SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Ann & Robert H Lurie Children's Hospital of
Chicago
Employer identification number

36-2170833
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		  0 2,746,666 0 2,746,666 0.260 %
b Medicaid (from Worksheet 3, column a) . . . . .   0 397,304,645 353,259,520 44,045,125 4.150 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .   0 0 0 0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .   0 400,051,311 353,259,520 46,791,791 4.410 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).   0 21,355,254 3,844,478 17,510,776 1.650 %
f Health professions education (from Worksheet 5) . . .   0 28,054,370 3,400,440 24,653,930 2.320 %
g Subsidized health services (from Worksheet 6) . . . .   0 87,616,909 0 87,616,909 8.250 %
h Research (from Worksheet 7) .   0 93,850,369 72,263,220 21,587,149 2.030 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .   0 0 0 0 0 %
j Total. Other Benefits . .   0 230,876,902 79,508,138 151,368,764 14.250 %
k Total. Add lines 7d and 7j .   0 630,928,213 432,767,658 198,160,555 18.660 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
1,411,043
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
3,398,101
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
4,194,416
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-796,315
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 Lurie Children's
225 E Chicago Ave BOX 282
Chicago,IL606112991
www.luriechildrens.org
0005843 		X   X X   X X      
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
Lurie Children's
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): www.luriechildrens.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Lurie Children's
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
www.luriechildrens.org
b
www.luriechildrens.org
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
Lurie Children's
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
Lurie Children's
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
PART V, SECTION B, LINE 2 N/A PART V, SECTION B, LINE 3J N/A PART V, SECTION B, LINE 5 EVERY THREE YEARS, ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO (LURIE CHILDREN'S) WORKS WITH INTERNAL AND EXTERNAL EXPERTS ON CHILD HEALTH TO DEVELOP A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION STRATEGY. THE MOST RECENT CHNA WAS COMPLETED IN 2019 AND THE FULL REPORT IS PUBLICLY AVAILABLE ONLINE AT LURIECHILDRENS.ORG/CHNA. THE GOALS OF THIS EFFORT ARE (1) TO BETTER UNDERSTAND THE HEALTH NEEDS OF CHILDREN AND ADOLESCENTS IN CHICAGO, (2) TO GUIDE LURIE CHILDREN'S CONTINUING EFFORTS TO IMPROVE THE HEALTH AND WELL-BEING OF YOUTH, CONSISTENT WITH OUR LONGSTANDING MISSION, AND (3) TO ADVANCE HEALTH EQUITY FOR YOUTH AND THEIR FAMILIES. IN ADDITION TO DEVELOPMENT OF OUR OWN CHNA, LURIE CHILDREN'S PARTICIPATED IN THE DEVELOPMENT OF THE COLLABORATIVE CHNA (ALLHEALTHEQUITY.ORG/PROJECTS/2019-CHNA-REPORTS) SPEARHEADED BY THE ALLIANCE FOR HEALTH EQUITY, A COLLABORATIVE OF HOSPITALS/HEALTH SYSTEMS WORKING WITH HEALTH DEPARTMENTS AND REGIONAL AND COMMUNITY-BASED ORGANIZATIONS TO IMPROVE HEALTH EQUITY, WELLNESS AND QUALITY OF LIFE ACROSS CHICAGO AND SUBURBAN COOK COUNTY. THE ALLIANCE FOR HEALTH EQUITY WAS DEVELOPED SO THAT PARTICIPATING ORGANIZATIONS CAN COLLABORATIVELY ASSESS COMMUNITY HEALTH NEEDS, COLLECTIVELY DEVELOP SHARED IMPLEMENTATION PLANS TO ADDRESS COMMUNITY HEALTH NEEDS, MORE EFFICIENTLY SHARE RESOURCES, AND HAVE A GREATER IMPACT ON THE LARGE POPULATION RESIDING IN COOK COUNTY. CURRENTLY, 37 HOSPITALS, SIX LOCAL HEALTH DEPARTMENTS INCLUDING CHICAGO DEPARTMENT OF PUBLIC HEALTH (CDPH) AND COOK COUNTY DEPARTMENT OF PUBLIC HEALTH (CCDPH), AND NEARLY 100 COMMUNITY-BASED ORGANIZATIONS ARE PARTICIPATING. LURIE CHILDREN'S PARTICIPATED IN AN ADVISORY ROLE AS A MEMBER OF THE ALLIANCE FOR THE HEALTH EQUITY STEERING COMMITTEE. IN ADDITION, LURIE CHILDREN'S PARTICIPATED IN AND CONTRIBUTED TO THE COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT SUBCOMMITTEE, AND IN AD HOC WORK GROUPS FOCUSED ON DATA VISUALIZATIONS AND COPY EDITING, PROVIDING FEEDBACK AND GUIDANCE ON VARIOUS COLLABORATIVE CHNA ACTIVITIES (E.G., COMMUNITY ENGAGEMENT, SURVEY DEVELOPMENT AND DISSEMINATION, AND RECRUITING AND FACILITATING FOCUS GROUPS). LURIE CHILDREN'S CONTINUES TO BE ACTIVELY ENGAGED IN VARIOUS WORKGROUPS (E.G., COMMUNITY SAFETY, DATA, FOOD ACCESS, HOUSING, POLICY, TRAUMA-INFORMED CARE AND SOCIAL DETERMINANTS OF HEALTH), ENSURING THAT THE YOUTH-FOCUSED PERSPECTIVE IS WELL-REPRESENTED. IN ADDITION TO LURIE CHILDREN'S PARTICIPATION IN THE ALLIANCE FOR HEALTH EQUITY'S COLLABORATIVE CHNA, LURIE CHILDREN'S CONDUCTED A CONCURRENT NEEDS ASSESSMENT BETWEEN MARCH 2018 AND JULY 2019 WITH A FOCUS ON OUR SERVICE AREA AND PRIORITY POPULATION. THIS ASSESSMENT WAS CONDUCTED BY LURIE CHILDREN'S HEALTHY COMMUNITIES, IN PARTNERSHIP WITH LURIE CHILDREN'S DEPARTMENT OF DATA ANALYTICS AND REPORTING. TWO ADVISORY GROUPS PROVIDED OVERSIGHT AND GUIDANCE ON THE CHNA: LURIE CHILDREN'S HEALTHY COMMUNITIES INTERNAL ADVISORY COMMITTEE AND LURIE CHILDREN'S HEALTHY COMMUNITIES EXTERNAL ADVISORY COMMITTEE. WE ALSO ASKED THESE COMMITTEES TO REVIEW AND PROVIDE FEEDBACK ON DRAFTS OF THE ALLIANCE FOR HEALTH EQUITY'S COLLABORATIVE CHNA AND LURIE CHILDREN'S CHNA. LURIE CHILDREN'S HEALTHY COMMUNITIES EXTERNAL ADVISORY COMMITTEE SERVES AS THE KEY OVERSIGHT COMMITTEE FOR LURIE CHILDREN'S HEALTHY COMMUNITIES' STRATEGY, OPERATIONS AND EVALUATION, INCLUDING ADVISING ON THE DEVELOPMENT OF LURIE CHILDREN'S CHNAs AND IMPLEMENTATION PLANS. IN FISCAL YEAR 2020, THE COMMITTEE COMPRISED POLICY, ADVOCACY AND COMMUNITY ENGAGEMENT COMMITTEE MEMBERS, LURIE CHILDREN'S BOARD MEMBERS, HEALTHY COMMUNITIES EXECUTIVE SPONSORS, CITY AND/OR STATE PUBLIC HEALTH EXPERTS, CITY GOVERNMENT LEADERS FROM CHILD SERVING AGENCIES AND EXECUTIVE LEVEL LEADERS OF COMMUNITY PARTNER ORGANIZATIONS. MEMBERS INCLUDED: * JAKE AMENT, DIRECTOR, NEIGHBORHOOD NETWORK, LISC CHICAGO * KENNETH FOX, MD, CHIEF HEALTH OFFICER, CHICAGO PUBLIC SCHOOLS * PAT GARCIA, MD, ASSOCIATE DEAN FOR CURRICULUM AND PROFESSOR OF OBSTETRICS AND GYNECOLOGY AND MEDICAL EDUCATION, NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE * LAUREN GORTER, LURIE CHILDREN'S BOARD * DARLENE HIGHTOWER, VICE PRESIDENT, COMMUNITY HEALTH EQUITY, RUSH UNIVERSITY MEDICAL CENTER * ERIKA HOLLIDAY, PAST PRESIDENT, LURIE CHILDREN'S FAMILY ADVISORY BOARD * MIKE KELLY, GENERAL SUPERINTENDENT AND CEO, CHICAGO PARK DISTRICT * NORMAN KERR, DIRECTOR OF VIOLENCE REDUCTION, CITY OF CHICAGO * MICHELLE MARTINEZ, LURIE CHILDREN'S FAMILY ADVISORY BOARD * ELIZABETH MCCHESNEY, DIRECTOR, CHILDREN'S SERVICES AND FAMILY ENGAGEMENT, CHICAGO PUBLIC LIBRARY * MICHELLE MORALES, CEO, MIKVA CHALLENGE * JULIE MORITA, MD, FORMER COMMISSIONER, CHICAGO DEPARTMENT OF PUBLIC HEALTH AND VICE PRESIDENT, ROBERT WOOD JOHNSON FOUNDATION * JAMES RUDYK, EXECUTIVE DIRECTOR, NORTHWEST SIDE HOUSING CENTER * SMITA SHAH, PRESIDENT AND CEO OF SPAAN TECH, INC, AND LURIE CHILDREN'S BOARD MEMBER * DARNELL SHIELDS, EXECUTIVE DIRECTOR, AUSTIN COMING TOGETHER * MONSIGNOR KENNETH VELO, BIG SHOULDERS FUND, DEPAUL UNIVERSITY AND LURIE CHILDREN'S BOARD MEMBER LURIE CHILDREN'S HEALTHY COMMUNITIES INTERNAL ADVISORY COMMITTEE SERVES AS THE KEY INTERNAL ADVISORY BODY TO GUIDE THE HOSPITAL'S ENGAGEMENT IN COMMUNITY HEALTH. STRATEGIC DIRECTION FOR THIS COMMITTEE WILL BE PROVIDED BY THE MEDICAL CENTER BOARD OF DIRECTORS POLICY, ADVOCACY AND COMMUNITY ENGAGEMENT ADVISORY COUNCIL THROUGH ITS OVERSIGHT OF LURIE CHILDREN'S HEALTHY COMMUNITIES. LIKE THE EXTERNAL ADVISORY COMMITTEE, THIS ADVISORY COUNCIL SERVES AS ADVISORS ON THE DEVELOPMENT OF LURIE CHILDREN'S COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION PLANS. LURIE CHILDREN'S HEALTHY COMMUNITIES ADVISORY COMMITTEE INCLUDES EXPERTS IN PUBLIC HEALTH, CLINICAL CARE, ADVOCACY, MEDICAL COMPLEXITY, SOCIAL-EMOTIONAL WELL-BEING, RESEARCH, PUBLIC POLICY, WORKFORCE DEVELOPMENT, COMMUNICATIONS AND PHILANTHROPY. MEMBERS INCLUDE: * RISHI AGRAWAL, MD, HOSPITALIST * BARB BAYLDON, MD, ACADEMIC GENERAL PEDIATRICS AND PRIMARY CARE * ADAM BECKER, PHD, EXECUTIVE DIRECTOR, CONSORTIUM TO LOWER OBESITY IN CHICAGO CHILDREN (CLOCC) * JENNIFER CALLIGAN, DIRECTOR, MARKETING AND COMMUNICATIONS * COLLEEN CICCHETTI, PHD, EXECUTIVE DIRECTOR, CENTER FOR CHILDHOOD RESILIENCE * MARY KATE DALY, EXECUTIVE DIRECTOR, HEALTHY COMMUNITIES * MATTHEW M. DAVIS, MD, MAPP, SENIOR VICE PRESIDENT AND CHIEF OF COMMUNITY HEALTH TRANSFORMATION * KELLI DAY, DIRECTOR OF OPERATIONS, HEALTHY COMMUNITIES * JILL FRAGGOS, DIRECTOR, GOVERNMENT RELATIONS * MARIANA GLUSMAN, MD, ACADEMIC GENERAL PEDIATRICS AND PRIMARY CARE * CHRIS HAEN, EXECUTIVE DIRECTOR, HEALTH PARTNERS * SUSAN HAYES GORDON, SENIOR VICE PRESIDENT AND CHIEF OF EXTERNAL AFFAIRS * MARIE HEFFERNAN, PHD, ASSOCIATE DIRECTOR, VOICES OF CHILD HEALTH IN CHICAGO * AMY HILL, EXECUTIVE DIRECTOR, INJURY PREVENTION & RESEARCH CENTER * CYNTHIA LABELLA, MD, SPORTS MEDICINE * JENNIFER LEININGER, ASSOCIATE DIRECTOR, STRENGTHENING CHICAGO'S YOUTH AND ADOLESCENT MEDICINE * REBECCA LEVIN, EXECUTIVE DIRECTOR, STRENGTHENING CHICAGO'S YOUTH * LESLIE HELMCAMP, INTERIM EXECUTIVE DIRECTOR, STRENGTHENING CHICAGO'S YOUTH * MARYANN MASON, PHD, DIRECTOR, ILLINOIS VIOLENT DEATH REPORTING SYSTEM * ANYA MAZIAK, DIRECTOR, LURIE CHILDREN'S FOUNDATION * NELL MCKITRICK, DIRECTOR OF OPERATIONS, CENTER FOR CHILDHOOD RESILIENCE * MO OTTING, EMS COORDINATOR, EMERGENCY MEDICINE * STEPHANIE PELLIGRA, SR. DIRECTOR, PEDIATRICS ADMINISTRATION AND OPERATIONS * MADIHA QURESHI, TEAMWORK TO REDUCE INFANT, CHILD AND ADOLESCENT MORTALITY (TRICAM) * MARIA RIVERA, MANAGER, WORKFORCE DEVELOPMENT, HUMAN RESOURCES * ANDREA ROMANIUK, MANAGER, POPULATION HEALTH, INFORMATION MANAGEMENT * ELLEN ROSENDALE, DIRECTOR, FAMILY SERVICES * SUSAN RUOHONEN, SR. DIRECTOR, FAMILY SERVICES * CORINNE SADECKI-LUND, TRAUMA COORDINATOR, TRAUMA * MICHELLE SAGAN, MD, ORTHOPEDIC SURGERY & SPORTS MEDICINE * PARAG SHAH, MD, HOSPITALIST * KAREN SHEEHAN, MD, MPH, MEDICAL DIRECTOR, HEALTHY COMMUNITIES * TRACIE SMITH, DIRECTOR, DATA ANALYTICS AND REPORTING
PART V, SECTION B, LINE 6A N/A PART V, SECTION B, LINE 6B N/A PART V, SECTION B, LINE 7D N/A PART V, SECTION B, LINE 11 AS A LEADING PEDIATRIC PROVIDER, in FY2020, LURIE CHILDREN'S SERVED PATIENTS AND FAMILIES FROM NEARLY EVERY STATE IN THE UNITED STATES AND 30 COUNTRIES ACROSS THE WORLD. AS A PEDIATRIC LEADER IN CHICAGO, THE HIGHEST VOLUME OF PATIENTS COME FROM OUR VERY OWN COMMUNITY. FOR THE 2019 CHNA, WE DEFINED OUR SERVICE AREA FOR THE PURPOSES OF THE ASSESSMENT AS THE CITY OF CHICAGO AND OUR PRIORITY POPULATION AS INFANTS, CHILDREN AND ADOLESCENTS 0-19 YEARS OLD BECAUSE AT THAT TIME NEARLY 44% OF OUR PATIENTS LIVED IN THE CITY OF CHICAGO. ANNUALLY, LURIE CHILDREN'S PROVIDES HEALTHCARE SERVICES, FROM PRIMARY CARE TO SUBSPECIALTY CARE, TO APPROXIMATELY 90,000 CHICAGOANS 0-19 YEARS OLD. IN THE CHNA, DATA ARE PRESENTED FOR THIS GEOGRAPHY AND POPULATION, WHERE AVAILABLE, AND NOTED WHEN DATA FALL OUTSIDE OF OUR SERVICE AREA AND PRIORITY POPULATION. DATA WAS INCLUDED IN SOME INSTANCES FOR ADULT POPULATIONS, WHEN PEDIATRIC DATA WAS NOT AVAILABLE AND WHERE FAMILY/COMMUNITY CONTEXT IMPACTS CHILD HEALTH. IN LINE WITH GOOD PUBLIC HEALTH PRACTICE, THE CHNA ANALYSIS BEGAN WITH A REVIEW OF THE LEADING CAUSES OF DEATH AND HOSPITALIZATION FOR CHICAGO CHILDREN AND ADOLESCENTS TO ASSURE THAT THE FULL RANGE OF SERIOUS HEALTH RISKS WAS CONSIDERED. PRIMARY AND SECONDARY DATA FROM A DIVERSE RANGE OF SOURCES WERE UTILIZED FOR ROBUST DATA ANALYSIS AND TO IDENTIFY COMMUNITY HEALTH NEEDS IN CHICAGO. THESE INCLUDED: COMMUNITY INPUT SURVEYS, COMMUNITY RESIDENT FOCUS GROUPS AND LEARNING MAP SESSIONS, HEALTHCARE AND SOCIAL SERVICE PROVIDER FOCUS GROUPS, TWO STAKEHOLDER ASSESSMENTS LED BY PARTNER HEALTH DEPARTMENTS-FORCES OF CHANGE ASSESSMENT AND HEALTH EQUITY CAPACITY ASSESSMENT, ADDITIONAL AND VARIOUS STAKEHOLDER INTERVIEWS AND FOCUS GROUPS, PEER-REVIEWED LITERATURE AND WHITE PAPERS, EXISTING ASSESSMENTS AND PLANS FOCUSED ON KEY TOPIC AREAS, LOCALIZED DATA COMPILED BY SEVERAL AGENCIES INCLUDING CHICAGO DEPARTMENT OF PLANNING AND DEVELOPMENT, CHICAGO METROPOLITAN AGENCY FOR PLANNING, HOUSING AUTHORITY OF COOK COUNTY, STATE AND LOCAL POLICE DEPARTMENTS, LOCALIZED DATA COMPILED BY COMMUNITY-BASED ORGANIZATIONS AND ACADEMIC INSTITUTIONS, INCLUDING GREATER CHICAGO FOOD DEPOSITORY AND VOICES OF CHILD HEALTH IN CHICAGO, HOSPITALIZATION AND EMERGENCY DEPARTMENT ENCOUNTER DATA PROVIDED BY ILLINOIS HEALTH AND HOSPITAL ASSOCIATION AND ANALYZED BY THE CONDUENT HEALTHY COMMUNITIES INSTITUTE, AND DATA COMPILED BY STATE AGENCIES AND FEDERAL SOURCES. HEALTH INEQUITIES AND THEIR UNDERLYING ROOT CAUSES ARE HIGHLIGHTED AND DISCUSSED THROUGHOUT THE ASSESSMENT. THE ASSESSMENT IDENTIFIED FIVE PRIORITY DOMAINS, INCLUDING TWO PRIMARY DRIVERS: (1) SOCIAL DETERMINANTS OF HEALTH AND (2) ACCESS TO CARE; PLUS THREE HEALTH DOMAINS: (3) CHRONIC HEALTH CONDITIONS, (4) MENTAL AND BEHAVIORAL HEALTH, AND (5) UNINTENTIONAL INJURY AND VIOLENCE. BELOW IS A SUMMARY OF THE CHNA PRIORITIES AND LURIE CHILDREN'S EFFORTS TO ADDRESS THEM, INCLUDING WORK FROM THE 2017-2019 COMMUNITY HEALTH IMPLEMENTATION PLAN AND PLANS FOR THE 2020-2022 COMMUNITY HEALTH IMPLEMENTATION STRATEGY. A DETAILED PROGRESS REPORT IS INCLUDED AS AN APPENDIX IN THE 2019 CHNA PUBLICLY PUBLISHED AT LURIECHILDRENS.ORG/CHNA. THE FULL 2020-2022 COMMUNITY HEALTH IMPLEMENTATION STRATEGY IS ALSO AVAILABLE AT LURIECHILDRENS.ORG/CHNA. PRIMARY DRIVERS: SOCIAL DETERMINANTS/INFLUENCERS OF HEALTH AND ACCESS TO CARE ACCORDING TO THE WORLD HEALTH ORGANIZATION, SOCIAL DETERMINANTS/INFLUENCERS OF HEALTH INCLUDE THE SOCIAL, ECONOMIC, AND ENVIRONMENTAL CONDITIONS INTO WHICH PEOPLE ARE BORN, LIVE, WORK, AND AGE. THESE FACTORS INCLUDE ECONOMIC STABILITY, EDUCATION, NEIGHBORHOOD AND BUILT ENVIRONMENT, SOCIAL AND COMMUNITY CONTEXT, AND ACCESS TO HEALTHCARE. RESEARCH HAS LONG ESTABLISHED THAT SOCIAL INFLUENCERS OF HEALTH ARE PRIMARY DRIVERS OF HEALTH OUTCOMES. FOR EXAMPLE, CHILDREN BORN TO MOTHERS WITHOUT A HIGH SCHOOL EDUCATION ARE TWICE AS LIKELY TO DIE BEFORE THEIR FIRST BIRTHDAY AS CHILDREN BORN TO MOTHERS WHO ARE COLLEGE GRADUATES; SELF-REPORTED POOR HEALTH INCREASES WITH DECREASING LEVELS OF INCOME AND EDUCATION; AND LOW-INCOME INDIVIDUALS ARE MORE LIKELY TO HAVE A CHRONIC DISEASE. LURIE CHILDREN'S BEGAN A PROCESS TO EXPAND SCREENING OF PATIENTS FOR SOCIAL DETERMINANTS/INFLUENCERS OF HEALTH, AND TO PROVIDE RESOURCES TO HELP ADDRESS THESE ISSUES. ACCESS TO HEALTHCARE IS BROADLY DEFINED BY THE INSTITUTE OF MEDICINE AS "THE TIMELY USE OF PERSONAL HEALTH SERVICES TO ACHIEVE THE BEST HEALTH OUTCOMES." HEALTHY PEOPLE 2020 DESCRIBES THE THREE STEPS REQUIRED FOR AN INDIVIDUAL TO ACCESS HEALTHCARE SERVICES: (1) GAINING ENTRY INTO THE HEALTHCARE SYSTEM, (2) ACCESSING A LOCATION WHERE NEEDED HEALTHCARE SERVICES ARE PROVIDED, AND (3) FINDING A HEALTHCARE PROVIDER WHOM THE PATIENT TRUSTS AND CAN COMMUNICATE WITH. THERE ARE SEVERAL COMPLEX FACTORS THAT FURTHER INFLUENCE ACCESS TO HEALTHCARE INCLUDING PROXIMITY, AFFORDABILITY, AVAILABILITY, CONVENIENCE, ACCOMMODATION, RELIABILITY, QUALITY, ACCEPTABILITY, OPENNESS, CULTURAL RESPONSIVENESS, APPROPRIATENESS AND APPROACHABILITY. LURIE CHILDREN'S MOST SIGNIFICANT PARTNERS IN PROVIDING PRIMARY CLINICAL AND BEHAVIOR HEALTHCARE TO CHILDREN IN LOW/VERY LOW CHILD OPPORTUNITY NEIGHBORHOODS ARE FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS). FQHCS HAVE AN IMPORTANT ROLE IN ELIMINATING DISPARITIES IN ACCESS TO HEALTHCARE AND ARE LOCATED THROUGHOUT CHICAGO. TO ADDRESS THE SOCIAL DETERMINANTS/INFLUENCERS OF HEALTH AND ACCESS TO CARE, LURIE CHILDREN'S UNDERTOOK SEVERAL INITIATIVES BETWEEN 2017-2019, INCLUDING: * LURIE CHILDREN'S ASSUMED LEADERSHIP ROLES IN WEST SIDE UNITED, A GROUP OF HOSPITALS, FUNDERS, TECHNICAL AND COMMUNITY ORGANIZATIONS WORKING TOGETHER ON ECONOMIC VITALITY, POPULATION HEALTH AND COMMUNITY-DRIVEN INITIATIVES TO IMPROVE THE HEALTH OF INDIVIDUALS WHO LIVE ON THE WEST SIDE OF CHICAGO. THE GOAL OF THIS COLLABORATIVE IS TO COORDINATE THE EFFORTS EACH INDIVIDUAL HOSPITAL IS UNDERTAKING TO MAXIMIZE OVERALL POSITIVE IMPACT AND IMPROVE HEALTH EQUITY WITH THE OBJECTIVE OF LOWERING THE 16-YEAR LIFE EXPECTANCY GAP BETWEEN CHICAGO'S LOOP AND THE WEST SIDE. * LURIE CHILDREN'S IS ONE OF 10 CHICAGO HOSPITALS TO JOIN FORCES WITH U.S. SENATOR DICK DURBIN (D-IL) TO REDUCE VIOLENCE AS PART OF THE CHICAGO HOSPITAL ENGAGEMENT, ACTION AND LEADERSHIP (HEAL) INITIATIVE. SENATOR DURBIN LAUNCHED THE CHICAGO HEAL INITIATIVE IN OCTOBER 2018 TO BRING TOGETHER HOSPITALS TO MAKE TANGIBLE COMMITMENTS TO REDUCE GUN VIOLENCE, HEAL THE PHYSICAL AND MENTAL TRAUMA THAT VIOLENCE INFLICTS ON VICTIMS, INCREASE WELL-PAYING JOBS, AND CREATE OTHER ECONOMIC OPPORTUNITIES IN THE NEIGHBORHOODS THEY SERVE. * IN 2018, LURIE CHILDREN'S BECAME THE THIRD CHILDREN'S HOSPITAL IN THE COUNTRY TO JOIN THE DEMOCRACY COLLABORATIVE'S HEALTHCARE ANCHOR NETWORK (WWW.HEALTHCAREANCHOR.NETWORK), A GROUP OF HOSPITALS AND HEALTH SYSTEMS COMMITTED TO BUILDING MORE INCLUSIVE AND SUSTAINABLE LOCAL ECONOMIES. THIS GROUP SHARES INNOVATIVE IDEAS AND BEST PRACTICES TO EXPAND HOSPITALS' ROLE AS ANCHOR INSTITUTIONS BY INCREASING COMMUNITY HIRING, PROCUREMENT AND INVESTMENT OPPORTUNITIES. * TO ENSURE THAT LURIE CHILDREN'S CAN DELIVER HEALTHCARE THAT MEETS SOCIAL, CULTURAL AND LINGUISTIC NEEDS, LURIE CHILDREN'S STRIVES TO HAVE A WORKFORCE THAT MIRRORS THE DIVERSITY OF OUR PATIENTS. IN ADDITION, LURIE CHILDREN'S PROACTIVELY REACHES OUT TO YOUNG PEOPLE IN UNDER-RESOURCED COMMUNITIES TO ENSURE THAT THEY HAVE ACCESS TO OPPORTUNITIES IN HEALTHCARE CAREERS THROUGH LURIE CHILDREN'S WORKFORCE EDUCATION AND COMMUNITY ENGAGEMENT. THROUGH THESE OPPORTUNITIES, LURIE CHILDREN'S PROVIDES OVER 200 INTERNSHIPS ANNUALLY AND HAS HIRED MORE THAN 70 FORMER INTERNS INTO EMPLOYMENT AT LURIE CHILDREN'S. * LURIE CHILDREN'S SUPPORTS EVIDENCE-BASED PARENTING PROGRAMS WITH METROPOLITAN FAMILY SERVICES AND CHICAGO PUBLIC LIBRARY. * LURIE CHILDREN'S INITIATED AN ON-SITE FOOD PANTRY AT LURIE CHILDREN'S PRIMARY CARE - UPTOWN FOR FAMILIES WHO IDENTIFY AS FOOD INSECURE. * LURIE CHILDREN'S LAUNCHED A COMPREHENSIVE NEIGHBORHOOD-BASED INTERVENTION IN THE BELMONT CRAGIN AND AUSTIN NEIGHBORHOODS TO BETTER ADDRESS THE RELATED AND UNDERLYING CAUSES OF CHILD AND ADOLESCENT HEALTH CHALLENGES. * SINCE 2016, LURIE CHILDREN'S HAS PROVIDED $900,000 IN COMMUNITY BENEFIT GRANTS TO FQHCS TO EXTEND OUR MISSION AND SUPPORT KEY PARTNERS' PEDIATRIC-FOCUSED OPERATIONS. IN 2017, LURIE CHILDREN'S REVISED THE AIM OF THESE GRANTS TO (1) FOCUS ON MISSION IMPACT CONCORDANT WITH THEIR UNIQUE GOALS AND WITH LURIE CHILDREN'S CHNA PRIORITY AREAS, AND (2) INCLUDE MORE RIGOROUS EVALUATION TO MEASURE IMPACT. * IN 2019, LURIE CHILDREN'S BECAME THE ILLINOIS AFFILIATE OF PROJECT ADAM, AN INITIATIVE TO PREVENT DEATHS FROM SUDDEN CARDIAC ARREST THROUGH ADVOCACY, EDUCATION, PREPAREDNESS AND COLLABORATION. THIS INITIATIVE EDUCATES STAKEHOLDERS ON BYSTANDER CPR TRAINING AND PROVIDES TECHNICAL ASSISTANCE TO LOCAL SCHOOLS ON THE PATHWAY TO BECOMING HEART SAFE SCHOOLS. * IN 2019, LURIE
CHRONIC HEALTH CONDITIONS THE DEFINITION OF CHRONIC DISEASE VARIES WIDELY IN THE UNITED STATES AND ACROSS THE GLOBE. HOWEVER, CHRONIC DISEASES ARE OFTEN DEFINED AS HAVING THE FOLLOWING CHARACTERISTICS: COMPLEX CAUSALITY WITH MULTIPLE FACTORS LEADING TO ONSET INCLUDING SOCIOECONOMICS AND HEALTH BEHAVIORS, LONG DEVELOPMENT PERIOD, PROLONGED COURSE OF ILLNESS THAT OFTEN REQUIRES ONGOING MEDICAL ATTENTION, NON-COMMUNICABLE, AND CAUSE FUNCTIONAL IMPAIRMENT IN DAILY ACTIVITIES OR DISABILITY. ACCORDING TO THE WORLD HEALTH ORGANIZATION AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION, WORLDWIDE AND IN THE UNITED STATES, CHRONIC DISEASES ARE THE LEADING CAUSES OF DISABILITY AND DEATH. IN ADDITION, CHRONIC DISEASE RATES ARE ACCELERATING GLOBALLY ACROSS ALL SOCIOECONOMIC CLASSES. HOWEVER, SOCIOECONOMIC INEQUITIES HAVE PROFOUND IMPACTS ON WHICH POPULATIONS AND COMMUNITIES HAVE THE GREATEST BURDEN OF DISEASE. MANY OF THE SOCIOECONOMIC INEQUITIES THAT ARE UNDERLYING ROOT CAUSES OF CHRONIC ILLNESS ARE EXPLORED IN DEPTH IN THE HEALTH INEQUITIES AND SOCIAL DETERMINANTS OF HEALTH SECTION. PREVENTION - CHRONIC CONDITIONS SUCH AS HEART DISEASE, STROKE, CANCER, DIABETES, ARTHRITIS, ASTHMA, MENTAL ILLNESS, AND HIV/AIDS ACCOUNT FOR 90 PERCENT OF THE NATION'S $3.3 TRILLION IN ANNUAL HEALTHCARE EXPENDITURES. (CDC, 2019) ADDRESSING THE RISK FACTORS IN CHILDHOOD THROUGH EARLY PREVENTION AND ONGOING MANAGEMENT CAN MITIGATE THE ONSET AND REDUCE THE COSTLY PHYSICAL AND SOCIOECONOMIC BURDEN OF THESE CHRONIC CONDITIONS IN ADULTHOOD. RISK FACTORS - A SMALL NUMBER OF COMMON RISK FACTORS CONTRIBUTE TO MOST OF THE MAIN CHRONIC DISEASES: UNHEALTHY DIET, PHYSICAL INACTIVITY, TOBACCO USE, STRESS AND/OR DEPRESSION, MATERNAL AND INFANT HEALTH, POVERTY AND OTHER SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH. TO ADDRESS CHRONIC HEALTH CONDITIONS, LURIE CHILDREN'S UNDERTOOK SEVERAL INITIATIVES BETWEEN 2017-2019, INCLUDING: * TO BETTER CARE FOR THE HIGHEST RISK ASTHMA PATIENTS, LURIE CHILDREN'S LAUNCHED A HIGH-RISK MULTI-DISCIPLINARY ASTHMA CLINIC WITH ADVANCED PRACTICE NURSES AND SOCIAL WORKERS TO ADDRESS SOCIAL DETERMINANTS OF CHRONIC ASTHMA AND ADVANCED CLINICIANS WITH EXPERTISE IN ASTHMA COMPLEXITY/ASTHMA SEVERITY. * TO PREVENT POTENTIALLY UNECESSARY VISITS TO THE EMERGENCY ROOM, LURIE CHILDREN'S PARTNERED WITH THE RESPIRATORY HEALTH ASSOCIATION TO PROVIDE EVIDENCE-BASED ASTHMA EDUCATIONAL SERVICES TO CHILDREN LIVING WITH ASTHMA AND THEIR CAREGIVERS IN SCHOOL-BASED SETTINGS. TARGET COMMUNITIES INCLUDE THOSE FROM WHICH HIGH NUMBERS OF CHILDREN GO TO LOCAL EMERGENCY ROOMS FOR ASTHMA-RELATED ISSUES - ZIP CODES 60639, 60647 AND 60651. BETWEEN 2012-2019, 349 STUDENTS AND 318 SCHOOL STAFF RECEIVED THIS EDUCATION. * LURIE CHILDREN'S PROVIDED OVER 750 MEDICALLY COMPLEX PATIENTS CARE COORDINATION SERVICES THROUGH LURIE CHILDREN'S HEALTH PARTNERS CARE COORDINATION ENTITY, WHICH LAUNCHED IN 2014. THIS EFFORT INVOLVES PARTNERING WITH MEDICAL HOME PROVIDERS IN THE COMMUNITY, PROVIDING INTENSIVE CARE COORDINATION, IT INTEGRATION, AND SUPPORT FOR HOME-BASED SERVICES. * LURIE CHILDREN'S CHRONIC ILLNESS TRANSITION TEAM PROVIDES SUPPORT AS YOUNG PEOPLE WITH COMPLEX CONDITIONS TRANSITION FROM PEDIATRIC TO ADULT CARE. THIS INCLUDES A TRANSITION CLINIC TO COORDINATE CARE, A LIFE SKILLS PROGRAM FOR ALL FAMILIES (SUPPORTING ADOLESCENTS WITH INDEPENDENT LIFE SKILLS [SAILS]), AND AN INTERNSHIP PROGRAM TO HELP YOUTH GET THE EXPERIENCE THEY NEED TO TRANSITION TO THE ADULT WORKFORCE. IN ADDITION, THE TRANSITION TEAM CONTINUES TO CREATE TOOLS, RESOURCES, CONTACTS, AND CONSULTATIONS FOR OUR COLLEAGUES TO HELP THEM CREATE SMOOTH TRANSITIONS FOR THEIR PATIENTS. * LURIE CHILDREN'S PARENT WISDOM IN SHARED EXPERIENCE (PARENTWISE) AND PEER WISDOM IN SHARED EXPERIENCE (PEERWISE) PROGRAMS PAIR PARENTS OF CHILDREN WITH SPECIAL HEALTHCARE NEEDS WITH OTHER PARENTS AND YOUTH WHOSE DIAGNOSES OR NEEDS ARE SIMILAR. THESE PROGRAMS, IN WHICH MORE THAN 100 VOLUNTEERS PROVIDE OVER 1800 HOURS OF SERVICE ANNUALLY, HELP OPTIMIZE THE HEALTHCARE EXPERIENCE FOR CHILDREN WITH MEDICAL COMPLEXITY. * SINCE 1985 THE PEDIATRIC PRACTICE RESEARCH GROUP (PPRG), A REGIONAL CHICAGO-AREA PRACTICE-BASED RESEARCH NETWORK AT LURIE CHILDREN'S HAS COLLABORATED WITH PRIMARY CARE PRACTICES IN A VARIETY OF RESEARCH PROJECTS. SOME OF THE PROJECTS HAVE INCLUDED QUALITY IMPROVEMENT FOCUSED ON IMPROVING CARE RELATED TO NUTRITIONAL STATUS ASSESSMENT, DIET AND PHYSICAL ACTIVITY ASSESSMENT AND COUNSELING. IN ADDITION, PPRG HAS CONDUCTED A NUMBER OF QUALITY IMPROVEMENT PROJECTS IN THE AREA OF OBESITY IDENTIFICATION AND MANAGEMENT. EXAMPLES INCLUDE FACILITATING AND EVALUATING THE IMPLEMENTATION OF OBESITY CARE CLINICS IN FIVE PRIMARY CARE PRACTICES AND TESTING TWO STRATEGIES TO IMPLEMENT THE NATIONAL HEART, LUNG, AND BLOOD INSTITUTE (NHLBI) CARDIOVASCULAR RISK PREVENTION GUIDELINES AT 16 PRACTICES. * THE CONSORTIUM TO LOWER OBESITY IN CHICAGO CHILDREN (CLOCC), A NATIONALLY RECOGNIZED CHILDHOOD OBESITY PREVENTION COALITION, WAS FOUNDED BY LURIE CHILDREN'S IN 2002. ITS MISSION IS TO CONFRONT THE CHILDHOOD OBESITY EPIDEMIC BY PROMOTING HEALTHY AND ACTIVE LIFESTYLES FOR CHILDREN THROUGHOUT THE CHICAGO METROPOLITAN AREA. CLOCC CREATES AND SUSTAINS THE TYPES OF MULTI-SECTOR COLLABORATION RECOMMENDED BY OUR NATION'S HEALTH LEADERS. * KEY ELEMENTS OF CLOCC'S WORK INCLUDE: THE WIDELY-USED 5-4-3-2-1 GO HEALTHY LIFESTYLE MESSAGE, PARTNERING WITH SCHOOLS TO HELP THEM ACHIEVE THE HEALTHY CPS DESIGNATION, ENVIRONMENTAL CHANGE TO IMPROVE FOOD ACCESS AND NEIGHBORHOOD WALKABILITY AND POLICY EFFORTS AT CITY, STATE AND FEDERAL LEVELS. SINCE 2016, CLOCC HAS TRAINED OVER 700 PARTNERS IN THEIR HEALTHY LIFESTYLE CURRICULA FOCUSED ON NUTRITION AND PHYSICAL ACTIVITY. FOR THE 2020-2022 COMMUNITY HEALTH IMPLEMENTATION STRATEGY, THE KEY STRATEGIES TO ADDRESS RISK FACTORS, PREVENTION AND MANAGEMENT OF CHRONIC HEALTH CONDITIONS INCLUDE: * EXPAND SUPPORTIVE SERVICES (E.G. CARE COORDINATION, LINKAGES TO PRIMARY CARE PHYSICIANS, TRANSITION TO ADULT SERVICES, TELEMEDICINE) FOR CHILDREN AND ADOLESCENTS WITH CHRONIC HEALTH CONDITIONS AND MEDICAL COMPLEXITIES * ENHANCE PARTNERSHIPS WITH SCHOOLS TO SUPPORT YOUTH WITH CHRONIC HEALTH CONDITIONS * IDENTIFY, PREVENT AND MANAGE RISK FACTORS THAT IMPACT CHRONIC HEALTH CONDITIONS WITH THE GREATEST RACIAL DISPARITIES (E.G., ASTHMA, OBESITY, FOOD ALLERGIES) MENTAL AND BEHAVIORAL HEALTH IN 2016, ONE IN SIX U.S. CHILDREN 2-8 YEARS OLD (17.4%) HAD A DIAGNOSED MENTAL, BEHAVIORAL, OR DEVELOPMENTAL DISORDER. ACCORDING TO THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI), AT LEAST ONE IN FIVE ADOLESCENTS HAVE OR WILL HAVE A SERIOUS MENTAL OR BEHAVIORAL HEALTH CONDITION. CHICAGO PREVALENCE DATA FOR YOUTH MENTAL HEALTH DISORDERS IS LIMITED. IT IS ESTIMATED THAT OVER 30% OF CHICAGO HIGH SCHOOL STUDENTS EXPERIENCE DEPRESSION AND OVER 5% REPORTED ATTEMPTING SUICIDE IN THE PAST 12 MONTHS. THE CAUSES OF MENTAL HEALTH DISORDERS ARE COMPLEX AND INTERRELATED AND THERE ARE GAPS IN THE SYSTEM TO ADDRESS AND TREAT THEM. TO ADDRESS MENTAL AND BEHAVIORAL HEALTH, LURIE CHILDREN'S UNDERTOOK SEVERAL INITIATIVES BETWEEN 2017-2019 INCLUDING: * LURIE CHILDREN'S CENTER FOR CHILDHOOD RESILIENCE PROMOTES ACCESS TO HIGH QUALITY MENTAL HEALTH SERVICES FOR CHILDREN AND ADOLESCENTS STATEWIDE THROUGH CLINICAL SERVICE, RESEARCH, TRAINING, ADVOCACY AND POLICY REFORM. UTILIZING A PUBLIC HEALTH APPROACH TO EXPANDING ACCESS TO MENTAL HEALTH SERVICES ALLOWS THE CENTER TO ADDRESS MENTAL HEALTH REFORM HOLISTICALLY, INCLUDING: SCHOOL MENTAL HEALTH - WORKING WITH SCHOOL STAFF, CLINICIANS, ADMINISTRATORS AND COMMUNITY ORGANIZATIONS TO BUILD BETTER ACCESS TO MENTAL HEALTH SERVICES FOR CHILDREN AND ADOLESCENTS; TRAUMA TRAINING - TEACHING PROFESSIONALS WHO WORK WITH CHILDREN, TRAUMA-INFORMED BEST PRACTICES; RESEARCH - IDENTIFYING, EVALUATING AND DISSEMINATING INTERVENTION BEST PRACTICES; PRE-PROFESSIONAL MENTAL HEALTH TRAINING - TRAINING NEW GENERATIONS OF CLINICAL PROFESSIONALS IN THE PUBLIC HEALTH APPROACH TO MENTAL HEALTH; ADVOCACY AND POLICY - LEADING ADVOCACY AND POLICY WORK TO ENSURE STATEWIDE SYSTEMS AND RESOURCES SUPPORT BEST PRACTICES IN BEHAVIORAL HEALTH. * THROUGH ITS CENTER FOR CHILDHOOD RESILIENCE, LURIE CHILDREN'S ALSO PLAYS A LEADERSHIP ROLE IN THE ILLINOIS CHILDHOOD TRAUMA COALITION AND THE ILLINOIS CHILDREN'S MENTAL HEALTH PARTNERSHIP, BOTH OF WHICH ARE HOUSED WITHIN LURIE CHILDREN'S. * IN 2018, LURIE CHILDREN'S LAUNCHED TWO PROGRAMS TO ADDRESS MENTAL AND BEHAVIORAL HEALTH NEEDS: THE MOOD, ANXIETY, ADHA COLLABORATIVE CARE (MAACC) PROGRAM AND TARGETED ASSESSMENT AND GROUP EMPIRICALLY-SUPPORTED TREATMENT (TARGET). THE MAACC PROGRAM IS A COLLABORATIVE CARE SYSTEM WITH COMMUNITY PEDIATRICIANS TO INCREASE THEIR ABILITY TO IDENTIFY AND TREAT MENTAL HEALTH CONCERNS IN THE PRIMARY CARE SETTING. MAACC TRAINS COMMUNITY PEDIATRICIANS AND COLLABORATES WITH LURIE CHILDREN'S CHILD PSYCHIATRISTS TO PROVIDE TREATMENT TO THEIR PATIENTS WHEN MEDICATION MANAGEMENT IS NEEDED. TARGET IS A NEW SERVICE MODEL FOR AT-RISK YOUTH THA
UNINTENTIONAL INJURY AND VIOLENCE UNINTENTIONAL INJURIES ARE THE LEADING CAUSE OF DEATH AMONG CHILDREN AND ADOLESCENTS IN ILLINOIS AND THE U.S. UNINTENTIONAL INJURIES INCLUDE SUFFOCATION, DROWNING, POISONING, FIRES, FALLS, MOTOR VEHICLE CRASHES, AND OCCUPATIONAL INJURIES. THE TWO PEDIATRIC AGE GROUPS WITH THE HIGHEST UNINTENTIONAL INJURY DEATH RATES ARE INFANTS (< 1 YEAR OLD) AND ADOLESCENTS 15-19 YEARS OLD. UNINTENTIONAL INJURIES ARE ALSO A MAJOR CAUSE OF EMERGENCY DEPARTMENT VISITS, HOSPITALIZATION, AND PERMANENT DISABILITY AMONG CHILDREN AND ADOLESCENTS. THE CDC ESTIMATES THAT FOR EVERY CHILD WHO DIES FROM AN UNINTENTIONAL INJURY, THERE ARE AN ADDITIONAL 900 CHILDREN TREATED IN THE EMERGENCY DEPARTMENT. IN ADDITION, UNINTENTIONAL INJURIES ARE A MAJOR CONTRIBUTOR TO INFANT MORTALITY EACH YEAR IN CHICAGO AND IN ILLINOIS. CHILD MALTREATMENT IS A FORM OF VIOLENCE OR HARM, INTENTIONAL OR UNINTENTIONAL, COMMITTED BY A PARENT OR CAREGIVER AGAINST AN INFANT, CHILD OR ADOLESCENT. THE CDC CATEGORIZES FOUR TYPES OF MALTREATMENT: (1) PHYSICAL ABUSE, (2) EMOTIONAL OR PSYCHOLOGICAL ABUSE, (3) SEXUAL ABUSE AND (4) NEGLECT. GENERALLY, CHILDREN UNDER THE AGE OF FOUR YEARS, CHILDREN WITH SPECIAL NEEDS AND CHILDREN IN LOW-RESOURCE COMMUNITIES ARE ESPECIALLY VULNERABLE. LACK OF PARENTING AND CHILD DEVELOPMENT KNOWLEDGE, PARENTAL STRESS, AND SOCIAL ISOLATION ARE RISK FACTORS FOR CHILD MALTREATMENT. THE IMPACT OF CHILD ABUSE AND NEGLECT CAN BE FELT INTO ADULTHOOD AFFECTING HEALTH AND WELL-BEING ACROSS THE LIFESPAN. NURTURING PARENTING SKILLS, ACCESS TO SOCIAL SERVICES AND SUPPORTIVE COMMUNITIES REDUCE THE RISK OF CHILDHOOD ABUSE. OTHER SOCIAL DETERMINANTS OF HEALTH (E.G., STABLE HOUSING, ACCESS TO HEALTHCARE, FINANCIAL STABILITY) ARE ALSO PROTECTIVE FACTORS. ALTHOUGH VIOLENCE OCCURS IN ALL COMMUNITIES, IT IS CONCENTRATED IN LOW-INCOME COMMUNITIES OF COLOR, PARTICULARLY PREDOMINANTLY BLACK/AFRICAN AMERICAN NEIGHBORHOODS. BLACK/ AFRICAN AMERICAN RESIDENTS IN CHICAGO HAVE THE HIGHEST BURDEN OF HOMICIDE AND FIREARM-RELATED MORTALITY. THE ROOT CAUSES OF COMMUNITY VIOLENCE ARE MULTIFACETED AND INCLUDE ISSUES SUCH AS THE CONCENTRATION OF POVERTY, EDUCATION INEQUITIES, POOR ACCESS TO HEALTH SERVICES, MASS INCARCERATION, DIFFERENTIAL POLICING STRATEGIES, AND GENERATIONAL TRAUMA. RESEARCH HAS ESTABLISHED THAT EXPOSURE TO VIOLENCE HAS SIGNIFICANT IMPACTS ON PHYSICAL AND MENTAL WELL-BEING. IN ADDITION, EXPOSURE TO VIOLENCE IN CHILDHOOD HAS BEEN LINKED TO TRAUMA, TOXIC STRESS, AND AN INCREASED RISK OF POOR HEALTH OUTCOMES ACROSS THE LIFESPAN. VIOLENCE ALSO HAS A NEGATIVE IMPACT ON THE SOCIOECONOMIC CONDITIONS WITHIN COMMUNITIES THAT CONTRIBUTE TO THE WIDENING OF DISPARITIES. RESEARCH HAS LONG ESTABLISHED THAT EXPOSURE TO INTERPERSONAL AND/OR COMMUNITY VIOLENCE IS STRONGLY LINKED TO THE DEVELOPMENT OF MENTAL ILLNESS, POST-TRAUMATIC STRESS DISORDER (PTSD), AND SUBSTANCE USE DISORDERS. TO ADDRESS UNINTENTIONAL INJURIES AND VIOLENCE, LURIE CHILDREN'S UNDERTOOK SEVERAL INITIATIVES BETWEEN 2017-2019 INCLUDING: * LURIE CHILDREN'S INJURY PREVENTION & RESEARCH CENTER (IPRC) DISTRIBUTED 60 BABY BOXES, OVER 3300 HOME SAFETY BAGS, AND OVER 2000 TARGETED HOME SAFETY PRODUCTS TO SUPPORT PARENTS IN PROVIDING SAFE ENVIRONMENTS. IPRC ALSO CONDUCTED 155 PLAYGROUND INSPECTIONS UTILIZED BY OVER 25,644 YOUTH THROUGH THE CHICAGO ACTIVATE NEIGHBORHOOD ENVIRONMENT FOR HEALTH AND WELLNESS (ANEHW) INITIATIVE * EACH YEAR, LURIE CHILDREN'S CHILD PROTECTIVE SERVICE TEAM SPONSORS A CHILD MALTREATMENT SYMPOSIUM FOR FIRST RESPONDERS, SOCIAL WORKERS, TEACHERS AND POLICE OFFICERS IN CHICAGO. THE GOALS OF THESE SYMPOSIA ARE TO RAISE AWARENESS OF CHILD MALTREATMENT, TO EMPOWER PROFESSIONS IN CONTACT WITH CHILDREN WITH THE TOOLS TO IDENTIFY AND REPORT ABUSE, AND TO ADDRESS COMMON CHALLENGES IN PROVIDING SERVICES TO FAMILIES THAT EXPERIENCE ABUSE. * LURIE CHILDREN'S CONTINUES THE SEXUAL ASSAULT NURSE EXAMINER PROGRAM (SANE) IN ITS EMERGENCY ROOM TO ENSURE TIMELY, EXPERT CARE IS PROVIDED TO YOUNG VICTIMS OF SEXUAL ASSAULT. A TRAINED NURSE PRACTITIONER IS AVAILABLE 24/7, AND TOGETHER, LURIE CHILDREN'S SANE PROGRAM APNS COMPLETE MORE THAN 200 ANNUAL ASSESSMENTS. THEY ALSO PROVIDE CONTINUING EDUCATION TO PHYSICIANS, ADVANCED PRACTICE PROVIDERS AND NURSES INTERNALLY AND EXTERNALLY. * LURIE CHILDREN'S CHILD ABUSE PEDIATRICS CONTINUES TO LEAD THE DEVELOPMENT OF THE HUMAGRAM TECHNOLOGY, A SOFTWARE PROGRAM TO HELP CLINICIANS, CAREGIVERS AND CHILD ADVOCATES DETERMINE IF AN INJURY IS ACCIDENTAL OR DUE TO CHILD ABUSE OR NEGLECT. INTEGRATED INTO THIS TECHNOLOGY ARE SIX EVIDENCE-BASED CLINICAL DECISION RULES ADDRESSING SPECIFIC AREAS NEEDED TO IMPROVE RECOGNITION OF PHYSICAL ABUSE, INCLUDING BRUISING, FRACTURES, ABUSIVE HEAD TRAUMA, OCCULT HEAD INJURY (BRAIN INJURY), SCALD BURNS AND SEXUAL ABUSE. * LURIE CHILDREN'S CHILD MALTREATMENT EXPERTS COLLABORATE WITH CIVITAS CHILD LAW CENTER TO DEVELOP AND TEACH AN ADVOCACY COURSE AND CURRICULUM FOR LOYOLA UNIVERSITY LAW STUDENTS AND SITTING JUDGES FOCUSED ON CHILD MALTREATMENT. *LURIE CHILDREN'S LAUNCHED STRENGTHENING CHICAGO YOUTH (SCY) IN 2012 TO BUILD CAPACITY AMONG NUMEROUS PUBLIC AND PRIVATE STAKEHOLDERS TO CONNECT, COLLABORATE AND MOBILIZE AROUND A PUBLIC HEALTH APPROACH TO VIOLENCE PREVENTION. IT NOW HAS MORE THAN 5,000 MEMBERS. MATERIALS, TRAINING AND TECHNICAL ASSISTANCE IS OFFERED TO FOSTER INNOVATIVE PARTNERSHIPS AMONG MULTIPLE SECTORS, ENCOURAGE INVOLVEMENT IN POLICY AND ADVOCACY AND SUPPORT ADOPTION OF EFFECTIVE, SUSTAINABLE VIOLENCE PREVENTION STRATEGIES. IN 2016-2019, SCY HOSTED OVER 35 EDUCATIONAL OPPORTUNITIES ATTENDED BY MORE THAN 2500 VIOLENCE PREVENTION PARTNERS TO SHARE KNOWLEDGE AND BUILD CAPACITY TO ADDRESS VIOLENCE. * LURIE CHILDREN'S AND SCY ALSO PARTICIPATE IN THE ILLINOIS GUN VIOLENCE PREVENTION COALITION AND ILLINOIS COUNCIL AGAINST HANDGUN VIOLENCE. * IN 2017, SCY LAUNCED THE JUVENILE JUSTICE COLLABORATIVE (JJC), CONVENING YOUTH SERVICE PROVIDERS AND GOVERNMENT STAKEHOLDERS IN COOK COUNTY TO DEVELOP A CARE COORDINATION MODEL FOR JUSTICE-INVOLVED YOUTH, THUS MINIMIZING THEIR FURTHER INVOLVEMENT IN THE JUSTICE SYSTEM AND REDUCING RACIAL DISPARITIES. OVER 200 YOUTH HAVE BEEN CONNECTED TO SERVICES. IN THE JJC'S PILOT YEAR, NO YOUTH CONNECTED TO SERVICES WAS RE-ARRESTED DURING THEIR PARTICIPATION IN THE PROGRAM. FURTHER, JJC YOUTH HAVE A LOWER RECIDIVISM RATE THAN OVERALL DIVERTED YOUTH: 18% OF YOUTH WHO COMPLETED THE JJC WERE RE-REFERRED TO COURT WITHIN ONE YEAR, COMPARED TO 32% OF ALL DIVERTED YOUTH IN CHICAGO. * IN ADDITION, LURIE CHILDREN'S AND SCY ANALYZE AND RELEASE BRIEFS FROM THE ILLINOIS VIOLENT DEATH REPORTING SYSTEM (IVORS) AND THE STATEWIDE UNINTENTIONAL DRUG OVERDOSE REPORTING SYSTEM, WHICH HELPS INFORM POLICY AND COMMUNITY EFFORTS TO CURB VIOLENCE AND DRUG OVERDOSE. IN 2016-2018, IVDRS PUBLISHED SEVEN DATA BRIEFS (HOMICIDES IN CHICAGO, SUICIDES IN CHICAGO, INTIMATE PARTNER HOMICIDES IN ILLINOIS, ROLE OF ALCOHOL IN HOMICIDES, HOMICIDES IN CHICAGO COMMUNITY AREAS, TEEN SUICIDE AND ELDER SUICIDE) AND 16 COUNTY REPORTS FOR ALL PARTICIPATING COUNTIES. FOR THE 2020-2022 COMMUNITY HEALTH IMPLEMENTATION STRATEGY, THE KEY STRATEGIES TO PREVENT UNINTENTIONAL AND VIOLENCE-RELATED INJURIES AND MORTALITY INCLUDE: * LEAD AND FACILITATE EFFORTS TO ACCESS AND LINK INJURY AND VIOLENCE DATA ACROSS SYSTEMS AND COLLABORATE WITH COMMUNITY PARTNERS TO USE DATA AND DISSEMINATE FINDINGS. * EXPAND AND REFINE INJURY PREVENTION ACTIVITIES TO ADDRESS INJURY ISSUES WITH THE GREATEST RACIAL DISPARITIES (E.G., GUN VIOLENCE, SLEEP-RELATED DEATH, CHILD ABUSE, DROWNINGS, TRAUMATIC BRAIN INJURY) AND OTHER EMERGING HAZARDS. PART V, LINE 13B N/A PART V, LINE 13H N/A PART V, LINE 15E N/A PART V, LINE 16J N/A PART V, LINE 18E N/A PART V, LINE 19E N/A PART V, LINE 20A N/A PART V, LINE 20B N/A PART V, LINE 20C N/A PART V, LINE 20D N/A PART V, LINE 20E N/A PART V, LINE 21C N/A PART V, LINE 21D N/A PART V, LINE 23 N/A PART V, LINE 24 N/A
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?20
Name and address Type of Facility (describe)
1 Lurie Children's Pediatrics - Uptown
4867 N Broadway Avenue
Chicago,IL60640 		Physician Services & Outpatient Medical Services
2 Lurie Children's OTP Ctr in Westchester
2301 Enterprise Dr
Westchester,IL60154 		Physician Services, Outpatient Medical & Ambulatory Surgical Services
3 Lurie Children's OTP CTR in Arlington Ht
880 W Central Rd Suite 6400
Arlington Heights,IL60005 		Physician Services & Outpatient Medical Services
4 Lurie Children's OTP Ctr in New Lenox
1870 N Silver Cross Blvd Ste 100
New Lenox,IL60451 		Physician Services & Outpatient Medical Services
5 Lurie Children's OTP Ctr in Lake Forest
900 N Westmoreland Suite 209
Lake Forest,IL60045 		Physician Services & Outpatient Medical Services
6 Lurie Children's OTP Ctr in Lincoln Park
2515 N Clark Street/467 W Deming
Chicago,IL60614 		Physician Services & Outpatient Medical Services
7 Lurie Children's OTP Ctr in Westbrook
11301 W Cermak Rd
Westchester,IL60154 		Physician Services & Outpatient Medical Services
8 Lurie Children's at NWMC Dupage Hospital
25 N WINFIELD ROAD
Winfield,IL60190 		Physician Services
9 Lurie Children's at NWM Delnor Hospital
300 Randall Rd Bldg 302 Suite 102
Geneva,IL60134 		Physician Services
10 Northwestern Med Chicago Proton Center
4455 Weaver Parkway
Warrenville,IL60555 		Physician Services
11 Outpatient Center in Grayslake
1475 E Belvidere Rd RTE 120 STE
Grayslake,IL600302012 		Physician Services & Outpatient Medical Services
12 Outpatient Services in Lincoln Square
5215 N California Ave
Chicago,IL60625 		Physician Services
13 Outpatient Center in Northbrook
1131 Techny Road
Northbrook,IL60062 		Physician Services & Outpatient Medical Services
14 Outpatient Center in Huntley
10350 Haligus Rd Centgra Hlt Sys Me
Huntley,IL60142 		Physician Services
15 Lurie Children's Primary Cr-Town Country
1460 N Halsted St Suite 402
Chicago,IL60642 		Physician Services
16 Lurie Children's Primary Cr-Town Country
6374 N Lincoln Avenue Suite 204
Chicago,IL60659 		Physician Services
17 Lurie Children's Primary Cr-Town Country
2601 Compass Road Suite 120
Glenview,IL60026 		Physician Services
18 Lurie Children's OTP Ctr in NClybourn
1440 N Dayton
Chicago,IL60642 		Physician Services
19 Northbrook Ambulatory Surgery Center
1121 TECHNY ROAD
NORTHBROOK,IL60062 		PHYSICIAN SERVICES, OUTPATIENT MEDICAL & AMBULATORY SURGICAL SERVICES
20 Glenview Outpatient Center
2701 Patriot Blvd
GLENVIEW,IL60026 		PHYSICIAN SERVICES
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 3C TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, THE PATIENT MUST BE AN ILLINOIS RESIDENT. THE ORGANIZATION ALSO FOLLOWS ILLINOIS'S PRESUMPTIVE ELIGIBILITY GUIDELINES IN DETERMINING FINANCIAL ASSISTANCE. PART I, LINE 6A LURIE CHILDREN'S UPDATES COMMUNITY BENEFIT REPORTING ANNUALLY AND CAN BE FOUND AT HTTPS://WWW.LURIECHILDRENS.ORG/EN/SERVING-THE-COMMUNITY/MAGOON-INSTITUTE-F OR-HEALTHY-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ IN FY20, THE INSTITUTION INVESTED $231.5 MILLION IN UNREIMBURSED CHARITY CARE, UNDER-REIMBURSEMENT FROM CARING FOR PATIENTS INSURED BY MEDICAID, AND COMMUNITY BENEFIT PROGRAMS, AN INCREASE OF MORE THAN 27% OVER THE PREVIOUS YEAR. * CHARITY CARE, LOSSES DUE TO MEDICAID REIMBURSEMENT BELOW COST OF SERVICES AND OTHER UNCOMPENSATED COSTS: $168.6 MILLION * RESIDENT AND FELLOW TRAINING: $23.5 MILLION * FAMILY SUPPORT AND INTERPRETATION SERVICES: $9.6 MILLION * RESEARCH FUNDING, NET OF GRANTS AND PHILANTHROPIC SUPPORT: $20.0 MILLION * COMMUNITY CLINIC SUPPORT: $3.4 MILLION * CHILD ADVOCACY PROGRAMS: $6.4 MILLION * TOTAL COMMUNITY INVESTMENT: $231.5 MILLION THE CALCULATION FOR "CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST" REFLECTS THE FORM 990 DEFINITIONS AND WILL NOT NECESSARILY CORRESPOND TO CALCULATIONS PREPARED FOR SIMILAR STATE OF ILLINOIS REPORTING REQUIREMENTS AND OUR AUDITED FINANCIAL STATEMENT REPORTING, EACH OF WHICH MAY REQUIRE THE USE OF SPECIFIED METHODOLOGIES THAT MAY DIFFER FROM FORM 990. PART I, LINE 7G SUBSIDIZED HEALTH SERVICES REPORTED IN SECTION I, LINE 7G INCLUDE DETAILS FROM TWO DIFFERENT COMMUNITY BENEFIT PROGRAMS OF LURIE CHILDREN'S, NAMELY THE UPTOWN PRIMARY CARE AND DENTISTRY CLINICS. THE OPERATING COSTS ATTRIBUTABLE TO THE UPTOWN PRIMARY CARE AND DENTISTRY CLINICS ARE $3,283,027. BOTH PROGRAMS ARE OPERATED DESPITE FINANCIAL LOSSES TO THE ORGANIZATION. THE CLINICS PROVIDE HEALTHCARE TO A LARGELY UNDERSERVED COMMUNITY. LURIE CHILDREN'S PROVIDES FINANCIAL SUPPORT TO THE FOLLOWING AFFILIATED ORGANIZATIONS TO ALLOW THESE ORGANIZATIONS TO PROVIDE CHARITY CARE SERVICES AND ENGAGE IN OTHER CHARITABLE ACTIVITIES: ALMOST HOME KIDS $ 1,912,200 LURIE CHIDREN'S MEDICAL GROUP LLC $ 4,745,106 LURIE CHILDREN'S HEALTH PARTNERS CARE COORDINATION $ 1,369,614 LURIE CHILDREN'S PEDIATRIC ANESTHESIA ASSOCIATES $ 3,802,337 LURIE CHILDREN'S PRIMARY CARE, LLC $ 1,565,781 LURIE CHILDREN'S SURGICAL FOUNDATION, INC. $27,878,630 PEDIATRIC FACULTY FOUNDATION, INC. $44,834,454 PART I, LINE 7, COLUMN (F) TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $1,067,127,990. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $5,097,330. THEREFORE, A TOTAL EXPENSE OF $1,062,030,660 WAS USED FOR PURPOSES OF CALCULATING FORM 990, SCHEDULE H, LINE 7, COLUMN (F). PART I, LINE 7 COST-TO-CHARGE RATIO IS CALCULATED USING THE TOTAL EXPENSE REFLECTED IN OUR FY2020 AUDITED FINANCIAL STATEMENTS REDUCED BY COMMUNITY BENEFITS REFLECTED ON SCHEDULE H, BAD DEBT, PROVIDER TAX AND NON-PATIENT RELATED ACTIVITY EXPENSES FOUND IN THE LURIE CHILDREN'S COST REPORT DIVIDED BY GROSS PATIENT CHARGES. THIS COST-TO-CHARGE RATIO IS USED TO CALCULATE THE AMOUNTS ON LINES 7A THROUGH 7C. THE REMAINDER OF THE ROWS IN PART I, LINE 7 ARE CALCULATED AS FOLLOWS: LINE 7E - THE AMOUNTS REPORTED ARE DIRECT COSTS USED TO IMPROVE COMMUNITY HEALTH FROM LURIE CHILDREN'S RESTRICTED AND UNRESTRICTED FUNDS AND AMOUNTS FROM OUR AUDITED FINANCIAL STATEMENTS ($21 MILLION) OFFSET BY DIRECT REVENUE OF ($3.8 MILLION). LINE 7F - THESE AMOUNTS ARE UNREIMBURSED MEDICAL EDUCATION COSTS OF $28 MILLION USING MEDICARE COST REPORTS INCLUDING TEACHING COSTS OFFSET BY A HRSA GRADUATE MEDICAL REIMBURSEMENT IN THE AMOUNT OF $3.4 MILLION. LINE 7G - THESE AMOUNTS SUPPORT THE COMMUNITY BY PROVIDING FINANCIAL ASSISTANCE TO PFF, LCMG, AHK, LCPC, CCE, AS WELL AS UPTOWN (MEDICAL HOME) AND DENTISTRY CLINIC. LINE 7H - TOTAL RESEARCH COSTS ARE DERIVED FROM THE MEDICARE COST REPORT AND SMCRI COST CENTERS LESS REVENUE AND LESS PHARMACEUTICAL ACTIVITIES. PART II N/A PART III, SECTION A, LINE 2 THE BAD DEBT REPORTED ON PART III, LINE 2 IS THE TOTAL AMOUNT OF ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO'S PROVISION FOR DOUBTFUL ACCOUNTS PER THE CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER AND AFFILIATED CORPORATIONS AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED AUGUST 31, 2020. PART III, SECTION A, LINE 3 THE PROVISION FOR FINANCIAL ASSISTANCE POLICY ALLOWS FOR ACCOUNTS IN BAD DEBT TO BE APPROVED FOR FINANCIAL ASSISTANCE IF THE PATIENT MEETS THE CRITERIA. THERE ARE POSSIBLE FINANCIAL ASSISTANCE ACCOUNTS IN BAD DEBT, ALTHOUGH THE EXACT PERCENTAGE IS UNKNOWN. PART III, SECTION A, LINE 4 PLEASE NOTE, SIMILAR TO FY 2019, WE DO NOT HAVE AN AFS FOOTNOTE FOR THE BAD DEBT CALCULATION FOR FY 2020. THE FOOTNOTES TO LURIE CHILDREN'S AUDITED FINANCIAL STATEMENTS DO NOT SPECIFICALLY ADDRESS BAD DEBT EXPENSE. LURIE CHILDREN'S DEFINES SELF-PAY AS BAD DEBT WHEN A FAMILY IS NOT ELIGIBLE FOR FINANCIAL ASSISTANCE AND DOES NOT PAY AN OUTSTANDING ACCOUNT BALANCE. EVEN WHEN A PATIENT IS NOT ELIGIBLE FOR FINANCIAL ASSISTANCE, OR ELIGIBILITY IS UNKNOWN, LURIE CHILDREN'S IS SENSITIVE TO THE FINANCIAL HEALTH OF ITS PATIENTS AND THEIR FAMILIES AND RECOGNIZES THAT FAMILY FINANCIAL CONCERNS MAY NOT ALWAYS BE SHARED. AT TIMES, A PATIENT MAY BE RELUCTANT TO COMPLETE A FINANCIAL ASSESSMENT TO DETERMINE THEIR ELIGIBILITY FOR CHARITY CARE. AS A RESULT, IT IS POSSIBLE THAT A PORTION OF BAD DEBT EXPENSE COULD REPRESENT PATIENTS WHO ARE UNABLE TO PAY AND MIGHT QUALIFY FOR FINANCIAL ASSISTANCE; HOWEVER, ACCURATE DATA TO ESTIMATE THIS AMOUNT IS UNAVAILABLE. LURIE CHILDREN'S IS COMMITTED TO MANAGING COLLECTION EFFORTS IN A SENSITIVE AND RESPECTFUL MANNER. IN THIS REGARD, LURIE CHILDREN'S SENDS A MINIMUM OF FOUR LETTERS/STATEMENTS TO THE FAMILIES BEFORE TAKING FURTHER ACTION. FOR HIGH BALANCE ACCOUNTS, THE HOSPITAL WILL ALSO ATTEMPT TO CONTACT THE PATIENT/FAMILY BY TELEPHONE. SHOULD THE HOSPITAL RECEIVE NO REPLY AFTER MULTIPLE ATTEMPTS TO CONTACT THE FAMILY, THE SELF-PAY BALANCES ARE SENT TO A COLLECTION AGENCY FOR FURTHER ACTION. WITH FEW EXCEPTIONS, LURIE CHILDREN'S DOES NOT CREDIT LIST ITS PATIENTS OR TAKE COURT ACTION IN ITS ATTEMPTS TO COLLECT THE OUTSTANDING BALANCES. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AT THE AMOUNT OF CHARGES WRITTEN OFF (NET OF CONTRACTUALS AND DISCOUNTS) IS PRESENTED AS A SEPARATE LINE ITEM ON THE FACE OF THE FINANCIAL STATEMENTS. BAD DEBT EXPENSE ON PART III, LINE 2 OF SCHEDULE H IS CALCULATED BASED ON AGING ACCOUNTS RECEIVABLE AND APPLYING HISTORICAL BAD DEBT PERCENTAGES. PART III, SECTION B, LINE 8 THE MEDICARE SHORTFALL HAS NOT BEEN TREATED AS COMMUNITY BENEFIT FOR FY 2020; HOWEVER, IT SHOULD BE BECAUSE THIS BURDEN WOULD FALL ON THE GOVERNMENT AND OTHER CHARITIES IF CARE WAS NOT PROVIDED BY LURIE CHILDREN'S HOSPITAL. PART III, SECTION B, LINE 9B COLLECTION POLICIES ARE THE SAME FOR ALL LURIE CHILDREN'S PATIENTS. IF AT ANY POINT IN THE COLLECTION PROCESS DOCUMENTATION IS RECEIVED THAT INDICATES THE PATIENT IS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE, BUT HAS NOT APPLIED FOR IT, THE ACCOUNT IS REFERRED BACK FOR A FINANCIAL ASSISTANCE REVIEW. THROUGH THE USE OF PAMPHLETS, SIGNAGE AND WEB SITE NOTICE, PATIENTS AND FAMILIES ARE NOTIFIED OF LURIE CHILDREN'S FINANCIAL ASSISTANCE POLICY. ON RECEIPT OF THE INFORMATION, WE WILL DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE AND NOTIFY THE PATIENT AS QUICKLY AS POSSIBLE. LURIE CHILDREN'S DOES NOT PURSUE COLLECTION OF AMOUNTS FROM PATIENTS WHO ARE BEING REVIEWED FOR FINANCIAL ASSISTANCE ELIGIBILITY OR WHO ARE DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE. IN ADDITION, ALL PATIENTS HAVING DIFFICULTY PAYING THEIR BILLS ARE DIRECTED TO FINANCIAL COUNSELORS. LURIE CHILDREN'S FINANCIAL COUNSELORS WILL WORK WITH PATIENTS TO HELP THEM TO QUALIFY FOR FINANCIAL ASSISTANCE OR GOVERNMENT PAYORS SUCH AS MEDICAID. AFTER IT IS DETERMINED THAT A PATIENT MEETS THE QUALIFICATIONS FOR THE FINANCIAL ASSISTANCE PROGRAM, THE ACCOUNT BALANCE IS EITHER PARTIALLY OR ENTIRELY WRITTEN OFF IN ACCORDANCE WITH LURIE CHILDREN'S FINANCIAL ASSISTANCE POLICY. IF THERE IS ANY REMAINING BALANCE, ONLY THAT BALANCE WOULD BE SUBJECT TO THE DEBT COLLECTION POLICY. IF A PATIENT HAS REQUESTED AND/OR FILLED OUT A FINANCIAL ASSISTANCE APPLICATION, ALL DEBT COLLECTION ACTIVITIES STOP UNTIL ELIGIBILITY FOR FINANCIAL ASSISTANCE CAN BE DETERMINED. LURIE CHILDREN'S POLICY PROVIDES THAT ONCE LURIE CHILDREN'S HAS RECEIVED THE NECESSARY DOCUMENTATION, IT WILL NOT REFER ANY ACCOUNTS FOR COLLECTION UNTIL IT CAN DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE.
Part VI, Line 2 NEEDS ASSESSMENT WHILE LURIE CHILDREN'S CONDUCTED ITS FORMAL CHNA REQUIRED UNDER SECTION 501(R) OF THE INTERNAL REVENUE CODE AND HAS ESTABLISHED ADVISORY COMMITTEES TO REVIEW THE HEALTH NEEDS OF THE COMMUNITY AND DEVELOP A CHNA REPORT, LURIE CHILDREN'S HAS ALSO UTILIZED OTHER MECHANISMS TO ASSESS THE HEALTH CARE NEEDS OF THE LARGER AND DIVERSE COMMUNITY IT SERVES IN A VARIETY OF WAYS. COMMUNITY NEEDS ARE IDENTIFIED BY THE LURIE CHILDREN'S BOARD OF DIRECTORS, AS WELL AS SEVERAL ADVISORY BOARDS WHICH ARE COMPRISED OF INDIVIDUALS FROM THE COMMUNITY SERVED, WHO ARE ACTIVE MEMBERS OF THE COMMUNITY AND ATTUNED TO COMMUNITY NEEDS. LURIE CHILDREN'S HAS A VERY ACTIVE FAMILY ADVISORY BOARD WHICH THE HOSPITAL RELIES UPON TO ASSIST IN MAKING DECISIONS ABOUT PROGRAMMING AND POLICIES. FAMILY ADVISORY BOARD MEMBERS, COMPRISED OF PARENTS OF CHILDREN WHO HAVE HAD EXTENSIVE INPATIENT AND OUTPATIENT EXPERIENCES AT THE HOSPITAL, ADVISE ADMINISTRATION AND MEDICAL LEADERSHIP ON PATIENT NEEDS AND HOSPITAL PRIORITIES FROM THE FAMILY PERSPECTIVE. FAMILY ADVISORY BOARD MEMBERS CONTRIBUTE THROUGH PARTICIPATION IN PLANNING, OPERATING AND POLICY COMMITTEES OF LURIE CHILDREN'S. SIMILARLY, THE KIDS' ADVISORY BOARD IS INTENDED TO GIVE A VOICE TO CHILDREN WHO HAVE BEEN TREATED AT THE HOSPITAL. THE KIDS' ADVISORY BOARD MAKES RECOMMENDATIONS ON ISSUES RELATED TO PATIENT CARE FROM THE PERSPECTIVE OF A CHILD, TEENAGER AND SIBLING OF A PATIENT. MOREOVER, LURIE CHILDREN'S HAS STRONG RELATIONSHIPS WITH OTHER NOT-FOR-PROFIT ORGANIZATIONS (SUCH AS HEALTH CLINICS AND SOCIAL SERVICE AGENCIES) AND COMMUNITY LEADERS WHO HELP IDENTIFY EXISTING COMMUNITY NEEDS AND WAYS TO ADDRESS SUCH NEEDS. LURIE CHILDREN'S IS ALSO A LEADER IN PEDIATRIC RESEARCH AIMED AT ADVANCEMENTS IN THE PREVENTION, DIAGNOSIS AND TREATMENT OF DISEASES THAT AFFECT THE DEVELOPMENT OF CHILDREN THROUGH ADOLESCENCE, AS WELL AS ADULT DISORDERS THAT DERIVE FROM THEM. STANLEY MANNE CHILDREN'S RESEARCH INSTITUTE (MANNE RESEARCH INSTITUTE) IS ONE OF A FEW INSTITUTIONS IN THE U.S. DEDICATED EXCLUSIVELY TO PEDIATRIC RESEARCH. THIS RESEARCH AIDS IN THE IDENTIFICATION OF UNMET NEEDS FACED BY THE COMMUNITY AND, IN PARTICULAR, THE CHILDREN LURIE CHILDREN'S IS PRIVILEGED TO SERVE. IN 2018, LURIE CHILDREN'S HOSPITAL AND THE CHICAGO DEPARTMENT OF PUBLIC HEALTH (CDPH) LAUNCHED "VOICES OF CHILD HEALTH IN CHICAGO" TO HEAR DIRECTLY FROM CHICAGO FAMILIES ABOUT THEIR MOST SIGNIFICANT CHILD HEALTH AND WELLNESS CONCERNS. THEY CONDUCTED A TELEPHONE SURVEY OF 3,310 ADULT CHICAGOANS IN 2017-2018 AND FOLLOW-UP SURVEYS OF 2,982 ADULTS IN CHICAGO IN 2018-2019 AND 4,517 ADULTS IN CHICAGO IN 2020. VOICES OF CHILD HEALTH IN CHICAGO ALSO LAUNCHED A PARENT PANEL SURVEY OF OVER 1,500 CHICAGO PARENTS TO POLL PARENTS ABOUT EMERGING PUBLIC HEALTH ISSUES IN A REPEATED FASHION. DATA FROM THESE SURVEYS HAS LED TO OVER 25 REPORT BRIEFS ON SPECIFIC TOPIC AREAS. BASED UPON ALL THESE VARIED ASSESSMENTS, LURIE CHILDREN'S, IN CONCERT WITH OTHERS IN THE COMMUNITY, STRIVES TO ADDRESS IDENTIFIED NEEDS WHICH IT IS POSITIONED TO ASSIST WITH, PARTICULARLY THOSE RELATED TO THE HEALTH AND WELL-BEING OF CHILDREN, THROUGH EDUCATION, RESEARCH AND PATIENT CARE PROGRAMS, IN KEEPING WITH ITS CHARITABLE MISSION AS A TAX-EXEMPT ENTITY. FOR SPECIFIC EXAMPLES OF COMMUNITY BUILDING ACTIVITIES OF LURIE CHILDREN'S, PLEASE SEE RESPONSE TO PART VI, LINE 5 BELOW. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE LURIE CHILDREN'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO THE PUBLIC AND PATIENTS FREQUENTLY AND IN MANY WAYS. NEW PATIENTS RECEIVE A WRITTEN NOTICE INFORMING THEM ABOUT LURIE CHILDREN'S FINANCIAL ASSISTANCE POLICY AND ARE REQUESTED TO SIGN A STATEMENT AT LEAST ANNUALLY CONFIRMING THAT THEY HAVE RECEIVED THIS POLICY. SIGNS ARE POSTED AT ALL AREAS OF REGISTRATION, LOBBIES, RECEPTION, CLINICAL AREAS, WAITING ROOMS AND THE EMERGENCY DEPARTMENT DIRECTING PATIENTS WHO HAVE NEED OF FINANCIAL ASSISTANCE TO CONTACT OUR FINANCIAL COUNSELORS. PAMPHLETS, DISTRIBUTED THROUGH THE HOSPITAL AND OTHER FACILITIES, TITLED "BILLING/FINANCIAL ASSISTANCE AND UNDERSTANDING YOUR BILL" PROVIDE INFORMATION ABOUT THE BILLS THAT THE PATIENTS CAN BE EXPECTED TO HAVE RECEIVED AND DIRECT PATIENTS WHO MAY NEED FINANCIAL ASSISTANCE TO CONTACT OUR FINANCIAL COUNSELORS. IN ADDITION, A LINK IS SHOWN ON LURIE CHILDREN'S WEBSITE ENTITLED "BILLING & FINANCIAL ASSISTANCE". CLICKING ON THIS LINK WILL TAKE SOMEONE TO THE HOSPITAL'S APPLICATION FORM AND INSTRUCTIONS. AVAILABILITY OF FINANCIAL ASSISTANCE IS ALSO NOTED ON THE FRONT AND BACK OF THE FIRST PAGE OF THE PATIENT BILLING STATEMENT. LURIE CHILDREN'S HAS FINANCIAL COUNSELORS WHO ARE TRAINED TO ASSIST AND ADVISE PATIENTS AS TO THE AVAILABILITY OF A VARIETY OF SOCIAL SERVICES AND RESOURCES, INCLUDING STATE MEDICAID, ALLKIDS (ANOTHER STATE INSURANCE PROGRAM AVAILABLE TO CHILDREN FROM FAMILIES WHOSE INCOME EXCEEDS THE THRESHOLDS FOR MEDICAID ELIGIBILITY) AND THE HOSPITAL'S CHARITABLE ASSISTANCE PROGRAM. THE HOSPITAL'S STAFF ACTIVELY ASSISTS INPATIENTS AND OUTPATIENT SURGERY PATIENTS WHO ARE ELIGIBLE FOR MEDICAID IN APPLYING FOR AND OBTAINING THESE BENEFITS. IN THE AMBULATORY CLINIC SETTING APPLICATIONS FOR ALLKIDS ARE PROVIDED TO PATIENTS. WHERE INDIVIDUALS ARE NOT ELIGIBLE FOR SUCH PROGRAMS AND THERE IS NEED FOR FINANCIAL ASSISTANCE, LURIE CHILDREN'S FINANCIAL COUNSELORS ASSIST PATIENTS AND FAMILIES IN APPLYING FOR CHARITABLE ASSISTANCE AVAILABLE FROM THE HOSPITAL. A PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE AT ANY TIME, INCLUDING AFTER APPLICABLE INSURANCE LIMITS MAY HAVE BEEN EXHAUSTED. PART VI, LINE 4 COMMUNITY INFORMATION LURIE CHILDREN'S IS UNIQUE IN THE COMMUNITY AND THE STATE OF ILLINOIS AS IT IS THE ONLY FREE-STANDING PEDIATRIC HOSPITAL IN THE STATE AND ITS TERTIARY SERVICES INCLUDES A LEVEL I TRAUMA CENTER AND LEVEL III NEONATAL NURSERY WHICH SERVES AS A REGIONAL REFERRAL CENTER FOR THE STATE OF ILLINOIS' PERINATAL NETWORK. IN ADDITION, FOR MORE THAN 60 YEARS, LURIE CHILDREN'S HAS SERVED AS THE PEDIATRIC TRAINING SITE FOR NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE, TRAINING RESIDENTS, MEDICAL STUDENTS AND FELLOWS WHO WILL COMPRISE THE NEXT GENERATION OF HEALTH CARE PROVIDERS. WHILE LURIE CHILDREN'S SERVES PATIENTS FROM ALL OVER THE STATE OF ILLINOIS AND ALL OTHER STATES AND 30 COUNTRIES, THE PRIMARY COMMUNITY SERVED BY LURIE CHILDREN'S IS CHILDREN FROM THE CHICAGO METROPOLITAN AREA, WITH THE PRIMARY SERVICE AREA DEFINED AS BEING THE CITY OF CHICAGO AND COOK, DUPAGE, KANE, KENDALL, LAKE, MCHENRY AND WILL COUNTIES IN ILLINOIS. APPROXIMATELY HALF OF THE INPATIENTS TO THE HOSPITAL LIVE WITHIN 10 MILES OF THE HOSPITAL AND MORE THAN HALF OF OUTPATIENTS RESIDE WITHIN 10 MILES. APPROXIMATELY HALF OF THE PATIENTS TREATED BY THE HOSPITAL IN FISCAL YEAR 2020 WERE MEDICAID RECIPIENTS. LURIE CHILDREN'S IS THE LARGEST PROVIDER OF MEDICAID PEDIATRIC SERVICES IN THE STATE OF ILLINOIS. ACCORDING TO THE MOST RECENT U.S. CENSUS BUREAU DATA, 20.1% OF FAMILIES WITH RELATED CHILDREN UNDER AGE 18 ARE BELOW THE U.S. POVERTY LEVEL. PATIENT DEMOGRAPHICS ARE DIVERSE AND INCLUDE A LARGE NUMBER OF FAMILIES WHOSE PRIMARY LANGUAGE IS NOT ENGLISH, DEMONSTRATED BY THE FACT THAT LURIE CHILDREN'S SPENT OVER $1 MILLION IN TRANSLATION SERVICES IN FY2020. INTERPRETERS ASSISTED COMMUNICATION BETWEEN FAMILIES AND PROVIDERS AND CLINICIANS TO SUPPORT EQUAL ACCESS TO ALL LIMITED ENGLISH PROFICIENT FAMILIES. THE INTERPRETING MODALITIES UTILIZED WERE STAFF INTERPRETERS, PHONE INTERPRETATION (~200 LANGUAGES ON DEMAND) AVAILABLE VIA ANY HOSPITAL PHONE, VIDEO/VOICE INTERPRETATION AVAILABLE THROUGHOUT THE ORGANIZATION ON DESIGNATED DEVICES, AS WELL AS CONTRACTED INTERPRETERS FOR COMPLEX AND CRITICAL COMMUNICATION.
PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH LURIE CHILDREN'S INVESTS SIGNIFICANT RESOURCES EACH YEAR TO BUILD AND PROMOTE THE GENERAL HEALTH OF THE COMMUNITY IT SERVES. LURIE CHILDREN'S ENGAGES IN A BROAD SPECTRUM OF ACTIVITIES IN FURTHERANCE OF ITS MISSION TO PROVIDE HEALTH CARE, RESEARCH, TEACHING AND ADVOCACY FOR THE PROMOTION OF CHILDREN'S WELL-BEING. LURIE CHILDREN'S IS A LEADER IN PROVIDING NECESSARY HEALTH CARE SERVICES AS WELL AS EDUCATION AND ADVOCACY ABOUT IMPORTANT ISSUES AFFECTING CHILDREN. LURIE CHILDREN'S IS A LEADER IN PEDIATRIC RESEARCH, INCLUDING CLINICAL RESEARCH AIMED AT PROMOTING THE HEALTH AND WELL-BEING OF CHILDREN IN THE COMMUNITY. LURIE CHILDREN'S PARTNERS WITH MANY COMMUNITY PROGRAMS INTENDED TO PROVIDE ACCESS TO HEALTH-RELATED SERVICES, HEALTH EDUCATION, INJURY PREVENTION AND ADVOCACY FOR IMPORTANT INITIATIVES TO IMPROVE CHILDREN'S HEALTH. LURIE CHILDREN'S ALSO SPENDS SIGNIFICANT RESOURCES TOWARD GRADUATE MEDICAL EDUCATION, PROVIDING SPECIALIZED TRAINING IN PEDIATRIC SPECIALTY MEDICINE, INCLUDING SPECIALTY AREAS WHERE THERE ARE SEVERE SHORTAGES OF CLINICIANS AND FEW GRADUATES EACH YEAR. THE FOLLOWING ARE EXAMPLES OF SOME OF LURIE CHILDREN'S COMMUNITY HEALTH INITIATIVES BEYOND THOSE ADDRESSED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN REVIEWED ABOVE: LURIE CHILDREN'S OPERATES A PRIMARY CARE CLINIC IN CHICAGO'S UPTOWN NEIGHBORHOOD, PROVIDING NEEDED PRIMARY CARE SERVICES, INCLUDING CHECK-UPS, BACK-TO-SCHOOL AND SPORTS PHYSICALS, IMMUNIZATIONS, VISION AND HEARING SCREENING AND SICK-CHILD CARE BY PEDIATRIC STAFF RESIDENTS, SUPERVISED BY ATTENDING PHYSICIANS. LURIE CHILDREN'S ALSO HAS ESTABLISHED COLLABORATIONS WITH COMMUNITY RESOURCES AND AGENCIES, INCLUDING CHICAGO PUBLIC SCHOOLS FOR VARIOUS PROGRAMS TO SUPPORT HIV-AFFECTED CHILDREN ATTENDING SCHOOL, ASSISTING CHILDREN WITH COCHLEAR IMPLANTS IN RE-ENTERING SCHOOL AND SUPPORTING CHILDREN WITH EPILEPSY WHO ATTEND CHICAGO PUBLIC SCHOOLS AND SUBURBAN SCHOOLS. IN ADDITION, LURIE CHILDREN'S COLLABORATES WITH THE DIVISION OF SPECIALIZED CARE FOR CHILDREN AS A MEANS TO MEET IDENTIFIED NEEDS IN THE PATIENTS IT SERVES. THE INJURY PREVENTION AND RESEARCH CENTER (IPRC) AT LURIE CHILDREN'S STRIVES TO EDUCATE THE PUBLIC ABOUT INJURY PREVENTION, IMPROVE PUBLIC POLICY AND FOSTER PROTECTIVE ENVIRONMENTS FOR CHILDREN, WHILE COORDINATING ALL INJURY PREVENTION INITIATIVES AT LURIE CHILDREN'S. LURIE CHILDREN'S PROVIDES EDUCATION ON CAR SEAT SAFETY AND PROVIDES CAR SEATS TO PATIENTS WHO DO NOT HAVE THE MEANS TO PURCHASE A CAR SEAT FOR THEIR CHILD. LURIE CHILDREN'S ALSO EDUCATES AND ADVOCATES FOR PREVENTION OF CHILDHOOD INJURIES, INCLUDING INJURY PREVENTION IN CHILDREN (PARTICULARLY UNINTENTIONAL INJURIES SUCH AS PREVENTION OF FALLS, PLAYGROUND SAFETY AND BUTTON BATTERIES), AND IS A LEADER IN ISSUES RELATED TO EARLY HIV TESTING FOR NEWBORNS. THE HOSPITAL DEVOTES SIGNIFICANT RESOURCES TO FAMILY SUPPORT SERVICES WHICH INCLUDE SOCIAL WORK, PASTORAL CARE, PARENT EDUCATION AND OTHER FAMILY AMENITIES TO ADDRESS EMOTIONAL, SOCIAL AND SPIRITUAL NEEDS OF HOSPITALIZED CHILDREN AND THEIR FAMILIES. OTHER INFORMATION: THE LURIE CHILDREN'S MISSION IS TO PROVIDE PEDIATRIC HEALTH CARE, RESEARCH, TEACHING AND ADVOCACY FOR ISSUES RELATED TO CHILDREN. LURIE CHILDREN'S GOVERNING BOARD AND VARIOUS ADVISORY BOARDS (FAMILY ADVISORY BOARD, KIDS' ADVISORY BOARD AND COMMUNITY ADVISORY BOARDS) COMPRISE VOLUNTEERS FROM THE COMMUNITY WHO HAVE KNOWLEDGE OF THE COMMUNITY AND A BROAD RANGE OF EXPERTISE. THE HOSPITAL PROVIDES MORE PEDIATRIC PATIENT CARE THAN ANY OTHER HOSPITAL IN ILLINOIS IN NEARLY EVERY PEDIATRIC AND SURGICAL SPECIALTY. LURIE CHILDREN'S OPERATES A 24-HOUR, 7 DAY-PER-WEEK PEDIATRIC EMERGENCY ROOM, INCLUDING A LEVEL I TRAUMA CENTER AND LEVEL III NEONATAL NURSERY THAT SERVES AS A REGIONAL REFERRAL CENTER FOR THE STATE OF ILLINOIS' PERINATAL NETWORK. THE HOSPITAL IS THE LARGEST PROVIDER OF MEDICAID SERVICES TO ILLINOIS CHILDREN. THE HOSPITAL'S PEDIATRIC PHYSICIAN SPECIALISTS PROVIDE MORE SERVICES TO CHILDREN INSURED BY THE STATE OF ILLINOIS' INSURANCE PROGRAM THAN ANY OTHER PROVIDER. THE HOSPITAL'S ABILITY TO TREAT THE MOST CRITICALLY ILL INFANTS IS DEMONSTRATED BY THE FACT THAT IN FISCAL YEAR 2020, OVER HALF OF ALL TRANSPORTS INTO ITS NEONATAL INTENSIVE CARE UNIT WERE FROM OTHER LEVEL III NURSERIES IN Illinois. IN FISCAL YEAR 2020, LURIE CHILDREN'S SERVED MORE THAN 221,400 PATIENTS FROM THE STATE OF ILLINOIS AND ELSEWHERE IN 70 PEDIATRIC SPECIALTIES OFFERED BY THE HOSPITAL. IN KEEPING WITH ITS TAX EXEMPT PURPOSES, SURPLUS FUNDS OF THE HOSPITAL ARE UTILIZED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND OR IMPROVE ITS FACILITIES AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH PROGRAMS. IN FY 2012, LURIE CHILDREN'S COMPLETED CONSTRUCTION OF A NEW, MODERN HOSPITAL FACILITY LOCATED ON THE CAMPUS OF NORTHWESTERN UNIVERSITY'S FEINBERG SCHOOL OF MEDICINE (NUFSM), DESIGNED TO PROVIDE THE HIGHEST QUALITY MEDICAL CARE, BETTER SERVE PATIENTS AND FAMILIES AND ENHANCE THE ABILITY TO RECRUIT HIGH QUALITY PHYSICIAN FACULTY TO PROVIDE CLINICAL SERVICES, CONDUCT RESEARCH AND TRAIN RESIDENTS AND FELLOWS. AMONG THE KEY DESIGN FEATURES AIMED AT IMPROVING THE CARE AND PRIVACY OF PEDIATRIC PATIENTS IS PRIVATE PATIENT ROOMS. FURTHER, THE KIDS' ADVISORY BOARD AND FAMILY ADVISORY BOARD WERE ACTIVELY INVOLVED IN MAKING SUGGESTIONS ABOUT THE DESIGN OF THE NEW HOSPITAL FROM THE PERSPECTIVE OF PATIENTS AND FAMILIES AND THE NEW HOSPITAL REFLECTS MANY OF THEIR INSIGHTFUL RECOMMENDATIONS. LURIE CHILDREN'S ALSO INCREASES ACCESS TO ITS SERVICES BY OPERATING NUMEROUS OUTPATIENT SPECIALTY CLINICS IN VARIOUS LOCATIONS THROUGHOUT THE CHICAGO METROPOLITAN AREA, CONVENIENT FOR PATIENTS AND FAMILIES TO ACCESS THE SCARCE, PEDIATRIC SPECIALTY AND SUB-SPECIALTY SERVICES THAT WOULD NOT OTHERWISE BE IMMEDIATELY AVAILABLE. LURIE CHILDREN'S ALSO PROVIDES PHYSICIAN AND ADVANCED PRACTICE PROVIDER COVERAGE THROUGH NEONATOLOGISTS, PEDIATRIC INTENSIVISTS, PEDIATRIC HOSPITALISTS AND PEDIATRIC EMERGENCY MEDICINE PHYSICIANS AND NEONATAL NURSE PRACTITIONERS/ADVANCED PRACTICE NURSES AT 15 OTHER HOSPITALS LOCATED IN CHICAGO AS WELL AS THE SUBURBAN AREAS. IN FY 2020, LURIE CHILDREN'S PROVIDED THESE SERVICES TO NORTHWESTERN MEDICINE PRENTICE WOMEN'S HOSPITAL, NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL, NORTHWESTERN MEDICINE DELNOR HOSPITAL, NORTHWESTERN MEDICINE HUNTLEY HOSPITAL, NORTHWESTERN MEDICINE LAKE FOREST HOSPITAL, SHIRLEY RYAN ABILITY LAB, NORTHWEST COMMUNITY HOSPITAL, AMITA HEALTH MERCY MEDICAL CENTER AURORA, MERCY HOSPITAL & MEDICAL CENTER, SILVER CROSS HOSPITAL, SWEDISH COVENANT HOSPITAL, NORWEGIAN AMERICAN HOSPITAL, WEST SUBURBAN MEDICAL CENTER, AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE, AND LA RABIDA CHILDREN'S HOSPITAL, A SPECIALTY CHILDREN'S HOSPITAL IN CHICAGO SERVING CHILDREN WITH CHRONIC MEDICAL CONDITIONS. THESE SPECIALIZED SERVICES WOULD NOT OTHERWISE BE READILY AVAILABLE. LURIE CHILDREN'S IS INVOLVED WITH NUMEROUS PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS AND LEADERS TO PROMOTE THE HEALTH AND WELL-BEING OF THE CHILDREN IT SERVES. LURIE CHILDREN'S ALSO SERVES AS A MAJOR ACADEMIC TERTIARY CARE MEDICAL CENTER AND SERVES AS THE PRIMARY PEDIATRIC PRACTICE SITE FOR NUFSM AND PROVIDES THE CLINICAL TRAINING FOR NUFSM'S RESIDENT PHYSICIANS, FELLOWS AND MEDICAL STUDENTS IN PEDIATRIC SPECIALTIES AND SUB-SPECIALTIES. EACH YEAR, THE LURIE CHILDREN'S DEPARTMENT OF PEDIATRICS TRAINS OVER 200 PHYSICIANS. ALMOST HALF ARE PEDIATRIC RESIDENTS AND THE REMAINDER ARE FELLOWS IN VARIOUS PEDIATRIC SUB-SPECIALTIES INCLUDING CARDIOLOGY, HEMATOLOGY/ONCOLOGY AND NEONATOLOGY. IN ADDITION, THE LURIE CHILDREN'S DEPARTMENT OF SURGERY PROVIDES FORMAL RESIDENT EDUCATION TO NUFSM IN EACH OF ITS TEN DIVISIONS AND TRAINS ROTATING RESIDENTS FROM VARIOUS OTHER MEDICAL SCHOOLS. AMONG THE TRAINING OPPORTUNITIES FOR RESIDENTS, SUPERVISED BY ATTENDING PHYSICIANS, IS TO PROVIDE PRIMARY CARE AT THE UPTOWN CLINIC IN CHICAGO, WHERE PRIMARY CARE PEDIATRIC SERVICES ARE PROVIDED. THESE PRIMARY SERVICES WOULD NOT OTHERWISE BE AVAILABLE TO THE PATIENTS TREATED AT THE SITE. IN ADDITION TO TRAINING MEDICAL STUDENTS, RESIDENTS AND FELLOWS OF NUFSM AND OTHER INSTITUTIONS, LURIE CHILDREN'S OFFERS CLINICAL EXPERIENCES IN PEDIATRICS TO NURSING STUDENTS AND STUDENTS IN OTHER ALLIED HEALTH FIELDS. STUDENTS IN CLINICAL PLACEMENTS MUST BE CANDIDATES FOR A DEGREE IN THEIR PARTICULAR FIELD OF STUDY. LURIE CHILDREN'S IS AFFILIATED WITH approximately 20 NURSING TRAINING PROGRAMS. THE HOSPITAL HAS AN OPEN MEDICAL STAFF, COMPRISING PEDIATRICIANS AND PEDIATRIC SPECIALISTS WHOSE PRACTICE IS BASED AT LURIE CHILDREN'S AS WELL AS COMMUNITY-BASED PEDIATRICIANS. THE OUTBREAK OF THE NOVEL CORONAVIRUS (COVID-19) PANDEMIC IN EARLY 2020 WARRANTED AN UNPRECEDENTED RESPONSE BY FEDERAL, STATE AND LOCAL AUTHORITIES. TO REDUCE THE SPREAD OF THE DISEASE A PUBLIC HEALTH EMERGENCY WAS DECLARED. ON MARCH 21, 2020, THE GOVERNOR OF ILLINOIS ISSUED A STAY-AT-HOME ORDER (EXECUTIVE ORDER 2020-10), WHICH STATED
Part VI, Line 6 AFFILIATED HEALTHCARE SYSTEM LURIE CHILDREN'S EMPLOYS, THROUGH AFFILIATED FACULTY PRACTICE PLANS ENTITIES, PEDIATRIC SPECIALISTS AND SUB-SPECIALISTS WHO PROVIDE PATIENT CARE AT LOCATIONS IN CHICAGO AND THE SURROUNDING COMMUNITIES. IN ACCORDANCE WITH THE MISSION OF LURIE CHILDREN'S, THESE PHYSICIAN GROUPS PROVIDE MORE SERVICES TO MEDICAID PATIENTS THAN ANY OTHER PHYSICIAN PROVIDERS IN ILLINOIS. IN CONNECTION WITH THEIR EXTENSIVE TREATMENT OF MEDICAID PATIENTS, IN FISCAL YEAR 2020, THESE PHYSICIAN AFFILIATES WERE PAID $87.5 MILLION LESS THAN THE ACTUAL COSTS OF PROVIDING THE SERVICES. IN ADDITION, LURIE CHILDREN'S, THROUGH ITS AFFILIATE, STANLEY MANNE CHILDREN'S RESEARCH INSTITUTE, PERFORMS RESEARCH AIMED AT ADVANCEMENTS IN THE PREVENTION, DIAGNOSIS AND TREATMENT OF DISEASES THAT AFFECT THE DEVELOPMENT OF CHILDREN THROUGH ADOLESCENCE AS WELL AS ADULT DISORDERS THAT DERIVE FROM THEM. STANLEY MANNE CHILDREN'S RESEARCH INSTITUTE, ONE OF A FEW INSTITUTIONS IN THE U.S. DEDICATED EXCLUSIVELY TO PEDIATRIC RESEARCH, OPERATES, IN PART, IN A FIVE-STORY, 125,000 SQUARE FOOT STATE-OF-THE-ART LABORATORY AND RESEARCH ADMINISTRATION FACILITY AS WELL AS IN THE HOSPITAL AND THE CAMPUS OF NORTHWESTERN UNIVERSITY. STANLEY MANNE CHILDREN'S RESEARCH INSTITUTE RESEARCH ENCOMPASSES BASIC RESEARCH STUDIES AS WELL AS THOSE WITH POTENTIAL CLINICAL APPLICATIONS. THE ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO FOUNDATION ("LURIE CHILDREN'S FOUNDATION"), ANOTHER AFFILIATE OF LURIE CHILDREN'S, IS RESPONSIBLE FOR FUNDRAISING FOR THE HOSPITAL AND ITS AFFILIATED TAX-EXEMPT ORGANIZATIONS. THESE PHILANTHROPIC DOLLARS SUPPORT THE PROGRAMS IN FURTHERANCE OF THE HOSPITAL'S MISSION AND BENEFITING THE COMMUNITY SERVED. SEE THE TAX INFORMATION RETURN OF LURIE CHILDREN'S FOUNDATION, EIN 36-3357006 FOR ADDITIONAL INFORMATION. IN CONNECTION WITH ITS RELATIONSHIP WITH NUFSM, LURIE CHILDREN'S IS A MEMBER INSTITUTION OF THE MCGAW MEDICAL CENTER OF NORTHWESTERN UNIVERSITY (MCGAW). MCGAW IS AN ILLINOIS NOT-FOR-PROFIT CORPORATION, EXEMPT FROM FEDERAL INCOME TAXATION PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MCGAW IS A CHARITABLE AND EDUCATIONAL CONSORTIUM OF FOUR INDEPENDENT HOSPITALS AND NUFSM. THE GOAL OF MCGAW IS TO FACILITATE EDUCATION AND COORDINATE NUFSM MEDICAL RESIDENCY AND FELLOWSHIP PROGRAMS AMONG THE MEMBER INSTITUTIONS: LURIE CHILDREN'S, NORTHWESTERN MEMORIAL HOSPITAL, NUFSM AND THE SHIRLEY RYAN ABILITYLAB. MCGAW MANAGES THE TRAINING OF HUNDREDS OF RESIDENT-LEVEL TRAINEES AND TRAINEES AT THE FELLOW LEVEL. OF THOSE, LURIE CHILDREN'S IS THE PRIMARY TEACHING SITE FOR APPROXIMATELY 100 PEDIATRIC RESIDENTS AND 100 PEDIATRIC SUBSPECIALTY FELLOWS. IN ADDITION, TRAINEES FROM THE ADULT PROGRAMS OF MCGAW ROTATE TO LURIE CHILDREN'S FOR VARYING LENGTHS OF TIME TO FULFILL THE PEDIATRIC COMPONENT OF THEIR TRAINING PROGRAMS. PART VI, 7 STATE FILING OF COMMUNITY BENEFIT REPORT LURIE CHILDREN'S FILES ITS ANNUAL COMMUNITY BENEFIT REPORT IN ILLINOIS.
Schedule H (Form 990) 2019
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