREE-YEAR CHNA TIMELINE. ADDITIONALLY, TWO ADVOCATE CHILDREN'S HOSPITALS (OAK LAWN AND PARK RIDGE) ALSO COMPLETED A COMPREHENSIVE CHNA REPORT. ALL 11 CHNA REPORTS FOR ILLINOIS WERE REVIEWED AND APPROVED BY THE ADVOCATE HEALTH CARE NETWORK BOARD AND EACH HOSPITAL'S GOVERNING COUNCIL IN LATE DECEMBER 2022. BY THE FIRST WEEK OF MAY 2023, THE 2023-2025 COMMUNITY HEALTH IMPLEMENTATION STRATEGY PLAN FOR EACH HOSPITAL WAS MADE PUBLICLY AVAILABLE ON OUR WEBSITES. PLEASE VISIT HOSPITAL CHNA REPORTS IMPLEMENTATION PLANS PROGRESS REPORTS | ADVOCATE HEALTH CARE. II. COMMUNITY BENEFITS PLAN AND PROGRAM EXAMPLES/OUTCOMESAS INDICATED EARLIER, THE AHC COMMUNITY STRATEGY CORE TEAM IDENTIFIED SIX KEY FOCUS AREAS TO TARGET, ALL OF WHICH HAVE BEEN IDENTIFIED AS "GAME CHANGERS" IN ACHIEVING HEALTH EQUITY. MOST OF THE PROGRAM DESCRIPTIONS AND OUTCOMES THAT FOLLOW ARE STRUCTURED ACCORDING TO THESE SIX AREAS, AND THE PROGRESS/OUTCOMES PROVIDED ARE FROM THE 2023-2025 COMMUNITY HEALTH IMPLEMENTATION STRATEGY (CHIS) AS WELL AS OUTCOMES CARRYING OVER FROM PREVIOUS CHNA AND CHIS CYCLES. WHILE PROGRAMS CAN OFTEN SUPPORT MORE THAN ONE KEY FOCUS AREA, THE FOLLOWING EXAMPLES ARE ORGANIZED TO DEMONSTRATE FULFILLMENT OF ADVOCATE'S STRATEGY IN EACH FOCUS AREA AND PREFERABLY IN THE AREA IN WHICH PROGRAMS HAVE THE MOST IMPACT. ACCESS TO INNOVATIVE CARE AND SERVICE: ACCESS TO HEALTH CARE WAS RANKED AS A TOP ISSUE BY COMMUNITY MEMBERS AND KEY STAKEHOLDERS IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS FOR ALL ADVOCATE HEALTH HOSPITALS IN ILLINOIS AND WISCONSIN. ACCESS TO INNOVATIVE CARE AND SERVICES IS ABOUT CREATING CONDITIONS IN OUR HOSPITALS, ACROSS OUR HEALTH SYSTEM AND IN OUR COMMUNITIES TO PROVIDE ACCESSIBLE, AVAILABLE, AFFORDABLE, AND TARGETED HEALTH CARE AND HEALTH SERVICES TO SUPPORT EVERYONE'S ABILITY TO LIVE WELL. ACCESS TO CARE OFFERS AN OPPORTUNITY TO DETECT AND TREAT DISEASE AT AN EARLIER STAGE, IMPROVE OVERALL HEALTH, PREVENT DISEASE AND DISABILITY, AND REDUCE PREVENTABLE DEATHS. SOME EXAMPLES OF THE PROGRAMS UTILIZED TO INCREASE ACCESS FOR PEOPLE LIVING IN THE COMMUNITIES WE SERVE IN 2023 INCLUDE: FINANCIAL ASSISTANCE. ADVOCATE OFFERS A VERY GENEROUS FINANCIAL ASSISTANCE PROGRAM, REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED AND PROVIDING DISCOUNTS TO UNINSURED AND INSURED PATIENTS. PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL (FPL) AND INSURED PATIENTS EARNING UP TO TWO AND HALF TIMES THE FPL, MAY QUALIFY FOR A FULL OR PARTIAL FINANCIAL ASSISTANCE DISCOUNT. ADDITIONALLY, A CATASTROPHIC ASSISTANCE DISCOUNT IS AVAILABLE FOR UNINSURED AND INSURED PATIENTS WHOSE INCOMES EXCEED THE TRADITIONAL FINANCIAL ASSISTANCE INCOME GUIDELINES AND HAVE OUTSTANDING PATIENT BALANCES OF $25,000 OR MORE FOR A SINGLE DATE OF SERVICE OR SUM OF SEVERAL DATES OF SERVICE. THESE PATIENTS MAY QUALIFY TO RECEIVE A FINANCIAL ASSISTANCE DISCOUNT THAT REDUCES THEIR OUTSTANDING BALANCE TO 25% OF THEIR NET INCOME. FOR UNINSURED PATIENTS, ADVOCATE WILL PRESUMPTIVELY PROVIDE FINANCIAL ASSISTANCE IF THE FINANCIAL STATUS HAS BEEN VERIFIED BY A THIRD PARTY. IN THESE CASES, THE PATIENT IS NOT REQUIRED TO SUBMIT A SEPARATE CHARITY APPLICATION. IF PRESUMPTIVE CRITERIA ARE NOT AVAILABLE FOR UNINSURED PATIENTS, FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. ADVOCATE EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL. ADVOCATE CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THOSE WHO NEED HELP. FINANCIAL ADVOCATES. FINANCIAL WELLNESS INCLUDES HAVING ACCESS TO THE PLANS, PROGRAMS, AND FINANCIAL ASSISTANCE OPTIONS THAT ARE RIGHT FOR YOU. ADVOCATE HEALTH FINANCIAL ADVOCATES ARE AVAILABLE TO SUPPORT PEOPLE WHO DON'T HAVE INSURANCE AND ARE WITHIN A CERTAIN INCOME RANGE. THESE ADVOCATES PROVIDE FREE, PERSONALIZED FINANCIAL ASSESSMENTS THAT INCLUDE IDENTIFYING EACH PATIENT'S UNIQUE HEALTH CARE NEEDS, HELPING THE PATIENT UNDERSTAND THE POTENTIAL COST OF MEDICAL TREATMENT, AND DISCUSSING THEIR FINANCIAL ASSISTANCE OPTIONS. THE ADVOCATE THEN ASSISTS PEOPLE IN APPLYING FOR THE FINANCIAL ASSISTANCE PROGRAMS MOST APPROPRIATE FOR THEM. IN 2023, FINANCIAL ADVOCATES PROCESSED 14,565 ADVOCATE FINANCIAL ASSISTANCE APPLICATIONS, COMPLETED 2,817 MEDICAID APPLICATIONS, IDENTIFIED 788 PEOPLE FOR CO-PAY ASSISTANCE AND ASSISTED PEOPLE WITH COMPLETING 243 MARKETPLACE APPLICATIONS. FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS). ALL ADVOCATE'S HOSPITALS CONTINUE TO HAVE RELATIONSHIPS WITH FQHC'S OR OTHER COMMUNITY CLINICS WITHIN THEIR SERVICE AREAS AND COLLABORATE WITH THOSE PARTNERS TO IMPROVE ACCESS TO CARE FOR MEDICAID AND UNINSURED PATIENTS. ADVOCATE SHERMAN CONTINUES TO WORK CLOSELY WITH GREATER FAMILY HEALTH (FQHC), VNA HEALTH CARE AND AUNT MARTHA'S (FQHC) TO COORDINATE CARE FOR LOW-INCOME PATIENTS IN THE ELGIN AREA. THE HOSPITAL PROVIDES COLONOSCOPIES AND MAMMOGRAMS TO GREATER FAMILY HEALTH PATIENTS, COORDINATED THROUGH GRANT-FUNDED PROGRAMS. ADVOCATE CONDELL WORKS COLLABORATIVELY WITH THE LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER (FQHC) AND ERIE HEALTHREACH WAUKEGAN (FQHC), BY PROVIDING MAMMOGRAMS AND SOME SPECIALTY CARE TO UNINSURED AND LOW-INCOME PATIENTS AS THEY ARE REFERRED TO THE MEDICAL CENTER. ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERAL ALSO PARTNER WITH HEARTLAND HEALTH CENTERS AND COMMUNITY HEALTH, ONE OF THE LARGEST FREE CLINICS IN THE NATION, TO PROVIDE SPECIALTY CARE TO UNINSURED PATIENTS AND REFERRALS TO FQHCS AND FREE CLINICS FOR PRIMARY CARE SERVICES. IN ADDITION, ADVOCATE ILLINOIS MASONIC PROVIDES OPERATIONS SPACE TO HEARTLAND HEALTH CENTERS ON ITS CAMPUS TO PROVIDE PRIMARY CARE FOR INDIVIDUALS AND FAMILIES THAT ARE UNINSURED. IN PARTNERSHIP WITH THE ACCESS TO CARE ORGANIZATION, ADVOCATE CHRIST CONTINUES TO PROVIDE FREE MAMMOGRAMS TO UNINSURED AND LOW-INCOME INDIVIDUALS THAT ARE REFERRED BY THEIR CLINIC TO THE HOSPITAL WHEN THIS SERVICE IS REQUIRED. ADVOCATE TRINITY WORKS WITH CHICAGO FAMILY HEALTH CENTER AND CHRISTIAN COMMUNITY HEALTH CENTER TO COORDINATE CARE FOR LOW-INCOME PATIENTS. ADVOCATE HOSPITALS IN COOK COUNTY WORK CLOSELY WITH COMMUNITY HEALTH TO CONNECT AND TREAT UNINSURED PATIENTS AND TO CONNECT INDIVIDUALS THAT NEED A PRIMARY CARE PROVIDER. TO MAINTAIN QUALITY CARE AND IMPROVE QUALITY OF LIFE FOR PEOPLE SEEKING CARE FROM ADVOCATE, WORKING TO FIND MEDICAL HOMES AND TO REDUCE EMERGENCY ROOM VISITS AND HOSPITAL ADMISSIONS IS ESSENTIAL. ADVOCATE HAS NUMEROUS PROGRAMS FOCUSED ON MANAGING THE PATIENT EXPERIENCE THROUGH THE CONTINUUM OF CARETHROUGH INPATIENT AND OUTPATIENT SETTINGS, AND IN THE HOME. MEDICAID AND MEDICARE. ADVOCATE ACTIVELY WORKS TO IMPROVE THE PROVISION OF SERVICES TO INDIVIDUALS AND FAMILIES WHO ARE COVERED BY MEDICARE AND MEDICAID AND THAT SEEK SERVICES AT ANY OF ADVOCATE'S 400 SITES OF CARE. ADVOCATE COLLABORATES WITH VARIOUS COMMUNITY-BASED ORGANIZATIONS (CBOS) AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) IN INNOVATIVE WAYS TO ESTABLISH PRIMARY CARE RELATIONSHIPS FOR MEDICAID AND UNINSURED PATIENTS. ADVOCATE CARE ORGANIZATION (ACO). ADVOCATE COLLABORATES WITH MERIDIAN FAMILY HEALTH PLAN (FHP) OF ILLINOIS AS PART OF AN INTEGRATED CARE MODEL FOR PEOPLE ON MEDICAID. ADVOCATE HAS A STRONG HISTORY OF PROVIDING HIGH QUALITY CARE TO THE MEDICAID POPULATION WITHIN ITS NETWORK WITH KEY FOCUS AREAS, INCLUDING IMPROVED CARE COORDINATION, ACCESS AND QUALITY PERFORMANCE. THE RESULT HAS BEEN A REDUCTION IN ED UTILIZATION DUE TO SUCCESSFULLY CONNECTING INDIVIDUALS IN THE PLAN TO A MEDICAL HOME AND DUE TO CONNECTING PATIENTS WITH COMMUNITY RESOURCES FOR UNMET SOCIAL DETERMINANTS OF HEALTH NEEDS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>IL</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN MORBY</PersonNm>
        <TitleTxt>VP &amp; CNO</TitleTxt>
        <BaseCompensationFilingOrgAmt>254956</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>48138</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>-5391</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9093</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28262</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>335058</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL VOLANTE</PersonNm>
        <TitleTxt>ASSISTANT TREASURER</TitleTxt>
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        <BonusRelatedOrganizationsAmt>43015</BonusRelatedOrganizationsAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>19175</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>28383</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>304325</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JO AMICK</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>212950</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>48729</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>3441</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>10785</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>298033</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>25800</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DARREN SMITH</PersonNm>
        <TitleTxt>DIR ED ICU &amp; NURSING OPS</TitleTxt>
        <BaseCompensationFilingOrgAmt>189311</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>26874</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>-519</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>232123</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>11683</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BYRON ATKINSON</PersonNm>
        <TitleTxt>DIR PERIOPERATIVE SVCS</TitleTxt>
        <BaseCompensationFilingOrgAmt>186264</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRAD EPSTEIN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>170792</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>170792</TotalCompensationFilingOrgAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>FAMILY RELATIONSHIP BETWEEN INTERESTED PERSON KELLY DEERING AND ORGANIZATION: FAMILY MEMBER LINDA DEERING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>CORPORATE MEMBER THE BYLAWS PROVIDE FOR ADVOCATE HEALTH CARE NETWORK AS THE SOLE CORPORATE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>POWER TO ELECT OTHER MEMBERS ADVOCATE SHERMAN HOSPITAL HAS A SOLE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK, WHO ELECTS ITS DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNANCE DECISIONS THE FOLLOWING REQUIRE A RECOMMENDATION INITIATED BY THE BOARD OF DIRECTORS AND THE SUBSEQUENT APPROVAL BY THE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK, TO BE VALID: A) APPOINTMENT OF THE MEMBERS OF THE BOARD OR ITS AFFILIATES, OTHER THAN THE EX OFFICIO DIRECTORS; B) AMENDMENT OF THE ARTICLES OF INCORPORATION OF THE CORPORATION OR ITS AFFILIATES; C) AMENDMENT OF THE BYLAWS OF THE CORPORATION OR ITS AFFILIATES; D) IMPLEMENTATION OF ANY CHANGE TO THE STRUCTURE OR OPERATION OF THE CORPORATION OR ITS AFFILIATES THAT COULD AFFECT THE CORPORATION'S OR ANY AFFILIATE'S TAX-EXEMPT STATUS; E) ADOPTION OF A STRATEGIC PLAN; F) APPROVAL OF THE CORPORATION'S OR ANY AFFILIATE'S ANNUAL CAPITAL PLAN; G) APPROVAL OF THE CORPORATION'S OR ANY AFFILIATE'S ANNUAL OPERATING BUDGET; H) TRANSFER OR ENCUMBRANCE OF ANY OF THE CORPORATION'S OR ANY AFFILIATE'S ASSETS BY PURCHASE, SALE, CAPITAL LEASE, MORTGAGE, DISPOSITION OR HYPOTHECATION IN EXCESS OF LIMITS ESTABLISHED BY THE CORPORATE MEMBER'S FINANCIAL APPROVAL POLICY; I) FILING OF A CERTIFICATE OF NEED OR EXEMPTION APPLICATION (OR ANY AMENDMENT THERETO) BY THE CORPORATION OR ANY AFFILIATE; J) DISSOLVING OR WINDING-UP THE CORPORATION, OR AN AFFILIATE, OR ABANDONING AN ENTIRE BUSINESS ENTERPRISE THEREOF; K) FILING ANY ACTION IN BANKRUPTCY OR RECEIVERSHIP REGARDING THE CORPORATION OR ANY AFFILIATE; L) THE SALE OR TRANSFER OF ANY MEMBER INTEREST, STOCK, OR OTHER OWNERSHIP INTEREST IN ANY AFFILIATE OF THE CORPORATION; M) THE MERGER OR CONSOLIDATION OF THE CORPORATION OR ANY AFFILIATE, OR THE FORMATION OF ANY PARTNERSHIP, CO-SPONSORSHIP ARRANGEMENT OR JOINT VENTURE BETWEEN OR AMONG THE CORPORATION OR ANY AFFILIATE AND ANY THIRD PARTY; N) ADOPTION OR AMENDMENT OF ANY POLICY, PROTOCOL OR PROCEDURE THAT IS INCONSISTENT WITH ONE OR MORE OF THE CORPORATE MEMBER'S SYSTEM-WIDE POLICIES, PROTOCOLS OR PROCEDURES OR THE CORPORATE MEMBER'S ARTICLES OF INCORPORATION AND/OR BYLAWS; PROVIDED, HOWEVER, THAT THIS COLLABORATIVE AUTHORITY DOES NOT ABROGATE THE POWER OF THE BOARD TO ADOPT POLICIES, PROTOCOLS AND/OR PROCEDURES FOR WHICH NO SYSTEM-WIDE POLICY, PROTOCOL OR PROCEDURE EXISTS AND THAT ARE RELATED SOLELY TO THE INTERNAL OPERATIONS OF THE CORPORATION AND/OR ANY OF ITS AFFILIATES; AND O) APPOINTMENT OF THE CORPORATION'S OFFICERS IDENTIFIED IN SECTION 6.2 OF THE CORPORATION'S BYLAWS. THE CORPORATE MEMBER MAY TAKE THE FOLLOWING ACTIONS WITHOUT THE APPROVAL OR RECOMMENDATION OF THE BOARD OF DIRECTORS: A) REMOVAL OF ANY OF THE MEMBERS OF THE BOARD "FOR CAUSE" IN ACCORDANCE WITH SECTION 3.15 OF THE CORPORATION'S BYLAWS; B) THE INCURRENCE OR MODIFICATION OF SHORT OR LONG-TERM DEBT AND LEASE OBLIGATIONS; C) APPOINTMENT OR REMOVAL OF THE CORPORATION'S PRESIDENT OR CHIEF FINANCIAL OFFICER ("CFO"); D) ADOPTION OF AN ANNUAL CAPITAL PLAN FOR THE CORPORATION, BUT ONLY AFTER THE CORPORATE MEMBER HAS MADE A GOOD FAITH DETERMINATION THAT THE BOARD HAS NOT RECOMMENDED AN ACCEPTABLE ANNUAL CAPITAL PLAN IN A TIMELY MANNER; AND E) ADOPTION OF AN ANNUAL OPERATING BUDGET FOR THE CORPORATION, BUT ONLY AFTER THE CORPORATE MEMBER HAS MADE A GOOD FAITH DETERMINATION THAT THE BOARD HAS NOT RECOMMENDED AN ACCEPTABLE ANNUAL OPERATING BUDGET IN A TIMELY MANNER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>TAX PREPARATION AND REVIEW PROCESS ADVOCATE'S TAX PREPARATION PROCESS INCLUDES ONGOING CONSULTATION WITH ITS OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL, BOTH OF WHICH POSSESS EXPERTISE IN HEALTH CARE AND TAX-EXEMPT RETURN PREPARATION. THESE ADVISORS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE, TAX, AND LEGAL ASSOCIATES AND OTHER MEMBERS OF THE ORGANIZATION'S TEAM ASSEMBLED TO PARTICIPATE IN THE PREPARATION OF THE FORM 990. THE FORM 990 IS REVIEWED BY FINANCE MANAGEMENT, THE TAX MANAGER, THE VP OF FINANCE/CORPORATE CONTROLLER, THE CHIEF FINANCIAL OFFICER, AND ADVOCATE'S OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL. PRIOR TO PRESENTING THE FORM 990 TO THE BOARD OF DIRECTOR'S AUDIT COMMITTEE IN NOVEMBER, THE ORGANIZATION'S TEAM--INCLUDING ITS ADVISORS--MET FREQUENTLY TO DISCUSS AND REVIEW DRAFTS OF THE FORM 990. AT THE NOVEMBER AUDIT COMMITTEE MEETING, THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER COORDINATED A REVIEW OF THE FORM 990 WITH COMMITTEE MEMBERS, AS THE AUDIT COMMITTEE IS THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITH OVERSIGHT OF AUDIT AND TAX MATTERS. THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER RESPONDED TO THE AUDIT COMMITTEE MEMBERS' QUESTIONS AND PROVIDED THE OPPORTUNITY FOR DETAILED DISCUSSION OF THE FORM 990. THE CHANGES IDENTIFIED WERE INCORPORATED, AND THEN A COMPLETE COPY OF THE FINAL FORM 990 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE THE FORM 990 WAS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO VARIOUS PEOPLE, INCLUDING MEMBERS OF ADVOCATE'S BOARD OF DIRECTORS, GOVERNING COUNCILS, OFFICERS, ASSOCIATES, VOLUNTEERS, AND MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES. ANNUALLY, THE COMPLIANCE DEPARTMENT SENDS THIS POLICY AND THE ADVOCATE CODE OF BUSINESS CONDUCT TO A RANGE OF INDIVIDUALS WHO MAY BE IN A POSITION TO EXERCISE SUBSTANTIAL INTEREST OVER A PARTICULAR MATTER (DEFINED AS "INTERESTED PERSONS"). THEY ARE REQUIRED TO READ THE POLICIES AND PROVIDE THE COMPLIANCE DEPARTMENT WITH A DISCLOSURE STATEMENT, WHICH IDENTIFIES ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS THE DISCLOSURES AND PROVIDES A REPORT TO THE SYSTEM BUSINESS CONDUCT (COMPLIANCE) COMMITTEE, EXECUTIVE MANAGEMENT TEAM AND THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. THE REPORT IS THEN PROVIDED, IN RELEVANT PART, TO THE SITE CHIEF EXECUTIVE OFFICERS. POTENTIAL CONFLICTS ARE REVIEWED BY THE COMPLIANCE DEPARTMENT ON A CASE BY CASE BASIS. FOLLOW-UP PROCEDURES CONDUCTED ARE UNIQUE TO THE GIVEN CIRCUMSTANCE AND MAY INCLUDE REVIEWING THE POTENTIAL CONFLICT WITH THE INTERESTED PERSON OR INVESTIGATING THE MATTER IN CONSULTATION WITH THE INTERESTED PERSON'S SUPERVISOR AND/OR SITE MANAGEMENT. IN CIRCUMSTANCES WHERE THE INTERESTED PERSON IS NOT A MEMBER OF THE BOARD OR GOVERNING COUNCIL OR A COMMITTEE THEREOF OR A PERSON OF INTEREST, AND IT IS DETERMINED THAT THERE IS AN ACTUAL CONFLICT OF INTEREST, THE SUPERVISOR OF THE INDIVIDUAL IS RESPONSIBLE FOR MAKING AN APPROPRIATE RESPONSE--POTENTIALLY INCLUDING A RESTRICTION OF THE INDIVIDUAL'S JOB DUTIES WITH RESPECT TO THE MATTER GIVING RISE TO THE CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE COMPENSATION EXECUTIVE COMPENSATION AT ADVOCATE HEALTH CARE NETWORK AND SUBSIDIARIES IS BASED ON A BOARD-APPROVED STRATEGY THAT GUIDES THE CORPORATION IN ESTABLISHING COMPENSATION OPPORTUNITIES FOR EXECUTIVES, MANAGERS, PROFESSIONALS AND EMPLOYEES. IN THIS STRATEGY, SPECIFIC MARKET COMPENSATIONS ARE IDENTIFIED AND THE DESIRED LEVEL OF COMPETITIVENESS IN THOSE MARKETS SPECIFIED. IN ADDITION, THE LINKAGE OF EXECUTIVE PAY TO PERFORMANCE IS ARTICULATED AND HOW THIS RELATIONSHIP IS TO BE MAINTAINED IS OUTLINED. TO SUPPORT AND IMPLEMENT THE COMPENSATION STRATEGY, FIVE BASIC ELEMENTS ARE UTILIZED. THESE ELEMENTS ARE: - A SOLID, RELIABLE AND TESTED JOB EVALUATION METHODOLOGY, - ACCURATE, QUALITY AND RELEVANT COMPENSATION SURVEY INFORMATION, - A CONSISTENT ANNUAL PROCESS FOR UPDATING THE COMPENSATION LEVELS, - AN ACTIVE BOARD REVIEW PROCESS THAT ASSURES COMPLIANCE WITH THE COMPENSATION STRATEGY AND ONGOING REVIEW OF THE PERFORMANCE OF THE ORGANIZATION, AND - ACTIVE REVIEW AND AUDITING OF COMPENSATION BY EXTERNAL INDEPENDENT CONSULTANTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABILITY OF DOCUMENTS, CONFLICT OF INTEREST POLICY &amp; FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING WEBSITES: - DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION LLC) - EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS) THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>TAX ADJUSTMENT 67,882.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
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          <AddressLine1Txt>2025 WINDSOR DR</AddressLine1Txt>
          <CityNm>OAK BROOK</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60523</ZIPCd>
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        <EIN>363196629</EIN>
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        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>AHHC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>ADVOCATE HEALTH &amp; HOSPITALS CORPORATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>2025 WINDSOR DR</AddressLine1Txt>
          <CityNm>OAK BROOK</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60523</ZIPCd>
        </USAddress>
        <EIN>362169147</EIN>
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        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHCN</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ADVOCATE CHARITABLE FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>2025 WINDSOR DR</AddressLine1Txt>
          <CityNm>OAK BROOK</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60523</ZIPCd>
        </USAddress>
        <EIN>363297360</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHCN</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>EHS HOME HEALTH CARE SERVICE INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>2025 WINDSOR DR</AddressLine1Txt>
          <CityNm>OAK BROOK</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
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        <EIN>362913108</EIN>
        <PrimaryActivitiesTxt>HOME CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERIDIAN HOSPICE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2025 WINDSOR DR</AddressLine1Txt>
          <CityNm>OAK BROOK</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60523</ZIPCd>
        </USAddress>
        <EIN>363158667</EIN>
        <PrimaryActivitiesTxt>HOSPICE CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EHSHHCS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MASONIC FAMILY HEALTH FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2025 WINDSOR DR</AddressLine1Txt>
          <CityNm>OAK BROOK</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60523</ZIPCd>
        </USAddress>
        <EIN>364397387</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MFHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ADVOCATE AURORA HEALTH INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2025 WINDSOR DR</AddressLine1Txt>
          <CityNm>OAK BROOK</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60523</ZIPCd>
        </USAddress>
        <EIN>824184596</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12D, III-O</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ADVOCATE HOME CARE PRODUCTS</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2025 WINDSOR DR</AddressLine1Txt>
          <CityNm>OAK BROOK</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60523</ZIPCd>
        </USAddress>
        <EIN>363315416</EIN>
        <PrimaryActivitiesTxt>HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>EVANGELICAL SERVICES CORPORATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2025 WINDSOR DR</AddressLine1Txt>
          <CityNm>OAK BROOK</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60523</ZIPCd>
        </USAddress>
        <EIN>363208101</EIN>
        <PrimaryActivitiesTxt>MGMT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HIGH TECHNOLOGY INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2025 WINDSOR DR</AddressLine1Txt>
          <CityNm>OAK BROOK</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60523</ZIPCd>
        </USAddress>
        <EIN>363368224</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>DREYER CLINIC INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2025 WINDSOR DR</AddressLine1Txt>
          <CityNm>OAK BROOK</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60523</ZIPCd>
        </USAddress>
        <EIN>362690329</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PARKSIDE CENTER CONDO ASSOCIATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1775 WEST DEMPSTER STREET</AddressLine1Txt>
          <CityNm>PARK RIDGE</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60068</ZIPCd>
        </USAddress>
        <EIN>363452486</EIN>
        <PrimaryActivitiesTxt>PROPERTY MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THE DELPHI GROUP IV INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1425 N RANDALL ROAD</AddressLine1Txt>
          <CityNm>ELGIN</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60123</ZIPCd>
        </USAddress>
        <EIN>364017279</EIN>
        <PrimaryActivitiesTxt>HEALTH COST MGT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ADVOCATE HPN NFP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2025 WINDSOR DR</AddressLine1Txt>
          <CityNm>OAK BROOK</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60523</ZIPCd>
        </USAddress>
        <EIN>810893878</EIN>
        <PrimaryActivitiesTxt>HEALTH IMPRV</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ADVOCATE INSURANCE SPC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>878 W BAY RD PO BOX 1159</AddressLine1Txt>
          <CityNm>GRAND CAYMAN</CityNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY1-1102</ForeignPostalCd>
        </ForeignAddress>
        <EIN>980422925</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ADVOCATE HEALTH PARTNERS</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1701 WEST GOLF ROAD</AddressLine1Txt>
          <CityNm>ROLLING MEADOWS</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60008</ZIPCd>
        </USAddress>
        <EIN>364032117</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE MGT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ADVOCATE PHYSICIAN PARTNERS ACCTBLE CARE</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1701 WEST GOLF ROAD</AddressLine1Txt>
          <CityNm>ROLLING MEADOWS</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60008</ZIPCd>
        </USAddress>
        <EIN>455498384</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE MGT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ADVOCATE PHYSICIAN PTNRS RISK PURC GROUP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1701 WEST GOLF ROAD</AddressLine1Txt>
          <CityNm>ROLLING MEADOWS</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60008</ZIPCd>
        </USAddress>
        <EIN>383914173</EIN>
        <PrimaryActivitiesTxt>GROUP MALPRACTICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVOCATE HEALTH AND HOSPITALS CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>5908057</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVOCATE HEALTH PARTNERS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>2947573</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVOCATE HOME CARE PRODUCTS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>51428</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVOCATE INSURANCE SPC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>1246008</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVOCATE HEALTH CARE NETWORK</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>1261664</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVOCATE HEALTH AND HOSPITALS CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>1805000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVOCATE HEALTH AND HOSPITALS CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>1805000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVOCATE HEALTH AND HOSPITALS CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>149214878</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVOCATE HEALTH AND HOSPITALS CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>896000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVOCATE HEALTH PARTNERS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>1145000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVOCATE HEALTH CARE NETWORK</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>7550000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVOCATE HEALTH CARE NETWORK</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>7550000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVOCATE HEALTH CARE NETWORK</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>31790000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>