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
2020
Open to Public Inspection
Name of the organization
Northwestern Memorial HealthCare Group
 
Employer identification number

36-4724966
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
 
No
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
 
 
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) . . . 		    90,856,855 10,966,494 79,890,361 1.11 %
b Medicaid (from Worksheet 3, column a) . . . . .     699,374,665 405,553,029 293,821,636 4.09 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .         0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 790,231,520 416,519,523 373,711,997 5.21 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     7,557,262   7,557,262 0.11 %
f Health professions education (from Worksheet 5) . . .     93,907,374 17,617,230 76,290,144 1.06 %
g Subsidized health services (from Worksheet 6) . . . .     40,309,208   40,309,208 0.56 %
h Research (from Worksheet 7) .     61,235,249   61,235,249 0.85 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     6,726,602   6,726,602 0.09 %
j Total. Other Benefits . . 0 0 209,735,695 17,617,230 192,118,465 2.68 %
k Total. Add lines 7d and 7j . 0 0 999,967,215 434,136,753 565,830,462 7.88 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
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         0 0 %
2 Economic development         0 0 %
3 Community support         0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members		         0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy         0 0 %
8 Workforce development     3,895,301   3,895,301 0.05 %
9 Other         0 0 %
10 Total 0 0 3,895,301 0 3,895,301 0.05 %
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
Yes
 
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
22,870,794
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
 
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
1,956,109,868
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
2,548,085,491
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-591,975,623
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 %
1Kishwaukee Area PHO
  		Credentialing & Managed Care 66.67 %   33.33 %
2Lake Forest Managed Care Association
  		Credentialing & Managed Care 50 %   50 %
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
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?9Name, 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 Northwestern Memorial Hospital
251 E Huron
Chicago,IL60611
www.nmh.org
0003251 		X X   X   X X      
2 NORTHWESTERN LAKE FOREST HOSPITAL
1000 N WESTMORELAND ROAD
LAKE FOREST,IL60045
WWW.LFH.ORG
0005660 		X X   X     X      
3 CENTRAL DUPAGE HOSPITAL ASSOCIATION
25 N WINFIELD ROAD
WINFIELD,IL60190
WWW.CADENCEHEALTH.ORG
0005744 		X X   X     X      
4 DELNOR-COMMUNITY HOSPITAL
300 RANDALL ROAD
GENEVA,IL60134
WWW.CADENCEHEALTH.ORG
0005736 		X X   X     X      
5 NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL
1 KISH HOSPITAL DR
DEKALB,IL60115
0005470 		X X         X      
6 Northwestern Medicine Valley West Hospital
1302 N Main Street
Sandwich,IL60548
www.kishhealth.org
0004690 		X X     X   X      
7 Marianjoy Rehabilitation Hospital
26 W 171 Roosevelt Rd
Wheaton,IL60187
www.marianjoy.org
0003228 		X     X         Rehabilitation Svcs  
8 NORTHERN ILLINOIS MEDICAL CENTER
4201 MEDICAL CENTER DRIVE
MCHENRY,IL60050
WWW.NM.ORG
0003889 		X X   X     X      
9 PALOS COMMUNITY HOSPITAL
12251 S 80TH AVENUE
PALOS HEIGHTS,IL60463
WWW.NM.ORG
0003210 		X X         X      
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
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)
Northwestern Memorial Hospital
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 18
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 Yes  
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 Yes  
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): https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment
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) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Northwestern Memorial Hospital
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
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
b
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
Northwestern Memorial Hospital
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) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
Northwestern Memorial Hospital
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) 2020
Schedule H (Form 990) 2020
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)
NORTHWESTERN LAKE FOREST HOSPITAL
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): 		2
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 18
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 Yes  
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): https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment
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) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
NORTHWESTERN LAKE FOREST HOSPITAL
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
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
b
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
NORTHWESTERN LAKE FOREST HOSPITAL
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) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
NORTHWESTERN LAKE FOREST HOSPITAL
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) 2020
Schedule H (Form 990) 2020
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)
CENTRAL DUPAGE HOSPITAL ASSOCIATION
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): 		3
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 20
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 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment
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) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
CENTRAL DUPAGE HOSPITAL ASSOCIATION
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
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
b
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
CENTRAL DUPAGE HOSPITAL ASSOCIATION
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) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
CENTRAL DUPAGE HOSPITAL ASSOCIATION
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) 2020
Schedule H (Form 990) 2020
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)
DELNOR-COMMUNITY HOSPITAL
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): 		4
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 20
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 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment
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) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
DELNOR-COMMUNITY HOSPITAL
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
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
b
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
DELNOR-COMMUNITY HOSPITAL
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) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
DELNOR-COMMUNITY HOSPITAL
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) 2020
Schedule H (Form 990) 2020
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)
NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL
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): 		5
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 20
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 Yes  
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 Yes  
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 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment
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) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL
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
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
b
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL
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) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL
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) 2020
Schedule H (Form 990) 2020
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)
Northwestern Medicine Valley West Hospital
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): 		6
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 20
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 Yes  
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 Yes  
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 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment
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) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Northwestern Medicine Valley West Hospital
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
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
b
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
Northwestern Medicine Valley West Hospital
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) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
Northwestern Medicine Valley West Hospital
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) 2020
Schedule H (Form 990) 2020
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)
Marianjoy Rehabilitation Hospital
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): 		7
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 20
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 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment
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) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Marianjoy Rehabilitation Hospital
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
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
b
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
Marianjoy Rehabilitation Hospital
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) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
Marianjoy Rehabilitation Hospital
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) 2020
Schedule H (Form 990) 2020
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)
NORTHERN ILLINOIS MEDICAL CENTER
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): 		8
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 Yes  
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 Yes  
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 20
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment#tabs_accord
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) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
NORTHERN ILLINOIS MEDICAL CENTER
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
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
b
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
NORTHERN ILLINOIS MEDICAL CENTER
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) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
NORTHERN ILLINOIS MEDICAL CENTER
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) 2020
Schedule H (Form 990) 2020
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)
PALOS COMMUNITY HOSPITAL
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): 		9
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 Yes  
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 20
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): https://www.nm.org/about-us/community-initiatives/community-health-needs-assessment
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) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
PALOS COMMUNITY HOSPITAL
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
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
b
https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
PALOS COMMUNITY HOSPITAL
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) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
PALOS COMMUNITY HOSPITAL
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) 2020
Schedule H (Form 990) 2020
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
Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - Northwestern Memorial Hospital. The CHNA report also describes Northwestern Memorial Hospital's CHNA goals and objectives, public dissemination plan, and development of the Implementation Plan.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. The hospital facility took into account input from persons who represent the community, including uninsured persons, low-income persons and minority groups, through community input surreys, community focus groups, healthcare and social service provider focus groups, and stakeholder assessments. Community input surveys collected input from 1,593 individuals 18 or older living in the NMH Community Service Area. Surveys were available on paper and online and were disseminated in four different languages. Questions assessed demographics, the health of the community, community strengths, opportunities for improvement and priority health needs. Surveys were targeted at priority populations, those typically underrepresented in assessment processes, including communities of color, immigrants, LGBTQ+ community members, individuals with disabilities and low-income communities. Community focus groups included 36 discussion sessions held within the NMH Community Service Area. Focus groups took place with priority populations, such as veterans, individuals living with mental illness, communities of color, older adults, caregivers, teens and young adults, LGBTQ+ community members, adults and teens experiencing homelessness, families with children, faith communities, adults with disabilities, and children and adults living with chronic conditions such as diabetes and asthma. Healthcare and social service provider focus groups assessed community leaders and healthcare providers, including faith leaders, immigrant service providers and hospitals. Stakeholder assessments evaluated trends, factors and events that currently affect or are anticipated to affect the public health system and included an assessment of the public health system's capacity to advance health equity. To ensure that organizations impacting health in the NMH community service area were meaningfully engaged in interpreting the findings of the CHNA, prioritizing the identified needs, and forming a collaborative plan to address priority needs, the Community Health Council was established and maintained, and the following community stakeholders were formally engaged: 1. Bright Star Community Outreach 2. Chicago Public Library 3. CommunityHealth 4. Erie Family Health Centers 5. Kelly Hall YMCA 6. Near North Health Services Corporation 7. Neighborhood Housing Services 8. Northwestern University's Alliance for Research in Chicagoland Communities 9. Salvation Army Freedom Center 10. West Humboldt Park Development Council
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. NMH worked in tandem with the Alliance for Health Equity (AHE) which is made up of 37 hospitals and local health departments. Collectively, this group of hospitals worked to collaboratively assess community needs. Specific needs of the NMH Community Service Area were identified and prioritized separately. Hospital facilities included: 1. Advocate Aurora Children's Hospital 2. Advocate Aurora Christ Medical Center 3. Advocate Aurora Illinois Masonic Medical Center 4. Advocate Aurora Lutheran General Hospital 5. Advocate Aurora South Suburban Hospital 6. Advocate Aurora Trinity Hospital 7. AMITA Adventist Medical Center La Grange 8. AMITA Alexian Brothers Medical Center, Elk Grove Village 9. AMITA Holy Family Medical Center 10. AMITA Resurrection Medical Center 11. AMITA St. Alexius Medical Center and Alexian Brothers Behavioral Health Hospital 12. AMITA Saint Francis Hospital 13. AMITA Saint Joseph Hospital 14. AMITA Saints Mary and Elizabeth Medical Center 15. Ann & Robert H. Lurie Children's Hospital of Chicago 16. The Loretto Hospital 17. Loyola Medicine- Gottlieb Memorial Hospital 18. Loyola Medicine- Loyola University Medical Center 19. Loyola Medicine- MacNeal Hospital 20. Mercy Hospital & Medical Center 21. Northwestern Memorial Hospital 22. Norwegian American Hospital 23. Palos Community Hospital 24. Roseland Community Hospital 25. Rush Oak Park 26. Rush University Medical Center 27. Sinai Health System- Holy Cross Hospital 28. Sinai Health System- Mount Sinai Hospital 29. Sinai Health System- Schwab Rehabilitation Hospital 30. South Shore Hospital 31. Swedish Covenant Hospital 32. University of Chicago Medicine 33. University of Chicago Medicine- Ingalls Memorial Hospital 34. Cook County Health- Stroger Hospital 35. Cook County Health- Provident Hospital 36. University of Illinois Hospital and Health Sciences System
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. NMH worked in tandem with the Alliance for Health Equity (AHE) which is made up of 37 hospitals and local health departments. Collectively, this group of hospitals worked to collaboratively assess community needs. Specific needs of the NMH Community Service Area were identified and prioritized separately. Other organizations included: 1. Chicago Department of Public Health 2. Cook County Department of Public Health 3. Evanston Health and Human Services Department 4. Village of Skokie Health Department
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also shared with the following: 1. Key community organizations 2. Northwestern University Institute of Public Health and Medicine 3. Northwestern Medicine Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Northwestern Memorial Hospital. Through the tax year 2019-2022 prioritization process and implementation plan, NMH identified four Priority Health Needs: Access to Health Care and Community Resources; Structural Inequities; Violence and Community Safety; and Workforce Development and Economic Vitality. NMH identified health needs that would be best addressed through a coordinated response from a range of healthcare and community resources. Specific ways in which NMH is addressing the significant needs identified in its most recently conducted CHNA are defined as follows: Priority Need 1: Access to Health Care and Community Resources 1.1: Behavioral Health Resources. Improve access to mental and behavioral health resources through the expansion of community-based programs such as Calm Classroom and Mental Health First Aid trainings. In 2020 - 2021, NMH's community partner Kelly Hall YMCA had intentions to implement an art therapy program for youth impacted by trauma with funding provided by NMH. Due to COVID-19 restrictions and constraints, they were not able to bring the program to fruition. 1.2: Clinical Community Relationships. Develop a Health System level approach to better serve uninsured and underinsured patients through clinical community relationships. In 2020-2021, NMH participated in a systemwide initiative to align its clinical community partnerships in order to help ensure access to health care for under and uninsured individuals, as well as support teaching needs. As part of this initiative, a standard evaluation process, analytical process, approach for relationship development and management, legal partnership agreement, and playbook for operationalizing new or expanded relationships were developed. In August 2021, NMH expanded its clinical partnerships and entered into a new relationship with a Federally Qualified Health Center (FQHC), the Inner-City Muslim Action Network. 1.3: Education-Centered Medical Home (ECMH): Community Engagement Project. Establish a Community Engagement Program together with Northwestern University Feinberg School of Medicine that aligns ECMH community health projects with priority health needs identified through the NMH CHNA. Although COVID-19 continues to disrupt group learning opportunities, ECMH was able to launch the first iteration of our Community Health Advocacy Initiative (CHAI) projects. The goal of CHAI is to provide medical students with the knowledge and skills needed to improve the health of patients in the context of their larger community. The knowledge learning objectives include understanding the impact of the social and built environment, access to care, and forces and systems on patient health as well as understanding the role of hospitals in improving community health. The skill learning objectives include being able to locate sources of community health data, perform a patient social needs assessment, identify community resources to address patient's identified social needs, learning how to partner with others to improve community health, acquiring advocacy skills to improve health at the individual, community, and policy levels, and to apply knowledge and skills to improve community health through experiential learning. The long-term goal is for each ECMH to implement an authentic, meaningful community project. Each student developed a CHAI Project Proposal and the ECMH group then chose one of the 4 individual project ideas for next year's efforts. Once they agreed upon a topic, the group followed a step wise plan. They first identified and analyzed sources of community health data for planning CHAI project, then created a plan to address the community health problems, and lastly developed an evaluation plan to address the community health problem. The groups have been successful in the first iteration of their projects. Example project topics include "Increasing Medicaid enrollment among newly-eligible immigrant seniors", "Improving dietary self-management for patients with diabetes", and "Decreasing accidental firearm injuries". Each ECMH is in the midst of these plans. Once completed they will be assessed, and we will gather feedback from the students and ECMH sites to refine the process for next year 2022-23. 1.4: Social Determinants of Health (SDOH) Plan. Implement an electronic tool that is integrated with NMH's electronic medical record (Epic) to capture SDOH for patients, train staff members/advocates to screen and utilize SDOH data, and refer patients to appropriate services in order to address SDOH. NMHC executive leadership identified the implementation of routine social determinant of health screening as a top organizational priority and included it as a key initiative for the health system in 2020. In April 2021, a system wide pilot was launched with two overall aims 1) Screen all patients for a concise list of Social Determinants which interfere with health and which we can help to mitigate and 2) Act on identified needs through referrals and intervention. The workflow included Epic tools to screen patients for medical home, housing, food, medication affordability, transportation, mental health and social isolation. The 16-week pilot included 12,000 patients screened and about 30% with at least one need and 32% of those patients requesting assistance from NM. About 40% of patients with a need live in a high-hardship zip code. The 12 pilot sites across the health system included primary care clinics, emergency departments and acute care inpatient units. The information remains in the integrated Epic health record and referrals are made to social work/case manager and community resource referral through NowPow. The regional NowPow database of community referrals is embedded in Epic for optimal support and strong staff and patient acceptance with resources near the patients' home. The successful pilot across diverse geographical regions prepared the health system for system-wide implementation in the year ahead. 1.5: Food Insecurity. Implement food insecurity screening for patients and employees and build a process to link those eligible to appropriate benefits and resources. Collaborate with community partners on food access and nutrition education programming (i.e. healthy cooking on a budget; budgeting food dollars with limited resources, etc). NMH continues to provide philanthropic support for the food delivery program between NM's delivery vendor MedSpeed and Our Lady of Angels Mission to provide food to those most in need. Launched in 2020 as a result of the Covid-19 pandemic, the program was stood up as a way to provide food access for the most vulnerable populations. As restrictions lessened and vaccines became available, the weekly food deliveries were changed to bi-weekly. NMH renewed this initiative for two more years. From September 2020 - August 2021, $27,000 in funding from NMH supported 5,280 bags of groceries prepared by Our Lady of Angels and delivered by MedSpeed to 55 unique addresses/families that benefit from the service. Priority Need 2: Structural Inequities. 2.1: Quality Equity. Analyze patient care and clinical service quality measures to identify disparities and implement improvement strategies. The NMHC Quality Equity Plan was approved by the NMHC Quality Management Committee in June 2021. The plan includes a vision for advancing quality equity for NM patients over the next 5 years with improved infrastructure, programming, and partnership with Community Affairs colleagues, Northwestern University faculty, and other community organizations. The Quality Equity Plan was developed with four categories and a focus in 11 areas. These focus areas and outcomes include: 1) Accessing Care at NM (barriers due to change in insurance status, mitigating barriers for patients with limited English proficiency); a. NMHC provided translation of After Visit Summary in select areas and resulted in system-spread planned for later in the year; 2) Meeting Diverse Needs (HOPE, SDOH): a. Integrated HOPE program with Ambulatory Care Coordination and focused on patients with chronic conditions including diabetes, hypertension and complex social needs; b. launched SDOH pilot and developed comprehensive implementation plan for upcoming year 3) Focused Clinical Areas (flu vaccine, COVID-19, Diabetes, Maternal Care, Hypertension) a. increased flu vaccination rates and reduced disparities for Black/AA and LatinX patients b. pilot system wide diabetes "tune-up pathway" to connect Black/AA or LatinX patients with multidisciplinary team for education and resources and to decrease disparities in glycemic control
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - Northwestern Memorial Hospital. c. Developed equity framework for Covid-19 process and outcome metrics d. prioritized hypertension improvement initiative based on identified disparity. 4) Infrastructure (analytics/quality approach to measuring equity with high fidelity data, developing partnership with IPHAM and other research groups at NM/NU): a. standard deck on how to assess for disparities was further developed; b. recruited a new leader: Program Manager, Quality Equity to lead growing Equity program portfolio c. Launched system-wide Equity Grand Rounds program highlighting Workforce, Community Affairs and Clinical Quality with Continuing Nurse Education and Continuing Medical Education contact hours awarded to attendees d. Recruited pre-med interns through NM Pipeline Program to learn project management with equity project experience. 2.2: Diversity and Inclusion (D&I): Embed D&I values and tactics into employee practices and behaviors. Establish a D&I infrastructure with partnership across the organization to promote, support and activate inclusive strategy, culture and behavior that differentiates NM as an inclusive values-driven organization. Implement implicit bias and cultural competence training to increase awareness and decrease impact of implicit bias. In FY21, NM continued to make significant progress in this strategy. Key milestones include: Accessibility 1. Standardized electronic data collection of disability accommodations needs 2. Standardized sensory accommodation kits and accessible equipment across the system D+I Trainings and Resources 3. Developed four toolkits for leaders and staff (Implicit Bias Toolkit, Racial Equity Toolkit, Allyship Toolkit and Inclusive Recruitment and Equitable Hiring Toolkit for leaders) 4. Reviewed and updated 150+ D&I e-learnings available in NM's Learning and Performance platform 5. Conducted ongoing assessment of NM's core certificate trainings for opportunities to include inclusive language and imagery 6. Developed system-wide Implicit Bias Workshop "Leadership Workshop for Mitigating Implicit Bias and Microaggressions in the Workplace" 7. 5,884 NM employees utilized D+I trainings and resources Inclusive Policy and Practice Development 8. Developed and disseminated Disability Accommodations for Patients policy to establish a process to provide a disability accommodation to patients, their family members or companions 9. Developed and disseminated Biased Patient Behavior Towards Staff policy to address when witnessing or experiencing bias, discrimination, harassment, and or/mistreatment by patients, family members, companions, caregivers and/or Legal Substitute Decision Makers 10. Reviewed and updated NMH Service Animal Policy NM Champion Network 11. Launched Group Mentorship Pilot in partnership with NM Academy 12. Grew NM Champion Network membership to ~970 members since June 2020 2.3: Community Engagement Plan. Increase engagement with vulnerable populations regarding their experience with structural inequities at NMH. Utilize feedback and input in the strategic planning process. In FY20, NMH conducted a best practice analysis to identify existing frameworks that promote bidirectional communication with the community, including the structures, objectives and operations of community advisory councils. In FY21, NMH continued to build the infrastructure to establish a community engagement council. This work has been completed and will be discussed in the 2021 Schedule H submission. Priority Need 3: Violence and Community Safety. 3.1: Community Violence Prevention. Continue to support Bright Star Community Outreach (BSCO) and The Urban Resilience Network (TURN) model and establish a broader trauma response referral network for NMH patients to receive ongoing trauma support. Collaborate with community partners to launch additional violence prevention strategies, and explore opportunities to expand and increase coordination of existing trauma and violence prevention initiatives. NMH continues to support and provide funding to Bright Star Community Outreach and The Urban Resilience Network. In response to the unanticipated impacts caused by the COVID-19 pandemic, NM provided nearly $200,000 in additional grants to support BSCO's efforts to maintain trauma care support and provide remote patient access to mental and behavioral health services in Bronzeville. This funding helped BSCO extend its hours for the trauma helpline, which to-date has served 45,000 individuals in the community. The funding also helped BSCO operate programs on digital platforms during the pandemic through technology updates as well as support for remote access. Additionally, BSCO works with Chicago Public Schools Network 9, the Chicago Police Department (CPD), local funeral staff, and other neighborhood entities to build resilience and trauma-informed counseling within the community. In 2019, two NMH key stakeholders from Cease Fire, LeVon Stone and Sheila Regan, launched a new violence interruption organization called Acclivus. Founded on the many of the same principles as Cease Fire, NMH now partners with Acclivus to provide violence interruption services following a violent trauma. Trained "violence interrupters" meet with violent trauma victims and their families at NMH and attempt to defuse feelings of anger as well as discourage victims and their families from retaliating. The violence interrupters work in tandem with violence interrupters in the victim's home community. As violence in Chicago continued to rise, even during the pandemic, it was evident that NMH, needed to examine the feasibility of partnering with other organizations with the goal of developing a trauma referral network. These discussions commenced at the end of FY20 and have evolved into concrete next steps during FY21. 3.2: Trauma-Informed Care. Conduct a current state analysis of practices, gaps and opportunities to address and integrate trauma-informed care into practice, including employee resources for coping with trauma or vicarious trauma. NMH continues to provide trauma-informed care activities & practices under a framework that was developed last year. This framework focuses on staff education and training to increase staff competence in handling trauma, employee wellness strategies, and strategies to reinforce a culture of workforce wellness. Priority Need 4: Workforce Development and Economic Vitality. 4.1: Hiring and Workforce Development. Develop and execute a strategic hiring plan to increase hiring of NMH employees from hardship communities within the NMH CSA. Increase youth summer employment, workforce development, and pipeline programs to promote careers in health care and related fields to individuals in underserved communities. NMH continued to be a proud member of U.S. Sen. Dick Durbin's Chicago Hospital Engagement, Action, and Leadership (HEAL) Initiative in 2021 - 2022. Launched in 2018, the HEAL Initiative is a collaboration among 10 Chicago hospitals committed to tangibly impacting violence and trauma, and increasing economic opportunities in Chicago's most underserved neighborhoods. In 2021, NM's hiring of individuals living in the targeted HEAL zip codes increased 16% over the previous year and 89% over 2018. Today, more than 25% of NM's Chicago workforce lives in the targeted HEAL communities which includes Northwestern Memorial Hospital (NMH), its physician offices and immediate care centers. NM also continued to engage in youth summer employment, workforce development and apprenticeship programs to promote careers in the healthcare field, including paraprofessional, to students in the targeted Chicago HEAL zip codes. Through these efforts, NM offers ongoing, comprehensive on-the-job training, youth programs for high school students, and internships and fellowships for college students and post-graduates in both clinical and administrative settings. Highlights include NM's partnership with Chicago Public Schools (CPS) and George Westinghouse College Prep as part of the NM Scholars Program and NM Discovery Program. 4.2: Procurement. Establish a procurement plan to increase purchasing of supplies and services from suppliers in the NMH CSA. NM continues to advance it's procurement plan to increase spending on supplies and services purchased from companies based in high hardship ZIP codes. From September 2020 - August 2021, NM spent more than $4.7 million on supplies and services purchased from companies based in one of the targeted Chicago HEAL zip codes, promoting economic development.
Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - Northwestern Memorial Hospital. Non-Priority Areas: The CHNA report identified areas of opportunity for health improvement for which NMH and the external steering committee (ESC) determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. Education and Youth Development: This identified need is addressed within NMH's Workforce development and Economic Vitality strategy. Food Security and Food Access: Although this identified need was not originally prioritized, it was added to the Implementation Plan as the need was elevated due to Covid-19. See priority need 1.5 for additional information. Affordable Housing: This identified need is addressed within NMH's Access to Healthcare and Community Resources strategy. Age-Related Illness: This need is address through the NMH care delivery system. Asthma: The ESC recommended that NMH focus on strengthening and improving access to medical homes, where screening for disease can be effectively coordinated and access to medically necessary specialty care can be facilitated. Cancer: NMH provides a comprehensive range of clinical services to treat and screen for cancer. NMH will continue to sustain these services and work to strengthen community-based outreach. The ESC recommended focusing efforts on other health conditions for which NMH could have a greater impact. Diabetes The ESC recommended that NMH focus on strengthening and improving access to medical homes, where counseling on prevention and screening for disease can be effectively coordinated and access to medically necessary specialty care can be facilitated. Heart Disease The ESC recommended that NMH focus on strengthening and improving access to medical homes, where counseling on prevention and screening for disease can be effectively coordinated and access to medically necessary specialty care can be facilitated. Obesity The ESC recommended that NMH focus on strengthening and improving access to medical homes, where counseling on prevention and screening for disease can be effectively coordinated and access to medically necessary specialty care can be facilitated. Maternal and Child Health: NMH provides a comprehensive range of outpatient and inpatient services to expectant women and teens. NMH will continue to sustain these services and work to strengthen community-based medical homes where Maternal and Child Health services can be conveniently accessed. The ESC recommended that NMH focus on strengthening and improving access to medical homes, where access to these services and other prenatal care can be effectively coordinated. Mental Health: This identified need is addressed within NMH's Access to Healthcare and Community Resources strategy. Sexually Transmitted Infections: The ESC recommended that NMH focus on strengthening and improving access to medical homes, where counseling on prevention and screening for disease can be effectively coordinated and access to medically necessary specialty care can be facilitated. Substance Use Disorder: NMH provides inpatient and outpatient substance abuse counseling. The ESC recommended focusing efforts on other health conditions for which NMH could have a greater impact.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1.Women, Infants and Children Nutrition Program (WIC); 2.Supplemental Nutrition Assistance Program (SNAP); 3.Illinois Free Lunch and Breakfast Program; 4.Low Income Home Energy Assistance Program (LIHEAP); 5.Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - NORTHWESTERN MEMORIAL HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. The CHNA report also describes Northwestern Lake Forest Hospital's CHNA goals and objectives, public dissemination plan, and development of the Implementation Plan.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. Northwestern Lake Forest Hospital took 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. Input was collected for the CHNA through a community survey and a focus group, both conducted by the Lake County Health Department and Community Health Center, and through conversations with key stakeholders between April 2018 and October 2018. The survey was randomly distributed to 5,000 Lake County households in early 2018. The focus group was conducted with the Lake County Community Health Worker Partnership, a collaboration between Mano a Mano Family Resource Center and the Waukegan Public Library. Fourteen community health workers who are trained to deliver health education on a myriad of topics ranging chronic disease to mental health to benefit navigation were recruited due to their unique position as utilizers of healthcare services and representatives of LCCHWP. These participants provided diverse geographic representation across the underserved communities of Lake County, with six representing from Waukegan (60085 and 60087), four representing Highwood (60040), two representing North Chicago (60064) and two representing the Round Lake area (60073). The focus group was conducted in Spanish; however, participants could speak in English or Spanish depending on their preference. The facilitator posed all questions provided by NMLFH. They were interviewed about community health strengths, weaknesses, and potential improvement opportunities in their communities. In March 2019, NM LFH also developed a tool to formally solicit input from organizations who are representative of the assessed community area, including those who serve medically underserved, low income and minority populations, to begin the process of ranking priority health needs (defined as health needs that could be impacted the most by the work of NMLFH and partner organizations). The pairwise comparison survey was launched utilizing a process of comparing needs in pairs to judge which need is preferred. Because comparing the needs directly to each other may be subjectively difficult, NMLFH used intervention strategies to address the needs as proxies for the survey comparison. The strategies were selected evidence-based interventions identified by The Community Guide to Preventive Services run by the U.S. Department of Health and Human Services. This led to more realistic results of priorities. NMLFH received over 600 responses to the survey representing over 15 different community organizations.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Northwestern Lake Forest Hospital. A comprehensive CHNA was commissioned on behalf of Northwestern Lake Forest Hospital by the Lake County Health Department and Community Health Center. (LCHD/CHC). LCHD/CHC is a public health accredited, state-certified public health department and a Joint Commission accredited community health center. Specific needs of the NMLFH Community Service Area were identified and prioritized separately.
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also shared with the following: 1. Key community organizations 2. Northwestern University Institute of Public Health and Medicine 3. Northwestern Medicine and LFH Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. Through the tax year 2019-2022 prioritization process and implementation plan, Northwestern Medicine Lake Forest Hospital (NM LFH) identified four priority health to be addressed through collaborative planning and coordinated action with organizations that impact health services in our community: Access to Healthcare, Behavioral Health, Chronic Diseases, and Social Determinants of Health. Priority 1: Access to Health Care. 1.1: Implement a Transitional Care Clinic (TCC) at NM LFH to medically transition ED patients and inpatients without a medical home. In 2018, nearly 1,900 emergency department (ED) and inpatient patients at NM LFH did not have a primary care physician identified in their electronic health record (EHR). In addition, 40% of emergency room encounters in FY18 were from Waukegan, North Chicago, Zion and the Round Lake area, where many residents are covered by Medicaid plans or lack insurance. When patients utilize the ED for primary care and treatment of chronic conditions - services that would be better provided in the primary care setting - they use care resources that could be provided to more acute patients. Additionally, those with chronic conditions have better health outcomes when they receive ongoing care within the context of an ongoing relationship with a primary care provider. In February 2020, NM LFH adapted a model called the Transitional Care Clinic (TCC). This clinic provides comprehensive services through a series of appointments to assist patients following discharge from the ED or inpatient care linking them to a primary care physician at Erie HealthReach Waukegan or other medical home. The TCC team also addresses complex barriers to care including medication access, health literacy, insurance, and transportation. From February 202 through August 2021, TCC provided care to more than 300 patients. 1.2: Develop a Health System-level approach to better serve uninsured and underinsured patients through clinical community relationships. In 2020, NM LFH recommitted its support to Erie Waukegan and the Lake County community through a three-year, $1.8 million grant. This funding supports access to medically necessary health care, including primary care, behavioral health care, and comprehensive case management. Through this grant support, Erie Waukegan was able to hire additional clinical staff, expand their telehealth capabilities, and address the social determinants of health for their patients. NM LFH additionally worked with the Lake County Health Department (LCHD) to coordinate care for LCHD patients receiving care at NM LFH. Clinical community patients meeting residency requirements can access care at NM LFH through our Financial Assistance program. 1.3: Implement an electronic tool to screen patients for Social Determinants of Health (SDOH) and refer patients to social service organizations. NMHC executive leadership identified the implementation of routine social determinant of health screening as a top organizational priority and included it as a key initiative for the health system in 2020. In April 2021, a system wide pilot was launched with two overall aims 1) Screen all patients for a concise list of Social Determinants which interfere with health and which we can help to mitigate and 2) Act on identified needs through referrals and intervention. The workflow included Epic tools to screen patients for medical home, housing, food, medication affordability, transportation, mental health and social isolation. The 16-week pilot included 12,000 patients screened and about 30% with at least one need and 32% of those patients requesting assistance from NM. About 40% of patients with a need live in a high-hardship zip code. The 12 pilot sites across the health system included primary care clinics, emergency departments and acute care inpatient units. The information remains in the integrated Epic health record and referrals are made to social work/case manager and community resource referral through NowPow. The regional NowPow database of community referrals is embedded in Epic for optimal support and strong staff and patient acceptance with resources near the patients' home. The successful pilot across diverse geographical regions prepared the health system for system-wide implementation in the year ahead. An additional pilot was designed in partnership with Mano a Mano Family Resource Center targeting Spanish speaking Latino patients in the NM Grayslake Family Medicine Clinic. The goal of this pilot is to link patients and community members to resources in or near their neighborhood to address social needs in a timely, efficient, and culturally appropriate manner. Mano a Mano Community Health Workers will be the main point of contact for patient referrals. This pilot will be launched in 2022. 1.4: Increase access to social service and community organizations (UW211). In 2021, NM LFH provided support to United Way of Lake County to promote Lake County 211, a free, confidential, 24/7 365 days helpline operated by United Way that guides the public to local, available, and appropriate health and human service resources. It is designed to reduce time and frustration by acting as a central access point to these resources in Lake County. 211 can be accessed through telephone, text message, and an online webpage. 211 helps individuals, families, and providers navigate and connect with a wide range of local health and human services, including: mental health services, crisis counseling, supplemental food programs, shelter and affordable housing options, employment and education support, and financial support. From July 2020 through June 2021, 10,780 calls were made to Lake County 211 resulting in 18,423 19,449 requests for assistance. The vast majority of individuals had their needs met and were able to connect with an organization to assist them. 1.5: Increase flu vaccination rates. To help increase flu vaccination rates in the communities that were hit hardest by COVID-19, NM LFH partnered with Catholic Charities and the Mexican Consulate in FY21, to sponsor a community influenza clinic in Round Lake Beach. NM LFH was able to provide vaccinations for 34 community members. Priority 2: Behavioral Health. 2.1 Expand the use of telehealth for psychiatric services throughout the NM LFH CSA. The need for behavioral health services has risen in recent years, surging during and following the pandemic. For patients seeking care for behavioral health in the Emergency Department at NM LFH, limited access to in-person psychiatric consults can create delays in moving to the next setting for care, whether inpatient or ambulatory. NM LFH implemented telepsychiatry in 2020, which allows for psychiatrists to use a specialized platform and videoconferencing technology to perform comprehensive evaluations in the ED in a timely manner from a remote location. In 2021, 16 patients received telepsychiatry consults through this program. 2.2 Expand a program to reduce opioid prescribing in the emergency department using the Alternatives to Opioids model . Due to COVID-19, NM LFH was unable to expand this program model. 2.3 Increase behavioral health services and capacity in community settings. In 2021, NM LFH developed a partnership with The Josselyn Center, a longstanding behavioral health provider who opened a new location in NM LFH's service area in 2020. NM LFH provided funding to The Josselyn Center for operational capacity and to support a new role, a Behavioral Health Care Coordinator. This coordinator creates an immediate connection with patients being discharged from NM LFH settings and establishing care at The Josselyn Center. The partnership began in February 2021, and during the first seven months, more than 240 patients were referred for assessment and care. In partnership with the Waukegan Public Library, NM LFH launched a pilot to reduce barriers to behavioral health services in the community. NM LFH provided funding for the Library to contract two social workers with the Josselyn Center, one Spanish speaking, and one African American. These social workers were to be available to library patrons for 30-60-minute appointments with access to the library's community health workers as well. By bringing social workers to a community setting, we worked to address barriers to cost and access. In 2021, NM LFH started a community driven virtual speaker series called "Parenting During the Pandemic and Beyond" with the intention of providing resources to parents struggling with their children's mental health issues.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - NORTHWESTERN LAKE FOREST HOSPITAL. In partnership with Lake Forest LEAD, a local non-profit organization dedicated to the promotion of healthy family relationships and the prevention of alcohol, drug use, and other risky behavior by youth, NM clinical experts discussed topics such as the impact of teen mental health and concerns around vaping. The speaker series continued through 2022. In addition, NM LFH provides grant funding to expand capacity for behavioral health services at Erie HealthReach Waukegan, a Federally Qualified Health Center (FQHC) serving nearly 10,000 patients in Lake County. 2.4 Implement Calm Classroom, a classroom-based mindfulness program, in Lake County schools. Calm Classroom is a simple and accessible way to add mindfulness to classroom culture. The daily practice of breathing, stretching, focusing, and relaxation exercises creates a greater sense of self-awareness, mental focus, and emotional resilience in the classroom. Calm Classroom is the largest provider of school-wide mindfulness programming in the U.S. In 2008, Calm Classroom launched in Chicago Public Schools, and since then the program has been implemented in thousands of classrooms all over the world. In 2021, NM LFH continued support of the Calm Classroom curriculum in two underserved school districts, Waukegan School District 60 and Beach Park School District 3, as a way to help students cope with trauma and every day stressors in their lives. Each school district will be funded for two years then they will commit to sustain funding . As a direct result of NM LFH funding, Calm Classroom became available to over 25,000 students. 2.5: Drug education and prevention programming with students in our local schools, and with parents in our local community through Text-A-Tip. NM LFH supports Lake Forest LEAD, a local non-profit organization dedicated to the promotion of healthy family relationships and the prevention of alcohol, drug use, and other risky behavior by youth. LEAD has served the Lake Forest, Lake Bluff, and Knollwood, IL communities for nearly 30 years. LEAD works to address issues such as underage drinking and drug abuse; prevention of prescription, over-the-counter, and illegal drug abuse by youth and adults; promotion of mental health and wellness; reducing stigma related to depression and other mental health issues; and the prevention of suicide. NM LFH partnered with LEAD on a 24/7 anonymous text crisis line, Text-A-Tip. LEAD has seen a dramatic increase in the number of people who benefit from its programming, both in local communities and across the nation. The Text-A-Tip hotline is now accessible to over 7 million people, almost double the number from 2020, and including the entirety of Lake and McHenry Counties in Illinois. LEAD's online and social media presence has seen an increase of over 500% in the past 3 years. Text-A-Tip has been able to deliver wellness checks and emergency personnel to teens in crisis, and has led to interventions in suicide and self-harm, violence, and drug overdose situations. Aside from lives saved to-date, this resource allows students a 24/7 place to turn when they need emotional support. It is safe, anonymous, and always available. Priority 3: Chronic Disease 3.1 Implement a community blood pressure screening program in high opportunity neighborhoods, educate residents about hypertension and connect them to a quality medical home. Due to COVID-19, NM LFH was unable to expand this program model, but was able to provide increased community health education around myriad of topics including chronic diseases. NM LFH provided support to Mano a Mano, a not-for-profit local immigrant-serving agency that provides a one-stop-shop for health resources and services, educational classes and workshops, and immigration legal services for some of the hardest to reach, most vulnerable families and individuals living in Lake County. Mano a Mano works to empower immigrants and their families living in Lake County, Illinois to become full participants in American life. Mano a Mano conducts multiple initiatives to serve the residents of Lake County, including: the Healthy Families Program (HFP) aimed at expanding health literacy and improving the health of immigrants by helping them integrate into and understand the U.S. healthcare system; the Community Health Workers (CHW) Program, which is a collaboration that focuses on community health needs that have been identified by local research as priorities for low-income and immigrant communities including the health literacy and training priorities including, but not limited to, hypertension, diabetes, prenatal care, insurance benefits, nutrition, and obesity; and expanded access to healthcare and social services through transportation support, among others. The activities supported by NM LFH expanded access to community health education and improved health literacy through the HFP and CHW Program initiatives, as well as access to healthcare and social services through transportation support, for people assisted by Mano a Mano. NM LFH also supported the Functional Health Literacy Program and the Community Health Worker Program at Waukegan Public Library. Through this program, the Waukegan Public library will expand its capacity to provide health education to members of the African American and English-speaking community in Waukegan and its surrounding communities. The goal is to increase understanding of how to prevent and manage chronic diseases, increase healthy behaviors, and access medical providers among the underserved African American population in the area. Its long-term goal is to reduce health inequities through health literacy and service navigation for a community especially impacted by educational, cultural, and social barriers to accessing health services. Additionally, NM LFH supported the community health worker program through the Highwood Public Library. This program provided much needed education and outreach support to the Latino community in Highwood, and engaged and connected over 3,000 individuals to access points for COVID-19 vaccinations. With the support of NM LFH, the Library received the prestigious Institute of Museums and Library Services Gold Medal (IMLS) award for their outstanding services to their community. 3.2 Implement the American Heart Association "Target: BP" program at Northwestern Medicine and Northwestern Medical Group locations and within local federally qualified health center partners. Due to COVID-19, NM LFH was unable to expand this program model. However, community discussions took place, and there are plans to implement this program in post-pandemic years. Priority 4: Social Determinants of Health 4.1: Increase youth pipeline opportunities by engaging North Chicago Community High School via their Healthcare Careers Pathway program and expose students to healthcare-related careers through presentations, internships and curriculum development. The Discovery Program is a local effort to expose students to careers in healthcare. Throughout the Discovery Program, high school sophomores and juniors are exposed to a broad range of activities designed to encourage their interest in healthcare careers. Topics vary by month and program activities include tours, guest speakers, group discussion, and hands-on projects. The program fosters character and professional development, cultivates life skills, provides community service and leadership experience, and offers mentorship and networking opportunities. Meetings are held once a month, most often on Saturday mornings, at Lake Forest Hospital and other off-site locations. During the pandemic, sessions were held remotely. In FY21, the Discovery program hosted four sessions for 37 students. Half of the students were from underfunded school districts in Lake County. NM Discovery participants were also offered summer internships, which were conducted as research projects prepared remotely. Twenty students participated in the Summer Internship program. 4.2: Create hiring pipelines for youth and adults to connect disparate communities to jobs through training programs, targeted outreach and partnerships, and inclusive local hiring practices. The Department of Nursing at NM LFH created a healthcare career pipeline program, Directing Youth Navigating a Medical Career in the Community (DYNAMIC), dedicated to providing a clear path for select graduates from North Chicago Community High School (NCCHS) to receive a post-secondary education in health sciences from the College of Lake County. Selected students will receive free tuition in one of several pre-approved health science degrees.
Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - NORTHWESTERN LAKE FOREST HOSPITAL. Throughout the student's tenure at the college, they will be provided professional mentorship by hospital staff and receive exposure to the hospital. Upon graduation, the student will interview and be eligible to be hired by NM. The program was launched in 2021, with one student enrolled as a scholarship recipient, and will expand in 2022. A mentor at NM LFH has already been identified for the scholarship recipient. 4.3: Embed diversity and inclusion (D&I) practices and behaviors into what employees do each day by establishing a D&I infrastructure with partnerships across the organization. These partnerships will promote, support and activate inclusive strategy culture and behavior that differentiates NM as an inclusive values-driven organization. Implement implicit bias and cultural competence training to increase awareness and decrease impact of implicit bias. 4.4: Implement an integrated quality equity plan. 4.5: Improve access to nutritious foods for those who are food insecure. NM LFH participated in regional work with Northern Illinois Food Bank to develop strategies to expand access to food among Lake County's population experiencing food insecurity. NM LFH provided grant support to the Northern Illinois Food Bank to provide food to participating agencies in 2021. Starting in August 2021, patients screening positive for food insecurity at the Grayslake Family Medicine clinic were referred to Mano a Mano, a social service agency supporting Spanish-speaking, largely Hispanic Lake County residents, to receive direct counseling on accessing food resources. NON-PRIORITY AREAS: The CHNA report identified areas of opportunity for health improvement for which NM LFH and the community health council (CHC) determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. Accidents and Unintentional Injuries: NM LFH will work to strengthen community-based outreach both through community partnerships to affect accidents and unintentional injuries. The CHC recommended focusing efforts on other determinants for which NM LFH could have a greater impact. Cancer: NM LFH provides a comprehensive range of clinical services to treat and screen for cancer. NM LFH will continue to sustain these services and work to strengthen community-based outreach both through the internal oncology department and through community partners. The CHC recommended focusing efforts on other health conditions for which NM LFH could have a greater impact. Diabetes: This condition is address through the NM LFH care delivery system. Healthy Pregnancies: This need was assessed by the community as a relatively low priority and is addressed through the NM LFH care delivery system. Infectious Diseases: NM LFH provides clinical services to treat pneumonia, asthma, and tuberculosis, as well as other infectious diseases. The CHC recommended that NM LFH focus on strengthening and improving access to medical homes, where preventive care and screening services can be effectively coordinated and access to medically necessary specialty care can be facilitated. Obesity: NM LFH provides clinical services, nutritional counseling, and weight loss programming for patients and will continue to sustain these services. While there is a lot of crossover between these behaviors and those that cause Chronic Disease, the CHC recommended focusing efforts on other health conditions for which NM LFH could have a greater impact. Community work will continue through participation on the various Action Teams as part of the Live Well Lake County Steering Committee. Pulmonary Disease (including tobacco use): NM LFH supports public policies aimed at reducing tobacco use. NM LFH also offers a comprehensive Smoking Cessation Program, facilitated by an American Lung Association certified instructor. The CHC recommended focusing efforts on other health conditions for which NM LFH could have a greater impact.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - NORTHWESTERN LAKE FOREST HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. The CHNA report also describes Central DuPage Hospital's CHNA goals and objectives, public dissemination plan, and the process for the development of the implementation plan.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. To solicit input from key informants, those individuals who have a broad interest in the health of the community, an Online Key Informant Survey was implemented as part of the CHNA process. A list of recommended participants was provided by NMCDH; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the population with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online. Reminder emails were sent as needed to increase participation. In all, 41 community stakeholders took part in the Online Key Informant Survey including representatives of the organizations below: 1. DuPage County Health Department 2. DuPage Federation on Human Services Reform 3. DuPagePads 4. American Cancer Society 5. B.R. Ryall YMCA of Northwestern DuPage County 6. Bartlett Park District 7. Benedictine Public Health Department 8. Breaking Free 9. Catholic Charities Diocese of Joliet 10. DuPage Foundation 11. DuPage Senior Citizens Council 12. DuPage United 13. Educare West DuPage 14. Fox Valley Special Recreation Association 15. NAMI DuPage 16. Northern Illinois Food Bank 17. People's Resource Center 18. Public School District, DuPage County 19. SamaraCare 20. Senior Services Associates, Inc. 21. Warrenville Park District 22. Western DuPage Special Recreation Association 23. West Chicago Public Library District 24. Winfield Park District 25. World Relief DuPage Aurora Through this process, input was gathered from several individuals whose organizations work with low-income, minority populations, or other medically underserved populations. In the online survey, key informants were asked to rate the degree to which various health issues are a problem in their own community. Follow-up questions asked them to describe why they identify problem areas as such and how these might be better addressed. Findings represent qualitative rather than quantitative data. The Online Key Informant Survey was designed to gather input from participants regarding their opinions and perceptions of the health of the residents in the area. Therefore, these findings are based on perceptions, not facts. To ensure that organizations impacting health in DuPage County were meaningfully engaged in reviewing and interpreting the findings of the CHNA, developing priorities among the identified needs and forming a collaborative plan to address the top priority needs, the External Steering Committee (ESC) was established and maintained.
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also distributed to the following: 1. Key community organizations and leaders 2. Central DuPage Hospital External Steering Committee 3. Central DuPage Hospital Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Central DuPage Hospital Association. NMCDH adopted a new implementation strategy in FY2022 (TY 2021) in alignment with the most recent CHNA. For Line 11, we are reporting on TY 2018 implementation strategies as this is the most recent outcomes data available. In TY2017, NMCDH identified three Priority Health Needs: Access to Healthcare Services, Chronic Disease, and Mental Health. Specific ways in which NMCDH is addressing priority needs are defined as follows: Priority 1: Mental Health Mental health and physical health are closely connected. Mental health plays an integral role in the ability to maintain physical health. Mental illnesses, such as depression, anxiety and addiction, affect people's ability to participate in health promoting behaviors. Subsequently, the presence of mental health problems can have a serious impact on chronic disease and decrease the ability to participate in treatment and recovery. To address the identified health needs related to Mental Health and Substance Abuse, NMCDH and members of the External Steering Committee plan to collaborate on the following strategies: 1.1 Continue strategic planning efforts to evaluate the demand for hospital-based mental health services and identify appropriate NMCDH resources to address those needs. A comprehensive strategic plan was developed to properly address the mental health needs of the NMCDH and Northwestern Medicine Delnor Hospital service areas. The plan continues to be updated routinely in order to identify the needs and develop strategies to address those needs, including but not limited to expansion of inpatient behavioral health and addiction services and additional capacity in the outpatient mental health service line. 1.2 Provide Community Benefit Grant funding and further solidify relationships with community agencies that can provide outpatient mental health services to the medically underserved residents within the service area. A grant was provided to Ecker Center Behavioral Health Center to increase access to their telehealth program. The following outcomes were reported: 1. Ten computers were purchased. 2. There was a 44% in client volume due to the telehealth program compared to the previous year. A grant was provided to Samaritan Interfaith Counseling Center. The following outcomes were reported: 1. Delivered 4,105 clinical hours of fee subsidized counseling services to 592 qualified MHAP clients in its west region, of which 507 clients will reside within NM Central DuPage and Delnor hospital primary service area. 2. 85% of clients showed improvement in their GAF score as measured upon intake and again after every 10th session, or termination of services, whichever comes first. 3. 95% of client completed the Client Satisfaction Survey and marked that they can deal more effectively with their symptoms. 4. 96% of clients that completed the CSS and agreed that they were able to accomplish what they set out to do. 5. 97% of clients that completed the CSS agreed that they can better handle conflict and stress. 6. 99% of clients that completed the CSS agreed that their counselor's interventions and interactions were helpful. A grant was provided to Renz Ecker Center to increase access to their MAT program. The following outcomes were reported: 1. $1,429 was spent in purchasing InstaCups (16 panel testing cups) 2. 392 substance use disorder clients were served. 3. There were 8 educational staff training opportunities provided. A grant was provided to Bridge Communities to provide trauma-informed counseling. The following outcomes were reported: 1. 53% of clients identified concerns and were referred to community partners for counseling. 2. At wellness checks, 41% decreasing concerns, 29% had no concerns, 24% had an increase in concerns, and 6% had no change/ongoing symptoms. 3. 71% had no to decreasing symptoms indicating that the mental health counseling, helped reduce symptoms of anxiety and depressions. 1.3: Participate in and support initiatives within DuPage County that are focused on Mental Health. The DuPage County Health Department is currently developing a Community Health Improvement Plan (CHIP) in collaboration with the hospitals and community agencies within the county. One of the identified priorities to be addressed is Mental Health and Substance Abuse. NMCDH will continue to participate in the CHIP Executive Committee and the Mental Health Subgroup to develop and implement the action plan to address the health priority of Mental Health and Substance Abuse. 1.4: Complete the planning phase and implement the Mental Health First Aid Program in the NMCDH service area. The Mental Health First Aid (MHFA) program is designed to teach residents of the community how to take action when a mental illness is suspected or identified. The intent is to reduce the wide reach and economic toll that mental health disorders and crises have on the community. Individuals within NMCDH are currently completing training and the certification process and will begin providing educational sessions to teach parents, family members, caregivers, teachers, school staff, peers and community members how to help an adolescent or adult experiencing a mental health or addiction challenge or crisis. These individuals can then intervene and direct the individual to appropriate resources. The overall goal is to increase awareness and early intervention to those in need of behavioral health services. One NMCDH/NMDH staff was trained to offer the nationally recognized evidence-based Mental Health First Aid program. 1. 13 classes were held; 2. 183 individuals attended the programs; 3. 100% of MHFA participants scored a minimum of 85% on the MHFA course exam. Priority 2: Chronic Disease Chronic conditions are responsible for 70% of deaths and 75% of healthcare spending. Chronic disease is a leading cause of disability and lost income. Chronic disease disproportionally affects low-income and minority populations. In the NMCDH service area, 35% of adults have been told that they have high blood pressure; 30% have been told they have a high cholesterol reading; 23% are obese; and chronic diseases of the heart are the second leading cause of death. To address the identified deficiencies in Chronic Disease, NMCDH and members of the External Steering Committee plan to collaborate on the following strategies: 2.1: Provide resources and tools to patients diagnosed with heart failure in order to improve self-management skills and quality of life. NMCDH continued to provide a post-discharge community-based heart failure program designed to improve the quality of life and decrease readmission rates for patients diagnosed with heart failure. Efforts to improve the coordination of care for heart failure patients were expanded, and a system of referrals for specialty care and social service needs were implemented. A retrospective study of outcomes related to the program was completed to ensure maximum quality is achieved. Key outcomes of this program were: 366 individuals were enrolled in the Community-Based Heart Failure program: (NMCDH/NMDH) 1. 30-day readmission rate for heart failure diagnosis: 1% (markedly below the national rate); 2. 99% of clients demonstrated the ability to identify appropriate action in the event of a worsening of their condition; 3. 96% of clients utilized an effective medication management system; 4. 89% of clients demonstrated compliance with symptom tracking. 2.2: Continue to provide, participate and partner in community-based health education, nutrition and activity programs focused on reducing the risk of obesity and chronic disease. NMCDH provided community education related to chronic disease in the areas of evidence-based primary interventions (disease prevention, health promotion), evidence-based secondary interventions (screening) and evidence-based tertiary interventions (education to individuals affected with a chronic disease in an effort to promote an optimum state of individual wellness). Programmatic venues included the CATCH (Coordinated Approach to Child Health) program, the Dinner with the Doc series, clinician-led educational offerings, self-help groups, rehabilitation service programs and support programs. A comprehensive plan to increase patient compliance with physician and ancillary staff referrals to smoking cessation resources was also investigated and developed. Community Benefit Grants were also be provided to agencies that provide programming related to the priority health need of chronic disease. Key outcomes of these interventions include: 1. Diabetes Education Services offered 12 community programs. 90 individuals attended. (NMDH/NMCDH)
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - Central DuPage Hospital Association. 2. 226 individuals were enrolled in the Community-Based Heart Failure program: (NMDH/NMCDH) a. 30-day readmission rate for heart failure diagnosis: 4% (markedly below the national rate); b. 99% of client were seen at a home visit within 7 days of discharge; c. 87% of clients were able to name two cardiac medications and describe actions. A grant was provided to American Cancer Society for their Road to Recovery Program. The following outcomes were reported: (NMCDH/NMDH) 1. 130 Cancer patients were provided rides. A grant was provided to DuPage Pads for their Medical Respite Program. The following outcomes were reported: 1. 31 individuals in 28 household were served. Of the 31 individuals served, 29 were adults and 2 were children. 2. 100% of the participants obtained or maintained their benefits. 3. 100% of the participants received information on the importance of regular physicals relative to age and gender. 4. 93% of the participants exited the program with medical insurance. 5. 60% of the participants exited the program with an identified primary care physician. 6. 80% of the participants exited the program with a follow-up appointment scheduled with a primary care physician related to the condition resulting in entry to the Medical Respite Program. 7. 43% of the individuals served exited into stable housing The CATCH Program reached over 855 students and teachers. A total of 3 community programs were offered in the area of stroke education. A total of 86 people were reached. A total of 405 page views of Kits for Kids were downloaded in the areas of hand washing, bicycle safety and healthy nutrition. A total of 12 individuals participated in smoking cessation programs. 100% self-reported smoking cessation by the end of week 6. The Think First Curriculum offered 402 presentations to children from kindergarten through high school and 47,795 individuals participated in Think First community events. 1. A total of 5,970 children were fitted for and received bike helmets 2. A total of 117 couples attended child safety classes 3. A total of 1103 car seats were checked / distributed A total of 10 individuals participated in the National Diabetes Prevention Program. There was a total loss of 115 lbs and 831 hours self-reported exercise by the final class. Priority 3: Access to Care An aging population, coupled with a challenging economy and an increasing prevalence of chronic disease, create access-to-care issues relating to both the affordability and availability of care. NMCDH seeks to promote access through a variety of initiatives identified below. NMCDH will continue to work with individuals and families to promote access to medically necessary services by maintaining an accessible financial assistance program. Additionally, staff and leadership will work collaboratively with key community partners to promote a seamless continuum of care into local medical home settings. To improve Access to Health Services, NMCDH and members of the External Steering Committee plan to collaborate on the following strategies: 3.1: Strengthen and increase patient affiliation with high-quality patient-centered medical homes. NMCDH and its partners from the External Steering Committee focused efforts on strengthening the care coordination, availability, cultural competency and offerings available at the patient-centered medical homes operated by the Federally Qualified Health Centers and healthcare organizations that are closely aligned with Northwestern Medicine Delnor Hospital. By concentrating efforts on improving the most essential community-based component of the healthcare system - the patient-centered medical home - NMCDH focused on ensuring patients receive timely and appropriate care. NMCDH will implement evidence-based practices to address the health concern related to members of the community receiving age and gender-appropriate screenings and other preventive services, including recommended routine immunizations. 3.2: Investigate innovative ways to connect uninsured members of the community with applicable entitlement programs and available healthcare and social services to improve access to medical care. Patients in need of financial assistance were connected with appropriate resources and assisted in the completion of applications for government assistance programs. 1. Over 82,208 individuals received financial assistance 2. $293,054,291 was rendered in financial assistance within the following categories: Presumptive Charity Care: $43,897,662, Approved Financial Assistance: $248,021,523, and Alternate Charity Care: $1,135,175 3. 1961 Medicaid applications were processed through Engage DuPage services. NMCDH leadership and staff participated in various community task forces to further the development of the health and human services safety net. 4. 5454 individuals were enrolled into the DuPage County Health Safety Net System, resulting in links to 229 primary care providers, 5225 links to local FQHCs, 1808 specialty referrals. 28,181 prescriptions were filled. 5. The Silver Access Premium program provided assistance to 802 individuals. 6. $1,140,079 was rendered to Access DuPage clients for outpatient and other specialty care services. 7. Funding was provided to Engage DuPage for the provision of Community Access Specialists in the Emergency Room. 3.3: Improve access to evidence-based preventive services, including age and gender-appropriate screenings and routine immunizations 8. 355 individuals received breast cancer screening at no cost. Non-Priority Areas The CHNA report identified areas of opportunity for health improvement for which NMCDH and the external steering committee (ESC) determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. Cancer: NMCDH provides a comprehensive range of clinical services to treat and screen for cancer. NMCDH will continue to sustain these services and work to strengthen community-based outreach. The ESC recommended focusing efforts on other health conditions for which NMCDH could have a greater impact (heart failure and nutrition and weight). Immunization and Infectious Disease in Adults: NMCDH provides clinical services to treat pneumonia, asthma and tuberculosis. The ESC recommended that NMCDH focus on strengthening and improving access to medical homes, where preventive care and screening services can be effectively coordinated and access to medically necessary specialty care can be facilitated. Vaccine services are provided to children as part of the access to care strategies. Tobacco Use: Tobacco use was incorporated into the strategies around chronic disease.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - CENTRAL DUPAGE HOSPITAL ASSOCIATION. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - DELNOR-COMMUNITY HOSPITAL. The CHNA report also describes Delnor Hospital's CHNA goals and objectives, public dissemination plan, and the process for the development of the implementation plan.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - DENOR-COMMUNITY HOSPITAL. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THE CHNA PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY NMDH; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATION WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE. REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 157 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY INCLUDING REPRESENTATIVES OF THE ORGANIZATIONS BELOW: 1. ADVOCATE SHERMAN HOSPITAL 2. AGENCY ON AGING NORTHEASTERN ILLINOIS 3. ASSOCIATION FOR INDIVIDUAL DEVELOPMENT 4. BATAVIA INTERFAITH FOOD PANTRY AND CLOTHES CLOSET 5. BATAVIA UNITED WAY 6. BENEDICTINE UNIVERSITY 7. BLACKBERRY TOWNSHIP 8. BATAVIA PUBLIC SCHOOL DISTRICT #101 9. CASA KANE COUNTY 10. CATHOLIC SOCIAL SERVICES (CATHOLIC CHARITIES) 11. CENTRO DE INFORMACION 12. CITY OF AURORA 13. COMMUNITY CONTACTS, INC. 14. COMMUNITY FOUNDATION OF THE FOX RIVER VALLEY 15. CONLEY OUTREACH COMMUNITY SERVICES 16. DAYONEPACT 17. ELDERDAY CENTER, INC. 18. ELGIN AREA CHAMBER OF COMMERCE 19. ELGIN PARTNERSHIP FOR EARLY LEARNING 20. ENVIRONMENTAL PROTECTION AGENCY 21. FAMILY SERVICE ASSOCIATION OF GREATER ELGIN AREA 22. FOX VALLEY SPECIAL RECREATION ASSOCIATION 23. GAIL BORDEN LIBRARY 24. GATEWAY FOUNDATION 25. GENEVA PARK DISTRICT 26. GREATER ELGIN FAMILY CARE CENTER 27. HERGET MIDDLE SCHOOL 28. HESED HOUSE 29. HIGHLAND AVENUE CHURCH OF THE BRETHREN 30. HOPE FOR TOMORROW, INC. 31. INC BOARD NFP 32. KANE COUNTY BOARD 33. KANE COUNTY DEVELOPMENT AND COMMUNITY SERVICES DEPARTMENT 34. KANE COUNTY DIVISION OF TRANSPORTATION 35. KANE COUNTY FARM BUREAU 36. KANE COUNTY HEALTH DEPARTMENT 37. KANE COUNTY MEDICAL SOCIETY 38. KANE COUNTY REGIONAL OFFICE OF EDUCATION 39. KANE COUNTY SHERIFF'S OFFICE 40. KANELAND COMMUNITY SCHOOL DISTRICT #302 41. LAO-AMERICAN ORGANIZATION OF ELGIN 42. LAZARUS HOUSE 43. LUTHERAN SOCIAL SERVICES (ELGIN) 44. MARIE WILKINSON FOOD PANTRY 45. MARKLUND HYDE CENTER 46. MUTUAL GROUND 47. NAMI - KANE, DEKALB AND KENDALL COUNTIES 48. NORTHEASTERN ILLINOIS AREA AGENCY ON AGING 49. OPEN DOOR CLINIC OF GREATER ELGIN 50. PADS AT HESED HOUSE 51. PR STRATEGIES AND COMMUNICATIONS/PMS ADVERTISING, INC. 52. PRESENCE MERCY MEDICAL CENTER (AURORA) 53. PRESENCE ST. JOSEPH HOSPITAL (ELGIN) 54. REBUILDING TOGETHER AURORA 55. RENZ ADDICTION COUNSELING CENTER 56. RUSH COPLEY MEDICAL CENTER 57. ST. CHARLES PARK DISTRICT 58. STC UNDERGROUND TEEN CENTER 59. SUICIDE PREVENTION SERVICES 60. SALVATION ARMY OF AURORA 61. TRI CITY FAMILY SERVICES 62. TRI CITY HEALTH PARTNERSHIP 63. U-46 SCHOOL DISTRICT (ELGIN) 64. UNIVERSITY OF ILLINOIS EXTENSION 65. VALLEY INDUSTRIAL ASSOCIATION 66. VILLAGE OF ALGONQUIN 67. VNA HEALTHCARE 68. WAUBONSEE COMMUNITY COLLEGE 69. WAYSIDE CROSS MINISTRIES 70. WELL CHILD CENTER 71. WELLBATAVIA INITIATIVE 72. WEST AURORA SCHOOL DISTRICT #129 73. YWCA ELGIN INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WITH SPECIAL EMPHASIS ON PERSONS WHO WORK WITH OR HAVE SPECIAL KNOWLEDGE ABOUT VULNERABLE POPULATIONS IN CENTRAL KANE COUNTY INCLUDING LOW-INCOME INDIVIDUALS, MINORITY POPULATIONS, THOSE WITH CHRONIC CONDITIONS AND OTHER MEDICALLY UNDERSERVED RESIDENTS. To ensure that organizations impacting health in central Kane County were meaningfully engaged in reviewing and interpreting the findings of the CHNA, developing priorities among the identified needs and forming a collaborative plan to address the top priority needs, the External Steering Committee (ESC) was established and maintained. This multidisciplinary committee was made up of key stakeholders who were selected based on strong collaborative efforts to improve the health of the community, including the medically underserved, minority and low-income populations.
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - DELNOR-COMMUNITY HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also distributed to the following: 1. Key community organizations and leaders 2. Delnor External Steering Committee 3. Delnor Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - DELNOR-COMMUNITY HOSPITAL. NMDCH adopted a new implementation strategy in FY2022 (TY 2021) in alignment with the most recent CHNA. For Line 11, we are reporting on TY 2018 implementation strategies as this is the most recent outcomes data available. In TY 2017, NMDH identified three Priority Health Needs: Access to Healthcare Services, Chronic Disease, and Mental Health. Specific ways in which NMDH is addressing the significant needs identified in its most recently conducted CHNA are defined as follows: Priority 1: Mental Health Mental health and physical health are closely connected. Mental health plays an integral role in the ability to maintain physical health. Mental illnesses, such as depression, anxiety and addiction, affect people's ability to participate in health promoting behaviors. Subsequently, the presence of mental health problems can have a serious impact on chronic disease and decrease the ability to participate in treatment and recovery. To address the identified health needs related to Mental Health and Substance Abuse, NMDH and members of the External Steering Committee plan to collaborate on the following strategies: 1.1: Continue strategic planning efforts to evaluate the demand for hospital-based mental health services and identify appropriate NMDH resources to address those needs. A comprehensive strategic plan has been developed to properly address the mental health needs of the NMDH and Northwestern Medicine Central DuPage service areas. The plan will identify the needs and develop strategies to address those needs, including but not limited to expansion of inpatient behavioral health and addiction services and additional capacity in the outpatient mental health service line. 1.2: Provide Community Benefit Grant funding and further solidify relationships with community agencies that can provide outpatient mental health services to the medically underserved residents within the service area. A grant was provided to Ecker Center Behavioral Health Center. Outcomes were as follows: 1. Ten computers were purchased for telehealth services. 2. There was a 44% in client volume due to the telehealth program compared to the previous year. A grant was provided to Samaritan Interfaith Counseling Center. The following outcomes were reported: 1. Delivered 4,105 clinical hours of fee subsidized counseling services to 592 qualified MHAP clients in its west region, of which 507 clients will reside within NM Central DuPage and Delnor hospital primary service area. 2. 85% of clients showed improvement in their GAF score as measured upon intake and again after every 10th session, or termination of services, whichever comes first. 3. 95% of client completed the Client Satisfaction Survey and marked that they can deal more effectively with their symptoms. 4. 96% of clients that completed the CSS and agreed that they were able to accomplish what they set out to do. 5. 97% of clients that completed the CSS agreed that they can better handle conflict and stress. 6. 99% of clients that completed the CSS agreed that their counselor's interventions and interactions were helpful. 1.3: Participate in and support initiatives within Kane County that are focused on Mental Health. The Kane County Health Department is currently developing a Community Health Improvement Plan (CHIP) in collaboration with the hospitals and community agencies within the county. One of the identified priorities to be addressed is Mental Health and Substance Abuse. NMDH will continue to participate in the CHIP Executive Committee and the Mental Health Subgroup to develop and implement the action plan to address the health priority of Mental Health and Substance Abuse. 1. Leadership staff Allison Johnson participated in the Kane County Behavioral Council. The Council coordinate services and assist in making the system more responsive by bringing together provider organizations, mental health authorities, major funders of mental health services, mental health advocacy groups and public officials. 2. NMDH leadership participated on the TriCity Family Services advisory council. The goal of the council is to provide support to the community service agency that serve the mental health needs of residents. 3. NMDH hosted a Drug Takeback Day and 63.5 pounds of medications was collected. NMDH Medication Drug Disposal Kiosk in the ER collected 594 pounds of medication. 4. NMDH/NMCDH Behavioral Health Services hosted 5 evidence-based wellness events: 1. Continuing Education programs for mental health and substance use disorder professionals. 2. St. Charles Chamber of Commerce on "Health and Wellness Round table" 3. Educational presentations for community schools on mental health & substance 4. Chamber of Commerce member education topics including helping employees with COVID-19 stress, stress management, self-care, cancer & mental health 5. Provided news media content on Behavioral Health, Mental Health, Promoting Wellness and Preventing Disease, and on Employer Covid-19 Response in the Workplace 5. Office space was provided at no charge for 12-Step Programs offered Sundays thru Saturdays. (NMCDH/NMDH) A total of 1,530 hours of room usage was recorded. 1.4: Complete the planning phase and implement the Mental Health First Aid Program in the NMDH service area. The Mental Health First Aid (MHFA) program is designed to teach residents of the community how to take action when a mental illness is suspected or identified. The intent is to reduce the wide reach and economic toll that mental health disorders and crises have on the community. Individuals within NMDH are currently completing training and the certification process and will begin providing educational sessions to teach parents, family members, caregivers, teachers, school staff, peers and community members how to help an adolescent or adult experiencing a mental health or addiction challenge or crisis. These individuals can then intervene and direct the individual to appropriate resources. The overall goal is to increase awareness and early intervention to those in need of behavioral health services. Three NMDH/NMCDH staff members were trained to offer the nationally recognized evidence-based Mental Health First Aid program virtually. 1. 13 classes were held; 2. 183 individuals (adults and youth) attended the programs; 3. 100% of MHFA participants scored a minimum of 100% on the MHFA course exam. Priority 2: Chronic Disease: Chronic conditions are responsible for 70% of deaths and 75% of healthcare spending. Chronic disease is a leading cause of disability and lost income. Chronic disease disproportionally affects low-income and minority populations. In the NMDH service area, 35% of adults have been told that they have high blood pressure; 30% have been told they have a high cholesterol reading; 23% are obese; and chronic diseases of the heart are the second leading cause of death. To address the identified deficiencies in Chronic Disease, NMDH and members of the External Steering Committee plan to collaborate on the following strategies: 2.1: Provide resources and tools to patients diagnosed with heart failure in order to improve self-management skills and quality of life. NMDH continued to provide a post-discharge community-based heart failure program designed to improve the quality of life and decrease readmission rates for patients diagnosed with heart failure. Efforts to improve the coordination of care for heart failure patients were expanded, and a system of referrals for specialty care and social service needs were implemented. A retrospective study of outcomes related to the program was completed to ensure maximum quality is achieved. Key outcomes of this program were: 366 individuals were enrolled in the Community-Based Heart Failure program: (NMCDH/NMDH) 1. 30-day readmission rate for heart failure diagnosis: 1% (markedly below the national rate); 2. 99% of clients demonstrated the ability to identify appropriate action in the event of a worsening of their condition; 3. 96% of clients utilized an effective medication management system; 4. 89% of clients demonstrated compliance with symptom tracking. 2.2: Continue to provide, participate and partner in community-based health education, nutrition and activity programs focused on reducing the risk of obesity and chronic disease. NMDH provided community education related to chronic disease in the areas of evidence-based primary interventions (disease prevention, health promotion), evidence-based secondary interventions (screening) and evidence-based tertiary interventions (education to individuals affected with a chronic disease in an effort to promote an optimum state of individual wellness).
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - DELNOR-COMMUNITY HOSPITAL. Programmatic venues included the CATCH (Coordinated Approach to Child Health) program, the Dinner with the Doc series, clinician-led educational offerings, self-help groups, rehabilitation service programs and support programs. A comprehensive plan to increase patient compliance with physician and ancillary staff referrals to smoking cessation resources was also investigated and developed. Community Benefit Grants were also be provided to agencies that provide programming related to the priority health need of chronic disease. Key outcomes of these interventions include: 1. Diabetes Education Services offered 12 community programs. 90 individuals attended. (NMDH/NMCDH) 2. 366 individuals were enrolled in the Community-Based Heart Failure program: (NMDH/NMCDH) a. 30-day readmission rate for heart failure diagnosis: 4% (markedly below the national rate); b. 99% of client were seen at a home visits within 7 days of discharge; c. 87% of clients were able to name two cardiac medications and describe actions. A grant was provided to American Cancer Society for their Road to Recovery Program. The following outcomes were reported: (NMCDH/NMDH) 1. 130 Cancer patients were provided rides. A grant was provided to DuPage Pads for their Medical Respite Program. The following outcomes were reported: 1. 31 individuals in 28 household were served. Of the 31 individuals served, 29 were adults and 2 were children. 2. 100% of the participants obtained or maintained their benefits. 3. 100% of the participants received information on the importance of regular physicals relative to age and gender. 4. 93% of the participants exited the program with medical insurance. 5. 60% of the participants exited the program with an identified primary care physician. 6. 80% of the participants exited the program with a follow-up appointment scheduled with a primary care physician related to the condition resulting in entry to the Medical Respite Program. 7. 43% of the individuals served exited into stable housing The CATCH Program reached over 855 students and teachers. A total of 3 community programs were offered in the area of stroke education. A total of 86 people were reached. A total of 405 page views of Kits for Kids were downloaded in the areas hand washing, bicycle safety and healthy nutrition. A total of 12 individuals participated in smoking cessation programs. 100% self-reported smoking cessation by the end of week 6. The Think First Curriculum offered 402 presentations to children from kindergarten through high school and 47,795 individuals participated in Think First community events. 1. A total of 5,970 children were fitted for and received bike helmets 2. A total of 117 couples attended child safety classes 3. A total of 1103 car seats were checked / distributed A total of 10 individuals participated in the National Diabetes Prevention Program. There was a total loss of 115 lbs and 831 hours self-reported exercise by the final class. Priority 3: Access to Care: An aging population, coupled with a challenging economy and an increasing prevalence of chronic disease, create access-to-care issues relating to both the affordability and availability of care. NMDH seeks to promote access through a variety of initiatives identified below. NMDH will continue to work with individuals and families to promote access to medically necessary services by maintaining an accessible financial assistance program. Additionally, staff and leadership will work collaboratively with key community partners to promote a seamless continuum of care into local medical home settings. To improve Access to Health Services, NMDH and members of the External Steering Committee plan to collaborate on the following strategies: 3.1: Strengthen and increase patient affiliation with high-quality patient-centered medical homes. NMDH and its partners from the External Steering Committee focused efforts on strengthening the care coordination, availability, cultural competency and offerings available at the patient-centered medical homes operated by the Federally Qualified Health Centers and healthcare organizations that are closely aligned with Northwestern Medicine Delnor Hospital. By concentrating efforts on improving the most essential community-based component of the healthcare system - the patient-centered medical home - NMDH focused on ensuring patients receive timely and appropriate care. NMDH continued its long-established partnership with Tri City Health Partnership looked for ways to strengthen the patient-centered medical home. NMDH supported this partnership through grant funding, knowledge sharing efforts and streamlined access to medically appropriate diagnostic and specialty services at NMDH and within the Northwestern Medicine Regional Medical Group. 165 patients from TCHP received care at no charge at Northwestern Medicine facilities. NMDH will implement evidence-based practices to address the health concern related to members of the community receiving age and gender-appropriate screenings and other preventive services, including recommended routine immunizations. 3.2: Investigate innovative ways to connect uninsured members of the community with applicable entitlement programs and available healthcare and social services to improve access to medical care. Patients in need of financial assistance were connected with appropriate resources and assisted in the completion of applications for government assistance programs. 3.3: Improve access to evidence-based preventive services, including age and gender-appropriate screenings and routine immunizations. A total of 50 vaccine clinics were provided as well as 355 individuals in need received breast cancer screening at no charge. Non-Priority Areas The CHNA report identified areas of opportunity for health improvement for which NMDH and the external steering committee (ESC) determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. Cancer: NMDH provides a comprehensive range of clinical services to treat and screen for cancer. NMDH will continue to sustain these services and work to strengthen community-based outreach. The ESC recommended focusing efforts on other health conditions for which NMDH could have a greater impact (heart failure and nutrition and weight). Immunization and Infectious Disease in Adults: NMDH provides clinical services to treat pneumonia, asthma and tuberculosis. The ESC recommended that NMDH focus on strengthening and improving access to medical homes, where preventive care and screening services can be effectively coordinated and access to medically necessary specialty care can be facilitated. Vaccine services are provided to children as part of the access to care strategies. Tobacco Use: Tobacco use was incorporated into the strategies around chronic disease.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - DELNOR-COMMUNITY HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - DELNOR-COMMUNITY HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - KISHWAUKEE HOSPITAL. The CHNA report also describes Kishwaukee Hospital background, charity care, the mission, CHNA goals and objectives, public dissemination plan, and development of the Implementation Plan.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - KISHWAUKEE HOSPITAL. PARTNERING WITH DEKALB COUNTY HEALTH DEPARTMENT, THE CHNA PROCESS INCLUDED A SURVEY ADMINISTERED TO COMMUNITY PARTNERS, THEIR EMPLOYEES, AND CLIENTS, TO ALLOW RESPONSES FROM LOW-INCOME AREAS, MENTAL HEALTH CLINICS, YOUTH ORGANIZATIONS AND FOOD PANTRIES. REPRESENTATIVES OF THE COMMUNITY INCLUDED: 1. ADVENTURE WORKS DEKALB 2. CITY OF DEKALB 3. CITY OF SYCAMORE 4. DEKALB COUNTY NON-PROFIT PARTNERSHIP 5. DEKALB COUNTY BOARD OF HEALTH 6. DEKALB COUNTY COMMUNITY DEVELOPMENT 7. DEKALB COUNTY COMMUNITY FOUNDATION 8. DEKALB COUNTY HEALTH DEPARTMENT 9. DEKALB COUNTY MENTAL HEALTH BOARD AND COMMUNITY ACTION 10. DEKALB CUSD 428 11. FAMILY FIRST PHYSICIANS 12. FOX VALLEY YMCA 13. KISHWAUKEE YMCA FINDINGS REPRESENT QUALITATIVE RATHER THAN QUANTITATIVE DATA. THE KEY INFORMANT SURVEY WAS DESIGNED TO GATHER INPUT FROM PARTICIPANTS REGARDING THEIR OPINIONS AND PERCEPTIONS OF THE HEALTH OF THE RESIDENTS IN THE AREA. THEREFORE, THESE FINDINGS ARE BASED ON PERCEPTIONS, NOT FACTS. AN EXTERNAL STEERING COMMITTEE WAS CONVENED TO PROVIDE OVERSIGHT TO THE DEVELOPMENT OF THE CHNA AND ENGAGE THE COMMUNITY THROUGHOUT THE PROCESS UNDER THE LEADERSHIP AND DIRECTION OF MEMBERS FROM DEKALB COUNTY HEALTH DEPARTMENT, KISHWAUKEE HOSPITAL, AND NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - KISHWAUKEE HOSPITAL. KISHWAUKEE HOSPITAL WORKED IN TANDEM WITH VALLEY WEST HOSPITAL AND SHARED RESPONSIBILITIES ON A JOINT STEERING COMMITTEE. SPECIFIC NEEDS AND CONCERNS OF KISHWAUKEE COMMUNITY HOSPITAL WERE IDENTIFIED AND ADDRESSED SEPARATELY.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - KISHWAUKEE HOSPITAL. KISHWAUKEE HOSPITAL COMPLETED A CHNA IN PARTNERSHIP WITH DEKALB COUNTY HEALTH DEPARTMENT. THE TWO ORGANIZATIONS COLLABORATED UNDER THE NAME "TOGETHER FOR A HEALTHIER DEKALB COUNTY" FOR THE PURPOSE OF THE CHNA. THE TOGETHER FOR A HEALTHIER DEKALB COUNTY STEERING COMMITTEE, MADE UP OF EMPLOYEES FROM BOTH ORGANIZATIONS, UTILIZED THE ASSESSMENT TOOL OF MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) IN JANUARY 2018. MAPP IS A COMMUNITY-DRIVEN STRATEGIC PLANNING PROCESS FOR IMPROVING COMMUNITY HEALTH.
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - KISHWAUKEE HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also distributed to the following: 1. Key Community Organizations & Leaders 2. Internal & External Steering Committee Members 3. Kishwaukee Hospital Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL. Northwestern Medicine Kishwaukee Hospital (NMKH) adopted a new implementation strategy in FY2022 (TY2021) in alignment with the most recent CHNA. For Line 11, we are reporting on TY2018 implementation strategies as this is the most recent outcomes data available. Through the FY2018 prioritization process, NMKH identified four Priority Health Needs: adolescent health, behavioral health/mental health, chronic disease (cardiovascular disease and cancer), and maternal child health. Specific ways in which NMKH is addressing the needs identified in the CHNA are defined as follows: Priority 1: Adolescent Health Adolescents (age 10 to 19) make up 16 percent of the DeKalb County population. The behavioral patterns established during these developmental periods can help determine young people's current health status and their risk for developing chronic disease during adulthood. Health and social problems that may start or peak during these years; including; mental disorders, substance use, smoking/nicotine use, nutrition and weight conditions, sexually transmitted infections, teen pregnancy, homelessness, homicide, suicide and motor vehicle collisions. Effective programs and policies that address these issues can provide protective factors during these important stages in a person's life. 1.1: Advocate for use of evidence based anti-bullying curriculum in schools. To decrease the percentage of adolescents reporting being bullied in the past 12 months, as related to name calling, physical threats, hitting, punching, kicking, pushing or cyber bullying. Adolescents who report another student has ever bullied (reported at least 1 type of bullying) in the past 12 months as identified by the IYS: 48 percent of 8th graders, 35 percent of 10th graders, and 32 percent of 12th graders. Discussions with the DeKalb County Health Department to consider requesting funding for money to support an evidence based anti-bullying curriculum. Youth prevention education is delivered to two school districts; DeKalb, and Genoa-Kingston. Skill development is the core of the evidence based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2021, 148 students in grade 6 at Clinton Rosette Middle School, DeKalb and 111 students in grade 7 at Genoa Kingston Middle School, Genoa, 90 students in grade 7 at Sandwich Middle School and 93 students in grade 8 in Genoa Middle School received the curriculum. 1.2: Collaborate with schools to address depression and substance use among adolescents utilizing evidence-based interventions and education. Youth prevention education is delivered to two school districts; DeKalb and Genoa-Kingston. Skill development is the core of the evidence-based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug (ATOD) use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2021, Covid-19 did not allow for the implementation of the 9-month communication campaign. 1.3: Deliver an evidence-based Youth Prevention Program Education model program aimed at reducing alcohol use to an entire grade level of 6th - 12th grade students. Youth prevention education is delivered to two school districts; DeKalb and Genoa-Kingston. Skill development is the core of the evidence-based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug (ATOD) use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2021, Covid-19 did not allow for the implementation of the 9-month communication campaign. 1.4: Implement a communication campaign addressing the contributing factors related to past 30-day alcohol use. The Illinois Youth Survey (IYS) 2020 data reports past 30-dayuse of alcohol for DeKalb County as follows: 14% of 8th grade students, 26% of 10th grade students, and 40% of 12th grade students. In partnership DeKalb County High Schools including; Hiawatha, Genoa-Kingston, Indian Creek, Sandwich and Sycamore a nine-month communication campaign is delivered. During the nine-month campaign, primary messages must be changed every 6 weeks and reach a majority of the student population. Secondary messages are changed every 12 weeks during the campaign. 1.5: Engage local school districts in DeKalb County to participate in the Illinois Youth Survey. During a non-survey year (current reporting year) engage the districts to review the latest IYS data. To continue to ensure at least an 80% participation rate in the IYS throughout DeKalb County Schools, presentations on the 2020 IYS data was given during a DeKalb County Superintendents Monthly Regional Office of Education meeting, seven school districts leaders were present. Additionally, all DeKalb County schools received communication about the importance of understanding the IYS data and an invitation to have NM staff meet with districts to discuss the findings. 1.6: Provide an evidence-based curriculum focusing on causes and risk factors of brain and spinal cord injury, injury prevention measures and the use of safety habits at an early age. The Think First curriculum was offered to 1377 children in 11 different schools throughout the county. The program fit and distributed 1345 bike helmets to students. 1.7: Provide Kids Can Cook classes at the Leishman Center for Culinary Health to promote healthy cooking, using fresh ingredients, healthy eating and appropriate culinary skills to participants. Kids Can Cook classes were offered 13 times, reaching 31 youth. 1.8: Directly or indirectly support activities related to smoking prevention programs in school age children. Catch My Breath is a prevention program that provides students will skills to resist peer pressure and media influences to try E-Cigarettes. In FY2021, Covid-19 did not allow for the implementation of the program. 1.9: Provide evidence-based program for students in grades 6-8 to be safe when they are home alone or watching younger siblings. In an effort to increase knowledge and skills related to prevention of unsafe situations, what to do in an emergency, and manage behavior that helps students stay in control of themselves and other in their care the Safe Sitter program was presented four times and 37 students completed the program. 1.10: Provide the evidence-based program Coordinated Approach to Child Health (CATCH) to students to create behavior changes in students to identify health foods and increase physical activity. In FY2021, Covid-19 did not allow for the implementation of the CATCH program. Priority 2: Behavioral Health and Substance Abuse Mental health is a state of successful performance of mental function, resulting in productive activities, fulfilling relationships with others and the ability to adapt to change and to cope with challenges. Mental health is essential to personal well-being, family and interpersonal relationships and the ability to contribute to society. Mental disorders are among the most common and costly causes of disability. Mental and physical health are closely connected. Inpatient hospital admission data analysis found the most frequent Medicare Severity Diagnostic Related Groups (MS-DRGs) assigned to DeKalb County residents is psychoses; this is three times higher than the next most frequent MS-DRG. 2.1: Support policy and efforts in becoming Trauma Informed Community. Trauma is highly prevalent and can impact a person at any time during their lifespan and may present as mental health, substance use or physical health conditions.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL. A trauma informed approach includes; realizing the widespread impact of trauma and understands potential paths for recovery, recognizing the signs and symptoms of trauma in clients, families, staff, and others involved with the system, responds by fully integrating knowledge about trauma into policies, procedures, and practices, resists re-traumatization. Identification of key departments and inquiry of education around trauma informed practices. Opportunity to create a team to discuss feasibility of project and project charter. In FY21, the system-wide committee that was engaged to evaluate the current resources and projects related to Trauma-Informed Care provided recommendations regarding staff education programs. These programs were launched in FY22 for clinical staff at all locations. 2.2: Support efforts to eliminate the stigma of mental health. To education the public on negative attitudes and beliefs regarding behavioral health by increasing the proportion of DeKalb County organizations to complete Mental Health First Aid course to increase awareness and decrease stigma related to mental health. Training was completed in order for staff to be able to provide the program in a virtual format. 2.3: Reduce high-risk opioid prescribing through provider education and guidelines. To reduce the number of prescribed opiate drugs as measured by the IDPH Opioid Dashboard. Opioid prescribing summary; total opioid prescriptions at NMKH 813. Average number of pills at discharge 14; percentage on target number of pills at discharge is 75.8%; percentage above target number of pills at discharge is 34.2%. 2.4: Implement a communication campaign addressing alcohol use by teens in local school districts. The Illinois Youth Survey (IYS) 2020 data reports past 30-dayuse of alcohol for DeKalb County as follows: 14% of 8th grade students, 26% of 10th grade students, and 40% of 12th grade students In FY2021, Covid-19 did not allow for the implementation of the 9-month communication campaign. 2.5: Raise awareness of the drug take back programs in the service area. Working in partnership with the following local law enforcement offices: DeKalb Police Department, DeKalb County Sheriff's Office, Kingston Police Department, Sandwich Police Department and Sycamore Police Department to decrease the opportunity for diversion of non-prescribed prescription drugs and opioids. A total of 426.6 pounds of unwanted, unused, or expired medication was disposed of throughout DeKalb County in either permanent drug take back boxes or during National Drug Take Back Day. 2.6: Increase drug prevention programs in communities and schools targeted at opioid misuse and prescription drug abuse. To educate on the risks of opioid and prescription drug use a lesson specific to opioid misuse and abuse is delivered as part of the youth prevention education programming taking place at Clinton Rosette Middle School, Genoa Kingston Middle School, and Sandwich Middle School In FY2021, Covid-19 did not allow for the implementation of the 9-month communication campaign. 2.7: Participate on the DeKalb County Overdose Prevention Program Taskforce. A group of government leaders, healthcare organizations, and law enforcement which gather to discuss strategies to reduce the number of fatal opioid related overdoses in DeKalb County. NMKH staff attended three task force scheduled meetings. Because of the taskforce over 50 people from various organizations have been trained using the train the trainer model on the use of Naloxone and provided a supply for their organization. PRIORITY 3: Chronic Disease - Cancer Cancer remains the second leading cause of mortality in the United States (Center for Disease Control and Prevention, 2012) and of DeKalb County residents. By cancer site, lung cancer is the most common site for both genders. The leading male cancer site deaths are lung, colorectal, and prostate, while the leading female cancer site deaths are lung, breast, and colorectal. 3.1: Educate the community on importance of screening for cancer and early detection. Promotion of Low Dose CT Lung Cancer Screening - screening promoted at community events and with worksite wellness organizations. 184 community members received the information promoting Low Dose CT Lung Screening. 3.2: Offer free or reduced cost mammograms for targeted populations. Women Matter program is designed to provide screening mammography services at no cost to women who do not have insurance coverage in DeKalb County. Efforts are made to promote tis free and reduced cost open for women with the following criteria; between the ages of 40-64 years of age, reside within DeKalb County, and no insurance/underinsured or high deductible plan. Information about this program is shared at various event throughout the community during the fiscal year. A total of 17 patients were screened through Women Matter and of these three patients required additional follow-up. 3.3: Offer educational programs on smoking cessation in the community. The American Respiratory Associations, Courage to Quit smoking cessation programs are offered throughout the year to the community and businesses to assist with smoking cessation efforts. Smoking cessation programs have proven effective in decreasing the incidence of cancer, heart disease and stroke. Program facilitators provide information, practice skills, and support to help tobacco users reach smoke-free goals. During the fiscal year there were six Courage to Quit classes and two completed referrals to the Illinois Quit Line. 3.4: Promote the availability of smoking cessation classes and the Illinois Quit Line. The American Respiratory Associations, Courage to Quit smoking cessation programs are offered throughout the year to the community and businesses to assist with smoking cessation efforts. Smoking cessation programs have proven effective in decreasing the incidence of cancer, heart disease and stroke. Program facilitators provide information, practice skills, and support to help tobacco users reach smoke-free goals. Additionally, the Illinois Quit Line is an underutilized resource for smoking cessation support. NMKH community health services department worked with the respiratory therapy department to get information related to the IL Quit Line and current Courage to Quit classes in the hands of patients who need this information. During the fiscal year there were five Courage to Quit classes and four completed referrals to the Illinois Quit Line. There was also a team created for the standardization of smoking cessation effort led by Bluhm Cardiovascular and Community Health Services. 3.5: Directly or indirectly support activities related to smoking prevention programs in school age children. NMKH works to support activities related to smoking prevention programs in school age children through collaboration with local school districts. CATCH My Breath is a prevention program that provides students with skills to resist peer pressure and media influences to try electronic nicotine delivery systems, commonly known as e-cigarettes In FY2021, Covid-19 did not allow for the implementation of this program. PRIORITY 4: Cardiovascular Disease Cardiovascular Disease, principally heart disease is the leading cause of death in the United States, with stroke following as the third leading cause. Together, heart disease and stroke are among the most widespread and costly health problems facing our nation today, accounting for more than $500 billion in healthcare expenditures. Healthy People 2020 stresses that the risk of Americans developing and dying from cardiovascular disease would be substantially reduced if changes were made in diet, physical activity and management of high blood pressure, cholesterol and smoking. In planning to address this health priority within the community, hospitals can positively impact the health burdens of all chronic disease by addressing the disease across the continuum of lifespan. 4.1: Promote Know Your Numbers, an evidence-based approach to community awareness of cardiovascular disease. Better prevention of and the management of high cholesterol, high blood pressure or diabetes to help lower the risk for heart disease is a key component to the Know Your Numbers biometric screening appointments. A screening designed to provide a participant with their individual cardiovascular risk factors including fasting glucose, total cholesterol, Body Mass Index (BMI), blood pressure and waist measurement.
Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL. Lifestyle changes such as quitting or never smoking, limiting alcohol use, exercising and eating healthy all lower risk for cardiovascular disease and are thoroughly discussed during the screening appointments. Community members have access to this complimentary screening and appointments are available monthly. 158 community members participated in the screening. Additionally, blood pressure checks are offered weekly free of charge for community members and patients at two locations; Kishwaukee Hospital and NM Genoa clinic. The goal of offering the blood pressure checks is to improve awareness of one's own blood pressure number, an indicator used for heart disease risk factors. 34 people participated in blood pressure screenings during the fiscal year. Of those screened patients with a B/P greater than 120/80 is 84 percent. 4.2: Offer educational sessions for targeted populations to address prevention of cardiovascular disease through healthy diet and cooking programs at the Leishman Center for Culinary Health and through the DASH program to manage high blood pressure. The Leishman Center for Culinary Health offers a variety of natural, whole foods cooking classes designed to help participants make simple changes for a healthier lifestyle. Classes offered in the center include disease specific offerings such as Eat to Beat: Cancer and Eat to Beat: Heart Disease. The philosophy of the Leishman Center is focused around eating real food, which support the mission of the department in tackling chronic illness, disease and obesity. The Leishman Center for Culinary Health reached more than 961 participants through 135 in-house classes and external programs. 4.3: Identify and implement a community education program to increase awareness on sodium and promote sodium reduction in the diet. Increase awareness on the daily consumption of sodium and its impact on high blood pressure, which is a leading risk factor for cardiovascular disease. As part of larger community events, NMKH participated in seven community opportunities to share information related to sodium consumption, reading a nutrition label to identify sodium on the label, and helpful tips for reducing sodium in the diet, this evidence-based information is from the American Heart Association. The development and implementation of the program called Managing your Blood Pressure with the DASH (Dietary Approaches to Stop Hypertension) Diet was also implemented. The DASH program outcomes and metrics were developed during this fiscal year. The class continues to be offered on a quarterly basis. 4.4: Offer the American Heart Association CPR program. This American Heart Association course is designed for anyone who wants to learn basic CPR. Participants learn how to perform CPR on adults, children, and infants and how to help an adult, child, or infant who is choking. This program was discontinued in FY2021. 4.5: Provide resources and tools to patients diagnosed with heart failure to improve self-management skills and quality of life. Kishwaukee Hospital's Community Based Heart Failure Program started seeing patients in November 2018. In FY2021, 30 patients were enrolled with 90% compliance with system tracker, 100% of patients able to identify action needed for worsening of symptoms, 97% of patients able to identify two cardiac medications, 100% of patients using a medication system, 97% of patients receiving a home visit within 7 days of hospital discharge and 73% of patients followed-up with their physician within 7 days. PRIORITY 5: Maternal Child Health According to the Centers for Disease Control and Prevention, safe motherhood begins before conception with good nutrition and a healthy lifestyle. It continues with appropriate prenatal care with the ideal result being a full-term pregnancy without unnecessary interventions and the delivery of a healthy baby. In addition, it includes a healthy postpartum period in a positive environment that supports the physical and emotional needs of the mother, baby and family. The number of births in DeKalb County for 2016 was 1,093. Notably, there has been a decrease in births over the past three years within DeKalb County. The overall teen birth rate in DeKalb County per 1,000 population is 15.7 5.1: To assess capacity to provide referral systems for smoking cessation among pregnant women and Offer Courage to Quit smoking cessation program. NMKH community wellness continued to offer ongoing sessions of the Respiratory Health Association's Courage to Quit smoking cessation programs to women who are receiving services at the DeKalb County Health Department. 5.2: Support messaging related to The Basics of DeKalb County. Staff met with the Basics Coordinator, hired by DeKalb County to lead this initiative. The hospital will stay committed to supporting the mission of The Basics DeKalb County. The health department received funding from NMKH community benefit dollars to support messaging and the creation of a space dedicated to the work of The Basics within the health department waiting area. 5.3: Update childbirth education classes to include messaging on domestic violence and resources available for referral. Programmatic slides include information related to domestic violence resources available in DeKalb County. 5.4: Investigate opportunities to increase referrals to the Breastfeeding Center to WIC clients at the DeKalb County Health Department FY20 a total of 12 prenatal lactation consults. Of those 10 consults, 3 were WIC clients who had received a referral. Total of 394 initial lactation consults (1st visit to the center) and 499 follow-up lactation consults for a total of 893 one-on-one consults. Of these 793 consults, approximately 10% were WIC clients. 1186 calls on the warm line. Of those, approximately 40% were WIC clients. Transportation challenges have always contributed to a higher propensity of call vs. in person visits. 3 walk-in consults - these are consults who most often come to the center without a scheduled appointment directly after being seen by the Pediatrician. When there is availability to see walk-in patients in the center, the patient is marked as a "walk-in". 100% of walk-in clients were WIC clients. 5.5: Investigate the feasibility of offering a childbirth education class in Spanish. All education was provided online in FY2021. The online system does offer a program in Spanish. The CHNA report identified area of opportunity for health improvement for which NMKH and its external committee determined it would not prepare an implementation plan and strategy. These identified areas and the reason for not addressing are listed below: Access to Health Services: Access to health services ranked as a concern that will be addressed within the health priorities selected through the MAPP process. Environmental Health: There are programs and initiative available through other organizations within DeKalb County to address Environmental Health. Health Communication: NMKH utilizes tools such as the Electronic Medical Record as a way to continue to assist patients and community members with Health Information Technology. Infectious Disease/STI: There are programs and initiatives available through other organizations within DeKalb County to address infectious disease and STIs. Injury and Violence: There are programs and initiatives available through other organizations within DeKalb County to address injury and violence. Social Determinants of Health: Social Determinants of Health ranked as a concern that will be addressed within the health priorities selected through the MAPP process.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - KISHWAUKEE COMMUNITY HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - KISHWAUKEE COMMUNITY HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - VALLEY WEST HOSPITAL. The CHNA report also describes Valley West Hospital background, charity care, the mission, CHNA goals and objectives, public dissemination plan, and development of the Implementation Plan.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - VALLEY WEST HOSPITAL. PARTNERING WITH DEKALB COUNTY HEALTH DEPARTMENT, THE CHNA PROCESS INCLUDED A SURVEY ADMINISTERED TO COMMUNITY PARTNERS, THEIR EMPLOYEES, AND CLIENTS, TO ALLOW RESPONSES FROM LOW-INCOME AREAS, MENTAL HEALTH CLINICS, YOUTH ORGANIZATIONS AND FOOD PANTRIES. REPRESENTATIVES OF THE COMMUNITY INCLUDED: 1. ADVENTURE WORKS DEKALB 2. CITY OF DEKALB 3. CITY OF SYCAMORE 4. DEKALB COUNTY NON-PROFIT PARTNERSHIP 5. DEKALB COUNTY BOARD OF HEALTH 6. DEKALB COUNTY COMMUNITY DEVELOPMENT 7. DEKALB COUNTY COMMUNITY FOUNDATION 8. DEKALB COUNTY HEALTH DEPARTMENT 9. DEKALB COUNTY MENTAL HEALTH BOARD AND COMMUNITY ACTION 10. DEKALB CUSD 428 11. FAMILY FIRST PHYSICIANS 12. FOX VALLEY YMCA 13. KISHWAUKEE YMCA FINDINGS REPRESENT QUALITATIVE RATHER THAN QUANTITATIVE DATA. THE KEY INFORMANT SURVEY WAS DESIGNED TO GATHER INPUT FROM PARTICIPANTS REGARDING THEIR OPINIONS AND PERCEPTIONS OF THE HEALTH OF THE RESIDENTS IN THE AREA. THEREFORE, THESE FINDINGS ARE BASED ON PERCEPTIONS, NOT FACTS. AN EXTERNAL STEERING COMMITTEE WAS CONVENED TO PROVIDE OVERSIGHT TO THE DEVELOPMENT OF THE CHNA AND ENGAGE THE COMMUNITY THROUGHOUT THE PROCESS UNDER THE LEADERSHIP AND DIRECTION OF MEMBERS FROM DEKALB COUNTY HEALTH DEPARTMENT, KISHWAUKEE HOSPITAL, AND NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - VALLEY WEST HOSPITAL. VALLEY WEST HOSPITAL WORKED IN TANDEM WITH KISHWAUKEE HOSPITAL AND SHARED RESPONSIBILITIES ON A JOINT STEERING COMMITTEE. SPECIFIC NEEDS AND CONCERNS OF VALLEY WEST HOSPITAL WERE IDENTIFIED AND ADDRESSED SEPARATELY.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - VALLEY WEST HOSPITAL. VALLEY WEST HOSPITAL PARTNERED WITH DEKALB COUNTY HEALTH DEPARTMENT UNDER THE NAME "TOGETHER FOR A HEALTHIER DEKALB COUNTY" AND UTILIZED THE ASSESSMENT TOOL OF MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP). THIS COLLABORATION ENGENDERED BROADER THINKING ABOUT COMMUNITY NEEDS FOR THE VALLEY WEST COMMUNITY.
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - VALLEY WEST HOSPITAL. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also distributed to the following: 1. Key Community Organizations & Leaders 2. NMVWH Internal & External Steering Committee Members 3. Northwestern Medicine Valley West Hospital Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL. Northwestern Medicine Valley West Hospital (NMVW) adopted a new implementation strategy in FY2022 (TY 2021) in alignment with the most recent CHNA. For Line 11, we are reporting on TY 2018 implementation strategies as this is the most recent outcomes data available. Through the FY2018 prioritization process, NMVWH identified four Priority Health Needs: adolescent health, behavioral health/mental health, chronic disease (cardiovascular disease and cancer), and maternal child health. Specific ways in which NMKH is addressing the needs identified in the CHNA are defined as follows: Priority 1: Adolescent Health Adolescents (age 10 to 19) make up 16 percent of the DeKalb County population. The behavioral patterns established during these developmental periods can help determine young people's current health status and their risk for developing chronic disease during adulthood. Health and social problems that may start or peak during these years; including; mental disorders, substance use, smoking/nicotine use, nutrition and weight conditions, sexually transmitted infections, teen pregnancy, homelessness, homicide, suicide and motor vehicle collisions. Effective programs and policies that address these issues can provide protective factors during these important stages in a person's life. 1.1: Advocate for use of evidence based anti-bullying curriculum in schools. To decrease the percentage of adolescents reporting being bullied in the past 12 months, as related to name calling, physical threats, hitting, punching, kicking, pushing or cyber bullying. Adolescents who report another student has ever bullied (reported at least 1 type of bullying) in the past 12 months as identified by the IYS: 48 percent of 8th graders, 35 percent of 10th graders, and 32 percent of 12th graders. Discussions with the DeKalb County Health Department to consider requesting funding for money to support an evidence based anti-bullying curriculum. Youth prevention education is delivered to two school districts; DeKalb, and Genoa-Kingston. Skill development is the core of the evidence-based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2021, 148 students in grade 6 at Clinton Rosette Middle School, DeKalb and 111 students in grade 7 at Genoa Kingston Middle School, Genoa, 90 students in grade 7 at Sandwich Middle School and 93 students in grade 8 in Genoa Middle School received the curriculum. 1.2: Collaborate with schools to address depression and substance use among adolescents utilizing evidence-based interventions and education. Youth prevention education is delivered to two school districts; DeKalb and Genoa-Kingston. Skill development is the core of the evidence-based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug (ATOD) use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2021, Covid-19 did not allow for the implementation of the 9-month communication campaign. 1.3: Deliver an evidence-based Youth Prevention Program Education model program aimed at reducing alcohol use to an entire grade level of 6th - 12th grade students. Youth prevention education is delivered to two school districts; DeKalb and Genoa-Kingston. Skill development is the core of the evidence-based curriculum delivered. The program is designed to mitigate risk factors and enhance protective factors related to alcohol, tobacco, and other drug (ATOD) use. The lessons introduce and develop social and emotion skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure. In FY2021, Covid-19 did not allow for the implementation of the 9-month communication campaign. 1.4: Implement a communication campaign addressing the contributing factors related to past 30-day alcohol use. The Illinois Youth Survey (IYS) 2020 data reports past 30-dayuse of alcohol for DeKalb County as follows: 14% of 8th grade students, 26% of 10th grade students, and 40% of 12th grade students. In partnership DeKalb County High Schools including; Hiawatha, Genoa-Kingston, Indian Creek, Sandwich and Sycamore a nine-month communication campaign is delivered. During the nine-month campaign, primary messages must be changed every 6 weeks and reach a majority of the student population. Secondary messages are changed every 12 weeks during the campaign. 1.5: Engage local school districts in DeKalb County to participate in the Illinois Youth Survey. During a non-survey year (current reporting year) engage the districts to review the latest IYS data. To continue to ensure at least an 80% participation rate in the IYS throughout DeKalb County Schools, presentations on the 2020 IYS data was given during a DeKalb County Superintendents Monthly Regional Office of Education meeting, seven school districts leaders were present. Additionally, all DeKalb County schools received communication about the importance of understanding the IYS data and an invitation to have NM staff meet with districts to discuss the findings. 1.6: Provide an evidence-based curriculum focusing on causes and risk factors of brain and spinal cord injury, injury prevention measures and the use of safety habits at an early age. The Think First curriculum was offered to 1377 children in 11 different schools throughout the county. The program fit and distributed 1345 bike helmets to students. 1.7: Provide Kids Can Cook classes at the Leishman Center for Culinary Health to promote healthy cooking, using fresh ingredients, healthy eating and appropriate culinary skills to participants. Kids Can Cook classes were offered 13 times, reaching 31 youth. 1.8: Directly or indirectly support activities related to smoking prevention programs in school age children. Catch My Breath is a prevention program that provides students will skills to resist peer pressure and media influences to try E-Cigarettes. In FY2021, Covid-19 did not allow for the implementation of the program. 1.9: Provide evidence-based program for students in grades 6-8 to be safe when they are home alone or watching younger siblings. In an effort to increase knowledge and skills related to prevention of unsafe situations, what to do in an emergency, and manage behavior that helps students stay in control of themselves and other in their care the Safe Sitter program was presented four times and 37 students completed the program. 1.10: Provide the evidence-based program Coordinated Approach to Child Health (CATCH) to students to create behavior changes in students to identify health foods and increase physical activity. In FY2021, Covid-19 did not allow for the implementation of the CATCH program. Priority 2: Behavioral Health and Substance Abuse Mental health is a state of successful performance of mental function, resulting in productive activities, fulfilling relationships with others and the ability to adapt to change and to cope with challenges. Mental health is essential to personal well-being, family and interpersonal relationships and the ability to contribute to society. Mental disorders are among the most common and costly causes of disability. Mental and physical health are closely connected. Inpatient hospital admission data analysis found the most frequent Medicare Severity Diagnostic Related Groups (MS-DRGs) assigned to DeKalb County residents is psychoses; this is three times higher than the next most frequent MS-DRG. 2.1: Support policy and efforts in becoming Trauma Informed Community. Trauma is highly prevalent and can impact a person at any time during their lifespan and may present as mental health, substance use or physical health conditions.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL. A trauma informed approach includes; realizing the widespread impact of trauma and understands potential paths for recovery, recognizing the signs and symptoms of trauma in clients, families, staff, and others involved with the system, responds by fully integrating knowledge about trauma into policies, procedures, and practices, resists re-traumatization. Identification of key departments and inquiry of education around trauma informed practices. Opportunity to create a team to discuss feasibility of project and project charter. In FY21, the system-wide committee that was engaged to evaluate the current resources and projects related to Trauma-Informed Care provided recommendations regarding staff education programs. These programs were launched in FY22 for clinical staff at all locations. 2.2: Support efforts to eliminate the stigma of mental health. To education the public on negative attitudes and beliefs regarding behavioral health by increasing the proportion of DeKalb County organizations to complete Mental Health First Aid course to increase awareness and decrease stigma related to mental health. Training was completed in order for staff to be able to provide the program in a virtual format. 2.3: Reduce high-risk opioid prescribing through provider education and guidelines. To reduce the number of prescribed opiate drugs as measured by the IDPH Opioid Dashboard. Opioid prescribing summary; total opioid prescriptions at NMVWH 813. Average number of pills at discharge 14; percentage on target number of pills at discharge is 75.8%; percentage above target number of pills at discharge is 34.2%. 2.4: Implement a communication campaign addressing alcohol use by teens in local school districts. The Illinois Youth Survey (IYS) 2020 data reports past 30-dayuse of alcohol for DeKalb County as follows: 14% of 8th grade students, 26% of 10th grade students, and 40% of 12th grade students In FY2021, Covid-19 did not allow for the implementation of the 9-month communication campaign. 2.5: Raise awareness of the drug take back programs in the service area. Working in partnership with the following local law enforcement offices: DeKalb Police Department, DeKalb County Sheriff's Office, Kingston Police Department, Sandwich Police Department and Sycamore Police Department to decrease the opportunity for diversion of non-prescribed prescription drugs and opioids. A total of 426.6 pounds of unwanted, unused, or expired medication was disposed of throughout DeKalb County in either permanent drug takeback boxes or during National Drug Take Back Day. 2.6: Increase drug prevention programs in communities and schools targeted at opioid misuse and prescription drug abuse. To educate on the risks of opioid and prescription drug use a lesson specific to opioid misuse and abuse is delivered as part of the youth prevention education programming taking place at Clinton Rosette Middle School, Genoa Kingston Middle School, and Sandwich Middle School. In FY2021, Covid-19 did not allow for the implementation of the 9-month communication campaign. 2.7: Participate on the DeKalb County Overdose Prevention Program Taskforce. A group of government leaders, healthcare organizations, and law enforcement which gather to discuss strategies to reduce the number of fatal opioid related overdoses in DeKalb County. NMVWH staff attended three task force scheduled meetings. Because of the taskforce over 50 people from various organizations have been trained using the train the trainer model on the use of Naloxone and provided a supply for their organization. PRIORITY 3: Chronic Disease - Cancer Cancer remains the second leading cause of mortality in the United States (Center for Disease Control and Prevention, 2012) and of DeKalb County residents. By cancer site, lung cancer is the most common site for both genders. The leading male cancer site deaths are lung, colorectal, and prostate, while the leading female cancer site deaths are lung, breast, and colorectal. 3.1: Educate the community on importance of screening for cancer and early detection. Promotion of Low Dose CT Lung Cancer Screening - screening promoted at community events and with worksite wellness organizations. 184 community members received the information promoting Low Dose CT Lung Screening. 3.2: Offer free or reduced cost mammograms for targeted populations. Women Matter program is designed to provide screening mammography services at no cost to women who do not have insurance coverage in DeKalb County. Efforts are made to promote tis free and reduced cost open for women with the following criteria; between the ages of 40-64 years of age, reside within DeKalb County, and no insurance/underinsured or high deductible plan. Information about this program is shared at various event throughout the community during the fiscal year. A total of 17 patients were screened through Women Matter and of these three patients required additional follow-up. 3.3: Offer educational programs on smoking cessation in the community. The American Respiratory Associations, Courage to Quit smoking cessation programs are offered throughout the year to the community and businesses to assist with smoking cessation efforts. Smoking cessation programs have proven effective in decreasing the incidence of cancer, heart disease and stroke. Program facilitators provide information, practice skills, and support to help tobacco users reach smoke-free goals. During the fiscal year there were six Courage to Quit classes and two completed referrals to the Illinois Quit Line. 3.4: Promote the availability of smoking cessation classes and the Illinois Quit Line. The American Respiratory Associations, Courage to Quit smoking cessation programs are offered throughout the year to the community and businesses to assist with smoking cessation efforts. Smoking cessation programs have proven effective in decreasing the incidence of cancer, heart disease and stroke. Program facilitators provide information, practice skills, and support to help tobacco users reach smoke-free goals. Additionally, the Illinois Quit Line is an underutilized resource for smoking cessation support. NMVWH community health services department worked with the respiratory therapy department to get information related to the IL Quit Line and current Courage to Quit classes in the hands of patients who need this information. During the fiscal year there were five Courage to Quit classes and four completed referrals to the Illinois Quit Line. There was also a team created for the standardization of smoking cessation effort led by Bluhm Cardiovascular and Community Health Services. 3.5: Directly or indirectly support activities related to smoking prevention programs in school age children. NMVWH works to support activities related to smoking prevention programs in school age children through collaboration with local school districts. CATCH My Breath is a prevention program that provides students with skills to resist peer pressure and media influences to try electronic nicotine delivery systems, commonly known as e-cigarettes In FY2021, Covid-19 did not allow for the implementation of this program. PRIORITY 4: Cardiovascular Disease Cardiovascular Disease, principally heart disease is the leading cause of death in the United States, with stroke following as the third leading cause. Together, heart disease and stroke are among the most widespread and costly health problems facing our nation today, accounting for more than $500 billion in healthcare expenditures. Healthy People 2020 stresses that the risk of Americans developing and dying from cardiovascular disease would be substantially reduced if changes were made in diet, physical activity and management of high blood pressure, cholesterol and smoking. In planning to address this health priority within the community, hospitals can positively impact the health burdens of all chronic disease by addressing the disease across the continuum of lifespan. 4.1: Promote Know Your Numbers, an evidence-based approach to community awareness of cardiovascular disease. Better prevention of and the management of high cholesterol, high blood pressure or diabetes to help lower the risk for heart disease is a key component to the Know Your Numbers biometric screening appointments. A screening designed to provide a participant with their individual cardiovascular risk factors including fasting glucose, total cholesterol, Body Mass Index (BMI), blood pressure and waist measurement.
Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL. Lifestyle changes such as quitting or never smoking, limiting alcohol use, exercising and eating healthy all lower risk for cardiovascular disease and are thoroughly discussed during the screening appointments. Community members have access to this complimentary screening and appointments are available monthly. 158 community members participated in the screening. Additionally, blood pressure checks are offered weekly free of charge for community members and patients at two locations; Kishwaukee Hospital and NM Genoa clinic. The goal of offering the blood pressure checks is to improve awareness of one's own blood pressure number, an indicator used for heart disease risk factors. 34 people participated in blood pressure screenings during the fiscal year. Of those screened patients with a B/P greater than 120/80 is 84 percent. 4.2: Offer educational sessions for targeted populations to address prevention of cardiovascular disease through healthy diet and cooking programs at the Leishman Center for Culinary Health and through the DASH program to manage high blood pressure. The Leishman Center for Culinary Health offers a variety of natural, whole foods cooking classes designed to help participants make simple changes for a healthier lifestyle. Classes offered in the center include disease specific offerings such as Eat to Beat: Cancer and Eat to Beat: Heart Disease. The philosophy of the Leishman Center is focused around eating real food, which support the mission of the department in tackling chronic illness, disease and obesity. The Leishman Center for Culinary Health reached more than 961 participants through 135 in-house classes and external programs. 4.3: Identify and implement a community education program to increase awareness on sodium and promote sodium reduction in the diet. Increase awareness on the daily consumption of sodium and its impact on high blood pressure, which is a leading risk factor for cardiovascular disease. As part of larger community events, NMVWH participated in seven community opportunities to share information related to sodium consumption, reading a nutrition label to identify sodium on the label, and helpful tips for reducing sodium in the diet, this evidence-based information is from the American Heart Association. The development and implementation of the program called Managing your Blood Pressure with the DASH (Dietary Approaches to Stop Hypertension) Diet was also implemented. The DASH program outcomes and metrics were developed during this fiscal year. The class continues to be offered on a quarterly basis. 4.4: Offer the American Heart Association CPR program. This American Heart Association course is designed for anyone who wants to learn basic CPR. Participants learn how to perform CPR on adults, children, and infants and how to help an adult, child, or infant who is choking. This program was discontinued in FY2021. PRIORITY 5: Maternal Child Health According to the Centers for Disease Control and Prevention, safe motherhood begins before conception with good nutrition and a healthy lifestyle. It continues with appropriate prenatal care with the ideal result being a full-term pregnancy without unnecessary interventions and the delivery of a healthy baby. In addition, it includes a healthy postpartum period in a positive environment that supports the physical and emotional needs of the mother, baby and family. The number of births in DeKalb County for 2016 was 1,093. Notably, there has been a decrease in births over the past three years within DeKalb County. The overall teen birth rate in DeKalb County per 1,000 population is 15.7 5.1: To assess capacity to provide referral systems for smoking cessation among pregnant women and Offer Courage to Quit smoking cessation program. NMVWH community wellness continued to offer ongoing sessions of the Respiratory Health Association's Courage to Quit smoking cessation programs to women who are receiving services at the DeKalb County Health Department. 5.2: Support messaging related to The Basics of DeKalb County. Staff met with the Basics Coordinator, hired by DeKalb County to lead this initiative. The hospital will stay committed to supporting the mission of The Basics DeKalb County. The health department received funding from NMVWH community benefit dollars to support messaging and the creation of a space dedicated to the work of The Basics within the health department waiting area. 5.3: Update childbirth education classes to include messaging on domestic violence and resources available for referral. Programmatic slides include information related to domestic violence resources available in DeKalb County. 5.4: Investigate opportunities to increase referrals to the Breastfeeding Center to WIC clients at the DeKalb County Health Department FY20 a total of 12 prenatal lactation consults. Of those 10 consults, 3 were WIC clients who had received a referral. Total of 394 initial lactation consults (1st visit to the center) and 499 follow-up lactation consults for a total of 893 one-on-one consults. Of these 793 consults, approximately 10% were WIC clients. 1186 calls on the warm line. Of those, approximately 40% were WIC clients. Transportation challenges have always contributed to a higher propensity of call vs. in person visits. 3 walk-in consults - these are consults who most often come to the center without a scheduled appointment directly after being seen by the Pediatrician. When there is availability to see walk-in patients in the center, the patient is marked as a "walk-in". 100% of walk-in clients were WIC clients. 5.5: Investigate the feasibility of offering a childbirth education class in Spanish. All education was provided online in FY2021. The online system does offer a program in Spanish. The CHNA report identified area of opportunity for health improvement for which NMVWH and its external committee determined it would not prepare an implementation plan and strategy. These identified areas and the reason for not addressing are listed below: Access to Health Services: Access to health services ranked as a concern that will be addressed within the health priorities selected through the MAPP process. Environmental Health: There are programs and initiative available through other organizations within DeKalb County to address Environmental Health. Health Communication: NMVWH utilizes tools such as the Electronic Medical Record as a way to continue to assist patients and community members with Health Information Technology. Infectious Disease/STI: There are programs and initiatives available through other organizations within DeKalb County to address infectious disease and STIs. Injury and Violence: There are programs and initiatives available through other organizations within DeKalb County to address injury and violence. Social Determinants of Health: Social Determinants of Health ranked as a concern that will be addressed within the health priorities selected through the MAPP process.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - MARIANJOY REHABILITATION HOSPITAL. THE CHNA REPORT ALSO DESCRIBES MARIANJOY REHABILITATION HOSPITAL BACKGROUND, CHARITY CARE, THE MISSION, CHNA GOALS AND OBJECTIVES, PUBLIC DISSEMINATION PLAN, AND DEVELOPMENT OF THE IMPLEMENTATION PLAN.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - MARIANJOY REHABILITATION HOSPITAL. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THE CHNA PROCESS. THE LIST OF PARTICIPANTS WAS PROVIDED BY MARIANJOY REHABILITATION HOSPITAL AND INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATION WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE. REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 41 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY INCLUDING REPRESENTATIVES OF THE ORGANIZATIONS BELOW: 1. DUPAGE FOUNDATION 2. DUPAGE SENIOR CITIZENS COUNCIL 3. DUPAGE UNITED 4. EDUCARE WEST DUPAGE 5. FOX VALLEY SPECIAL RECREATION ASSOCIATION 6. NAMI DUPAGE 7. NORTHERN ILLINOIS FOOD BANK 8. PEOPLE'S RESOURCE CENTER 9. SAMARACARE 10. SENIOR SERVICES ASSOCIATES, INC. 11. WARRENVILLE PARK DISTRICT 12. WESTERN DUPAGE SPECIAL RECREATION ASSOCIATION 13. WEST CHICAGO PUBLIC LIBRARY DISTRICT 14. WINFIELD PARK DISTRICT THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY POPULATIONS, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. IN THE ONLINE SURVEY, KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFIED PROBLEM AREAS AS SUCH AND HOW THESE MIGHT BE BETTER ADDRESSED. FINDING REPRESENT QUALITATIVE RATHER THAN QUANTITATIVE DATA. THE ONLINE KEY INFORMANT SURVEY WAS DESIGNED TO GATHER INPUT FORM PARTICIPANTS REGARDING THEIR OPINIONS AND PERCEPTIONS OF THE HEALTH OF THE RESIDENTS IN THE AREA. THEREFORE, THESE FINDINGS ARE BASED ON PERCEPTIONS, NOT FACTS.
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - MARIANJOY REHABILITATION HOSPITAL. IN ADDITION TO PROVIDING THE CHNA REPORT ON THE WEBSITE AND MAKING IT AVAILABLE TO THE PUBLIC UPON REQUEST, THE CHNA REPORT WAS ALSO DISTRIBUTED TO THE FOLLOWING: 1. KEY COMMUNITY ORGANIZATIONS & LEADERS 2. MARIANJOY REHABILITATION HOSPITAL INTERNAL & EXTERNAL STEERING COMMITTEE MEMBERS 3. MARIANJOY REHABILITATION HOSPITAL LEADERSHIP
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - MARIANJOY REHABILITATION HOSPITAL. Marianjoy Rehabilitation Hospital (MRH) adopted a new implementation strategy in FY2022 (TY 2021) in alignment with the most recent CHNA. For Line 11, we are reporting on TY2018 implementation strategies as this is the most recent outcomes data available. Through the FY2018 prioritization process, MRH identified four priority health needs: 1. Access to healthcare services 2. Chronic disease management and rehabilitation 3. Promoting Independence in Individuals with Disabilities 4. Injury Prevention Specific ways in which MRH is addressing the significant needs identified in its most recently conducted CHNA are below. Priority Need 1: Access to healthcare services: MRH ensures that residents of our community have access to high quality medically necessary healthcare services in the most appropriate setting. Dedicated to the delivery of physical medicine and rehabilitation, MRH offers specialty programs for adult and pediatric patients recovering from injury or illness in both the inpatient and outpatient settings. MRH is committed to developing and maintaining programs that address the affordability of and accessibility to healthcare services. Additionally, MRH offers a comprehensive financial assistance program to patients who are unable to afford the cost of necessary medical care. MRH seeks to engage and maintain a multicultural workforce of primary care providers, specialists, midlevel practitioners, registered professional nurses and other specialties committed to working in an evidence-based practice setting by providing a clinical site for educational experiences. The development and implementation of the DuPage County Access to Health Services Action Plan is led by the DuPage Health Coalition. Formerly known as Access DuPage, the Coalition is a collaborative effort by thousands of individuals and hundreds of organizations in DuPage County to provide access to medical services to the county's low-income, medically uninsured residents. The DuPage Health Coalition also operates the Silver Access Program, which provides financial help to lower income families purchasing Health Insurance through the Affordable Care Act's Healthcare Marketplace. In early 2017, the DuPage Health Coalition will open the DuPage Dispensary of Hope, a new free pharmacy program in Wheaton, offered in partnership with DuPage County. MRH leadership and staff work collaboratively with the DuPage Coalition to promote affordable access to care for all residents of DuPage County. MRH will continue to support national and local efforts to increase access to care by providing leadership, investing resources and working collaboratively with other community organizations throughout the county. In conjunction with DuPage Health Coalition's Access DuPage program and independent medical providers, MRH will support the maintenance of an efficient and effective continuum of care for individuals with disabilities, offering inpatient and outpatient rehabilitation services to those in need. 1.1: MRH will offer financial assistance policies that are easily accessible, user-friendly, respectful, and meet all regulatory requirements. Marianjoy integrated the promotion and availability of the financial assistance program within registration, billing and all patient financial interactions. 1.2: MRH will continue to provide medically necessary inpatient and outpatient hospital services to uninsured and underinsured patients in accordance with the hospital's financial assistance policies. MRH tracked the number of individuals and the amount of rendered financial assistance annually. In FY21, 124 patients/services provided, in the amount of $1,000,096 of community care provided. 1.3: MRH will continue to address the needs of individuals identified as potentially eligible for public health insurance by facilitating their application for government-sponsored healthcare coverage via a trained in-person staff who will assist in facilitating enrollment. In FY21, MRH maintained 99% approval rate of applications submitted. 1.4: MRH leadership will continue representation on various task forces and work groups related to the collaborative work occurring on access to care issues. In FY21, MRH continued coordination of monetary support of Access DuPage services. 1.5: MRH will provide low-cost transportation to outpatient appointments. This program was discontinued in FY21. 1.6: MRH will continue to provide free inpatient and outpatient care to all Access DuPage clients in accordance with presumptive eligibility and existing MRH financial assistance policies. Opportunities to promote coordinated care to needed services for Access DuPage will be evaluated. In FY21, 124 patients/services provided, in the amount of $1,000,096 of community care provided. 1.7: MRH will serve as a training center for physicians, nursing and other allied health professions. Quantitative data, such as the number and types of internships and staff time commitment, was tracked throughout FY21 and maintained 100% approval rate of applications submitted. 1.8: MRH will provide trained professional healthcare interpreters and offer language assistance programs. In FY21, MRH provided a total of $381,146 in interpreter services for MRH patients Priority Need 2: Chronic disease management and rehabilitation: In general, individuals with disabilities tend to experience higher percentages of health disparities than the larger population. These added challenges can result in further impaired mobility, nutritional deficits and an increased susceptibility to chronic medical conditions. Common precursors of chronic diseases, including physical inactivity, obesity, hypertension and high cholesterol, are more prevalent among persons with disabilities than those without. Despite increased health risks, people with disabilities are rarely targeted by specific health-promotion and disease-prevention efforts. Given the increasing prevalence of disability as the population ages, the need for community health services focusing on the rehabilitation needs of those served will likely increase at a proportional rate. A broad range of intervention exists to address the issue of chronic disease including health education, health screenings, supporting linkages to medical homes, and chronic disease management programs. MRH utilizes a collaborative, evidence-based approach to prevention, screening and chronic disease management aimed at reducing and eliminating many of the prominent contributors to mortality in the United States. Programs such as Access DuPage and Engage DuPage ensure access to routine healthcare, screening, primary care providers, specialists, medications and medical homes. MRH offers a comprehensive financial assistance program to individuals unable to afford the cost of their acute medical care. In addition, the hospital offers a comprehensive array of community education programing and services to support both primary and tertiary interventions. 2.1: MRH will offer evidence-based community health and wellness programming in the areas of chronic disease management and rehabilitation, overcoming the limitations of chronic disabilities. In FY21, MRH staff developed curriculum for the four courses listed below. 1. Pediatric Oncology 2. Relaxation and Meditation 3. Balance and Fall Risks 4. Behavioral Coaching 2.2: MRH will provide access to the Emerging Fitness Center, including specialty group classes for individuals with specific exercise needs. In FY21, 2,300 sessions were held in the MRH Fitness Center for individuals with disabilities. Many of the participants were prior MRH patients or family members. 2.3: MRH will offer evidence-based support programs in the areas of chronic disease management programmatic venues including but not limited to, self-help and support groups. In FY21, MRH provided the following support groups (due to COVID-19 total sessions for the year were reduced or cancelled): 1. Amputee 2. Parkinson's 3. Caregiver Support 4. Stroke 5. ALS 6. Aphasia 7. Connections-Peds 8. High Hopes- BI 9. Lives in Motion- SCI 10. MS Priority Need 3: Promoting Independence in Individuals with Disabilities: The physicians and clinicians at MRH are trained in the provision of specialty treatments and rehabilitation for individuals with disabilities resulting from injuries, accidents, illnesses, or congenital defects. Fitness and wellness programs tailored to people with disabilities and other health issues help ensure these vulnerable populations are engaged in moderate physical activity designed to improve strength and increase flexibility, to protect against further disability and enhance functional independence.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - MARIANJOY REHABILITATION HOSPITAL. The addition of the Marianjoy Fitness Center has opened new opportunities for individuals who may not have felt physically able or comfortable in other exercise settings. Throughout the year, MRH offers a variety of free and public classes and lectures (focused on health and wellness) to support and promote the independence of disabled individuals. Additionally, MRH sponsors a variety of support groups at no cost and open to the public including: amputation, aphasia, brain injury, chronic pain, and stroke. MRH works closely with its community partners to promote independence of disabled individuals. Partners include, but are not limited to the DuPage County Health Department, DuPage Federation on Human Service Reform, local school districts, Office of the Secretary of State, and DuPage Workforce Board. 3.1: MRH will provide aquatic programs in a group class setting for adults and children. In FY21, MRH continued to provide patient sessions. Individual goals were established, and PHI documented towards goal attainment. Aquatic therapy ceased for community groups in March 2020 due to COVID-19. 3.2 MRH will provide services through the Tellabs Center for Neurorehabilitation and Neuroplasticity, an innovative rehab technology designed to support a wide range of patient conditions which benefit from the creation of lasting neuro-pathway changes derived through repetition. In FY21, MRH provided visits using the mobility and upper extremity robotic equipment available in the TCNN. In addition, patients were assessed by therapy experts and individual goals were established. 3.3: The Marianjoy Driver Rehabilitation Program will work with clients utilizing specialized equipment to promote the ability to drive for individuals with disabilities. Participants are provided with a comprehensive appraisal of a person's ability to drive safely. The Driver Rehabilitation Program also provides behind-the-wheel training for students that qualify, and will assist in obtaining the requirements for a driver's license. In FY21, MRH evaluated and/or provided drivers training to students. In addition, a self-reported tracking process was implemented. 3.4: MRH will provide the GoBabyGo program, where therapists and engineers collaborate to retrofit powered toy vehicles to meet the needs of children with disabilities. In FY21, the annual event was postponed due to COVID-19. The program continues to identify community needs for future planning of serving the population to meet these needs. 3.5: MRH will offer evidence-based community health and wellness programming in the areas of chronic disease management and rehabilitation, overcoming the limitations of chronic disabilities, including but not limited to the following topic: Life after an amputation. In FY21, MRH staff developed curriculum for the four courses listed below. 1. Pediatric Oncology 2. Relaxation and Meditation 3. Balance and fall risks 4. Behavioral Coaching 3.6: MRH will offer evidence-based support programs in the areas of promoting independence in programmatic venues including but not limited to, self-help and support groups. In FY21, MRH provided the following support groups (due to COVID-19 total sessions for the year were reduced): 1. Amputee 2. Parkinson's 3. Caregiver Support 4. Stroke 5. ALS 6. Aphasia 7. Connections-Peds 8. High Hopes- BI 9. Lives in Motion- SCI 10. MS Priority Need 4: Injury Prevention: MRH offers a variety of programs, both through inpatient and outpatient services, to address injury prevention. Evidence-based, community health and wellness programming are offered by MRH in the areas of chronic disease management and rehabilitation and overcoming the limitations of chronic disabilities. Some topics include: Core Yoga to increase strength and balance in individuals with disabilities; Understanding, identifying and preventing running injuries; and how aging affects your balance. These programs address the prevention of injury for both persons with or without disabilities. MRH offers the Police Interaction Course for Drivers with Special Needs program, focusing on enhancing communication between autistic individuals and first responders. MRH works closely with its community partners to address the issue of injury prevention. Partners include, but are not limited to the DuPage County Health Department, Northwestern Memorial Central DuPage Hospital and local school districts. 4.1: MRH will offer evidence-based community health and wellness programming in the areas of chronic disease management and rehabilitation, overcoming the limitations of chronic disabilities. 4.2: MRH will offer the Police Interaction Course for Driver with Special Needs program. Sessions will provide autistic individuals with the skills to respond calmly and communicate effectively during a traffic stop. In FY21, the program was not offered due to multiple changes within the Sheriff's department and the COVID-19 pandemic. 4.3: MRH will collaborate with Central DuPage Hospital (NMCDH) to offer evidence-based community-based injury prevention programming. In FY21, programs were marketed in the NMCDH shared brochure for the first quarter; however, due to COVID-19 courses were cancelled. Needs that are not being addressed together with the reasons why: The CHNA report identified areas of opportunity for health improvement for which MRH and the external steering committee determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. Mental health and substance abuse: The DuPage behavioral health collaborative was formed in response to the mental health findings and needs noted in the DuPage county IPLAN. The mission of the group is to work collaboratively to identify and implement data-driven strategies that improve access and quality of behavioral health services for all DuPage county residents, advocate for aligning resources and funding, and to educate the community about the signs and symptoms of mental health issues. The collaborative is composed of two teams: the treatment leadership team (behavioral health) and the prevention leadership team (substance abuse). Northwestern Medicine Central DuPage Hospital (NMCDH) leadership and staff serve as integral members of both teams working both independently and collaboratively to address mental health and substance abuse issues in DuPage County. Both teams are comprised of members from local hospitals, public health, private and community sectors and represent a broad cross-section of the community united to respond to both issues. Additionally, the DuPage county health department crisis intervention unit is a mental health support system that deals with mental health emergencies on a 24-hour basis. This unit deals with urgent mental health issues that require immediate attention such as suicidal thoughts, homicidal threats, and symptoms of serious mental illness including depression, schizophrenia, bipolar disorder, anxiety and other issues that may require hospitalization. Individuals can contact the unit at any time and set up an appointment either by phone or in person. The crisis program also has a ten-bed respite unit available for short term stabilization. Psychiatric evaluations and short-term crisis counseling intervention are also available on a scheduled basis as needed. In the area of inpatient care, NMCDH offers immediate help, providing short-term psychiatric care for adults and teens (13 years of age and older) in a hospital setting. Short term inpatient care is provided in three secure hospital psychiatric units to help people who pose a risk to themselves or others and those who are unable to care for themselves. Following stabilization, NMCDH offers a full range of treatment including outpatient partial hospitalization, individual and family therapy, group therapy and follow-up services in the community. NMCDH also offers a full range of substance abuse services including inpatient detoxification, residential treatment and rehabilitation services, along with continued counseling to support long-term recovery. Immunization and infectious disease: The DuPage County Health Department is responsible for monitoring the incidence of infectious diseases and providing childhood and adult immunizations. Immunization services are offered at the CPHC (Wheaton), SEPHC (Westmont), and EPHC (Lombard) offices. Childhood immunizations are available for all children who do not have insurance, or have insurance that does not cover immunizations, through the state of Illinois' Vaccines for Children (VFC) program.
Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - MARIANJOY REHABILITATION HOSPITAL. Additionally, immunizations and selected testing are also offered by the county's Federally Qualified Health Centers (FQHC), thereby assuring multiple opportunities for residents to receive screening and immunizations. Access to health promotion activities: MRH works collaboratively to support the provision of health promotion and health education sessions to clients residing in the community. It is widely recognized that the most effective way to address chronic disease is to address the problem across its lifespan in a coordinated effort. Health education programs are offered by NMCDH and MRH in an effort to focus on health promotion and disease prevention. Local primary care providers and FQHCs provide medical homes and routine care aimed at screening, early detection and prompt treatment of disease and other health concerns. Local hospitals provide immediate and emergently needed acute care. Programs such as access DuPage and engage DuPage ensure access to routine healthcare, screening, primary care providers, specialists, medications and medical homes. Nutrition, physical activity and weight: The problems related to poor nutrition, inadequate physical activity and overweight/obesity are included within the broader category of chronic disease within our Implementation Plan. These factors are considered key root causes of chronic disease and were included in the causal analysis and response. Guided by the ESC, MRH will continue to support and work collaboratively with existing local organizations who are providing affordable primary healthcare to individuals experiencing the remaining healthcare issues noted above as we believe they are best positioned to lead the provision of these services.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - Marianjoy Rehabilitation Hospital. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Legal Illinois Residents. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. NMHC provides Free Care and Discounted Care to eligible Insured Patients through two methods: "insured sliding fee scale assistance" and "insured catastrophic assistance." If the Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. If there is reason to believe that an Applicant may have assets in amounts in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Homelessness; B. Deceased with no estate; C. Mental incapacitation with no one to act on the patient's behalf; D. Medicaid eligibility, but not on date of service for non-covered service; or E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services.
Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. The CHNA report also describes NIMC's CHNA goals, objectives, public dissemination plan, and development of the implementation plan.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. NIMC commissioned Northern Illinois University Center for Governmental Studies to conduct a comprehensive CHNA. The CHNA framework consisted of a systematic, data-driven approach to determine the health status, behaviors and healthcare needs of residents in McHenry County. The assessment provided information to enable NIMC hospital leadership and key community stakeholders to identify health issues of greatest concern among all residents and decide how best to commit the hospitals' resources to those areas, thereby achieving the greatest possible impact on the community's health status. The CHNA incorporated data from both quantitative and qualitative sources and was conducted from September 2019 through April 2020. Prevalent needs were identified across all socioeconomic groups, races, ethnicities, ages and genders. The assessment highlighted health and socioeconomic disparities and needs that disproportionately impact the medically underserved and uninsured. A key component of any comprehensive assessment involves reaching out to members of the community and organizations that interact with them in an effort to better understand the needs and issues that affect the health of its citizens. NMMH, NMHH and NMWH gratefully acknowledges the participation of our community partners and key stakeholders for their input on perceived needs and priorities within the communities we serve. These individuals and organizations work closely with members of our community, including those most in need and those with marginalized access to healthcare services. In all, 76 stakeholders took part in the online key informant survey. Organizations marked with an asterisk denote programs that work with the poor, vulnerable and marginalized in McHenry County. Below is a list of the organizations asked to participate in the online key informant survey. 1. Advocate Aurora Health* 2. American Cancer Society 3. AMITA Health* 4. Association for Individual Development* 5. Cary Police Department 6. Cary School District 26* 7. Clearbrook* 8. Crystal Lake Food Pantry* 9. Epilepsy Foundation of North Central Illinois* 10. Family Health Partnership Clinic* 11. Fox River Fire District 12. Fox River Grove School District 3* 13. Harvard Area Community Health Center* 14. Harvard Community School District 50* 15. Harvard Senior Center* 16. Home of the Sparrow* 17. Huntley Community School District 158* 18. In Sync Systems, Inc. 19. Independence Health & Therapy* 20. Johnsburg School District 12* 21. League of United Latin American Citizens* 22. McHenry County Department of Health* 23. McHenry County Dental Society 24. McHenry County Government 25. McHenry County Housing Authority* 26. McHenry County Mental Health Board* 27. McHenry County Office of Special Projects 28. McHenry County Planning & Development 29. McHenry County School District 15* 30. McHenry County School District 154* 31. McHenry County School District 156* 32. McHenry County Sheriff 33. McHenry County Substance Abuse Coalition* 34. Northern Illinois Special Recreation Association* 35. Northwest Center Against Sexual Assault* 36. Northwestern Medicine McHenry Hospital* 37. Northwestern Medicine Huntley Hospital* 38. Northwestern Medicine Woodstock Hospital* 39. Options and Advocacy* 40. PFLAG* 41. Pioneer Center for Human Services* 42. Prairie Grove School District 46* 43. Riley School District 18* 44. Rosecrance* 45. Sage YMCA* 46. Salvation Army Extension Unit* 47. Senior Care Volunteer Network* 48. Senior Services, Inc.* 49. The Mathers Clinic 50. Turning Point* 51. United Way of Greater McHenry County* 52. Village of Bull Valley 53. Village of Lake in the Hills 54. Village of Port Barrington 55. Village of Spring Grove 56. Volunteer Center of McHenry County* Through this process, input was gathered from several individuals whose organizations work with low-income, minority, or other medically underserved populations. In the online survey, key informants were asked to rate the degree to which various health issues are a problem in their own community. Follow-up questions asked them to describe why they identify problem areas as such and how these might better be addressed.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. The CHNA was conducted with Advocate Aurora Health.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. The CHNA was conducted with McHenry County Department of Health and McHenry County Mental Health Board.
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also shared with the following: 1. Key community organizations 2. Northwestern Medicine Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. Through a systematic, data-driven approach, NMMH, NMHH, and NMWH prioritized Significant Health Needs to address in accordance with IRS regulations. These needs will be referred to as Priority Health Needs throughout the remainder of the document. NMMH, NMHH, and NMWH worked collaboratively to develop strategies and identify resources and areas for collaboration, where applicable, to impact each priority health need. Priority 1: Access to Healthcare. 1.1: NMMH, NMHH and NMWH will adapt a health system-level approach to better serve uninsured and underinsured patients through clinical community relationships. NMMH, NMHH and NMWH will pilot new opportunities and enhance current relationships in the service area. NMMH, NMHH and NMWH continue to engage with clinical community partners in McHenry County. Northwestern Medicine has an arrangement with Aunt Martha's FQHC and provides use of space in-kind to operate its clinic. The fair market value of the space is $223,332. Additionally, the Family Health Partnership Clinic, a Free and Charitable Clinic located in Crystal Lake received and in-kind donation in the amount of $17,500 to support its operations of serving the uninsured of McHenry County. 1.2: The Regional Medical Group (RMG) Residency Clinic will expand with Rosalind Franklin University to increase access to follow-up care for patients who are discharged from NMMH, NMHH and NMWH. Currently NM partners with Rosalind Franklin University Chicago Medical School. Residents are licensed physicians who graduated from medical school with a degree of Medical Doctor (MD) or Doctor of Osteopathy (DO). Residents have met all the requirements to continue their graduate medical training in order to become board certified physicians. Residents work with an attending NM physician to provide care to patients seeking follow up care post discharge from the hospital and/or to those that are in need of a primary care provider. Residents work with an attending NM physician to provide care to patients seeking follow up care post discharge from the hospital and/or to those that are in need of a primary care provider. During FY21, there were 13 presentations made to community organizations whose clientele could benefit from utilization of the Residency Clinic. As part of that outreach activity, the intention was to increase the number of individuals that would benefit from the care received at the clinic. As a result of these outreach activities, the following represents the increase of number of new patient visits by quarter, along with an increase in the number of established patient visits by quarter. In addition to the community presentations, 155 patients were identified as "new" having visited the clinic. In addition, there were 2,970 visits to the clinic by established patients. 1.3: NMMH, NMHH and NMWH will provide information sessions on healthy weight and nutrition through community lectures and programs. Obesity is a growing problem throughout the population. The association of income with obesity varies by age, gender and race/ethnicity. Interventions that promote opportunities for physical activity can help prevent unhealthy weight gain or facilitate weight loss among obese people. They can be delivered in multiple settings, including healthcare settings, worksites or schools. (Source: Healthy People 2020) NM MH, NM HH and NM WH provided the following services and programs to address obesity. Individuals receive immense value from participating in our wellness challenges and programs. These individual and group programs include: "Eat Right for Life", "New Dimensions", "Functional Foods," and "28 Days to a New You". These 4-8 week programs focus on each dimension of health (emotional, environmental, intellectual, occupation, physical, social, spiritual, and financial) to provide a comprehensive approach to change and goal attainment. Participants work with Wellness Technicians to create an individualized action plan for success through weekly challenges and education topics. If they reach their goal, they not are not only rewarded with great new habits but also with individual prizes such as fitness gear. These programs are cash pay to hold our participants accountable to a successful outcome. Sixty individuals that had scheduled appointments with a dietetic technician, and there were 15 that were referred to a registered dietitian for care. In addition to these medical appointments, there were 232 individuals that participated in 44 education presentations during the year. 1.4: NMMH, NMHH and NMWH will provide information and education on diabetes through community lectures and screenings and diabetes support groups. NM MH, NM HH and NM WH provided the following programs or services to address diabetes in its service areas. Community lectures and screenings: "Sugar the Not so Sweet Truth", "Diabetes Awareness", and glucose screenings A variety of lectures were offered to the community focusing on managing diabetes and also prevention given by CDCES (Certified Diabetes Care and Education Specialist) Complimentary diabetes support groups -Support groups were lead by CDCES that discuss topics related to diabetes while receiving support for their overall health in a safe and non-threatening environment. Complimentary School Management Training -The team of CDCES will coordinated with members of the faculty to ensure that everyone is competent in handling the care for students and staff member with diabetes. Areas included but are not limited to : student rights, emergency situations, technology that may be worn and an understanding of diabetes so that staff, students and parents feel confident Individual training, group training for diabetes self-management skills - The program holds an accreditation with the American Diabetes Association and offers 3 convenient locations in McHenry, Crystal Lake, Huntley and now Telehealth. Services offered include education on taking control and self-managing diabetes throughout the life cycle. We manage care on all types of diabetes and our CDCES are all certified on every non-surgical technology devices on the market. We offer group classes and one on one appointments centered on your individual needs. We also offer Medical Nutrition Therapy to facilitate an all-encompassing approach to care with our Registered Dietitians. This past year, there was an increase in primary care referrals for patients needing diabetes education from 55% to 67%. In addition, the program slowly reintroduced support groups as part of its community programming. With 9 session offered throughout the year. Unfortunately, the ongoing pandemic did affect participation by school districts in that the staff were not requested to complete education and training to staff and faculty. 1.5: NMMH, NMHH and NMWH will provide information on cardiovascular disease and hypertension through community lectures, screenings and individual training. Cardiovascular disease is the third leading cause of death in the United States and is the second leading cause of death in McHenry County. Fortunately, deaths from cardiovascular disease are preventable, especially if intervention is provided across the lifespan of the disease-from early education, prevention and screening to early diagnosis, prompt treatment and comprehensive aftercare. NM MH, NM HH and NM WH provided the following programs and services to address cardiovascular disease in its service areas. * Community presentations such as "A Healthy Heart", "HIIT don't Sit", and "Exercise 101" focus on the basic knowledge for cardiovascular health at any age. We educate community members on taking a proactive approach by making smart choices now, which will pay off for the rest of their life. Following each presentation we allow time to work with each participant to provide them resources to put this education into action. These presentations are complimentary through the Community Benefit Application process. There were two community presentations related to heart healthy programming and there were 30 participants at those events. The ongoing pandemic did affect the number of offerings and the participants at these events. * Know your numbers! Blood pressure and cholesterols screenings are one of most highly requested screenings performed by Worksite Wellness Technicians.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - NORTHERN ILLINOIS MEDICAL CENTER. These quick screenings offer immediate results and on the spot coaching for patients to understand, the basic, yet important, factors related to their health. These screenings are complimentary through the Community Benefit Application process. During the past year, there were 19 offerings of Know Your Numbers blood pressure screenings and three biometric screenings offered to the community. These participant numbers were impacted by the ongoing pandemic and as a result, the offerings were limited * For a more in-depth screening service, patients can elect heart related screenings such as EKG, Vascular Ultrasound, and Echocardiograms performed by Northwestern Medicine Imaging Technicians and interpreted by a Northwestern Medicine Cardiologists/Radiologists. The goal of these noninvasive screenings is to identify risk for heart disease and stroke so action can be taken early for a healthier future. EKGs can be performed on patients as young at 13 years old in partnership with Lurie Children's. The number of participants that received heart-related screenings ( i.e., EKG, vascular ultrasound, echocardiograms) was 68. Priority 2: Behavioral health. 2.1: NMMH, NMHH and NMWH will address and integrate trauma informed care into practice, including providing employee resources for coping with trauma or vicarious trauma. Trauma does not discriminate. It can affect anyone, and nearly 70% of the population report experiencing some type of trauma in their lifetime. Whether the trauma results from a single event, a series of events, or a set of physically or emotionally harmful circumstances, it can have serious implications on well-being, social functioning, physical and mental health, and life expectancy. In addition, the more an individual is exposed to stressful or traumatic experiences, the greater the risk for chronic health conditions. Trauma-informed care acknowledges that understanding a patient's life experiences is key to delivering effective care and improving health outcomes. Trauma informed care is the open-mindedness and compassion that all patients deserve, because anyone can have a history that affects their encounter with the health system. Building a trauma-informed health care system will create a safe, caring and inclusive environment for all NM patients and staff. During the year, a group submitted an application to assist in delivering Trauma Informed Care as part of its teaching for staff and clinicians. The grant was not awarded to Northwestern Medicine and the work related to Trauma-Informed Care is continuing to evolve within the system. 2.2: NMMH, NMHH and NMWH will improve access to mental health resources through patient care programs, support groups and community lectures. NMMH, NMHH and NMWH will promote behavioral health partnerships with high quality community-based organizations and providers. Mental health is essential to personal well-being, family and interpersonal relationships, and the ability to contribute to community or society. Mental disorders are health conditions that are characterized by alterations in thinking, mood, and/or behavior that are associated with distress and/or impaired functioning. Mental illness is the term that refers collectively to all diagnosable mental disorders. The resulting disease burden of mental illness is among the highest of all diseases. Mental health and physical health are closely connected. Mental health plays a major role in people's ability to maintain good physical health. Mental illnesses, such as depression and anxiety, affect people's ability to participate in health-promoting behaviors. (Source: Healthy People 2020) NM MH, NM HH and NM WH will provide the following programs to address mental behavioral health issues in its respective service areas. * Psychiatric Emergency Services provides assessment, disposition, and referral for patients presenting to the Emergency Departments within the Northwest Region. Referrals include service levels ranging from outpatient programming all the way up through behavioral health inpatient programming. During the last year, psychiatric behavioral health services experienced referrals in the following populations: 267 Individuals aged 0-17, 786 individuals aged 18-29, 699 individuals aged 30-44, 630 individuals 45-64, 108 individuals aged 54-74, and 53 individuals age 75+. * Partial Hospital and Intensive Outpatient Hospital Programming provides outpatient level services to patients that do not meet criteria for an inpatient stay, but need increased support to prevent the next level of treatment or as a step down from an inpatient level of care. This program offers a variety of services to address mental health and substance use disorders. During the last year, the program the program provided these services to 211 individuals aged 18-29, 181 individuals aged 30-44, 147 individuals aged 45-64, 13 individuals aged 65-74 and to two individuals aged 7+. * The Behavioral Health Unit provides a safe, intensive level of care for patients that are not able to maintain their safety in the community. Through the use of evidence-based therapies, psychiatric and nursing interventions and groups, patients are stabilized to transition to a lower level of care. During the past year, there were 1,116 inpatient admissions on this unit. There were 406 individuals aged 18-29, 323 individuals aged 30-44, 335 individuals aged 45-64, 43 aged 65-74 and nine aged 75+. * Our Behavioral Health Community (BHC) Navigator links our patients seen in all three areas to long-term services that are appropriate to their needs and fills in gaps between internal services provided to successful linkages in the community. Total referrals for the BHC Navigator was 405. 2.3: NMMH, NMHH and NMWH will improve access to substance use treatment resources through patient care programs, support groups and community lectures. NMMH, NMHH and NMWH will promote behavioral health and substance use partnerships with high-quality community based organizations and providers. Substance abuse refers to a set of related conditions associated with the consumption of mind-and behavior-altering substances that have negative behavioral and health outcomes. Social attitudes and political and legal responses to the consumption of alcohol and illicit drugs make substance abuse one of the most complex public health issues. In addition to the considerable health implications, substance abuse has been a flash point in the criminal justice system and a major focal point in discussions about social values; people argue over whether substance abuse is a disease with genetic and biological foundations or a matter of personal choice. Improved evaluation of community-level prevention has enhanced researchers' understanding of environmental and social factors that contribute to the initiation and abuse of alcohol and illicit drugs, leading to a more sophisticated understanding of how to implement evidence-based strategies in specific social and cultural settings. (Source: Healthy People 2020) NM MH, NM HH and NM WH will provide support and programs to address substance abuse in it service areas by: * Substance Use Nurse is liaison to the Narcan program for first responder police departments that are participating in McHenry County. There were 26 police departments participating in the program. * Substance Use Nurse attends the McHenry County Substance Abuse Coalition meetings to interface with other substance use resources in the county and to participate in community awareness focused events. During the last year there were two trainings offered to law enforcement officers. * Substance Use Nurse is currently the co-chair of the Substance Abuse Coalition Education Committee. This committee is creating education for the community around substance use, effects of substances, consequences and laws, addiction information, vaping, and resources to a variety of audiences including middle-school aged children, high school aged adolescents, parents and other community members. **As of Q4, NM will no longer be affiliated with the Narcan program Priority 3: Social determinants of health. 3.1: NMMH, NMHH and NMWH will implement an electronic tool that is integrated with NM's electronic medical record (EMR) system to capture SDOH for patients, train staff members and advocates to screen and use SDOH data, and refer patients to appropriate services to address SDOH. NMMH, NMHH and NMWH will partner with community-based organizations that are able to screen individuals for SDOH.
Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - NORTHERN ILLINOIS MEDICAL CENTER. Health starts in our homes, schools, workplaces, neighborhoods and communities. Taking care of ourselves by eating well, staying active and making regular visits to the doctor influence our health. Our health is also determined in part by access to social and economic opportunities, community resources, quality education, workplace safety and environmental factors. The condition in which we live explain, in part, why some are healthier than others are. Disparities in community conditions, including income, poverty, employability, food access and housing have been identified as health concerns in McHenry County. A NM system-wide approach will be developed around assessing and collecting SDOH on patients in order to treat the whole patient. Additionally a process will be articulated to make appropriate referrals to community based agencies and organizations that can provide assistance with SDOH. During the Pilot phase of the program, there 2,234 patients screened from March 2021 to May 2021. The age ranges for these individuals were from 2 weeks to 100 years old. Of the social determinants of health screened for, 65% of the patients indicated "no concern." However, the following voiced concern in the following order, mental health 16%, medical home 8%, medication affordability 7%, social connections 7%, food insecurity 6%, transportation 6%, and housing insecurity 4%. Pilot screenings took place from March to May 2021 3.2: NMMH, NMHH and NMWH will increase youth pipeline opportunities by introducing students to healthcare-related careers through presentations and internship experiences. NMMH, NMHH and NMWH will create hiring pipelines for youth and adults in hardship communities to connect to jobs through training programs, targeted outreach and partnerships, and inclusive, local hiring practices. NM will work with internal and external stakeholders and community partners to advocate for reduced barriers to educational attainment and for support to fill workforce gaps. The Project SEARCH Transition-to-Work Program is a unique, business-led, one-year employment preparation program for individuals with developmental disabilities, which takes place entirely at the workplace. Total workplace immersion facilitates a seamless combination of classroom instruction, career exploration, and hands-on training through worksite rotations. The program culminates in individualized job development. The goal for each program participant is competitive employment. To reach that goal, the program provides real-life work experience combined with training in employability and independent-living skills to help young people with significant disabilities make successful transitions to productive adult life. The Project SEARCH model involves an extensive period of skills training and career exploration, innovative adaptations, long-term job coaching, and continuous feedback from teachers, skills trainers, and employers. As a result, at the completion of the training program, students with significant intellectual disabilities are employed in nontraditional, complex and rewarding jobs. In addition, the presence of a Project SEARCH program can bring about long-term changes in business culture that have far-reaching positive effects on attitudes about hiring people with disabilities and the range of jobs in which they can be successful. The Project Search program had eight participants enrolled at the start of the program with a retention rate of 100% and the end of the program. Because of the program, seven of the interns gained employment outside of the organizations and Northwestern Medicine hired one individual. The NM Discovery Program creates a pathway for the next generation of NM leaders by drawing on the talents of our incredible team of health care professionals to provide STEM career exposure. Throughout the two-year Program, students are exposed to a broad range of health care careers through activities including tours, guest speakers, group discussion, and hands-on projects. In addition, the Program fosters character and professional development, cultivates life skills, provides community service and leadership experience, and offers mentorship and networking opportunities. Meetings are held once a month, most often on Saturday mornings. The Program's Northwest Chapter is open to high school students who meet the below eligibility criteria and who reside in Lake and McHenry counties. Meetings are held once a month at Northwestern Medicine Lake Forest Hospital. First Year Applicants must: * Be at least 15 years of age. * Be a resident of McHenry County. * Be entering sophomore or junior year of high school. * Have an academic GPA of at least 3.0 on a 4.0 GPA scale or 3.8 on a 5.0 GPA scale. * Commit to the two-year program, including attendance at all Discovery Program meetings and community service activities. No more than two excused absences are permitted per year. This program was in its inaugural year with 15 students participating at the beginning of the program and a retention rate of 100%. In partnership with McHenry High School (MHS) and Huntley High School (HHS), the Youth Residency Program provides select High School students the opportunity to gain an authentic experience by shadowing alongside medical professionals in numerous healthcare settings. The program follows a blended format that allows students the flexibility to substitute time typically spent in the classroom, at Northwestern Medicine (NM) healthcare facilities. During the first quarter of instruction, students spend time in the classroom completing orientation and learning prerequisite knowledge and skills before rotations begin. Some of these learnings include CPR and Medical Terminology. Beginning with the second quarter, students typically schedule and attend one two-hour rotation per week. There are about 21 medical rotations in total ranging from Cath Lab to Wound Care. Independent time and in-class time is spent researching in preparation for rotations, reflecting on learning experiences, and deepening understanding of the science behind various procedures and technologies observed. The application process differs at each High School, but it is a high demand and selective program to be admitted to. HHS is in their 5th year of the program and MHS is in their 3rd. Both schools will remain doing virtual education until we receive clearance that on-site rotations are safe to continue. The program participants from MHS was 29 and HHS was 29 with 17 Northwestern Medicine Hospital departments providing experiences for the students. 3.3: NMMH, NMHH and NMWH will establish a diversity and inclusion (D&I) infrastructure with partnerships across the organization to promote, support, and activate inclusive strategy, culture and behavior that differentiates NM as an inclusive values-driven organization. The NM Diversity and Inclusion program seeks to embed D&I practices and behaviors into what employees do each day by establishing a D&I infrastructure with partnership across the organization to promote, support, and activate inclusive strategy, culture, and behavior that differentiates NM as an inclusive values-driven organization. This will foster engagement, mitigate bias, engender a day-to-day sense of belonging in the workplace, and evolve an internal environment that reflects the outside. During the pilot program there were six individuals identified and trained as facilitators. Additionally the program boasted over 65 e-learnings around diversity and inclusion. As part of the ongoing efforts to engage Northwestern Medicine's workforce four Champion Networks were established, with over 800 employees participating on these culturally sensitive networking offerings. 3.4: NMMH, NMHH and NMWH will foster collaborations with community-based organizations. Individuals interacting with these agencies will be screened for income based programs or food insecurity and, when positively identified, will receive vouchers to purchase fresh fruits and vegetables at area farmers' markets. NM MH, NM HH and NM WH has established relationships with local food pantries, food distribution partners and other local support systems to help bridge the gap of food insecurity. Along with these partnerships, a Farmer's Market Coupon Program was implemented as well. Since 2018, the Farmers Market Coupon Program has helped area residents with limited budgets purchase fresh fruits and vegetables from local farmers markets. In cooperation with community partners, NM MH, NM HH and NM WH distributes coupons to specific populations within McHenry County. Recipients then redeem the coupons with farmers' market vendors in McHenry County.
Schedule H, Part V, Section B, Line 11 Facility , 4 Facility , 4 - NORTHERN ILLINOIS MEDICAL CENTER. NM MH, NM HH and NM WH reimburses the farm vendors for their produce sold, and as a result, more families benefit from fresh fruits and vegetables into their daily diets. NM MH, NM HH and NM WH identified four community partners to serve as distributions points for the coupons. These agencies were selected as they provide support to low-income residents of McHenry County. The number of vouchers distributed was 900 with a redemption amount of $8,100 paid to local farmers. Since Farmers Markets were not as active given the ongoing pandemic, NM MH NM HH and NM WH provided $15 grocery vouchers to community partners with a face value of $8,500. Additionally, in-kind donations were made to the Northern Illinois Food bank for $12,000 and to the United Way of McHenry County for $5,000 to support food insecurity activities in McHenry County. 3.5 NMMH, NMHH and NMWH will foster collaborations with community-based organizations that address housing instability. Housing instability encompasses a number of challenges, such as trouble paying rent, overcrowding, moving frequently, staying with relatives, or spending of household income on housing expenses. Households are considered cost burdened if they spend more than 30 percent of their income on housing and severely burdened if they spend more than 50 percent of their income on housing. Cost-burdened households have little left over each month to spend on other necessities, such as food, clothing, utilities and health care. NM MH, NM HH and NM WH will identify agencies and provide in-kind support to programs that support housing instability for McHenry County residents. Northwestern medicine provided in-kind donations to local organizations that are regularly engaged in supporting individuals facing housing instability. These organizations and the amounts provided include Habitat for Humanity McHenry County $2,500, Refuge for Women, Inc. $250, United Way of McHenry County $5,000, Elderwerks $2,000, Veterans Path to Hope $1,000 and Home of the Sparrow $10,000. NON-PRIORITY AREAS: The CHNA report identified areas of opportunity for health improvement for which NM NWR and the community health council (CHC) determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. Arthritis: This condition is addressed through the NM NWR care delivery system. Asthma: This condition is addressed through the NM NWR care delivery system. Caregiver Support: This need was assessed by the community as a relatively low priority and is better addressed through external community agencies who provide these services. e-Cigarette and tobacco use: This need was assessed by the community as a relatively low priority and is address through the NM NWR care delivery system. Transportation: This need was assessed by the community as a relatively low priority and is address through the NM NWR care delivery system along with other community agencies.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. IN ADDITION TO THE DOCUMENTED 200% OF FPG, WE ALSO PROVIDE A SLIDING SCALE DISCOUNT OF 80% FOR THOSE WHO HAVE FPG UP TO 350%. IN ADDITION WE HAVE PRESUMPTIVE CHARITY WHICH ALLOWS FOR CHARITY DISCOUNTS/FINANCIAL ASSISTANCE TO THOSE WHO CURRENTLY MEET MEDICAID ELIGIBILITY OR OTHER STATE PROGRAMS BASED ON FPG WHO MAY NOT HAVE HAD INSURANCE COVERAGE AT THE TIME OF THE SERVICE WE PROVIDED.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. NMHC shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured or underinsured. Those who do not qualify for free care will receive a sliding scale discount off the gross charges for their medically necessary services based on their family income as a percent of the Federal Poverty Guidelines. These patients are expected to pay their remaining balance for care, and may work with financial counselors to set up a payment plan based on their financial situation. Patients seeking assistance may first be asked to apply for other external programs (such as Medicaid or insurance through the public marketplace) as appropriate before eligibility under this policy is determined. Additionally, any uninsured patients who are believed to have the financial ability to purchase health insurance may be encouraged to do so to help ensure healthcare accessibility and overall well-being. NMHC will not bill patients who have been deemed eligible for financial assistance coverage for eligible care or services, including care or services that are emergent or medically necessary, more than the amounts generally billed to insured patients. Patients who are uninsured or underinsured and have a household income at or below the thresholds per Federal Poverty Guidelines will receive full or partial discount off their balance. The policy is updated on an annual basis to represent the most current federal poverty guideline levels and the appropriate sliding scale for full and partial discounts. To be considered eligible for financial assistance, patients may be required to cooperate with NMHC to explore alternative means of assistance if necessary, including Medicare and Medicaid. Patients will be required to provide necessary information and documentation when applying for hospital financial assistance or other private or public payment programs. NMHC may seek to determine eligibility for financial assistance prior to rendering non-emergent services. In certain non-emergent circumstances it may be necessary to provide care or evaluation to the patient before eligibility can be determined. When determining patients' eligibility, NMHC does not take into account race, gender, age, sexual orientation, religious affiliation, national origin or social or immigrant status. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance: A. Presumptive Homelessness; B. Presumptive Mental incapacitation with no one to act on the patient's behalf; C. Presumptive Scoring when NMHC can utilize publically available information as well as internal payment and documentation history to determine if a patient is eligible for presumptive financial assistance without completion of an application. D. Presumptive Deceased with no estate; E. Presumptive State Program: Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: 1. Women, Infants and Children Nutrition Program (WIC); 2. Supplemental Nutrition Assistance Program (SNAP); 3. Illinois Free Lunch and Breakfast Program; 4. Low Income Home Energy Assistance Program (LIHEAP); 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial; or 6. Receipt of grant assistance for medical services. F. Presumptive Out of State Program for patients who are eligible for out of state programs based on FPG where NMHC does not participate; G. Additional Presumptive Criteria may also be recommended, including the following: 1. Recent Personal Bankruptcy; 2. Incarceration; 3. Affiliation with a religious order which includes a vow of poverty; 4. Enrollment in temporary assistance for needy families (TANF); or 5. Enrollment in IHDA's Rental Housing Support Program. NMHC also partners with third-parties and other eligibility vendors, to help identify patients who may be eligible for financial assistance, presumptive financial assistance under this policy or through other public and private programs including identifying other sources of third party payment, i.e. health insurance coverage. NMHC may also use previous financial assistance eligibility determinations as a basis for determining eligibility in the event that the patient does not provide sufficient documentation to support an eligibility determination. Financial assistance applications on file at NMHC may be used for a time period of up to six months after the date of submission. All patients presumptively determined to be eligible for less than the most generous amount of assistance available under this policy (free care) will be informed about how the discount amount was calculated and given a reasonable amount of time to submit an application for further financial assistance.
Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - NORTHERN ILLINOIS MEDICAL CENTER. NMHC's Financial Counseling Department is responsible for assisting Applicants applying for Financial Assistance prior to or during the course of treatment. Areas within NMHC handling billing inquiry, customer service, and self-pay follow-up shall assist Applicants after services have been provided. The determination of an Applicant's eligibility for Financial Assistance should be made as early as possible. In cases where the Patient is seeking services other than Emergency Services, determination shall be made prior to the scheduling and/or rendering of services, whenever possible. Pursuant to the Illinois Fair Patient Billing Act, Patients shall be instructed to apply for Financial Assistance within sixty (60) days after discharge or the receipt of outpatient care, whichever is longer, and NMHC shall not send bills to Uninsured Patients until such sixty (60) day period has passed. While NMHC may bill Patients after the sixty (60) day period, it shall, nevertheless, process Applications received at any time during the Application Period. The Application Period shall be the 240 day period provided by IRS guidance, starting from the date care is provided. Unless eligibility has been previously determined or unless otherwise provided within this policy, the Patient or Guarantor is required to complete an Application for Financial Assistance and provide supporting documentation, which provides, in accordance with law, information about the Applicant's financial position (including, as applicable, information about the Applicant's family) and other information which is necessary in making a determination of eligibility for Financial Assistance. The Application shall be available on a form provided by NMHC and consistent with the provisions of the Illinois Hospital Uninsured Patient Discount Act and other applicable law. Unless otherwise provided herein or in an appendix, Applications will only be accepted from individuals who have had a previously existing relationship with NMHC during the last 12 months or an upcoming appointment or admission. Patients shall complete one (1) Application which shall be recognized by all NMHC Affiliates. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. The Financial Assistance application described the primary and supplementary information required of an individual to provide as part of his or her application. This was documented on the 'Financial Assistance Required Supporting Documents' page included with the Financial Assistance application. Contact information of hospital facility staff who can provide an individual with information about the Financial Assistance Policy and application process was also provided.
Schedule H, Part V, Section B, Line 2 ON JANUARY 1, 2021, NMHC BECAME THE SOLE MEMBER OF PALOS COMMUNITY HOSPITAL. THE ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD UNANIMOUSLY APPROVED THE APPLICATION FOR PALOS TO JOIN NMHC IN NOVEMBER 2020.
Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - Northwestern Medicine Palos Hospital. The CHNA report also describes NMPH CHNA goals and objectives, public dissemination plan, and development of the Implementation Plan.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Northwestern Medicine Palos Hospital. The hospital facility took into account input from persons who represent the community, including uninsured persons, low-income persons and minority groups, through community input surreys, community focus groups, healthcare and social service provider focus groups, and stakeholder assessments. The NMPH TY2020 CHNA was conducted in collaboration with Professional Research Consultants, Inc. (PRC). Together, we completed a comprehensive analysis of the collected data. This included soliciting input from target populations such as medically underserved, low-income and minority populations. Once the data analysis was complete, community representatives were formally engaged to participate in the NMPH prioritization process. Key stakeholders were selected based on strong collaborative efforts to improve the health of the community, and their varied backgrounds provided diverse insight into prioritizing the identified health needs. These stakeholders used a structured process to inform prioritization, which included a review of guiding principles and CHNA data findings, as well as participation in robust conversations regarding community health needs for the NMPH CSA. Following the prioritization process, NMPH applied a systematic approach to develop strategies to address the priority health needs. Working with the NMPH Community Health Council, a multidisciplinary committee of internal stakeholders, the team identified actions, resources, anticipated impacts and planned collaborations to have the greatest possible effect. In developing these strategies, NMPH was mindful of its own strengths and those of other organizations in our CSA. Identified strategies supplement and work in tandem with existing Community Benefit strategies and operations at NMPH and NMHC. This Implementation Plan will be reviewed and updated as needed during the year-long span of the NMPH 2021 CHNA to ensure viability and impact. The next NMPH CHNA will be conducted in 2022, at which time a three year CHIP will be adopted. NMPH efforts will be communicated regularly to reporting agencies and our community.
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - Northwestern Medicine Palos Hospital. In addition to providing the CHNA report on the website and making it available to the public upon request, the CHNA report was also shared with the following: 1. Key community organizations 2. Northwestern University Institute of Public Health and Medicine 3. Palos Hospital Leadership
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Northwestern Medicine Palos Hospital. NMPH adopted a new implementation strategy in FY2022 (TY 2021) in alignment with the most recent CHNA. For Line 11, we are reporting on TY 2019 implementation strategies as this is the most recent outcomes data available. Through the 2019 prioritization process, Palos identified four Priority Health Needs: 1. Access to Health Services 2. Mental Health and Substance Use 3. Chronic Disease - Heart Disease, Stroke, Diabetes, Cancer - Prevention Initiatives related to Food and Nutrition 4. Transportation and Housing Palos identified health needs that would be best addressed through a coordinated response from a range of healthcare and community resources. Specific ways in which Palos is addressing the significant needs identified in its CHNA conducted in 2019 are defined as follows: Priority Need 1: Access to Health Services 1.1: Strategy: Continue to grow the Palos Medical Group (PMG) in terms of number of providers and locations including primary care and specialties, while improving efficiencies to reduce wait times for appointments. PMG continued its strategy of growth, both in terms of providers and specialties. At the outset of fiscal year (FY) 2019 until March 2021, PMG added 16 providers and new specialties that include Colorectal Surgery and Pulmonology. The most significant addition, with respect to addressing priority issues chosen for action in the FY2019-FY2021 period, was the establishment of the Cardiovascular Institute, which consists of eight physicians and six advanced practice providers. New procedures were also put in place to reduce patient wait times by obtaining patient information prior to a patient's appointment. 1.2: Strategy: Inform patients during the scheduling process about availability of exams at the free-standing Imaging Center to offering patients a lower-cost option. The Scheduling department continued the process of proactively informing about the lower-cost option available at the Palos Imaging and Diagnostic Center patients about a lower-cost option available a few miles from the hospital. 1.3 Strategy: Introduce a cardiac diagnostics at the free standing Imaging Center to offer new lower cost options to patients. Non-Invasive Cardiology testing at the South campus provides patients an alternative, convenient place for the same high level of cardiac testing as available at the hospital. Cardiology exams available at the South Campus include EKG, Holter and event monitoring, exercise stress, stress-echo and cardiac nuclear testing. PMG cardiologists also have appointments available to see patients at this convenient location. Providers belonging to the clinically integrated network received information about this option available for their patients. 1.4 Strategy: Collaborate through the clinical affiliation with Loyola to assure the availability of specialists and specialty programs in the local community. Palos utilizes a telestroke service by which Loyola University Medical Center (LUMC) provided real-time remote physician access and consultation services through a robotic process for patients presenting at the Emergency Department with stroke symptoms. Through the joint-venture entity, South Campus Partners, radiation oncology services were provided to patients on a local basis, including access to an MRI-guided linear accelerator. The option of a licensed ambulatory surgical center, the Palos Health Surgery Center, with Palos Hospital, LUMC and United Surgical Partners, is available. LUMC provided infusion services at the Palos Health facility located in Orland Park. Each of these initiatives resulted in enhancing access to more specialized care and physicians for the residents of the Palos service area. 1.5 Strategy: Encourage use of Palos My Chart to facilitate access to relevant patient specific clinical information to promote continuity and efficiency in the delivery of care. My Chart (EMR): In February 2021, PMG patients age 65 and older received an invitation to schedule a COVID-19 vaccination appointment. Invitations were based on vaccine supply and sent on a rolling basis. When patients became eligible to schedule an appointment, they were notified through Palos MyChart. If patients did not have a MyChart account, invitations were sent via phone call or email. As of January 2021, more than 50,000 patients were using the Palos MyChart patient portal. This represents a 36.0% increase in utilization from January 2020. Telehealth: Palos launched the patient telephone and telehealth video visits at the end of March 2020 through 2021 to reduce in-person visits during the COVID-19 pandemic. In the early months, PMG providers conducted about 1,100 virtual visits per month. Endocrinology, Behavioral Health and the Cardiovascular Institute used this technology the most. Usage has since declined, but telehealth functionality remains as an alternative to in-person visits. 1.6 Strategy: Expand care coordination efforts to manage patient acuity and deploy resources intended to provide support to patients in dealing with disease and reduce acute episodic treatment. Care Coordination: Care coordination is an integral part of the Chicago Health Colleagues' population health initiatives. Registered nurse care coordinators employed by Palos Health conduct phone outreach to the patients of the Chicago Health Colleagues employed and independently participating providers. Some topics addressed with patients include assessing barriers to care, assistance with appointment setting, education on disease management and post-discharge planning. As a result of the COVID-19 pandemic, care coordination services became even more critical. Patients could not rely on a caregiver to assist them with recalling and understanding hospital discharge instructions because of limited visitation policies. Patients diagnosed with COVID-19 needed ongoing education, support and connection to healthcare services after their discharge from the hospital or Emergency Department (ED). As a result of changes in staffing and the integration to Northwestern Medicine, information on this strategy is unavailable. Health Equity and Unconscious Bias Training: Chicago Health Colleagues engaged in a project with our commercial Accountable Care Organization (ACO) to offer Health Equity and Unconscious Bias Training to both the employed and independently practicing primary care providers in Chicago Health Colleagues network. The purpose of the Health Equity and Unconscious Bias Training was to increase clinicians' knowledge on unconscious bias and other health-equity, practice-based skills, by applying learned knowledge in case-based learning scenarios. A benchmark completion rate of 80% was set as a measure of success for the network's eligible providers, which Chicago Health Colleagues providers exceeded. As a result of changes in staffing and the integration to Northwestern Medicine, information on this strategy is unavailable. Race, Ethnicity and Language Health Disparity Analysis: Chicago Health Colleagues conducted an analysis of the race, ethnicity and language demographics of our commercial ACO population. The analysis sought to identify the race, ethnicity and language makeup of the ACO population and to identify any potential disparities in care observed for common preventive health measures. Using claims data for our commercial ACO population and demographics information collected and stored in the Epic electronic health record (EHR), Chicago Health Colleagues was able to stratify patients into their respective racial, ethnic and language groups and analyze these groups against gaps in care. Chicago Health Colleagues did not observe any disparities in the analyzed population related to race, ethnicity or language across health metrics such as rates of breast, cervical and colorectal cancer screening. We did identify the need for further opportunities to expand the selection of ethnic groups available in the Epic EHR. This could add more refinement and sensitivity for future analyses. As a result of changes in staffing and the integration to Northwestern Medicine, information on this strategy is unavailable. 1.7 Strategy: Improve relations with area skilled-nursing facilities to enhance continuity of patient care. Palos providers, a combination of physicians and advance practice registered nurses, oversaw the care of post-acute Palos Hospital patients in eight area skilled nursing facilities. When patients transition home, continuity in care is provided through home healthcare. In the event patients require long-term skilled nursing care, they may wish to transition to palliative care, which is also available through our community-based medicine program.
Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - Northwestern Medicine Palos Hospital. 1.8 Strategy: Explore alternative delivery models and provide new options to reduce costs to patients. Chronic Care Management Pilot Project: Chicago Health Colleagues, along with leaders of Palos Home Health, Community-Based Medicine and Care Coordination, developed a pilot plan for the implementation of a chronic care management (CCM) program. The mission of this program was to develop the technical, clinical and administrative infrastructure needed to enroll, monitor and care for patients eligible for CCM as stipulated by Medicare CCM program guidelines. A central goal of the program is to deliver personalized, interactive outreach and care planning to patients with multiple chronic conditions between their regular provider appointments. The purpose of this individualized patient engagement is to reduce avoidable ED visits, hospital admissions and improve the quality of life for patients. As a result of changes in staffing and the integration to Northwestern Medicine, information on this strategy is unavailable. Commercial ACO ED Avoidance Pilot Project: Chicago Health Colleagues was engaged by our commercial Accountable Care Organization (ACO) to take part in a pilot project for intervention with patients who have chronic lung disease. The pilot program uses predictive modeling to identify patients who may be at risk for an ED encounter in the near future. Leaders of care coordination and the Heart and Lung Wellness Center engaged with our commercial ACO to offer insights, feedback and strategies to enhance the effectiveness of the predictive model. Collaboration between clinical leaders and our commercial ACO continues. We hope to use this information to be able to reach patients with the tools at the disposal of our care coordination team, before an event leading to a potentially avoidable ED encounter or hospital admission. As a result of changes in staffing and the integration to NM, information on this strategy is unavailable. 1.9 Strategy: Use clinically integrated network to improve the coordination of care between the hospital and physicians. Provider Educational Opportunities: Chicago Health Colleagues engaged in the creation and distribution of several important educational opportunities for the provider network. Educational opportunities on a variety of subjects, diseases, therapies and treatments were created in conjunction with our network providers. These events brought together employed and independent providers to learn about best practices that could be used to inform their patient care practices. To improve accessibility the Chicago Health Colleagues continued to use a virtual format to deliver CME education. Overall, these efforts resulted in a 30% increase in providers meeting Chicago Health Colleagues annual participation criteria. Priority Need 2: Mental Health and Substance Use 2.1 Strategy: Provide a broad range of outpatient services including partial hospitalization, intensive outpatient programming and counseling. Inpatient services: Crisis stabilization, structure group, individual and family therapy, medication evaluation and management, detox services, aftercare coordination and introduction to the 12-step program. Outpatient services: Partial hospitalization program (PHP), intensive outpatient program (IOP), and the substance use disorder intensive outpatient program (SUDIOP). Outpatient behavioral health appointments (PMG Behavioral Health Services): Medication-assisted treatment for addictions, psychiatric medication management, individual and family therapy and eye movement desensitization and reprocessing (EMDR) therapy. Transcranial magnetic stimulation (TMS): A noninvasive treatment for depression. 2.2 Strategy: Promote the availability of mental health providers (including psychiatrists) to meet the growing demand for services. FY2021 saw an overall increase of 1 mental health provider. There was no change in the number of psychiatrists available at the beginning of FY2021 to the end of FY2021 (7); 1 additional advanced practice registered nurse (5); one fewer addiction specialists (0); no change in psychologists (0); and an increase of 1 licensed social worker (4). 2.3 Strategy: Provide free community-based seminars on issues impacting mental health and substance abuse. While many community education classes were halted during COVID-19, Palos offered Smart Recovery to help patients struggling with substance use during the pandemic. Most in-person opportunities were halted due to safety protocols. 2.4 Strategy: Improve awareness of mental health and substance abuse and address issues related to stigma. Palos Hospital utilized social media and direct mail to provide education about mental health and services available. 2.5 Strategy: Develop stronger relationships with referring agencies such as PLOWS and Crisis Center for South Suburbia Crisis Center for South Suburbia: Staff Christmas donations National Suicide Prevention Lifeline: Crisis line phone number included on all discharge paperwork, after-visit summaries and patient safety plans Alcoholics Anonymous (AA): Provided referrals for outpatients and offered on the hospital unit for inpatients Emotions Anonymous (EA): Provided referrals for outpatients and offered on the hospital unit for inpatients Trinity Services, Inc.: Mutual participation in the Reducing Risk and Recidivism initiative, which is a three-year federal grant focusing on developing a mobile crisis response unit; providing training to officers, behavioral health providers and the community; and holding resource awareness events to connect community members to services. This initiative began in October 2019, and Maria Singer, RN, represents Palos on the interagency committee. Palos committed to a working relationship with the police departments and Trinity Services for patients with mental health and substance use disorders in the community. This collaboration includes: Police departments (six): Orland Park, Orland Hills, Palos Park, Palos Heights, Oak Forest, Midlothian Hospitals (three): Palos, Ingalls, Silver Oaks Trinity Services, Inc. EMS and first responders Representatives from local community agencies Office of the State's Attorney Office of Guardianship and Advocacy (Illinois). 2.6 Strategy: Expand support group offerings to increase options for family members with loved ones facing mental health or substance use issues AA (referral) Al-Anon (referral) Emotions Anonymous (referral) Smart Recovery (in-person at Palos facility) Smart Recovery Family & Friends (in-person at Palos facility) Recovery Group (patients discharged from SUDIOP or PHP/IOP Dual Diagnosis) Mental Health Recovery Group (PMG) Family Wellness Recovery Group (family members of current patients in PHP/IOP) Aftercare - Staying on your Path (patients who successfully completed SUDIOP or Co-Occurring Programs) Priority Need 3: Chronic Disease 3.1 Strategy: Enhance care coordination program to help patients manage their condition through appointments and resources available. Caregiver Resource Center fielded received 230 visits/phone calls to provide resources Caregiver Support Group had 40 attendees More than 100 participants attended the Bereavement Support Group Nearly 400 bereaved loved ones participated in the bereavement program 3.2 Strategy: Improve relationship with area food pantries to educate clients about how nutrition impacts long-term health. Community outreach to local pantries continues to evolve. 3.3 Strategy: Work with area homeless shelter to provide nutritious meals. Food donations to local homeless shelter was paused due to the shelter's COVID-19 safety protocols. 3.4 Strategy: Review opportunity for growth of Palos Hospital's Home Delivered Meal Program. The Home-Delivered Meal program provides access to nutritious food, in addition to a wellness check for participants. Any changes in a client's health or other issues are reported. Clients have reported appreciation for the kind-hearted volunteers. A total of 9,498 meals were served during this reporting year. During the pandemic, the need for this service was amplified because of an increased number of seniors sheltering in place and needing access to food. Clients have the option to receive a protein drink, free of charge, with their meal. Priority Need 4: Transportation and Housing 4.1: Strategy: Grow community-based medicine to address the health care needs of homebound patients The Community-Based Medicine program has a census of more than 750 patients and provides a combination of house calls and palliative care. 4.2 Strategy: Launch pilot discounted transportation program for rehabilitation therapy patients. This strategy was not addressed due to unforeseen circumstances.
Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - Northwestern Medicine Palos Hospital. Non-Priority Areas: The CHNA report identified areas of opportunity for health improvement for which Palos determined it would not prepare an implementation plan and strategy. These areas of opportunity and the reasons for not addressing are below. In acknowledging the wide range of priority health issues that emerged from the CHNA process, Palos Community Hospital determined that it could only effectively focus on those which it deemed most pressing, most under-addressed, and most within its ability to influence. Age-related Illness As an acute care hospital, it is Palos' role to provide medical services for all patients who present for care. Many age-related illnesses are chronic. Palos is focusing on food and nutrition and the relationship to chronic disease. Palos offers a class that focuses on balance to help prevent falls in the aging populations. Palos works with Pathlights (formerly known as PLOWS) to develop programming related to age-related illness. Palos has limited resources to address all health care and social needs of the population. Other community organizations and resources are available and have programs and infrastructures in place to better meet this need. Cancers Palos offers an array of programs and services related to cancer prevention, diagnosis and treatment. The integrating with Northwestern Medicine has improved patient access to quaternary level of cancer care. Lung Disease/Tobacco Use Palos offers access to smoking cessation information and education and incorporates smoking cessation information in inpatient and outpatient settings. Therefore, it was determined that a separate set of initiatives for lung health/tobacco use is not necessary. Motor Vehicle Crash Injuries Data for the Palos service area did not indicate a higher than expected percentage of persons at risk for motor vehicle crash injuries. Palos has limited resources to address all health care and social needs of the population. Oral Health Palos has limited resources, services and expertise to address oral health issues including dental visits for adults. There are significant resources available to the community to provide dental services.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
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?291
Name and address Type of Facility (describe)
1 541 Fairbanks
541 N Fairbanks
Chicago,IL60611 		Admin
2 Lavin
259 E Erie St
Chicago,IL60611 		MOB
3 Arkes
676 N St Clair
Chicago,IL60611 		Admin
4 441445 East Ontario
441/445 East Ontario
Chicago,IL60611 		Parking Garage
5 Ambulatory Svc Pav
25 N Winfield Road
Winfield,IL60190 		MOB
6 633 N St Clair
633 N St Clair
Chicago,IL60611 		Other
7 Lavin Garage
259 E Erie St
Chicago,IL60611 		Parking Garage
8 Erie-McClurg Parking
425 E Erie
Chicago,IL60611 		Parking Garage
9 15300 West Ave
15300 West Ave
Orland Park,IL60462 		MOB
10 LFHospital Grayslake Outpatient Center
1475 E Belvidere Rd
Grayslake,IL60030 		Clinical
11 211 Ontario
211 Ontario
Chicago,IL60611 		Admin
12 Marianjoy MOB
26W171 Roosevelt Road
Wheaton,IL60187 		MOB
13 Patriot Bldg
2701 Patriot Blvd
Glenview,IL60026 		MOB
14 Health Bridge Huntley
10450 Haligus Road
Huntley,IL60142 		Other
15 Delnor 351 MOB
351 Delnor Rd
Geneva,IL60134 		MOB
16 Kish Wellness Center
626 Bethany Rd
DeKalb,IL60115 		Other
17 1000 Westmoreland - PAV B
1000 Westmoreland Rd Pav C
Lake Forest,IL60045 		MOB
18 NLFH Bays 900 N A Wing
900 N Westmoreland Rd
Lake Forest,IL60045 		MOB
19 680 Bldg
680 Lake Shore Drive
Chicago,IL60611 		MOB
20 Health Bridge Crystal Lake
200 E Congress Parkway
Crystal Lake,IL60014 		Other
21 Keystone MOB
4525 Weaver Parkway
Warrenville,IL60555 		Admin
22 Delnor 302 MOB
302 Randall Rd
Geneva,IL60134 		MOB
23 NLFH Westmoreland Bldg
600 N Westmoreland
Lake Forest,IL60045 		MOB
24 1475 E Belvidere (MOB)
1475 E Belvidere Rd
Grayslake,IL60030 		MOB
25 Oak Brook Commons MOB
2111 McDonalds Drive
Oak Brook,IL60523 		MOB
26 KPG Dekalb Clinic
1850 Gateway Dr
Sycamore,IL60178 		MOB
27 River North MOB
636 Raymond Drive
Naperville,IL60563 		MOB
28 Delnor Health & Wellness Ctr
296 Randall Rd
Geneva,IL60134 		Other
29 Danada MOB
7 Blanchard Circle
Wheaton,IL60187 		MOB
30 1840 Oak Avenue
1840 Oak Avenue
Evanston,IL60201 		MOB
31 Cantera Offices
27650 Ferry Road
Warrenville,IL60555 		MOB
32 Huntley ACM
10350 Haligus Road
Huntley,IL60142 		MOB
33 Warrenville Cancer Center Bldg
4405 Weaver Parkway
Warrenville,IL60555 		MOB
34 Northwestern Health & Fitness Institute
1200 N Westmoreland
Lake Forest,IL60045 		Other
35 Northwestern Health & Fitness Institute
3098 Falling Waters Blvd
Lindenhurst,IL60046 		Other
36 Grayslake OutPt- BLDG A - 1475
1475 E Belvidere Rd
Grayslake,IL60030 		MOB
37 1033 University Place
1033 University Place
Evanston,IL60201 		MOB
38 St Charles MOB
2900 Foxfield Road
St Charles,IL60174 		MOB
39 Proton Center
4455 Weaver Parkway
Warrenville,IL60555 		MOB
40 17333 S La Grange Rd AlphaMed
17333 S La Grange Rd
Tinley Park,IL60487 		MOB
41 Winfield MOB
0S036 Church St
Winfield,IL60190 		MOB
42 Stratford North MOB
215-235 Gary Ave
Bloomingdale,IL60108 		MOB
43 Behaviorial Health Bldg
27W350 High Lake Rd
Winfield,IL60190 		MOB
44 21202 S Owens Road
21202 S Owens Road
Mokena,IL60448 		MOB
45 Westmoreland - PAV A
1000 Westmoreland Rd Pav B
Lake Forest,IL60045 		MOB
46 2111 Midlands
2111 Midlands Ct
Sycamore,IL60178 		MOB
47 1880 Oak Avenue
1880 Oak Avenue
Evanston,IL60201 		MOB
48 Q CenterWoodlands Office Bldg
1405 North 5th Avenue
St Charles,IL60174 		Admin
49 FeinbergGalter
251 E Huron St
Chicago,IL60611 		MOB
50 MOB-B 4309 Medical Center Drive
4309 Medical Center Dr
McHenry,IL60050 		MOB
51 Kish Pavillion
5 Kish Hospital Dr
DeKalb,IL60115 		MOB
52 Grayslake Prof Bldg - 1275 MOB
1275 E Belvidere Rd
Grayslake,IL60030 		MOB
53 Prentice
250 E Superior St
Chicago,IL60611 		MOB
54 Wheaton Med MOB
1800 N Main Street
Wheaton,IL60187 		MOB
55 1325-41 West Belmont
1325-41 West Belmont
Chicago,IL60657 		MOB
56 Glen Ellyn MOB
885 Roosevelt Road
Glen Ellyn,IL60137 		MOB
57 Support Svc Building
371 Schmale Road
Carol Stream,IL60188 		Admin
58 Aurora MOB
2635 Church Road
Aurora,IL60502 		MOB
59 420 N IL RT 31
420 N IL Rt 31
Crystal Lake,IL60012 		MOB
60 NLFH McGaw 800 Bldg
800 N Westmoreland Rd
Lake Forest,IL60045 		MOB
61 360 Station Drive
360 Station Drive
Crystal Lake,IL60014 		MOB
62 10370 Haligus Road
10370 Haligus Rd
Huntley,IL60142 		MOB
63 Delnor Cancer Center
304 Randall Road
Geneva,IL60134 		MOB
64 Stratford South MOB
245 S Gary Avenue
Bloomingdale,IL60108 		MOB
65 Woodstock MOB2 - 3707 Doty Rd
3707 Doty Rd
Woodstock,IL60098 		MOB
66 2507 Richmond Road
2507 Richmond Rd
McHenry,IL60050 		MOB
67 1630 Sherman
1630 Sherman
Evanston,IL60201 		MOB
68 IRCC (Health Progress JV)
10 Health Services Dr
DeKalb,IL60115 		MOB
69 7340 W College Drive
7340 W College Drive
Palos Heights,IL60463 		MOB
70 633 Emerson
633 Emerson St
Evanston,IL60201 		MOB
71 1460 North Halsted
1460 North Halsted
Chicago,IL60642 		MOB
72 Mona Kea Medical Park
501/515/517 Thornhill
Carol Stream,IL60188 		MOB
73 6155 Grand Ave
6155 Grand Ave
Gurnee,IL60031 		MOB
74 Snyder Building
27W353 Jewell Road
Winfield,IL60190 		Admin
75 NLFH CEP (Central Energy Plant)
660 N Westmoreland
Lake Forest,IL60045 		Other
76 St Charles Medical Park
XXX-XX-XXXX N 5th Avenue
St Charles,IL60174 		MOB
77 Delnor Family Residency Bldg
298 S Randall Rd
Geneva,IL60134 		MOB
78 150 West Roosevelt
150 West Roosevelt
Chicago,IL60605 		MOB
79 1704 Maple Avenue
1704 Maple Avenue
Chicago,IL60021 		MOB
80 Fresh Market
285 W Roosevelt
Glen Ellyn,IL60137 		MOB
81 Bartlett MOB
820 S Route 59
Bartlett,IL60103 		MOB
82 850 N Milwaukee
850 N Milwaukee
Vernon Hills,IL60061 		MOB
83 213 Front Street
213 Front Street
McHenry,IL60050 		Admin
84 7500 College Dr
7500 College Dr
Palos Heights,IL60463 		Admin
85 350 Waukegan
350 Waukegan Rd
Deerfield,IL60015 		MOB
86 12255 S 80th Avenue
12255 S 80th Avenue
Palos Heights,IL60463 		Clinical
87 Sage Cancer Center
4305 Medical Center Dr
McHenry,IL60050 		MOB
88 Cornerstone MOB
2001 Wiesbrook Road
Wheaton,IL60187 		MOB
89 Valley West MOB
1310 N Main St
Sandwich,IL60548 		MOB
90 737 N Michigan
737 N Michigan
Chicago,IL60611 		MOB
91 South Naperville MOB
101 E 75th Street
Naperville,IL60565 		MOB
92 645 North Michigan
645 North Michigan
Chicago,IL60611 		MOB
93 MOB A 4309 Medical Center Drive
4309 Medical Center Dr
McHenry,IL60050 		MOB
94 260 E Congress Parkway
260 E Congress Parkway
Crystal Lake,IL60014 		MOB
95 Delnor Cancer Resource Ctr (Living Well)
442 Williamsburg Ave
Geneva,IL60134 		MOB
96 1776 North Milwaukee
1776 North Milwaukee
Chicago,IL60647 		MOB
97 650 Dakota Street
650 Dakota Street
Crystal Lake,IL60012 		MOB
98 710 N Lake Shore Dr
710 N Lake Shore Dr
Chicago,IL60611 		MOB
99 27332737 Sycamore
2731/2733/2737 Sycamore Rd
DeKalb,IL60115 		MOB
100 BHS Ben Gordon Cental Ofc
12 Health Services Dr
DeKalb,IL60115 		MOB
101 Delnor Surgery Center
345 Delnor Drive
Geneva,IL60134 		MOB
102 0N040 Church Street (Winfield Parking)
0N040 Winfield Rd
Winfield,IL60190 		Parking Garage
103 Fargo MOB
2425 Fargo Blvd
Geneva,IL60134 		MOB
104 25 North Third Street
25 N Third St
Geneva,IL60134 		MOB
105 NLFH East&West 700 Bldg
700 N Westmoreland Rd
Lake Forest,IL60045 		MOB
106 385 Wirtz Drive
385 Wirtz Drive
DeKalb,IL60115 		Other
107 20 South Clark
20 South Clark
Chicago,IL60603 		MOB
108 Woodstock MOB1 3703 Doty Rd
3703 Doty Rd
Woodstock,IL60098 		MOB
109 2120 Midlands
2120 Midlands Court
Sycamore,IL60178 		MOB
110 Gary Medical LLC
2001 Gary Avenue
Wheaton,IL60187 		MOB
111 Plank Road Clinic
165 E Plank Rd
Sycamore,IL60178 		MOB
112 394 Federal Drive
394 Federal Drive
Crystal Lake,IL60014 		MOB
113 NLFH Dearhaven Bldg
1100 N Westmoreland Rd
Lake Forest,IL60045 		Other
114 329 West 18th Street
329 West 18th Street
Chicago,IL60611 		Admin
115 27272729 Sycamore
2727/2729 Sycamore Rd
DeKalb,IL60115 		MOB
116 Rochelle Crossings
450 Coronado Dr
Rochelle,IL61068 		MOB
117 NLFH Grounds Building
940 N Westmoreland
Lake Forest,IL60045 		Other
118 525 Rockland Rd
525 Rockland Rd
Lake Bluff,IL60044 		MOB
119 4732 North Lincoln
4732 North Lincoln
Chicago,IL60625 		MOB
120 Elburn MOB
905 N First Street
Elburn,IL60119 		MOB
121 Healthtrack Offices
875 Roosevelt Road
Glen Ellyn,IL60137 		MOB
122 150 East Huron
150 East Huron
Chicago,IL60611 		MOB
123 1513 DeKalb
1513 Dekalb Ave
Sycamore,IL60178 		MOB
124 South Elgin - Express Care
542-552 Randall Road
South Elgin,IL60177 		MOB
125 211 E Chicago
211 E Chicago
Chicago,IL60611 		MOB
126 14 Health Services Drive
14 Health Services Dr
DeKalb,IL60115 		MOB
127 11650 S Route 47
11650 S Rte 47 Huntley
Huntley,IL60142 		MOB
128 4201 Medical Center Drive
4201 Medical Center Dr
McHenry,IL60050 		Other
129 15295 E 127th St
15295 E 127th St
Lemont,IL60439 		MOB
130 Twin MOB
308 Randall Road
Geneva,IL60134 		MOB
131 Twin Dialysis Building
306 Randall Road
Geneva,IL60134 		MOB
132 KHS Office Annex
2475 Bethany Rd
DeKalb,IL60178 		MOB
133 360 Terra Cotta Road
360 Terra Cotta Rd
Crystal Lake,IL60012 		MOB
134 111 West Washington
111 West Washington
Chicago,IL60602 		Inactive
135 500 Coventry Lane
500 Coventry Lane
Crystal Lake,IL60014 		MOB
136 Port Clinton Square - 600 Central
600 Central Ave
Highland Park,IL60035 		MOB
137 1925 to 1947 Huntley Road
1925-1947 Huntley Rd
West Dundee,IL60118 		MOB
138 Foxpointe
760 Foxpointe Dr
Sycamore,IL60178 		MOB
139 1122 N Main Street
1122 N Main Street Suite D
Algonquin,IL60102 		MOB
140 2127 Midland Court
2127 Midland Court
Sycamore,IL60178 		MOB
141 Two Transam Plaza
2 Transam Plaza Drive
Oakbrook Terrace,IL60181 		Other
142 BHS Community Support
631 S First St
DeKalb,IL60115 		MOB
143 1952 Aberdeen
1952 Aberdeen
Sycamore,IL60178 		MOB
144 Elgin MOB
1600 Randall Road
Elgin,IL60123 		MOB
145 171 North Aberdeen
171 North Aberdeen
Chicago,IL60607 		MOB
146 625 N Michigan
625 N Michigan
Chicago,IL60611 		MOB
147 St Charles Executive Ctr
2570 Foxfield Dr
St Charles,IL60174 		MOB
148 Lisle MOB (CDPG)
1019 School Street
Lisle,IL60532 		MOB
149 Genoa
599 Pearson Dr
Genoa,IL60135 		MOB
150 635 Dearborn
635 Dearborn
Chicago,IL60654 		MOB
151 IT Data Center - 2200 Busse
2200 Busse Rd
Elk Grove,IL60007 		Other
152 Sugar Grove Bldg (The Landings)
414 Division Street
Sugar Grove,IL60554 		MOB
153 750 E Terra Cotta 60012
750 E Terra Cotta Suite B
Crystal Lake,IL60012 		MOB
154 1465 Commerce Drive
1465 Commerce Drive
Algonquin,IL60142 		MOB
155 BHS Discovery House
220 College Ave
DeKalb,IL60115 		MOB
156 RMG Pediatrics Geneva
2800 Keslinger
Geneva,IL60134 		MOB
157 Batavia East
1049 E Wilson
Batavia,IL60150 		MOB
158 15430 West Ave
15430 West Ave
Orland Park,IL60462 		Clinical
159 2015 Dean Street
2015 Dean Street
St Charles,IL60174 		MOB
160 2530 Hauser Ross Dr
2530 Hauser Ross Dr
Sycamore,IL60178 		MOB
161 KPG Plano
12700 Route 34
Plano,IL60545 		MOB
162 Streeterville ICC
635 N Fairbanks Court
Chicago,IL60611 		MOB
163 Kishwaukee Warehouse
2445 W Bethany Rd
Sycamore,IL60178 		Warehouse
164 Sycamore MOB
1830 Mediterranean Dr
Sycamore,IL60178 		MOB
165 Glenbard Medical
444 Park Blvd
Glen Ellyn,IL60137 		MOB
166 2615 Three Oaks Road
2615 Three Oaks Rd Suite 1A 1B
Cary,IL60013 		MOB
167 KPG Waterman
10003 US Route 30
Waterman,IL60556 		MOB
168 South Elgin Briargate MOB
472 Briargate Drive
South Elgin,IL60177 		MOB
169 375 E Chicago (Rubloff)
375 E Chicago
Chicago,IL60611 		MOB
170 1000 Westmoreland - PAV C
1000 Westmoreland
Lake Forest,IL60045 		MOB
171 NLFH Deerpath House
720 Deerpath Rd
Lake Forest,IL60045 		Other
172 880 W Central Rd
880 W Central Rd
Arlington Heights,IL60005 		MOB
173 QTS Data Center
2800 S Ashland Ave
Chicago,IL60608 		Admin
174 Elmhurst Memorial Hosp
1200 York Rd
Elmhurst,IL60126 		MOB
175 7-Eleven building
0S027 Winfield Rd
Winfield,IL60190 		Other
176 Decatur lab office
544 W Pershing Suite B
Decatur,IL62526 		Clinical
177 KPG Englehart
224 E RailRoad St
Sandwich,IL60548 		MOB
178 333 Front Street
333 Front Street
McHenry,IL60050 		MOB
179 7404 Hancock Drive
7404 Hancock Drive
Wonder Lake,IL60097 		MOB
180 201 Throop Street
201 Throop Street
Woodstock,IL60098 		MOB
181 1021 Carrick Lane
1021 Carrick Lane
McHenry,IL60050 		Patient Housing
182 585 Cimmaron Circle
585 Cimmaron Circle
Crystal Lake,IL60012 		Other
183 Kish PT Hampshire
895 S State St
Hampshire,IL60140 		MOB
184 1074 Old Des Peres Road
1074 Old Des Peres Road
St Louis,MO63131 		Clinical
185 650 Dickinson Road
650 Dickinson Road
Chesterton,IN46304 		MOB
186 Olson
710 N Fairbanks Ct
Chicago,IL60611 		MOB
187 616 35th Ave Healthlab
616 35th Ave
Moline,IL61265 		Clinical
188 Highland IN Healthlab 2213 Main St
2213 Main Street
Highland,IN46322 		Clinical
189 Hinsdale Lab Building
534 Chestnut
Hinsdale,IL60521 		Clinical
190 Belvidere lab space
2188 N State Street
Belvidere,IL61008 		Clinical
191 16151 Weber Road
16151 Weber Road
Crest Hill,IL60403 		Clinical
192 Lab lease Schaumburg
129 S Roselle Rd
Schaumburg,IL60074 		Clinical
193 111 N Wabash
111 N Wabash
Chicago,IL60602 		Clinical
194 7177 Crimson Ridge
7177 Crimson Ridge Drive Suite 8
Rockford,IL61107 		Clinical
195 Rama Place Building
2060 N Shadeland Ave
Indianapolis,IN46219 		Clinical
196 Rush Copley MOB
2020 Ogden Ave Suite 365
Aurora,IL60504 		MOB
197 555 West Pine Street
555 West Pine Street
Farmington,MO63640 		Clinical
198 2425 W 22nd St
2425 W 22nd St
Oakbrook Terrace,IL60523 		Clinical
199 633 N St Clair
633 N St Clair
Chicago,IL60611 		Other
200 2172 Blackberry Dr #108 Geneva
2172 Blackberry Dr 108
Geneva,IL60134 		Clinical
201 Elmhurst Ortho MOB
300 W Butterfield Rd
Elmhurst,IL60126 		Clinical
202 100 S Latham Street
100 S Latham 204
Sandwich,IL60548 		MOB
203 St John Timeshare
9615 Keilman Street
St John,IN46373 		Clinical
204 St Louis Lab site
916 Olive Street
St Louis,MO63101 		Clinical
205 755 W Carmel Drive
755 W Carmel
Carmel,IN46032 		Clinical
206 Urbana Timeshare
611 W Park
Urbana,IL61801 		Clinical
207 12920 Del Webb
12920 Del Webb
Huntley,IL60142 		MOB
208 HealthLab Buffalo Grove
355 W Dundee Rd
Buffalo Grove,IL60089 		Clinical
209 Mirshed Clinic
4255 W 63rd Street
Chicago,IL60629 		Clinical
210 Evergreen Park MOB
9760 S Kedzie Ave
Evergreen Park,IL60805 		Clinical
211 201 N Cummings
201 N Cummings
Washington,IL61572 		Clinical
212 1030 North Clark
1030 North Clark
Chicago,IL60611 		Clinical
213 Vernon Hills Lab Lease
175 E Hawthorn Pkwy
Vernon Hills,IL60061 		Clinical
214 1935 N Capital Avenue
1935 N Capital Avenue
Indianapolis,IN46202 		Clinical
215 305 Front Street
305 Front Street
McHenry,IL60050 		Warehouse
216 Vale Park Medical Ctr
401 Wall Street
Valparaiso,IN46383 		Clinical
217 4350 7th Street
4350 7th Street Suite B
Moline,IL61265 		Clinical
218 13000 W Rt 176
13000 W Rt 176
Lake Bluff,IL60044 		Other
219 The Sheridan at Green Oaks
29330 N Waukegan Rd
Lake Bluff,IL60044 		Inactive
220 NLFH Gurnee Tower Court
25 Court Tower
Gurnee,IL60031 		Inactive
221 Land - FKA NLFH Employee Apt Bldg
600 N Westmoreland
Lake Forest,IL60045 		Land
222 554 N Westmoreland
554 N Westmoreland
Lake Forest,IL60045 		Land
223 Land - FKA NLFH Laundry Building
600 N Westmoreland
Lake Forest,IL60045 		Land
224 Country Squire Land
19133 E Belvidere Rd
Grayslake,IL60030 		Land
225 Oakbrook Outpatient (MJ)
17W682 Butterfield Rd
Oakbrook Terrace,IL60523 		Inactive
226 West Chicago Warehouse
245 W Roosevelt Rd Unit 70
West Chicago,IL60185 		Inactive
227 4418 W Diversey
4418 W Diversey
Chicago,IL60641 		Clinical
228 T5 Data Center
200 Innovation Dr
Elk Grove Village,IL60007 		Admin
229 Delcom Billing Office
3755 E Main St
St Charles,IL60174 		Inactive
230 Winfield Town Center
50 Winfield Rd
Winfield,IL60190 		Inactive
231 4441-63 W Irving Park Road
4441-63 W Irving Park Road
Chicago,IL60641 		Land
232 4800 S Cottage Grove (Bronzeville)
4800 S Cottage Grove
Chicago,IL60615 		Land
233 3739 West Elm Street
3739 West Elm Street
McHenry,IL60050 		Inactive
234 446448 Ontario Bldg
446/448 Ontario Bldg
Chicago,IL60611 		Inactive
235 VA-A Land
333 E Huron St
Chicago,IL60611 		Land
236 VA-B Land
400 E Ontario St
Chicago,IL60611 		Land
237 201 East Walton
201 East Walton
Chicago,IL60611 		Clinical
238 2701 S Western
2701 S Western
Chicago,IL60608 		Clinical
239 303 East Superior
303 East Superior
Chicago,IL60611 		Clinical
240 560 N Fairbanks
560 N Fairbanks
Chicago,IL60611 		Clinical
241 385 Millennium Drive
385 Millennium Drive
Crystal Lake,IL60012 		Inactive
242 690 E Terra Cotta
690 E Terra Cotta
Crystal Lake,IL60012 		Inactive
243 3901 Mercy Drive
3901 Mercy Drive
McHenry,IL60050 		Clinical
244 2615 Three Oaks Road Sub portion of Suite 1B
2615 Three Oaks Rd Suite 1A 1B
Cary,IL60013 		Inactive
245 527 South Street
527 South Street
Woodstock,IL60098 		Inactive
246 WR1 Hwy 14 and Doty Road
WR1 Hwy 14 and Doty Road
Woodstock,IL60098 		Land
247 285 Memorial Drive
285 Memorial Drive
Crystal Lake,IL60014 		Land
248 Rt 176
Rt 176
Island Lake,IL60042 		Land
249 921 Tara Drive (Catulpa Lane)
921 Tara Drive Catulpa Lane
Woodstock,IL60098 		Inactive
250 7811 W 121st Street
7811 W 121st Street
Palos Heights,IL60463 		Patient Housing
251 10210 W 153rd
10210 W 153rd
Orland Park,IL60462 		Land
252 15327 W 143rd
15327 W 143rd
Homer Glen,IL60491 		Land
253 10448 South Pulaski Rd
10448 South Pulaski Rd
Oak Lawn,IL60453 		Clinical
254 20060 Governors Drive
20060 Governors Drive
Olympia Fields,IL60461 		Clinical
255 225 E Chicago
225 E Chicago
Chicago,IL60611 		Inactive
256 2315 Campus Drive
2315 Campus Drive
Evanston,IL60208 		Inactive
257 4885 Hoffman Blvd
4885 Hoffman Blvd
Hoffman Estates,IL60192 		Inactive
258 420 Thatcher
420 Thatcher
River Forest,IL60305 		Clinical
259 15 W Pleasant Ave
15 W Pleasant
Sandwich,IL60548 		MOB
260 3625 3675 Drew Ave
3625 / 3675 Drew Ave
Sandwich,IL60548 		Land
261 KPG St Margarets Health (Baum Peru)
4040 Progress Blvd
Peru,IL61354 		Inactive
262 Valley West MOB Land
1310 N Main St
Sandwich,IL60548 		Land
263 0S233 Church Street
0S233 Church Street
Winfield,IL60190 		Parking Garage
264 199 S Addison
199 S Addison
Wood Dale,IL60191 		Clinical
265 Cantera Medical Bldg
28375 Davis Parkway
Warrenville,IL60555 		Inactive
266 Lifetime Fitness Office
455 Scott Drive
Bloomingdale,IL60108 		Inactive
267 Oak Brook Regency Towers
1415 West 22nd St Ste 750E
Oak Brook,IL60523 		Inactive
268 Soutlake Medical MOB
8127 Merrillville Raod
Merillville,IN46410 		Clinical
269 Wheaton Bible Church
27W500 North Ave
West Chicago,IL60185 		Inactive
270 Warrenville Land Condo
4405/4455 Weaver Parkway
Warrenville,IL60555 		Land
271 0S028 Church Street
0S028 Church Street
Winfield,IL60190 		Land
272 0S036 Church Street
0S036 Church Street
Winfield,IL60190 		Land
273 27W364 Jewell Road
27W364 Jewell Road
Winfield,IL60190 		Land
274 27W374 Jewell Road
27W374 Jewell Road
Winfield,IL60190 		Land
275 27W375 Jewell Road
27W375 Jewell Road
Winfield,IL60190 		Land
276 27W404-406 Jewell Road
27W404-406 Jewell Road
Winfield,IL60190 		Land
277 27W405 High Lake Road
27W405 High Lake Road
Winfield,IL60190 		Land
278 27W480-482 Jewell Road
27W480-482 Jewell Road
Winfield,IL60190 		Land
279 27W560 High Lake
27W560 High Lake
Winfield,IL60190 		Land
280 LAND River North Lot 3
636 Raymond Drive
Naperville,IL60563 		Land
281 LAND River North Lot 6
636 Raymond Drive
Naperville,IL60563 		Land
282 LAND McKevett Estate
Nan Street
Aurora,IL60502 		Land
283 Ronald McDonald House
150 Winfield Rd
Winfield,IL60190 		Land
284 Hi-Hat Building
227 Hamilton St
Geneva,IL60134 		Inactive
285 LAND STC vacant lot
2850 Foxfield Road
St Charles,IL60174 		Land
286 LAND Sugar Grove
Captial Dr and Galena Blvd
Sugar Grove,IL60554 		Land
287 LAND Williamsburg
Williamsburg Ave and Fisher Rd
Geneva,IL60134 		Land
288 Batavia Land
Wagner Rd
Batavia,IL60150 		Land
289 LAND Bartlett
100 Naperville Road
Bartlett,IL60103 		Land
290 KPG Ottawa (Baum)
1209 Starfire Dr
Ottawa,IL61350 		Inactive
291 2680 Sycamore Road
2680 Sycamore Road
Sycamore,IL60178 		Inactive
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
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
Schedule H, Part I, Line 6a COMMUNITY BENEFIT REPORT Northwestern Memorial HealthCare and Subsidiaries (NMHC) submit a community benefit report to the Illinois attorney general according to the requirements for the state of Illinois. Northwestern Memorial Hospital (NMH), Northwestern Lake Forest Hospital (NLFH), Central DuPage Hospital (NWCDH), Delnor Community Hospital (Delnor), Kishwaukee Community Hospital (KCH), Valley West Hospital (VWH), Marianjoy Rehabilitation Hospital and Clinics (MJRH), Northern Illinois Medical Center (NIMC), Palos Community Hospital (PCH) and all other NMHC non-profit subsidiaries' results are included in this report.
Schedule H, Part I, Line 7g SUBSIDIZED HEALTH SERVICES THE BENEFITS REPORTED ARE PRIMARILY ASSOCIATED WITH OPERATING LOSSES SUPPORTING NMH'S MENTAL HEALTH PROGRAMS. NMHC DOES NOT INCLUDE COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES.
Schedule H, Part I, Line 3c DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE Northwestern Memorial Hospital, Northwestern Lake Forest Hospital, Central DuPage Hospital, Delnor-Community Hospital, Kishwaukee Community Hospital, Valley West Hospital, Marianjoy Rehabilitation Hospital and Clinics, Northern Illinois Medical Center, and Palos Community Hospital 09/01/2020 - 08/31/2021 NMH, NLFH, CDH, Delnor, Kishwaukee, Valley West, MJRH, NIMC, and PCH shall, in accordance with Illinois Hospital Uninsured Patient Discount Act, provide Free Care and Discounted Care to Uninsured Patients. As of 9/1/2020, the combined NMHC policy applies to NIMC. In accordance with Illinois regulations, the PCH Financial Assistance Policy will remain in effect for two years following the Palos affiliation with NM as of January 1, 2021. NMHC provides Free Care and Discounted Care to eligible Applicants who are uninsured through two methods: "uninsured sliding fee scale assistance" and "uninsured catastrophic assistance." If an Applicant qualifies under both methods, NMHC will apply the method that is most beneficial to the Applicant. Despite qualification under either method, if there is reason to believe that an Applicant may have assets in excess of 600% of the then current Federal Poverty Guideline applicable to the Applicant's Family Size and that are available to pay for medical services, NMHC may require the Applicant to provide information about such assets, and the Free Care Committee may consider those assets in deciding whether, and to what extent, to extend Free Care or Discounted Care. Free Care and Discounted Care shall be available for those Uninsured Patients who are Illinois Residents. The separate PCH policy in place similarly reflects a residency requirement. Non-Residents who are Uninsured Patients are not eligible for Free Care or Discounted Care. Notwithstanding the foregoing, there shall be no residency requirement for Uninsured Applicants receiving Emergency Services. Financial Assistance will only be applied to self-pay balances, after all third-party benefits/resources are reasonably exhausted, including, but not limited to, benefits from insurance carriers (e.g., health, home, auto liability, worker's compensation, or employer funded health reimbursement accounts), government programs (e.g., Medicare, Medicaid or other federal, state, or local programs), or proceeds from litigation, settlements, and/or private fundraising efforts (collectively, "Third-Party Funding Sources"). Patients receiving Financial Assistance and who require Medically Necessary care (other than Emergency Services) must, whenever possible, be screened for eligibility for Medicaid, Health Insurance Exchange, or other available payment programs and, if found eligible, the Patient must fully cooperate with enrollment requirements prior to the procedure being scheduled and/or services being rendered. Eligible Patients who fail or refuse to enroll in available Medicaid, Health Insurance Exchange, or other available payment programs may be ineligible for Financial Assistance. NMHC (or its agent), at its discretion, may assess a Patient's or Guarantor's Financial Assistance eligibility by means other than a completed Application. In such instances, eligibility determinations may include the use of information provided by credit reporting agencies, public records, or other objective and reasonably accurate means of assessing a Patient's or Guarantor's Program eligibility. An uninsured Patient demonstrating eligibility under one or more of the following programs shall be deemed eligible for NMHC's Free and Discounted Care program and will not be required to provide additional supporting documentation for financial assistance. A. Homelessness B. Deceased with no estate C. Mental incapacitation with no one to act on the patient's behalf D. Medicaid eligibility, but not on date of service for non-covered service E. Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines; 1. Women, Infants and Children Nutrition Program (WIC) 2. Supplemental Nutrition Assistance Program (SNAP) 3. Illinois Free Lunch and Breakfast Program 4. Low Income Home Energy Assistance Program (LIHEAP) 5. Enrollment in an organized community-based program providing access to medical care that assess and documents limited low income financial 6. Receipt of grant assistance for medical services
Schedule H, Part VI, Line 2 NEEDS ASSESSMENT, CONTINUED Northwestern Medicine Valley West Hospital: NM Valley West collaborates with diverse organizations to identify a common vision and plan to create a collective impact on the overall health of the community. This includes striving to coordinate efforts focusing on community priorities with community stakeholders including the DeKalb County Health Department, the Kendall County Health Department, Fox Valley Older Adults, and other medical, not-for-profit, community and faith-based organizations. Marianjoy Rehabilitation Hospital: MRH coordinates strategies with community partners and key stakeholders who include, but are not limited to, the DuPage County Health Department, DuPage Federation on Human Services Reform, AbilityLinks, the People's Resource Center, and local school districts and public entities. MRH's Pediatric Community Groups continue to be highly utilized by parents/caregivers to work on achieving functional goals for children with special needs. Northern Illinois Medical Center: NIMC represents the three hospitals of the legacy Centegra Health System (CHS), including Northwestern Medicine McHenry Hospital, Northwestern Medicine Huntley Hospital and Northwestern Medicine Woodstock Hospital. McHeny Hospital works with the Chicago Medical School Internal Medicine Residency program to provide training to the next generation of caregivers. The Woodstock campus is home to Aunt Martha's Woodstock Community Health Center, a federally qualified health center, offering comprehensive primary care and mental health services to the uninsured and underinsured members of the broader McHenry Community. Palos Community Hospital: PCH is situated in the South Suburbs of Chicago, including the Palos Heights and Orland Park communities. PCH has worked with partners and stakeholders from that area including, but not limited to, the City of Palos Heights, the Villages of Chicago Ridge, Crestwood, Midlothian, Orland Park, Palos Park, and Worth, as well as local school districts and public entities.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 87919127
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST OF CHARITY CARE FOR THE HOSPITALS WAS CALCULATED BY APPLYING THE TOTAL COST-TO-CHARGE RATIO FROM EACH HOSPITAL'S MEDICARE COST REPORT (CMS 2552-96 WORKSHEET C, PART 1, CONSISTENT WITH THE STATE OF ILLINOIS ATTORNEY GENERAL'S OFFICE DEFINITION) TO THE CHARGES ON ACCOUNTS IDENTIFIED AS QUALIFYING FOR CHARITY CARE (AS DEFINED IN THE AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS ACCOUNTING AND AUDITING GUIDE - HEALTHCARE ORGANIZATIONS). THE RESULTANT CALCULATED COST WAS THEN OFFSET BY ANY PAYMENTS RECEIVED THAT WERE DESIGNATED FOR THE PAYMENT OF PATIENT BILLS QUALIFYING FOR A CHARITY CARE DISCOUNT (AS DEFINED IN THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION'S PRINCIPLES AND PRACTICES BOARD STATEMENT 15, VALUATION AND FINANCIAL STATEMENT PRESENTATION OF CHARITY CARE AND BAD DEBTS BY INSTITUTIONAL HEALTHCARE PROVIDERS). THE PHYSICIAN GROUPS, INCLUDING NMG AND RMG ARE NOT REQUIRED TO FILE A MEDICARE COST REPORT. AN INTERNALLY CALCULATED COST-TO-CHARGE RATIO SPECIFIC TO THE PHYSICIAN GROUPS WAS USED TO DETERMINE THE COST OF CHARITY CARE FOR NMG. THE RESULTANT CALCULATED COST WAS THEN OFFSET BY ANY PAYMENTS, CONSISTENT WITH THE METHODOLOGY FOR THE HOSPITALS. THE UNREIMBURSED COST OF BAD DEBT, MEDICAID, MEDICARE OR ANY OTHER FEDERAL, STATE OR LOCAL INDIGENT HEALTHCARE PROGRAM IS NOT INCLUDED IN THE UNREIMBURSED COST FIGURE FOR CHARITY CARE. THE COSTS OF CHARITY CARE IN THIS REPORT DIFFER FROM NMHC'S NOTES TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR FISCAL YEAR 2021 WHERE THEY WERE CALCULATED BY APPLYING A COST-TO-CHARGE RATIO DEVELOPED PRIOR TO FILING NMH'S, NLFH'S, CDH'S, DELNOR'S, KISH'S, MARIANJOY'S, NIMC'S, AND PCH'S FISCAL YEAR 2021 MEDICARE COST REPORTS TO CHARGES FOREGONE FOR CHARITY CARE. THE FISCAL YEAR 2021 MEDICARE COST REPORTS WERE COMPLETED AFTER THE AUDITED FINANCIAL STATEMENTS WERE ISSUED. THE COSTS OF CHARITY CARE FOR THE HOSPITALS INCLUDED IN THIS REPORT WERE CALCULATED USING THE COST-TO-CHARGE RATIOS FROM NMH'S, NLFH'S, CDH'S, DELNOR'S, KISH'S, MARIANJOY'S, NIMC'S, AND PCH'S COST REPORTS FILED IN MARCH OF 2022 FOR FISCAL YEAR 2021. COMMUNITY HEALTH IMPROVEMENT SERVICES - THE COST OF LANGUAGE ASSISTANCE PROGRAMS INCLUDES BOTH THE COST OF EMPLOYEES AND NONEMPLOYEES TO PROVIDE TRANSLATION SERVICES TO NMHC HOSPITAL PATIENTS AND FAMILY MEMBERS. EDUCATION - UNREIMBURSED EDUCATION COSTS INCLUDE THE COST OF NMHC'S MEDICAL RESIDENCY, FELLOWSHIP AND INTERNSHIP PROGRAMS LESS ANY THIRD-PARTY PAYOR REIMBURSEMENTS AND FEES RECEIVED. SUBSIDIZED HEALTH SERVICES - SUBSIDIZED HEALTH SERVICES INCLUDE THE UNCOMPENSATED COST OF PROVIDING BEHAVIORAL HEALTH SERVICES, HEALTH EDUCATION AND INFORMATION AND PROGRAMS TO POSITIVELY IMPACT THE WELLNESS OF THE COMMUNITY. COSTS CALCULATED WERE OFFSET BY ANY REIMBURSEMENT RECEIVED FOR SERVICES PROVIDED. THE UNREIMBURSED COST FOR BEHAVIORAL HEALTH SERVICES WAS ALSO ADJUSTED TO EXCLUDE THE UNREIMBURSED COST OF CHARITY CARE AND GOVERNMENT SPONSORED INDIGENT HEALTHCARE. RESEARCH - NMHC PROVIDES SUPPORT TO ADVANCE MEDICAL AND SCIENTIFIC RESEARCH AND ACADEMIC PURSUITS. THE REPORTED SUPPORT INCLUDES THE UNREIMBURSED COST OF FUNDS PROVIDED FOR RESEARCH PROJECTS AND UNREIMBURSED OPERATIONAL INFRASTRUCTURE COSTS TO SUPPORT CLINICAL RESEARCH THAT OCCURS AT NMH, NMG, CDH AND MJRH. DONATIONS - DONATIONS INCLUDE THE DOLLAR AMOUNT RECORDED DURING FISCAL YEAR 2021 IN ACCORDANCE WITH U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES AS CONTRIBUTIONS TO CHARITABLE AND OTHER COMMUNITY OR CIVIC ORGANIZATIONS FOR FURTHERANCE OF THEIR CHARITABLE PURPOSES.
Schedule H, Part II Community Building Activities NMHC HOSPITALS PROVIDE A BROAD RANGE OF TRAINING PROGRAMS AND SUPERVISED PATIENT CARE EXPERIENCES TO ENSURE THAT A HIGHLY TRAINED HEALTHCARE WORKFORCE OF ADEQUATE CAPACITY IS IN PLACE TO SERVE THE RESIDENTS OF THE REGION. IMPORTANTLY, THESE PROGRAMS CREATE PATHWAYS FOR AT-RISK MEMBERS OF THE COMMUNITY TO SEEK JOBS WITHIN THE HEALTHCARE SYSTEM AND ALSO ARE IN PLACE FOR YOUNG PEOPLE TO LEARN ABOUT AND POTENTIALLY EXPLORE HEALTHCARE CAREERS. ALLIED HEALTH SCHOOLS AT NMH NMH OPERATES FOUR ACCREDITED ALLIED HEALTH SCHOOLS - DIAGNOSTIC MEDICAL SONOGRAPHY, NUCLEAR MEDICINE TECHNOLOGY, RADIATION THERAPY AND RADIOLOGY - AS WELL AS A HISTOTECHNOLOGY PROGRAM, POST-PRIMARY CT AND MRI PROGRAMS, AND A MEDICAL ASSISTANT PROGRAM. THE 21-MONTH CERTIFICATE PROGRAMS ARE OPEN TO EMPLOYEES AND THE GENERAL PUBLIC. MANY STUDENTS COME FROM THE LOCAL COMMUNITY, AS WELL AS FROM AFFILIATED COLLEGES AND UNIVERSITIES. LEADERS OF THESE PROGRAMS VISIT CITY HIGH SCHOOLS, COLLEGES AND UNIVERSITIES TO INTRODUCE VARIOUS MEDICAL FIELDS TO PROSPECTIVE STUDENTS AND INCREASE THEIR GENERAL KNOWLEDGE OF VARIOUS ALLIED HEALTH FIELDS. THE CERTIFICATE PROGRAMS AIM TO ADDRESS THE NEED FOR ALLIED HEALTH PROFESSIONALS IN THE FIELD. IN ADDITION TO TRAINING THE NATION'S FUTURE PHYSICIANS, FEINBERG HAS FURTHER RESPONDED TO THE ANTICIPATED SHORTAGE OF MEDICAL PROVIDERS BY OFFERING A MASTER'S-LEVEL PHYSICIAN ASSISTANT PROGRAM. PHYSICIAN ASSISTANTS ARE HIGHLY EFFECTIVE MEMBERS OF PRIMARY CARE TEAMS THAT INCLUDE MANY LEVELS OF PROVIDERS AND CAN EFFICIENTLY DELIVER THE HIGHEST QUALITY OF CARE TO EXTENDED GROUPS OF PATIENTS. THROUGH FEINBERG'S PROGRAM, PHYSICIAN ASSISTANTS ARE EDUCATED AND TRAINED WITHIN THE MEDICAL SCHOOL SETTING AND GAIN CLINICAL EXPERIENCE AT NMHC HOSPITALS. CLINICAL EXPERIENCE AT NMHC HOSPITALS NMHC HOSPITALS PROVIDE THE IMPORTANT CLINICAL SETTING FOR THE EDUCATION OF THE NEXT GENERATION OF HEALTHCARE WORKERS, INCLUDING PHYSICIANS, NURSES, PHARMACISTS, LABORATORY PROFESSIONALS, ALLIED HEALTH WORKERS AND SKILLED TECHNICIANS. THROUGH CLINICAL AFFILIATIONS WITH TOP REGIONAL UNIVERSITIES AND COLLEGES AND ESTABLISHED CLINICAL ROTATIONS, MENTORING, CLINICIAN SHADOWING, TRADITIONAL DIDACTIC LECTURES AND OTHER TEACHING PROGRAMS, WE PROVIDE CLINICAL SETTINGS FOR THE EDUCATION OF THOUSANDS OF STUDENTS, MANY OF WHOM WILL BECOME PROFESSIONALS IN FIELDS IDENTIFIED AS AREAS OF CURRENT OR FUTURE WORKFORCE SHORTAGE IN THE NATIONAL HEALTHCARE SYSTEM. NMHC PROVIDES EDUCATION TO A WIDE RANGE OF STUDENTS INCLUDING: - UNDERGRADUATE AND GRADUATE NURSING STUDENTS - STUDENTS FROM UNIVERSITY-BASED PHARMACY PROGRAMS - RESPIRATORY THERAPY STUDENTS - GRADUATE SOCIAL WORK INTERNS - PSYCHOLOGY PHD CANDIDATES WITH CLINICAL EMPHASES IN ADULT CLINICAL PSYCHOLOGY, BEHAVIORAL MEDICINE (HEALTH PSYCHOLOGY), CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY AND CLINICAL NEUROPSYCHOLOGY - INTERNS IN BIOMEDICAL ENGINEERING - PASTORAL CARE STUDENTS - PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS, SPEECH LANGUAGE PATHOLOGISTS, PHYSICAL THERAPIST ASSISTANTS AND OCCUPATIONAL THERAPY ASSISTANTS THROUGH A MASTER CLINICIAN PROGRAM - PHYSICAL AND OCCUPATIONAL THERAPY ASSISTANT, BACHELOR, MASTERS AND PHD STUDENTS - STUDENTS IN A BROAD ARRAY OF OTHER CLINICAL PROGRAMS ON-THE-JOB TRAINING AND YOUTH EDUCATION PROGRAMS RESEARCH ON THE SOCIAL DETERMINANTS OF HEALTH INDICATES THAT ACCESS TO EDUCATIONAL AND ECONOMIC OPPORTUNITIES IS A KEY FACTOR IMPACTING INDIVIDUALS' QUALITY OF LIFE. NMHC OFFERS A MULTITUDE OF OPPORTUNITIES TO EXPOSE STUDENTS TO POTENTIAL HEALTHCARE CAREERS AND TO FOSTER PROFESSIONAL DEVELOPMENT IN THE FIELD. ONGOING, COMPREHENSIVE, ON-THE-JOB TRAINING AND YOUTH PROGRAMS FOR HIGH SCHOOL, COLLEGE AND POST-GRADUATE STUDENTS ARE OFFERED AT EVERY HOSPITAL IN THE HEALTH SYSTEM IN BOTH CLINICAL AND ADMINISTRATIVE SETTINGS. NM HAS LONG INVESTED IN PROGRAMS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, INCLUDING PROVIDING EDUCATIONAL AND EMPLOYMENT OPPORTUNITIES FOR YOUTH. IN 2011, NMH EMBARKED ON AN EDUCATIONAL PARTNERSHIP WITH WESTINGHOUSE COLLEGE PREPARATORY HIGH SCHOOL (WESTINGHOUSE), A SELECTIVE-ENROLLMENT HIGH SCHOOL ON CHICAGO'S WEST SIDE, TO PROVIDE TALENTED HIGH SCHOOL STUDENTS WITH THE OPPORTUNITY TO LEARN ABOUT AND PURSUE POST-HIGH-SCHOOL EDUCATION IN HEALTHCARE CAREERS. STUDENTS MEET FEINBERG FACULTY AND HOSPITAL EMPLOYEES, AND ARE PROVIDED A BEHIND-THE-SCENES UNDERSTANDING OF CLINICAL AREAS AND POTENTIAL CAREERS. THE PROGRAM ALSO INCLUDES MENTORING, AN INTENSIVE SUMMER PROGRAM, DISTANCE LEARNING, ACT TEST PREPARATION, AND LEADERSHIP AND LIFE SKILLS DEVELOPMENT. THE PROGRAM HAD 21 PARTICIPANTS IN FY21. IN FY21, THE OFFERED PROGRAMS TO THE WESTINGHOUSE COMMUNITY INCLUDED: - THE COMMUNITY GRAND ROUNDS SESSION PROVIDED THE OPPORTUNITY FOR NM FACULTY TO DIRECTLY SHARE MEDICAL INFORMATION AND KNOWLEDGE. - THE ANATOMY LAB SESSION PROVIDED STUDENTS WITH THEIR FIRST GLANCE OF MEDICAL SCHOOL AND EXPOSURE TO A REAL HUMAN BODY. - THE MEN IN MEDICINE AND SCIENCE (MIMS) PROGRAM EXPOSED WESTINGHOUSE FRESHMAN MALE STUDENTS TO THE WORLD OF MEDICINE AND SCIENCE. REFLECTING THE GEOGRAPHICAL EXPANSION OF THE HEALTH SYSTEM, THE NM DISCOVERY PROGRAM, FORMERLY KNOWN AS MEDICAL EXPLORERS, GREW TO FIVE CHAPTERS IN FY21 WITH OVER 150 STUDENT PARTICIPANTS AT: NM DISCOVERY PROGRAM CENTRAL, NM DISCOVERY PROGRAM WEST, NM DISCOVERY PROGRAM NORTH, NM DISCOVERY PROGRAM GREATER DEKALB, AND NM DISCOVERY PROGRAM NORTHWEST. THROUGHOUT THE TWO-YEAR PROGRAM, STUDENTS ARE EXPOSED TO A BROAD RANGE OF ACTIVITIES DESIGNED TO ENCOURAGE THEIR INTEREST IN HEALTHCARE CAREERS. IN ADDITION, THE PROGRAM FOSTERS CHARACTER AND PROFESSIONAL DEVELOPMENT, CULTIVATES LIFE SKILLS, PROVIDES COMMUNITY SERVICE AND LEADERSHIP EXPERIENCE, AND OFFERS MENTORSHIP AND NETWORKING OPPORTUNITIES. ONCE-MONTHLY ACTIVITIES INCLUDE TOURS, GUEST SPEAKERS, GROUP DISCUSSION AND HANDS-ON PROJECTS. SINCE THE PROGRAM BEGAN, MANY PARTICIPANTS HAVE PURSUED CAREERS IN NURSING AND OTHER HEALTHCARE FIELDS, AND SEVERAL ARE NOW EMPLOYED AT NMH. ADDITIONAL EXPANSION OF BOTH THE NM DISCOVERY PROGRAM IS EXPECTED IN COMING YEARS. SINCE 2016, NM HUNTLEY AND NM MCHENRY HOSPITALS HAVE OFFERED THE YOUTH RESIDENCY PROGRAM. WORKING WITH LOCAL HIGH SCHOOLS, THE PROGRAM PROVIDES INTENSIVE JOB SHADOWING AND MENTORSHIP WITH THE GOAL OF SPARKING STUDENTS' INTEREST IN HEALTH CAREERS AND ULTIMATELY RETURNING TO WORK IN THE LOCAL COMMUNITY. FROM LEARNING TO READ A MRI, TO INSPECTING CELL TISSUES FOR TUMORS, STUDENTS ARE IMMERSED IN A PROFESSIONAL MEDICAL ENVIRONMENT IN CONJUNCTION WITH THE HIGH-SCHOOL BASED CURRICULUM. EACH CHAPTER SERVES UP-TO 30 STUDENTS ANNUALLY. NM CDH, NM DELNOR, NM KISHWAUKEE, NM MCHENRY, AND NM WOODSTOCK OFFER PROJECT SEARCH, A PROGRAM FOR STUDENT INTERNS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. PROJECT SEARCH IS AN EMPLOYABILITY SKILLS TRAINING PROGRAM THAT ASSISTS STUDENTS WHO HAVE INTELLECTUAL AND DEVELOPMENTAL DISABILITIES TRANSITION FROM HIGH SCHOOL TO PRODUCTIVE EMPLOYMENT. THE HALLMARK OF PROJECT SEARCH IS TOTAL WORKPLACE IMMERSION, WHICH FACILITATES A SEAMLESS COMBINATION OF CLASSROOM INSTRUCTION, CAREER EXPLORATION AND HANDS-ON TRAINING. DURING THE ONE-YEAR PROGRAM, STUDENTS WHO ARE IN THEIR LAST YEAR OF HIGH SCHOOL PARTICIPATE IN THREE 10-WEEK INTERNSHIPS WITHIN THE HOSPITAL TO EXPLORE THEIR VOCATIONAL SKILLS, ABILITIES AND POTENTIAL CAREER PATHS. THE GOAL OF THE PROGRAM IS TO ACHIEVE 100% EMPLOYMENT AT THE END OF THE INTERNSHIP. PROJECT SEARCH IS CONTINUING TO EXPAND ACROSS THE HEALTH SYSTEM. COMMUNITY HEALTH EDUCATION COMMUNITY-BASED EDUCATION PROGRAMS ARE OFFERED ACROSS THE HEALTH SYSTEM AND IN COORDINATION WITH OUR COMMUNITY PARTNERS. THESE INITIATIVES RANGE FROM DISEASE-SPECIFIC INFORMATION PROGRAMS, TO MENTAL HEALTH AND SUBSTANCE ABUSE COMMUNITY EDUCATION, TO MINDFULNESS TRAINING, AMONG MANY MORE.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount NET PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, IS REDUCED BY THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS, AND NET PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED PRIMARILY ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED WRITE-OFFS AND NET COLLECTIONS, ALONG WITH THE AGING STATUS FOR EACH MAJOR PAYOR SOURCE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BASED ON HISTORICAL EXPERIENCE, A PORTION OF NORTHWESTERN MEMORIAL'S SELF-PAY PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, A PROVISION IS RECORDED FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO THESE PATIENTS. AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IN ACCORDANCE WITH NORTHWESTERN MEMORIAL'S POLICIES, ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, NORTHWESTERN MEMORIAL RECORDS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE. THESE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS AND ARE ADJUSTED AS NEEDED IN FUTURE PERIODS. BAD DEBTS REPRESENT THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS REPORTED IN NMHC'S FISCAL YEAR 2021 AUDITED FINANCIAL STATEMENTS RELATED TO PATIENT CARE SERVICES ADJUSTED TO COST CONSISTENT WITH THE METHODOLOGY USED TO CALCULATE GOVERNMENT SPONSORED INDIGENT HEALTHCARE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote NET PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, IS REDUCED BY THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS, AND NET PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED PRIMARILY ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED WRITE-OFFS AND NET COLLECTIONS, ALONG WITH THE AGING STATUS FOR EACH MAJOR PAYOR SOURCE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BASED ON HISTORICAL EXPERIENCE, A PORTION OF NORTHWESTERN MEMORIAL'S SELF-PAY PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, A PROVISION IS RECORDED FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO THESE PATIENTS. AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IN ACCORDANCE WITH NORTHWESTERN MEMORIAL'S POLICIES, ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, NORTHWESTERN MEMORIAL RECORDS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE. THESE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS AND ARE ADJUSTED AS NEEDED IN FUTURE PERIODS. BAD DEBTS REPRESENT THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS REPORTED IN NMHC'S FISCAL YEAR 2021 AUDITED FINANCIAL STATEMENTS RELATED TO PATIENT CARE SERVICES ADJUSTED TO COST CONSISTENT WITH THE METHODOLOGY USED TO CALCULATE GOVERNMENT SPONSORED INDIGENT HEALTHCARE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE UNREIMBURSED COST OF MEDICARE IS DEFINED BY THE STATE OF ILLINOIS ATTORNERY GENERAL'S OFFICE ANNUAL NONPROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT AS A COMMUNITY BENEFIT. THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION ALSO VIEWS THE UNREIMBURSED COSTS OF MEDICARE AS PART OF A HOSPITAL'S COMMUNITY BENEFIT PROGRAM. NMHC PROVIDES MEDICAL CARE TO MEDICARE PATIENTS AT A COST HIGHER THAN THE REIMBURSEMENT IT RECEIVES FROM MEDICARE. THE AMOUNTS LISTED FOR PART III, LINE 5 THRU 7, ARE CALCULATED CONSISTENT WITH THE METHODOLOGY DESCRIBED FOR CALCULATING UNREIMBURSED COST OF MEDICAID FOR FISCAL 2021.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance NMHC'S CREDIT AND COLLECTION POLICY CONTAINS A PROVISION FOR FINANCIAL COUNSELING. THE POLICY STATES THAT PATIENTS WITH SELF-PAY BALANCES AND WITHOUT THE RESOURCES TO PAY THEIR OBLIGATIONS WILL BE ASSESSED FOR FREE AND DISCOUNTED CARE ELIGIBILITY BY THE FINANCIAL COUNSELING DEPARTMENTS. THE ASSESSMENT INVOLVES AND EVALUATION OF ALL LEVELS OF ASSISTANCE INCLUDING GOVERNMENTAL ASSISTANCE, EXTENDED PAY ALTERNATIVES, AND FREE OR DISCOUNTED CARE. IF THE PATIENT QUALIFIES FOR FREE CARE, THE ACCOUNT IS ADJUSTED TO ZERO SO NO COLLECTION ACTIVITY OCCURS. IF FINANCIAL ASSISTANCE RESULTS IN A DISCOUNTED OR REDUCED BALANCE, ONLY THE REDUCED BALANCE WILL BE SUBJECT TO THE COLLECTION PROCESS.
Schedule H, Part V, Section B, Line 16a FAP website - Northwestern Memorial Hospital: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN LAKE FOREST HOSPITAL: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - CENTRAL DUPAGE HOSPITAL ASSOCIATION: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - DELNOR-COMMUNITY HOSPITAL: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Northwestern Medicine Valley West Hospital: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Marianjoy Rehabilitation Hospital: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHERN ILLINOIS MEDICAL CENTER: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - PALOS COMMUNITY HOSPITAL: Line 16a URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website - Northwestern Memorial Hospital: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN LAKE FOREST HOSPITAL: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - CENTRAL DUPAGE HOSPITAL ASSOCIATION: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - DELNOR-COMMUNITY HOSPITAL: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Northwestern Medicine Valley West Hospital: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Marianjoy Rehabilitation Hospital: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHERN ILLINOIS MEDICAL CENTER: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - PALOS COMMUNITY HOSPITAL: Line 16b URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Northwestern Memorial Hospital: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN LAKE FOREST HOSPITAL: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - CENTRAL DUPAGE HOSPITAL ASSOCIATION: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - DELNOR-COMMUNITY HOSPITAL: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHWESTERN MEDICINE KISHWAUKEE COMMUNITY HOSPITAL: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Northwestern Medicine Valley West Hospital: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - Marianjoy Rehabilitation Hospital: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - NORTHERN ILLINOIS MEDICAL CENTER: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance; - PALOS COMMUNITY HOSPITAL: Line 16c URL: https://www.nm.org/patients-and-visitors/billing-and-insurance/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment NMHC'S MISSION SETS FORTH OUR COMMITMENT TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE AND TO ADVANCE MEDICAL RESEARCH AND EDUCATION, ONE PATIENT AT A TIME. THE COMMUNITY BENEFITS PLAN DESCRIBES THE BROAD-REACHING GOALS THAT SUPPORT THIS COMMITMENT AND ADDRESS OUR RESPONSIBILITY AS A TAX-EXEMPT ORGANIZATION. THE DEPARTMENT OF EXTERNAL AFFAIRS DEVELOPS AND MAINTAINS A COMMUNITY BENEFITS PLAN FOR THE HEALTH SYSTEM, WHICH IS EXECUTED AT THE HOSPITAL LEVEL TO BEST MEET THE NEEDS OF OUR LOCAL COMMUNITIES. REVIEWED ANNUALLY AND REVISED AS NEEDED, THE OBJECTIVES OF THE COMMUNITY BENEFITS PLAN ARE TO: 1. PROVIDE QUALITY MEDICAL CARE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. 2. HONOR NORTHWESTERN MEDICINE'S MISSION AND COMMITMENT TO THE COMMUNITY. 3. BE RESPONSIVE TO THE ASSESSED NEEDS OF THE LOCAL COMMUNITY SERVED BY EACH HOSPITAL. 4. FORGE RELATIONSHIPS WITH LOCAL COMMUNITY ORGANIZATIONS TO HELP ADDRESS SOCIAL DETERMINANTS OF HEALTH. 5. EVALUATE THE PUBLIC HEALTH IMPACT OF NORTHWESTERN MEDICINE PROGRAMMING, AND REPLICATE BY GEOGRAPHY AND/OR DISEASE STATE WITH SENSITIVITY TO THE INDIVIDUAL NEEDS OF OUR PATIENTS, THEIR FAMILIES AND THE COMMUNITIES WE SERVE. 6. LEVERAGE OUR STRENGTHS AS A PREMIER ACADEMIC HEALTH SYSTEM TO TRAIN THE NEXT GENERATION OF CAREGIVERS AND UTILIZE EVIDENCE-BASED MODELS FOR COMMUNITY HEALTH ENGAGEMENT. 7. LEVERAGE OUR BOND WITH NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE TO BE LEADERS IN QUALITY, ACADEMIC EXCELLENCE, SCIENTIFIC DISCOVERY, PATIENT SAFETY AND RESEARCH-INFORMED TREATMENT. ALIGNED WITH OUR MISSIONS AND COMMUNITY BENEFITS PLAN, AND IN ACCORDANCE WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA), EACH OF THE HEALTH SYSTEM HOSPITALS WORKS WITH COMMUNITY AND CAMPUS PARTNERS EVERY THREE YEARS TO COMPLETE A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT IDENTIFIES THE HIGHEST PRIORITY HEALTH NEEDS OF RESIDENTS OF ITS COMMUNITY. WITH FEINBERG, NMHC BRINGS TO BEAR THE RESOURCES OF A WORLD-CLASS, INTEGRATED ACADEMIC HEALTH SYSTEM TO ADVANCE OUR COMMUNITY BENEFITS PLAN AND CHNA INITIATIVES IN WAYS THAT COULD NOT BE ACHIEVED AS STAND-ALONE HOSPITALS. PROVIDING BETTER CARE CLOSER TO HOME ALLOWS OUR COMMUNITIES ACCESS TO THE LATEST DEVELOPMENTS IN EDUCATION AND RESEARCH THAT PREVIOUSLY MAY NOT HAVE BEEN AVAILABLE AT THE COMMUNITY LEVEL. THIS INCLUDES: - SEEKING ROOT CAUSES TO HEALTH CONDITIONS, AND COLLABORATING WITH SCIENTISTS AND CLINICIANS TO DEVELOP SOLUTIONS - ENHANCING ACCESS TO HEALTH CARE - IMPROVING CLINICAL QUALITY - ADVANCING MEDICAL INNOVATION - ENSURING THAT A HIGHLY SKILLED HEALTHCARE WORKFORCE IS IN PLACE FOR DECADES TO COME - ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH CHNAS PROVIDE INFORMATION THAT ENABLES HOSPITALS TO IDENTIFY HEALTH ISSUES OF GREATEST CONCERN AMONG RESIDENTS IN THEIR COMMUNITIES AND DECIDE HOW BEST TO COMMIT RESOURCES TO THOSE AREAS, THEREBY MAKING THE GREATEST POSSIBLE IMPACT ON COMMUNITY HEALTH STATUS. NMHC EMPLOYS A SYSTEMATIC, DATA-DRIVEN APPROACH TO DETERMINE THE HEALTH STATUS, BEHAVIORS AND NEEDS OF THE RESIDENTS OF EACH HOSPITAL'S COMMUNITY. EACH CHNA SERVES AS A TOOL TOWARD REACHING THREE GOALS: 1. IMPROVE RESIDENTS' HEALTH STATUS, INCREASE THEIR LIFE SPANS AND ELEVATE THEIR OVERALL QUALITY OF LIFE. A HEALTHY COMMUNITY IS ONE WHERE ITS RESIDENTS SUFFER LITTLE FROM PHYSICAL AND MENTAL ILLNESS AND ALSO ENJOY A HIGH QUALITY OF LIFE. 2. REDUCE THE HEALTH DISPARITIES AMONG RESIDENTS. BY GATHERING DEMOGRAPHIC INFORMATION ALONG WITH HEALTH STATUS AND BEHAVIOR DATA, IT IS POSSIBLE TO IDENTIFY POPULATION SEGMENTS THAT ARE MOST AT RISK FOR VARIOUS DISEASES AND INJURIES. INTERVENTION PLANS AIMED AT TARGETING THESE SEGMENTS MAY THEN BE DEVELOPED TO COMBAT SOME OF THE SOCIOECONOMIC FACTORS THAT HAVE HISTORICALLY HAD A NEGATIVE IMPACT ON RESIDENTS' HEALTH. 3. INCREASE ACCESSIBILITY TO PREVENTIVE SERVICES FOR ALL COMMUNITY RESIDENTS. MORE ACCESSIBLE PREVENTIVE SERVICES ARE BENEFICIAL IN ACCOMPLISHING THE FIRST GOAL (IMPROVING HEALTH STATUS, INCREASING LIFE SPANS AND ELEVATING THE QUALITY OF LIFE), AS WELL AS LOWERING THE COSTS ASSOCIATED WITH CARING FOR LATE-STAGE DISEASES RESULTING FROM A LACK OF PREVENTIVE CARE. THE CHNAS AND CORRESPONDING IMPLEMENTATION STRATEGIES WERE DEVELOPED WITH FEEDBACK FROM COMMUNITY HEALTHCARE ORGANIZATIONS AND OTHER SOCIAL SERVICES AND PUBLIC ORGANIZATIONS THAT UNDERSTAND AND HELP REPRESENT THE WIDE-RANGING HEALTHCARE NEEDS OF THE RESIDENTS IN OUR COMMUNITIES. THE CHNA IMPLEMENTATION PLANS ARE GROUNDED IN PUBLIC HEALTH MODELS DEVELOPED WITH OUR COMMUNITY PARTNERS AND FEINBERG FACULTY, IN WHICH RESIDENTS OF OUR COMMUNITIES ARE INFORMED AND ABLE TO MAKE HEALTHY LIFESTYLE CHOICES, MANAGE THEIR CHRONIC HEALTH CONDITIONS AND RECEIVE MEDICALLY NECESSARY HEALTHCARE SERVICES IN THE MOST APPROPRIATE SETTING. WE BELIEVE THAT OUR MISSION TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IS BEST ACCOMPLISHED IN COLLABORATION WITH PARTNERS IN BOTH THE COMMUNITY AND WITHIN THE ORGANIZATIONS THAT COMPRISE NORTHWESTERN MEDICINE, INCLUDING THE HEALTH SYSTEM AND FEINBERG. OUR AFFILIATIONS WITH COMMUNITY-BASED HEALTHCARE AND COMMUNITY PARTNERS ENABLE THE HEALTH SYSTEM'S ORGANIZATIONS TO MEANINGFULLY IMPROVE ACCESS TO HIGH-QUALITY HEALTH CARE AND IMPLEMENT TARGETED PROGRAMS THAT ADDRESS THE HIGHEST-PRIORITY HEALTH NEEDS OF THE COMMUNITY. WE HAVE IMPLEMENTED LARGE-SCALE PROGRAMS THROUGHOUT OUR COMMUNITIES USING THIS FRAMEWORK TO TARGET HIGH-PRIORITY HEALTH CONDITIONS AND WILL CONTINUE TO USE PUBLIC HEALTH MODELS TO ADDRESS PRIORITY HEALTH NEEDS IDENTIFIED THROUGH OUR CHNAS. ONGOING EFFORTS DRAW ON NMHC'S AND FEINBERG'S STRENGTHS IN PUBLIC HEALTH, COMMUNICATION AND EDUCATION, AND INCLUDE PROGRAMS TO ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS IN COMMUNITIES SERVED ACROSS THE HEALTH SYSTEM. OUR HOSPITALS HAVE ENDURING RELATIONSHIPS, OFTEN DECADES OLD, WITH LOCAL HEALTHCARE AND COMMUNITY ORGANIZATIONS. THROUGH THESE PARTNERSHIPS, WE COLLABORATE ON DETERMINING PRIORITY HEALTH NEEDS THROUGH THE CHNA PROCESS AND WORK TOGETHER TO DEVELOP SOLUTIONS THAT RESPECT THE VARIED CULTURAL, SOCIOECONOMIC AND PRACTICAL NEEDS OF OUR DIVERSE COMMUNITIES. NORTHWESTERN MEMORIAL HOSPITAL: NMH COLLABORATES WITH COMMUNITY-BASED HEALTH, EDUCATION AND SOCIAL SERVICE ORGANIZATIONS TO PROVIDE HEALTH EDUCATION, OUTREACH SERVICES AND FOCUSED DISEASE MANAGEMENT PROGRAMS, AND TO ENSURE THAT THE RESIDENTS OF OUR COMMUNITIES HAVE CONVENIENT ACCESS TO HIGH-QUALITY MEDICAL HOMES. NMH HAS FORMAL AND LONGSTANDING AFFILIATIONS WITH TWO FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) BASED IN THE COMMUNITY - NEAR NORTH HEALTH SERVICE CORPORATION AND ERIE FAMILY HEALTH CENTER - AS WELL AS WITH COMMUNITYHEALTH, THE LARGEST FREE HEALTH CLINIC IN ILLINOIS. VITAL COMMUNITY PARTNERSHIPS ARE ALSO IN PLACE AMONG VARIOUS HEALTH AND COMMUNITY PARTNERS, INCLUDING BRIGHT STAR COMMUNITY OUTREACH AND KELLY HALL YMCA, AMONG MANY MORE. NORTHWESTERN MEDICINE LAKE FOREST HOSPITAL: THROUGH CHARITY CARE, OUTREACH SERVICES AND HEALTH EDUCATION PROGRAMS, NM LFH IMPROVES ACCESS TO HEALTHCARE SERVICES AND RESPONDS TO THE PRIORITY HEALTH NEEDS OF THE RESIDENTS OF LAKE COUNTY, ESPECIALLY AMONG THE UNINSURED OR UNDERINSURED. NM LFH HAS DEEP ROOTS IN LAKE COUNTY AND STRONG RELATIONSHIPS WITH COMMUNITY PARTNERS INCLUDING ERIE HEALTHREACH WAUKEGAN HEALTH CENTER AND THE LAKE COUNTY HEALTH DEPARTMENT, AMONG OTHERS. NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL: NM CDH HAS ENDURING RELATIONSHIPS WITH SEVERAL COMMUNITY-LED, COUNTY-WIDE HEALTH COLLABORATIVES, THE DUPAGE COUNTY HEALTH DEPARTMENT, LOCAL SCHOOL DISTRICTS AND SOCIAL SERVICES ORGANIZATIONS. LONGSTANDING COLLABORATIONS INCLUDE THE DUPAGE HEALTH COALITION/ACCESS DUPAGE AND THE VILLAGE OF WINFIELD. THROUGH THESE PARTNERSHIPS, AND MANY MORE, NM CDH PROVIDES HEALTH EDUCATION, NAVIGATION AND OUTREACH SERVICES. NORTHWESTERN MEDICINE DELNOR HOSPITAL: NM DELNOR REGULARLY ENGAGES WITH KANE COUNTY ORGANIZATIONS COMMITTED TO IMPROVING THE HEALTH OF ITS RESIDENTS, INCLUDING THE KANE COUNTY HEALTH DEPARTMENT AND THE TRI CITY HEALTH PARTNERSHIP, AMONG OTHERS. NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL: NM KISHWAUKEE WORKS CLOSELY WITH MANY COMMUNITY PARTNERS INCLUDING THE DEKALB COUNTY COMMUNITY MENTAL HEALTH BOARD, DEKALB COUNTY HEALTH DEPARTMENT, NORTHERN ILLINOIS UNIVERSITY, KISHWAUKEE COLLEGE, AREA SCHOOL DISTRICTS, AND MANY OTHER LOCAL MEDICAL PROVIDERS, NOT-FOR-PROFIT ORGANIZATIONS, AND COMMUNITY GROUPS. TOGETHER, NM KISHWAUKEE COLLABORATES WITH THESE DIVERSE ORGANIZATIONS TO IDENTIFY A COMMON VISION AND PLAN TO CREATE A COLLECTIVE IMPACT ON THE OVERALL HEALTH OF THE COMMUNITY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THERE ARE MANY WAYS THAT PATIENTS OF THE HOSPITALS ARE INFORMED OR MADE AWARE OF THE AVAILABILITY OF THE HOSPITAL'S VARIOUS FINANCIAL ASSISTANCE PROGRAMS. A. TO INCREASE AWARENESS OF FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITALS HAVE DEVELOPED BROCHURES (IN ENGLISH AND SPANISH) THAT ARE PROVIDED TO PATIENTS UPON ADMISSION AND AVAILABLE AT REGISTRATION POINTS-OF-ENTRY B. ENGLISH- AND SPANISH-LANGUAGE SIGNS NOTIFYING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE ARE PRESENT AT EVERY PATIENT REGISTRATION AREA, INCLUDING THE EMERGENCY DEPARTMENT. C. AS PART OF THE REGISTRATION PROCESS, PATIENTS ARE PROVIDED WITH A FINANCIAL ASSISTANCE INFORMATION BROCHURE WHICH DESCRIBES THE TYPES OF ASSISTANCE AVAILABLE AND HOW TO QUALIFY FOR ONE OR MORE OF THE PROGRAMS. D. THE GENERAL CONSENT FORMS THAT EVERY PATIENT SIGNS CONTAINS INFORMATION ABOUT THE NMHC FINANCIAL ASSISTANCE PROGRAMS, AND IS AVAILABLE IN ENGLISH, SPANISH, RUSSIAN, AND POLISH AT NMH, WHILE NLFH, CDH, DELNOR, KCH, VWH, AND MJRH HAVE PROGRAMS IN ENGLISH AND SPANISH. E. INPATIENTS RECEIVE A PATIENT WELCOME PACKAGE THAT INCLUDES THE FINANCIAL ASSISTANCE INFORMATION. F. PATIENTS CAN LEARN ABOUT AND ASSESS THEIR ELIGIBILITY FOR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAMS WITH THE HELP OF THE HOSPITAL'S TEAM OF FINANCIAL COUNSELING AND PATIENT INQUIRY REPRESENTATIVES. THESE REPRESENTATIVES ARE AVAILABLE ON A WALK-IN BASIS OR THROUGH A TOLL-FREE NUMBER. G. PROCESSES ARE IN PLACE TO LINK PATIENTS WITH FINANCIAL COUNSELORS AND PATIENT INQUIRY REPRESENTATIVES WHEN FINANCIAL HARDSHIP IS IDENTIFIED AS A CONCERN DURING SOCIAL SERVICES ASSESSMENTS. H. THE ENTRY PORTAL TO THE NMHC WEBSITE CONTAIN A PROMINENT LINK TO INFORMATION ABOUT NMHC'S VARIOUS FINANCIAL ASSISTANCE PROGRAMS, THE FINANCIAL ASSISTANCE BROCHURE AND DOWNLOADABLE APPLICATIONS IN MULTIPLE LANGUAGES. I. WORKING IN CONJUNCTION WITH CLINICAL STAFF, FINANCIAL COUNSELORS VISIT INPATIENTS NOT ENROLLED IN GOVERNMENT OR PRIVATE HEALTH PLANS WHILE THEY ARE STILL IN THE HOSPITAL TO ASSIST THEM IN DETERMINING THEIR ELIGIBILITY FOR BOTH GOVERNMENT HEALTH PROGRAMS AND FOR HOSPITAL FREE AND DISCOUNTED CARE PROGRAMS. J. THE HOSPITALS INFORM UNINSURED PATIENTS, AND PATIENTS WITH AN OUTSTANDING BALANCE AFTER INSURANCE, OF THE AVAILABILITY OF VARIOUS FINANCIAL ASSISTANCE PROGRAMS, INCLUDING THE FREE CARE AND DISCOUNTED CARE PROGRAM, AND THE CATASTROPHIC PROGRAM OFFERED BY THE HOSPITALS, IN WRITTEN CORRESPONDENCE SENT TO THOSE PATIENTS. THIS INFORMATION INCLUDES THE TOLL-FREE PHONE NUMBER TO THE TEAM OF PATIENT ACCOUNT REPRESENTATIVES. K. THE HOSPITALS HAVE ON-SITE PATIENT ACCOUNT STAFF WHO ARE TRAINED AND AVAILABLE TO ASSIST PATIENTS WITH FINANCIAL ASSISTANCE. L. THE HOSPITALS PROVIDE PROACTIVE FINANCIAL COUNSELING FOR SELF-PAY PATIENTS WHO HAVE A SCHEDULED INPATIENT ADMISSION. FINANCIAL COUNSELING INCLUDES ASSESSMENT FOR PUBLICLY OR PRIVATELY FUNDED INSURANCE AND THE HOSPITALS' FINANCIAL ASSISTANCE PROGRAMS. FINANCIAL ASSISTANCE PROGRAMS, INCLUDES THE FREE CARE AND DISCOUNTED CARE PROGRAMS, AND THE CATASTROPHIC PROGRAM OFFERED BY THE HOSPITALS, IN WRITTEN CORRESPONDENCE SENT TO THOSE PATIENTS. THIS INFORMATION INCLUDES THE TOLL-FREE PHONE NUMBER TO THE TEAM OF PATIENT ACCOUNT REPRESENTATIVES.
Schedule H, Part VI, Line 4 Community information The communities served by NMHC hospitals are complex and diverse, encompassing rural, suburban and urban areas, with a range of socioeconomic statuses and social determinants of health that correspond to these demographics. NMHC is committed to providing care that takes into consideration the cultures and environments in which our patients live and is responsive to their needs. NMHC works closely with community partners, including health and social service partners, to identify priority health concerns and jointly develop community-based health initiatives designed to address healthcare disparities. Each NMHC hospital considers a variety of factors when defining its distinctive community. These factors include: geographic area served, principal functions of the hospital, areas of high hardship and the population served, the location of existing NM and community assets, and the service areas of other healthcare providers. By considering each of these factors, each NMHC hospital defined its own Community Service Area (CSA) and is working to meet the unique needs of the community it serves. Northwestern Memorial Hospital Service Area NMH serves a large, complex and diverse area with patients coming from the City of Chicago and surrounding counties. NMH's Hospital Service Area was previously defined as the Cities of Chicago and Evanston. This was re-evaluated to determine a 7-mile radius around the Hospital which maximizes the opportunity to identify and address health needs for communities serviced by the Hospital. The community comprises 34 ZIP codes, 92.30 square miles, or 57% of Chicago's total population. NMH's Hospital Service Area is ethnically and racially diverse with large Black and Hispanic populations as well as large Polish and Spanish-speaking populations. Significantly, 21 percent of families live below the poverty level in NMH's Hospital Service Area. NMH is committed to providing culturally competent care that is responsive to the needs of all our patients, regardless of the ability to pay. NMH works with community health centers in some of Chicago's medically underserved areas to identify priority health concerns and jointly develop community-based health initiatives designed to address healthcare disparities. Northwestern Medicine Lake Forest Hospital Service Area NM LFH primarily serves Lake County, which has a fairly stable population of around 704,000 residents; nearly 73 percent of inpatient admissions at NM LFH are derived from Lake County. While NM LFH's Hospital Service Area population is only expected to grow by 0.7 percent over the next five years, the over-65 population is growing rapidly. Between 2010 and 2017 (the most recent information available), the number of persons in Lake County 65 years and older increased from 8.5 percent of the population to 13.7 percent. A total of 21.9% of Lake County residents are Hispanic or Latino. In looking at race independent of ethnicity, 61.4% of residents of Lake County are White and 6.6% are Black. NM LFH defines its community as Lake County in order to facilitate alignment with the Lake County Health Department (LCHD). Northwestern Medicine Central DuPage Hospital Service Area Located in Winfield, Illinois, NMCDH serves the residents of central and western DuPage County and beyond. NMCDH's Hospital Service Area accounts for 70 percent of inpatient admissions. Age distribution in the County includes 23.8 percent infants, children or adolescents (up 0.4 percent from the 2015 CHNA), 63.3 percent of residents are age 18 to 64 (up 1.1 percent), and the 12.9 percent of age 65 or older (up 0.6 percent). In looking at race independent of ethnicity, 79.4% of residents in DuPage County are White and 4.7% are Black. When considering ethnicity, 13.9% of DuPage residents are Hispanic or Latino. The county has a higher proportion of white residents and a lower proportion of black residents than the state and US. The percentage of Hispanic and Latino residents is also lower than found in the state and US. Northwestern Medicine Delnor Hospital Service Area NMDH primarily serves the residents of Kane County. Kane County is the seventh-youngest county in Illinois and notable for its age distribution. The median age remains 34.5 years as compared to the 2015 current Census Bureau average of 36.7 years. Those aged 18 to 24 comprise 61.1 percent of the population; 27.1 percent are age 0 to 17, and 11.7 percent are age 65 or older. Non-Hispanic whites now constitute 72.5 percent of the total population, an increase from 59 percent in the prior CHNA report, and Hispanics now comprise 31.4 percent of the total population. When compared to Illinois and the US in general, the proportion of Hispanics is double in Kane County, and the county has the largest proportion of Hispanics in the state. Northwestern Medicine Kishwaukee Hospital Service Area NMKH serves a majority of DeKalb County residents; the greater part of the county's residents live in the cities of DeKalb and Sycamore. The median age of DeKalb County residents is significantly lower than that of Illinois overall, at 30.3 years, or seven years less than the median age of an Illinois or US resident. 21.4 percent of residents are aged 20 to 29 years and 16.3 percent are aged from 10 to 19 years. Additionally, 11 percent of the population is aged 30 to 39, 11.8 percent comprises 40 to 49 years, 2.4 percent from 50 to 59 years, and 15.8 percent are over 60 years. The county population is 87 percent white, 8 percent black, 3 percent Asian and 2 percent is two or more races. When considering ethnicity, 11 percent of the population identified as Hispanic or Latino. Northwestern Medicine Valley West Hospital Service Area A critical access hospital in Sandwich, Illinois, NMVW primarily serves residents of DeKalb County, demographics as detailed with NMKH. NMVW's Hospital Service Area accounts for 72 percent of inpatient admissions. NM CDH, NM Delnor, NM Kishwaukee and NM Valley West define their CSA based on their Primary Service Area (PSA). The PSA is a contiguous set of ZIP codes within a defined geographical area that accounts for a majority percentage of inpatient admissions. Marianjoy Rehabilitation Hospital Service Area Located in Wheaton, Illinois, MRH largely serves the residents of DuPage County, demographics as discussed with regards to the NMCDH service area of DuPage County as well. However, due to the specialty nature of the hospital, MRH also serves as a destination hospital receiving patient referrals from surrounding counties including Cook, Will, Kane, Kendall, DeKalb and LaSalle. Due to the unique services offered by MRH, the hospital does not use a PSA to define its community. MRH considers DuPage County its CSA, but also serves as a destination hospital for surrounding counties. Patients often travel from Cook, Will, Kane, Kendall, DeKalb and LaSalle counties, among many more, to receive care at MRH. Northern Illinois Medical Center The hospitals comprising NIMC define their primary service area as McHenry County, the sixth-most populous county in Illinois, estimated at 308,570 residents as of 2018 data. The overall population of the service area increased by 18.7% from 2000 to 2010 Census records, significantly greater than the state or national trends for the same time period. The age distribution of the population was 24.6% aged 0-17, 62.5% aged 18-64, and 12.9% aged 65 and older as of the latest data available in 2017. When looking at race independent of ethnicity, 92.4% of residents are White, 2.7 percent are Asian and 1.3 percent are Black. A total of 12.5% of Hospital service area residents are Hispanic or Latino. McHenry County uninsured rates in 2017 were just 5.5% compared to the state uninsured rate of 7.8%. McHenry County also enjoys a relatively high socioeconomic status in comparison to the state at large, with median household income of $82,230 compared to the average $61,229. Together, the three NM hospitals in Chicago's northwest suburbs - NM McHenry, NM Huntley and NM Woodstock - serve the same CSA of McHenry County, which accounts for a majority of inpatient admissions. Palos Community Hospital PCH serves the areas surrounding its campus in Palos Heights, Illinois and includes 26 residential ZIP codes in southwest Cook County and northwest Will County. Cook County age distribution indicates 22.2% of the population to be aged 0-17, 63.9% aged 18-64, and only 13.9% aged 65 and older. Reviewing for race independent of ethnicity, 56.6% of residents are White, 23.6% are Black, 17.3% are some other race and 2.6% are multiple races. The Hispanic population for the area increased 16.2% from 2000 to 2010, greater than state or national averages. A total of 6.25% of service area residents believe their overall health is fair or poor. This is less than proportions reported statewide (12.6%) or nationwide (17.7%).
Schedule H, Part VI, Line 5 Promotion of community health As described in earlier sections, NMHC believes that its mission to improve the health of the communities it serves is best accomplished in collaboration with partners in the community. The CHNA process and ongoing input from community partners inform how NMHC hospitals prioritize and address community health needs. Along with our many care locations, our community affiliations help us to provide care to residents near where they live or work, with streamlined pathways to access medically necessary hospital-based care. NMHC also sponsors numerous programs to provide mental health services, promote health and wellness, prevent injury and trauma, and provide healthcare career training, youth mentoring, language assistance and volunteer programs to enhance the quality and accessibility of care. Net unreimbursed cost for these activities for FY21 was more than $54 million.
Schedule H, Part VI, Line 6 Affiliated health care system AS DESCRIBED THROUGHOUT THIS FORM 990, THE SUBORDINATES REPORTED IN THIS GROUP RETURN ARE ALL PART OF NORTHWESTERN MEMORIAL HEALTHCARE. THE COMMUNITY BENEFIT PLAN AND COMMUNITY HEALTH NEEDS ASSESSMENT, DESCRIBED EARLIER IN SCHEDULE H, GIVE DETAILS ABOUT EACH SUBORDINATE'S RESPECTIVE ROLE IN PROMOTING THE HEALTH OF THE COMMUNITIES WE SERVE.
Schedule H, Part VI, Line 7 State filing of community benefit report IL
Schedule H (Form 990) 2020
Additional Data


Software ID: 20011424
Software Version: 2020v4.0