4A (Expenses $ 639899848 including grants of $ 586807) (Revenue $ 827855074)
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK OPERATED 4 ACUTE CARE HOSPITALS. ST. MARY'S HOSPITAL IS A 178-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING JULY 1, 2020 - JUNE 30, 2021, ST. MARY'S HOSPITAL TREATED 4,785 ADULTS AND CHILDREN FOR A TOTAL OF 20,025 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 109,978 OUTPATIENT VISITS, WHICH INCLUDED 2,713 OUTPATIENT SURGERIES AND 22,020 EMERGENCY ROOM VISITS. ST. JOSEPH MEDICAL CENTER IS A 478-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING JULY 1, 2020 - JUNE 30, 2021, ST. JOSEPH MEDICAL CENTER TREATED 14,648 ADULTS AND CHILDREN FOR A TOTAL OF 82,276 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 201,767 OUTPATIENT VISITS, WHICH INCLUDED 5,012 OUTPATIENT SURGERIES AND 47,550 EMERGENCY ROOM VISITS. ST. JOSEPH HOSPITAL - ELGIN IS A 184-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING JULY 1, 2020 - JUNE 30, 2021, ST. JOSEPH HOSPITAL - ELGIN TREATED 5,061 ADULTS AND CHILDREN FOR A TOTAL OF 31,496 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 72,906 OUTPATIENT VISITS, WHICH INCLUDED 2,214 OUTPATIENT SURGERIES AND 19,075 EMERGENCY ROOM VISITS. MERCY MEDICAL CENTER IS A 267-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING JULY 1, 2020 - JUNE 30, 2021, MERCY MEDICAL CENTER TREATED 6,301 ADULTS AND CHILDREN FOR A TOTAL OF 34,892 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 87,451 OUTPATIENT VISITS, WHICH INCLUDED 1,821 OUTPATIENT SURGERIES AND 26,874 EMERGENCY ROOM VISITS. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS. As part of the Ascension Catholic health ministry, the filing organization served in support of Ascension's commitment to both care for patients and communities and support caregivers and other associates through the challenges of the COVID-19 global pandemic in FY21.

Schedule H, Part V, Section B, Line 3E
TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED.

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - AMITA HEALTH SAINT JOSEPH MEDICAL CENTER. Saint Joseph Joliet and members of the Will County Mobilizing through Action, Planning and Partnership (MAPP) Collaborative, a collaborative of the Will County Health Department, local hospitals and community partners, worked together over 16 months (May 2018-November 2019) to build a comprehensive 2019 Community Health Needs Assessment (CHNA) for Will County. Using the Mobilizing for Action through Planning and Partnerships (MAPP) model for the CHNA, Will County MAPP Collaborative engage diverse groups of community residents and stakeholders and gathered robust data from various perspectives about health status and health behaviors. These prioritized health needs were selected in coordination with community residents and stakeholders through dedicated workgroups, focus groups, and 1,688 community survey responses. IN 2018, THE WILL COUNTY MAPP COLLABORATIVE CONVENED TO CONDUCT THE FOURTH ITERATION OF THE MAPP PROCESS. MAPP IS A COMMUNITY-DRIVEN, STRATEGIC PLANNING FRAMEWORK THAT ASSISTS COMMUNITIES IN DEVELOPING AND IMPLEMENTING EFFORTS AROUND THE PRIORITIZATION OF PUBLIC HEALTH ISSUES AND THE IDENTIFICATION OF RESOURCES TO ADDRESS THEM, AS DEFINED BY THE 10 ESSENTIAL PUBLIC HEALTH SERVICES. THE MAPP PROCESS HAS SIX PHASES WHICH INCLUDE FOUR ASSESSMENTS. COMMUNITY HEALTH STATUS ASSESSMENT THE COMMUNITY HEALTH STATUS ASSESSMENT (CHSA) IS ONE OF FOUR ASSESSMENTS CONDUCTED AS A PART OF THE MAPP PROCESS. DURING THIS ASSESSMENT, INFORMATION REGARDING DEMOGRAPHICS, HEALTH STATUS, HEALTH BEHAVIORS, AND SOCIAL DETERMINANTS IN THE COMMUNITY IS GATHERED AND ANALYZED. DATA IS COLLECTED FROM A VARIETY OF RESOURCES AND ANALYZED COMPARING LOCAL, STATE, AND NATIONAL BENCHMARKS WHEN AVAILABLE. THE CHSA WAS CONDUCTED MAY 2018 - JANUARY 2019 COMMUNITY THEMES AND STRENGTHS ASSESSMENT THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT (CTSA) AIMS TO GATHER COMMUNITY MEMBERS' PERCEPTIONS, THOUGHTS, OPINIONS, AND CONCERNS REGARDING QUALITY OF LIFE IN WILL COUNTY. THIS INPUT PROVIDES VALUABLE INSIGHT INTO THE ISSUES OF IMPORTANCE TO THE COMMUNITY. THE CTSA WAS CONDUCTED MARCH-AUGUST 2019. FORCES OF CHANGE ASSESSMENT THE FORCES OF CHANGE ASSESSMENT (FOCA) AIMS TO IDENTIFY ALL THE FORCES AND ASSOCIATED OPPORTUNITIES AND THREATS THAT CAN AFFECT, EITHER NOW OR IN THE FUTURE, THE LOCAL PUBLIC HEALTH SYSTEM. FORCES MAY BE SOCIAL, ECONOMIC, POLITICAL, TECHNOLOGICAL, ENVIRONMENTAL, SCIENTIFIC, LEGAL, AND/OR ETHICAL IN NATURE. FORCES CAN BE TRENDS, FACTORS, OR EVENTS. THE FOCA WAS CONDUCTED FEBRUARY-MAY 2019. LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT (LPHSA) WAS HELD VIA ELECTRONIC SURVEY AND WAS CONDUCTED IN MAY 2019. THE LPHSA IS USED TO UNDERSTAND THE OVERALL STRENGTHS AND WEAKNESSES OF THE PUBLIC HEALTH SYSTEM BASED ON THE 10 ESSENTIAL PUBLIC HEALTH SERVICES. The medically underserved, low-income and minority populations represented through these methods and/or organizations include: Aunt Martha's Health Services Catholic Charities Diocese of Joliet Chestnut Health Systems Easterseals Joliet Region, Inc. Edward-Elmhurst Hospital Governors State University Greater Joliet Area YMCA New Life Church Senior Services of Will County Silver Cross Hospital Stepping Stones, Inc. Three Rivers Manufacturers' Association United Way of Will County Valley View School District Will County Board Will County Community Health Center Will County Executive's Office Will County Health Department

Schedule H, Part V, Section B, Line 6a Facility , 1
Facility , 1 - AMITA HEALTH SAINT JOSEPH MEDICAL CENTER. AMITA HEALTH SAINT JOSEPH MEDICAL CENTER PARTNERED WITH SILVER CROSS HOSPITAL, ADVENTIST BOLINGBROOK HOSPITAL AND EDWARD-elmhurst health.

Schedule H, Part V, Section B, Line 6b Facility , 1
Facility , 1 - AMITA HEALTH SAINT JOSEPH MEDICAL CENTER. THE CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITIES: -Aunt Martha's Health Services; -Catholic Charities Diocese of Joliet; -Chestnut Health Systems; -Easterseals Joliet Region, Inc.; -Governors State University; -Greater Joliet Area YMCA; -New Life Church; -Senior Services of Will County ; -Stepping Stones, Inc.; -Three Rivers Manufacturers' Association; -United Way of Will County; -Valley View School District; -Will County Board ; -Will County Community Health Center; -Will County Executive's Office; -Will County Health Department; -Will-Grundy Medical Clinic

Schedule H, Part V, Section B, Line 7 Facility , 1
Facility , 1 - AMITA HEALTH SAINT JOSEPH MEDICAL CENTER. COPIES OF THE CHNA REPORT WERE MAILED AND/OR E-MAILED TO COMMUNITY PARTNERS WHO PARTICIPATED IN THE CHNA PROCESS. PARTNERS WERE ALSO PROVIDED LINKS TO THE WEBSITE FOR DISSEMINATION TO INDIVIDUALS ON THEIR MAILING LISTS AND RESPECTIVE CONSTITUENTS.

Schedule H, Part V, Section B, Line 11 Facility , 1
Facility , 1 - AMITA HEALTH SAINT JOSEPH MEDICAL CENTER. Summary of Implementation Strategy: Saint Joseph - Joliet has developed an Implementation Strategy for the next three years that describes the programs we are undertaking to address these prioritized health needs in our community. Prioritized Health Needs The following significant and prioritized health needs will be addressed in the 2021-2023 (fiscal year) implementation strategy: - Behavioral Health and Substance Use - Access to Health Care - Access to Food & Nutrition - Stabilization of the Built Environment The Medical Center will address all of the above significant and prioritized needs. The collective monitoring, reporting progress and revising will ensure the plan remains relevant and effective. The information below describes actions taken in the reporting period from the AMITA Health Saint Joseph Medical Center FY2021-2023 Implementation Strategy and other priority programs designed to address each priority need including any indicators for improvement. In 2020 & 2021, due to the continued COVID-19 pandemic, Saint Joseph shifted some of its community priorities to meet the immediate needs of hospitalized patients and also COVID-19 vaccination efforts for associates and the community. Saint Joseph remained focused on continued re-emergence of implementation strategy plans while addressing other key issues exacerbated by the pandemic, such as food insecurity, COVID-19 vaccination efforts and connecting people to vital resources in the community. Behavioral Health and Substance Use Strategy: Mental Health First Aid Trainings Progress: In FY22, Saint Joseph Medical Center continued reaching out to external partners to host trainings. In FY22, two youth Mental Health First Aid trainings were held for 16 community members. Behavioral Health and Substance use Strategy: Warm Hand-Off Program Progress: In FY22, Saint Joseph Medical Center continued to partner with Family Guidance Center to offer an on-site certified alcohol and drug counselor to assist the patients and community with treatment options. This program targets those who are uninsured and the Medicaid populations. In FY22, on average 25 persons were screened for treatment each month and 14 persons were able to secure treatment during a six-month reporting period in FY22. Access to Health Care Strategy: Partnerships with Will-Grundy Medical Center and Aunt Martha's Health and Wellness Progress: In FY22, the hospital continued to meet with Aunt Martha's to enhance care coordination and referrals of patients needing a medical home. The hospital also continued to provide financial support to the Will-Grundy Medical Clinic, a free and charitable clinic. Annually, the Clinic provides free care to vulnerable persons including diagnostic and surgical care coordination at a value of over $10 million. Access to Food and Nutrition Strategy: Rx Mobile Food Pantries & Micro Pantry Progress: In FY22, Joseph continued to partner with Northern Illinois Food Bank to assist those in need through the My Pantry Express (MPX) referral program. 599 persons have been screened for this program with 32 testing positive for food insecurity and referred to the MPX program in FY22. Additionally, the medical center continued to offer the 24/7 emergency micro pantry to the community. The pantry served 3,822 persons in FY22. Stabilization of the Built Environment Strategy: Health and Housing Collaboration Progress: Work on formalizing a health and housing collaborative among the hospital and other key housing community organizations was paused due to the pandemic. In FY22, work began again to re-start the effort including establishing the Continuum of Care as its own organization with a full-time executive director dedicated to eliminating homelessness. Additionally, through collaboration, an annual report on health and housing for the county was prepared that included identified goals, resolutions, and strategies. Saint Joseph continues to be an active participant in meetings and in advancing the collaborative work on homelessness.

Schedule H, Part V, Section B, Line 3E
TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED.

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - AMITA HEALTH MERCY MEDICAL CENTER. Mercy and Saint Joseph - Elgin and members of the Kane County Kane Health Counts Collaborative, a collaborative of the Kane County Health Department, local hospitals and community partners, worked together over 8 months (April 2020-January 2021) to build a comprehensive Community Health Needs Assessment (CHNA) for Kane County. Using the Mobilizing for Action through Planning and Partnerships (MAPP) model for the CHNA, Kane County Kane Health Counts Collaborative have engaged diverse groups of community residents and stakeholders and gathered robust data from various perspectives about health status and health behaviors. Secondary Data: The secondary data used in this assessment were obtained and analyzed from Kane Health Counts' Community Dashboard http://www.kanehealthcounts.org/. This includes a comprehensive set of more than 200 community health and quality of life indicators covering over 26 topic areas. Indicator values for Kane County were compared to other counties in Illinois and nationwide to compare health topics and relative areas of need. Other considerations for health areas of need included trends over time, Healthy People 2020 targets, and disparities by age, gender, and race/ethnicity Primary Data: Community Input The needs assessment was further informed by: (1) focus groups hosted virtually with community members who have a fundamental understanding of Kane County's health needs and represent the broader interests of the community, and (2) a community survey distributed digitally throughout Kane County. The medically underserved, low-income and minority populations represented through these methods and/or organizations include: American Cancer Society Aurora African American Health Coalition Aurora Fire Department Aurora Interfaith Food Pantry Aurora Police Department Aurora University Aunt Martha's Health Network City of Aurora Companeros en Salud Family Focus of Aurora Fox Valley Park District Fox Valley Faith & Health Network Fox Valley United Way Health Living Council of Greater Aurora Hesed House Kane County Health Department Kane County Behavioral Health Council Kane County Opioid Task Force Main Baptist Church Marie Wilkinson Food Pantry Northern Illinois Food Bank Salvation Army Santori Library - Aurora Public Library VNA Health Care Waubonsee College

Schedule H, Part V, Section B, Line 6a Facility , 1
Facility , 1 - AMITA HEALTH MERCY MEDICAL CENTER. AMITA HEALTH MERCY MEDICAL CENTER PARTNERED WITH ADVOCATE AURORA HEALTH SHERMAN HOSPITAL, NORTHWESTERN MEDICINE DELNOR HOSPITAL; RUSH-COPLEY MEDICAL CENTER.

Schedule H, Part V, Section B, Line 6b Facility , 1
Facility , 1 - AMITA HEALTH MERCY MEDICAL CENTER. THE CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITIES: KANE COUNTY HEALTH DEPARTMENT

Schedule H, Part V, Section B, Line 7 Facility , 1
Facility , 1 - AMITA HEALTH MERCY MEDICAL CENTER. COPIES OF THE CHNA REPORT WERE MAILED AND/OR E-MAILED TO COMMUNITY PARTNERS WHO PARTICIPATED IN THE CHNA PROCESS. PARTNERS WERE ALSO PROVIDED LINKS TO THE WEBSITE FOR DISSEMINATION TO INDIVIDUALS ON THEIR MAILING LISTS AND RESPECTIVE CONSTITUENTS.

Schedule H, Part V, Section B, Line 11 Facility , 1
Facility , 1 - AMITA HEALTH MERCY MEDICAL CENTER. Summary of Implementation Strategy: Mercy has developed an Implementation Strategy for the next three years that describes the programs we are undertaking to address these prioritized health needs in our community. Prioritized Health Needs The following significant and prioritized health needs will be addressed in the 2022-2024 (fiscal year) implementation strategy: - Behavioral Health (Mental Health & Substance Abuse) - Access to Health Services - Immunizations & Infectious Disease - Nutrition, Exercise & Weight Mercy will address all of the above significant and prioritized needs. The collective monitoring, reporting progress and revising will ensure the plan remains relevant and effective. The information below describes actions taken in the reporting period from the Mercy's FY2022-2024 Implementation Strategy and other priority programs designed to address each priority need including any indicators for improvement. Behavioral Health Strategy: Crisis Stabilization Unit & Mental Health First Aid Training Progress: In FY22, a committee was developed to oversee the crisis stabilization unit that opened at the hospital. The committee identified community partners to be involved with the unit & to accept referrals. During FY22, 17 persons were trained on Mental Health First Aid. Access to Health Services Strategy: Dispensary of Hope Program, Diabetes Prevention, Public Health Insurance Assistance Progress: In FY22, community partners were identified to promote the Dispensary of Hope Program to provide free or discounted prescriptions. In FY22, 89 patients & 190 prescriptions were filled. The Diabetes Prevention Program was held in FY22 with 13 persons completing the program. For public health insurance assistance, 41 persons were educated and engaged on enrollment options in the hospital community. Immunizations & Infectious Disease Strategy: Vax Support, Flu Fighter Program Progress: In FY22, 1,512 persons were provided with vaccines at 38 community clinics. In FY22, 300 persons were provided with the standard dose flu vaccine in vulnerable communities. Nutrition, Exercise & Weight Strategy: Backpack Program, Aurora Farmers Markets, Blessing Box Micro Pantry, Access Fox Fitness Program, Meals on Wheels Progress: In FY22, the backpack program served 189 children and their families with 154,980 pounds of food over 9 months. Fifty persons were assisted with free produce at the Aurora's Farmers Markets. The Mercy Blessing Box Micro Pantry provided 924 meals in FY22. Twenty-nine persons received scholarships through the Access Fox Fitness Program in FY22. The Meals on Wheels program provided 622 meals in collaboration with the Main Baptist Church Feed Thy Neighbor Program.

Schedule H, Part V, Section B, Line 3E
TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED.

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - AMITA HEALTH SAINT JOSEPH HOSPITAL. Mercy and Saint Joseph - Elgin and members of the Kane County Kane Health Counts Collaborative, a collaborative of the Kane County Health Department, local hospitals and community partners, worked together over 8 months (April 2020-January 2021) to build a comprehensive Community Health Needs Assessment (CHNA) for Kane County. Using the Mobilizing for Action through Planning and Partnerships (MAPP) model for the CHNA, Kane County Kane Health Counts Collaborative have engaged diverse groups of community residents and stakeholders and gathered robust data from various perspectives about health status and health behaviors. Secondary Data: The secondary data used in this assessment were obtained and analyzed from Kane Health Counts' Community Dashboard http://www.kanehealthcounts.org/. This includes a comprehensive set of more than 200 community health and quality of life indicators covering over 26 topic areas. Indicator values for Kane County were compared to other counties in Illinois and nationwide to compare health topics and relative areas of need. Other considerations for health areas of need included trends over time, Healthy People 2020 targets, and disparities by age, gender, and race/ethnicity Primary Data: Community Input The needs assessment was further informed by: (1) focus groups hosted virtually with community members who have a fundamental understanding of Kane County's health needs and represent the broader interests of the community, and (2) a community survey distributed digitally throughout Kane County. The medically underserved, low-income and minority populations represented through these methods and/or organizations include: Activate Elgin American Cancer Society A Silver Lining Foundation Centro de Informacion City of Elgin Downtown Neighborhood Association of Elgin Ecker Center Elgin Community College Elgin Fire Department Elgin Hispanic Network Elgin Police Department Food for Greater Elgin FUSE Coalition Judson University Gail Borden Library Greater Family Health Kane County Health Department Kane County Behavioral Health Council Kane County Opioid Task Force Northern Illinois Food Bank PADS of Elgin Renz Addiction Salvation Army U-46 United Way VNA Health Care

Schedule H, Part V, Section B, Line 6a Facility , 1
Facility , 1 - AMITA HEALTH SAINT JOSEPH HOSPITAL. AMITA HEALTH SAINT JOSEPH HOSPITAL PARTNERED WITH ADVOCATE AURORA HEALTH SHERMAN HOSPITAL, NORTHWESTERN MEDICINE DELNOR HOSPITAL; RUSH-COPLEY MEDICAL CENTER.

Schedule H, Part V, Section B, Line 6b Facility , 1
Facility , 1 - AMITA HEALTH SAINT JOSEPH HOSPITAL. THE CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITIES: KANE COUNTY HEALTH DEPARTMENT

Schedule H, Part V, Section B, Line 7 Facility , 1
Facility , 1 - AMITA HEALTH SAINT JOSEPH HOSPITAL. COPIES OF THE CHNA REPORT WERE MAILED AND/OR E-MAILED TO COMMUNITY PARTNERS WHO PARTICIPATED IN THE CHNA PROCESS. PARTNERS WERE ALSO PROVIDED LINKS TO THE WEBSITE FOR DISSEMINATION TO INDIVIDUALS ON THEIR MAILING LISTS AND RESPECTIVE CONSTITUENTS.

Schedule H, Part V, Section B, Line 11 Facility , 1
Facility , 1 - AMITA HEALTH SAINT JOSEPH HOSPITAL. Summary of Implementation Strategy: Saint Joseph - Elgin has developed an Implementation Strategy for the next three years that describes the programs we are undertaking to address these prioritized health needs in our community. Prioritized Health Needs The following significant and prioritized health needs will be addressed in the 2022-2024 (fiscal year) implementation strategy: - Behavioral Health (Mental Health & Substance Abuse) - Access to Health Services - Immunizations & Infectious Disease - Nutrition, Exercise & Weight Saint Joseph will address all of the above significant and prioritized needs. The collective monitoring, reporting progress and revising will ensure the plan remains relevant and effective. The information below describes actions taken in the reporting period from the Saint Joseph's FY2022-2024 Implementation Strategy and other priority programs designed to address each priority need including any indicators for improvement. Behavioral Health Strategy: Medication Assisted Treatment (MAT) & Mental Health First Aid Training Progress: In FY22, a committee was formed to explore adding a warm hand-off program to the Emergency Department and medical units to provide screenings and referrals to substance use disorder treatment. Plans are under way to begin this program in FY23. In FY22, three Mental Health First Aid Trainings were held in which 24 persons were provided education. Access to Health Services Strategy: Dispensary of Hope Program, Diabetes Prevention, Public Health Insurance Assistance Progress: The Dispensary of Hope Program at the Elgin pharmacy is still in the planning stages. In FY22, 58 persons completed the diabetes prevention program. For public health insurance assistance, 26 persons were educated and engaged on enrollment options in the hospital community. Immunizations & Infectious Disease Strategy: Vax Support, Flu Fighter Program Progress: In FY22, 755 persons were assisted at 21 vaccination clinics. In FY22, 300 persons were provided the standard flu vaccine dose at one of the eleven community clinics offered. Nutrition, Exercise & Weight Strategy: Backpack Program, Elgin Farmers Market, Blessing Box Micro Pantry Progress: In FY22, the backpack program served 237 children and their families with 175,200 pounds of food over 9 months. 215 persons were assisted with free produce at the Elgin Farmers Markets. The Elgin Blessing Box Micro Pantry provided 2,421 meals in FY22.

Schedule H, Part V, Section B, Line 3E
TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED.

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - AMITA HEALTH SAINT MARY'S HOSPITAL. Saint Mary's and members of the Kankakee County Partnership for a Healthy Community, a collaborative of the Kankakee County Health Department, local hospitals and community partners, worked together over 16 months (November 2019-May 2021) to build a comprehensive Community Health Needs Assessment (CHNA) for Kankakee County. Using the Mobilizing for Action through Planning and Partnerships (MAPP) model for the CHNA, Kankakee County Partnership for a Healthy Community engaged diverse groups of community residents and stakeholders and gathered robust data from various perspectives about health status and health behaviors. In late 2019, the Partnership for a Healthy Community convened to conduct its fourth iteration of the MAPP process. MAPP is a community-driven, strategic planning framework that assists communities in developing and implementing efforts around the prioritization of public health issues and the identification of resources to address them as defined by the 10 essential public health services. The MAPP process has six phases which include four assessments. For this iteration of assessments, the Partnership focused on three assessments: Community Health Status Assessment The Community Health Status Assessment (CHSA) is one of four assessments conducted as a part of the MAPP process. During this assessment, information regarding demographics, health status, health behaviors, and social determinants in the community is gathered and analyzed. Data is collected from a variety of resources and analyzed comparing local, state, and national benchmarks when available. The CHSA was conducted January 2020- July 2020. Community Themes and Strengths Assessment The Community Themes and Strengths Assessment (CTSA) aims to gather community members' perceptions, thoughts, opinions, and concerns regarding quality of life in Kankakee County. This input provides valuable insight into the issues of importance to the community. The CTSA was conducted February 2021-April 2021. Forces of Change Assessment The Forces of Change Assessment (FOCA) aims to identify all the forces and associated opportunities and threats that can affect, either now or in the future, the local public health system. Forces may be social, economic, political, technological, environmental, scientific, legal, and/or ethical in nature. Forces can be trends, factors, or events. The FOCA was conducted October 2020-March 2021. The medically underserved, low-income and minority populations represented through these methods and/or organizations include: Aunt Martha's Health Services Bradley-Bourbonnais District 307 Catholic Charities Diocese of Joliet Clove Alliance - Kankakee County Center Against Sexual Assault and Human Trafficking Community Foundation of Kankakee River Valley Easterseals Joliet Region, Inc. Economic Alliance of Kankakee County Fortitude Community Outreach Helen Wheeler Center for Community Mental Health Hippocrates Clinic Kankakee Community College (KCC) Kankakee County Hispanic Partnership, INC. Kankakee County Health Department Kankakee District 111 Kankakee Public Library Kankakee Salvation Army Iroquois-Kankakee Regional Office of Education NAACP - Kankakee and Iroquois Counties Northern Illinois Food Bank Options Center for Independent Living United Way of Kankakee & Iroquois Counties Pledge for Life Partnership Project Sun Olivet Nazarene University Twenty-first Judicial Circuit Family Violence Coordinating Council Workforce Board of Kankakee, Grundy and Livingston Counties YMCA of Kankakee County

Schedule H, Part V, Section B, Line 6a Facility , 1
Facility , 1 - AMITA HEALTH SAINT MARY'S HOSPITAL. AMITA HEALTH SAINT MARY'S HOSPITAL PARTNERED WITH RIVERSIDE RIVERSIDE HEALTHCARE TO COMPLETE THEIR CHNA.

Schedule H, Part V, Section B, Line 6b Facility , 1
Facility , 1 - AMITA HEALTH SAINT MARY'S HOSPITAL. THE CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITIES: Kankakee County Health Department; Kankakee County Hispanic Partnership; Iroquois-Kankakee County Regional Office of Education; Helen Wheeler Center for Community Mental Health; United Way of Iroquois & Kankakee County; Pledge for Life partnership; Project SUN; Olivet Nazarene University; Twenty-first Judicial Circuit Famil Violence Coordinating Council.

Schedule H, Part V, Section B, Line 7 Facility , 1
Facility , 1 - AMITA HEALTH SAINT MARY'S HOSPITAL. COPIES OF THE CHNA REPORT WERE MAILED AND/OR E-MAILED TO COMMUNITY PARTNERS WHO PARTICIPATED IN THE CHNA PROCESS. PARTNERS WERE ALSO PROVIDED LINKS TO THE WEBSITE FOR DISSEMINATION TO INDIVIDUALS ON THEIR MAILING LISTS AND RESPECTIVE CONSTITUENTS.

Schedule H, Part V, Section B, Line 11 Facility , 1
Facility , 1 - AMITA HEALTH SAINT MARY'S HOSPITAL. Summary of Implementation Strategy: Saint Mary's has developed an Implementation Strategy for the next three years that describes the programs we are undertaking to address these prioritized health needs in our community. Prioritized Health Needs The following significant and prioritized health needs will be addressed in the 2022-2024 (fiscal year) implementation strategy: -Health and Wellness -Behavioral Health and Substance use -Education and Employment Saint Mary's will address all of the above significant and prioritized needs. The collective monitoring, reporting progress and revising will ensure the plan remains relevant and effective. The information below describes actions taken in the reporting period from the Saint Mary's FY2022-2024 Implementation Strategy and other priority programs designed to address each priority need including any indicators for improvement. In 2020 & 2021, due to the continued COVID-19 pandemic, Saint Mary's shifted some of its community priorities to meet the immediate needs of hospitalized patients and also COVID-19 vaccination efforts for associates and the community. Saint Mary's remained focused on continued re-emergence of implementation strategy plans while addressing other key issues exacerbated by the pandemic, such as food insecurity, COVID-19 vaccination efforts and connecting people to vital resources in the community. Health and Wellness Strategy: Food Security Programs & Diabetes Programs Progress: Saint Mary's continued to partner with Northern Illinois Food Bank to offer the mobile food pantry, Rx Mobile. Participants are screened at each mobile and follow up calls are made by the hospital's community outreach nurse. In FY22, seven Rx mobile pantries were provided to the community that assisted 1,162 persons with healthy food. Additionally, the hospital continued to offer the 24/7 emergency micro pantry to the community. The pantry served 455 persons in FY22. In FY22, the hospital hired a diabetic educator to provide programming for the community (ADA model). The free exercise and nutrition classes, Fit and Healthy, are being offered in hybrid format for the low-income communities. Average weight loss per session is >4%. Behavioral Health and Substance Use Strategy: Mental Health First Aid Trainings & Opioid Task Force Progress: Saint Mary's partners with the Helen Wheeler Center for Mental Health to coordinate Mental Health First Aid Trainings. Training was put on hold by the Helen Wheeler Center in FY22. Saint Mary's will begin offering virtual training in FY23 through an AmeriCorps member assigned to Ascension Illinois. Saint Mary's actively participates in the Kankakee County Opioid Task Force including sharing data to reduce overdoses. Saint Mary's participated in the Narcan Kit disbursement program in which 27 kits were provided to patients in the Emergency Department in FY22. Education and Employment Strategy: Workforce Development Progress: Due to COVID-19, many initiatives/partnerships with local high school districts, colleges and universities were put on hold due to the visitor policy requirements. In late FY22, Saint Mary's restarted the Spirit of Teen program through the volunteer office and we engaged with local schools for FY23 planning. Despite the pandemic, Saint Mary's continued to attend local job fairs, participated in Kankakee County Economic Development initiatives directly related to job development and engaged in Kankakee County Workforce Board strategic planning initiatives. Saint Mary's participated in a total of 5 community job fairs in FY22. Saint Mary's is working with Kankakee Community College to create a scholarship program for current associates to further their careers.

Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG
"IN ADDITION TO FPG, THE ORGANIZATION USES MEDICAL INDIGENCY, ASSET TEST, INSURANCE STATUS AND RESIDENCY AS OTHER FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. A Patient may not be eligible for the financial assistance if such Patient is deemed to have sufficient assets to pay pursuant to an ""Asset Test."" The Asset Test involves a substantive assessment of a Patient's ability to pay based on the categories of assets measured in the FAP Application. A Patient with such assets that exceed 250% of such Patient's FPL amount may not be eligible for financial assistance. AN ASSET TEST APPLIES IF A PATIENT HAS ELIGIBLE LIQUID ASSETS THAT EXCEED 250% OF THE PATIENT'S FPG LEVEL FOR CONSIDERATION OF FINANCIAL ASSISTANCE ELIGIBILITY. LIQUID ASSETS INCLUDE ASSETS THAT CAN BE CONVERTED TO CASH WITHIN 1 YEAR. THESE INCLUDE ITEMS SUCH AS CHECKING ACCOUNTS, SAVINGS ACCOUNTS, TRUST FUNDS AND LUXURY ITEMS SUCH AS RECREATIONAL VEHICLES, BOATS, A SECOND HOME, ETC."

Schedule H, Part I, Line 5a BUDGET AMOUNTS FOR FREE OR DISCOUNTED CARE
THE ORGANIZATION ADMINISTERS ITS FINANCIAL ASSISTANCE POLICY IN ACCORDANCE WITH THE TERMS OF THE POLICY.

Schedule H, Part I, Line 6a Community benefit report prepared by related organization
Presence Central and Suburban Hospitals Network REPORTS COMMUNITY BENEFIT INFORMATION AS PART OF THE FOLLOWING RELATED ORGANIZATION'S ANNUAL COMMUNITY BENEFIT REPORT: ALEXIAN BROTHERS HOSPITAL NETWORK 36-3276552

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
"THE COST OF PROVIDING CHARITY CARE, MEANS-TESTED GOVERNMENT PROGRAMS, AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA, AND IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION (""CHA"") GUIDELINES. THE ORGANIZATION USES A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF PAY). THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. FOR THE INFORMATION IN THE TABLE, A COST-TO-CHARGE RATIO WAS CALCULATED AND APPLIED."

Schedule H, Part II Community Building Activities
Saint Joseph - Joliet participated in community meetings regarding economic development. Additionally, Saint Joseph hosted community leaders throughout the year as an advisory committee. Saint Mary provided collaboration on a county-wide adolescent mental health initiative as well as participated in community meetings regarding housing, homelessness, economic development and workforce. Mercy partnered with the American Cancer Society to promote access to care and clinical trials for the minority community. Saint Joseph - Elgin: There were no community building activities to report this year. All reported activities quality as community benefit and are described in the narrative under Schedule H Part Part I Line 7.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY ASCENSION HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. AFTER APPLYING THE COST-TO-CHARGE RATIO, THE SHARE OF THE BAD DEBT EXPENSE IN FISCAL YEAR 2022 WAS $-4,683,480 AT CHARGES, ($0 AT COST).

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
BASED ON THE ORGANIZATION'S ADMINISTRATION OF ITS FINANCIAL ASSISTANCE PROGRAM, NO ESTIMATE FOR BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS IS DEEMED APPLICABLE TO HOSPITAL OPERATIONS.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
THE ORGANIZATION IS PART OFASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSESBAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 17-20, OF THE AUDITED FINANCIAL STATEMENTS.

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
A COST TO CHARGE RATIO IS APPLIED TO THE ORGANIZATION'S MEDICARE GROSS CHARGES TO CALCULATE MEDICARE COSTS, WHICH ARE THEN COMPARED TO MEDICARE PAYMENTS RECEIVED, TO DETERMINE A MEDICARE GAIN OR LOSS. ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT A MEDICARE SHORTFALL (LOSS) IS NOT TREATED AS COMMUNITY BENEFIT, EVEN THOUGH THE HOSPITAL HAS INCURRED LOSSES IN PROVIDING CARE TO MEDICARE PATIENTS. THEREFORE, NONE OF THE AMOUNT ON LINE 7 IS TREATED AS COMMUNITY BENEFIT.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
Presence Central and Suburban Hospitals Network FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED IF ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED FOR THE AMOUNTS FOR WHICH THE PATIENT QUALIFIES.

Schedule H, Part V, Section B, Line 16a FAP website
- PRESENCE SAINT JOSEPH MEDICAL CENTER: Line 16a URL: https://www.amitahealth.org/pay-your-bill/financial-assistance/financial-assistance-forms-and-policy; - PRESENCE MERCY MEDICAL CENTER: Line 16a URL: https://www.amitahealth.org/pay-your-bill/financial-assistance/financial-assistance-forms-and-policy; - PRESENCE SAINT JOSEPH HOSPITAL: Line 16a URL: https://www.amitahealth.org/pay-your-bill/financial-assistance/financial-assistance-forms-and-policy; - PRESENCE SAINT MARY'S HOSPITAL: Line 16a URL: https://www.amitahealth.org/pay-your-bill/financial-assistance/financial-assistance-forms-and-policy;

Schedule H, Part V, Section B, Line 16b FAP Application website
- PRESENCE SAINT JOSEPH MEDICAL CENTER: Line 16b URL: https://www.amitahealth.org/pay-your-bill/financial-assistance/financial-assistance-forms-and-policy; - PRESENCE MERCY MEDICAL CENTER: Line 16b URL: https://www.amitahealth.org/pay-your-bill/financial-assistance/financial-assistance-forms-and-policy; - PRESENCE SAINT JOSEPH HOSPITAL: Line 16b URL: https://www.amitahealth.org/pay-your-bill/financial-assistance/financial-assistance-forms-and-policy; - PRESENCE SAINT MARY'S HOSPITAL: Line 16b URL: https://www.amitahealth.org/pay-your-bill/financial-assistance/financial-assistance-forms-and-policy;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- PRESENCE SAINT JOSEPH MEDICAL CENTER: Line 16c URL: https://www.amitahealth.org/pay-your-bill/financial-assistance/financial-assistance-forms-and-policy; - PRESENCE MERCY MEDICAL CENTER: Line 16c URL: https://www.amitahealth.org/pay-your-bill/financial-assistance/financial-assistance-forms-and-policy; - PRESENCE SAINT JOSEPH HOSPITAL: Line 16c URL: https://www.amitahealth.org/pay-your-bill/financial-assistance/financial-assistance-forms-and-policy; - PRESENCE SAINT MARY'S HOSPITAL: Line 16c URL: https://www.amitahealth.org/pay-your-bill/financial-assistance/financial-assistance-forms-and-policy;

Schedule H, Part VI, Line 2 Needs assessment
Presence Central and Suburban Hospitals Network uses internal and external data and reports from third parties, including government sources, to assess the healthcare needs of the communities we serve. These reports provide key information about health, socioeconomic, demographic factors that identify areas of need and inform our strategies that help to meet those needs of our community. These reports include, but are not limited to population, average income, and % of patients uninsured or utilizing Medicaid. Presence Central and Suburban Hospitals Network utilizes information from these secondary sources to develop programs and provide appropriate services needed throughout the region. In addition, Presence Central and Suburban Hospitals Network considers the health care needs of the overall community when evaluating internal financial and operational decisions.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
Presence Central and Suburban Hospitals Network IS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HOSPITAL, IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. STAFF SCREEN UNINSURED PATIENTS AND IF FOUND POTENTIALLY ELIGIBLE FOR A GOVERNMENT FUNDING SOURCE, PROVIDE ASSISTANCE AND/OR RESOURCES TO THE PATIENT AND THEIR FAMILY. IF A PATIENT IS NOT ELIGIBLE FOR A PAYMENT SOURCE, Presence Central and Suburban Hospitals Network FINANCIAL ASSISTANCE POLICY COVERS PATIENTS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR ALL OR PART OF THEIR BILLS. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE ANNUAL FEDERAL POVERTY GUIDELINES; Presence Central and Suburban Hospitals Network PROVIDES FINANCIAL ASSISTANCE FOR THOSE WHO EARN UP TO 250% OF THE FEDERAL POVERTY LEVEL. Presence Central and Suburban Hospitals Network WIDELY PUBLICIZES ITS: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY VIA THE HOSPITAL FACILITY'S WEBSITE - https://www.amitahealth.org/pay-your-bill/financial-assistance/financial-assistance-forms-and-policy Presence Central and Suburban Hospitals Network MAKES PAPER COPIES OF THE: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY - AMOUNT GENERALLY BILLED CALCULATION. THE PAPER COPIES ARE MADE READILY AVAILABLE AS PART OF THE INTAKE, DISCHARGE AND CUSTOMER SERVICE PROCESSES. UPON REQUEST, PAPER COPIES CAN ALSO BE OBTAINED BY MAIL. Presence Central and Suburban Hospitals Network INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA A NOTICE ON PATIENT BILLING STATEMENTS, INCLUDING THE PHONE NUMBER AND WEB ADDRESS WHERE MORE INFORMATION MAY BE FOUND. Presence Central and Suburban Hospitals Network INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSIONS AREAS.

Schedule H, Part VI, Line 4 Community information
Saint Joseph Medical Center - Joliet IL The population of the 11 zip codes of Saint Joseph Medical Center primary service area is estimated to be 299,852 in 2023 and is expected to increase by approximately 1.51% to 304,367 residents in five years. The average family income was $103,334, which is lower than the state of Illinois. 49% percent of the population is White, with 3% as Asian and 14% as Black. 31% of the population is Hispanic or Latinx ethnicity. Approximately 6.6% of the service area residents live below the poverty line, with 23.8% uninsured or Medicaid patients. Within the Saint Joseph - Joliet primary service area there are 2 federally designated medically underserved areas. There are no other acute care hospitals located within the primary service area. St. Mary's Hospital - Kankakee, IL The population of the 8 zip codes of St. Mary's Hospital primary service area is estimated to be 96,223 in 2023 and is expected to decrease by approximately -2.04% to 94,259 residents in five years. The average family income is $86,649, which is lower than the state of Illinois ($108,495). Sixty-seven percent of the population is White, with 14.5% as Black. Thirteen percent of the population is Hispanic or Latinx ethnicity, which is lower than the state of Illinois (19.1%). Approximately 11.4% of the service area residents live below the poverty line, with 26.9% uninsured or Medicaid patients. Within the Saint Mary's Hospital primary service area there are 2 federally designated medically underserved areas. There are no other acute care hospitals located within the primary service area. Mercy Medical Center The population of the 11 zip codes of Mercy Medical Center primary service area was estimated to be 282,086 in 2023 and is expected to increase by approximately .85% to 284,491 residents in five years. The average family income was $115,531 which is higher than the state of Illinois. Forty-nine of the population is White, with 2.6% as Asian, 6.8% as Black. 37 percent of the population is Hispanic or Latinx ethnicity. Approximately 6% of the service area residents live below the poverty line, with 37.0% uninsured or Medicaid patients. Within the Mercy primary service area there is 1 federally designated medically underserved area. There is 1 other acute care hospitals located within the primary service area. Saint Joseph Elgin Hospital The population of the 9 zip codes of Saint Joseph Hospital primary service area is estimated to be 267,027 in 2023 and is expected to increase by approximately .22% to 267,608 residents in five years. The average family income is $116,548, which is higher than the state of Illinois. Nearly forty-seven percent of the population is White, with 7.7% as Asian and 5% as Black. Thirty-seven percent of the population is Hispanic or Latinx ethnicity. Approximately 6.7% of the service area residents live below the poverty line, with 25.5% uninsured or Medicaid patients. Within the Saint Joseph primary service area there is 1 federally designated medically underserved area. There are no other acute care hospitals located within the primary service area.

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

Schedule H, Part VI, Line 5 Promotion of community health
Presence Central and Suburban Hospitals Network GOVERNING BODY IS COMPRISED OF PERSONS REPRESENTING DIVERSE ASPECTS AND INTERESTS OF THE COMMUNITY. MANY MEMBERS OF Presence Central and Suburban Hospitals Network GOVERNING BODY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. Presence Central and Suburban Hospitals Network EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. Presence Central and Suburban Hospitals Network APPLIES SURPLUS FUNDS TO FUND IMPROVEMENTS IN PATIENT CARE (AND/OR) MEDICAL EDUCATION (AND/OR) RESEARCH BY DONATIONS TO OR PARTNERING WITH CHARITABLE ORGANIZATIONS, COMMUNITY HEALTH PROVIDERS, ELECTED OFFICIALS, BUSINESS LEADERS, SCHOOLS, CHURCHES, AND RESIDENTS - TO LOOK AT THE OVERALL HEALTH OF THE COMMUNITY AND IDENTIFY THE GREATEST NEEDS. WE THEN MAKE A PLAN AND DEVELOP STRATEGIES TOGETHER WITH OUR COMMUNITIES TO ADDRESS THE HIGHEST PRIORITY HEALTH NEEDS.

Schedule H, Part VI, Line 6 Affiliated health care system
Presence Central and Suburban Hospitals Network IS A MEMBER OF ASCENSION. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 19 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. Presence Central and Suburban Hospitals Network OPERATES HOSPITAL FACILITIES in Presence Central and Suburban Hospitals Network Area and is part of the Ascension Illinois Market WHICH ALSO OWNS AND OPERATES OTHER HEALTH CARE RELATED ENTITIES, THE HEALTH SYSTEM PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF Presence Central and Suburban Hospitals Network Area.