This annual report provides information on the performance of the Illinois Department of Children and Family Services with regard to the outcomes for children who are in or at risk of substitute care. This monitoring report, required as part of the B.H. Consent Decree, examines measures of child safety, family and placement stability, continuity, and permanence. In addition, this year's report adds a fourth chapter that examines racial disproportionality and disparity in the Illinois child welfare system.