Advocate Sherman Hospital

“Family relationship between interested person kelly deering and organization: family member linda deering”

“Corporate member the bylaws provide for advocate health care network as the sole corporate member.”

“Power to elect other members advocate sherman hospital has a sole corporate member, advocate health care network, who elects its directors.”

“Governance decisions the following require a recommendation initiated by the board of directors and the subsequent approval by the corporate member, advocate health care network, to be valid: a) appointment of the members of the board or its affiliates, other than the ex officio directors; b) amendment of the articles of incorporation of the corporation or its affiliates; c) amendment of the bylaws of the corporation or its affiliates; d) implementation of any change to the structure or operation of the corporation or its affiliates that could affect the corporation's or any affiliate's tax-exempt status; e) adoption of a strategic plan; f) approval of the corporation's or any affiliate's annual capital plan; g) approval of the corporation's or any affiliate's annual operating budget; h) transfer or encumbrance of any of the corporation's or any affiliate's assets by purchase, sale, capital lease, mortgage, disposition or hypothecation in excess of limits established by the corporate member's financial approval policy; i) filing of a certificate of need or exemption application (or any amendment thereto) by the corporation or any affiliate; j) dissolving or winding-up the corporation, or an affiliate, or abandoning an entire business enterprise thereof; k) filing any action in bankruptcy or receivership regarding the corporation or any affiliate; l) the sale or transfer of any member interest, stock, or other ownership interest in any affiliate of the corporation; m) the merger or consolidation of the corporation or any affiliate, or the formation of any partnership, co-sponsorship arrangement or joint venture between or among the corporation or any affiliate and any third party; n) adoption or amendment of any policy, protocol or procedure that is inconsistent with one or more of the corporate member's system-wide policies, protocols or procedures or the corporate member's articles of incorporation and/or bylaws; provided, however, that this collaborative authority does not abrogate the power of the board to adopt policies, protocols and/or procedures for which no system-wide policy, protocol or procedure exists and that are related solely to the internal operations of the corporation and/or any of its affiliates; and o) appointment of the corporation's officers identified in section 6.2 of the corporation's bylaws. The corporate member may take the following actions without the approval or recommendation of the board of directors: a) removal of any of the members of the board "for cause" in accordance with section 3.15 of the corporation's bylaws; b) the incurrence or modification of short or long-term debt and lease obligations; c) appointment or removal of the corporation's president or chief financial officer ("cfo"); d) adoption of an annual capital plan for the corporation, but only after the corporate member has made a good faith determination that the board has not recommended an acceptable annual capital plan in a timely manner; and e) adoption of an annual operating budget for the corporation, but only after the corporate member has made a good faith determination that the board has not recommended an acceptable annual operating budget in a timely manner.”

“Tax preparation and review process advocate's tax preparation process includes ongoing consultation with its outside tax consulting firm and tax legal counsel, both of which possess expertise in health care and tax-exempt return preparation. These advisors worked closely with the organization's finance, tax, and legal associates and other members of the organization's team assembled to participate in the preparation of the form 990. The form 990 is reviewed by finance management, the tax manager, the vp of finance/corporate controller, the chief financial officer, and advocate's outside tax consulting firm and tax legal counsel. Prior to presenting the form 990 to the board of director's audit committee in november, the organization's team--including its advisors--met frequently to discuss and review drafts of the form 990. At the november audit committee meeting, the vp of finance/corporate controller and chief financial officer coordinated a review of the form 990 with committee members, as the audit committee is the committee of the board of directors charged with oversight of audit and tax matters. The vp of finance/corporate controller and chief financial officer responded to the audit committee members' questions and provided the opportunity for detailed discussion of the form 990. The changes identified were incorporated, and then a complete copy of the final form 990 was provided to each member of the organization's board of directors before the form 990 was filed.”

“Conflict of interest policy the organization's conflict of interest policy applies to various people, including members of advocate's board of directors, governing councils, officers, associates, volunteers, and medical staff members with administrative responsibilities. Annually, the compliance department sends this policy and the advocate code of business conduct to a range of individuals who may be in a position to exercise substantial interest over a particular matter (defined as "interested persons"). They are required to read the policies and provide the compliance department with a disclosure statement, which identifies activities and relationships that could potentially give rise to a conflict of interest. The chief compliance officer reviews the disclosures and provides a report to the system business conduct (compliance) committee, executive management team and the audit committee of the board for review. The report is then provided, in relevant part, to the site chief executive officers. Potential conflicts are reviewed by the compliance department on a case by case basis. Follow-up procedures conducted are unique to the given circumstance and may include reviewing the potential conflict with the interested person or investigating the matter in consultation with the interested person's supervisor and/or site management. In circumstances where the interested person is not a member of the board or governing council or a committee thereof or a person of interest, and it is determined that there is an actual conflict of interest, the supervisor of the individual is responsible for making an appropriate response--potentially including a restriction of the individual's job duties with respect to the matter giving rise to the conflict.”

“Executive compensation executive compensation at advocate health care network and subsidiaries is based on a board-approved strategy that guides the corporation in establishing compensation opportunities for executives, managers, professionals and employees. In this strategy, specific market compensations are identified and the desired level of competitiveness in those markets specified. In addition, the linkage of executive pay to performance is articulated and how this relationship is to be maintained is outlined. To support and implement the compensation strategy, five basic elements are utilized. These elements are: - a solid, reliable and tested job evaluation methodology, - accurate, quality and relevant compensation survey information, - a consistent annual process for updating the compensation levels, - an active board review process that assures compliance with the compensation strategy and ongoing review of the performance of the organization, and - active review and auditing of compensation by external independent consultants.”

“Availability of documents, conflict of interest policy & financial statements the organization makes its financial statements available to the public through the following websites: - dacbond.com (digital assurance certification llc) - emma.msrb.org (electronic municipal market access) the organization does not make its governing documents or conflict of interest policy available to the public.”

“1. Access/primary medical homes. Mobile integrated health (mih). To improve the care coordination and reduce readmissions of the chronically ill patients at advocate sherman as they transition from hospital to home, a hospital-based mih system has been created. National data shows that mobile care helps prevent hospital readmissions, especially in areas where people have limited access to health care and traditional home health services are restricted due to a variety of reasons. The mih partnership between a physician and an on-staff paramedic, allows outreach to patients in their homes. This is important when the patient is unable to make a scheduled clinic visit or when symptoms/conditions arise that would benefit from an in-person home assessment with communication back to the physician to determine the plan of care. Additionally, in 2018, the state of illinois approved the addition of providing iv medications for heart failure patients that have fluid retention. Another addition was the ability to see cancer care patients for symptom management. In 2022, there were 87 patients enrolled in the program (59 heart failure, 18 chronic obstructive pulmonary disease [copd], six diabetes, one post mi, two pneumonia and one cancer care) with a total of 55 patients seen for 244 visits. Of the 87 patients enrolled, only two percent of patients were readmitted to the hospital within 30 days. Community health workers (chw) program. In january 2018, advocate sherman implemented a new access to care community health worker (chw) program to link patients to a primary care provider. The chw works full-time in the emergency department to meet with patients c oming in for care for low-acuity reasons and educates them on other options for care, such as the advocate immediate care centers, walgreens clinics and other retail-based clinics. The chw also educates patients on their insurance enrollment and links them to a primary care provider (pcp) or a fqhc for ongoing care if they do not have a medical home. In 2022, the chw engaged with 302 patients, made 424 referrals, including 271 referrals to physicians, 29 referrals to advocate medical group clinics and 213 referrals to federally qualified health centers. The top needs of patients seeen were women's health-obstetric and gynecological care, behavioral health and ear-nose-throat or orthopedic specialty care. Breast cancer prevention focused on low-income hispanic women. To decrease the elevated incidence of breast cancer in elgin's low-income hispanic female population, the hospital has partnered with the women's organization for wellness (wow) to provide breast cancer screenings, prevention education and outreach. The hospital's auxiliary has been providing annual funding to wow to pay for women to receive free mammograms. Wow distributes a voucher to the patient at health events, physician offices, or through the greater family health or vna health care, both local federally qualified health centers. In 2022, wow processed 29 screening mammograms and 2 ultrasounds. During this time, no cancers were detected. Community-based hispanic council. Diabetes is one of the costliest and highly prevalent chronic diseases in the u.s., affecting nearly 20 percent of latino men and women. This is evident in the high rates of ed visits and hospitalizations for diabetes-related complications in advocate sherman's service area. To combat this epidemic, advocate sherman established a cross-sector, community-based hispanic council to advise on the development of a diabetes program for the latino community. In 2021, the program was paused due to the covid-19 pandemic and the program still remains on hold while community health staff focus on food insecurity programs to decrease obesity as a priority. Advocate sherman community health staff continue to participate in several local coalitions that focus on the needs of hispanic residents within its service area. 2. Access/behavioral health services. Warm han”

“6. Food security. Food security. In 2018, advocate sherman, as part of efforts to address obesity and obesity-related diseases, developed a process to provide excess produce from the on-site community garden to hospital diabetes center patients. The distribution of fresh produce from the garden is for patients who are identified as food insecure based on the hunger vital sign questionnaire screening. Food insecure individuals in the diabetes center and enrolled participants of the mobile integrated health program were referred to area food pantries, congregate meal programs or the supplemental nutrition assistance program (snap). In 2022, the hospital updated the published comprehensive food and nutrition resource guide containing area resources in both english and spanish. This guide is used by the community health worker, care managers and other clinical staff when referring patients to food resources. In addition, the hospital initiated a new partnership with the elgin community college (ecc) student food pantry. Ecc students were assigned garden plots at the advocate sherman community garden and the produce that was harvested was provided to the student food pantry. In the 2022 garden season, 315 total pounds of produce was provided to the ywca in elgin, food for greater elgin local food pantry and the ecc food pantry. As identified in the advocate sherman chna, 9.8 percent of the population in the psa is experiencing food insecurity at some point. In the psa, 65.9 perecent of residents are considered to have low access to food, and 4.6 percent of residents are living in food deserts.”

“Other fees: program service expenses 0. Management and general expenses 66,676,088. Fundraising expenses 0. Total expenses 66,676,088.”

“TAX ADJUSTMENTS -67,882.”