4A (Expenses $ 1816616535 including grants of $ 0) (Revenue $ 1977357454)
"THE UNIVERSITY OF CHICAGO MEDICAL CENTER (""UCMC"") IS A NATIONALLY RECOGNIZED LEADER IN PATIENT CARE, RESEARCH AND MEDICAL EDUCATION. RENOWNED FOR TREATING SOME OF THE MOST COMPLEX MEDICAL CASES, UCMC BRINGS THE VERY LATEST MEDICAL TREATMENTS TO PATIENTS IN CHICAGO'S SOUTH SIDE COMMUNITY, AND THROUGHOUT THE WORLD. IN THIS WAY, UCMC FURTHERS ITS COMMITMENT TO PATIENT CARE, CLINICAL PRACTICE AND COMMUNITY HEALTH. UCMC PARTNERS WITH THE UNIVERSITY OF CHICAGO PHYSICIANS AND THE PRITZKER SCHOOL OF MEDICINE TO EDUCATE THE NEXT GENERATION OF PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS. UCMC IS A LEADING PROVIDER OF COMPLEX CARE IN THE STATE OF ILLINOIS AND UCMC IS THE LARGEST PROVIDER OF MEDICAID SERVICES (BY ADMISSIONS AND PATIENT DAYS) ON THE SOUTH SIDE OF CHICAGO AND ONE OF THE LARGEST IN THE STATE OF ILLINOIS. (continued on schedule o)"

4B (Expenses $ 268289670 including grants of $ 0) (Revenue $ 325516094)
THE PHARMACY PROVIDES SERVICES TO BOTH OUR INPATIENTS AND OUTPATIENTS, INCLUDING EMPLOYEES AND STUDENTS OF UCMC AND THE UNIVERSITY OF CHICAGO. THE DCAM OUTPATIENT PHARMACY AND SPECIALTY PHARMACY IS LOCATED IN THE DUCHOSSOIS CENTER FOR ADVANCED MEDICINE (DCAM) AND CAN BE REACHED 24/7 VIA TELEPHONE. THE PHARMACY ALSO PROVIDES ADULT INFUSION SERVICES AT OUR FOUR INFUSION CENTER LOCATIONS. THE INPATIENT PHARMACY IS OPEN 24/7 AND PROCESSES APPROXIMATELY 447,000 MEDICATION ORDERS PER MONTH AND MAKES APPROXIMATELY 17,000 INTERVENTIONS PER MONTH. THE OUTPATIENT PHARMACY PROCESSES APPROXIMATELY 31,000 MEDICATION ORDERS PER MONTH AND MAKES APPROXIMATELY 2,500 INTERVENTIONS PER MONTH. THE SPECIALTY PHARMACY MADE APPROXIMATELY 4,000 INTERVENTIONS DURING THE FISCAL YEAR.

4C (Expenses $ 109329745 including grants of $ 0) (Revenue $ 242870188)
As a core component of the world-renowned UChicago Medicine, UChicago Medical Laboratories provides access to a full range of diagnostic services in clinical, anatomic, and genomic and molecular pathology, including specialized and esoteric testing. We also offer extensive consultation services through UChicago Medicine's clinical practices, which include more than 700 physicians and scientists. Our knowledgeable and highly professional staff serves UChicago Medicine entities, managed care organizations, non-affiliated hospitals, outpatient clinics, and private physicians' offices. We have a proven track record for quality testing with a quick turnaround time. UChicago Medical Laboratories provides COVID-19 testing services to a dozen providers who serve residents from underserved neighborhoods on Chicago's south side. These providers include community hospitals, nursing homes, and federally qualified health centers, all of which receive test results within 48 hours. Tests provided on behalf of these community providers made up over 25% of the total COVID-19 test volume at UChicago Medicine during FY 2022.

4D (Expenses $ 7236554 including grants of $ 656530) (Revenue $ 8337149)
OTHER PROGRAM SERVICES INCLUDE FOOD SERVICE, EMERGENCY TRANSPORTATION, MEDICAL CENTER PARKING, AND MISCELLANEOUS RETAIL OPERATIONS.

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - UNIVERSITY OF CHICAGO MEDICAL CENTER. THE CHNA PROCESS ENGAGED SEVERAL INTERNAL AND EXTERNAL STAKEHOLDERS TO COLLECT, CURATE, INTERPRET DATA, AND THEN USED THAT DATA TO PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY. UCMC ALSO GATHERED DATA FROM PUBLIC HEALTH EXPERTS, THROUGH INCORPORATING DATA FROM THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH. PARTNERS AND STAKEHOLDER GROUPS ALSO PROVIDED INSIGHT AND EXPERTISE AROUND THE INDICATORS TO BE ASSESSED, TYPES OF FOCUS GROUP QUESTIONS TO BE ASKED, INTERPRETATION OF RESULTS, AND PRIORITIZATION OF AREAS OF HIGHEST NEED. LEADERS FROM THE URBAN HEALTH INITIATIVE (UHI) WORKED WITH METOPIO TO GUIDE THE STRATEGIC DIRECTION OF THE CHNA AND ENGAGE THE CHNA STEERING COMMITTEE, OTHER VARIOUS INTERNAL COMMITTEES, AND WORKGROUPS TO ENSURE BROAD ENGAGEMENT OF DIVERSE PERSPECTIVES ACROSS UCMC. METOPIO IS A SOFTWARE AND SERVICES COMPANY GROUNDED IN THE PHILOSOPHY THAT COMMUNITIES ARE CONNECTED THROUGH PLACES AND PEOPLE. METOPIO'S VISUALIZATION TOOLS USE DATA TO REVEAL VALUABLE, INTERCONNECTED FACTORS THAT INFLUENCE OUTCOMES IN DIFFERENT LOCATIONS. THE COMMUNITY BENEFIT STEERING COMMITTEE IS COMPRISED OF STAFF AND FACULTY WHO PROVIDE ADVICE AND OVERSIGHT OF UCMC'S COMMUNITY BENEFIT PROGRAMS, REPORTING, AND CHNA DEVELOPMENT AND EXECUTION. THE COMMITTEE IS RESPONSIBLE FOR PROVIDING INPUT ON THE PLANNING AND IMPLEMENTATION OF POLICIES, PROCESSES, AND PROGRAMS THAT SUPPORT THE COMMUNITY BENEFIT FUNCTION. THE COMMITTEE MEETS QUARTERLY AND OVERSEES THE DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT STRATEGIC IMPLEMENTATION PLAN. THE COMMUNITY ADVISORY COUNCIL (CAC) WAS ESTABLISHED BY THE UHI IN 2016 AND IS COMPRISED OF A REPRESENTATIVE GROUP OF 34 VOLUNTEER MEMBERS WHO LIVE AND/OR WORK IN THE UCMC SERVICE AREA. THE CAC MEMBERS SERVE AS ADVISORS TO UCMC ON ISSUES OF INTEREST TO THE COMMUNITY. THE CAC IS AN ESSENTIAL PARTNER IN ACHIEVING UCMC'S GOALS RELATED TO BROADER COMMUNITY INTERESTS, COMMUNITY BENEFIT, ACCESS TO CARE, AND EFFECTIVE COMMUNITY ENGAGEMENT. THE CAC HAS ADVISED UCMC LEADERSHIP ON PIVOTAL PROJECTS INCLUDING, BUT NOT LIMITED TO, DESIGNING COMMUNITY COMMUNICATION AND ENGAGEMENT PLANS THAT INFORM OUR CHNA, AS WELL AS PROGRAMMING CONNECTED TO THE STRATEGIC IMPLEMENTATION PLAN. SPECIFICALLY, THE CAC PLAYED A KEY ROLE IN IDENTIFYING COMMUNITY ORGANIZATIONS FOR OUR FOCUS GROUPS, DISSEMINATING THE SURVEY, AND ENSURING DIVERSE COMMUNITY VOICES WERE HEARD THROUGHOUT THE CHNA PROCESS. THE INCLUSION OF PATIENT VOICE IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS A CORNERSTONE OF THE PROCESS. PRIMARY DATA FOR THE CHNA WAS COLLECTED THROUGH THE FOLLOWING METHODS: 1) 975 COMMUNITY RESIDENT SURVEYS COMPLETED IN ENGLISH AND SPANISH, IN BOTH ELECTRONIC AND PAPER VERSIONS 2) 5 COMMUNITY RESIDENT FOCUS GROUPS WITH 12 OR FEWER RESIDENTS IN EACH GROUP. TOPICS INCLUDED MENTAL HEALTH, MATERNAL AND CHILD HEALTH, COMMUNITY SAFETY & VIOLENCE, YOUTH HEALTH, AND ADULT HEALTH 3) 1 HEALTH CARE AND SOCIAL SERVICE PROVIDER FOCUS GROUP 4) 10 KEY INFORMANT INTERVIEWS WITH RESIDENTS FROM UNDERSERVED POPULATIONS DURING DEVELOPMENT OF THE STRATEGIC IMPLEMENTATION PLAN, UCMC CONSULTED SUBJECT MATTER EXPERTS ON UCMC'S HEALTH PRIORITIES. THROUGHOUT OUR CHNA PROCESS, UCMC WAS ABLE TO TAKE INTO ACCOUNT VARIOUS DIFFERING COMMUNITY VIEWPOINTS.

Schedule H, Part V, Section B, Line 6b Facility , 1
Facility , 1 - UNIVERSITY OF CHICAGO MEDICAL CENTER. UCMC CONTRACTED WITH METOPIO TO COMPLETE THE 2021-2022 COMMUNITY HEALTH NEEDS ASSESSMENT. METOPIO IS A SOFTWARE AND SERVICES COMPANY GROUNDED IN THE PHILOSOPHY THAT COMMUNITIES ARE CONNECTED THROUGH PLACES AND PEOPLE. LEADERS FROM THE URBAN HEALTH INITIATIVE WORKED WITH METOPIO TO GUIDE THE STRATEGIC DIRECTION OF THE CHNA AND ENGAGE THE COMMUNITY BENEFIT STEERING COMMITTEE, OTHER VARIOUS INTERNAL COMMITTEES, AND WORKGROUPS TO ENSURE BROAD ENGAGEMENT OF DIVERSE PERSPECTIVES ACROSS UCMC.

Schedule H, Part V, Section B, Line 7 Facility , 1
Facility , 1 - UNIVERSITY OF CHICAGO MEDICAL CENTER. THE RESULTS OF THE REPORT WERE DISCUSSED AT COMMUNITY MEETINGS, WITH REFERENCE TO THE FULL REPORT'S ELECTRONIC AVAILABILITY ON THE HOSPITAL'S WEBSITE AND PAPER COPIES AVAILABLE IN THE URBAN HEALTH INITATIVE OFFICE HEADQUARTERS. KEY EXTERNAL STAKEHOLDERS SUCH AS EXECUTIVE LEADERS AT COMMUNITY BASED ORGANIZATIONS, ELECTED OFFICIALS, AND INDIVIDUAL DONORS WERE SENT ELECTRONIC AND PAPER COPIES OF THE 4 PAGE, INFOGRAPHIC EXECUTIVE SUMMARY- WHICH IS ALSO AVAILABLE ON THE COMMUNITY BENEFIT WEBSITE. THE CHNA WAS MADE WIDELY AVAILABLE TO VARIOUS CHICAGOLAND COMMUNITY NEWS OUTLETS, INCLUDING THE HYDE PARK HERALD, SOUTHLAND JOURNAL, AND CRAIN'S CHICAGO BUSINESS, CHICAGO LEADER AND BLOCK CLUB CHICAGO. A LINK TO THE REPORT WAS ALSO SENT OUT TO A COMMUNITY HEALTH NEWSLETTER LISTSERV WITH OVER 11,000 PEOPLE SUBSCRIBED.

Schedule H, Part V, Section B, Line 11 Facility , 1
Facility , 1 - UNIVERSITY OF CHICAGO MEDICAL CENTER. THE MOST RECENT UCMC CHNA WAS CONDUCTED IN 2021-2022. THE IMPLEMENTATION STRATEGY FOR THIS CHNA FOR YEARS FY2023-2025 WAS ADOPTED BY UCMC'S BOARD OF DIRECTORS IN MAY 2022. THROUGH A DATA DRIVEN APPROACH THE HEALTH PRIORITIES IDENTIFIED IN THIS MOST RECENT CHNA WERE AS FOLLOWS: 1.) PREVENT & MANAGE CHRONIC DISEASES: > HEART DISEASE > DIABETES > CANCER 2.) BUILD TRAUMA RESILIENCY: > VIOLENCE PREVENTION & RECOVERY > MENTAL HEALTH 3.) REDUCE INEQUITIES CAUSED BY SOCIAL DETERMINANTS OF HEALTH: > ACCESS TO CARE > FOOD INSECURITIES > WORKFORCE DEVELOPMENT UCMC WILL ADDRESS THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA THROUGH: (A) EXECUTION OF THE STRATEGIC IMPLEMENTATION PLAN, (B) INCLUSION OF A COMMUNITY BENEFIT SECTION IN OPERATIONAL PLANS, AND (C) ADOPTION OF A BUDGET FOR THE FISCAL YEAR FOR PROVISION OF SERVICES THAT ADDRESSED THE NEEDS IDENTIFIED IN THE CHNA. UCMC ADDRESSES THESE NEEDS IDENTIFIED AS TOP PRIORITY BY THE COMMUNITY THROUGH ITS COMMUNITY BENEFIT PROGRAMMING. ADDRESSING UCHICAGO MEDICINE PRIORITY HEALTH ISSUES HEART DISEASE THE FIRST STEP TO PREVENTING CHRONIC DISEASE IS TO ESTABLISH HEALTHY BEHAVIORS. UCMC HELPS SERVICE AREA RESIDENTS MANAGE HEART DISEASE THROUGH EXPANDING SAFE PLACES TO EXERCISE AND OFFERING HEALTHY FOOD OPTIONS, SCREENINGS, AND OTHER PREVENTIVE SERVICES. COMMUNITY HEALTH WORKERS FROM OUR LIASONS IN CARE (LINC) PROGRAM HELP COMMUNITY MEMBERS TO UNDERSTAND THEIR CONDITION, KNOW HOW TO MANAGE MEDICATION, AND BE AWARE OF/AVOID LIFESTYLE FACTORS THAT COULD PROMPT READMISSION. PATIENT ADVOCATES FROM OUR MEDICAL HOME AND SPECIALTY CARE CONNECTION PROGRAM STRESS THE IMPORTANCE OF A MEDICAL HOME, WHICH PROVIDES PREVENTATIVE PRIMARY CARE. DIABETES OUR MECHANISM FOR SCALING EFFORTS TO ADDRESS DIABETES INCLUDES ENGAGING IN COMMUNITY-BASED EDUCATION AND OUTREACH. TWO OF OUR PROGRAMS, SOUTH SIDE FIT AND COMMUNITY FITNESS PROGRAM, PROVIDE EDUCATION ON THE PREVENTION AND MANAGEMENT OF DIABETES THROUGH WORKSHOPS AND FREE FITNESS CLASSES. UCMC AND COMMUNITY PARTNERS WORK TO PROVIDE A REGULAR STREAM OF HEALTH INFORMATION AND RESOURCES THROUGH VARIOUS COMMUNICATION CHANNELS SUCH AS WVON AM 1690 COMMUNITY HEALTH FOCUS HOUR, A WEEKLY COMMUNITY HEALTH NEWSLETTER, AND OUR VIDEO BROADCAST, AT THE FOREFRONT LIVE. CANCER UNIVERSITY OF CHICAGO MEDICINE COMPREHENSIVE CANCER CENTER (UCCC) IS ONE OF TWO NCI-DESIGNATED COMPREHENSIVE CANCER CENTERS IN ILLINOIS. MUCH OF UCCC'S COMMUNITY OUTREACH IS LED BY THE UCHICAGO MEDICINE'S OFFICE OF COMMUNITY ENGAGEMENT AND CANCER HEALTH EQUITY (OCECHE). OCECHE PARTNERS WITH COMMUNITY, CULTURAL, AND FAITH-BASED ORGANIZATIONS AND HEALTHCARE GROUPS TO SHARE INFORMATION AND INCREASE PARTICIPATION IN RESEARCH AND CLINICAL TRIALS. IN 2026, UNIVERSITY OF CHICAGO MEDICINE WILL OPEN CHICAGO'S FIRST FREE STANDING FACILITY DEDICATED TO CANCER CARE AND RESEARCH, WHICH WILL PROVIDE SOUTH SIDE PATIENTS INCREASED ACCESS TO DIAGNOSTIC INNOVATIONS AND ADVANCED THERAPIES. IT WAS IMPORTANT TO ENGAGE COMMUNITY MEMBERS IN THE PLANNING PROCESS. THIS PLANNING PROCESS INCLUDED TWO VIRTUAL TOWN HALL MEETINGS WITH MORE THAN 100 PARTICIPANTS, SMALL-GROUP PRESENTATIONS AND A COMMUNITY SURVEY. VIOLENCE PREVENTION & RECOVERY SINCE THE OPENING OF OUR LEVEL 1 TRAUMA CENTER IN 2018, UCMC HAS BEEN COMMITTED TO PROVIDING WRAP-AROUND SERVICES TO VICTIMS OF INTENTIONAL VIOLENCE THROUGH THE VIOLENCE RECOVERY PROGRAM (VRP). THE VRP IS PART OF THE BLOCK HASSENFELD CASDIN (BHC) COLLABORATIVE FOR FAMILY RESILIENCE, WHICH TAKES AN INNOVATIVE, COMMUNITY-DRIVEN AND HOLISTIC APPROACH TO TREAT CHILDREN AND FAMILIES AFFECTED BY TRAUMA. UCHICAGO MEDICINE IS ALSO A PART OF SOUTHLAND RISE (RESILIENCE INITIATIVE TO STRENGTHEN AND EMPOWER), A PARTNERSHIP OF THE TRAUMA RECOVERY PROGRAMS FROM UCMC AND ADVOCATE HEALTHCARE. IN 2022, SOUTHLAND RISE AWARDED $150,000 TO 18 COMMUNITY-BASED ORGANIZATIONS FOR THEIR SUMMER YOUTH PROGRAMS, WHICH FOCUSED ON SUCH AREAS AS STREET OUTREACH AND CIVIC ENGAGEMENT. MANY OF THE PROGRAMS WORK TO SUPPORT MENTAL HEALTH, BUILD TRAUMA RESILIENCY AND TEACH SKILLS TO STOP VIOLENCE. MENTAL HEALTH UCMC PROVIDES RESOURCES TO SUPPORT THE HOLISTIC NEEDS OF PATIENTS AND THEIR FAMILIES EXPERIENCING TRAUMA AND LINKS THEM TO SPECIALIZED, TRAUMA-INFORMED COUNSELING SERVICES THROUGH HEALING HURT PEOPLE-CHICAGO, AND THE RECOVERY AND EMPOWERMENT AFTER COMMUNITY TRAUMA (REACT) CLINIC. THE WELLNESS RECOVERY ARTS PROGRAM PROVIDES COMMUNITY-BASED SOCIAL SUPPORTS TO YOUTH. ACCESS TO CARE SOUTH SIDE HEALTH COMMUNITY ORGANIZATION (SSHCO) IS THE COLLABORATION AMONG 13 SOUTH SIDE HEALTHCARE ORGANIZATIONS - SAFETY NET HOSPITALS, HEALTH SYSTEMS AND FEDERALLY QUALIFIED HEALTH CENTERS. AS PART OF THE SSHCO, UCMC IS COMMITTED TO INCREASING ACCESS TO CARE BY HIRING PRIMARY CARE AND SPECIALTY CARE PROVIDERS FOCUSED ON TREATING SOUTH SIDE PATIENTS. COMMUNITY HEALTH WORKERS WILL ALSO BE HIRED AND WILL HELP PATIENTS TACKLE BARRIERS TO CARE. CURRENTLY, THE LIASONS IN CARE (LINC) PROGRAM'S COMMUNITY HEALTH WORKERS PROVIDE CASE MANAGEMENT AND RESOURCE REFERRALS, OFFER HEALTHCARE SUPPORT AT HOME, HELP LESSEN BARRIERS TO CARE AND WORK WITH THE PATIENT TO IMPROVE OVERALL HEALTH AND WELLNESS. FOOD INSECURITIES INCREASING ACCESS TO FOOD FOR PATIENTS WITH FOOD INSECURITIES IS A FOCUS OF OUR FEED 1ST FOOD PANTRIES, WHICH HAVE 11 CONVENIENT LOCATIONS ACROSS UCMC. UCMC ALSO HAS A ROOFTOP GARDEN ON OUR PARKING GARAGE WHICH IS MANAGED BY EMPLOYEES AND HARVESTS ARE DISTRIBUTED TO COMMUNITY MEMBERS THROUGH FOOD PANTRIES AND A SOUTH SIDE FARMERS MARKET. WORKFORCE DEVELOPMENT THE UNIVERSITY OF CHICAGO MEDICAL CENTER'S TALENT STRATEGY TEAM USES WORKFORCE DEVELOPMENT PROGRAMMING AND PARTNERSHIPS TO CONTINUE TO CREATE ADVANCEMENT AND DEVELOPMENT OPPORTUNITIES FOR EMPLOYEES AND SOUTH SIDE COMMUNITY MEMBERS, PARTICULARLY FOR PEOPLE OF COLOR. PROGRAMS SUCH AS RISE HIGHER AND THE MEDICAL ASSISTANT PATHWAY PROGRAM PROVIDE SPECIALIZED EMPLOYEE TRAINING, HIGHER PAYING WAGES IN LEADERSHIP POSITIONS, AND EVEN EDUCATION ASSISTANCE OR A GUARANTEED INTERNSHIP OR JOB AT UCHICAGO MEDICINE. WITH THE WORFORCE RESILIENCE ENHANCEMENT PROJECT (WREP), UCMC EXTENDS TRAINING IN RESILIENCE SKILL-BUILDING BEYOND THE MEDICAL CENTER AND INTO THE COMMUNITY. COMMUNITY MEMBERS IN WREP PARTICIPATE IN AN 8 WEEK TRAINING AS WELL AS A CONFERENCE IN PARTNERSHIP WITH THE NATIONAL ALLIANCE ON MENTAL HEALTH (NAMI) AND THE KENNEDY FORUM. RATIONALE FOR UNADDRESSED NEEDS UCMC BELIEVES THAT IN ORDER TO BEST IMPACT HEALTH OUTCOMES, IT IS IN ITS STRATEGIC INTEREST TO FOCUS AND CONSOLIDATE EFFORTS ON THE SELECTED HEALTH ISSUES FOR WHICH THERE ARE EXISTING INTERNAL AND/OR EXTERNAL RESOURCES, A REASONABLE FEASIBILITY TO AFFECT CHANGE, AND AN ALIGNMENT WITH INSTITUTIONAL STRENGTHS. WHILE MANY HEALTH ISSUES EMERGED FROM THE CHNA PROCESS, MULTIPLE COMMUNITY STAKEHOLDERS IDENTIFIED TOP PRIORITY HEALTH NEEDS FOR UCMC TO FOCUS ON. AS SUCH, UCMC DETERMINED THAT IT COULD ONLY EFFECTIVELY FOCUS ON THOSE WHICH WERE DETERMINED TO FIT WITHIN THE CURRENT RESOURCES AVAILABLE. THE FOLLOWING PRIORITY HEALTH AREAS FROM THE FY 2019-2022 STRATEGIC IMPLEMENTATION PLAN WERE NOT SELECTED AS FY 2023-2025 COMMUNITY BENEFIT PRIORITIES: - ASTHMA WAS NOT IDENTIFIED AS A PRIORITY, BUT THE PROGRAMS ESTABLISHED AND IDENTIFIED IN PREVIOUS REPORTS WILL CONTINUE AND A SIGNIFICANT AMOUNT OF RESOURCES WILL BE DEVOTED TO ADDRESSING THEM. THUS, WHILE THE IDENTIFIED HEALTH PRIORITIES WILL BE THE PRINCIPLE HEALTH CONCERNS THAT UCMC BENEFIT EFFORTS WILL TARGET, UCMC WILL CONTINUE TO LEVERAGE ITS INTERNAL RESOURCES TO ADDRESS ASTHMA. FURTHERMORE, OTHER HEALTH ISSUES INITIALLY INCLUDED FOR UCMC PRIORITIZATION HAVE BEEN RECOGNIZED AS COMORBIDITIES TO PRIMARY, PRIORITY HEALTH ISSUES. CONSEQUENTLY, THESE HEALTH AREAS ARE ADDRESSED THROUGH THE FOCUS ON OTHER PRIORITY HEALTH ISSUES, PROGRAMS AND EFFORTS. FOR EXAMPLE, PEDIATRIC OBESITY WILL BE CONSIDERED AS A SECONDARY HEALTH ISSUE AND RECOGNIZED AS A RISK FACTOR ASSOCIATED WITH DIABETES.

Schedule H, Part V, Section B, Line 13 Facility , 1
Facility , 1 - UNIVERSITY OF CHICAGO MEDICAL CENTER. THE MEDICAL INDIGENCY DISCOUNT APPLIES TO ALL PATIENTS REGARDLESS OF THE RELATIONSHIP BETWEEN THEIR INCOME AND THE POVERTY GUIDELINES. IN A 12 MONTH PERIOD FOR MEDICALLY NECESSARY HEALTH CARE SERVICES PROVIDED BY UCMC TO A PATIENT, THE PATIENT IS NOT RESPONSIBLE TO PAY FOR MORE THAN THAT AMOUNT OF BILLED CHARGES IN EXCESS OF 20% OF THE PATIENT'S FAMILY INCOME.

Schedule H, Part V, Section B, Line 15 Facility , 1
Facility , 1 - UNIVERSITY OF CHICAGO MEDICAL CENTER. UCMC RESPONDS TO THESE QUESTIONS BASED UPON ITS PUBLICATION OF THE FINANCIAL ASSISTANCE INFORMATION, NOT THE WRITTEN HOSPITAL ADMINISTRATIVE POLICY. FOR EXAMPLE, UCMC'S BILL CONTAINS A STATEMENT THAT DIRECTS THE PATIENT TO CALL A TELEPHONE NUMBER TO SEEK ASSISTANCE.

Schedule H, Part V, Section B, Line 20 Facility , 1
Facility , 1 - UNIVERSITY OF CHICAGO MEDICAL CENTER. FORM SCH H PART V LINE 20E UCMC SENDS A BILL TO THE PATIENT GUARANTOR NORMALLY AT LEAST THREE TIMES, PERFORMS A CREDIT CHECK TO DETERMINE PRESUMPTIVE ELIGIBILITY UNDER ITS FINANCIAL ASSISTANCE POLICY, AND THEN MAY REFER THE ACCOUNT TO A COLLECTION AGENCY AFTER THE EXPIRATION OF 120 DAYS FOLLOWING INITIAL POST DISCHARGE BILLING AFTER COMPLETING A CHECK WITH AN OUTSIDE CONTRACTED VENDOR THAT EVALUATES WHETHER OR NOT THE PATIENT FALLS WITHIN THE UCMC FINANCIAL ASSISTANCE LIMITS. IN ADDITION, AFTER A REVIEW OF THE PATIENT'S INFORMATION, THE HOSPITAL MAY CONTACT THE PATIENT DIRECTLY TO DETERMINE IF THE PATIENT MIGHT QUALIFY FOR MEDICAID, AND OFFERS ACCESS TO A SERVICE TO ASSIST WITH THE APPLICATION PROCESS, OR MAY ON OCCASION GRANT FINANCIAL ASSISTANCE IN DISTRESSED CIRCUMSTANCES. IN ADDITION, PATIENTS WHOSE UCHICAGO MEDICINE BILL FOR ONE YEAR TOTALS 20 PERCENT OR MORE OF THEIR ANNUAL ADJUSTED GROSS INCOME WILL NOT HAVE TO PAY MORE THAN 20 PERCENT OF THEIR INCOME FOR ALL OF THOSE BILLS.

Schedule H, Part V, Section B, Line 23 Facility , 1
Facility , 1 - UNIVERSITY OF CHICAGO MEDICAL CENTER. UCMC CHARGES CONSISTENTLY. IF A PATIENT QUALIFIES UNDER THE FINANCIAL ASSISTANCE POLICY, THE DISCOUNT APPLIES TO THE AMOUNT BILLED.

Schedule H, Part I, Line 5a SCHEDULE H, PART I, LINE 5A
WHILE UCMC PROJECTS AN ANTICIPATED AMOUNT OF DISCOUNTED CARE EACH FISCAL YEAR WHEN CREATING ITS ANNUAL BUDGET, NO SPECIFIC LINE ITEM OR LIMIT IS INCLUDED IN THE BUDGET. THE ABSENCE OF A LINE ITEM IN NO WAY LIMITS THE AMOUNT OF DISCOUNTED CARE UCMC PROVIDES.

Schedule H, Part III, Line 5 CHARGES NOT INCLUDED ON MEDICARE COST REPORT
THE FOLLOWING AMOUNTS REPRESENT REVENUE AND EXPENSES FROM PROFESSIONAL FEES, LABS, AND OTHER MEDICARE CHARGES NOT INCLUDED IN UCMC'S MEDICARE COST REPORT FOR THE YEAR: REVENUE RECEIVED FROM MEDICARE $270,567,343 ALLOWABLE COSTS RELATING TO ABOVE PAYMENTS ($343,739,410) SHORTFALL ($73,172,067) PRIOR YEAR MEDICARE COST REPORT RESERVE ADJUSTMENT: 13,327,577

Schedule H, Part III, Line 6 SCHEDULE H, PART III, LINE 6
THE MEDICARE ALLOWABLE COSTS OF CARE ON PART III, LINE 6 ARE BASED ON THE INPATIENT, OUTPATIENT AND ORGAN ACQUISITION COSTS FROM THE FILED FY 22 MEDICARE COST REPORT.

Schedule H, Part III, Line 1
UCMC FOLLOWS GAAP PRINCIPLES AND UNDER THE NEW REPORTING STANDARD ASC 606, BAD DEBT IS NOW IMPLICIT PRICE CONCESSIONS. THE REPORTING OF BAD DEBT ALSO CONFORMS TO THE UPDATED HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION NO. 15.

Schedule H, Part I, Line 3c AUTOMATIC UNINSURED SELF-PAY DISCOUNT
A DISCOUNT OF 40% OF GROSS CHARGES, PROVIDED TO ALL UNINSURED PATIENTS WITHOUT REQUIRING EVIDENCE OF INABILITY TO PAY. THIS DISCOUNT IS DESIGNED TO ENSURE THAT PATIENTS ARE CHARGED AT A RATE GENERALLY COMPARABLE TO THAT APPLIED TO INSURED PATIENTS. 1. THERE IS NO APPLICATION PROCESS FOR THE PATIENT TO RECEIVE THE UNINSURED DISCOUNT. THE DISCOUNT APPLIED IS BASED ON THE ACCOUNT'S SELF-PAY/UNINSURED STATUS. 2. PATIENTS RECEIVING PRE-NEGOTIATED DISCOUNTS FOR HOSPITAL SERVICES WILL NOT BE ELIGIBLE FOR THIS UNINSURED DISCOUNT. 3. IF A PATIENT IS SUBSEQUENTLY APPROVED FOR FINANCIAL ASSISTANCE, THE AUTOMATIC DISCOUNT WILL BE REVERSED SO THAT THE FULL AMOUNT CAN BE RECOGNIZED AS A CHARITY ALLOWANCE. 4. IF A PATIENT SUBSEQUENTLY PROVIDES EVIDENCE OF INSURANCE COVERAGE, THE AUTOMATIC DISCOUNT WILL BE REVERSED AND THE INSURANCE COVERAGE PROVIDED WILL BE BILLED ACCORDINGLY. 5. PATIENTS WHO ARE OTHERWISE INSURED AND CHOOSE NOT TO USE THEIR INSURANCE COVERAGE ARE INELIGIBLE FOR THIS AUTOMATIC DISCOUNT.

Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH (CONT.)
"COMMUNITY EDUCATION AND OUTREACH COMMUNITY EVENTS BUILD PARTNERSHIPS WITH LOCAL COMMUNITIES AND ENGAGE DIRECTLY IN PROVIDING INFORMATION AND SOLUTIONS THAT ENHANCE HEALTHCARE IN THE NEIGHBORHOODS SURROUNDING UCMC. AT THESE COMMUNITY EVENTS, UCMC CLINICAL AND ADMINISTRATIVE PERSONNEL SPEAK DIRECTLY TO MEMBERS OF THE COMMUNITY ABOUT A VARIETY OF ISSUES, INCLUDING HOW TO MANAGE PARTICULAR MEDICAL ISSUES AND THE IMPORTANCE OF HAVING A MEDICAL HOME. UCMC INVITES COMMUNITY RESIDENTS TO PARTICIPATE IN EVENTS ON SPECIFIC DISEASES AND DIAGNOSES. SOME EXAMPLES OF THESE INITIATIVES INCLUDE: * SOUTH SIDE FIT: A PARTNERSHIP BETWEEN THE TIMOTHY COMMUNITY CORPORATION (TCC) AND UCMC'S URBAN HEALTH INITIATIVE, SOUTH SIDE FIT (SSF) SERVES THE NEEDS OF COMMUNITY MEMBERS WHO HAVE DIABETES, HEART DISEASE, OBESITY AND OTHER CHRONIC DISEASES. TO MEET HEALTH GOALS, PARTICIPANTS COMMIT TO DIABETES SELF-MANAGEMENT WORKSHOPS, NUTRITIONAL AND LIFESTYLE SEMINARS, AND EXERCISE CLASSES, INCLUDING ZUMBA, YOGA, KICKBOXING AND LOW IMPACT WORKOUTS. IN FISCAL YEAR 2022, SSF OFFERED 310 IN-PERSON AND VIRTUAL FITNESS SESSIONS WITH 316 IN TOTAL ATTENDANCE. UCMC AND TCC HOSTED 14 HEALTH EDUCATION WORKSHOPS WITH OVER 833 IN TOTAL ATTENDANCE. * COMMUNITY GRAND ROUNDS. A HALLMARK SERIES OF CCHV, COMMUNITY GRAND ROUNDS (CGR) IS A BIDIRECTIONAL EDUCATIONAL SEMINAR THAT AIMS TO SHARE THE KNOWLEDGE AND RESEARCH OF THE UNIVERSITY WITH THE COMMUNITY AS A WAY TO IMPROVE HEALTH ON THE SOUTH SIDE. COMMUNITY MEMBERS AND UNIVERSITY INVESTIGATORS HAVE A PANEL DISCUSSION REGARDING ESTABLISHED AND EMERGING HEALTH CONCERNS FROM A COMMUNITY PERSPECTIVE. TOPICS ARE CHOSEN BY A WELL ROUNDED GROUP OF COMMUNITY MEMBERS IN PARTNERSHIP WITH FACULTY. SUBJECT MATTERS HAVE INCLUDED (BUT NOT LIMITED TO) BREAST CANCER, MEN'S HEALTH, MENTAL HEALTH AND SUICIDE PREVENTION BUT SINCE SPRING 2020 MANY CGRs HAVE FOCUSED ON THE IMPACT OF COVID-19. CGR HELD 7 SESSIONS WITH OVER 360 ATTENDEES IN 2022. * WVON 1690 AM COMMUNITY HEALTH FOCUS HOUR. A WEEKLY WVON 1690-AM RADIO BROADCAST SERIES LED BY UNIVERSITY OF CHICAGO FACULTY AND INVOLVING COMMUNITY MEMBERS AS GUESTS. THE PROGRAM FOCUSES ON SPECIFIC HEALTH TOPICS IMPACTING THE COMMUNITY, SUCH AS HEALTH DISPARITIES, MENTAL HEALTH, THE IMPACT OF COVID-19, AND MOST RECENTLY THE COMMUNITY FINDINGS FROM THE 2021-2022 CHNA. IN 2022, WVON PRODUCED 43 SHOWS WITH OVER 12,000 FACEBOOK VIEWERS. COMMUNITY BENEFIT GRANTS & SPONSORSHIPS UCMC PROVIDES NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATIONS FUNDING TO SUPPORT HEALTH PROGRAMMING OR A FUNDRAISING EVENT. PRIORITY CONSIDERATION IS GIVEN TO THOSE GRANTS/SPONSORSHIPS THAT ARE IN LINE WITH UCMC'S STRATEGIC HEALTH PRIORITIES. FUNDING TO COMMUNITY ORGANIZATIONS HELPS THEM EXPAND THEIR CAPABILITIES TO SERVE MORE COMMUNITY MEMBERS. IN FY 2022, UCMC AWARDED $240,300 IN GRANTS AND $366,730 IN EVENT SPONSORSHIPS, WHICH WERE USED PRIMARILY TO ADDRESS THE HEALTH PRIORITY AREAS. MEDICAL EDUCATION (COMMUNITY BASED MEDICAL EDUCATION) THROUGH THE PRITZKER SCHOOL OF MEDICINE AND THE URBAN HEALTH INITIATIVE, MEDICAL STUDENTS HAVE MULTIPLE OPPORTUNITIES TO LEARN ABOUT AND SERVE DIFFERENT COMMUNITIES ON CHICAGO'S SOUTH SIDE. BELOW ARE SOME EXAMPLES OF HOW MEDICAL STUDENTS SERVE THE HEALTH NEEDS OF UCMC SERVICE AREA: * COMMUNITY CHAMPIONS. UNIVERSITY OF CHICAGO MEDICINE GRADUATE MEDICAL EDUCATION AND THE URBAN HEALTH INITIATIVE ESTABLISHED A COMMUNITY CHAMPIONS PROGRAM IN 2021, THE GOAL OF WHICH IS TO ENCOURAGE RESIDENTS AND FELLOWS TO CONNECT TO THE SOUTH SIDE COMMUNITY IN HOPES THAT THEY WILL CHOOSE TO PRACTICE HERE. THAT YEAR, THE CHAMPIONS MADE AN IMPACT IMMEDIATELY BY HELPING TO VACCINATE RESIDENTS OF SOUTH SIDE COMMUNITIES AGAINST COVID-19. IN 2022, THE COMMUNITY CHAMPIONS CLASS MORE THAN DOUBLED THEIR NUMBERS FROM 33 TO 78 MEMBERS. COMMUNITY CHAMPIONS ARE NOW TAKING PART IN COMMUNITY EVENTS, PROMOTING DISEASE PREVENTION AND SHARING EDUCATIONAL INFORMATION ON A VARIETY OF HEALTH TOPICS. THE COMMUNITY CHAMPIONS HAVE ENGAGED IN 193 HOURS OF SERVICE FOR SOUTH SIDE COMMUNITIES. * CHICAGO STREET MEDICINE. SOUTH SIDE CHICAGO STREET MEDICINE (CSM) AT THE UNIVERSITY OF CHICAGO CONSISTS OF MEDICAL STUDENTS AND PHYSICIANS WHO SEEK OUT PEOPLE EXPERIENCING HOMELESSNESS - UNDER BRIDGES, ON STREET CORNERS, IN ALLEYWAYS - TO DELIVER CARE ""ON THEIR TERMS, ON THEIR TURF."" GIVEN THAT THIS POPULATION HAS LIMITED ACCESS TO HEALTHCARE OUTSIDE OF SHELTERS AND EMERGENCY ROOM VISITS, SOUTH SIDE CSM HELPS SERVE AS A LINK TO THE HEALTHCARE SYSTEM. THROUGH THIS, ALONG WITH COLLABORATIONS AND PARTNERSHIPS WITH EXISTING ORGANIZATIONS, SOUTH SIDE CSM HOPES TO EXPAND THE RANGE OF SERVICES AND CARE AVAILABLE TO AN EXTREMELY VULNERABLE POPULATION. * HEALTH EQUITY, ADVOCACY, AND ANTI-RACISM (HEAR) COURSE: HEAR ALLOWS STUDENTS TO ENGAGE IN ANTI-RACISM IN THE MEDICAL PROFESSION. REQUIRED FOR ALL FIRST YEAR MEDICAL STUDENTS, IT TAKES PLACE OVER 10 WEEKS WITH A 64 HOUR IN-CLASS COMMITMENT. NO OTHER SCHOOL HAS SUCH A REQUIREMENT FOR THEIR MEDICAL STUDENTS. * STUDENT RUN FREE CLINICS. PRITZKER SCHOOL OF MEDICINE STUDENTS AND PHYSICIANS PROVIDE FREE HEALTH SERVICES AT FIVE STUDENT-RUN FREE CLINICS. THE CLINICS PROVIDE ACCESS TO MEDICAL CARE FOR UNDERSERVED PATIENTS IN SEVERAL AREAS OF CHICAGO-WASHINGTON PARK CHILDREN'S CLINIC AND MARIA SHELTER CLINIC FOR WOMEN AND CHILDREN ON THE SOUTH SIDE; BRIDGEPORT FREE CLINIC SERVING CHINESE IMMIGRANT PATIENTS IN BRIDGEPORT; NLVS CLINIC SERVING SOUTH ASIAN PATIENTS NEAR DEVON STREET; AND CHC CLINIC SERVING PATIENTS ON THE WEST SIDE. THE CLINICS ARE PURELY RUN BY THE MEDICAL STUDENTS WHO BRING IN FACULTY TO ASSIST WITH TREATING PATIENTS. COMMUNITY AFFAIRS IN FISCAL 2022 UCHICAGO MEDICINE OFFICE OF COMMUNITY AFFAIRS ORGANIZED OR TOOK PART IN 78 COMMUNITY EVENTS. NOTABLE EVENTS WERE THE BLACK WOMEN'S EXPO, AFRICAN FESTIVAL OF THE ARTS, AND HEALTHCARE CAREERS FAIR. AT THESE EVENTS STAFF PROVIDED HEALTH EDUCATION, FITNESS AND WELLNESS ACTIVITIES, AND EVEN HEALTHY FOOD TO COMMUNITY MEMBERS. ANNUALLY, THE DAY OF SERVICE AND REFLECTION (DOSAR) BRINGS UNIVERSITY OF CHICAGO FACULTY, STAFF, STUDENTS, FRIENDS AND FAMILIES INTO OUR SERVICE AREA FOR A MORNING OF COMMUNITY SERVICE AROUND SOUTH SIDE NONPROFIT ORGANIZATIONS. FOR THE 20TH ANNIVERSARY OF DOSAR, UCMC VOLUNTEERS SERVED 15 COMMUNITY BASED ORGANIZATIONS ON THE SOUTH SIDE WITH PROJECTS SUCH AS BEAUTIFICATION, DONATION SORTING, AND PAINTING. RESEARCH AND EDUCATION UCMC DEDICATES RESOURCES TO A VARIETY OF CLINICAL, RESEARCH AND EDUCATION INITIATIVES THAT ARE DESIGNED TO PROMOTE BETTER HEALTH RESULTS FOR THE COMMUNITIES UCMC SERVES. UCMC WORKS WITH THE UNIVERSITY TO CONDUCT A WIDE ARRAY OF EXTERNALLY AND INTERNALLY FUNDED BIOLOGIC RESEARCH WITH THE AIM OF FINDING SOLUTIONS TO SOME OF THE COUNTRY'S MOST CRITICAL HEALTH PROBLEMS. HUNDREDS OF CLINICAL RESEARCH PROJECTS ARE BEING CONDUCTED AT UCMC FACILITIES AT ANY ONE TIME AND ARE AVAILABLE TO NEARLY EVERY TYPE OF UCMC PATIENT. AS A RESULT, UCMC PROVIDES THE ONLY COMPREHENSIVE SET OF CLINICAL TRIALS TO PATIENTS IN THE SOUTH SIDE OF CHICAGO. THE INSTITUTE FOR TRANSLATIONAL MEDICINE (ITM) WAS CREATED IN 2007 AT THE UNIVERSITY OF CHICAGO TO ASSEMBLE, INTEGRATE AND CREATE THE INTELLECTUAL, ADMINISTRATIVE AND PHYSICAL RESOURCES REQUIRED TO CATALYZE RESEARCH AND RESEARCH TRAINING IN CLINICAL AND TRANSLATIONAL SCIENCE. UCHICAGO AND ITM AFFILIATE INSTITUTIONS - RUSH UNIVERSITY MEDICAL CENTER (RUSH), NORTHSHORE UNIVERSITY HEALTHSYSTEM, AND THE ILLINOIS INSTITUTE FOR TECHNOLOGY - BUILD THE INFRASTRUCTURE FOR A TRANSFORMATIVE, ENERGIZED AND SELF-IMPROVING HOME FOR CLINICAL AND TRANSLATIONAL RESEARCH. MORE RECENTLY, IN PARTNERSHIP WITH RUSH, LOYOLA UNIVERSITY CHICAGO AND ADVOCATE HEALTH CARE, ITM PURSUES IMPROVED HEALTH OUTCOMES THROUGHOUT CHICAGOLAND BY MITIGATING DISEASE RISK, MORBIDITY AND MORTALITY THROUGH COLLABORATIVE, MULTIDISCIPLINARY TEAM SCIENCE. OVER THE NEXT 20 YEARS ITM WILL STRIVE TO WORK TOGETHER TO PARTICIPATE IN HEALTH RESEARCH AS A MATTER OF SHARED-SELF INTEREST AND SOCIAL JUSTICE. THE INSTITUTE OF TRANSLATIONAL MEDICINE'S COMMUNITY CLUSTER WORKS SIDE-BY-SIDE WITH UCMC'S OFFICE OF COMMUNITY AFFAIRS AND CENTER FOR COMMUNITY HEALTH AND VITALITY AS THE COMMUNITY RESEARCH LIAISON. UCMC IS DEEPLY COMMITTED TO PROVIDING HEALTH CARE SOLUTIONS AND SERVICES FOR PATIENTS, THE COMMUNITY, THE REGION AND THE WORLD. WITH A CONTINUED FOCUS ON ITS THREE CRITICAL MISSIONS - PATIENT CARE, RESEARCH AND EDUCATION - UCMC STRIVES TO BE A LEADER IN COMPLEX CARE AND TO HAVE A LASTING IMPACT ON THE HEALTH AND VITALITY OF CHICAGO'S SOUTH SIDE."

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN PART I, LINE 7 IS THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2.

Schedule H, Part II Community Building Activities
SEE SCHEDULE H, PART VI, LINE 5 FOR DESCRIPTION ON COMMUNITY BUILDING ACTIVITIES.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
THE COST OF BAD DEBT IN PART III, LINE 2 IS BASED ON WORKSHEET 2 IN THE INSTRUCTIONS TO SCHEDULE H. THE BASIS FOR THIS COSTING METHODOLOGY IS UCMC'S OPERATING EXPENSES (EXCLUDING BAD DEBT) ADJUSTED BY OTHER OPERATING REVENUE, THE MEDICAID PROVIDER TAX, COMMUNITY BENEFIT EXPENSE AND COMMUNITY BUILDING EXPENSE DIVIDED BY UCMC'S GROSS PATIENT CHARGES.

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
UCMC RUNS PRESUMPTIVE ELIGIBILITY FOR FINANCIAL ASSISTANCE WHEN SUFFICIENT INFORMATION CANNOT BE OBTAINED. AS A RESULT, UCMC DOES NOT BELIEVE THERE IS ANY BAD DEBT FOR INDIVIDUALS THAT WOULD OTHERWISE QUALIFY FOR ASSISTANCE.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
FOOTNOTE TO FINANCIAL STATEMENTS: IN ACCORDANCE WITH ASC TOPIC 606, REVENUE FROM CONTRACTS WITH CUSTOMERS, THE SYSTEM DOES NOT ADJUST THE PROMISED AMOUNT OF CONSIDERATION FROM PATIENTS AND THIRD PARTY PAYORS FOR THE EFFECTS OF A SIGNIFICANT FINANCING COMPONENT DUE TO THE EXPECTATION THAT THE PERIOD BETWEEN THE TIME THE SERVICE IS PROVIDED TO A PATIENT AND THE TIME THAT THE PATIENT OR A THIRD-PARTY PAYOR PAYS FOR SERVICE WILL BE ONE YEAR OR LESS. REVENUES ARE RECOGNIZED IN THE AMOUNTS TO WHICH IT EXPECTS TO BE ENTITLED, WHICH ARE THE TRANSACTION PRICES ALLOCATED TO THE DISTINCT SERVICES. THE SYSTEM HAS AGREEMENTS WITH GOVERNMENTAL AND OTHER THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE SYSTEM AT AMOUNTS DIFFERENT FROM ESTABLISHED CHARGES. PAYMENT ARRANGEMENTS FOR MAJOR THIRD-PARTY PAYORS MAY BE BASED ON PROSPECTIVELY DETERMINED RATES, REIMBURSED COST, DISCOUNTED CHARGES, PER DIEM PAYMENTS, OR OTHER METHODS. THE TRANSACTION PRICE IS DETERMINED BASED ON GROSS CHARGES FOR SERVICES PROVIDED, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD PARTY PAYERS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE PROGRAM, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO UNINSURED PATIENTS. THE ESTIMATES OF EXPLICIT PRICE CONCESSIONS AND DISCOUNTS ARE BASED ON CONTRACTUAL AGREEMENTS, DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. THE ESTIMATES OF IMPLICIT PRICE CONCESSIONS ARE BASED ON HISTORICAL COLLECTION EXPERIENCE WITH THESE CLASSES OF PATIENTS USING THE PORTFOLIO APPROACH.

Schedule H, Part V, Section B, Line 16a FAP website
- THE UNIV OF CHICAGO MEDICAL CENTER: Line 16a URL: https://www.uchicagomedicine.org/patients-visitors/patient-information/billing/financial-assistance;

Schedule H, Part V, Section B, Line 16b FAP Application website
- THE UNIV OF CHICAGO MEDICAL CENTER: Line 16b URL: https://www.uchicagomedicine.org/patients-visitors/patient-information/billing/financial-assistance;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- THE UNIV OF CHICAGO MEDICAL CENTER: Line 16c URL: https://www.uchicagomedicine.org/patients-visitors/patient-information/billing/financial-assistance;

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
"PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: UCMC HAS INFORMATION ON FINANCIAL ASSISTANCE AND CHARITY CARE IN VARIOUS VENUES AND FORMS, UCMC HAS SIGNS AND BROCHURES VISIBLE IN PATIENT ACCESS AND SERVICE AREAS; FINANCIAL ASSISTANCE AND CHARITY CARE INFORMATION IS ON UCMC'S WEBSITE, GUARANTOR BILLS/STATEMENTS, AND IN ALL UCMC'S ADMISSION PACKETS MAILED TO EACH NEW PATIENT. UCMC DISCUSSES FINANCIAL ASSISTANCE AND CHARITY CARE AVAILABILITY WITH PATIENTS WHO CONTACT UCMC. UCMC FINANCIAL COUNSELORS ALSO EXPLAIN THESE OPTIONS, INCLUDING DURING THE ""MEDICAL ASSISTANCE NO GRANT"" (PUBLIC ASSISTANCE FOR MEDICAL COVERAGE) APPLICATION PROCESS."

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

Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH
"COMMUNITY-BASED INITIATIVES ONE OF UCMC'S INNOVATIVE APPROACHES TO ADDRESSING THE HEALTH CARE SHORTAGE IN ITS COMMUNITY IS THROUGH ITS URBAN HEALTH INITIATIVE (""UHI""). UNDER THE UHI, UCMC PURSUES MEANINGFUL PARTNERSHIPS WITH OTHER PROVIDERS IN THE COMMUNITY TO IMPROVE THE LONG-TERM HEALTH OF PATIENTS AND TO CONDUCT IMPORTANT COMMUNITY-BASED CLINICAL RESEARCH, INCLUDING RESEARCH ON THE DISEASES THAT HAVE THE GREATEST IMPACT IN THE SOUTH SIDE COMMUNITY (E.G., DIABETES, HEART DISEASE, CANCER). CARE DELIVERY INITIATIVES TO HELP PATIENTS CONNECT WITH COMMUNITY HEALTH RESOURCES, UCMC STAFFS ITS EMERGENCY DEPARTMENT WITH PATIENT ADVOCATES WHOSE GOAL IS TO MEET WITH PATIENTS WHO DO NOT HAVE A PRIMARY CARE PROVIDER. THROUGH THE MEDICAL HOME AND SPECIALTY CARE CONNECTIONS PROGRAM (PATIENT ADVOCATES PROGRAM), UCMC PATIENT ADVOCATES CONDUCT COMPREHENSIVE SOCIAL SERVICE ASSESSMENTS AND REFERRALS IN THE EMERGENCY DEPARTMENT. IN FISCAL YEAR 2022, PATIENT ADVOCATES HAD 4,085 ENCOUNTERS WITH PATIENTS AND MADE 3,636 PRIMARY AND SPECIALTY CARE APPOINTMENTS. THE SOUTH SIDE PEDIATRIC ASTHMA CENTER (SSPAC) IS A MULTI-INSTITUTION PARTNERSHIP. THROUGH SSPAC, SIX HEALTH CARE INSTITUTIONS HELP CHILDREN AND FAMILIES ON THE SOUTH SIDE BY CONNECTING THEM TO ASTHMA CARE AND RESOURCES, PROMOTING STANDARDIZED EDUCATION AND DISPATCHING COMMUNITY HEALTH WORKERS (CHW) TO HELP HIGH-RISK PATIENTS. SOME 2022 HIGHLIGHTS OF THE SSPAC INCLUDE: * HOME VISITS: 383 COMMUNITY HEALTH WORKER HOME VISITS TO HELP MANAGE ASTHMA. * ASTHMA EDUCATION SUMMIT: 79 HEALTH CARE PROVIDERS, COMMUNITY MEMBERS, SCHOOL PERSONNEL, FAITH LEADERS AND OTHER COMMUNITY ORGANIZATIONS ATTENDED THE ANNUAL SUMMIT, WHICH WAS HELD VIRTUALLY IN 2022. TOPICS INCLUDED SOCIAL AND EMOTIONAL SUPPORT FOR YOUNG PEOPLE WITH ASTHMA, ASTHMA GUIDELINES AND EXERCISE-INDUCED ASTHMA. * ASTHMA RESOURCES: SSPAC HAS A WEBSITE WITH EASY-TO-UNDERSTAND ASTHMA EDUCATION MATERIALS (AVAILABLE IN ENGLISH AND SPANISH) WITH INFORMATION ON LOCAL AND NATIONAL RESOURCES TO GET HELP CONNECTING TO MEDICAL FACILITIES. * EDUCATION: SSPAC PROVIDES ASTHMA EDUCATION TO THE COMMUNITY (SCHOOLS, DAYCARES, COMMUNITY CLINICS, ETC.) AND HAD 105 COMMUNITY MEMBERS ATTEND ASTHMA TRAININGS. THE SSPAC CHWs ARE PART OF THE LIAISONS IN CARE (LinC) COMMUNITY HEALTH WORKER PROGRAM. CHWS WORK ACROSS SERVICE LINES IN THE HOSPITAL INCLUDING PEDIATRIC ASTHMA, STROKE, HEART FAILURE, ADOLESCENT SICKLE CELL, SEIZURE DISORDERS, HYPERTENSION AND DIABETES, CANCER AND MATERNAL CHILD HEALTH. IN FISCAL YEAR 2022, THERE WAS A TOTAL OF 4,055 PATIENT ENCOUNTERS PERFORMED BY A CHW IN-PERSON, BY PHONE, OR VIRTUALLY. AS PART OF UCMC'S LEVEL 1 ADULT TRAUMA CARE CENTER, THE VIOLENCE RECOVERY PROGRAM (VRP) IS WORKING TO BUILD A VIOLENCE RECOVERY ECOSYSTEM FOR VICTIMS OF INTENTIONAL VIOLENCE AND THEIR FAMILIES. VRP SERVICES BEGIN WHEN THE PATIENT ARRIVES AT THE EMERGENCY DEPARTMENT FOR TRAUMA CARE SERVICES AND MAY INCLUDE: CRISIS INTERVENTION; PSYCHOLOGICAL FIRST AID; TRAUMA PSYCHO-EDUCATION; RE-INJURY RISK ASSESSMENT; PSYCHOSOCIAL ASSESSMENT; SAFE DISCHARGE PLANNING; COMMUNITY-BASED SERVICE PROVIDER REFERRALS; AND ASSERTIVE CASE MANAGEMENT. THE VRP ALSO HELPS PATIENTS AND FAMILIES NAVIGATE THE HEALTH CARE AND SOCIAL SERVICES LANDSCAPE OUTSIDE OF UCMC. THIS COMMITMENT TO CONTINUITY OF CARE AIMS TO ENSURE THAT VICTIMS DO NOT ""FALL THROUGH THE CRACKS."" HIGHLIGHTS FOR FISCAL YEAR 2022 INCLUDE: * 2,136 TOTAL PATIENTS SERVED * 982 FAMILIES SERVED * 274 BEHAVIORAL HEALTH REFERRALS * 149 SOCIAL DETERMINANTS OF HEALTH REFERRALS HEALING HURT PEOPLE-CHICAGO (HHP-C) IS A TRAUMA-INFORMED HOSPITAL-BASED VIOLENCE INTERVENTION MODEL IMPLEMENTED IN EMERGENCY PEDIATRIC SETTINGS IN CHICAGO. TRAUMA INTERVENTION SPECIALISTS HELP SURVIVORS OF VIOLENT TRAUMA BY PROVIDING ONGOING INTENSIVE CASE MANAGEMENT AND TRAUMA PSYCHOEDUCATION/SUPPORT GROUPS. HHP-C IS A PARTNERSHIP OF UCMC'S COMER CHILDREN'S HOSPITAL, JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY AND DREXEL UNIVERSITY IN PHILADELPHIA, WHERE THE HEALING HURT PEOPLE MODEL WAS FIRST DEVELOPED. THE RECOVERY & EMPOWERMENT AFTER COMMUNITY TRAUMA (REACT) CLINIC SERVES PEDIATRIC PATIENTS WHO HAVE EXPERIENCED COMMUNITY VIOLENCE (PAST AND/OR PRESENT EXPOSURES) AND ARE REFERRED TO THE REACT CLINIC TO RECEIVE TRAUMA-INFORMED PSYCHIATRIC AND PSYCHOLOGICAL ASSESSMENTS TO DETERMINE THE IMPACT OF COMMUNITY VIOLENCE AFFECTING OVERALL FUNCTIONING IN YOUTH. THE ASSESSMENT PROCESS IS FOLLOWED BY A FEEDBACK SESSION FOR THE FAMILY, WHICH INCLUDES TREATMENT RECOMMENDATIONS TO ADDRESS PRESENTING CONCERNS. REACT CLINICIANS SERVE CHILDREN, ADOLESCENTS, AND YOUNG ADULTS (19-25). FROM OCTOBER 2021 TO SEPTEMBER 2022, REACT AND HHP-C SERVED 512 CHILDREN, ADOLESCENTS, AND ADULT FAMILY MEMBERS AFFECTED BY TRAUMA, INCLUDING 260 VIOLENTLY INJURED PATIENTS OF ALL AGES AT UCHICAGO MEDICINE. REACT AND HHP-C SERVED A RECORD NUMBER OF VIOLENTLY INJURED CHILDREN AND ADOLESCENTS THIS YEAR. 196 PATIENTS AGED 19 OR UNDER RECEIVED OUTREACH, SUPPORT, AND/OR PSYCHOEDUCATION. THIS IS COMPARED TO 176 PATIENTS IN 2020 AND 165 IN 2021. INNOVATIVE EFFORTS TO BENEFIT UCMC'S COMMUNITY THE FOLLOWING HIGHLIGHTS UCMC'S INNOVATIVE EFFORT WITH A COMMUNITY HEALTH LENS THAT LEVERAGES TECHNOLOGY, CROSS-SECTOR COLLABORATIONS AND MULTI-DISCIPLINARY APPLICATION LEARNINGS TO IMPROVE HEALTH AND ENGAGE THE COMMUNITY. THE SOUTH SIDE HEALTHY COMMUNITY ORGANIZATION (SSHCO) IS THE WORK OF 13 SOUTH SIDE HEALTHCARE ORGANIZATIONS, SAFETY NET HOSPITALS, HEALTH SYSTEMS AND FEDERALLY QUALIFIED HEALTH CENTERS. THE SSHCO HAS BEEN SUPPORTED BY STATE FUNDING SINCE 2021. COLLABORATIVELY, THE SSHCO WORKS TO BETTER CONNECT HEALTH ORGANIZATIONS, INCREASE ACCESS TO CARE, ADDRESS SOME OF THE MOST CHALLENGING HEALTH ISSUES AND MAKE SURE WE HAVE STRONGER, HEALTHIER COMMUNITIES ACROSS THE SOUTH SIDE OF CHICAGO. NOTABLE HIGHLIGHTS FOR 2022 INCLUDE: * BECAME A 501(C)(3) NON-PROFIT ORGANIZATION IN AUGUST 2021 * HIRED A NEW CEO * HIRED SEVERAL COMMUNITY HEALTH WORKERS AND NURSE CARE COORDINATORS TO SUPPORT PATIENT NEEDS AT SSHCO CARE SITES * DEVELOPED TECHNOLOGY PLATFORM THAT CONNECTS PARTNER SITES * SOLICITED FEEDBACK THROUGH ONLINE TOWN HALL MEETINGS FOR MORE THAN 1,000 COMMUNITY MEMBERS * LAUNCHED REQUEST FOR PROPOSAL PROCESS TO AWARD $2.2 MILLION IN GRANTS TO COMMUNITY BASED ORGANIZATIONS WITH THE AIM OF PROVIDING TRANSPORTATION SERVICES, AND SUPPORT TO HELP WITH SOCIAL DETERMINANTS OF HEALTH UCMC HAS UNDERTAKEN RESEARCH INITIATIVES THAT ENGAGE SOUTH SIDE RESIDENTS IN FINDING INNOVATIVE, COMMUNITY-BASED SOLUTIONS TO ONGOING HEALTH CARE NEEDS. FOR EXAMPLE, UHI LAUNCHED THE CENTER FOR COMMUNITY HEALTH AND VITALITY (""CCHV""), WHICH PROVIDES COMMUNITY MEMBERS A LINKAGE TO RESEARCH FINDINGS FROM UNIVERSITY OF CHICAGO INVESTIGATORS THAT CAN HELP IMPROVE COMMUNITY HEALTH OUTCOMES. CCHV AND UHI FUND BOTH COMMUNITY GRAND ROUNDS AND THE WELLNESS RESILIENCY ARTS PROGRAM (WRAP), A COMMUNITY-BASED ARTS PROGRAM WHICH PROVIDES HIGH QUALITY PERFORMING AND VISUAL ARTS EXPERIENCES FOR YOUTH EXPOSED TO TRAUMA IN THE COMMUNITY. OVER A ONE WEEK PERIOD IN 2022, 9 HIGH SCHOOL STUDENTS PARTICIPATED IN VIRTUAL ARTS PROGRAMMING. FRESH START CARING FOR KIDS FOUNDATION (FRESH START) AND UCMC COLLABORATE TO PROVIDE NO-COST RECONSTRUCTIVE SURGICAL CARE TO CHILDREN WITH CONGENITAL AND ACQUIRED PHYSICAL DEFORMITIES FROM LOW INCOME FAMILIES. OVER 30 UCMC SURGEONS, ANESTHESIOLOGISTS, NURSES, TECHS AND OTHER KEY STAFF WORK IN TANDEM OVER MULTIPLE WEEKENDS TO PROVIDE THESE SURGERIES TO CHILDREN. DURING FY 2022, 7 CHILDREN RECEIVED FREE SURGICAL SERVICES UNDER THIS PROGRAM. (CONTINUED ON NEXT PAGE)"

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
PAYMENT RATES FOR MEDICARE GENERALLY ARE SET BY LAW, RATHER THAN THROUGH A NEGOTIATION PROCESS AS WITH PRIVATE INSURERS. THESE PAYMENT RATES ARE CURRENTLY SET BELOW UCMC'S COSTS OF PROVIDING THE CARE, WHICH UCMC ACCEPTS AS A VOLUNTARY PARTICIPANT IN THE MEDICARE PROGRAM. UCMC TAKES SERIOUSLY ITS COMMITMENT TO PROVIDE CRITICAL PROGRAMS AND SERVICES THAT INCREASE ACCESS TO HEALTHCARE, IMPROVE THE HEALTH OF ITS COMMUNITY, HELP RELIEVE THE BURDENS OF GOVERNMENT WITH RESPECT TO THE PROVISION AND PAYMENT OF HEALTHCARE, AND ATTEND TO ADULT AND PEDIATRIC DISABLED PATIENTS AS WELL AS THE ELDERLY MEDICARE POPULATION, OFTEN THE MORE VULNERABLE MEMBERS OF OUR COMMUNITY. THIS SAME RATIONALE APPLIES TO MEDICAID RECIPIENTS, TOO POOR TO COVER THEIR OWN HEALTH CARE EXPENSES.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
"UCMC PROVIDES DISCOUNTS FOR A PATIENT WHO QUALIFIES FOR TWELVE (12) MONTHS AFTER HE/SHE QUALIFIES. IN ADDITION, UCMC COORDINATES ITS DISCOUNTS WITH UNIVERSITY OF CHICAGO PROVIDER GROUP (UCPG) FOR THE PHYSICIAN BILLING, WHICH IS THROUGH THE UNIVERSITY OF CHICAGO. IN A 12 MONTH PERIOD FOR MEDICALLY NECESSARY HEALTH CARE SERVICES PROVIDED BY UCMC TO AN UNINSURED OR UNDERINSURED PATIENT, THE PATIENT IS NOT RESPONSIBLE TO PAY FOR MORE THAN THAT AMOUNT OF BILLED CHARGES IN EXCESS OF 20% OF THE PATIENT'S FAMILY INCOME. THIS ""MEDICAL INDIGENCY DISCOUNT"" IS SUBJECT TO THE PATIENT'S CONTINUED ELIGIBILITY DURING THE APPLICABLE TIME PERIOD. THE 12 MONTH PERIOD TO WHICH THE MAXIMUM AMOUNT APPLIES SHALL BEGIN ON THE FIRST DATE THE PATIENT RECEIVES MEDICALLY NECESSARY HEALTH CARE SERVICES THAT ARE DETERMINED TO BE ELIGIBLE FOR THE MEDICAL INDIGENCY DISCOUNT AT UCMC. IN ORDER FOR UCMC TO DETERMINE THE 12 MONTH MAXIMUM AMOUNT THAT CAN BE COLLECTED FROM A PATIENT DEEMED ELIGIBLE, THE PATIENT MUST INFORM UCMC IN SUBSEQUENT INPATIENT ADMISSIONS OR OUTPATIENT ENCOUNTERS THAT THE PATIENT HAS PREVIOUSLY BEEN DETERMINED TO BE ENTITLED TO THE MEDICAL INDIGENCY DISCOUNT. SOME PATIENTS ARE NOT RESPONSIVE IN PROVIDING INFORMATION TO APPLY FOR CHARITY CARE, AT WHICH POINT UCMC MAY LEARN OF THEIR QUALIFICATIONS AFTER THE BILL IS SENT TO COLLECTIONS. IF A PATIENT/GUARANTOR HAS BEEN APPROVED BY UCMC FOR CHARITY CARE AND THE ACCOUNT HAS ALREADY BEEN SENT TO AN OUTSIDE COLLECTION AGENCY, UCMC WILL NOTIFY THE AGENCY OF THE APPROVAL. IF THE APPROVAL WAS FOR 100% DISCOUNT, THE AGENCY WILL BE ADVISED TO CLOSE THE ACCOUNT AS CHARITY CARE AND UCMC STAFF WILL PROCESS AN AGENCY CODE CHANGE IN THE UCMC SYSTEM. IF THE CHARITY CARE ADJUSTMENT IS NOT 100%, THE AGENCY IS NOTIFIED OF THE APPROVED DISCOUNT AND ADVISED TO ADJUST THE BALANCE SHOWN AS DUE BY THE APPROVED DISCOUNT AMOUNT. UCMC STAFF WILL CONCURRENTLY AMEND THE BALANCES DUE IN THE BAD DEBT SYSTEM BY THE APPROVED DISCOUNT AMOUNT."

Schedule H, Part VI, Line 2 Needs assessment
UCMC ASSESSES THE HEALTH CARE NEEDS OF THE SOUTH SIDE SERVICE AREA THROUGH THE IMPLEMENTATION OF THE CHNA, STAKEHOLDER ENGAGEMENT, AND COMMUNITY BENEFIT GRANT OPPORTUNITIES FOR COMMUNITY-BASED ORGANIZATIONS. UCMC CONDUCTED ITS CHNA BETWEEN APRIL 2021 AND FEBRUARY 2022 USING A PROCESS THAT WAS ADAPTED FROM THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) FRAMEWORK. THIS PLANNING FRAMEWORK FOCUSES ON COMMUNITY ENGAGEMENT, PARTNERSHIP DEVELOPMENT, AND INCLUSION OF THOSE WHO HAVE HISTORICALLY BEEN EXCLUDED FROM DECISION-MAKING PROCESSES. PRIMARY DATA FOR THE CHNA WAS COLLECTED THROUGH FOUR CHANNELS: > COMMUNITY RESIDENT SURVEYS > COMMUNITY RESIDENT FOCUS GROUPS > HEALTHCARE AND SOCIAL SERVICE PROVIDER FOCUS GROUP > KEY INFORMANT INTERVIEWS THE COMMUNITY RESIDENT SURVEY TOOL WAS DEVELOPED BY UCMC STAFF AND THE COMMUNITY ADVISORY COUNCIL OVER 12 FEEDBACK SESSIONS AND BASED ON A DESIGN USED BY OTHER PUBLIC HEALTH AGENCIES. THE FINAL SURVEY TOOL INCLUDED 29 QUESTIONS AND ASKED RESPONDENTS TO IDENTIFY HEALTH NEEDS OF YOUTH (0-17 YEARS), ADULTS (18-64 YEARS), AND SENIORS (65+ YEARS). COMMUNITY RESIDENT SURVEYS WERE AVAILABLE ONLINE AND IN PERSON IN BOTH ENGLISH AND SPANISH. COMMUNITY PARTNERS DISTRIBUTED THE SURVEY THROUGH VARIOUS CHANNELS WITH A PARTICULAR EMPHASIS ON SURVEYING TYPICALLY UNDERREPRESENTED POPULATIONS, SUCH AS COMMUNITIES OF COLOR, IMMIGRANTS AND MEMBERS OF THE LGBTQ+ COMMUNITY. UCMC HELD SIX FOCUS GROUPS, EACH COVERING A SPECIFIC HEALTH AREA OR POPULATION: > ADULT HEALTH > MATERNAL HEALTH > YOUTH HEALTH > COMMUNITY SAFETY AND VIOLENCE > MENTAL HEALTH > HEALTHCARE AND SOCIAL SERVICE PROVIDERS DUE TO THE COVID-19 PANDEMIC, UCMC CONDUCTED MOST OF ITS FOCUS GROUPS VIRTUALLY. EACH FOCUS GROUP LASTED 90 MINUTES WITH UP TO 12 COMMUNITY MEMBERS IN EACH ONE. TEN KEY INFORMANTS WERE IDENTIFIED FOR 1:1 INTERVIEWS. EACH INFORMANT REPRESENTED A VULNERABLE OR MEDICALLY UNDERREPRESENTED POPULATION AND WAS SELECTED TO FURTHER EXPLORE THEMES THAT EMERGED FROM THE COMMUNITY RESIDENT SURVEYS AND FOCUS GROUPS. KEY INFORMANT INTERVIEWS WERE CONDUCTED VIRTUALLY AND EACH LASTED 30 MINUTES. SECONDARY POPULATION HEALTH AND DEMOGRAPHIC DATA WAS COLLECTED FROM A VARIETY OF SOURCES, INCLUDING ILLINOIS HOSPITAL ASSOCIATION (IHA) COMPDATA. UCMC USED A COMMON SET OF HEALTH INDICATORS TO UNDERSTAND THE PREVALENCE OF MORBIDITY AND MORTALITY IN THE SERVICE AREA. ALL DATA WERE UPLOADED AND ANALYZED USING THE METOPIO DATA PLATFORM. BUILDING ON UCMC'S PAST CHNAS, THE COMMUNITY BENEFIT AND EVALUATION TEAM WORKED WITH THE COMMUNITY BENEFIT STEERING COMMITTEE, AS WELL AS THE COMMUNITY ADVISORY COUNCIL TO PRIORITIZE HEALTH ISSUES FOR UCMC'S COMMUNITY BENEFIT PROGRAMMING FOR FY 2023-2025. REPRESENTATIVES FROM THE UCMC URBAN HEALTH INITIATIVE, SELECT UCMC FACULTY, AND COMMUNITY STAKEHOLDERS WERE AMONG THE THREE MAJOR CONSTITUENCIES INVOLVED IN THE HEALTH PRIORITY SELECTION PROCESS. THESE CONSTITUENCIES WERE STRATEGICALLY SELECTED FOR THEIR RESPECTIVE UNDERSTANDING OF COMMUNITY PERSPECTIVES, COMMUNITY ENGAGEMENT, AND COMMUNITY HEALTH EDUCATION EFFORTS. FOR MORE INFORMATION ON UCMC'S SELECTED HEALTH PRIORITY AREAS PLEASE SEE PART V, SECTION B, LINE 11.

Schedule H, Part VI, Line 4 Community information
THE UCMC SERVICE AREA CONSISTS OF A LARGE, MEDICALLY UNDERRESOURCED, LOW INCOME POPULATION ON CHICAGO'S SOUTH SIDE, A COMMUNITY THAT IS AMONG ONE OF THE MOST ECONOMICALLY CHALLENGED COMMUNITIES IN THE STATE OF ILLINOIS AND THAT HAS A CRITICAL NEED FOR QUALITY HEALTHCARE. BASED ON THE RESULTS OF THE 2021-2022 CHNA, THE POPULATION OF UCMC SERVICE AREA IS APPROXIMATELY 74% AFRICAN AMERICAN, 7% WHITE AND 15% HISPANIC/LATINX. THE UCMC SERVICE AREA IS RELATIVELY LOW-INCOME COMPARED TO THE CITY OF CHICAGO AS A WHOLE WITH 26.7% OF COMMUNITY RESIDENTS REPORTING FAMILY INCOMES BELOW THE FEDERAL POVERTY LEVEL COMPARED WITH 18.4% FOR THE CITY AS A WHOLE. IN ADDITION, THE UNEMPLOYMENT RATE IN THE UCMC SERVICE AREA (15.8%) IS NEARLY DOUBLE THE RATE OF CITY OF CHICAGO (8.1%). NEARLY HALF OF CHICAGO'S RESIDENTS WHO LIVE IN FOOD DESERTS LIVE IN THE SERVICE AREA. THE UCMC SERVICE AREA IS COMPRISED OF 28 CHICAGO COMMUNITY AREAS ACROSS 12 ZIP CODES. THE UCMC SERVICE AREA COMPRISES 626,264 PEOPLE, MANY OF WHOM ARE UNDERSERVED BY THE HEALTH CARE SYSTEM. IT IS ONE OF THE UNHEALTHIEST AREAS IN COOK COUNTY, WITH HIGH RATES OF DIABETES, HEART DISEASE AND OTHER CHRONIC CONDITIONS. WHILE THE LEADING CAUSES OF DEATH IN THE SERVICE AREA MIRROR THOSE IN THE CITY OF CHICAGO, ALMOST ALL THE CAUSES DISPROPORTIONATELY IMPACT THE NON-HISPANIC BLACK POPULATION. MORTALITY RATES OF HEART DISEASE, STROKE, CHRONIC LOWER RESPIRATORY DISEASE, ALZHEIMER'S DISEASE AND DIABETES-RELATED DEATHS IS HIGHER IN THE UNIVERSITY OF CHICAGO MEDICAL CENTER SERVICE AREA COMPARED TO CHICAGO AS A WHOLE. CANCER - THE SECOND LEADING CAUSE OF DEATH IN THE SERVICE AREA- IMPACTS COMMUNITY MEMBERS AT A HIGHER RATE. SOUTH SIDE RESIDENTS ARE TWICE AS LIKELY TO DIE FROM CANCER THAN THOSE LIVING IN OTHER PARTS OF THE U.S. UCMC IS ONE OF THE FEW HOSPITALS-AND THE ONLY ACADEMIC MEDICAL CENTER-LOCATED IN THE SOUTH SIDE OF CHICAGO. AT THE SAME TIME, HOSPITALIZATION RATES IN UCMC'S SERVICE AREA ARE MUCH HIGHER THAN THE METROPOLITAN AVERAGE. THE PREVENTABLE CHRONIC CONDITIONS HOSPITALIZATION RATE FOR THE SERVICE AREA IS AMONG THE HIGHEST 5% IN ILLINOIS. TYPE 2 DIABETES HOSPITALIZATIONS ARE IN THE 95TH PERCENTILE, AND STROKE, COPD HOSPITALIZATIONS ARE IN THE 90TH PERCENTILE. IN ADDITION TO CHRONIC CONDITIONS, THE UCMC SERVICE AREA IS IN THE 95TH PERCENTILE FOR BEHAVIORAL HEALTH HOSPITAL ADMISSIONS. LASTLY, SURVEYS, FOCUS GROUPS, KEY INFORMANTS, UTILIZATION DATA AND SECONDARY DATA IDENTIFIED VIOLENT CRIME AS A MAJOR ISSUE IN THE SERVICE AREA. THE EMERGENCY DEPARTMENT VISIT RATE FOR ASSAULT BY FIREARMS FOR YOUNG ADULTS (18-39) IS IN THE 95TH PERCENTILE IN ILLINOIS AND OVER DOUBLE THE RATE FOR THE CITY OF CHICAGO.

Schedule H, Part VI, Line 6 Affiliated health care system
THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS REPRESENT THE ACCOUNTS OF THE UNIVERSITY OF CHICAGO MEDICAL CENTER AND ITS AFFILIATES (THE SYSTEM). THE UNIVERSITY OF CHICAGO MEDICAL CENTER (UCMC) IS THE PARENT OF AN INTEGRATED NONPROFIT HEALTHCARE ORGANIZATION, COLLABORATING WITH THE UNIVERSITY OF CHICAGO BIOLOGICAL SCIENCES DIVISION, THE UNIVERSITY OF CHICAGO PRITZKER SCHOOL OF MEDICINE, AND THE UNIVERSITY OF CHICAGO PHYSICIANS GROUP TO PROVIDE WORLD-CLASS MEDICAL CARE IN AN ACADEMIC SETTING. INCLUDED WITHIN UCMC ARE THE FOLLOWING ENTITIES; THE CENTER FOR CARE AND DISCOVERY, THE BERNARD MITCHELL HOSPITAL, THE CHICAGO LYING-IN HOSPITAL, THE UNIVERSITY OF CHICAGO COMER CHILDREN'S HOSPITAL, THE DUCHOSSOIS CENTER FOR ADVANCED MEDICINE, THE UNIVERSITY OF CHICAGO MEDICINE CARE NETWORK, THE UCM COMMUNITY HEALTH AND HOSPITAL DIVISION, INC. (CHHD), AND VARIOUS OTHER OUTPATIENT CLINICS AND TREATMENT AREAS. UCMC'S OBLIGATED GROUP INCLUDES THE FOLLOWING ENTITIES: UCMC (EXCLUDING THE UNIVERSITY OF CHICAGO MEDICINE CARE NETWORK, UCMC TITLE HOLDING CORPORATION, AND UCMC TITLE HOLDING CORPORATION II NFP), INGALLS HEALTH SYSTEM, INGALLS MEMORIAL HOSPITAL, INGALLS DEVELOPMENT FOUNDATION, AND INGALLS HOME CARE AS PRESENTED IN THE SUPPLEMENTAL CONSOLIDATING SCHEDULES. ENTITIES OF UCMC THAT ARE INCLUDED IN THE NON-OBLIGATED GROUP ARE THE UNIVERSITY OF CHICAGO MEDICINE CARE NETWORK, UNIVERSITY OF CHICAGO MEDICINE MEDICAL GROUP, UCMC TITLE HOLDING CORPORATION, AND UCMC TITLE HOLDING CORPORATION II NFP. ENTITIES OF CHHD THAT ARE INCLUDED IN THE NON-OBLIGATED GROUP ARE INGALLS PROVIDER GROUP, INGALLS CARE NETWORK, MEDCENTRIX, INGALLS HEALTH VENTURES, INGALLS CASUALTY INSURANCE, TRULEN INSURANCE SPC LIMITED, AND INGALLS SAME DAY SURGERY. THE RELATIONSHIP BETWEEN UCMC AND THE UNIVERSITY IS DEFINED IN THE MEDICAL CENTER BYLAWS, AN AFFILIATION AGREEMENT, AN OPERATING AGREEMENT, AND SEVERAL LEASES.