4A (Expenses $ 132395413 including grants of $ 7320) (Revenue $ 152488019)
Patient Care- Rush Oak Park Hospital (ROPH) is a community hospital committed to balancing clinical excellence, a professional and healing environment and community outreach programs to address various healthcare issues. Patient care in Fiscal Year 2022 was provided in more than 4,245 inpatient admissions and 123,043 outpatient visits.

4B (Expenses $ 14869125 including grants of $ 0) (Revenue $ 12717063)
Physician Practices- A group of eight employed physician practices provide a variety of community healthcare services. Rush Oak Park Physician Group primarily serves residents in Oak Park, Illinois. Other communities include but are not limited to River Forest, Forest Park, Elmwood Park, Hillside, Berwyn and North Riverside. In Fiscal Year 2022, the physicians provided services in more than 62,033 visits. Types of services provided include family medicine, internal medicine, gynecology, geriatric and neurology. The hospital supports the staff, physicians and operations of the practices. The practices adhere to the mission statement of the hospital.

4C (Expenses $ 6400613 including grants of $ 0) (Revenue $ 4190954)
Emergency Room Outpatient Services- A group of sixteen ROPH employed ER physicians serve the emergency needs of the community at Rush Oak Park Hospital. In Fiscal Year 2022, the ER served 43,242 persons for a variety of healthcare symptoms. In line with ROPH's strategic initiatives, the ER aims to increase safety and satisfaction. ROPH's new state-of-the-art ER features 22 private treatment rooms, 2 behavioral health rooms and a decontamination room, which prevents the spread of infections.

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - RUSH OAK PARK HOSPITAL INC.. To make real progress RUSH'S OFFICE OF COMMUNITY ENGAGEMENT, UNDER ITS SENIOR VICE PRESIDENT FOR COMMUNITY HEALTH EQUITY, LED THE EFFORT FOR THE 2022 RUSH COLLABORATIVE CHNA. We coordinated our work with that of other health systems, community residents, nonprofit organizations, government agencies and faith communities. We've partnered with the City of Chicago on Healthy Chicago 2025, the city's five-year community health improvement plan that focuses on racial and health equity to close the life expectancy gap. We're an active member of the Alliance for Health Equity, one of the largest collaborative hospital-community partnerships in the country. And our work is aligned with Healthy People 2030, the US Department of Health and Human Services' data-driven objectives to improve health and well-being nationwide over the next decade. Together, we focus on measurable ways to increase health equity, dismantle systemic racism and close the death gap. AS WE DEVELOPED OUR RECOMMENDED ACTIONS FOR THE CHNA, WE AGAIN SOUGHT INPUT FROM OUR KEY STAKEHOLDERS. TO SEE A LIST OF THOSE WHO ENGAGED IN THIS PROCESS AND RUSH WORKED WITH AT THE TIME, PLEASE VIEW OUR CHNA ONLINE AND PROCEED TO APPENDIX.

Schedule H, Part V, Section B, Line 6a Facility , 1
Facility , 1 - RUSH OAK PARK HOSPITAL INC.. RUSH CONDUCTED ITS CHNA IN 2022 WITH THE LEADERSHIP OF THE ALLIANCE FOR HEALTH EQUITY, SIMILAR TO ITS CHNA IN 2019. THIS PARTNER GROUP INITIATED THE LARGEST COLLABORATIVE CHNAS IN THE COUNTRY WITH THE CURRENT INVOLVEMENT OF 30+ NONPROFIT AND PUBLIC HOSPITALS, ALONG WITH AREA HEALTH DEPARTMENTS, AND REPRESENTATIVES OF MORE THAN 100 COMMUNITY ORGANIZATIONS SERVING ON ACTION TEAMS. RUSH ALSO FOLLOWED BEST PRACTICE TO COMPLETE A COMPREHENSIVE CHNA AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR BOTH RUSH UNIVERSITY MEDICAL CENTER AND RUSH OAK PARK HOSPITAL COLLECTIVELY ONCE AGAIN. STEERING COMMITTEE HOSPITALS AND HEALTH DEPARTMENTS IN THE ALLIANCE FOR HEALTH EQUITY (AS OF JUNE 2022 WHEN THE CHNA WAS CONDUCTED): ASCENSION ADVOCATE AURORA HEALTH ALLIANCE FOR HEALTH EQUITY AMITA HEALTH ANN AND ROBERT LURIE CHILDREN'S HOSPITAL OF CHICAGO COOK COUNTY DEPARTMENT OF PUBLIC HEALTH GENESIS HEALTHCARE GOTTLIEB MEMORIAL HOSPITAL HUMBOLDT PARK HEALTH JACKSON PARK HOSPITAL LOYOLA UNIVERSITY HEALTH SYSTEM MACNEAL HOSPITAL MERCY HOSPITAL AND MEDICAL CENTER NORTHWESTERN MEDICINE PALOS HEALTH ROSELAND COMMUNITY HOSPITAL RUSH UNIVERSITY SYSTEM FOR HEALTH SINAI HEALTH SYSTEM SINAI URBAN HEALTH INSTITUTE SOUTH SHORE HOSPITAL SWEDISH COVENANT HOSPITAL TRINITY HEALTH UNIVERSITY OF CHICAGO MEDICINE UNIVERSITY OF ILLINOIS HOSPITAL AND HEALTH SCIENCES SYSTEM

Schedule H, Part V, Section B, Line 6b Facility , 1
Facility , 1 - RUSH OAK PARK HOSPITAL INC.. Participating health departments in the Health Impact Collaborative of Cook County: Chicago Department of Public Health Cook County Department of Public Health

Schedule H, Part V, Section B, Line 7 Facility , 1
Facility , 1 - RUSH OAK PARK HOSPITAL INC.. RUSH HAS ACTIVELY WORKED TO PROMOTE ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SINCE ITS ADOPTION BOTH FOR THE 2019 DOCUMENT AND NOW THE 2022. THE 2019 AND 2022 CHNA AND CHIP DOCUMENTS ARE LOCATED ON OUR WEBSITE, AND WE ARE PROUD TO SAY THAT GIVEN OUR GROWING COMMITMENT TO COMMUNITY, WE HAVE DEVELOPED AN ENHANCED COMMUNITY Health equity and ENGAGEMENT WEBSITE. WE HAVE BROUGHT THE CHNA TO MEETINGS WITH COMMUNITY BASED ORGANIZATIONS ACROSS THE WEST SIDE OF CHICAGO SINCE ITS ADOPTION AS WELL AS TO PARTNERS IN THE NEAR WEST SUBURBS, AS WE VIEW THIS AS A PUBLIC GOOD FOR OUR RESPECTIVE COMMUNITIES. WE ALSO ENSURED THAT WE shared (via Link) OUR CHNA, COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP), AND COMMUNITY BENEFITs REPORT with OUR AMBULATORY SITES ACROSS THE RUSH ENTERPRISE TO ENSURE MORE PEOPLE CAN SEE/ACCESS IT. RUSH HAS ALSO PRESENTED ON THE CHNA AT MANY internal and external MEETINGS, AS RUSH VIEWS THE DOCUMENT AS A PRIME EXAMPLE OF OUR COMMITMENT TO CONNECTING ACADEMIC AND COMMUNITY IMPACT. IN PARTICULAR, WE UTILIZE OUR ON THE TABLE EVENT (inviting community leaders and Rush champions) TO BRING HEALTH EQUITY DATA, curate our nineteen strategies, fifty-two initiatives, target goals and measures/metrics for the next three years.

Schedule H, Part V, Section B, Line 11 Facility , 1
Facility , 1 - Rush Oak Park Hospital. RUSH'S COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) WAS ADOPTED IN JUNE 2022 SIMULTANEOUSLY WITH THE CHNA. THIS continued APPROACH WAS important for the CHNA/CHIP, since it was so well received in 2019. WE Identified NEEDS, SIMULTANEOUSLY Came UP WITH AN APPROACH TO ADDRESS THEM as well as ensuring that we worked with our colleague who were carrying out the work to create metrics on how this work would be accomplished. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE IDENTIFIED IN PARTNERSHIP WITH THE ALLIANCE FOR HEALTH EQUITY, AND THE IMPROVEMENTS WITH GUIDANCE AND FOCUS TO CONNECT WITH LOCAL INITIATIVES AS RUSH BELIEVES IT MUST PARTNER WITH OTHERS TO MOVE THE NEEDLE TO IMPROVE HEALTH SUCH AS THE ALLIANCE, WEST SIDE UNITED and SENATOR DURBIN'S HEAL INITIATIVE. GIVEN THAT OUR CHNA/CHIP WERE FORMALLY ADOPTED IN JUNE 2022, THE FOLLOWING EFFORTS TIED TO THE FINAL YEAR OF OUR 2020-2022 CHNA/CHIP, BUT THERE IS GREAT OVERLAP AS WE ARE DOUBLING DOWN ON OUR NEW GOALS that incorporate fifty-two initiatives. THE NEEDS IDENTIFIED FOR 2022 REMAINED THE SAME. PLEASE NOTE THAT WE ONLY HIGHLIGHT SELECTED INFORMATION IN THE FOLLOWING SECTION. FOR MORE DETAILED INFORMATION, PLEASE FIND PUBLISHED DOCUMENTS AND SUPPORTING PROGRAMS ON OUR WEBSITE, HTTPS://WWW.RUSH.EDU/ABOUT-US/RUSH-COMMUNITY GOAL 1: REDUCE INEQUITIES CAUSED BY THE SOCIAL, ECONOMIC AND STRUCTURAL DETERMINANTS OF HEALTH. A. RUSH HAS BEEN WORKING TO IMPROVE EDUCATIONAL ATTAINMENT THROUGH LONG STANDING PROGRAMS SUCH AS OUR PARTNERSHIP WITH MALCOLM X COLLEGE, RICHARD T. CRANE MEDICAL PREPARATORY HIGH SCHOOL, AND THE K-12 PROGRAM - REACH, THE RUSH EDUCATION AND CAREER HUB. THIS BUILDS ON YEARS OF PARTNERSHIP, BUT FOCUSES OUR EFFORTS IN COMMUNITIES WE IDENTIFIED WITH THE MOST NEED. IN FY2022, REACH PROGRAMS SERVED MORE THAN 3,400 STUDENTS, EDUCATORS AND COMMUNITY MEMBERS ACROSS PREK-20 PIPELINE PROGRAMS. REACH PROVIDED 200+ HIGH SCHOOL AND COLLEGE STUDENTS WITH OVER 25,000 PAID WORK-BASED LEARNING HOURS. B. IDENTIFY, MEASURE AND MITIGATE THE SOCIAL DETERMINANTS OF HEALTH AMONG THOSE AT RISK - PARTICULARLY CHILDREN, YOUNG ADULTS AND PEOPLE WITH CHRONIC ILLNESS. DURING THE FISCAL YEAR, RUSH IMPLEMENTED A SCREENING TOOL TO IDENTIFY NON-MEDICAL BARRIERS TO GOOD HEALTH, SUCH AS FOOD INSECURITY, HOMELESSNESS, LACK OF UTILITIES, TRANSPORTATION BARRIERS, AND LACK OF PRIMARY CARE/INSURANCE. THIS SCREENING TOOL WAS IMPLEMENTED IN THE RUSH UNIVERSITY MEDICAL CENTER EMERGENCY DEPARTMENT, PRIMARY CARE SETTINGS, AND COMMUNITY BASED SETTINGS. PATIENTS SCREENED FOR THESE SOCIAL DETERMINANTS OF HEALTH (SDOH) WERE CONNECTED TO SERVICES VIA A PARTNERSHIP WITH NOWPOW, A LOCALLY BASED, RESOURCE DIRECTORY COMPANY WHICH PROVIDES CURATED, PERSONALIZED RESOURCES THAT ARE SHARED WITH PATIENTS. FUTURE PLANS INCLUDE THE INTEGRATION OF THE SDOH SCREENING TOOL WITH A SCREEN DESIGNED TO DETECT ADVERSE CHILDHOOD EXPERIENCES (ACES) - TRAUMATIC EVENTS WHICH ARE STRONGLY RELATED TO THE DEVELOPMENT AND PREVALENCE OF A WIDE RANGE OF HEALTH PROBLEMS THROUGHOUT A PERSON'S LIFESPAN. FURTHER, WE INTEND TO EXPAND THE SDOH SCREENING TOOL SYSTEM-WIDE AND CONNECT IT WITH MEDICARE HEALTH RISK ASSESSMENTS (HRAS) AS WELL AS DEVELOP OPPORTUNITIES TO STUDY AND PUBLISH ON THE IMPACT OF SCREENING ON PATIENTS' OVERALL HEALTH OUTCOMES. RUSH JOINED THE ALLIANCE FOR HEALTH EQUITY (AHE) EARLY ON AND IS A MEMBER OF THE STEERING COMMITTEE. IN ADDITION, A RUSH REPRESENTATIVE CHAIRS SEVERAL WORKGROUPS, INCLUDING THE FOOD SECURITY AND SOCIAL DETERMINANTS WORKGROUPS. RUSH IS PARTICULARLY INVESTED IN HELPING GUIDE AHE TO FOCUS ON OUR IDENTIFIED NEEDS AND IMPROVEMENTS. RUSH ALSO HAS A LEADERSHIP ROLE IN DATA, POLICY, AND TRAUMA INFORMED CARE WORK GROUPS. GOAL 2: IMPROVE ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES. A. ADDRESS PSYCHOLOGICAL TRAUMA THROUGH SCREENING TOOLS AND REFERRAL PROGRAMS IN SCHOOL-BASED HEALTH CENTERS (SBHCS) AND FAITH-BASED ORGANIZATIONS. RUSH IS WORKING TO ADDRESS THE MENTAL AND BEHAVIORAL HEALTH NEEDS OF OUR PATIENTS AND COMMUNITIES BY HAVING SOCIAL WORK SERVICES OFFERED TO OUR PRIMARY CARE, INPATIENT, AND EMERGENCY DEPARTMENT PATIENTS. IN ADDITION, THE COLLEGE OF NURSING AND RUSH COMMUNITY BASED PRACTICES OFFER MENTAL HEALTH SERVICES IN THE COMMUNITY AT SIMPSON ACADEMY FOR YOUNG WOMEN AND THE COLLEGE OF NURSING FACULTY PRACTICE SITES. SCHOOL-BASED INITIATIVES. STUDENTS SEEN IN THE SBHCS ARE RECEIVING AGE-APPROPRIATE RISK SCREENING AND EVALUATION FOR MENTAL HEALTH ISSUES. THOSE IDENTIFIED WITH MENTAL HEALTH ISSUES ARE REFERRED FOR IN-SBHC OR COMMUNITY-BASED COUNSELING AND PSYCHIATRIC SERVICES. IN FY2022, 859 RISK SCREENINGS WERE COMPLETED, RESULTING IN 265 STUDENTS LINKED TO IN-SBHC MENTAL HEALTH SERVICES. OF THOSE, FIVE WERE PREGNANT TEENS WHO HAVE BEEN REFERRED TO HOME VISITING SERVICES THROUGH THE ACES IN PREGNANCY PROGRAM. THROUGH A PARTNERSHIP WITH THE RUSH DEPARTMENT OF PSYCHIATRY, PSYCHIATRIC SERVICES, PROVIDED BOTH IN-SBHC AND BY TELEHEALTH VISITS. DURING FY2022, THERE WERE 47 STUDENTS WHO RECEIVED SBHC-PROVIDED PSYCHIATRIC CARE. SBHC STAFF DELIVERED 4,590 MINUTES OF GROUP EDUCATION THAT FOCUSED ON SELF-CARE, MENTAL HEALTH, AND SKILL BUILDING FOR RESILIENCE TO 1,712 STUDENTS THROUGH SCHOOL OUTREACH ACTIVITIES. FINALLY, 46 TEACHERS, PARENTS, STAFF, AND COMMUNITY MEMBERS PARTICIPATED IN EDUCATIONAL SESSIONS ON THE SAME TOPICS. IN COMMUNITY LISTENING SESSIONS, WEST SIDE RESIDENTS TOLD US THAT THEIR NEIGHBORHOODS LACK SUFFICIENT MENTAL HEALTH RESOURCES - A MAJOR CONTRIBUTOR TO HEALTH DISPARITIES. IN RESPONSE, RUSH LAUNCHED MENTAL HEALTH FIRST AID TRAINING, WHICH TRAINS PEOPLE TO RECOGNIZE SIGNS AND SYMPTOMS OF MENTAL ILLNESS, RESPOND APPROPRIATELY WHEN SOMEONE NEEDS HELP, SUPPORT FELLOW COMMUNITY MEMBERS AND HELP REMOVE THE STIGMA THAT PERSISTS AROUND MENTAL HEALTH SERVICES. 525 RUSH STAFF AND COMMUNITY MEMBERS WERE TRAINED IN MENTAL HEALTH FIRST AID.

Schedule H, Part V, Section B, Line 11 Facility , 2
Facility , 2 - Rush Oak Park Hospital. GOAL 3: PREVENT AND REDUCE CHRONIC DISEASE BY FOCUSING ON RISK FACTORS. 1.REDUCE RISK FACTORS THROUGH ASSESSMENTS, DISEASE MANAGEMENT PROGRAMS AND IMPROVED ACCESS TO HEALTHY FOOD. THE RUSH SURPLUS PROJECT CONTINUED TO TAKE PLACE AT BOTH RUSH UNIVERSITY MEDICAL CENTER AND RUSH OAK PARK HOSPITAL IN FY2022. THROUGH A CONTINUED PARTNERSHIP WITH FRANCISCAN OUTREACH, BEYOND HUNGER and the West Cook YMCA), RUSH HAS PROVIDED OVER 15,000 FREE MEALS ANNUALLY TO THE ORGANIZATIONS, SINCE IT WAS STARTED IN 2015. ADDITIONALLY, RUSH CONTINUES TO COLLABORATE WITH ANOTHER COMMUNITY PARTNER, TOP BOX FOODS, TO PROVIDE LOCAL PRODUCE TO ITS EMPLOYEES AND COMMUNITY MEMBERS FOR A DISCOUNTED RATE MONTHLY. IN FY2022, RUSH CONNECTED APPROXIMATELY 5,345 COMMUNITY RESIDENTS WITH HEALTHY FOOD DURING THE PANDEMIC. THE METROPOLITAN CHICAGO BREAST CANCER TASK FORCE LAUNCHED IN 2007 AS AN INDEPENDENT NONPROFIT BASED AT RUSH, WITH THE GOAL OF REDUCING THE DISPARITY IN BREAST CANCER DEATHS BETWEEN AFRICAN AMERICAN WOMEN AND WHITE WOMEN IN CHICAGO. AT THE TIME, AFRICAN AMERICAN WOMEN WERE 68% MORE LIKELY THAN WHITE WOMEN TO DIE OF BREAST CANCER. MORTALITY RATES FOR AFRICAN AMERICAN AND WHITE WOMEN HAD BEEN EQUAL BEFORE WHITE WOMEN'S SURVIVAL RATES BEGAN TO RISE WHEN BETTER SCREENING AND TREATMENT BECAME AVAILABLE IN THE 1990S. AFTER THE TASK FORCE LAUNCHED, THE DISPARITIES BEGAN TO DECREASE. IN ADDITION, RUSH OAK PARK HOSPITAL PROVIDES FREE MAMMOGRAMS EACH OCTOBER TO UNINSURED OR UNDERINSURED WOMEN WHO LIVE IN OAK PARK, RIVER FOREST, AND PROVISO TOWNSHIP. THIS IS MADE POSSIBLE THROUGH A GRANT FROM THE WESTLAKE FOUNDATION. IN FY2022, 32 WOMEN WERE SCREENED. GOAL 4: INCREASE ACCESS TO CARE AND COMMUNITY SERVICES. IN 2016, RUSH ESTABLISHED A FORMAL PARTNERSHIP WITH COMMUNITYHEALTH, THE LARGEST FREE CLINIC IN THE CITY OF CHICAGO. RUSH ATTENDING PHYSICIANS, MEDICAL RESIDENTS AND STUDENTS VOLUNTEER THEIR TIME AND SKILLS THROUGH ROTATIONS TO PROVIDE MEDICAL, DENTAL, MENTAL HEALTH, AND FREE PRESCRIPTION SERVICES AT COMMUNITYHEALTH. THE FORMAL PARTNERSHIP SERVES AS A WAY TO BETTER CONNECT UNINSURED PATIENTS TO PRIMARY CARE AND INSURANCE: IF THE PATIENTS NEED INSURANCE OR PRIMARY CARE, THEY ARE REFERRED TO RUSH'S TRANSITIONAL CARE PROGRAM (TCP), WHERE PATIENT NAVIGATORS DETERMINE THE BEST PLACE OF SERVICE FOR THE PATIENT. COMMUNITYHEALTH OFFERS HEALTH SERVICES RANGING FROM ROUTINE PHYSICALS AND IMMUNIZATION PROGRAMS TO A FULL LABORATORY AND PHARMACY AS WELL AS FREE SERVICES FOR MEDICATIONS AND DENTAL. IN FY2022, 145 PATIENTS WERE REFERRED TO COMMUNITYHEALTH.

Schedule H, Part V, Section B, Line 13 Facility , 1
Facility , 1 - RUSH OAK PARK HOSPITAL INC.. THE STATE OF ILLINOIS REQUIRES THAT HOSPITALS MAKE A GOOD FAITH EFFORT TO IDENTIFY PRESUMPTIVE CHARITY CARE FOR UNINSURED PATIENTS UNDER 200% OF FPL. WE FULFILL THIS REQUIREMENT BY RECEIVING INCOME INFORMATION FROM A 3RD PARTY SERVICE FOR ALL UNINSURED PATIENTS. FINANCIAL ASSISTANCE POLICY IN ADDITION TO MEETING FINANCIAL AND RESIDENCY REQUIREMENTS, INDIVIDUALS APPLYING FOR FINANCIAL ASSISTANCE MUST: COOPERATE WITH RUSH AND PROVIDE INFORMATION AND DOCUMENTATION TRUTHFULLY AND IN A TIMELY MANNER; MAKE A GOOD FAITH EFFORT TO HONOR THE TERMS OF REASONABLE PAYMENT TERMS ON OPEN BALANCES IF THE INDIVIDUAL QUALIFIES ONLY FOR A PARTIAL DISCOUNT; NOTIFY RUSH OF ANY CHANGE IN FINANCIAL SITUATION WHICH MAY IMPACT THE INDIVIDUALS ELIGIBILITY FOR FINANCIAL ASSISTANCE OR PAYMENT PLANS; AND AGREE TO APPLY FOR LOCAL, STATE OR FEDERAL ASSISTANCE FOR WHICH THE INDIVIDUAL MAY BE ELIGIBLE TO HELP PAY FOR SOME OR ALL OF THE INDIVIDUAL'S HOSPITAL BILL.

Schedule H, Part V, Section B, Line 20 Facility , 1
Facility , 1 - RUSH OAK PARK HOSPITAL INC.. Rush conducts all of the efforts described in lines 20 a-d prior to initiating any extraordinary collection activities described in line 19. Rush reports unpaid balances to credit agencies, which generally occurs no sooner than 540 days after the date on which the service was provided. Rush also will potentially defer not medically necessary care for patients in a bad debt collection status for a prior balance. However, if the patient applies for financial assistance, makes a payment, or sets up a payment plan, they will not have care deferred.

Schedule H, Part I, Line 3c Other factors include Rush's Presumptive Charity Care Program
RUSH UTILIZES INCOME DATA OBTAINED FROM A THIRD-PARTY SERVICE TO VERIFY INCOME BASED ELIGIBILITY CRITERIA TO QUALIFY FOR PRESUMPTIVE CHARITY CARE A PATIENT MAY ALSO BE ELIGIBLE FOR PRESUMPTIVE CHARITY CARE IF THE PATIENT IS ELIGIBLE FOR MEDICAID FOR OTHER DATES OF SERVICE OR SERVICES DEEMED NON-COVERED BY MEDICAID; THE PATIENT IS ENROLLED IN, OR ELIGIBLE FOR, AN ASSISTANCE PROGRAM FOR LOW INCOME INDIVIDUALS; OR THE PATIENT IS HOMELESS, DECEASED WITH NO ESTATE, OR MENTALLY INCAPACITATED WITH NO ONE TO ACT ON THE PATIENT'S BEHALF. PATIENTS NOT QUALIFYING FOR PRESUMPTIVE CHARITY CARE MAY ALSO COMPLETE AN APPLICATION TO DETERMINE ELIGIBILITY UNDER RUSH'S CHARITY CARE AND LIMITED INCOME PROGRAMS IDENTIFIED IN THE FINANCIAL ASSISTANCE POLICY. BOTH PROGRAMS ARE INCOME-BASED BUT ALSO UTILIZE AN ASSET TEST TO DETERMINE ELIGIBILITY. PATIENTS MEETING THE ASSET TEST WHOSE INCOME IS 0-300% OF FPG QUALIFY FOR 100% DISCOUNT TO THEIR HOSPITAL BILL; PATIENTS MEETING THE ASSET TEST WHOSE INCOME IS 301-400% FPG QUALIFY FOR A 75% DISCOUNT TO THEIR HOSPITAL BILL. DISCOUNTS UNDER BOTH PROGRAMS MAY BE APPLIED AFTER PRIMARY INSURANCE PAYMENT TO COVER DEDUCTIBLES AND COINSURANCE. RUSH UNIVERSITY MEDICAL CENTER ALSO USES INSURANCE STATUS, UNDERINSURANCE STATUS, TYPE OF SERVICE, AND RESIDENCY AS FACTORS IN DETERMINING ELIGIBILITY FOR FREE AND DISCOUNTED CARE.

Schedule H, Part VI, Line 5 Promotion of community health (continuation 1)
"GOAL 2: IMPROVE ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES. SUPPORTING PROGRAM INFORMATION: RUSH SCHOOL-BASED HEALTH CENTERS THE RUSH HAS A THIRTY-YEAR HISTORY OF PROVIDING HEALTH CARE AT SCHOOL-BASED HEALTH CENTERS. RUSH CURRENTLY HAS THREE SBHCS LOCATED WITHIN CHICAGO PUBLIC SCHOOLS THAT INCLUDE: ORR ACADEMY HIGH SCHOOL (ORR), RICHARD T. CRANE MEDICAL PREPARATORY HIGH SCHOOL (CRANE), AND SIMPSON ACADEMY FOR YOUNG WOMEN (SIMPSON). CRANE AND ORR HAVE STUDENTS IN GRADES 9-12, AND SIMPSON SERVES GIRLS IN GRADES SIX TO 12 THAT ARE PREGNANT, PARENTING, OR BOTH. ALL THREE SCHOOLS HAVE STUDENT BODIES FROM UNDERSERVED POPULATIONS AND ARE LOCATED IN NEIGHBORHOODS WITH HIGH POVERTY LEVELS AND HARDSHIP. THE RUSH SBHCS ACT AS SAFETY NETS FOR THESE VULNERABLE STUDENTS. WIDE-RANGING CLINIC SERVICES ARE PROVIDED BY ADVANCED PRACTICE NURSES, REGISTERED NURSES, COLLABORATING PHYSICIANS, AND LARGE NUMBERS OF RUSH'S INTER-PROFESSIONAL STUDENTS. THE SERVICES INCLUDE PHYSICALS, IMMUNIZATIONS, TREATMENT OF INJURIES, PRIMARY CARE, INTERMITTENT CARE, MENTAL HEALTH SERVICES, PRENATAL CARE, PREGNANCY PREVENTION PROGRAMS, HEATH EDUCATION PROGRAMS, AND HEALTH CARE FOR THE CHILDREN OF THE STUDENTS. OUTCOMES OF THIS HEALTH CARE AND EDUCATION COLLABORATION INCLUDE IMPROVED IMMUNIZATION RATES, DECREASED INCIDENCE OF INFECTIOUS DISEASE, DECREASED EMERGENCY ROOM USAGE, DETECTING AND TREATING ILLNESS, HEALTHY BABY DELIVERIES, INCREASED ACCESS TO MENTAL HEALTH SERVICES, SUCCESS IN PREGNANCY PREVENTION PROGRAMS, AND STUDENTS ESTABLISHING HEALTHY LIVING PATTERNS AIMED AT CHRONIC DISEASE PREVENTION AND IMPROVED GRADUATION RATES. Throughout FY22, SBHC staff remained connected to school administrations, students, and families by engaging in 61 meetings with school staff and 52 with school partners. Fifty-nine outreach events were conducted either virtually or in person for students or the larger school community. ADOLESCENT FAMILY CENTER THE RUSH ADOLESCENT FAMILY CENTER (AFC) HAS EXISTED FOR OVER 46 YEARS. THE AFC PROVIDES REPRODUCTIVE HEALTH CARE, PRENATAL CARE, GYNECOLOGICAL CARE, PREGNANCY PREVENTION PROGRAMS, SEXUALLY TRANSMITTED INFECTION (STI) TESTING AND TREATMENT, AND COMMUNITY HEALTH EDUCATION TO UNDERSERVED CHICAGO AREA YOUTH. ALL OF AFC'S SERVICES ARE PROVIDED REGARDLESS OF INCOME OR ABILITY TO PAY FOR CARE. ALTHOUGH AFC DRAWS PATIENTS FROM OVER 107 CHICAGO AREA ZIP CODES, THE MAJORITY OF PATIENTS SERVED RESIDE IN THE CHICAGO WEST SIDE COMMUNITIES OF EAST GARFIELD PARK, WEST GARFIELD PARK, NORTH LAWNDALE, AUSTIN, HUMBOLDT PARK AND THE NEAR WEST SIDE. AS PART OF AFC'S COMMUNITY EDUCATION PROGRAM, STAFFS REGULARLY TRAVEL OFF-SITE TO CHICAGO AREA HIGH SCHOOLS AND MIDDLE SCHOOLS TO PROVIDE COMMUNITY EDUCATION ON PREGNANCY PREVENTION, REPRODUCTIVE ANATOMY, CONTRACEPTION, SEXUALLY TRANSMITTED INFECTION PREVENTION AND REPRODUCTIVE HEALTH. AFC ALSO OFFERS FREE PRENATAL EDUCATION CLASSES TO PREGNANT TEENS AND THEIR PARTNERS. IN FY2022, THE AFC PROVIDED CLINIC SERVICES TO 380 YOUTH (IN 1,533 HEALTHCARE ENCOUNTERS) AND PROVIDED 4,590 MINUTES OF REPRODUCTIVE HEALTH EDUCATION to 1,712 students through school outreach activities. IN FY2020, AFFIRM: THE RUSH CENTER FOR GENDER, SEXUALITY AND REPRODUCTIVE HEALTH, HOUSED IN THE AFC, LAUNCHED. In FY2022, 970 LGBTQ+ patients worked with Affirm patient navigators who helped them connect with inclusive care and services at Rush and in the community. As well, 70 letters of readiness written for trans and gender diverse patients seeking medical interventions. Affirm also provided 120 hours of cultural competency training to Rush employees. THE ROAD HOME PROGRAM PROVIDES CARE FOR THE ""INVISIBLE WOUNDS OF WAR"" SUFFERED BY VETERANS AND THEIR FAMILIES. SERVICES FOR VETERANS INCLUDE AN ADULT MENTAL HEALTH CLINIC THAT SPECIALIZES IN POST-TRAUMATIC STRESS DISORDER; FAMILY AND MARITAL SERVICES SUCH AS SUPPORT GROUPS; COUNSELING AND GUIDANCE FOR PARENTING; A MILITARY SEXUAL TRAUMA CLINIC; AND AN INTENSIVE OUTPATIENT PROGRAM (IOP). THE IOP IS A THREE-WEEK PROGRAM WHERE VETERANS RECEIVE INTENSIVE TREATMENT MONDAY THRU FRIDAY FROM 8 A.M. TO 5 P.M. In FY2022, the Road Home Program provided clinical services to 997 unique veterans with 84% of veterans completing a 2-week intensive outpatient program. COLLEGE OF NURSING FACULTY PRACTICE PROGRAM THE COLLEGE OF NURSING (CON) HAS A THIRTY-YEAR HISTORY OF PROVIDING HEALTH CARE SERVICES TO UNDERSERVED INDIVIDUALS, FAMILIES, AND COMMUNITIES AT A VARIETY OF DIVERSE COMMUNITY PRACTICE SITES THROUGH THE CON FACULTY PRACTICE PROGRAM. THESE SITES ARE DEPLOYED WHERE INDIVIDUALS LIVE, LEARN, AND WORK AND INCLUDE A WELLNESS AND HEALTH PROGRAM FOR THE CHILDREN'S SCHOOL AT THE LIGHTHOUSE FOR THE BLIND, A WOMEN'S HEALTH CLINIC, A CASE MANAGEMENT PROGRAM FOR CHRONIC MEDICAL AND MENTAL ILLNESS, A WORK-PLACE HEALTH CLINIC FOR THE WORKING POOR AND NURSE PRACTITIONER LED PRIMARY HEALTH CARE SITES. MOST RECIPIENTS OF CARE AT THE FACULTY PRACTICE SITES ARE UNINSURED OR UNDERINSURED AND RELY ON THE SITES AS THEIR MAIN HEALTH CARE SOURCE. IN ADDITION TO THE HOURS OF CARE PROVIDED BY RUSH CON FACULTY PRACTITIONERS, RUSH NURSING STUDENTS DELIVER HEALTH CARE AND HEALTH EDUCATION SERVICES AT THE VARIOUS SITES. THE STUDENTS' EFFORTS GREATLY ENHANCE THE VOLUME OF HEALTH SERVICES PROVIDED. IN ADDITION, RUSH UNIVERSITY NURSING, MEDICAL, PHYSICIAN ASSISTANT, AND HEALTH SYSTEMS MANAGEMENT STUDENTS VOLUNTEER AT THESE SITES DEVELOPING AND DELIVERING HEALTH EDUCATION PROGRAMS. NEARLY TWO-THOUSAND HEALTH ENCOUNTERS ARE PROVIDED PER YEAR THROUGH THE CON FACULTY PRACTICE PROGRAM."

Schedule H, Part I, Line 7f
Total expenses reported on Form 990, Part IX, Line 25, column (a) does not include bad debt expense. The bad debt expense was reported as a reduction of revenue on Form 990, Part VIII. The amount of bad debt is $7,897,790.

Schedule H, Part VI, Line 5 Promotion of community health (continuation 2)
GOAL 3: PREVENT AND REDUCE CHRONIC DISEASE BY FOCUSING ON RISK FACTORS. 5 + 1 = 20 5 + 1 = 20 IS A RUSH COMMUNITY SERVICE INITIATIVES PROGRAM (RCSIP) THAT AIMS TO EDUCATE HIGH SCHOOL STUDENTS AT CHICAGO PUBLIC SCHOOLS ON THE FIVE DISEASES PREVALENT IN THE SURROUNDING UNDERSERVED COMMUNITY (ASTHMA, HYPERTENSION, HIV, DIABETES, AND CANCER). 5 + 1 = 20 IS BASED ON THE IDEA THAT KNOWLEDGE OF THESE FIVE (5) COMMON CONDITIONS PLUS ONE (1) INFORMED HIGH SCHOOL STUDENT (OR PERSON) CAN EXTEND ONE'S LIFE BY 20 YEARS (INDIVIDUALS WITHOUT HEALTH INSURANCE HAVE A LIFE EXPECTANCY OF 20 YEARS LESS THAN THE GENERAL US POPULATION). TWICE A MONTH, RUSH STUDENT VOLUNTEERS TEACH A HEALTH TOPIC RELATED TO THE FIVE DISEASES TO HIGH SCHOOL STUDENTS. THE CONTENT OF THE INTERACTIVE HEALTH LECTURES RANGES FROM DISEASE PREVENTION TO PRACTICAL SKILLS SUCH CHECKING BLOOD PRESSURE. THE HIGH SCHOOL STUDENTS HAVE OPPORTUNITIES TO SPREAD THEIR KNOWLEDGE THROUGH 5 + 1 = 20 HEALTH FAIRS AT THEIR SCHOOLS. HEALTH FAIR ACTIVITIES INCLUDE BODY MASS INDEX CALCULATIONS, BLOOD PRESSURE SCREENINGS, VISION SCREENINGS, GLUCOSE LEVEL CHECKS, REFERRALS, AND HEALTH EDUCATION. HEALTH FAIR PARTICIPANTS INCLUDE FAMILIES AND FRIENDS OF THE STUDENTS AS WELL AS OTHER MEMBERS OF THEIR COMMUNITIES. In FY2022, 5 + 1 = 20 continued its reduced programming to Benito Juarez, IHSCA RTC Med Prep, Whittier, and Ruiz elementary however transitioning their classes to in person sessions. There were 852 unique encounters by 14 RCSIP student volunteers. RUSH DEPARTMENT OF SOCIAL WORK AND COMMUNITY HEALTH (SWACH) THE HEALTH PROMOTION/DISEASE PREVENTION FOCUS OF THE RUSH DEPARTMENT OF SOCIAL WORK AND COMMUNITY HEALTH (SWACH) PROVIDES PATIENTS, THEIR FAMILIES, AND COMMUNITY MEMBERS ACCESS TO AN ARRAY OF PROGRAMS THAT PROVIDE SUPPORT AND PROMOTE WELLNESS THROUGH EDUCATIONAL PROGRAMS, PHYSICAL ACTIVITY CLASSES, SUPPORT GROUPS, AND WORKSHOPS. RUSH GENERATIONS, A FREE HEALTH AFFINITY MEMBERSHIP PROGRAM OF APPROXIMATELY 15,500 MEMBERS, OFFERS OLDER ADULTS AND THEIR CAREGIVERS THE OPPORTUNITY TO BENEFIT FROM HEALTH AND WELLNESS EDUCATIONAL PROGRAMS. RUSH GENERATIONS OFFERS ITS MEMBERS A FREE QUARTERLY NEWSLETTER, MONTHLY E-NEWSLETTER, ACCESS TO COMMUNITY HEALTH FAIRS AND SCREENINGS, AND OPPORTUNITIES TO BECOME MORE ACTIVE AND ENGAGED BY JOINING THE GENERATIONS VOLUNTEER AMBASSADOR PROGRAM. OTHER SWACH ACTIVITIES INCLUDED: *TRANSITIONAL CARE TO SUPPORT PATIENTS AND CAREGIVERS AFTER HOSPITAL STAYS USING THE BRIDGE MODEL, ADDRESSING MEDICAL AND NON-MEDICAL ISSUES AS PART OF AN INTERPROFESSIONAL CARE TEAM *OUTPATIENT SOCIAL WORK CARE MANAGEMENT WITH SOCIAL WORKERS INTEGRATED INTO PRIMARY AND SPECIALTY CARE TO ASSESS AND ADDRESS PSYCHOSOCIAL ISSUES RELATED TO CARE, USING THE AIMS MODEL *MENTAL HEALTH AND COLLABORATIVE CARE, INCLUDING PSYCHOTHERAPY, SUPPORTIVE SERVICES, AND COORDINATION WITH PRIMARY CARE TO SUPPORT PATIENTS 12+ YEARS OLD WHO SCREEN POSITIVELY FOR DEPRESSION. SWACH OPERATES THE ANNE BYRON WAUD RESOURCE CENTER AND THE TOWER RESOURCE CENTER (TRC), WHICH ARE BOTH OPEN DAILY TO THE PUBLIC. EACH CENTER IS STAFFED BY A LICENSED CLINICAL SOCIAL WORKER WHO IS AVAILABLE TO HELP WITH A MYRIAD OF ISSUES RELATED TO HEALTH AND CHRONIC HEALTH ISSUES THAT PARTICULARLY IMPACT ADULTS AND CAREGIVERS. THE SENIOR HEALTH INSURANCE PROGRAM (SHIP), WHICH PROVIDES FREE OPTIONS COUNSELING TO ASSIST WITH NAVIGATION OF MEDICARE AND RELATED BENEFITS. SWACH IS ALSO LEADING THE SOCIAL DETERMINANTS OF HEALTH INITIATIVE, WHICH IDENTIFIES, MEASURES, AND MITIGATES THE SOCIAL DETERMINANTS OF HEALTH OF PATIENTS AND COMMUNITY MEMBERS BY OFFERING CLOSED-LOOP REFERRALS TO SERVICES AND RESOURCES TO ALLEVIATE HEALTH DISPARITIES. SWACH ALSO OPERATES THE CENTER FOR HEALTH AND SOCIAL CARE INTEGRATION (CHASCI), WHICH PROVIDES TECHNICAL ASSISTANCE AND A PEER LEARNING COMMUNITY TO SUPPORT PRACTICE AND SYSTEMS CHANGE WITH COMMUNITY-BASED ORGANIZATIONS AND HEALTH SYSTEMS ACROSS THE COUNTRY. THE CENTER TEACHES LESSONS FROM RESEARCH AND APPLIES THEM TO CLINICAL AND COMMUNITY SETTINGS, IMPROVING HOW HEALTH PROFESSIONALS DELIVER CARE AND PREVENT DISEASES. WEST SIDE WALK TO WELLNESS THE WEST SIDE WALK TO WELLNESS, DEVELOPED AND CO-LED BY RUSH MEDICAL STUDENTS, WAS DEVELOPED TO ENHANCE EXERCISE AND WALKING IN OUR WEST SIDE COMMUNITIES, CREATE A SENSE OF ENGAGEMENT, AND LEVEL OF SAFETY TO BE OUTSIDE IN THE COMMUNITY. THE PROGRAM, WHICH LASTED EIGHT WEEKS, ENGAGED 381 UNIQUE COMMUNITY MEMBERS FROM RUSH AND THE COMMUNITIES WE SERVE. GOAL 4: INCREASE ACCESS TO CARE AND COMMUNITY SERVICES. RCSIP CLINICS RCSIP CLINICS ARE RUN BY RUSH VOLUNTEERS, MORE SPECIFICALLY BY A PHYSICIAN LEAD AND AN INTERPROFESSIONAL TEAM OF RUSH STUDENT VOLUNTEERS. THE CLINICS OFFER VARIOUS SERVICES TO PATIENTS SUCH AS PHYSICAL EXAMS, HEALTH EDUCATION, FREE BASIC MEDICATIONS, AND PROCEDURES SUCH AS WOUND CARE AND USE REFERRALS TO HELP PATIENTS ESTABLISH PRIMARY AND/OR SPECIALTY CARE RELATIONSHIPS THAT ARE AFFORDABLE OR AVAILABLE THROUGH CHARITY CARE. EXAMPLES OF THESE CLINICS INCLUDE: * RCSIP HAYMARKET, which serves adult men and women with primary care, health education; it also provided COVID-19 vaccinations during 13 vaccination days and seven clinic days. More than 66 health care encounters were provided during FY2022. * RCSIP CLINIC AT CHICAGO CITY CHURCH, WHICH SERVES ADULT MEN IN REHABILITATION FOR SUBSTANCE ABUSE ISSUES. THE CLINIC PROVIDED HEALTH CARE TO MORE THAN 233 MEN DURING FY2022.

Schedule H, Part I, Line 7a Financial Assistance at Cost
In FY2022 RUSH began including in Financial Assistance the uninsured discount amounts for Illinois residents who were uninsured and whose family income was equal to or below 600% of the Federal Poverty Guidelines. For Rush Oak Park Hospital this amount totaled $605K.

Schedule H, Part I, Line 6a Community benefit report prepared by related organization
Rush University Medical Center

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
THE CALCULATION OF THE RATIO OF PATIENT COST TO CHARGES WAS BASED ON USING IRS 2021 INSTRUCTIONS FOR SCHEDULE H, WORKSHEET 2. RATIO OF PATIENT CARE COST TO CHARGES FOR RUSH OAK PARK HOSPITAL (ROPH). THIS COST TO CHARGE RATIO IS APPLIED TO PART I, LINE 7A AND 7B. ROPH CALCULATES A SEPARATE COST TO CHARGE RATIO FOR SUBSIDIZED HEALTH SERVICES WHICH MORE ACCURATELY PORTRAYS THOSE SERVICES. ROPH UTILIZES A COST ACCOUNTING SYSTEM TO CALCULATE A SEPARATE COST TO CHARGE RATIO FOR PHYSICIAN CLINICS AND HOSPITAL SERVICE LINES. THOSE SERVICES ARE THEN COMBINED TO DERIVE A UNIQUE COST TO CHARGE RATIO FOR SUBSIDIZED HEALTH SERVICES. THE COST ACCOUNTING SYSTEM WAS USED TO CALCULATE LINES 7E, 7F AND 7I.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
Bad debt expense is estimated based on historical collection experience. Patients who are covered by third-party payors are generally responsible for related deductibles and coinsurance, which vary in amount. RUMC determines its estimate of bad debt for patients with deductibles and coinsurance and from those who are uninsured based on historical experience and current market conditions. RUMC has determined it has bad debt expense for uninsured patients and patients with other uninsured balances, such as copays and deductibles. The bad debt expense is the difference between amounts billed to patients and the amounts expected to be collected based on collection history with those patients.

Schedule H, Part I, Line 7 COVID Response Efforts
RUSH OAK PARK HOSPITAL RECEIVED $400,488 IN FUNDING FROM THE CORONAVIRUS RESPONSE AND RELIEF SUPPLEMENTAL APPROPRIATIONS ACT (CARES ACT) AND $1,031,152 FROM THE ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES CARES ACT FOR THE PERIOD JULY 1, 2021 THROUGH JUNE 30, 2022. THESE PAYMENTS WERE DISTRIBUTED BY HRSA THROUGH THE PROVIDER RELIEF FUND (PRF) PROGRAM TO REIMBURSE ELIGIBLE HEALTHCARE PROVIDERS FOR HEALTHCARE RELATED EXPENSES OR LOST REVENUES ATTRIBUTABLE TO CORONAVIRUS. ALL RECIPIENTS WILL BE REQUIRED TO REPORT THEIR USE OF ALL PRF PAYMENTS RECEIVED THROUGH JUNE 30, 2022, BY SEPTEMBER 30, 2023, AS SPECIFIED BY HRSA, BY SUBMITTING THE FOLLOWING INFORMATION: 1. HEALTHCARE RELATED EXPENSES ATTRIBUTABLE TO CORONAVIRUS THAT ANOTHER SOURCE HAS NOT REIMBURSED AND IS NOT OBLIGATED TO REIMBURSE, WHICHINCLUDES GENERAL AND ADMINISTRATIVE (GA) AND/OR OTHER HEALTHCARE RELATED EXPENSES. 2. PRF PAYMENT AMOUNTS NOT FULLY EXPENDED ON HEALTHCARE RELATED EXPENSES ATTRIBUTABLE TO CORONAVIRUS ARE THEN APPLIED TO PATIENT CARE LOST REVENUES. DOCUMENTATION REQUIREMENTS FOR THESE CALCULATIONS HAVE BEEN PUBLISHED IN THE POSTPAYMENT NOTICE OF REPORTING REQUIREMENTS DATED JUNE 11, 2021. RUSH OAK PARK HOSPITAL HAS PERFORMED CALCULATIONS UTILIZING OPTION III, THE ALTERNATE METHODOLOGY FOR CALCULATING LOST REVNUE ATTRIBUTABLE TO CORONAVIRUS, BASED ON THE JUNE 11TH GUIDELINES AND DETERMINED THAT THE TOTAL OF HEALTHCARE RELATED EXPENSES ATTRIBUTABLE TO CORONAVIRUS AND LOST PATIENT CARE REVENUES FROM JULY 2021 THROUGH JUNE 2022, AS PUBLISHED IN THE APRIL 1, 2021 HHS PROVIDER RELIEF GUIDELINES AS TO HOW THE PROVIDER RELIEF FUNDS CAN BE SPENT, EXCEEDED THE PRF FUNDS RECEIVED PRIOR TO JUNE 30, 2022.

Schedule H, Part II Community Building Activities
"RUSH COVID-19 COMMUNITY RESPONSE: OVERVIEW The COVID-19 pandemic has exacerbated health inequities, clearly illustrating how decades of disinvestment in many neighborhoods mean that people have less access to the resources and opportunities we all need for good health. The social conditions in which we're born, live, learn, work and play have an enormous impact on overall well-being. In many neighborhoods, those conditions are shaped by systemic racism and the generational trauma it causes. The pandemic has called for social services to identify and address social needs; accessible and trauma-informed mental health treatment; health promotion activities that support continued chronic care management during the pandemic; and outreach targeted to communities most impacted by the harmful effects. Our approach has mostly focused on those populations particularly impacted by COVID-19, including but not limited to: * African American and Latinx communities * Immigrants * Individuals with disabilities * LGBTQ+ individuals * Older adults * People experiencing homelessness The public health crisis quickly galvanized teams across the institution to achieve one overarching goal: to advance and align initiatives and maximize the effectiveness of Rush's response to COVID-19, in particular among communities most vulnerable to the virus' adverse outcomes. COMMUNITY SUPPORT - LOCAL PURCHASING RUSH HAS ORGANIZATIONAL GOALS TO INCREASE PURCHASING WITH VENDORS FROM THE WEST SIDE. RUSH HAS PARTNERED WITH TOGETHER CHICAGO AND CHICAGO ANCHORS FOR A STRONG ECONOMY TO IDENTIFY AND CONTRACT WITH VENDORS AT THE HYPER-LOCAL LEVEL. IN FY2022, RUSH SPENT $6.0 MILLION DOING BUSINESS WITH VENDORS FROM THE ANCHOR MISSION (AM) COMMUNITIES. RUSH spent more than $5 million in Anchor Mission communities during fiscal year 2022 through strategic partnerships with Concordance Healthcare Solutions, Fooda and NoniPrint. Since the Concordance partnership began in 2018, 40% of its warehouse staff have been hired from Anchor Mission communities. In FY22, the launch of the Go Local campaign to share success stories and work with the Rush community was comprised of four initiatives: Buy Local, Invest Local, Hire Local, and Rush Local. COMMUNITY SUPPORT - EMPLOYEE EFFORTS RUSH IS ALSO COMMITTED TO SERVING OUR EMPLOYEES WHOM WE CONSIDER AS OUR ""FIRST COMMUNITY AND HAVE CREATED PROGRAMS TO CREATE FINANCIAL STABILITY. THESE INCLUDE RETIREMENT READINESS AND FINANCIAL WELLNESS TRAINING FOR EMPLOYEES THROUGH WORKING CREDIT AND FIFTH-THIRD E-BUS. ENVIRONMENTAL IMPROVEMENTS - In FY2022, the Environmental Sustainability (ES) team at Rush University Medical Center engaged Hospital leadership in sustainability efforts by winning a Partner for Change Award from Practice Greenhealth for program advances made over the calendar year 2021, and by committing to the Health and Human Services Health Care Sector pledge. Dr. Angelique Richard attended a signatory event at the White House on June 29th to represent the Rush System for Health. By signing on to this climate pledge, RUMC has committed to the following: 1. Reducing scope 1 and 2 emissions by 50% by 2030 and achieving net-zero by 2050. 2. Designating an executive-level lead, Dr. Omar Lateef, for sustainability work on reducing emissions by 2024 and conducting an inventory of Scope 3 emissions by 2024. 3. Developing and releasing a climate resilience plan for continuous operations by the end of 2024, anticipating the needs of groups in our community that experience a disproportionate risk of climate-related harm. FY2022 also brought about an expanded ES team through the hiring of a full-time Sustainability Coordinator in September and a part-time Health Systems Management Year 1 intern in October. The ES team completed scope 1 and 2 greenhouse gas inventories for RUMC for 2018-2021 and continued work on the 2025 sustainability goals in the Healthcare Anchor Network (HAN) Impact Purchasing Commitment (IPC). Additionally, the ES team made program advancements in waste diversion through new Reuse and Recycling programs. The Utilities Working Group continued work on reducing consumption on campus by identifying and implementing energy efficiency projects, and through RUMC's reentry into the ComEd energy efficiency program in January 2022. WORKFORCE DEVELOPMENT - THE RUSH CAPITAL PROJECTS TEAM REVIEWS CONTRACTS FOR CONSTRUCTION AND CAPITAL PROJECTS UNDERTAKEN BY THE HOSPITAL, AND, FOR THE FIRST TIME, DEPENDING ON THE SIZE OF THE PROJECT, INCLUDES GOALS FOR ANCHOR MISSION LOCAL HIRING IN THE CONTRACT LANGUAGE. In FY2022, Rush University Medical Center hired 17.5% of all new hires from AM communities and held over 30 events to reach local applicants through community hubs in partnership with community-based organizations AND HAS SPENT $461,392 WITH AM COMPANIES THROUGH JUNE 2022 AS PART OF THE JOAN AND PAUL RUBSCHLAGER BUILDING PROJECT. RUSH OAK PARK HOSPITAL ALSO SUPPORTS CAREER DEVELOPMENT OF STUDENTS WITH SPECIAL NEEDS, AS WELL AS LOCAL PROCUREMENT THROUGH PARTNERSHIP WITH LOCAL VENDORS AND CONTINUES TO EXPAND LOCAL HIRING INITIATIVE. OAK PARK RIVER FOREST HIGH SCHOOL Rush Oak Park Hospital works with local vendors and continues to expand local hiring initiatives. ROPH has a long-standing partnership with the Oak Park River Forest Chamber of Commerce, including ROPH board participation, contributions to monthly wellness newsletters, sponsorship of an annual health and wellness fair, identification of potential local job candidates, and future efforts to showcase local businesses in the ROPH gift shop."

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
Due to the process that Rush Oak Park and other hospitals must facilitate to prove a patient's eligibility for discounted or free care, the precise amount of charity care often can be indistinguishable from other categories of uncompensated care. Without the cooperation of the patient in providing appropriate documentation, Rush Oak Park Hospital cannot correctly distinguish patients who meet the defined charity care policies and appropriately categorize those individuals as charity care write-offs. Instead, these patient cases can be classified as bad debt write-offs due to a lack of support information. This can create a reported charity care amount that is not representative of the true amount of free care provided to low income and indigent patients. This can create a situation in which patients can be mistakenly classified as bad debt that could actually be classified as charity care but cannot be confirmed. The methodology used to determine the estimate of bad debt entered on line 2 that reasonably is attributable to patients who likely would qualify for financial assistance under the hospital's financial assistance policy as entered on Part 1, lines 1 through 4, but for whom insufficient information was obtained to determine their eligibility included a review of all bad debt write-offs by individual account. For each account the % poverty level was reviewed, if available, and for those accounts that were below the 300% poverty level the associated bad debt write-off was estimated to be 100% potentially eligible for charity, consistent with the financial assistance policy and for those accounts 301-400% poverty level the associated bad debt write-off was estimated to be 75% potentially eligible for charity, consistent with the financial assistance policy.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
Rush Oak Park Hospital provides additional information on the bad debt expense/implicit price concessions in footnote #2 Summary of Significant Accounting Policies - Patient Service Revenue and Patient Accounts Receivable which starts on page 10 of the audited financial statements.

Schedule H, Part III, Line 8 Community benefit methodology for determining medicare costs
THE CALCULATION OF THE RATIO OF PATIENT COST TO CHARGES WAS CALCULATED USING IRS 2021 INSTRUCTIONS FOR SCHEDULE H, WORKSHEET 2. RATIO OF PATIENT CARE COST TO CHARGES FOR ROPH. MEDICARE REVENUES AND COSTS WERE EXTRACTED FROM THE FY2022 AS-FILED MEDICARE COST REPORT. THERE IS A MEDICARE SURPLUS/SHORTFALL OF $8,967,194. SINCE IRS 2021 INSTRUCTIONS STATE UNDER PART III BAD DEBT, MEDICARE, COLLECTIONS PRACTICES, LINE 5, THE MEDICARE SHORTFALL IS FOR MEDICARE FEE FOR SERVICES ASSOCIATED WITH THE ALLOWABLE COSTS THE ORGANIZATION ENTERED IN ITS MEDICARE COST REPORT, MANAGED MEDICARE AND RUSH MEDICAL GROUP SURPLUS SHORTFALL WAS NOT INCLUDED. IF SO, THE TOTAL LOSS FOR THE MEDICARE SHORTFALL WOULD HAVE BEEN $14,322,334.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
"For public transparency and ease, the debt collection policy is included in the financial assistance policy within section entitled - ""Collections and Other Actions Taken in the Event of Non-Payment"" ROPH attempts to notify patients of the financial assistance policy by means of the billing statements that are issued to patients when a balance is due. There is language in all billing statements that financial assistance is available, and a plain language summary is provided on our statement prior to placing accounts with bad debt collection agency. In addition, our collection agencies will attempt to notify patients of ROPH's financial assistance policy before placing accounts with the credit bureau."

Schedule H, Part V, Section B, Line 16a FAP website
- RUSH OAK PARK HOSPITAL INC: Line 16a URL: https://www.rush.edu/patients-visitors/financial-assistance;

Schedule H, Part V, Section B, Line 16b FAP Application website
- RUSH OAK PARK HOSPITAL INC: Line 16b URL: https://www.rush.edu/sites/default/files/2020-09/financial-assistance-application.pdf;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- RUSH OAK PARK HOSPITAL INC: Line 16c URL: https://www.rush.edu/sites/default/files/2020-09/financial-assistance-brochure-english-2019e.pdf;

Schedule H, Part VI, Line 2 Needs assessment
AS AN ACADEMIC HEALTH SYSTEM, RUSH ASSESSED THE HEALTH NEEDS OF THE COMMUNITIES WHICH IT SERVES IN A VERY COLLABORATIVE APPROACH AND CONTINUES TO DO SO BEYOND THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS. GIVEN THAT RUSH CONDUCTED ITS CHNA FOR FY22, EVERYTHING WAS RELATED TO THAT EFFORT.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
IN KEEPING WITH ROPH'S MISSION TO PROVIDE COMPREHENSIVE, COORDINATED HEALTH CARE SERVICES TO OUR PATIENTS, ROPH OFFERS SEVERAL FINANCIAL ASSISTANCE PROGRAMS TO HELP PATIENTS WITH THEIR HOSPITAL BILL. THROUGH UTILIZATION OF A PATIENT ELIGIBILITY SERVICE THE HOSPITAL IS EXTREMELY PROACTIVE IN ENROLLING PATIENTS, WHO PRESENT FOR SERVICE WITHOUT INSURANCE COVERAGE, FOR COVERAGE UNDER VARIOUS STATE AND FEDERAL PROGRAMS. THE MAINTENANCE OF THIS SERVICE FOR OUR PATIENTS HAS A SIGNIFICANT IMPACT ON DECREASING THE AMOUNT OF CHARITY CARE PROVIDED. IN ADDITION TO ACHIEVING APPROPRIATE, AVAILABLE COVERAGE FOR OUR PATIENTS' MEDICAL SERVICES, THIS ELIGIBILITY SERVICE ALSO OBTAINS ELIGIBILITY FOR SSI OR SSA BENEFITS FOR APPLICABLE PATIENTS. GUIDING THE PATIENT THROUGH THIS OFTEN TIME-CONSUMING AND ARDUOUS PROCESS IS EXTREMELY BENEFICIAL TO THE PATIENT, AS ONCE SSI/SSA ELIGIBILITY IS APPROVED, THE PATIENT WILL BEGIN RECEIVING A MONTHLY ASSISTANCE CHECK WHICH PROVIDED A BENEFIT WELL BEYOND THEIR HEALTH CARE AT RUSH. TO ASSIST THE PATIENT IN DECIDING WHICH IS THE RIGHT PROGRAM FOR THEM, ROPH OFFERS THE SERVICES OF FINANCIAL COUNSELORS AND BILLING CUSTOMER SERVICE REPRESENTATIVES. THESE INDIVIDUALS WILL ASSIST PATIENTS IN COMPLETION OF FINANCIAL APPLICATION FORMS, OBTAINING AN ESTIMATED COST OF ANTICIPATED HOSPITAL SERVICES, PROVIDING AN EXPLANATION AND COPY OF THEIR HOSPITAL BILL, AND NOTARY SERVICES. ROPH MAKES ALL FINANCIAL ASSISTANCE INFORMATION AND POLICIES AVAILABLE ON THE HOSPITAL'S WEBSITE.

Schedule H, Part VI, Line 6 Affiliated health care system
"Rush System for Health (""RUSH""), is a multihospital health system with operations that consist of several diverse activities with a shared mission of patient care, education, research, and community service. RUSH consists of an academic medical center, Rush University Medical Center (""RUMC""), two community hospitals, Rush Copley Medical Center (""RCMC"") and Rush Oak Park Hospital (""ROPH""), that each serve distinct markets in Chicago, Illinois, metropolitan area and Rush Health, a physician hospital organization and clinically integrated network."

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

Schedule H, Part VI, Line 4 Community information
Rush provides patient care services to a much broader audience than is defined in its Community Health Needs Assessment (CHNA), but Rush defines its respective community as the West Side of Chicago and near city suburbs of Oak Park, Forest Park, and River Forest. Rush purposely chose to define its community for the CHNA as the geographic area between the two hospitals because this is an area of great need and some hardship, and we are in their backyard. Rush's patient population is varied in regard to ethnicity, economic status and insurance status, but many on the west side face hardship and are members of more vulnerable populations - racial/ethnic minorities, lower socio-economic status, crowded housing, higher levels of joblessness and less access to education, transportation, and other community resources such as grocery stores and healthcare centers. Rush's defined community, most specifically the West Side of Chicago, while incredibly resilient, faces some of the greatest hardship and health disparities in the city of Chicago - Rush hopes to serve as an anchor to alleviate some of these issues through the empowerment of communities and the wonderful individuals that call the West Side home.

Schedule H, Part VI, Line 5 Promotion of community health
SUPPORTING INFORMATION - CHNA/CHIP GOAL 1: REDUCE INEQUITIES CAUSED BY THE SOCIAL, ECONOMIC AND STRUCTURAL DETERMINANTS OF HEALTH. SUPPORTING PROGRAM INFORMATION: RUSH EDUCATION AND CAREER HUB (REACH) THE RUSH EDUCATION AND CAREER HUB EXTENDS RUSH'S THIRTY-YEAR LEGACY OF SUPPORT FOR CHICAGO SCHOOL COMMUNITIES. SINCE 1990, THOUSANDS OF STUDENTS FROM PRE-KINDERGARTEN TO COLLEGE HAVE PARTICIPATED IN SCIENCE AND MATH ENRICHMENT LEARNING EXPERIENCES. THE REACH MODEL PROVIDES THESE OFFERINGS AND INTEGRATES THEM INTO A CRADLE-TO-CAREER PATHWAY WITH A MISSION OF INCREASING DIVERSITY IN STEM/HEALTH CARE PROFESSIONS. OUR OVERALL GOALS ARE: 1) TO INCREASE HIGH SCHOOL GRADUATION RATES, COLLEGE MATRICULATION, INTEREST IN HEALTH CARE/STEM CAREERS, AND 2) TO BUILD SKILLS FOR THE 21ST CENTURY WORKFORCE, INCLUDING COMMUNICATION, COLLABORATION, CRITICAL THINKING, CREATIVITY, AND LEADERSHIP. THROUGH ENRICHMENT, ENGAGEMENT, SKILLS TRAINING, AND HIGH-QUALITY WORK-BASED LEARNING, RUSH IS PREPARING UNDERREPRESENTED YOUTH FOR SUCCESS IN THE HEALTH CARE INDUSTRY. IN FY2022, REACH PROGRAMS SERVED MORE THAN 4,000 STUDENTS, EDUCATORS AND COMMUNITY MEMBERS. RUSH'S DEDICATION TO PROMOTING A HEALTHY COMMUNITY HAS FOSTERED A STRONG COMMITMENT TO SUPPORTING THE GROWTH AND DEVELOPMENT OF OUR LOCAL NEIGHBORHOODS, INCLUDING SCHOOL COMMUNITIES. IN FY18, REACH DEEPENED ITS COLLABORATION WITH FIVE PARTNER ELEMENTARY SCHOOLS AND FOUR HIGH SCHOOLS WITH STEM AND/OR HEALTHCARE PROGRAMS. RUSH UNIVERSITY MEDICAL CENTER IS UNIQUELY SITUATED TO INCREASE THE DIVERSITY OF THE HEALTHCARE WORKFORCE; ADDRESSING EDUCATIONAL OPPORTUNITY GAPS AND CULTIVATING A PIPELINE OF HEALTH PROFESSIONALS FOCUSED ON REDUCING HEALTH DISPARITIES FOR WEST SIDE NEIGHBORHOODS. REACH CONTINUES TO PROVIDE PROGRAMMING ACROSS THE PRE-K-16 EDUCATIONAL CONTINUUM THROUGH THE INITIATIVES HIGHLIGHTED BELOW: ELEMENTARY OUTREACH (GR. PRE-K-5) The STEMagineers program for elementary school students helps establish a foundational interest in STEM and health care. The program builds awareness of STEM and health care education and careers, teacher professional development, family engagement, classroom curriculum resources and alignment with standards and research that support best practices in early childhood education. This year, because of the pandemic, resources were delivered through digital lessons and interactive STEM and health care kits. Digital lessons were created to support partner schools' specific STEM curricula, as well as national health science observances, National Health Professions Week, American Heart Month and National Nutrition Month. The kits were designed to support STEM learning and social-emotional wellness at home. In FY2022, more than 2,459 students, 357 educators and 487 families participated in REACH elementary school programs. MIDDLE SCHOOL OUTREACH (GR. 6-8TH) In fiscal year 2022, REACH continued with two programs for students in grades 6 through 8 despite COVID-19 restrictions. We shifted both programs to virtual delivery beginning in the early spring of 2021. Vitals for STEM Success is an after-school enrichment program for middle school students interested in STEM and health care careers. The program consisted of a 10-week virtual session this year. In addition to STEM learning experiences, the enrichment program includes career exploration, mentoring and tutoring. Future Ready Learning Labs, supported in part by the Michael Reese Health Trust, is an enrichment elective focused on building interest and awareness of careers in the STEM and health care fields, increasing sense of self-efficacy, developing 21st-century learning skills and transitioning to high school. REACH's partner school for this program is Nathaniel Dett Elementary. HIGH SCHOOL OUTREACH (GR. 9-12) MedSTEM Pathways, one of our signature high school programs, is designed to introduce teens to a wide range of clinical and non-clinical health care careers, develop leadership skills and build academic skills. MedSTEM Pathways provides pre-internships for rising sophomores and juniors, and internships for rising juniors and seniors. By leveraging resources from across Rush University Medical Center, we provided students with comprehensive, engaging experiences, including personal development workshops, industry-recognized certifications, and networking with career professionals. Half of the summer's MedSTEM Pathways interns and 100% of MedSTEM Explorers earned one or more industry-recognized credentials: CPR, first aid/basic lifesaving, Phlebotomy and ECG technician. COLLEGE AND BEYOND The Center for Community Health Equity Scholars program offers a paid, eight-week summer internship at Rush University Medical Center for four highly motivated college juniors and seniors who have a strong interest in research, health disparities and community relations. The internship mixes workshops and instruction in research methods with field trips to sites that include Cook County Hospital, the Sue Gin Health Center that Rush operates at the Oakley Square mixed-income residential complex, the DuSable Museum of African American History and Garfield Park. Students who complete the internship gain an understanding of historic structural inequities that have an impact on health outcomes; they also learn how to conduct research that engages with community members and develop a team-based research project centered on education equity. The College and Career Pathways program supports underrepresented young people beyond high school for immersive work-based learning experiences in targeted career paths. The program includes a mix of paid internships and college and career advising as well as professional and technical skills training, which helps participants find jobs with STEM and health care employers. Interns learn skills in several Rush University Medical Center departments, including labor and delivery, the surgical ICU, outpatient psychology and pathology. In FY2022, 158 students each earned more than 250 hours of paid, work-based learning experience through College and Career Pathways. MINI MEDICAL SCHOOL The Rush Community Services Initiatives Program (RCSIP) Mini Medical School is one Saturday a month throughout the academic school year program for fourth- and fifth grade from Chicago Public Schools that aims to expose young students to the health sciences. The summer camp is held at Rush University and includes anatomy and physiology lectures, activities on the five major body systems and dissections. Rush student and physician volunteers plan the curriculum, implement activities, and assist the youth during these sessions. In FY22 RCSIP Mini Medical School continued the remote learning. There were seven remote sessions held with 489 students engaged.