4A (Expenses $ 1721748431 including grants of $ 135545622) (Revenue $ 1831522463)
Patient Care - See Schedule O

4B (Expenses $ 49547101 including grants of $ 275278) (Revenue $ 16531098)
Education - See Schedule O

4C (Expenses $ 34205265 including grants of $ 2591076) (Revenue $ 26039680)
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 obtained input from 63 leaders representing public health, major employers, public schools, social services, representatives from the underserved community, NorthShore leaders and the community at-large through five focus groups. Focus groups were conducted throughout January 2022. Focus groups explored multiple areas to identify significant health needs of the community as well as potential ways to address identified needs. Four focus groups were comprised of leaders representing public health, major employers, public schools, social services, NorthShore leaders and the community at-large. A fifth focus group was conducted with leaders from public health. Public health officials from the City of Evanston Department of Health, Lake County Health Department, and the Village of Skokie Health Department were interviewed to obtain additional input on the health needs of the community. The officials were asked three questions regarding community health. First, the officials were asked for their input regarding the most significant health needs within the community and their thoughts on recommended strategies for how to address those needs. Second, the officials were asked for their input regarding health disparities within the community and their thoughts on what populations in the community are most underserved. Third, the officials were asked their opinion regarding emerging health needs within the community. Primary input was also obtained by conducting an online community health survey distributed to members of the community from January to February of 2022. The survey was available in English and Spanish. Links to the survey were distributed via e-mail, social media and word of mouth to the community at-large. Signage, including information regarding the community survey and survey links, was posted at community clinics and federally qualified health centers in the CHNA Community. A total of 947 surveys were completed. Secondary data was assessed including: - Demographics (population, age, sex, race) - Socioeconomic indicators (household income, poverty, unemployment, educational attainment) - Key health indicators Information gathered in the above steps was reviewed and analyzed to identify health issues in the community.

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) intends to undertake the following strategies to meet the identified community health needs. Most of the strategies and initiatives will be coordinated and advanced through teams comprised of representatives from each of the four hospitals included in the joint implementation strategy. It is important to note that our health equity work is fundamental and integrated throughout our priority needs' strategies. Access to Health Services - Expand efforts to identify and respond to social determinants of health (SDOH), such as medication, transportation, housing. - Explore ways to enhance access to services and/or partnerships via NorthShore or other community organizations. - Increase the members in the community that have a medical home. - Enhance partnerships with local community organizations addressing access to care. Mental Health - Build community's capacity to understand and respond to mental health challenges and emergencies. - Expand access to mental health resources in the community. - Explore programs to reduce stigma surrounding mental health. - Enhance partnerships with local community organizations addressing mental health. Chronic Health Conditions - Address high blood pressure and diabetes through targeted interventions and outreach. - Enhance partnerships with local community organizations addressing chronic health conditions. - Improve preventative cancer screening rates for breast, cervical and colorectal cancer. Below is a list of the other significant health needs identified through the CHNA and the reasons why NorthShore did not identify as a priority need in the implementation strategy plan. Many of these needs are incorporated into other priority areas or are a part of existing hospital programs or services - Affordability of Healthcare: incorporated into Access to Health Services and Health Equity - Cancer: incorporated into Chronic Health Conditions and Health Equity - Heart Disease: incorporated into Chronic Health Conditions and Health Equity - Health Literacy: incorporated into Access to Health Services and Health Equity - Maternal and Child Health: This need was not selected for further prioritization in the CHNA process due to focus groups/surveys. However, NorthShore continues to address this need via comprehensive services, as well as partnerships with local FQHCs and other organizations to raise awareness about this issue. - Obesity: incorporated into Chronic Health Conditions and Health Equity - Preventative Care: incorporated into Chronic Health Conditions and Health Equity - Food Insecurity: incorporated into Access to Health Services priority via SDOH screening enhancements - Lack of Affordable Housing: incorporated into Access to Health Services priority via SDOH screening enhancements - Poverty: incorporated into Access to Health Services and Health Equity - Violence/Safety: incorporated into Access to Health Services priority via SDOH screening enhancements, as well as expanded Pathways Program Actions taken during 2022 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 Evanston Hospital Community Health Center provided medical care to adults who lack private medical insurance. Medical services included, but were not limited to: Primary Care, Obstetrics/Gynecology, General Surgery, Orthopedics, Diabetes Education and Podiatry. The Community Center provided care for 3,611 patients and 8,052 visits from Oct 1, 2021 - December 31, 2022. 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 2022, the NorthShore Emergency Departments had 117,172 patient visits. The Dental Center at Evanston Hospital provided primary dental care services and special consultations for medically underserved adult patients, pre-screenings for cardiovascular patients, management for oral complications in oncology patients and refractory dental problems. Annually, the Dental Center served approximately 10,500 underserved individuals. 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 2022, the Kellogg Cancer Centers at Evanston, Glenbrook, and Highland Park Hospitals had a total of 94,966 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 2022, the Evanston Hospital Maternal Health Department had a total of 43,002 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 2022, the Pediatric Rehabilitation Clinic had a total of 5,742 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. During 2022, the Perinatal Family Support Center responded to more than 600 referrals. 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 33,649 prescriptions to 2,103 low-income patients. 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 2022, the Mental Health Services Departments at Evanston, Highland Park, and Skokie Hospitals had a total of 26,959 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. An average of 900 students made 3,500 visits to the Health Center annually.

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 2022, the NorthShore Emergency Departments had 117,172 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 2022, the Kellogg Cancer Centers at Evanston, Glenbrook, and Highland Park Hospitals had a total of 94,966 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 2022, the Highland Park Hospital Maternal Health Department had a total of 3,491 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 2022, the Pediatric Rehabilitation Clinic had a total of 5,742 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. During 2022, the Perinatal Family Support Center responded to more than 600 referrals. 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 2022, the Mental Health Services Departments at Evanston, Highland Park, and Skokie Hospitals had a total of 26,959 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 2022, the NorthShore Emergency Departments had 117,172 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 2022, the Kellogg Cancer Centers at Evanston, Glenbrook, and Highland Park Hospitals had a total of 94,966 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 2022, the Pediatric Rehabilitation Clinic had a total of 5,742 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. During 2022, the Perinatal Family Support Center responded to more than 600 referrals.

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 2022, the NorthShore Emergency Departments had 117,172 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 2022, the Pediatric Rehabilitation Clinic had a total of 5,742 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. During 2022, the Perinatal Family Support Center responded to more than 600 referrals. 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 2022, the Mental Health Services Departments at Evanston, Highland Park, and Skokie Hospitals had a total of 26,959 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 - Edward-Elmhurst Health (NS-EEH), 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 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 9 and 14-18 of the audited financial statements for footnotes describing accounts receivable and bad debt expense.

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 $89,544,898 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 2022, 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 III, Line 9b Collection practices for patients eligible for financial assistance
NorthShore University HealthSystem (NorthShore) is included in the billing and collections policy for NorthShore - Edward-Elmhurst Health. The policy applies to all patients. Patients are screened for eligibility for financial assistance before collection procedures begin. Financial counseling will be provided to help patients identify available federal or state healthcare coverage programs which may be available to them, as well as to determine eligibility under the financial assistance policy. Collection activity will be placed on hold pending the outcome of these determinations. 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 billing and collections 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 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 2022 CHNA. NorthShore has defined its ""community"" to include 54 zip codes within Lake and Cook Counties in Illinois. Defining the CHNA community similarly to its primary service area will allow NorthShore to more effectively focus its resources to address identified significant health needs, targeting areas of greatest need and health disparities. NorthShore obtained input from 63 leaders representing public health, major employers, public schools, social services, NorthShore leaders and the community at-large through five focus groups. Primary input was also obtained by conducting an online community health survey distributed to members of the community. Secondary data was assessed including: - Demographics (population, age, sex, race) - Socioeconomic indicators (household income, poverty, unemployment, educational attainment) - Key health indicators Information gathered in the above steps was reviewed and analyzed to identify health issues in the community."

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

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 as well as in the following languages upon request or on the NorthShore website: Arabic, Assyrian, German, Japanese, Korean, Mongolian, Polish, Russian, and Vietnamese. 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, 45 External Customer Service agents, and 8 internal 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 can have their case reviewed by calling our centralized Customer Service billing department, completing paper application or applying using NorthShore Connect patient portal. 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. NorthShore has defined its ""community"" to include 54 zip codes within Lake and Cook Counties in Illinois. NorthShore's patients collectively come from a large geographic area. For purposes of the 2022 CHNA, the community served by NorthShore included 54 zip codes in Lake County, northern Cook County and the north side of Chicago. Between October 1, 2020 and September 30, 2021, 85% of NorthShore's inpatient discharges and 81% of its outpatient visits came from patients residing in these 54 zip codes. The CHNA community has a total population of 1,607,577 according to the U.S. Census Bureau American Community Survey 2015-2019 5-year estimates. The percentage of population by combined race and ethnicity is made up of 58.0% Non-Hispanic White, 19.8% Hispanic or Latino, 12.4% Non-Hispanic Asian, 6.8% Non-Hispanic Black, 2.5% Non-Hispanic Multiple Races and .5% Non-Hispanic some other race. The demographic makeup of the CHNA community is as follows: Average Family Income - $145,116 People 25+ with a Bachelor's Degree or Higher - 50% Percent of people living in poverty (160,285 persons) - 10.2% Population without Health Insurance Coverage (127,593 persons) - 8.08% Population 16+ in Civilian Labor Force - 66% Persons living in Limited English speaking households (122,423 persons) - 8% During 2022, approximately 9% of NorthShore's patients were uninsured or were Medicaid recipients. 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-Edward-Elmhurst Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights), Skokie, and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. Located in Naperville, Linden Oaks Behavioral Health provides for the mental health needs of area residents. NorthShore - Edward-Elmhurst Health desires to continue providing clinical programs and services to meet community health needs, while also pursuing continuous improvement in existing and future programs to improve the overall health of individuals in the communities it serves. As such, hospitals within the NorthShore-Edward-Elmhurst Health system conduct Community Health Needs Assessments (CHNA's) every three years, 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-Edward-Elmhurst Health's mission, services, and strategic priorities.

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 2022, 172 resident and 41 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 the 2021-2022 academic year, 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 2022, 99 students participated in the program. NorthShore also provided clinical training and internships during 2022 for 422 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. The Evanston Hospital Community Health Center provided medical care to adults who lack private medical insurance. Medical services included, but were not limited to: Primary Care, Obstetrics/Gynecology, General Surgery, Orthopedics, Diabetes Education and Podiatry. The Community Center provided care for 3,611 patients and 8,052 visits from Oct 1, 2021 to December 31, 2022. The Dental Center at Evanston Hospital provided primary dental care services and special consultations for medically underserved adult patients, pre-screenings for cardiovascular patients, management for oral complications in oncology patients and refractory dental problems. Annually, the Dental Center served approximately 10,500 underserved individuals. Erie Evanston/Skokie Health Center - NorthShore partners with this Federally Qualified Health Center to provide services to the underserved. Over 2,000 Erie Evaston/Skokie Health Center clients receive specialty care services at NorthShore on an annual basis. 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. An average of 900 students made 3,500 visits to the Health Center annually. 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 33,649 prescriptions to 2,103 low-income patients. 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. During 2022, the Perinatal Family Support Center responded to more than 600 referrals. 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.