4A (Expenses $ 77211797 including grants of $ 12500) (Revenue $ 107218024)
THOREK MEMORIAL HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICE RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THOREK MEMORIAL HOSPITAL, WE RECOGNIZE THAT IT IS THE HOSPITAL'S MISSION TO SERVE THE COMMUNITY BY PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION AND THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PAY FOR ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THE HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF OUR COMMUNITY, WE PROVIDE FREE CARE AND OR SUBSIDIZED CARE TO INDIVIDUALS WHO ARE UNABLE TO PAY FOR ESSENTIAL SERVICES, AND PROVIDE HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT OUR COMMUNITY.

THOREK MEMORIAL HOSPITAL
PART V, SECTION B, LINE 5: THE HOSPITAL HAS CONSULTED AND RECEIVED INPUT FROM MULTIPLE CONSTITUENTS WHO REPRESENT THE COMMUNITY IN WHICH THE HOSPITAL SERVES. MANAGEMENT ROUTINELY MEETS WITH REPRESENTATIVES FROM THE BUENA PARK NEIGHBORS (BPN), A NOT FOR PROFIT COMMUNITY ORGANIZATION, TO IDENTIFY NEEDS IN THE COMMUNITY OF BUENA PARK. THROUGH DONATIONS, MEETINGS WITH LEADERSHIP OF BPN, AND INVOLVEMENT IN VARIOUS ACTIVITIES OF BPN, THOREK ACTIVELY PARTICIPATES IN THE BUENA PARK COMMUNITY. THOREK ALSO ROUTINELY RECEIVES INPUT FROM ALDERMAN CAPPELMAN'S OFFICE REGARDING ITS STANDING WITHIN THE COMMUNITY AS WELL AS OPPORTUNITIES TO PROVIDE SERVICES OR RESOURCES TO THE LOCAL COMMUNITY AS NEEDS ARE IDENTIFIED. THOREK ALSO SEEKS AND RECEIVES INPUT FROM MANAGEMENT AT SEVERAL LOCAL CHICAGO HOUSING AUTHORITY BUILDINGS WITHIN ITS IMMEDIATE COMMUNITY AND SERVICE AREA. THIS INPUT PRIMARILY FOCUSES ON THE GERIATRIC NEEDS OF THE COMMUNITY AND LEADS TO PROGRAMS AND SERVICES DIRECTED TO MEET THE NEEDS OF SENIORS WITHIN THOREK'S COMMUNITY. ADDITIONALLY, THOREK UTILIZES A COMMUNITY HEALTH ASSESSMENT SURVEY (CONDUCTED DURING THE 2021 TAX YEAR) WITH ASSISTANCE OF AN OUTSIDE RESEARCH FIRM IN ORDER TO CAPTURE PRIMARY AND SECONDARY DATA ON THE HEALTH STATUS AND OPPORTUNITIES FOR IMPROVEMENT OF HEALTH SERVICES IN ITS COMMUNITY. THE PRIMARY DATA WAS OBTAINED THROUGH A TELEPHONE SURVEY OF OVER 3,700 ADULTS IN THE METROPOLITAN CHICAGO HEALTHCARE CARE COUNTY REGION THROUGH A 20-25 MINUTE INTERVIEW WITH 136 INDIVIDUAL QUESTIONS THAT ADDRESSED THE FOLLOWING ISSUES: SELF REPORTED HEALTH STATUS, PHYSICAL AND MENTAL HEALTH STATUS, INFECTIOUS & CHRONIC DISEASE, MODIFIABLE HEALTH RISKS, ACCESS TO HEALTHCARE SERVICES, HEALTH EDUCATION & OUTREACH, AND HEALTH INFORMATION SOURCES. THESE SURVEYS WERE CONDUCTED IN ENGLISH AND SPANISH. THE PRIMARY DATA WAS SUPPLEMENTED WITH SECONDARY DATA INCLUDING SUCH SOURCES AS CDC, FBI, COUNTY AND STATE PUBLIC HEALTH DEPARTMENTS, NATIONAL CENTER FOR HEALTH STATISTICS, AND THE U.S. CENSUS BUREAU DATA. THE SECONDARY DATA INCLUDES BUT IS NOT LIMITED TO THE FOLLOWING TOPICS: LEADING CAUSES OF DEATH, AGE-ADJUSTED DEATH RATES, VACCINE-PREVENTABLE CONDITIONS, STDS, HIV, AND OTHER INFECTIOUS DISEASES, AND FBI CRIME INDEX. THOREK PLANS TO USE THE ASSESSMENT INFORMATION TO EXPAND EXISTING AND CREATE NEW COMMUNITY HEALTH PROGRAMS MOST NEEDED BY UNDERSTANDING THE PREVALENCE OF CHRONIC CONDITIONS, BARRIERS TO ACCESS, AND OTHER HEALTH ISSUES IN THE COMMUNITY.

THOREK MEMORIAL HOSPITAL ANDERSONVILLE
PART V, SECTION B, LINE 5: THE HOSPITAL HAS CONSULTED AND RECEIVED INPUT FROM MULTIPLE CONSTITUENTS WHO REPRESENT THE COMMUNITY IN WHICH THE HOSPITAL SERVES. MANAGEMENT ROUTINELY MEETS WITH REPRESENTATIVES FROM THE BUENA PARK NEIGHBORS (BPN), A NOT FOR PROFIT COMMUNITY ORGANIZATION, TO IDENTIFY NEEDS IN THE COMMUNITY OF BUENA PARK. THROUGH DONATIONS, MEETINGS WITH LEADERSHIP OF BPN, AND INVOLVEMENT IN VARIOUS ACTIVITIES OF BPN, THOREK ACTIVELY PARTICIPATES IN THE BUENA PARK COMMUNITY. THOREK ALSO ROUTINELY RECEIVES INPUT FROM ALDERMAN CAPPELMAN'S OFFICE REGARDING ITS STANDING WITHIN THE COMMUNITY AS WELL AS OPPORTUNITIES TO PROVIDE SERVICES OR RESOURCES TO THE LOCAL COMMUNITY AS NEEDS ARE IDENTIFIED. THOREK ALSO SEEKS AND RECEIVES INPUT FROM MANAGEMENT AT SEVERAL LOCAL CHICAGO HOUSING AUTHORITY BUILDINGS WITHIN ITS IMMEDIATE COMMUNITY AND SERVICE AREA. THIS INPUT PRIMARILY FOCUSES ON THE GERIATRIC NEEDS OF THE COMMUNITY AND LEADS TO PROGRAMS AND SERVICES DIRECTED TO MEET THE NEEDS OF SENIORS WITHIN THOREK'S COMMUNITY. ADDITIONALLY, THOREK UTILIZES A COMMUNITY HEALTH ASSESSMENT SURVEY (CONDUCTED DURING THE 2021 TAX YEAR) WITH ASSISTANCE OF AN OUTSIDE RESEARCH FIRM IN ORDER TO CAPTURE PRIMARY AND SECONDARY DATA ON THE HEALTH STATUS AND OPPORTUNITIES FOR IMPROVEMENT OF HEALTH SERVICES IN ITS COMMUNITY. THE PRIMARY DATA WAS OBTAINED THROUGH A TELEPHONE SURVEY OF OVER 3,700 ADULTS IN THE METROPOLITAN CHICAGO HEALTHCARE CARE COUNTY REGION THROUGH A 20-25 MINUTE INTERVIEW WITH 136 INDIVIDUAL QUESTIONS THAT ADDRESSED THE FOLLOWING ISSUES: SELF REPORTED HEALTH STATUS, PHYSICAL AND MENTAL HEALTH STATUS, INFECTIOUS & CHRONIC DISEASE, MODIFIABLE HEALTH RISKS, ACCESS TO HEALTHCARE SERVICES, HEALTH EDUCATION & OUTREACH, AND HEALTH INFORMATION SOURCES. THESE SURVEYS WERE CONDUCTED IN ENGLISH AND SPANISH. THE PRIMARY DATA WAS SUPPLEMENTED WITH SECONDARY DATA INCLUDING SUCH SOURCES AS CDC, FBI, COUNTY AND STATE PUBLIC HEALTH DEPARTMENTS, NATIONAL CENTER FOR HEALTH STATISTICS, AND THE U.S. CENSUS BUREAU DATA. THE SECONDARY DATA INCLUDES BUT IS NOT LIMITED TO THE FOLLOWING TOPICS: LEADING CAUSES OF DEATH, AGE-ADJUSTED DEATH RATES, VACCINE-PREVENTABLE CONDITIONS, STDS, HIV, AND OTHER INFECTIOUS DISEASES, AND FBI CRIME INDEX. THOREK PLANS TO USE THE ASSESSMENT INFORMATION TO EXPAND EXISTING AND CREATE NEW COMMUNITY HEALTH PROGRAMS MOST NEEDED BY UNDERSTANDING THE PREVALENCE OF CHRONIC CONDITIONS, BARRIERS TO ACCESS, AND OTHER HEALTH ISSUES IN THE COMMUNITY.

THOREK MEMORIAL HOSPITAL
PART V, SECTION B, LINE 11: AFTER CONSIDERING THE FINDINGS OF THE CHNA IN THE CONTEXT OF CURRENT COMMUNITY-FOCUSED ACTIVITIES AND RESOURCES, THOREK HAS DECIDED TO ADDRESS THE FOLLOWING HEALTH PRIORITY AREAS (IN NO PARTICULAR ORDER) AND DEVELOP DETAILED IMPLEMENTATION PLANS AS DESCRIBED FOR EACH AREA:A. IMPROVING ACCESS TO HEALTH CARE SERVICESTARGET POPULATION: COMMUNITY MEMBERS WHO ARE UNINSURED, UNDERINSURED AND THE BROADER COMMUNITY EXPERIENCING ACCESS TO HEALTH CARE.GOALS: INCREASE THE PROPORTION OF PERSONS WITH A USUAL PRIMARY CARE PROVIDER; INCREASE THE NUMBER OF PRIMARY CARE VISITS; AND REDUCE THE PROPORTION OF PERSONS WHO ARE UNABLE TO OBTAIN OR DELAY IN OBTAINING NECESSARY MEDICAL CARE/SCREENINGS. LOWER USE OF EMERGENCY ROOM VISITS FOR NON-URGENT MEDICAL TREATMENT.PRIMARY CARE SERVICESTHE TMH AMBULATORY CARE CENTER EXTENDED HOURS OF OPERATIONS FOR EASE OF ACCESS. EVENING HOURS ARE NOW AVAILABLE TO ADDRESS ACCESS AND ER CONGESTION. TWO HOSPITAL CLINIC LOCATIONS NOW HAVE HOURS 6PM AND AFTER TO BETTER SERVE THE PATIENT POPULATION.EMERGENCY CARETHE TMH STATE-OF-THE-ART EMERGENCY DEPARTMENT CONTINUES TO HELP THE INDIGENT COMMUNITY WHO AWAIT RESPONSE FROM THE CITY OF CHICAGO'S SHELTER SERVICES.CENTER FOR PRIMARY CARE/ ACS/ CHINA SQUARE/ UKRAINE VILLAGETHE TMH CLINICS ACCEPT APPOINTMENTS AND WALK-IN PATIENTS. HOURS VARY BASED ON LOCATION.TRANSPORTATIONTMH PROVIDES TRANSPORTATION VIA HOSPITAL VAN AND CONTRACTED TRANSPORTATION SERVICES TO 50+ CLUB MEMBERS AND OTHERS WITHIN DESIGNATED GEOGRAPHIC BOUNDARIES, AS DETERMINED APPROPRIATE BASED ON NEED AND CLINICAL STATUS.MEDICAL OFFICES IN SENIOR RESIDENCE BUILDINGSTMH OPERATES MEDICAL OFFICES IN SENIOR RESIDENT SITES ON THE NORTH SIDE OF CHICAGO IN THOREK'S PRIMARY SERVICES AREA. TYPICAL OFFICE STAFFING CONSISTS OF A MEDICAL ASSISTANT AND A PHYSICIAN WHEN NEEDED. TMH ALSO HELPS TO PROVIDE ACCESS TO SPECIALTY (CONSULTANT) PHYSICIAN SERVICES TO MEMBERS ON AN AS NEEDED BASIS.B. FOCUS ON MENTAL HEALTH & WELLNESSTARGET POPULATION: WHILE THERE ARE MANY VULNERABLE POPULATIONS, FOCUS AND THRUST OF TMH PLAN IS TO ADDRESS THREE MAJOR POPULATIONS: THE INDIGENT, THE ELDERLY, INDIVIDUALS WHO HAVE SUBSTANCE ABUSE, ALCOHOL AND ARE AT-RISK FOR MENTAL ILLNESS, AND ALSO THE CHRONICALLY ILL. IT IS OUR HOPE THAT OUR PROGRAM TRANSFORMS THESE POPULATIONS FROM VULNERABILITY TO WELLNESS AND RESILIENCE.GOALS: IMPROVE ACCESS TO AND CREATE ADDITIONAL CAPACITY TO ADDRESS MENTAL HEALTH NEEDS OF THE COMMUNITY; AND IMPROVE HEALTH-RELATED QUALITY OF LIFE AND WELL-BEING FOR ALL INDIVIDUALS.MEDICAL STABILIZATION UNITDESIGNED TO STABILIZE PATIENTS SUFFERING FROM WITHDRAWAL FROM ALCOHOL AND OPIATES, THE ANDERSONVILLE CAMPUS HAS A 30-BED GENERAL MEDICINE UNIT PROVIDING MULTIDISCIPLINARY CARE TO PATIENTS WITH WITHDRAWAL OR ALCOHOL INTOXICATION AS THEIR PRIMARY DIAGNOSIS. ONCE STABILIZED, PATIENTS ARE PROVIDED WITH REFERRALS FOR TREATMENT OF THEIR ADDICTION AS WELL AS FOLLOW UP FOR ANY OTHER MEDICAL PROBLEMS.OUTPATIENT MENTAL HEALTHTMH NOW OFFERS 6 DAYS PER WEEK OUTPATIENT MENTAL HEALTH SERVICES. THIS INCLUDES MEDICATION MANAGEMENT AND TRADITIONAL THERAPY/ COUNSELING. THE CLINIC IS STAFFED BY:- MDS- NP- LCSWINPATIENT MENTAL HEALTHTMH NOW HAS 44 BEDS FOR INPATIENT MENTAL HEALTH AT ITS MAIN CAMPUS AND ANOTHER 40 INPATIENT BEDS AT ITS ANDERSONVILLE LOCATION. THE BEDS ARE DIVIDED BY FLOORS, 3 EAST AND 4 EAST AT THE MAIN CAMPUS AND 4TH FLOOR AT THE ANDERSONVILLE CAMPUS. THE UNITS ARE STAFFED WITH THE FOLLOWING:- MDS- RNS- LPNS- CRISIS WORKERS- LCSWS- CNASTHOREK'S ADULT MENTAL HEALTH PROGRAM PRIMARILY TREATS PATIENTS WITH THE FOLLOWING DIAGNOSES:- SCHIZOPHRENIC DI ORDERS- SCHIZO-AFFECTIVE DISORDER- BI-POLAR DISORDERS- DISSOCIATIVE DISORDERS- MAJOR DEPRESSIVE DISORDERS- ACUTE PSYCHOSIS- DUAL DIAGNOSES (MEDICAL AND BEHAVIORAL)- FREE SCREENINGSTHOREK PROVIDES FREE MENTAL HEALTH STATUS SCREENINGS AT OFF-SITE ELDERLY HOUSING FACILITIES AND VARIOUS COMMUNITY FAIRS/ EVENTS.C. PROMOTING ORAL CARETARGET POPULATION: UNINSURED AND UNDERINSURED ADULTS AND CHILDREN WITHIN THOREK'S PRIMARY SERVICE AREAS.GOALS: REDUCE THE PROPORTION OF CHILDREN AND ADULTS WITH UNTREATED DENTAL DECAY; AND INCREASE THE PROPORTION OF CHILDREN AND ADULTS WHO HAVE USED THE ORAL HEALTH SYSTEM IN THE PAST YEAR.MEDICAL OFFICE IN HOSPITALDENTAL CHARM OPERATES AN OFFICE WITHIN THOREK'S PROFESSIONAL OFFICE BUILDING. DENTAL CHARM SPECIALIZES IN FAMILY DENTISTRY WITH A SPECIFIC FOCUS ON PEDIATRIC DENTISTRY. ALL ITS DENTISTS ARE A PART OF THE AMERICAN DENTAL SOCIETY. DENTAL CHARM TAKES ALL MAJOR INSURANCE, SLIDING SCALE PAYMENTS AND HAS WALK IN HOURS.D. CANCER PROGRAMSTARGET POPULATION: UNINSURED AND UNDERINSURED ADULTS WITHIN THOREK'S PRIMARY SERVICE AREAS; WOMEN (AGES 40 AND UP) WITHIN THOREK'S PRIMARY SERVICE AREAS.GOALS: EARLIER DETECTION OF BREAST CANCER AND SKIN CANCER, ALLOWING FOR TIMELY INTERVENTION AND BETTER PROGNOSIS; AND INCREASE AWARENESS OF HOSPITAL'S CANCER SERVICES.SKIN CANCER SCREENINGSTHOREK OFFERED FREE SKIN CANCER SCREENINGS TO THE PUBLIC IN JULY OF 2022. THE VISUAL TOOK PLACE AT THE HOSPITAL'S MAIN CAMPUS AND WERE PERFORMED BY THOREK PHYSICIAN GARY BARSKY, M.D. DR. BARSKY PROVIDED PARTICIPANTS THE RESULTS IMMEDIATELY AND RECOMMENDED FOLLOW-UP CARE, IF NECESSARY. WE HAD 14 PEOPLE RECEIVE THE FREE SCREENING. DUE TO COVID 19, ARE NUMBERS FELL FROM WHAT WE PROJECTED OF OVER 50 FREE SCREENING. WE WILL REPEAT THIS INITIATIVE AGAIN IN 2023 WITH A GOAL OF 75 PEOPLE PARTICIPATING.DISCOUNTED MAMMOGRAPHYFOR THOSE WITHOUT INSURANCE OR WHO WISH TO PAY FOR THEMSELVES, THOREK MEMORIAL HOSPITAL OFFERS DIGITAL MAMMOGRAMS AT A DISCOUNTED FEE OF $155. OUR FEE INCLUDES BOTH THE EXAM AND THE RADIOLOGIST'S READING, WITHOUT ANY UNEXPECTED OR ADDITIONAL CHARGES. WE WORKED WITH COMMUNITY PARTNERS TO ADVERTISE THE MAMMOGRAM DISCOUNTS.E. LANGUAGE ASSISTANCE/HEARING IMPAIRED PROGRAMSTARGET POPULATION: UNDERSERVED, NON-ENGLISH SPEAKING/HEARING IMPAIRED COMMUNITY PACIFIC INTERPRETERS ALLOWS NON-ENGLISH SPEAKING AND HEARING IMPAIRED PATIENTS TO COMMUNICATE WITH THEIR MEDICAL PROVIDERS. THE FOLLOWING ARE THE TYPES OF COMMUNICATIONS THAT IS OFFERED THROUGH PACIFIC INTERPRETERS:-PHONE-TABLET-IN PERSONF. EDUCATIONTARGET POPULATION: SENIORS AND BROADER COMMUNITYTHOREK MEMORIAL OFFERS A RANGE OF HEALTH AND WELLNESS ACTIVITIES, INCLUDING TRADITIONAL WORKSITE HEALTH FAIRS, SCREENINGS, AND EDUCATIONAL SEMINARS; ACCESS TO BEHAVIOR MODIFICATION PROGRAMS, SUCH AS WEIGHT MANAGEMENT AND SMOKING CESSATION.G. CHARITY CARETARGET POPULATION: UNDERSERVED, UNDERINSURED, UNINSURED AND BROADER COMMUNITY THOREK PROVIDES MEDICALLY NECESSARY SERVICES TO ALL PATIENTS REGARDLESS OF RACE, CREED, COLOR, GENDER, OR COUNTRY OF NATIONAL ORIGIN AND WITHOUT REGARDS TO ABILITY OF THE PATIENT TO PAY FOR SUCH SERVICES. THOREK PROVIDES A MINIMUM 53% DISCOUNT OF CHARGES FOR ALL PATIENTS WITHOUT INSURANCE, REGARDLESS OF INCOME OR ASSETS. PATIENTS ARE ELIGIBLE FOR AN ADDITIONAL 25% QUICK PAY DISCOUNT ON THE REMAINING AMOUNT DUE AFTER THE INITIAL 53% DISCOUNT. PATIENTS ARE ELIGIBLE FOR ADDITIONAL PAYMENT REDUCTIONS AND OR INTEREST FREE PAYMENT PLANS UP TO AND INCLUDING COMPLETE WRITE-OFF OF CHARGES FOR PATIENTS THAT ARE ELIGIBLE FOR THE HOSPITAL'S CHARITY CARE POLICY OR SHOW SEVERE FINANCIAL DISTRESS.FOR PATIENTS THAT DO NOT MEET CHARITY CARE GUIDELINES, A 53% (BASED ON 600% OF FEDERAL POVERTY GUIDELINES) INITIAL DISCOUNT IS TAKEN AND THE REMAINDER IS ELIGIBLE FOR A 25% IMMEDIATE PAYMENT DISCOUNT. THE REMAINING AMOUNT WILL BE PAID BASED UPON AN AGREED UPON PAYMENT PLAN (UP TO ONE YEAR) WITH THE PATIENT OR WILL RECEIVE FURTHER DISCOUNT BASED UPON THE INDIVIDUAL PATIENT'S FINANCIAL SITUATION. ANY FINAL AMOUNT THAT WILL BE PAID IS DETERMINED AND PAID IN FULL OR ACCORDING TO AN AGREED UPON PAYMENT PLAN WITH THE PATIENT (UP TO ONE YEAR). EVERY OPPORTUNITY WILL BE MADE TO ENSURE THE PATIENT HAS THE CHANCE TO PAY WHAT THEY CAN AFFORD TOO BASED UPON THEIR FINANCIAL SITUATION AT THAT TIME. THE HOSPITAL DOES NOT ATTEMPT TO GARNISH ANY WAGES OF THE PATIENT, DOES NOT FILE LIENS ON ANY PERSONAL PROPERTY OF THE PATIENT, NOR DOES IT PURSUE ANY OTHER AGGRESSIVE COLLECTION TECHNIQUES IN PURSUIT OF PAYMENT.

THOREK MEMORIAL HOSPITAL ANDERSONVILLE
PART V, SECTION B, LINE 11: AFTER CONSIDERING THE FINDINGS OF THE CHNA IN THE CONTEXT OF CURRENT COMMUNITY-FOCUSED ACTIVITIES AND RESOURCES, THOREK HAS DECIDED TO ADDRESS THE FOLLOWING HEALTH PRIORITY AREAS (IN NO PARTICULAR ORDER) AND DEVELOP DETAILED IMPLEMENTATION PLANS AS DESCRIBED FOR EACH AREA:A. IMPROVING ACCESS TO HEALTH CARE SERVICESTARGET POPULATION: COMMUNITY MEMBERS WHO ARE UNINSURED, UNDERINSURED AND THE BROADER COMMUNITY EXPERIENCING ACCESS TO HEALTH CARE.GOALS: INCREASE THE PROPORTION OF PERSONS WITH A USUAL PRIMARY CARE PROVIDER; INCREASE THE NUMBER OF PRIMARY CARE VISITS; AND REDUCE THE PROPORTION OF PERSONS WHO ARE UNABLE TO OBTAIN OR DELAY IN OBTAINING NECESSARY MEDICAL CARE/SCREENINGS. LOWER USE OF EMERGENCY ROOM VISITS FOR NON-URGENT MEDICAL TREATMENT.PRIMARY CARE SERVICESTHE TMH AMBULATORY CARE CENTER EXTENDED HOURS OF OPERATIONS FOR EASE OF ACCESS. EVENING HOURS ARE NOW AVAILABLE TO ADDRESS ACCESS AND ER CONGESTION. TWO HOSPITAL CLINIC LOCATIONS NOW HAVE HOURS 6PM AND AFTER TO BETTER SERVE THE PATIENT POPULATION.EMERGENCY CARETHE TMH STATE-OF-THE-ART EMERGENCY DEPARTMENT CONTINUES TO HELP THE INDIGENT COMMUNITY WHO AWAIT RESPONSE FROM THE CITY OF CHICAGO'S SHELTER SERVICES.CENTER FOR PRIMARY CARE/ ACS/ CHINA SQUARE/ UKRAINE VILLAGETHE TMH CLINICS ACCEPT APPOINTMENTS AND WALK-IN PATIENTS. HOURS VARY BASED ON LOCATION.TRANSPORTATIONTMH PROVIDES TRANSPORTATION VIA HOSPITAL VAN AND CONTRACTED TRANSPORTATION SERVICES TO 50+ CLUB MEMBERS AND OTHERS WITHIN DESIGNATED GEOGRAPHIC BOUNDARIES, AS DETERMINED APPROPRIATE BASED ON NEED AND CLINICAL STATUS.MEDICAL OFFICES IN SENIOR RESIDENCE BUILDINGSTMH OPERATES MEDICAL OFFICES IN SENIOR RESIDENT SITES ON THE NORTH SIDE OF CHICAGO IN THOREK'S PRIMARY SERVICES AREA. TYPICAL OFFICE STAFFING CONSISTS OF A MEDICAL ASSISTANT AND A PHYSICIAN WHEN NEEDED. TMH ALSO HELPS TO PROVIDE ACCESS TO SPECIALTY (CONSULTANT) PHYSICIAN SERVICES TO MEMBERS ON AN AS NEEDED BASIS.B. FOCUS ON MENTAL HEALTH & WELLNESSTARGET POPULATION: WHILE THERE ARE MANY VULNERABLE POPULATIONS, FOCUS AND THRUST OF TMH PLAN IS TO ADDRESS THREE MAJOR POPULATIONS: THE INDIGENT, THE ELDERLY, INDIVIDUALS WHO HAVE SUBSTANCE ABUSE, ALCOHOL AND ARE AT-RISK FOR MENTAL ILLNESS, AND ALSO THE CHRONICALLY ILL. IT IS OUR HOPE THAT OUR PROGRAM TRANSFORMS THESE POPULATIONS FROM VULNERABILITY TO WELLNESS AND RESILIENCE.GOALS: IMPROVE ACCESS TO AND CREATE ADDITIONAL CAPACITY TO ADDRESS MENTAL HEALTH NEEDS OF THE COMMUNITY; AND IMPROVE HEALTH-RELATED QUALITY OF LIFE AND WELL-BEING FOR ALL INDIVIDUALS.MEDICAL STABILIZATION UNITDESIGNED TO STABILIZE PATIENTS SUFFERING FROM WITHDRAWAL FROM ALCOHOL AND OPIATES, THE ANDERSONVILLE CAMPUS HAS A 30-BED GENERAL MEDICINE UNIT PROVIDING MULTIDISCIPLINARY CARE TO PATIENTS WITH WITHDRAWAL OR ALCOHOL INTOXICATION AS THEIR PRIMARY DIAGNOSIS. ONCE STABILIZED, PATIENTS ARE PROVIDED WITH REFERRALS FOR TREATMENT OF THEIR ADDICTION AS WELL AS FOLLOW UP FOR ANY OTHER MEDICAL PROBLEMS.OUTPATIENT MENTAL HEALTHTMH NOW OFFERS 6 DAYS PER WEEK OUTPATIENT MENTAL HEALTH SERVICES. THIS INCLUDES MEDICATION MANAGEMENT AND TRADITIONAL THERAPY/ COUNSELING. THE CLINIC IS STAFFED BY:- MDS- NP- LCSWINPATIENT MENTAL HEALTHTMH NOW HAS 44 BEDS FOR INPATIENT MENTAL HEALTH AT ITS MAIN CAMPUS AND ANOTHER 40 INPATIENT BEDS AT ITS ANDERSONVILLE LOCATION. THE BEDS ARE DIVIDED BY FLOORS, 3 EAST AND 4 EAST AT THE MAIN CAMPUS AND 4TH FLOOR AT THE ANDERSONVILLE CAMPUS. THE UNITS ARE STAFFED WITH THE FOLLOWING:- MDS- RNS- LPNS- CRISIS WORKERS- LCSWS- CNASTHOREK'S ADULT MENTAL HEALTH PROGRAM PRIMARILY TREATS PATIENTS WITH THE FOLLOWING DIAGNOSES:- SCHIZOPHRENIC DI ORDERS- SCHIZO-AFFECTIVE DISORDER- BI-POLAR DISORDERS- DISSOCIATIVE DISORDERS- MAJOR DEPRESSIVE DISORDERS- ACUTE PSYCHOSIS- DUAL DIAGNOSES (MEDICAL AND BEHAVIORAL)- FREE SCREENINGSTHOREK PROVIDES FREE MENTAL HEALTH STATUS SCREENINGS AT OFF-SITE ELDERLY HOUSING FACILITIES AND VARIOUS COMMUNITY FAIRS/ EVENTS.C. PROMOTING ORAL CARETARGET POPULATION: UNINSURED AND UNDERINSURED ADULTS AND CHILDREN WITHIN THOREK'S PRIMARY SERVICE AREAS.GOALS: REDUCE THE PROPORTION OF CHILDREN AND ADULTS WITH UNTREATED DENTAL DECAY; AND INCREASE THE PROPORTION OF CHILDREN AND ADULTS WHO HAVE USED THE ORAL HEALTH SYSTEM IN THE PAST YEAR.MEDICAL OFFICE IN HOSPITALDENTAL CHARM OPERATES AN OFFICE WITHIN THOREK'S PROFESSIONAL OFFICE BUILDING. DENTAL CHARM SPECIALIZES IN FAMILY DENTISTRY WITH A SPECIFIC FOCUS ON PEDIATRIC DENTISTRY. ALL ITS DENTISTS ARE A PART OF THE AMERICAN DENTAL SOCIETY. DENTAL CHARM TAKES ALL MAJOR INSURANCE, SLIDING SCALE PAYMENTS AND HAS WALK IN HOURS.D. CANCER PROGRAMSTARGET POPULATION: UNINSURED AND UNDERINSURED ADULTS WITHIN THOREK'S PRIMARY SERVICE AREAS; WOMEN (AGES 40 AND UP) WITHIN THOREK'S PRIMARY SERVICE AREAS.GOALS: EARLIER DETECTION OF BREAST CANCER AND SKIN CANCER, ALLOWING FOR TIMELY INTERVENTION AND BETTER PROGNOSIS; AND INCREASE AWARENESS OF HOSPITAL'S CANCER SERVICES.SKIN CANCER SCREENINGSTHOREK OFFERED FREE SKIN CANCER SCREENINGS TO THE PUBLIC IN JULY OF 2022. THE VISUAL TOOK PLACE AT THE HOSPITAL'S MAIN CAMPUS AND WERE PERFORMED BY THOREK PHYSICIAN GARY BARSKY, M.D. DR. BARSKY PROVIDED PARTICIPANTS THE RESULTS IMMEDIATELY AND RECOMMENDED FOLLOW-UP CARE, IF NECESSARY. WE HAD 14 PEOPLE RECEIVE THE FREE SCREENING. DUE TO COVID 19, ARE NUMBERS FELL FROM WHAT WE PROJECTED OF OVER 50 FREE SCREENING. WE WILL REPEAT THIS INITIATIVE AGAIN IN 2023 WITH A GOAL OF 75 PEOPLE PARTICIPATING.DISCOUNTED MAMMOGRAPHYFOR THOSE WITHOUT INSURANCE OR WHO WISH TO PAY FOR THEMSELVES, THOREK MEMORIAL HOSPITAL OFFERS DIGITAL MAMMOGRAMS AT A DISCOUNTED FEE OF $155. OUR FEE INCLUDES BOTH THE EXAM AND THE RADIOLOGIST'S READING, WITHOUT ANY UNEXPECTED OR ADDITIONAL CHARGES. WE WORKED WITH COMMUNITY PARTNERS TO ADVERTISE THE MAMMOGRAM DISCOUNTS.E. LANGUAGE ASSISTANCE/HEARING IMPAIRED PROGRAMSTARGET POPULATION: UNDERSERVED, NON-ENGLISH SPEAKING/HEARING IMPAIRED COMMUNITY PACIFIC INTERPRETERS ALLOWS NON-ENGLISH SPEAKING AND HEARING IMPAIRED PATIENTS TO COMMUNICATE WITH THEIR MEDICAL PROVIDERS. THE FOLLOWING ARE THE TYPES OF COMMUNICATIONS THAT IS OFFERED THROUGH PACIFIC INTERPRETERS:-PHONE-TABLET-IN PERSONF. EDUCATIONTARGET POPULATION: SENIORS AND BROADER COMMUNITYTHOREK MEMORIAL OFFERS A RANGE OF HEALTH AND WELLNESS ACTIVITIES, INCLUDING TRADITIONAL WORKSITE HEALTH FAIRS, SCREENINGS, AND EDUCATIONAL SEMINARS; ACCESS TO BEHAVIOR MODIFICATION PROGRAMS, SUCH AS WEIGHT MANAGEMENT AND SMOKING CESSATION.G. CHARITY CARETARGET POPULATION: UNDERSERVED, UNDERINSURED, UNINSURED AND BROADER COMMUNITY THOREK PROVIDES MEDICALLY NECESSARY SERVICES TO ALL PATIENTS REGARDLESS OF RACE, CREED, COLOR, GENDER, OR COUNTRY OF NATIONAL ORIGIN AND WITHOUT REGARDS TO ABILITY OF THE PATIENT TO PAY FOR SUCH SERVICES. THOREK PROVIDES A MINIMUM 53% DISCOUNT OF CHARGES FOR ALL PATIENTS WITHOUT INSURANCE, REGARDLESS OF INCOME OR ASSETS. PATIENTS ARE ELIGIBLE FOR AN ADDITIONAL 25% QUICK PAY DISCOUNT ON THE REMAINING AMOUNT DUE AFTER THE INITIAL 53% DISCOUNT. PATIENTS ARE ELIGIBLE FOR ADDITIONAL PAYMENT REDUCTIONS AND OR INTEREST FREE PAYMENT PLANS UP TO AND INCLUDING COMPLETE WRITE-OFF OF CHARGES FOR PATIENTS THAT ARE ELIGIBLE FOR THE HOSPITAL'S CHARITY CARE POLICY OR SHOW SEVERE FINANCIAL DISTRESS.FOR PATIENTS THAT DO NOT MEET CHARITY CARE GUIDELINES, A 53% (BASED ON 600% OF FEDERAL POVERTY GUIDELINES) INITIAL DISCOUNT IS TAKEN AND THE REMAINDER IS ELIGIBLE FOR A 25% IMMEDIATE PAYMENT DISCOUNT. THE REMAINING AMOUNT WILL BE PAID BASED UPON AN AGREED UPON PAYMENT PLAN (UP TO ONE YEAR) WITH THE PATIENT OR WILL RECEIVE FURTHER DISCOUNT BASED UPON THE INDIVIDUAL PATIENT'S FINANCIAL SITUATION. ANY FINAL AMOUNT THAT WILL BE PAID IS DETERMINED AND PAID IN FULL OR ACCORDING TO AN AGREED UPON PAYMENT PLAN WITH THE PATIENT (UP TO ONE YEAR). EVERY OPPORTUNITY WILL BE MADE TO ENSURE THE PATIENT HAS THE CHANCE TO PAY WHAT THEY CAN AFFORD TOO BASED UPON THEIR FINANCIAL SITUATION AT THAT TIME. THE HOSPITAL DOES NOT ATTEMPT TO GARNISH ANY WAGES OF THE PATIENT, DOES NOT FILE LIENS ON ANY PERSONAL PROPERTY OF THE PATIENT, NOR DOES IT PURSUE ANY OTHER AGGRESSIVE COLLECTION TECHNIQUES IN PURSUIT OF PAYMENT.

SCHEDULE H, PART V, SECTION B, LINE 22D:
THOREK MEMORIAL HOSPITAL CALCULATES AGB UNDER THE PROSPECTIVE MEDICARE METHOD, WHICH MEANS THAT THOREK DETERMINES AGB FOR ANY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE PROVIDED TO AN INDIVIDUAL ELIGIBLE FOR FINANCIAL ASSISTANCE BY USING THE BILLING AND CODING PROCESS THOREK WOULD USE IF THE INDIVIDUAL WERE A MEDICARE FEE-FOR-SERVICE BENEFICIARY AND SETTING THE AGB FOR THE CARE AT THE AMOUNT MEDICARE WOULD ALLOW FOR THE CARE (INCLUDING BOTH THE AMOUNT THAT WOULD BE REIMBURSED BY MEDICARE AND THE AMOUNT THE BENEFICIARY WOULD BE PERSONALLY RESPONSIBLE FOR PAYING IN THE FORM OF CO-PAYMENTS, COINSURANCE AND DEDUCTIBLES).

PART I, LINE 6A:
THOREK PREPARES AND FILES THE ANNUAL NON PROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT BY DECEMBER 31 OF EACH YEAR WITH THE ATTORNEY GENERAL'S OFFICE OF THE STATE OF ILLINOIS.

PART I, LINE 7, COLUMN (F):
THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2,173,872.

PART III, LINE 2:
AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE.

PART III, LINE 4:
ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF OUR FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.

PART III, LINE 8:
MEDICARE COSTS ARE ALLOCATED BY COST CENTER IN ACCORDANCE WITH MEDICARE REGULATIONS. THE COSTS ARE CALCULATED USING A COST TO CHARGE RATIO.

PART III, LINE 9B:
THOREK SEEKS TO ENGAGE PATIENTS PROACTIVELY TO DETERMINE IF FINANCIAL ASSISTANCE IS NEEDED, ESPECIALLY AT THE TIME OF SERVICE. THIS SERVICE IS ACCOMPLISHED BY COMMUNICATING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO THE PATIENT THROUGH POSTED SIGNS THROUGHOUT THE HOSPITAL AS WELL AS NOTICES ON THE HOSPITAL WEBSITE AND ALL BILLING CORRESPONDENCE. FURTHERMORE THE HOSPITAL FINANCIAL COUNSELORS PROVIDE ASSISTANCE RANGING FROM ASSISTANCE IN COMPLETING THE HOSPITAL'S FINANCIAL ASSISTANCE APPLICATION, TO PROVIDING PAYMENT PLANS TO THOSE WITHOUT INSURANCE OR WITH PATIENT RESPONSIBILITIES AFTER REIMBURSEMENT BY THE PRIMARY INSURANCE, AND SEEKING INSURANCE COVERAGE FOR THOSE PATIENTS UNINSURED. THE HOSPITAL'S FINANCIAL COUNSELORS SEEK TO MAKE CONTACT AND WORK WITH THE PATIENT OR THEIR FAMILY TO HELP THEM IN ANY WAY POSSIBLE TO MEET THEIR FINANCIAL RESPONSIBILITIES IN A SUPPORTIVE MANNER OR IDENTIFY ELIGIBILITY FOR THE HOSPITAL'S CHARITY CARE POLICY.FINANCIAL COUNSELORS WORK WITH PATIENTS IN PERSON WHILE STILL AN INPATIENT IF APPROPRIATE, AFTER AN OUTPATIENT SERVICE AT THE HOSPITAL, OR SOON AFTER SERVICE IS PROVIDED TELEPHONICALLY. AS PART OF THIS PROCESS, THE COUNSELORS ATTEMPT TO DETERMINE IF THERE ARE ANY THIRD-PARTY PAYERS WHICH MAY BE AVAILABLE TO HELP THE PATIENT MEET THEIR OBLIGATIONS. THE COUNSELORS WORK WITH OUR PATIENTS TO DETERMINE IF THEY ARE ELIGIBLE FOR MEDICAID OR OTHER STATE OR LOCAL FUNDED PROGRAMS INCLUDING CRIME VICTIMS, ILLINOIS MARKET PLACE INSURANCE PLANS, ALTERNATIVE INSURANCE INCLUDING COBRA, WORKER'S COMPENSATION, AND/OR OTHER APPROPRIATE THIRD-PARTY LIABILITY PAYOR. THE HOSPITAL CONTRACTS WITH AN OUTSIDE FIRM TO PROVIDE SUPPORTING STAFF THAT WORK WITH PATIENT ACCOUNTS IN THIS PROCESS. THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE BEGINS WITH A PHONE CALL OR MEETING WITH THE PATIENT TO COMPLETE THE HOSPITAL CHARITY CARE APPLICATION FORMS AND/OR PROVIDED EVIDENCE OF THE NEED FOR FINANCIAL ASSISTANCE. IF THE CHARITY CARE APPLICATION MEETS THE HOSPITAL CHARITY CARE GUIDELINES OF 200% OF THE FEDERAL POVERTY GUIDELINES, NO FURTHER COLLECTION ACTIVITY OCCURS, AND THE AMOUNT IS APPROPRIATELY RECORDED AS CHARITY CARE AND WRITTEN OFF AFTER THE 53% INITIAL DISCOUNT IS APPLIED. IF THE APPLICATION MEETS THE 201%-300% OF FEDERAL POVERTY GUIDELINE THE ACCOUNT IS DISCOUNTED AT ADDITIONAL 50% AND THE PAYMENT PLAN IS INITIATED FOR THE REMAINING BALANCE. FOR PATIENTS THAT DO NOT MEET CHARITY CARE GUIDELINES, A 53% (BASED ON 300% OF FEDERAL POVERTY GUIDELINES) INITIAL DISCOUNT IS TAKEN. THE REMAINING AMOUNT IS PAID BASED UPON AN AGREED PAYMENT PLAN WITH THE PATIENT OR THE PATIENT RECEIVES A FURTHER DISCOUNT BASED UPON THE INDIVIDUAL PATIENT'S FINANCIAL SITUATION. ANY FINAL AMOUNT TO BE PAID IS DETERMINED AND PAID IN FULL OR ACCORDING TO AN AGREED UPON PAYMENT PLAN WITH THE PATIENT. EVERY OPPORTUNITY IS MADE TO ENSURE THE PATIENT HAS THE CHANCE TO PAY WHAT THEY CAN AFFORD BASED UPON THEIR FINANCIAL SITUATION AT THAT TIME.

PART VI, LINE 7, REPORTS FILED WITH STATES
IL

PART VI, LINE 2:
"IN ADDITION TO THE CHNA, THOREK MEMORIAL HOSPITAL HAS HISTORICALLY AND CONTINUES TO IDENTIFY PRIORITIES FOR COMMUNITY BENEFIT THROUGH THE FOLLOWING INTERNAL REVIEW: THE THOREK MEMORIAL HOSPITAL (TMH) COMMUNITY NEEDS ASSESSMENT IS AN ONGOING PROCESS CONDUCTED BY TMH MANAGEMENT AND SUMMARIZED ANNUALLY IN THE ANNUAL NON-PROFIT HOSPITAL COMMUNITY BENEFIT PLAN REPORT SUBMITTED TO THE ATTORNEY GENERAL'S OFFICE OF THE STATE OF ILLINOIS. THIS PROCESS UTILIZES INFORMATION OBTAINED FROM HEALTH AGENCIES AND PRACTITIONERS, COMMUNITY ORGANIZATIONS, AND COMMUNITY REPRESENTATIVES. THIS INFORMATION HAS BEEN GATHERED EITHER THROUGH REVIEW OF PUBLISHED INFORMATION, WRITTEN FEEDBACK, OR DIRECT INTERVIEWS OR DISCUSSIONS WITH PHYSICIANS AND PATIENTS. INDIVIDUALS INCLUDED ARE PHYSICIANS AND ALLIED HEALTH PROFESSIONALS, REPRESENTATIVES FROM THE ELDERLY POPULATION, LOCAL EMPLOYERS, AND COMMUNITY REPRESENTATIVES. FINDINGS FROM THE ASSESSMENT INDICATE:- TMH SERVES A POPULATION HAVING LIMITED ECONOMIC MEANS- THE POPULATION SERVED BY TMH IS NOT BASED ON GEOGRAPHIC PROXIMITY- THERE IS A CONSENSUS BETWEEN TMH AND ITS MEDICAL STAFF REGARDING GOALS- THERE IS LOW CONSUMER AWARENESS OF TMH SERVICES, HOWEVER, THIS IS IMPROVING.THE TOP PRIORITY UNMET HEALTH NEEDS, BY AGE GROUP, ARE AS FOLLOWS:- ADULTS: ACCESS TO SERVICES (INSURANCE, COST)- SENIORS: COST; MEDICATIONS; POST-HOSPITAL SUPPORT; AND TRANSPORTATIONTHOREK MEMORIAL HOSPITAL HAS ADDRESSED AND/OR PLANS TO ADDRESS THESE IDENTIFIED PRIORITY NEEDS IN THE FOLLOWING WAYS IN THE COMMUNITY:- IMPROVE ACCESS TO SERVICES- AMBULATORY CARE. TMH HAS FOCUSED ON THE EXPANSION AND DIFFERENTIATION OF ITS AMBULATORY CARE PROGRAMS IN ORDER TO IMPROVE ACCESS AND SERVICE. THE AMBULATORY CARE DEPARTMENT HAS BEEN PHYSICALLY EXPANDED AND SE PARA TED INTO DISTINCT COMPONENTS.- CENTER FOR PRIMARY CARE. TMH OPERATES ITS CENTER FOR PRIMARY CARE. THIS NOT ONLY INCREASED THE SPACE DEVOTED TO AMBULATORY CARE BUT PROVIDES A PHYSICALLY DISTINCT AREA DESIGNED TO HAVE THE LOOK AND FEEL OF A PRIVATE MEDICAL OFFICE RATHER THAN A ""WALK-IN CLINIC"".- COMMUNITY AND LOCAL EMPLOYER HEALTH FAIRS AND EDUCATION SESSIONS FOCUS ON NEEDS AND CONCERNS OF SENIORS- CHA PROGRAM. TMH PROVIDES ACCESS TO MEDICAL SERVICES FOR RESIDENTS OF FIVE NEARBY CHICAGO HOUSING AUTHORITY (CHA) RESIDENTIAL FACILITIES BY OPERATING MEDICAL OFFICES IN THESE BUILDINGS. RESIDENTS OF THESE BUILDINGS ARE PREDOMINANTLY SENIORS WHO QUALIFY FOR SUBSIDIZED HOUSING BASED ON FINANCIAL NEED. TYPICAL OFFICE STAFFING CONSISTS OF AN RN AND A PHYSICIAN. IN ADDITION, PHARMACEUTICALS NEEDED BY RESIDENTS ARE DELIVERED FREE OF CHARGE FOR THOSE RESIDENTS THAT REQUIRE THEM BASED ON AN APPROPRIATE COMPLETED SCRIPTS BY THE PHYSICIANS. IN ADDITION TO THE PROVISION OF HEALTH SERVICES, EDUCATIONAL, SOCIAL, AND OTHER ACTIVITIES ARE ARRANGED BY STAFF FOR THE PATIENTS OF CHA AT FIVE SITES ON THE NORTH SIDE OF CHICAGO, IN THOREK'S PRIMARY SERVICE AREA. NO AMOUNTS ARE BILLED BY THE HOSPITAL FOR HEALTHCARE SERVICES PROVIDED AT THESE SITES. THOREK MEMORIAL HOSPITAL ALSO HELPS TO PROVIDE ACCESS TO SPECIALTY (CONSULTANT) PHYSICIAN SERVICES TO MEMBERS ON AN AS NEEDED BASIS.- MEDICATION. RECOGNIZING THE NEED TO PROVIDE ACCESS, EXPAND ALTERNATIVES, AND IMPROVE CONVENIENCE TO THOSE WE SERVE, TMH CONTINUES TO PROVIDE MEDICATION THROUGH ITS OUTPATIENT PHARMACY TO HOSPITAL PATIENTS AND CHA RESIDENTS.-TRANSPORTATION. TMH PROVIDES TRANSPORTATION VIA HOSPITAL VAN AND CONTRACTED TRANSPORTATION SERVICES BASED ON HOSPITAL TRANSPORTATION POLICIES TO 50+ CLUB MEMBERS AND OTHERS WITHIN DESIGNATED GEOGRAPHIC BOUNDARIES, AS DETERMINED APPROPRIATE BASED ON NEED AND CLINICAL STATUS, WHEN HOSPITAL SERVICES HAVE BEEN SCHEDULED IN ACCORDANCE WITH THE HOSPITAL'S TRANSPORTATION POLICY.INCREASE AWARENESS OF HEALTH PROGRAMS AVAILABLE:- COMMUNICATION OF SERVICES TO THE COMMUNITY AND ITS ORGANIZATIONS.- COMMUNITY HEALTH EDUCATION PROGRAMS DISCUSSING PREVENTION AND WELLNESS- ACCESS TO HOSPITAL AND PHYSICIAN SERVICES"

PART VI, LINE 3:
THOREK UTILIZES SEVERAL METHODS TO COMMUNICATE ITS RESPONSIBILITY TO INFORM AND EDUCATE PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER GOVERNMENTAL PROGRAMS OR THE HOSPITAL'S FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES. THE HOSPITAL POSTS THE AVAILABILITY OF FINANCIAL ASSISTANCE AND CHARITY CARE IN ENGLISH AND SPANISH IN ALL REGISTRATION AND MOST WAITING AREAS THROUGHOUT THE HOSPITAL. MEMBERS OF THE BUSINESS OFFICE ALSO WORK WITH PATIENTS TO SEE WHAT OTHER COMMUNITY RESOURCES MAY BE AVAILABLE TO THE PATIENT FOR CURRENT AND FUTURE CARE PROVISION. THE FINANCIAL COUNSELOR AND MOST OTHER EMPLOYEES IN THE HOSPITAL'S BUSINESS OFFICE AND PATIENT REGISTRATION ARE FLUENT IN SPANISH, AND PHONE TRANSLATORS ARE USED FOR OTHER LANGUAGES. THE AVAILABILITY FOR CHARITY CARE AS WELL AS THE WORKSHEET TO CALCULATE ELIGIBILITY FOR CHARITY CARE IS POSTED ON THE HOSPITAL'S WEBSITE. IN ADDITION, ALL BILLS AND STATEMENTS SENT TO PATIENTS INCLUDE INFORMATION REGARDING THE FINANCIAL ASSISTANCE AND CHARITY CARE OPPORTUNITIES IN ENGLISH AND SPANISH. THE HOSPITAL ALSO CONTRACTS FOR A FULL TIME FTE TO PROVIDE FINANCIAL COUNSELING TO PATIENTS WHICH INCLUDES THE ASSISTANCE IN THE MEDICAID APPLICATION PROCESS AS WELL AS A SEARCH FOR OTHER COVERAGE OPTIONS AVAILABLE.

PART VI, LINE 4:
THOREK MEMORIAL HOSPITAL IS REPRESENTATIVE OF THE WIDE CROSS-SECTION OF THE POPULATION THAT IT SERVES. ITS COMMUNITY INCLUDES A SIZABLE NUMBER OF AFRICAN AMERICAN, ASIAN, AND HISPANIC RESIDENTS AS WELL AS A VARIETY OF OTHER ETHNIC GROUPS. THOREK MEMORIAL HOSPITAL'S LONG-STANDING STATUS AS A PREFERRED PROVIDER OF MEDICAL SERVICES FOR EMPLOYERS, ALSO WITH A MULTL ETHNIC MEMBERSHIP, CONTRIBUTES TO A WELL-ESTABLISHED WORKING CLASS ETHNIC CLIENT BASE. THE DEMOGRAPHICS INCLUDE A LISTING THAT GIVES THE ETHNIC DISTRIBUTION OF INPATIENTS. SINCE THOREK MEMORIAL HOSPITAL'S MEDICAL STAFF ALSO REFLECTS ETHNIC DIVERSITY, WE EXPECT TO MAINTAIN A SIGNIFICANT ETHNIC CUSTOMER BASE. AL THOUGH THOREK MEMORIAL HOSPITAL SERVES PATIENTS THROUGHOUT THE CHICAGO METROPOLITAN AREA AND EVEN AS FAR AWAY AS INDIANA AND WISCONSIN, WE HAVE DEFINED OUR COMMUNITY BASED UPON GEOGRAPHIC PROXIMITY. A PRIMARY SERVICE AREA HAS BEEN IDENTIFIED CONSISTING OF NEARBY ZIP CODE AREAS. THOREK MEMORIAL HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF THE FOLLOWING: GRACELAND (60613),LINCOLN PARK (60614), KEDZIE-GRACE (60618), RAVENSWOOD (60625), UPTOWN (60640), LOGAN SQUARE (60647), EDGEWATER (60660), W.ROGERS PARK (60645), ROGERS PARK (60626), DIVISION (60651 ), AUSTIN (60644), BELMONT CRAGIN (60639), GARFIELD PARK (60624), NEAR WEST (60612), HAWTHORNE (60623), PILSEN (60608), AND NEAR SOUTH (60616), AS WELL AS ZIP CODES 60653, 60615, 60621, 60637, 60620, 60619, 60649, AND 60628.THE PRIMARY NOT-FOR-PROFIT COMMUNITY HOSPITALS ALSO SERVING THIS AREA INCLUDE: WEISS MEMORIAL HOSPITAL, ILLINOIS MASONIC MEDICAL CENTER (ADVOCATE), SWEDISH HOSPITAL (NORTHSHORE), ST. JOSEPH HOSPITAL (AMITA), HUMBOLDT PARK HEALTH, AND ST. MARY AND ST ELIZABETH HOSPITALS (AMITA). APPROXIMATELY 85% OF ADMISSIONS SERVED AT THOREK ARE FEDERALLY FUNDED OR SELF PAY/CHARITY. THE HOSPITAL CONTINUES TO MEET THE CRITERIA FOR A DISPROPORTIONATE SHARE HOSPITAL FOR MEDICARE/MEDICAID HIGH-VOLUME ADJUSTMENT FOR THE DEPARTMENT OF HUMAN SERVICES (PUBLIC AID).

PART VI, LINE 5:
THE GOVERNING BODY OF THOREK INCLUDES MEMBERS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. FURTHERMORE, THOREK EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. A NET COMMUNITY BENEFITS EXPENSE FOR THOREK IN 2021 IS AS FOLLOWS (FROM THE ANNUAL NON PROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT FILED IN ACCORDANCE WITH THE ILLINOIS ATTORNEY GENERAL GUIDELINES): CHARITY CARE AT COST - $293,424; SUBSIDIZED HEALTH SERVICES - $379,301. THE HOSPITAL PROVIDES (FREE OF CHARGE) GUARDIANSHIP SERVICES THROUGH A LOCAL LEGAL FIRM FOR THOSE INPATIENT PSYCHIATRIC PATIENTS WHO ARE NOT ABLE TO MAKE APPROPRIATE MEDICAL DECISIONS FOR THEMSELVES. ALSO INCLUDED IN OTHER COMMUNITY BENEFIT PROGRAMS IS THE PROVISION OF TRANSPORTATION TO HOSPITAL PATIENTS THAT REQUIRE THIS SERVICE TO RECEIVE APPROPRIATE MEDICALLY NECESSARY HEALTH CARE AND PHYSICIAN SERVICES. THE TRANSPORTATION FOR THESE PATIENTS IS PERFORMED IN ACCORDANCE WITH THE HOSPITAL TRANSPORTATION POLICY. THOREK ORGANIZES THAI HEALTH FAIR AND PROVIDES DIABETIC EDUCATION WITH THE GOAL OF ADVOCATING AND PROMPTING THE HEALTH OF THE COMMUNITY. TOTAL CHARITY CARE AND COMMUNITY BENEFITS: $672,725. IN ADDITION, THOREK REPORTED BAD DEBT EXPENSE OF $2,173,872.