4A (Expenses $ 397489529 including grants of $ 30217533) (Revenue $ 458161600)
Patient Care - See Schedule O

4B (Expenses $ 12205332 including grants of $ 0) (Revenue $ 3300124)
Education - See Schedule O

4C (Expenses $ 7240011 including grants of $ 230999) (Revenue $ 3812718)
Research - See Schedule O

Schedule H, Part V, Section B, Line 5 Facility A, 1
Facility A, 1 - Facility Reporting Group A. Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital NorthShore University HealthSystem (NorthShore) contracted with Crowe LLP (Crowe) to facilitate and conduct the Community Health Needs Assessment (CHNA). Crowe has significant healthcare experience including providing services to hundreds of large healthcare organizations across the country. NorthShore has conducted a CHNA using primary and secondary data, to ensure community benefit programs and resources are focused on significant health needs as perceived by the community at large, as well as alignment with NorthShore's mission, services and strategic priorities. NorthShore obtained input from 44 leaders representing public health, major employers, public schools, social services, NorthShore leaders and the community at-large through two focus groups and one-on-one interviews. Primary input was also obtained by conducting an online community health survey distributed to members of the community. Additionally, health needs assessments prepared by four local health departments serving the NorthShore community were also reviewed and considered. Secondary data was assessed including: Demographics (population, age, sex, race), Socioeconomic indicators (household income, poverty, unemployment, educational attainment), Health access indicators, Community health status indicators (causes of death, chronic conditions, health behaviors, etc.), and Availability of health care facilities and resources. Community input was obtained through two focus groups and seven interviews with key stakeholders. The first focus group was conducted with members of NorthShore's community advisory committees representing twenty-eight organizations. The attendees included health care providers, social service providers, public health agency representatives, local government agency leaders, and small business organizations working throughout the NorthShore service area. The organizations represented included the City of Evanston-Department of Health, Moraine Township, CJE Senior Life, NAMI Cook County North Suburban, Deerfield Parent Network, Niles Township High School District 219, Erie Family Health Center, Northbrook Chamber of Commerce, Evanston Fire Department, Northfield Township, Evanston/Skokie School District 65, Northwest Suburban United Way, Faith in Action, Peer Services, Family Services of Glencoe, Skokie Police Department, Frisbie Senior Center, St. Philip Lutheran Church, Glenbrook South High School, Terry Performance Group, Glenview Chamber of Commerce, Tri-Con Child Care Center, Great Lakes Adaptive Sports Association, Turning Point Behavioral Health, Lake County Health Department, Village of Glenview, McGaw YMCA, and Village of Skokie, Health Department. Participants provided input on behalf of public health, medically underserved and minority populations and the community as a whole. A second focus group was conducted with leaders from NorthShore's staff representing a wide range of departments, including Emergency Medicine, Kellogg Cancer Center, Nursing, Cardiology, Psychiatry and Behavioral Health, Neurology, Managed Care, and Infection Control. The group discussed prominent health and wellness issues, barriers and assets to health in the communities NorthShore serves, and potential strategies to address barriers to community health and well-being. Community input was also obtained through an electronic survey distributed to the community. Identified health needs were then prioritized taking into account community perception regarding the significance of each identified need as well as the ability for NorthShore to impact overall health based on alignment with NorthShore's mission and services provided. NorthShore's leadership participated in identifying and prioritizing significant health needs.

Schedule H, Part V, Section B, Line 6a Facility A, 1
Facility A, 1 - Facility Reporting Group A. Facility Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital The Community Health Needs Assessment (CHNA) conducted by NorthShore University HealthSystem (NorthShore) included all four NorthShore hospitals: Evanston Hospital, Glenbrook Hospital, Highland Park Hospital, and Skokie Hospital.

Schedule H, Part V, Section B, Line 11 Facility A, 1
Facility A, 1 - Facility Reporting Group A. Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Highland Park Hospital 3 - Glenbrook Hospital 4 - Skokie Hospital NorthShore University HealthSystem (NorthShore) has implemented a three-fold strategy to address the identified health needs of the communities it serves, which includes: 1) Community benefits programs and partnerships will address a need identified in the Community Health Needs Assessment (CHNA), with a rationale provided for any identified health needs not addressed by NorthShore, 2) Community benefits programs, initiatives, and partnerships will address a need identified by the community, and 3) Community benefits programs, initiatives, and partnerships will be aligned with the guiding principles outlined in Advancing the State of the Art of Community Benefits for Nonprofit Hospitals. The guiding principles are: Disproportionate Unmet Health-Related Needs, Primary Prevention, Seamless Continuum of Care, Build Community Capacity, and Community Collaboration. NorthShore places priority on providing community benefits and services in the communities located nearest to its hospitals, where NorthShore believes it has the greatest capacity and responsibility to serve. NorthShore evaluates the impact of the initiatives developed to address the identified needs by collecting data on how many individuals utilize components of the initiative. Measurement of the impact was also assessed by gathering ongoing feedback from the hospitals' Community Advisory Committees, along with feedback from senior and physician leadership. The needs identified in the most recently conducted CHNA were: Access to Behavioral Health, Health Literacy and Navigating the Healthcare Environment, Access and Coordination of Care (affordability, education, transportation, specialty care, cultural competency), Substance Abuse, Behavioral Health (mental health and substance abuse, psychiatry and community based services), Chronic Risk Factors (prevention and management of obesity, tobacco use, hypertension), Alzheimer's/Dementia (prevention, management, caregiver support, long-term care), Oral Health, Diabetes, Cardiovascular Disease and Stroke, Cancer, Lung Health, and Maternal and Child Health (infant mortality, low birth weight). NorthShore plans to address all the needs identified in the CHNA, although the following needs have been addressed in a limited capacity through existing services and financial contributions to outside organizations: Violence Prevention. Actions taken during fiscal year 2021 to address the needs identified in the CHNA include the following NorthShore programs and services by hospital facility:

Schedule H, Part V, Section B, Line 11 Facility A, 2
Facility A, 2 - A, 1 Evanston Hospital. The NorthShore Evanston Hospital Community Health Center provides medical care to adults who lack private medical insurance. Medical services include, but are not limited to: primary care, obstetrics/gynecology, general surgery, orthopaedics, diabetes education, and podiatry. In the fourth quarter of calendar year 2021, the clinic treated 884 adult patients at 1,558 visits. Emergency Departments within NorthShore are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. Evanston Hospital provides Level 1 trauma services. During the fiscal year, the NorthShore Emergency Departments had 27,558 patient visits. The Dental Center at Evanston Hospital provides primary care dental services and special consultations for medically underserved adult patients, pre-screenings for cardiovascular patients, and management for oral complications in oncology patients and those with refractory dental problems. The Dental Center provided discounted care for adult patients making 728 visits during the fourth quarter of calendar year 2021. NorthShore's Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a women's heart program. The Kellogg Cancer Center is a cancer treatment center that offers comprehensive, compassionate cancer care and treatments for oncology patients and their families. NorthShore's collaborative cancer treatment model focuses on each patient's individual needs, providing medical, surgical, radiation, psychological, and emotional care. During the fiscal year, the Kellogg Cancer Centers at Evanston, Glenbrook, and Highland Park Hospitals had a total of 22,569 patient visits. The Maternal Health Department at Evanston Hospital offers comfortable, high-tech birthing facilities. Evanston Hospital also serves as a Regional Perinatal Network hospital for northeastern Illinois. Both high-risk mothers and high-risk babies are transferred to Evanston Hospital for access to the latest technology and highly trained staff. During the fiscal year, the Evanston Hospital Maternal Health Department had a total of 10,361 patient visits. The Pediatric Rehabilitation Clinic offers a wide array of outpatient services for young patients (from birth through adolescence) with special needs. A team of licensed physical, occupational, and speech therapists specializing in pediatric care provide one-on-one individualized treatment as well as group classes to help patients achieve or regain functional skills. During the fiscal year, the Pediatric Rehabilitation Clinic had a total of 1,357 patient visits. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. All services are provided free of charge. In fiscal year 2021, NorthShore physicians conducted 7,974 screenings to identify at-risk patients, and the hotline received 1,266 calls. Free psychological support and referrals were provided for 611 women identified as at-risk for perinatal mood disorders. NorthShore's Medication Assistance Program helps with the cost of prescriptions for patients of the Evanston Hospital Community Health Center. The Medication Assistance Program provided 5,880 prescriptions to 1,247 low-income patients during 10/1/2021-12/31/2021. NorthShore Mental Health Services for adults, adolescents and children offers along with a continuum of care including group, individual and family outpatient services, intensive outpatient, partial hospital programs, inpatient centers for both adults and adolescents, and crisis call center. The Access/Crisis Center offers 24-hour crisis intervention and triage over the phone and in the emergency department. During the fiscal year, the Mental Health Services Departments at Evanston, Highland Park, and Skokie Hospitals had a total of 7,235 patient visits. The Evanston Township High School Health Center is a school-based health clinic that provides physical exams, immunizations, treatment of acute and chronic illnesses, individual counseling, health education, gynecological care, and support groups to students whose parents allow them to enroll in the health center. For the 2020-2021 academic year, 667 students made 1,392 visits.

Schedule H, Part V, Section B, Line 11 Facility A, 3
Facility A, 3 - A, 2 Highland Park Hospital. Emergency Departments within NorthShore are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. Evanston Hospital provides Level 1 trauma services. During the fiscal year, the NorthShore Emergency Departments had 27,558 patient visits. NorthShore's Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a women's heart program. The Kellogg Cancer Center is a cancer treatment center that offers comprehensive, compassionate cancer care and treatments for oncology patients and their families. NorthShore's collaborative cancer treatment model focuses on each patient's individual needs, providing medical, surgical, radiation, psychological, and emotional care. During the fiscal year, the Kellogg Cancer Centers at Evanston, Glenbrook, and Highland Park Hospitals had a total of 22,569 patient visits. The Maternal Health Department at Highland Park Hospital is committed to providing the best in family care and strives to provide individualized care for each family. The Center's state-of-the-art birthing center rooms were designed to achieve the labor-delivery-recovery-postpartum, or single-room care experience with the latest technology. During the fiscal year, the Highland Park Hospital Maternal Health Department has a total of 793 patient visits. The Pediatric Rehabilitation Clinic offers a wide array of outpatient services for young patients (from birth through adolescence) with special needs. A team of licensed physical, occupational, and speech therapists specializing in pediatric care provide one-on-one individualized treatment as well as group classes to help patients achieve or regain functional skills. During the fiscal year, the Pediatric Rehabilitation Clinic had a total of 1,357 patient visits. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. All services are provided free of charge. In fiscal year 2021, NorthShore physicians conducted 7,974 screenings to identify at-risk patients, and the hotline received 1,266 calls. Free psychological support and referrals were provided for 611 women identified as at-risk for perinatal mood disorders. NorthShore Mental Health Services for adults, adolescents and children offers along with a continuum of care including group, individual and family outpatient services, intensive outpatient, partial hospital programs, inpatient centers for both adults and adolescents, and crisis call center. The Access/Crisis Center offers 24-hour crisis intervention and triage over the phone and in the emergency department. During the fiscal year, the Mental Health Services Departments at Evanston, Highland Park, and Skokie Hospitals had a total of 7,235 patient visits.

Schedule H, Part V, Section B, Line 11 Facility A, 4
Facility A, 4 - A, 3 Glenbrook Hospital. Emergency Departments within NorthShore are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. Evanston Hospital provides Level 1 trauma services. During the fiscal year, the NorthShore Emergency Departments had 27,558 patient visits. NorthShore's Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a women's heart program. The Kellogg Cancer Center is a cancer treatment center that offers comprehensive, compassionate cancer care and treatments for oncology patients and their families. NorthShore's collaborative cancer treatment model focuses on each patient's individual needs, providing medical, surgical, radiation, psychological, and emotional care. During the fiscal year, the Kellogg Cancer Centers at Evanston, Glenbrook, and Highland Park Hospitals had a total of 22,569 patient visits. The Pediatric Rehabilitation Clinic offers a wide array of outpatient services for young patients (from birth through adolescence) with special needs. A team of licensed physical, occupational, and speech therapists specializing in pediatric care provide one-on-one individualized treatment as well as group classes to help patients achieve or regain functional skills. During the fiscal year, the Pediatric Rehabilitation Clinic had a total of 1,357 patient visits. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. All services are provided free of charge. In fiscal year 2021, NorthShore physicians conducted 7,974 screenings to identify at-risk patients, and the hotline received 1,266 calls. Free psychological support and referrals were provided for 611 women identified as at-risk for perinatal mood disorders.

Schedule H, Part V, Section B, Line 11 Facility A, 5
Facility A, 5 - A, 4 Skokie Hospital. Emergency Departments within NorthShore are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. Evanston Hospital provides Level 1 trauma services. During the fiscal year, the NorthShore Emergency Departments had 27,558 patient visits. NorthShore's Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a women's heart program. The Pediatric Rehabilitation Clinic offers a wide array of outpatient services for young patients (from birth through adolescence) with special needs. A team of licensed physical, occupational, and speech therapists specializing in pediatric care provide one-on-one individualized treatment as well as group classes to help patients achieve or regain functional skills. During the fiscal year, the Pediatric Rehabilitation Clinic had a total of 1,357 patient visits. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. All services are provided free of charge. In fiscal year 2021, NorthShore physicians conducted 7,974 screenings to identify at-risk patients, and the hotline received 1,266 calls. Free psychological support and referrals were provided for 611 women identified as at-risk for perinatal mood disorders. NorthShore Mental Health Services for adults, adolescents and children offers along with a continuum of care including group, individual and family outpatient services, intensive outpatient, partial hospital programs, inpatient centers for both adults and adolescents, and crisis call center. The Access/Crisis Center offers 24-hour crisis intervention and triage over the phone and in the emergency department. During the fiscal year, the Mental Health Services Departments at Evanston, Highland Park, and Skokie Hospitals had a total of 7,235 patient visits.

Schedule H, Part V, Section B, Line 20 Facility A, 1
Facility A, 1 - Facility Reporting Group A. Facility Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Highland Park Hospital 3 - Glenbrook Hospital 4 - Skokie Hospital Per the Billing and Collections Policy of NorthShore University HealthSystem (NorthShore), NorthShore does not engage in Extraordinary Collection Actions (ECAs), nor does it permit its collections vendors to engage in ECAs.

Schedule H, Part I, Line 3c Other Factors Used to Determine Eligibility for Financial Assistance
In addition to the Federal Poverty Guidelines, NorthShore University HealthSystem uses the following factors to determine eligibility for financial assistance: asset level, medical indigency, insurance status, underinsurance status, and residency.

Schedule H, Part V, Section B, Line 3 Explanation of CHNA Noncompliance Due to Change in Fiscal Year
"IRC Section 501(r)(3) requires a hospital organization to conduct a community health needs assessment (CHNA) every three years and adopt an implementation strategy to meet the community health needs identified through such assessment. With respect to any taxable year, a hospital organization meets the requirements of section 501(r)(3) with respect to a hospital facility it operates only if the hospital facility has conducted a CHNA in such taxable year or in either of the two taxable years immediately preceding such taxable year. NorthShore previously conducted a CHNA before September 30, 2019. In connection with a system affiliation agreement with Edward-Elmhurst Healthcare (EEH), effective January 1, 2022, the fiscal year of NorthShore University HealthSystem (NorthShore) was changed from September 30 to December 31, resulting short tax year for the three-month period ended December 31, 2021. As a result of the short tax year, which was not contemplated prior to the affiliation with EEH, NorthShore did not complete its most recent CHNA within the short tax year nor the two previous years. NorthShore was in the process of completing the CHNA as of December 31, 2021 and was fully expecting to have it completed by the historical September 30, 2022 deadline to comply with 501(r)(3). The failure to have the CHNA conducted before December 31, 2021 was discovered by NorthShore during January 2022. Afterwards, NorthShore communicated the error and expedited the CHNA to be completed as soon as reasonably possible. NorthShore made the CHNA report widely available to the public on its website and finished conducting the CHNA on September 7, 2022. The CHNA was conducted for the following hospital facilities: Evanston Hospital, Glenbrook Hospital, Highland Park Hospital, and Skokie Hospital. The implementation strategy was adopted by the Board of Directors on September 15, 2022. As described in 26 CFR Section 1.501(r)-2(c), ...""a hospital facility's failure to meet one or more of the requirements described in 1.501(r)-3 that is neither willful nor egregious shall be excused... if the hospital facility corrects and makes disclosure in accordance with rules set forth by revenue procedure, notice, or other guidance published in the Internal Revenue Bulletin. A ""willful"" failure includes a failure due to gross negligence, reckless disregard, or willful neglect, and an ""egregious"" failure includes only a very serious failure, taking into account the severity of the impact and the number of affected persons. Whether a failure is willful or egregious will be determined based on all the facts and circumstances. A hospital facility's correction and disclosure of a failure in accordance with the relevant guidance is a factor tending to show that the failure was not willful."" The failure was not willful because the CHNA process began before the change in fiscal year and with the expectation to be conducted before the end of the third tax year following the previously conducted CHNA. Further, NorthShore discovered the error and expedited to correct by finish conducting the CHNA as soon as reasonably possible. The failure is not egregious because the CHNA would have been timely conducted if the fiscal year had not changed. The previous CHNA was conducted during September 2019, which was within the last three years at the time failure occurred. Based on the facts and circumstances described above, NorthShore did not willfully nor egregiously fail to comply with 501(r)(3). Further, Northshore corrected the failure by promptly completing the most recent CHNA following the unexpected change in fiscal year. Accordingly, NorthShore has not filed an excise tax return or paid any related tax imposed under IRC section 4959. NorthShore has reviewed its procedures in place to address and monitor its compliance with the requirements of IRC section 501(r), including the timely adoption of future CHNA. The next CHNA will be adopted during tax year 2024, which will be the third consecutive tax year after the short tax year 2021."

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
NorthShore University HealthSystem calculated the cost of charity care and means-tested government programs using the cost-to-charge ratio derived from Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges. Amounts in the other benefits section of Line 7 were calculated using costs charged directly to the individual programs from the financial accounting system. An indirect cost allocation factor for hospital shared services was also calculated and included for each program indicated in other benefits.

Schedule H, Part II Community Building Activities
NorthShore University HealthSystem (NorthShore) employees are involved in numerous community building activities which promote the health of the communities it serves. NorthShore encourages its employees to serve on community collaboration boards and participate in health advocacy programs to promote the health of the communities served.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
Bad debt expense was reported at cost using a cost-to-charge methodology. The Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges calculated to report charity care on Part I, Line 7a was multiplied by the bad debt expense to determine the bad debt expense at cost. Discounts and payments on patient accounts are excluded from bad debt expense in order to reflect the expected amount to be paid.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
See pages 13-17 of the audited financial statements for footnotes describing accounts receivable and bad debt expense.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
NorthShore University HealthSystem (NorthShore) follows the Illinois Fair Patient Billing Act. The collection policy is the same for all patients. Patients are screened for eligibility for financial assistance before collection procedures begin. After a patient meets the qualifications for financial assistance, the account balance is either partially or entirely written off. Any remaining balance would be collected under the existing debt collection policy.

Schedule H, Part V, Section B, Line 16a FAP website
A - Evanston Hospital: Line 16a URL: northshore.org/about-us/billing/financial-assistance/;

Schedule H, Part V, Section B, Line 16b FAP Application website
A - Evanston Hospital: Line 16b URL: northshore.org/about-us/billing/financial-assistance/;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
A - Evanston Hospital: Line 16c URL: northshore.org/about-us/billing/financial-assistance/;

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
The Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges was used to determine the Medicare costs reported on Part III, Line 6. NorthShore University HealthSystem (NorthShore) believes that all of the $23,164,811 Medicare shortfall should be considered as community benefit. The Internal Revenue Service Community Benefit Standard includes the provision of care to the elderly and Medicare patients. Medicare shortfalls must be absorbed by NorthShore in order to continue treating the elderly in our community. During the fiscal year, Medicare accounted for approximately 51% of hospital gross patient revenues. The hospital provides care regardless of this shortfall and thereby relieves the government of the burden of paying the full cost of care for Medicare beneficiaries.

Schedule H, Part VI, Line 2 Needs assessment
See the information reported in Part V Section B regarding the most recently completed Community Health Needs Assessment (CHNA). NorthShore University HealthSystem (NorthShore) contracted with Crowe LLP (Crowe) to compile and analyze existing data which led to the collection of community input data for the 2019 CHNA. The CHNA process included community input data collection including a focus group with NorthShore staff, as well as a focus group with community advisory committees representing twenty-eight organizations. The assessment process also included the development of a Community Health Profile using secondary data from local health department, federal, and state data sources.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
NorthShore University HealthSystem (NorthShore) informs and educates low-income patients of our Financial Assistance program across many points within the system. We have posted signs--both English and Spanish--in all our facilities' Emergency Departments and at our Central Registration areas. The NorthShore patient information television channel is available to all patients upon admission and a section describes how to obtain Financial Assistance. The NorthShore billing statements describes the Financial Assistance program and necessary contact information. Our collection agencies and billing offices also coordinate charity care to potentially eligible patients. Finally, the NorthShore website (northshore.org) is another useful resource that informs patients about the Financial Assistance program with links to the application process and the actual financial application. NorthShore also has approximately 16 full-time financial counselors and 38 Customer Service agents representing our hospitals, clinics, and physician offices. These counselors and representatives are responsible for helping patients understand their bills and coordinating financial assistance and insurance eligibility when appropriate. Any uninsured patient admitted to our hospitals will have their case reviewed by a financial counselor. NorthShore has also earned Certified Application Counselor Organization (CACO) status with the Centers for Medicare and Medicaid Services (CMS). Our counselors are certified and capable of helping patients navigate Medicaid and Insurance Exchange options. Any patient having difficulty paying their portion of the bill or wanting to know if they are eligible for financial assistance will have their case reviewed by calling our centralized Customer Service billing department. Our Customer Service department responds to approximately 1,400 calls per day from patients with questions about their bill or that are unable to pay. In addition to the formal application process for Financial Assistance, NorthShore may also grant Financial Assistance on a presumptive basis. Presumptive Financial Assistance approvals are based upon individual life circumstances such as enrollment in low-income government programs with income eligibility below 200 percent of federal poverty level income guidelines or verification of financial indigence through a credit rating agency and their calculated healthcare credit score.

Schedule H, Part VI, Line 4 Community information
NorthShore University HealthSystem (NorthShore) has four hospital facilities located in the northern suburbs of Chicago, Illinois. The NorthShore service area has a total population size of approximately 1.6 million. The median household income is approximately $92,000. During the fiscal year, approximately 2% of NorthShore's patients had no insurance and 5% qualified for Medicaid. Within NorthShore's service area, there are four federally-designated medically underserved areas. NorthShore's service area also includes 11 other hospitals.

Schedule H, Part VI, Line 6 Affiliated health care system
"NorthShore University HealthSystem (NorthShore) is an integrated health care system dedicated to providing health care services, including inpatient acute and non-acute care, primary and specialty physician services, and various outpatient services. NorthShore operates six acute care facilities, including Evanston Hospital, Highland Park Hospital, Glenbrook Hospital, Skokie Hospital, Swedish Hospital, and Northwest Community Hospital that serve the greater Chicago ""North Shore"" and northern Illinois communities."

Schedule H, Part VI, Line 7 State filing of community benefit report
IL

Schedule H, Part VI, Line 5 Promotion of community health
NorthShore University HealthSystem (NorthShore) extends medical staff privileges to all qualified physicians in the NorthShore community. A majority of the NorthShore Board members also reside in NorthShore's service area and are not employees, independent contractors, or family members thereof. NorthShore also uses surplus funds to add new buildings and renovate existing facilities to better serve patients and the community. Additional programs conducted by NorthShore to help promote the health of the community include: Residency and Education Programs - NorthShore is committed to excellence in its academic mission and supports teaching and research in its role as the principal teaching affiliate of the University of Chicago Pritzker School of Medicine. NorthShore also has additional teaching affiliation agreements with Rush University Medical Center, University of Illinois-Chicago, Stroger Hospital, and Northwestern University Feinberg School of Medicine. NorthShore has an extensive selection of training programs and fellowships to offer physicians at its teaching and research facilities. During fiscal year ending 12/31/21, 223 resident and fellow full-time equivalents (FTEs) participated in NorthShore and affiliate-based programs. The NorthShore residency program areas include: Dentistry, Family Medicine, Internal Medicine (Categorical, Preliminary, and Transitional), and Pathology. The NorthShore fellowship program areas include: Breast Surgery, Cardiology, Endocrine Surgery, Family Medicine-Sports Medicine, Gastroenterology, Maternal-Fetal Medicine, Musculoskeletal Imaging, Simulation-Emergency Medicine, and Urogynecology. The affiliate-based residency program areas include: Anesthesiology, Emergency Medicine, General Surgery, Neurology, Neurosurgery, Obstetrics and Gynecology, Ophthalmology, Orthopaedic Surgery, Otolaryngology, Pediatrics, Plastic Surgery, Podiatry, Psychiatry, Radiology, and Urology. The affiliate-based fellowship program areas include: Cardiothoracic Surgery, Child Psychiatry, Colon Rectal Surgery, Gynecology-Oncology, Hematology-Oncology, Mammography, Maternal-Fetal Medicine, Medical Microbiology, Molecular Genetics Pathology, Neonatal-Perinatal Medicine, Nephrology, Neuroradiology, Orthopaedic Hand, Orthopaedic Sports, Palliative Medicine, Peripheral Vascular Surgery, and Surgical Oncology. NorthShore also offers a comprehensive Pharmacy residency program, with resident positions located at all four hospitals. The Pharmacy residency program includes both clinical and administrative exposure focusing on inpatient and ambulatory practice. The program also includes specialty residencies in oncology, pharmacy informatics, and pharmacy administration. The program consists of a multitude of experiences that reinforce residents' knowledge and skills and help them advance into well-rounded practitioners. During fiscal year ending 12/31/21, 16 residents participated in the program. The NorthShore School of Nurse Anesthesia operates out of Evanston Hospital and is affiliated with DePaul University. The program has full accreditation from the Council of Accreditation of Nurse Anesthesia Educational Programs. The mission of the school is to prepare qualified professional registered nurses for the advanced practice of nurse anesthesia in a variety of practice settings. The graduate nurse anesthetist demonstrates the knowledge, skills, and attitude necessary to take on leadership roles in the practice of nurse anesthesia. During fiscal year ending 12/31/21, 96 students participated in the program. NorthShore also provided clinical training and internships during the fiscal year for 101 high school and college students. Students interned in the following areas: Nursing, Diagnostic Radiology, and Physical Therapy. Community Advisory Committees - The Community Advisory Committees' (CAC) role is to advise hospital administration on services and initiatives from a community perspective. The CACs are structured to ensure NorthShore's accountability to the community and to assist in the fulfillment of the community relations vision, to be the most trusted and indispensable heath partner throughout the communities we serve. The CACs are primarily comprised of community members, along with hospital administrative and professional staff. NorthShore strives for diverse membership to include business, faith community, social services, civic organizations, government and elected officials, as well as interested citizens. The CACs meet quarterly and help to identify gaps in healthcare services within the community and seek opportunities for partnerships between the hospitals and community organizations. In addition, the CACs assist NorthShore with the community health needs assessment process. NorthShore Community Health Center - The NorthShore Evanston Hospital Community Health Center provides medical care to adults who lack private medical insurance. Medical services include, but are not limited to: primary care, obstetrics/gynecology, general surgery, orthopaedics, diabetes education, and podiatry. In the fourth quarter of calendar year 2021, the clinic treated 884 adult patients at 1,558 visits. Dental Center - The Dental Center at Evanston Hospital provides primary care dental services and special consultations for medically underserved adult patients, pre-screenings for cardiovascular patients, and management for oral complications in oncology patients and those with refractory dental problems. The Dental Center provided discounted care for adult patients making 728 visits during the fourth quarter of calendar year 2021. Erie Evanston/Skokie Health Center - NorthShore partners with this Federally Qualified Health Center to provide services to the underserved. During fiscal year 2021, NorthShore provided services to 2,593 Erie patients. Evanston Township High School Health Center - The Evanston Township High School Health Center is a school-based health clinic that provides physical exams, immunizations, treatment of acute and chronic illnesses, individual counseling, health education, gynecological care, and support groups to students whose parents allow them to enroll in the health center. For the 2020-2021 academic year, 667 students made 1,392 visits. NorthShore's Medication Assistance Program helps with the cost of prescriptions for patients of the Evanston Hospital Community Health Center. The Medication Assistance Program provided 5,880 prescriptions to 1,247 low-income patients during 10/1/2021-12/31/2021. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. All services are provided free of charge. In fiscal year 2021, NorthShore physicians conducted 7,974 screenings to identify at-risk patients, and the hotline received 1,266 calls. Free psychological support and referrals were provided for 611 women identified as at-risk for perinatal mood disorders. Employee Volunteerism - NorthShore employees participate in various volunteer activities that meet community needs and promote goodwill. Several NorthShore publications include information about volunteer organizations and employee volunteer opportunities. NorthShore also recognizes and rewards employees for community service and volunteerism through the annual Sharing Spirit Volunteer Award. Home and Hospice Services - NorthShore Home and Hospice Services offers the full spectrum of home and hospice care, including skilled nursing, physical and occupational therapy, and home medical equipment. The Home and Hospice caregivers represent a wide range of medical specialties and work with the patient, family, and physician to tailor home care to meet the individual needs of each patient. During the fiscal year, there were 14,633 patient visits and 1,217 admissions.