Norwegian American Hospital Annual Report FY2017 Securing care. Shaping community.

Norwegian American Hospital FY2017 Annual Report 1 Our guiding principles

Our mission Norwegian American Hospital provides high quality and compassionate health care services by partnering with patients and their families, our employees, physicians, and the communities we serve.

Our vision Norwegian American Hospital is the hospital of choice for our communities and our caregivers. We are best in class for clinical care, customer service, employee engagement, access to care and stewardship.

Our values Norwegian American Hospital follows an unwavering guide that dictates our behavior and helps fulfill our goals. We are guided by the values of respect, compassion, excellence, integrity and diversity.

Contents 1 Letter from the President and CEO 2 Letter from the Chairman, Board of Trustees 3 Did you know that in FY17 . . . 4 Securing care 13 Shaping community 1 8 Transforming our community 2 0 Norwegian American Hospital Foundation 2 4 Financial performance 2 6 Board of Trustees 2 7 Executive team

2 Norwegian American Hospital FY2017 Annual Report Letter from the President and CEO

Dear Friends,

At Norwegian American Hospital (NAH), we are committed to creating a culture that treats our patients and their family like our own. Not only do we provide compassionate care within the walls of our facility, but we also work throughout the community and host health screenings and events geared toward improving the wellbeing of those we serve.

In 2017, we were delighted to open the NAH Comprehensive Diabetes Center. Our commitment to closing the health gap around diabetes in Humboldt Park was met with reality, and now we have a center dedicated to providing care and education for patients and their families. We were honored to receive external recognition from the American Hospital Association (AHA). Our Pediatric Care-A-Van received the prestigious NOVA Award. Only five AHA NOVA Awards are given nationwide each year and honor hospital-community collaborations that improve community health.

Our organizational commitment to create and sustain clinical, service and operational excellence has elevated our Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores, and we also surpassed the National Resource Average several times during 2017. All NAH employees received formal training on patient service and our survey results reflect enormous progress toward our goal of exceptional patient satisfaction. This, we believe, will bring the greatest value to the patients and communities that we serve.

While the goal of an Annual Report is to look back over the past year, we must also look ahead. On the horizon for NAH is the development of a full master plan. The hospital plays a vital role in the economic stability and growth of this community. NAH recognizes that health is more than simply treating patients who come through our doors. We want to adopt an ‘anchor mission’ that can help build a healthier, and also a more prosperous community.

The hospital’s leadership team has resumed planning for a Community Medical Wellness district in Humboldt Park and the surrounding communities. We plan to hire an experienced community wellness planner to work with the community and determine the best long-term use of the hospital’s vacant land. JGMA will manage the project and provide the design services. NAH and the NAH Foundation will provide funding for the first phase of the project. In addition, we will approach philanthropic organizations to join us in the implementation phase of the project.

Finally, we wouldn’t have achieved all that is outlined in this report without the vision and determination of our Board of Trustees. In particular, thank you to Billy Ocasio, board chair, for his commitment and passion which ensures that we bequeath a future for Norwegian American Hospital. I would also like to recognize the talents and dedication of the Norwegian American Hospital physicians and staff. Each of these individuals unifies us in our never-ending pursuit of ways to support and sustain the good health of the community.

There is so much good work still to be done, and I thank you for your steadfast support of these efforts. It is my privilege to help lead this spectacular organization.

José R. Sánchez President and CEO

Norwegian American Hospital FY2017 Annual Report 1 Letter from the Chairman, Board of Trustees

Dear Friends,

One of the key factors that distinguishes a thriving community is its ability to deliver excellent medical care to every resident and visitor who walks through the doors of its hospital.

For most families, the list of basic needs is exceptionally short, with health care at the very top. If the character of a community is defined by many factors, how well it answers the health care needs of its people is surely one of the most important.

Meeting and exceeding this expectation is what guides—and drives—Norwegian American Hospital every day. Over the last several years, the landscape of health care policy has changed considerably. Federal reimbursement for Medicare, Medicaid and even private health insurance cover only a fraction of the actual cost of services. And more people than ever before now depend on their community hospital to provide basic medical care that, less than a generation ago, was obtained from doctors in private practice. The role and responsibilities of Norwegian American Hospital to the people and families of this community has increased significantly.

But despite the relentless challenges to health care, NAH has moved ahead with transformations that reflect the new dynamics of health care and that also meet the growing needs of our community. For example, in April we opened our new Comprehensive Diabetes Center to address the diabetes rates in Humboldt Park that have risen exponentially. We also started a new Family Medicine Residency program—to help attract new doctors to the area because physicians tend to remain in the communities where they complete their residency.

Less visible is our investment in recruiting new physicians so that individuals facing medical issues can turn to their own community hospital and not travel elsewhere at what can be one of the most difficult times of their lives. For the people in our neighborhood this year who will suffer a significant health care issue, having access to a physician staff composed of highly trained and experienced medical practitioners may be life changing.

The Board of Trustees of Norwegian American Hospital takes very seriously our role as fiduciary agents for the community’s health, and I am extremely grateful for their support. I would also like to thank José R. Sánchez for his expertise to guide and oversee the policies and strategic initiatives that support the ongoing success of Norwegian American Hospital.

It is with great pride that I share these efforts and thank you for your continued support in Norwegian American Hospital.

Billy Ocasio Chairman, Board of Trustees

2 Norwegian American Hospital FY2017 Annual Report A place of healing, caring and connecting

did you know that in FY2017 . . .

Leapfrog’s target rate of Cesarean sections for all hospitals is 23.9%. Our median time from Hospitals with a reported rate of 23.9% or less are better than target. door to admission and door Hospitals with a reported rate greater than 23.9% are worse than target. to home departure in the Emergency Department is Norwegian American Hospital’s rate of Cesarean sections is 180 22.6% minutes

The NAH Labor & Delivery 23,342 patients visited the Emergency Room, and and Mother & Baby Units received 34,913 a score of patients utilized our outpatient services in FY17 88 NAH reported We bring the hospital to which is 19 points some of the neediest communities higher than with the NAH Care-A-Van, serving the state average 0 and 15 points infections, higher than the continuing to keep 3,000+ national average patients safe children at 80 public schools

Norwegian American Hospital FY2017 Annual Report 3 This is us.

Since 1894, Norwegian American Hospital has strived to provide excellent care for the Humboldt Park community with thoughtfulness and respect. That mission has never been more important than today, when many of our community’s residents live with economic and social insecurity, threatening the health and wellness of themselves and their families.

In the past year, we’ve made enormous progress to improve the quality of our services and how we deliver them to our neighbors—to provide increased security of accessing the care they need both within and beyond the walls of our hospital. Securing care.

4 Norwegian American Hospital FY2017 Annual Report Chronic wounds affect an estimated six million people in the United States; specialized wound care promotes healing and gets patients back to the activities they love. Dr. Kristopher Lopez, DPM, and the Wound Care Clinic at Norwegian American Hospital provide that specialized care.

Norwegian American Hospital FY2017 Annual Report 5 Dr. AnnMarie Kulekowskis, DPM, specializes in podiatric medicine, surgery and wound care at NAH.

served nearly 65,000 patients

Patients served include 23,342 ER encounters, 6,705 inpatient admissions and 34,913 outpatient visits.

6 Norwegian American Hospital FY2017 Annual Report Securing Care. Shaping Community.

managing care

State-of-the-art vascular treatment minimizes pain and Nursing care recovery time for patients innovations improve patient Higher incidences of chronic disease in the Humboldt Park community create higher outcomes risk for vascular disease and greater need for advanced treatment approaches. New nursing protocols were Treatment of vascular disease has undergone tremendous change over the past implemented to improve decade to include non-surgical, minimally invasive techniques. NAH has responded patients’ chances for full recovery. The diabetic keto- by expanding its Vascular Clinic to offer acidosis protocol optimizes these state-of-the-art treatments in a patient’s recovery from a addition to traditional surgical options. surge in blood sugar. Low- New techniques offer patients a ering the body temperature of a patient suffering leading-edge approach to treatment for myocardial infarction peripheral artery disease, aneurisms, preserves the integrity of deep vein thrombosis, venous reflux brain function and heart disease, carotid artery disease and other muscle. Operating room nurses have been trained vascular disorders with less discomfort in endovascular aneurysm and minimal impact on daily activities. repair that reduces pain and recovery time compared to traditional surgery. Reducing risks of maternal hypertension New nursing Pregnant women residing in the Hum- worked together to identify areas of protocols were boldt Park community have Chicago’s improvement in communication and implemented to highest occurrence of gestational teamwork that would result in faster improve patients’ hypertension with eclampsia and diagnosis and treatment. As a result, chances for full recovery. preeclampsia. Untreated, these can be all patients who required treatment fatal, but they are often preventable received it within 60 minutes. An interdisciplinary plan of with timely treatment. care system was formalized Last year, NAH participated in an to seamlessly guide the patient’s stay in the hos- initiative led by ILPQC (Illinois Peri- pital and coordinate with natal Quality Collaborative) and IDPH outside services to assist in meeting discharge goals (Illinois Department of Public Health) through improved coordina- with the goal of decreasing morbidity tion of medical and nursing and mortality rates related to maternal services with rehabilitation, social work, care man- hypertension by reducing the time for agement and nutritional treatment. Multidisciplinary providers services.

Norwegian American Hospital FY2017 Annual Report 7 Securing Care. Shaping Community.

Comprehensive Diabetes Center empowers patients to take charge of their health Diabetes mortality in Chicago’s Humboldt Park community is three times higher than the national average, and more than 20% of Puerto Rican residents are afflicted with pre-diabetes, type 1, type 2 or gestational diabetes. In April, NAH responded to the crisis by launching a new clinic providing expert, individualized care and support for patients with all forms of the disease. The clinic’s team of specialists is committed to a patient-centered, collaborative approach featuring consultation, medical nutrition education, medication management, expanded wound care services, podiatry, vision care, vascular care and other services. Patients learn to achieve wellness through realistic and meaningful lifestyle changes.

“The Norwegian American Hospital Comprehensive Diabetes Center takes a team approach to treatment and wellness that will empower you to take control. We’re dedicated to outpatient care, education, medication management and monitoring of complications.”

Jennifer Casey, DO Endocrinologist

NAH Diabetes educators

NAH is passionate in our commitment to helping each person gain the knowledge and skills necessary to control their diabetes and to achieve the highest level of wellness possible.

The Diabetes Education program provides infor- mation, medical nutrition education and support for those who are newly diagnosed or living with diabetes. Education centers on gestational diabetes, pre-diabetes, starting insulin, medication changes and insulin pumps.

8 Norwegian American Hospital FY2017 Annual Report Securing Care. Shaping Community. achieving excellence

recognition and awards

NAH congratulates two members of our nursing staff—Tracy Wilhoite, RN and Cindy Reblora-Aranguren, RN-C—for being honored as 2017 recipients of the Daisy Award for Nursing. This prestigious, international award recognizes excellence in nursing based on the criteria of exceptional skill and compassionate care.

NAH’s initiative to reduce health care-associated infections received a 2017 Gage Remarkable Project Gabrielle Sauder, MSN, BSN, Award from America’s PNP-BC, Director of Mobile Essential Hospitals. This Services, with Nathaniel. award recognizes progress in protecting patients from urinary, blood stream and Care-A-Van: Award-winning care for underserved children staph infections by reducing or sustaining them at zero. Poverty and lack of resources are barriers to care for thousands of children living in In addition to improving out- Humboldt Park and surrounding communities, resulting in high incidences of asthma, comes, the initiative helped avoid an estimated 550 obesity, diabetes, high blood pressure, lead poisoning and other preventable health days of care and more than disparities. $213,000 in hospital costs. In 2017, NAH received the American Hospital Association’s NOVA Award, recognizing NAH Labor & Delivery the hospital’s state-of-the-art mobile clinic for bringing health care to 3,000 under- and Mother Baby units served children who otherwise would not have received care. recently received a total Through a partnership with Chicago Public Schools, the Care-A-Van travels to score of 88 out of 100 from the CDC’s Maternity locations in Humboldt Park, West Town, Avondale, Logan Square and Ukranian Village, Practices in Infant Nutrition providing physical exams, immunizations, and screenings for lead, hemoglobin, and Care survey. This achieve- hearing and vision, and linking children and their families with other primary care ment recognizes efforts by and community services as needed. doctors and nurses to intro- duce breastfeeding to women, NAH is proud to receive the prestigious American Hospital Association NOVA and educate and support them Award, which is presented annually to only five hospitals nationwide. to breastfeed their babies.

Norwegian American Hospital FY2017 Annual Report 9 Securing Care. Shaping Community.

NAH Family Medicine Residency program trains future physicians With a looming shortage of an estimated 25,000 primary care physicians in the U.S. by 2025, there is a growing need for physicians who wish to practice in underserved communities. NAH proudly received accreditation for its new residency program and accepted its first class of six new doctors to help address the shortage of family medicine doctors in Humboldt Park. These residents are receiving exposure to the special needs of the community and three years of hands-on training in all aspects of ambulatory and inpatient medicine. This collaborative effort between NAH, PCC Wellness, a federally qualified health center, and St. George’s University Medical School was created to attract doctors to establish practices in the area, since many put down roots where they complete their residencies.

“The new residency program at Norwegian American Hospital is an important part of the hospital’s continuing mission to ensure that its graduates are the outstanding leaders, educators, advocates and clinicians of tomorrow to help serve both our patients and our medical profession.”

JosÉ R. SÁnchez President, CEO, Norwegian American Hospital

Meet Norwegian american hospital Resident victor chow, MD Brooklyn born, Victor comes to the Windy City after graduation from St. George’s University in 2016. He speaks both Chinese and Japanese and prior to medical school worked as an EMT in Jamaica Queens, NY.

10 Norwegian American Hospital FY2017 Annual Report Securing Care. Shaping Community.

improving measures

Health care outcomes and patient safety performance results NAH’s commitment to improve health care outcomes national benchmark as well. The table below illustrates and patient safety is manifested in the performance the outcomes. results of several national clinical measures within the NAH is accredited by The Joint Commission for Centers for Medicare and Medicaid Inpatient Quality hospital and behavioral health programs; College of Reporting Program. NAH exceeds the national scores or American Pathology for laboratory services; Healthcare benchmarks in many categories which include mortality, Facilities Accreditation Program (HFAP) as a Certified patient safety indicators (PSI) and Hospital Acquired Primary Stroke Center; Illinois Department of Public Infections (HAIs). NAH exceeds the national benchmarks Health’s (IDPH) Level II Perinatal Care Certification; and in 5/5 mortality categories and 6/7 PSI categories with the Chicago Department of Public Health for NAH Food a slightly better overall patient safety score than the and Nutrition Department.

Hospital compare measures (Data source: CMS July 2017)

NAH National 30-day Mortality Rates (lower is better) score performance

Acute Myocardial Infarction (AMI) 13.00% 13.60%

Chronic Obstructive Pulmonary Disease (COPD) 7.80% 8.00%

Heart Failure (HF) 11.60% 1 1.90%

Pneumonia 15.20% 15.90%

Acute Ischemic Stroke (STK) 13.80% 14.60% patient safety indicator Rates (lower is better)

Pressure Ulcer 0. 16% 0.26%

Iatrogenic Pneumothorax, Adult 0.37% 0.40%

In-Hospital Fall with Hip Fracture 0.10% 0.10%

Postoperative Sepsis 5.69% 5.94%

Postoperative Wound Dehiscence 2.24% 2.26%

Unrecognized Abdominopelvic Accidental Puncture/Laceration 0.87% 0.88%

Patient Safety and Adverse Events Composite 0.99% 1.00%

Norwegian American Hospital FY2017 Annual Report 11 Giancarlo Piano, MD, FACS, RPVI, NAH Vascular Surgeon, is dedicated to addressing every aspect of vascular surgery including traditional to minimally-invasive methods.

12 Norwegian American Hospital FY2017 Annual Report We live here.

As long-standing citizens of the Humboldt Park community, we believe that everyone who lives or works here deserves the opportunity for a healthy and productive life. And we believe it’s our mission and responsibility to help make that a reality.

The following new or expanded NAH program initiatives exemplify numerous partnerships or clinical and outpatient services that are either up and running or expected to be completed by December 2017. They are a significant preview of how we view the future of our hospital as an anchor of wellness for the communities we serve. Shaping community.

Norwegian American Hospital FY2017 Annual Report 13 committed to safety, quality and service

Every member of the NAH family has a vital role to play in our success, especially in the achievement of the HCAHPS scores. We have shown great improvements in the areas of pain management, cleanliness and quietness of the hospital and communication with doctors. We surpassed the National Resource Average several times during 2017.

14 Norwegian American Hospital FY2017 Annual Report Securing Care. Shaping Community.

expanding care

expanding and improving clinical departments

● NAH took an important step toward developing a comprehensive Breast Center program by establishing a weekly clinic with the addition of Janette Maldonado, MD, general surgeon with a special interest in women’s health and breast diseases. The hospital is continuing its plan to engage more specialists and resources to both diagnose and treat breast cancer.

● The Orthopedic Clinic, surgery and outpatient services for Medicaid patients expanded to full days and currently sees approximately 400 patients per month.

● NAH’s Urology Clinic Expanding our partnership for at-risk LGBTQ community expanded services by adding Thousands of Latino and African American residents from the area’s LGBTQ community two new physicians and weekly clinic hours. suffer social or economic disparities that put them at risk for HIV, STIs and Hepatitis C, yet they struggle to access comprehensive care. ● NAH is engaging and recruiting new physicians to Through our partnership with the Puerto Rican Community Center’s Vida SIDA significantlyincrease both program, NAH has initiated the process of integrating behavioral health services inpatient and outpatient and reimbursable immunizations and expanding outpatient capabilities for at-risk services.

members of the LGBTQ community. This team ● The ENT Clinic is on track approach will provide a more comprehensive, to expand its hours and technological capabilities. individualized, seamless and culturally-specific approach to prevention, care, education and ● By the end of 2017, NAH will create a plan to integrate treatment, including specialized service referrals. its providers on-site at For over 25 years, Vida SIDA has provided screenings, testing, education and La Casa Norte, expanding referrals for HIV, STIs and Hepatitis C. The goal of this partnership is to improve primary care access and behavioral health care to individual and community health outcomes for 1,000 patients annually and 4,000 youth and families confronting over the life of the project. homelessness.

Norwegian American Hospital FY2017 Annual Report 15 Securing Care. Shaping Community.

Connecting and securing the hospital community A smooth interaction between humans and technology is absolutely essential for a hospital to operate. In the past year, NAH has invested significantly in both human resources and upgrading technologies:

In the past year, NAH has invested significantly in both human resources and upgrading technologies.

● NAH initiated a comprehensive Human Capital Development strategy to improve hospital leadership competence, team performance and employee effectiveness. ● Human Resources, Finance and Information Technology teamed up to implement a new payroll technology that was flawlessly executed. ● A new unified communication call control system integrates patients’ personal dietary information within patient records to facilitate more accurate dietary department scheduling and delivery. ● Integration of patient records reduces registration time for lab and radiology outpatient procedures and allows doctors to see results in a single report. ● In partnership with the UIC Health System’s stroke program, a new Telehealth Robot was added to emergency room radiology imaging to transmit images to University of Illinois at Chicago (UIC) neurologists who collaborate in determining whether a patient is having a stroke. ● Cybersecurity upgrades were implemented for firewalls, email servers and encryption to protect confidential patient data, and provide protection against ransomware and malware, inappropriate web browsing and malicious content.

16 Norwegian American Hospital FY2017 Annual Report Securing Care. Shaping Community. fostering relationships community events reach residents FY17 NAH Valued partnerships

12th Area Police District Illinois Department of Employment Security 11.30 Blue Cross Blue Shield partnership 65th Infantry Borinqueneers Apartments Illinois Department During the open enrollment period, BCBS joined NAH on-site at the A Safe Haven Foundation of Human Services hospital’s Help Desk once a month to provide assistance and answer Access Community Health Illinois Free and Charitable Clinics questions about plans for new members who were using their services. Alderman Ariel Reboyras Illinois Poison Control Center Health Fair Jehova Justicia 01.27 First floor reconstruction begins Alderman Carlos Rosa Las Moradas Apartments NAH initiated its first floor renovation with a ground breaking ceremony Alderman Milly Santiago Logan Square Neighborhood attended by legislators, community members and hospital staff. Alderman Proco Joe Moreno Association 03.03 Domestic violence initiative Alderman Roberto Maldonado Mujeres Latinas en Acción In partnership with the Chicago Police Department’s 12th district, NAH Alivio Medical Center National Association of Hispanic Nurses initiated a monthly program in which officers talk to patients and American Heart Association National Museum of Puerto Rican employees who are seeking information about domestic violence. Anne and Robert H. Lurie Arts and Culture Children’s Hospital of Chicago 04.01 Move for Life! New Life Covenant Church Army of the Kind/Let’s Change The Diabetes Empowerment Center of Greater Humboldt Park hosted Near North Health Service Association House of Chicago Corporation an event that featured physical activity, nutritional services, and health Aspira Inc. of Illinois Northwest Connection screenings. NAH provided cholesterol and glucose screenings. Bickerdike Housing Association Chamber of Commerce 04.26 Comprehensive Diabetes Center Open House Casa Central Northwestern Medicine Maternal Fetal Medicine Program At an open house event to unveil the new Comprehensive Diabetes Centro Romero OSF—St. Francis Medical Center Center, NAH employees, board members, and community members Chicago Department of Public Health PCC Community Wellness Center welcomed the new team including: Dr. Jennifer Casey, Endocrinologist; Chicago Hispanic Health Coalition Planned Parenthood Susie Adamson, RD, LDN, CDE and Tamara Barker, RN, BSN. Chicago Public Schools Plaza Taino Apartments 06.15 Fiestas Puertorriquenas Circle Family HealthCare Network Prime Care In collaboration with the National Association of Hispanic Nurses, Cook County Commissioner Puerto Rican Cultural Center Luis Arroyo Jr. Health Fair NAH staffed the first aid tent at this festival for the area’s Puerto Rican River of Life Women’s Shelter community. CO-OP—Humboldt Park Roberto Clemente Congressman Danny K. Davis Community Academy 07. 29 Hope Fest—Main Campus Division Street Business San Lucas United Church of Christ Children and community residents received free flu shots; dental, blood Development Association Sonrisa Family Dental pressure and glucose screenings; and hospital resources and literature. Dr. Pedro Albizu Campos High School Spanish Action Committee In addition, an array of free resources including cash assistance for of Chicago seniors, Medical ID cards, senior ID bracelets, senior CTA passes and Erie Family Health Center Spanish Coalition for Jobs, Inc. CEDA light and gas bill assistance were available for residents. European American Association State Rep. Cynthia Soto Fresenius Medical Care 08.11 8th Annual Cuban Festival State Sen. Iris Martinez Gift of Hope Organ & Tissue NAH partnered with the National Association of Hispanic Nurses to Donor Network State Sen. Omar Aquino staff the first aid tent at this annual celebration of Humboldt Park’s Greater Humboldt Park Teresa Roldan Apartments Cuban community. Community Diabetes The CHEST Foundation Empowerment Center of the American College 08.18 Senator Omar Aquino Back to School Fair Heartland Alliance of Chest Physicians In partnership with Senator Aquino’s office, NAH provided school Healthy Hermosa The Town of Cicero immunizations, dental exams and physical exams at this event. NAH Humboldt Park Vocational Union League Boys & Girls Club Education Center also offered adult glucose screenings, other hospital resources and Vida/SIDA of Wilbur Wright College promotional items. WGN Hispanic Housing Development Corporation Youth Service Project

Norwegian American Hospital FY2017 Annual Report 17 Securing Care. Shaping Community.

transforming our community

NAH: Shaping a wellness district for the future As a community hospital committed to providing high quality, affordable, and culturally competent health care, we know that our long-term sustainability depends on innovations to reduce health disparities and support healthy, sustainable local development. Following years of favorable financial performance, during 2017 NAH took the first ambitious steps to initiate plans for transforming the 24 blocks surrounding the hospital into a wellness district that supports physical, mental and social well-being of all those who live, work and visit in our community. The hospital currently owns 58% of this land, and has selected the award-winning Juan Gabriel Moreno Architects (JGMA) to lead pre-development activities that will identify socio-economic determinants of local health disparities and develop strategies to increase health promotion and disease prevention. Strategic planning will encompass access to affordable, healthy foods; increased access to safe and convenient transportation including walking and bicycling; recreation spaces; job training centers; improved housing security; and a TIF district to advance economic development and employment opportunities. Current collaborators include: Greater Humboldt Park Community of Wellness (CoW), Puerto Rican Cultural Center and the Diabetes Empowerment Center, Alderman Maldonado’s office, Chicago Department of Planning and Development, Association House, Chicago Park District, West Town Bikes, New Life Covenant Church, PCC Wellness, Erie Family Health Center, and more. In the coming months and years, NAH is committed to partner with many more local stakeholders to achieve this vibrant and healthy new community.

18 Norwegian American Hospital FY2017 Annual Report Norwegian American Hospital FY2017 Annual Report 19 Norwegian American Hospital Foundation

your gift can make a difference

Regular checkups help children get their asthma $500 covers under control and decrease the risk of death. one full year of primary care $1,500 helps 10 children with asthma —which includes four visits per year— get appropriate care for one year. for an uninsured diabetic patient.

12% of adults in Humboldt Park Heart disease is the first leading cause of death and 21% of Puerto Ricans in our community in the United States and stroke is the third. have diabetes. $50 covers the cost $100 covers the cost of screening 30 adults of screening 50 adults for diabetes. for heart disease.

Wheelchairs are used by multiple clinical Transport stretchers are the essential means departments, outpatients, volunteers, of moving patients throughout the hospital. families and even visitors. $250 covers this $4,000 for one transport stretcher keeps us essential hospital necessity. moving our patients with safety and comfort.

20 Norwegian American Hospital FY2017 Annual Report Securing Care. Shaping Community.

Power of Community Norwegian american hospital foundation On June 22, the Norwegian American Hospital Foundation hosted more than 350 board of directors fy17 corporate sponsors, individual donors, NAH physicians and employees at the Union League Club of Chicago for the 3rd Annual Power of Community Benefit. The sold-out Elizabeth Colón event raised more than $280,000, the largest amount in the event’s history. Chair Power of Community honorees included, (below, left to right): Daniel D. Ricciardi, Rochelle Turrisi Vice Chair MD, FACR, Dean of Clinical Studies, St. George’s University; Lee Francis, MD, MPH, Luis Arroyo, Jr President & CEO, Erie Family Health Center; Berneice Mills-Thomas, RN, MSM, MPH, Adam Boris MBA, CEO, Near North Health Service Corporation; Robert Urso, MS, MHA, BSN, Lenny Dacanay President & CEO, PCC Community Wellness Center; José R. Sánchez, President & CEO, Evangeline De Leon Norwegian American Hospital; G. Richard Olds, MD, President & CEO, St. George’s Judy Foley University; Veronica Ocasio, Chief of Staff, New Life Covenant Church; and Dagoberto Hester Kim Camacho, MD, first recipient of NAH Physician of the Year Award. Not pictured: Veronica Martinez Wilfredo “Choco” De Jesus, BA, MACM, Senior Pastor, New Life Covenant Church. Joseph Mejia, MD Narayanarao Ravishankar, MD Todd Sloane

grants awarded fy17

Advocate Bethany Community Health Fund Chicago Dental Society Foundation Children’s Care Foundation Delta Dental of Illinois Foundation Foundation for Health Enhancement Illinois Association of Free and Charitable Clinics

NorwegiaNorwegian American American Hospitaln Hospital FY2017 FY2017 Annual Annual Report Report 21 Securing Care. Shaping Community. to our generous donors...

Contributions Skender Construction Hall Prangle Schoonveld LLC $1,000—$4,999 received Sodexo Health Care— Knell Consulting, Inc. Vince Allegra October 1, 2016— Hospitals Leading Healthy Futures Louis Arroyo, Jr. August 31, 2017 Strategic Reimbursement, MADO Healthcare, LLC Michele Y. Blakely, PhD Inc. McGuire Woods Rafael Campanini, MD Corporations, US Acute Care Solutions Elizabeth Colón Foundations Nephron Dialysis Center, Ltd. USI Sabrina R. Hughes and Organizations O’Keefe Lyons & Hynes, LLC Wintrust Financial Corp Hester Kim Plante Moran $300,000 and above Atul Nanda, MD $2,500—$4,999 Total MSP Children’s Care Foundation Anne Pohlman BDO Chicago, LLP Daniel Ricciardi, MD $15,000—$30,000 CCI Up to $999 Spyros Theodorakis, MD Belmont Bank & Trust CMMC Community Services Daniel Yunker Chicagoland, Ltd Fifth Third Bank Bruning & Associates Crothall Healthcare, Inc. St. George’s University Care Education Group, Inc. $500—$999 Erie Family Health Center Combined Insurance Marc Adajar, MD $10,000—$14,999 Hispanic Housing Experian Health Juanbosco Ayala, MD Development Corporation Advocate Bethany Gift of Hope M. Priya Bala, MD Community Health Fund Huron Consulting Group Grupo REU Law Firm LLC David Berdy, MD Century PHO, Inc. Infinity HealthM anagement— Adam Boris Ambassador IAFCC—Illinois Association of Delta Dental of Illinois Free and Charitable Clinics Jimena Catarivas Corbett Foundation Jamerson & Bauwens Evangeline & Jose De Leon Electrical Contractors, Inc. Multi Latino Marketing Inc. Foundation for Health Abby Dion Enhancement JGMA Near North Health Center Corporation Rebecca Duffin Kaufman Hall $5,000—$9,999 Todd Fitz MBB, Medical Business Neighborhood Capital Frank Flosman Ambulance Transportation, Bureau Institute Inc. Randall Gienko NorthStar Anesthesia Robert Morris University Athena Health Kim Gillette PBC Advisors Sonrisa Family Dental Chicago Imaging Associates, Randall Grant, MD S.T. Surgical Consultants Transamerica Retirement LLC dba Midwest Imaging dba Precision Surgical Group Solutions Laura Havel COTG—A Xerox Company Ultimate Software David Hernandez $1,000—$2,499 Deborah Jones F2 Healthcare, LLC United Fulfillment Aetna Ryan Kelly Family Health Network Warehouse Direct GeBBS Healthcare Solutions, Anderson Rasor & Partners, Ann Marie Kulekowskis, DPM Inc LLP individuals Lori Leible Medline Industries Inc. Ann and Robert H. Lurie Ibrahim Majzoub, MD Children’s Hospital Mesirow Financial of Chicago $5,000 and above John Monteverde, MD PCC Community Wellness Bruce Simon Consulting Gary Krugel Billy Ocasio Center Chicago Dental Society Michael Reed Charlene Sanders Quest Diagnostics Foundation José R. Sánchez Wilmi Schmidt

22 Norwegian American Hospital FY2017 Annual Report Securing Care. Shaping Community.

...thank you

Neil Teatsorth Geeta Ramesh Wadhwani, MD Power of community Palette Restaurant Chicago Louis Tinajero Ralph Wilson benefit Quartino Ristorante Miguel Tovar Shaw’s Crab House $100—$249 Silent Auction Donors Rochelle Turrisi Soup Box John Allen IV ABC 7 Chicago Sandra Valenzuela Spinning J Bakery & Soda Ismael Angulo, MD Ann Sather Restaurant Remegio Vilbar, MD Fountain Aroma Workshop Bogumila (Mila) Bendyk Tiesta Tea Bull Valley Golf Course $250—$499 Daniel Bronsweig Wines for Humanity Nikki Bekteshi Lenny Dacanay Chicago Athletic Club Michael Brunelle Cindy Garcia Chicago Bears In Kind Donors Pamela Cairns Randy Gelb Chicago Blackhawks Alex Colon Dagoberto Camacho, MD Dave Gifford Chicago Botanic Garden Alonso Zapata Nancy Clarke Denise Gray Chicago Cubs Dr. Joseph Mejia Marisol Cruz Melissa Hardin Chicago Distilling Company Elizabeth Colón Stephen DePooter Dane Hassani, MD Chicago Opera Theater Evangeline De Leon Trucia Drummond, DDS Paul Luning Chicago Shakespeare Gameplan Creative Theater Judy Foley Michael Madden Gary Krugel Chicago Skydeck Lee Francis, MD Kenneth Moore, MD Gila Kurtz Chicago White Sox Deenadayal Gaddam, MD Brett Nardi John Davilla Chop Shop Todd Gillis Naitik Patel, MD Judy Foley Mark Rastetter, MD City Winery Chicago Richard Gonzalez Lenny Dacanay Ryan Vilnius Corepower Yoga Nancy Herman Lynette Kavan Rafeal Wypasek Dog is Good Qaiser Jamal, MD Melendez Insurance Group Rick Zimmerman East Bank Club Lynette Kavan Michael Scharber Eli’s Cheesecake Factory Anthony Martorano Below $99 Narayanarao Ravishankar, MD Ensemble Espanol Joseph Mejia, MD Ron Austin, Jr. Nestle Waters North America GolfTec Barbara Mousel, DDS Marina Bazan Panera, LLC Hair Cuttery David Nowak Dipal Blackowicz Rochelle Turrisi Hotel Palomar Chicago Janet O’Brien Armand Gasbarro, MD TrueMentors iO Theater Susan Oh Robert Gienko TWG Wealth Partners John G. Shedd Aquarium Henry O’Neal Ryan Giles Veronica Martinez Kings Bowling Narayanarao Ravishankar, MD Donald Gold Wilmi Schmidt Megan Readler John Jacobs Kuma’s Too Jana Richards, MD Shellie Karno Lagunitas Brewing Company Stan Rosendahl Jim Kouzios Lettuce Entertain You Gabrielle Sauder Anna Pietrangelo Lou Malnati’s If we have inadvertently Todd Sloane Marla Rias Lynfred Winery omitted a contributor, please Anthony Thomas Lyric Opera of Chicago Fadi Rihani contact the Norwegian Robert Urso Benjamin Savitch, MD Maya Handbag American Hospital Foundation Arun Verma, MD Alonso Zapata Northbrook Sports Club at 773.292.2626.

Norwegian American Hospital FY2017 Annual Report 23 Financial performance

FY2017 financial highlights

Year-end operating income $ 1,400,000

Year-end net income $ 4, 100,000

Ending cash and investments $ 43, 100,000

Net improvement, due to completed breakthrough project $ 4,500,000

Total capital investment $ 5,700,000

Closed new debt with Fifth Third Bank $ 6,000,000

Renewed unsecured line of credit $ 7,500,000

Total capital investment ending cash and investments to facilities and equipment, in thousands results in 146 days cash on hand

FY17 $43.1 million

FY16 $35.7 million $1,599 $2,000

sustained revenue cycle improvement $537 $625,000 plus new items of $614 $950 $1,600,000 including ● first floor: $2,000,000 reduction in denials: $259,000 ● surgical equipment: $950,000 increased collections: $513,000 ● IT systems improvement: $614,000 additional Medicaid & Medicare payments: $502,000 ● facility improvements: $537,000 ● other: $1,599,000

24 Norwegian American Hospital FY2017 Annual Report Norwegian American Hospital has a mission to improve the health of our communities and a commitment to patient- centered care. Our Pediatric Care-A-Van is a Mobile Health Unit, a clinic on wheels, which goes out into the community to provide no-cost medical services to children of low- income families.

Norwegian American Hospital FY2017 Annual Report 25 Board of Trustees

Top row, left to right: Michael E. Reed; Carmen Hovanec, MSN, RN; José R. Sánchez, NAH President and CEO; Billy Ocasio, Board Chair; and John Monteverde, MD, Secretary. bottom row, left to right: Adam Boris; Miguel Tovar; and Wilmi Schmidt, Vice Chair. not pictured: Louis Manetti, Richard Blabolil, Kevin Cmunt, David Hernandez, Giancarlo Piano, MD, Dan Yunker, and Olga Saavedra, MD.

26 Norwegian American Hospital FY2017 Annual Report Executive team

José R. Sánchez, LMSW, LCSW Michelle Y. Blakely Gary Krugel Stephen DePooter President and CEO MHSA, PhD, FACHE Chief Financial Officer VP, Chief Information Officer Chief Operating Officer

Neil Teatsorth Frank Flosman Sabrina R. Hughes William J. Duffy VP, Human Resources VP, Business Development MS, CPHQ, MT ASCP RN, MJ, CNOR, FAAN and Service Integration VP, Quality Interim Chief Nursing Officer Corporate Compliance Officer July 5, 2017—present

Deborah Jones, MS, RN Nancy Herman Interim Chief Nursing Officer Executive Director Through July 5, 2017 Norwegian American Hospital Foundation

Norwegian American Hospital FY2017 Annual Report 27 We work hard every day to be a place of healing, caring and connection for patients and families in the community we call home.

28 Norwegian American Hospital FY2017 Annual Report Norwegian American Hospital (NAH) is a 123-year- old safety-net hospital located in the Humboldt Park neighborhood of Chicago, committed to providing high quality, affordable, and compassionate health services by partnering with patients and their families, its employees and physicians. NAH believes that its role as the primary community health care provider is to treat and cure disease and to promote wellness through health education, prevention, and early intervention. Services include in-patient acute care, emergency care, diagnostic services and primary care in a 200-bed hospital, as well as a full-service professional building, community clinics, and a Pediatric Care-A-Van. norwegian american hospital 1044 N. Francisco Avenue Chicago IL 60622 773.292.8200 main line 877.624.9333 toll free 773-292-8305 TTY/TTD www.nahospital.org twitter @nahospital_chi facebook https://www.facebook.com/Norwegian- American-Hospital-153437714752911/ linkedin https://www.linkedin.com/company/49917/

Norwegian American Hospital FY2017 Annual Report 3 We are proud of the reputation and relationships we have established in the community and are committed to continuing to provide the very best care.

4 Norwegian American Hospital FY2017 Annual Report