Healthchoice Illinois ADT Participants As of 06 01 2021

HealthChoice Illinois ADT Participants as of 6/01/2021 X = Complete | O = In Progress

Sources of Data Type Contributing Data Consuming Data Hospitals

Abraham Lincoln Memorial Hospital Critical Access Hospitals O

Advocate Christ Medical Center Short-term (General and Specialty) Hospitals O

Advocate Condell Medical Center Short-term (General and Specialty) Hospitals O

Advocate Good Samaritan Hospital Short-term (General and Specialty) Hospitals O

Advocate Good Shepherd Hospital Short-term (General and Specialty) Hospitals O

Advocate Illinois Masonic Medical Center Short-term (General and Specialty) Hospitals O

Advocate Lutheran General Hospital Short-term (General and Specialty) Hospitals O

Advocate Sherman Hospital Short-term (General and Specialty) Hospitals O

Advocate South Suburban Hospital Short-term (General and Specialty) Hospitals O

Advocate Trinity Hospital Short-term (General and Specialty) Hospitals O

AMITA Health Adventist Med Ctr Bolingbrook Short-term (General and Specialty) Hospitals O

AMITA Health Adventist Med Ctr GlenOaks Short-term (General and Specialty) Hospitals O

AMITA Health Adventist Med Ctr Hinsdale Short-term (General and Specialty) Hospitals O

AMITA Health Adventist Med Ctr La Grange Short-term (General and Specialty) Hospitals O

AMITA Health Alexian Brothers Behav Health Hosp Hoffman Estates Psychiatric Hospitals (Excluded from IPPS) O

AMITA Health Alexian Brothers Med Ctr Elk Grove Village Short-term (General and Specialty) Hospitals O

AMITA Health Holy Family Med Ctr Long-Term Care Hospitals (Excluded from IPPS) O

AMITA Health Mercy Medical Center Short-term (General and Specialty) Hospitals O

AMITA Health Resurrection Medical Center Short-term (General and Specialty) Hospitals O

AMITA Health Saint Francis Hospital Short-term (General and Specialty) Hospitals O

AMITA Health Saint Joseph Hospital Chicago Short-term (General and Specialty) Hospitals O

AMITA Health Saint Joseph Hospital Elgin Short-term (General and Specialty) Hospitals O

AMITA Health Saint Joseph Med Ctr Joliet Short-term (General and Specialty) Hospitals O

AMITA Health St. Alexius Med Ctr Hoffman Estates Short-term (General and Specialty) Hospitals O

AMITA Health St. Mary's Hospital Short-term (General and Specialty) Hospitals O

AMITA Health Sts. Mary & Elizabeth Med Ctr, St. Elizabeth Short-term (General and Specialty) Hospitals O

Carle BroMenn Medical Center Short-term (General and Specialty) Hospitals O

Carle Eureka Hospital Critical Access Hospitals O

Carle Foundation Hospital Short-term (General and Specialty) Hospitals O

Carle Hoopeston Regional Health Center Critical Access Hospitals O

Carle Richland Memorial Hospital Short-term (General and Specialty) Hospitals O

CGH Medical Center Short-term (General and Specialty) Hospitals O

Chicago Behavioral Hospital Psychiatric Hospitals (Excluded from IPPS) O

Crawford Memorial Hospital Critical Access Hospitals O

Crossroads Community Hospital Short-term (General and Specialty) Hospitals O

Decatur Memorial Hospital Short-term (General and Specialty) Hospitals O

Edward Hospital Short-term (General and Specialty) Hospitals O

Elmhurst Hospital Short-term (General and Specialty) Hospitals O

Galesburg Cottage Hospital Short-term (General and Specialty) Hospitals O

Garfield Park Behavioral Hospital Psychiatric Hospitals (Excluded from IPPS) O

Gateway Regional Medical Center Short-term (General and Specialty) Hospitals O

Genesis Medical Center Aledo Critical Access Hospitals O

Genesis Medical Center Silvis Short-term (General and Specialty) Hospitals O

Gottlieb Memorial Hospital Short-term (General and Specialty) Hospitals O

Graham Hospital Short-term (General and Specialty) Hospitals O

Hammond-Henry Hospital Critical Access Hospitals O

1 HealthChoice Illinois ADT Participants as of 6/01/2021 X = Complete | O = In Progress

Sources of Data Type Contributing Data Consuming Data

Hardin County General Hospital Critical Access Hospitals O

Harrisburg Medical Center Short-term (General and Specialty) Hospitals O

Heartland Regional Medical Center Short-term (General and Specialty) Hospitals O

Herrin Hospital Short-term (General and Specialty) Hospitals O

Hopedale Medical Complex Critical Access Hospitals O

Horizon Health Critical Access Hospitals O

Ingalls Memorial Hospital Short-term (General and Specialty) Hospitals O

Iroquois Mem Hosp & Res Home Short-term (General and Specialty) Hospitals O

Jersey Community Hospital Short-term (General and Specialty) Hospitals O

Kirby Medical Center Critical Access Hospitals O

La Rabida Children's Hospital Children's Hospitals (Excluded from IPPS) O

Lawrence County Memorial Hosp Critical Access Hospitals O

Lincoln Prairie Behavioral Health Center Psychiatric Hospitals (Excluded from IPPS) O

Linden Oaks Behavioral Health Psychiatric Hospitals (Excluded from IPPS) O

Loyola University Medical Center Short-term (General and Specialty) Hospitals O

MacNeal Hospital Short-term (General and Specialty) Hospitals O

Mason District Hospital Critical Access Hospitals O

McDonough District Hospital Short-term (General and Specialty) Hospitals O

Memorial Hospital Critical Access Hospitals O

Memorial Hospital of Carbondale Short-term (General and Specialty) Hospitals O

Memorial Medical Center Short-term (General and Specialty) Hospitals O

Mercy Hospital & Medical Center Short-term (General and Specialty) Hospitals O

Mercyhealth Hosp and Med Ctr - Harvard Campus Critical Access Hospitals O

Mercyhealth Javon Bea Hosp - Rockton Ave Campus Short-term (General and Specialty) Hospitals O

Methodist Hospital of Chicago Short-term (General and Specialty) Hospitals O

Midwest Medical Center Critical Access Hospitals O

NorthShore Univ HealthSystem Evanston Hospital Short-term (General and Specialty) Hospitals O

Northwest Community Healthcare Short-term (General and Specialty) Hospitals O

Norwegian American Hospital Short-term (General and Specialty) Hospitals O

Passavant Area Hospital Short-term (General and Specialty) Hospitals O

Red Bud Regional Hospital Critical Access Hospitals O

Riveredge Hospital Psychiatric Hospitals (Excluded from IPPS) O

Riverside Medical Center Short-term (General and Specialty) Hospitals O

RML Specialty Hospital Long-Term Care Hospitals (Excluded from IPPS) O

Rochelle Community Hospital Critical Access Hospitals O

Roseland Community Hospital Short-term (General and Specialty) Hospitals O

Rush Copley Medical Center Short-term (General and Specialty) Hospitals O

Rush Oak Park Hospital Short-term (General and Specialty) Hospitals O

Rush University Medical Center Short-term (General and Specialty) Hospitals O

Sarah Bush Lincoln Health Ctr Short-term (General and Specialty) Hospitals O

Sarah D Culbertson Mem Hosp Critical Access Hospitals O

Shirley Ryan Abilitylab Rehabilitation Hospitals (Excluded from IPPS) O

Shriners Hospitals for Children Children's Hospitals (Excluded from IPPS) O

Silver Cross Hospital Short-term (General and Specialty) Hospitals O

Silver Oaks Behavioral Hospital Psychiatric Hospitals (Excluded from IPPS) O

South Shore Hospital Short-term (General and Specialty) Hospitals O

2 HealthChoice Illinois ADT Participants as of 6/01/2021 X = Complete | O = In Progress

Sources of Data Type Contributing Data Consuming Data

Sparta Community Hospital Critical Access Hospitals O

St Bernard Hosp & Hlth Care Ctr Short-term (General and Specialty) Hospitals O

ST. JAMES HOSPITAL UNITED STATES CATHOLIC CONFERENCE Short-term (General and Specialty) Hospitals O

St. Joseph Memorial Hospital Critical Access Hospitals O

Streamwood Behavioral Healthcare System Psychiatric Hospitals (Excluded from IPPS) O

Swedish Hospital Short-term (General and Specialty) Hospitals O

SwedishAmerican Hospital Short-term (General and Specialty) Hospitals O

Taylorville Memorial Hospital Critical Access Hospitals O

The Pavilion Psychiatric Hospitals (Excluded from IPPS) O

Thomas H Boyd Memorial Hospital Critical Access Hospitals O

Thorek Memorial Hospital Short-term (General and Specialty) Hospitals O

Touchette Regional Hospital Short-term (General and Specialty) Hospitals O

UChicago Medicine Short-term (General and Specialty) Hospitals O

Union County Hospital Critical Access Hospitals O

UnityPoint Health - Methodist Short-term (General and Specialty) Hospitals O

UnityPoint Health - Pekin Short-term (General and Specialty) Hospitals O

UnityPoint Health - Proctor Short-term (General and Specialty) Hospitals O

UnityPoint Health - Trinity Rock Island Short-term (General and Specialty) Hospitals O

Univ of IL Hosp & Health System Short-term (General and Specialty) Hospitals O

V Covington LLC Short-term (General and Specialty) Hospitals O

Van Matre Encompass Health Rehab Hospital Rehabilitation Hospitals (Excluded from IPPS) O

VAN MATRE HEALTHSOUTH REHABILITATION Rehabilitation Hospitals (Excluded from IPPS) O

Vista Medical Center East Short-term (General and Specialty) Hospitals O

Wabash General Hospital Critical Access Hospitals O

Washington County Hospital Critical Access Hospitals O Managed Care Organizations (MCO) Long Term Care Providers Ambulatory