4A (Expenses $ 89972790 including grants of $ 0) (Revenue $ 123048788)
HUMBOLDT PARK HEALTH (HOSPITAL) IS A PREMIER HEALTH CARE PROVIDER WHERE THE PATIENT COMES FIRST. AS AN ORGANIZATION OF CAREGIVERS, HUMBOLDT PARK HEALTH INSPIRES TO CONSISTENTLY HIGH STANDARDS OF QUALITY, FAMILY-CENTERED HEALTH CARE SERVICES AND COST EFFECTIVENESS. HUMBOLDT PARK HEALTH SEEKS TO PROMOTE WELLNESS WITHIN THE FAMILY AND TO BE DYNAMIC PARTNERS IN HEALTH WITH THE COMMUNITIES IT SERVES. FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2022, HUMBOLDT PARK HEALTH ESTIMATES IT PROVIDED $3,861,144 IN CHARITY CARE COST FOR HEALTHCARE SERVICES AND SUPPLIES PROVIDED TO MEMBERS OF THE COMMUNITIES SERVED UNDER ITS CHARITY CARE POLICY. THESE MEMBERS DID NOT HAVE THE ABILITY TO PAY FOR SERVICES RECEIVED. HUMBOLDT PARK HEALTH ALSO PROVIDED CARE TO PATIENTS WHO ARE BENEFICIARIES OF MEDICARE, MEDICAID, BLUE CROSS AND MANAGED CARE REIMBURSEMENT PROGRAMS. REIMBURSEMENT AMOUNTS FOR THESE PROGRAMS ARE LESS THAN CHARGES AND IN SOME CASES LESS THAN COST. FOR FISCAL YEAR 2022, HUMBOLDT PARK HEALTH SERVED 5,158 PATIENTS ADMITTED WHO RECEIVED 39,008 DAYS OF HEALTHCARE SERVICES.

HUMBOLDT PARK HEALTH
PART V, SECTION B, LINE 5: THE CHNA COMBINED ROBUST PUBLIC HEALTH DATA, COMMUNITY INPUT, EXISTING RESEARCH, EXISTING PLANS, AND EXISTING ASSESSMENTS TO DOCUMENT THE HEALTH STATUS OF COMMUNITIES WITHIN CHICAGO AND SUBURBAN COOK COUNTY AND TO HIGHLIGHT SYSTEMIC INEQUITIES THAT ARE NEGATIVELY IMPACTING HEALTH.PRIMARY AND SECONDARY DATA FROM A DIVERSE RANGE OF SOURCES WERE UTILIZED FOR ROBUST DATA ANALYSIS AND TO IDENTIFY COMMUNITY HEALTH NEEDS IN CHICAGO AND SUBURBAN COOK COUNTY. THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) WORKED WITH THE CHNA COMMITTEE AND STEERING COMMITTEE TO DESIGN AND FACILITATE A COLLABORATIVE, COMMUNITY-ENGAGED ASSESSMENT. THE CHNA PROCESS WAS ADAPTED FROM THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) MODEL, A COMMUNITY-ENGAGED STRATEGIC PLANNING FRAMEWORK THAT WAS DEVELOPED BY THE NATIONAL ASSOCIATION FOR COUNTY AND CITY HEALTH OFFICIALS (NACCHO) AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC). BOTH THE CHICAGO AND COOK COUNTY DEPARTMENTS OF PUBLIC HEALTH USE THE MAPP FRAMEWORK FOR COMMUNITY HEALTH ASSESSMENT AND PLANNING. THE MAPP FRAMEWORK PROMOTES A SYSTEM FOCUS, EMPHASIZING THE IMPORTANCE OF COMMUNITY ENGAGEMENT, PARTNERSHIP DEVELOPMENT, AND THREE TYPES OF DATA--SECONDARY DATA, COMMUNITY INPUT, AND SYSTEM ANALYSIS. AHE CHOSE THIS INCLUSIVE, COMMUNITY-DRIVEN PROCESS TO LEVERAGE AND ALIGN WITH HEALTH DEPARTMENT ASSESSMENTS AND TO ACTIVELY ENGAGE STAKEHOLDERS, INCLUDING COMMUNITY MEMBERS, IN IDENTIFYING AND ADDRESSING STRATEGIC PRIORITIES TO ADVANCE HEALTH EQUITY. PRIMARY DATA FOR THE CHNA WAS COLLECTED THROUGH FOUR METHODS:1. COMMUNITY INPUT SURVEY2. COMMUNITY RESIDENT FOCUS GROUPS AND LEARNING MAP SESSIONS3. HEALTH CARE AND SOCIAL SERVICE PROVIDER FOCUS GROUPS4. TWO STAKEHOLDER ASSESSMENTS LED BY PARTNER HEALTH DEPARTMENTS: FORCES OF CHANGE ASSESSMENT AND HEALTH EQUITY CAPACITY ASSESSMENT COMMUNITY INPUT SURVEY: THE COMMUNITY INPUT SURVEY WAS DESIGNED TO UNDERSTAND THE COMMUNITY HEALTH NEEDS AND ASSETS FROM COMMUNITY RESIDENTS. THE COMMUNITY INPUT SURVEY, ALONG WITH FOCUS GROUP DATA, INFORMED THE PRIORITY AREAS AND STRATEGIES FOR COMMUNITY HEALTH IMPROVEMENT IN CHICAGO AND SUBURBAN COOK COUNTY.COMMUNITY FOCUS GROUPS:BETWEEN AUGUST 2018 AND FEBRUARY 2019, ALLIANCE FOR HEALTH EQUITY PARTNERS COLLABORATED TO CONDUCT A TOTAL OF 57 FOCUS GROUPS WITH PRIORITY POPULATIONS SUCH AS VETERANS, INDIVIDUALS LIVING WITH MENTAL ILLNESS, COMMUNITIES OF COLOR, OLDER ADULTS, CAREGIVERS, TEENS AND YOUNG ADULTS, LGBTQ+ COMMUNITY MEMBERS, ADULTS AND TEENS EXPERIENCING HOMELESSNESS, FAMILIES WITH CHILDREN, FAITH COMMUNITIES, ADULTS WITH DISABILITIES, AND CHILDREN AND ADULTS LIVING WITH CHRONIC CONDITIONS SUCH AS DIABETES AND ASTHMA. IN ADDITION, THIRTY-SIX FOCUS GROUPS WERE CONDUCTED BY IPHI AND 21 LEARNING MAP SESSIONS WERE LED BY WEST SIDE UNITED WITH NOTETAKING BY IPHI.HEALTH CARE AND SOCIAL SERVICE PROVIDER FOCUS GROUPS:THERE WERE ALSO THREE FOCUS GROUPS WITH HEALTH CARE AND SOCIAL SERVICE PROVIDERS HOSTED BY SWEDISH COVENANT HOSPITAL, MACNEAL HOSPITAL, AND SOUTH SHORE HOSPITAL. FOCUS GROUP FACILITATORS ASKED PARTICIPANTS ABOUT THE UNDERLYING ROOT CAUSES OF HEALTH ISSUES THAT THEY SEE IN THEIR COMMUNITIES AND SPECIFIC STRATEGIES FOR ADDRESSING THOSE HEALTH NEEDS.STAKEHOLDER ASSESSMENTS LEAD BY PARTNER HEALTH DEPARTMENTS:THIS FORCES OF CHANGE ASSESSMENT COLLECTS INFORMATION ON THE TRENDS, FACTORS, AND EVENTS THAT ARE CURRENTLY AFFECTING AND/OR ANTICIPATED TO AFFECT THE PUBLIC HEALTH SYSTEM IN THE NEAR FUTURE (3-5 YEARS). CDPH LED THIS ASSESSMENT IN PARTNERSHIP WITH THEIR PARTNERSHIP FOR A HEALTHY CHICAGO, AND CCDPH. 122 RESPONDENTS REPRESENTING 86 ORGANIZATIONS IN CHICAGO AND SUBURBAN COOK COUNTY RESPONDED TO AN ONLINE SURVEY BETWEEN NOVEMBER 2018 AND JANUARY 2019. THE HEALTH EQUITY CAPACITY ASSESSMENT WAS LED BY CDPH, THE PARTNERSHIP FOR A HEALTHY CHICAGO, CCDPH, AND IPHI. CDPH, CCDPH, AND THE PARTNERSHIP WORKED WITH FACULTY FROM DEPAUL AND UIC SCHOOLS OF PUBLIC HEALTH TO DEVELOP A TOOL TO SCORE THE CAPACITY OF THE PUBLIC HEALTH SYSTEM TO ADVANCE HEALTH EQUITY. THE TOOL CONSISTS OF 5-6 QUESTIONS FOR EACH OF THE TEN ESSENTIAL PUBLIC HEALTH SERVICES RELATING TO FIVE COMPONENTS OF HEALTH EQUITY: COMMUNITY ENGAGEMENT/INVOLVEMENT, ORGANIZATIONAL PROCESSES, POWER/INFLUENCE, STRUCTURAL INEQUITIES, AND FUNDING. ON MARCH 5, 2019, 80 PEOPLE FROM ACROSS CHICAGO AND SUBURBAN COOK COUNTY CAME TOGETHER TO SCORE HOW WELL THE SYSTEM IS FUNCTIONING AROUND HEALTH EQUITY AND TO IDENTIFY CHALLENGES, STRENGTHS, AND OPPORTUNITIES TO MOVE FORWARD.

HUMBOLDT PARK HEALTH
PART V, SECTION B, LINE 6A: THE ALLIANCE FOR HEALTH EQUITY COMPLETED THE COLLABORATIVE CHNA BETWEEN MARCH 2018 AND MARCH 2019. THE ALLIANCE FOR HEALTH EQUITY IS A COLLABORATIVE OF 37 HOSPITALS WORKING WITH HEALTH DEPARTMENTS AND REGIONAL AND COMMUNITY-BASED ORGANIZATIONS TO IMPROVE HEALTH EQUITY, WELLNESS, AND QUALITY OF LIFE ACROSS CHICAGO AND SUBURBAN COOK COUNTY. A COMPLETE LIST OF COLLABORATING HOSPITALS CAN BE FOUND ON THE ALLIANCE FOR HEALTH EQUITY'S 2019 CHNA FOR CHICAGO AND SUBURBAN COOK COUNTY.

HUMBOLDT PARK HEALTH
PART V, SECTION B, LINE 6B: THE COLLABORATIVE CHNA WAS CONDUCTED WITH THE FOLLOWING HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS:- CHICAGO DEPARTMENT OF PUBLIC HEALTH- COOK COUNTY DEPARTMENT OF PUBLIC HEALTH AND COOK COUNTY HEALTH- ILLINOIS PUBLIC HEALTH INSTITUTE

PART V, SECTION B, LINE 16I:
PATIENTS WILL BE INFORMED OF FINANCIAL ASSISTANCE THROUGH VARIOUS METHODS. NOTICES INFORMING PATIENTS OF FINANCIAL ASSISTANCE WILL BE POSTED IN ADMISSION AND REGISTRATION AREAS. IT WILL ALSO BE PROVIDED TO PATIENTS, OR GUARANTORS, IN THEIR ADMISSION PACKET AND IN BILLING STATEMENTS. THIS INFORMATION, AND THE NOTICE POSTED IN HOSPITAL LOCATIONS, WILL BE IN ENGLISH, AND IN ANY OTHER LANGUAGE THAT IS THE PRIMARY LANGUAGE SPOKEN BY AT LEAST 5% OF THE RESIDENTS IN THE SERVICE AREA. TRANSLATIONS IN SPANISH AND POLISH CAN BE OBTAINED BY CALLING THE HOSPITAL'S PATIENT FINANCIAL SERVICES AND ARE CURRENTLY AVAILABLE ON THE HOSPITAL'S WEBSITE: HTTPS://WWW.HPH.CARE/PATIENT-FINANCIAL-SERVICES-3/

PART V, SECTION B, LINE 22D:
THE HOSPITAL DETERMINES THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO THE FAP-ELIGIBLE INDIVIDUALS BY CALCULATING THE UNINSURED PATIENT DISCOUNT AMOUNT AND APPLYING IT TO PATIENT ACCOUNT. THE DISCOUNT AMOUNT IS CALCULATED BY SUBTRACTING FROM 100% THE PRODUCT OF THE HOSPITAL'S COST TO CHARGE RATIO (FROM WORKSHEET C PART 1 FROM THE MEDICARE COST REPORT) AND 135% (MEDICARE COST ALLOWED TO CHARGE TO UNINSURED PATIENTS). HUMBOLDT PARK HEALTH HOSPITAL'S UNINSURED DISCOUNT FOR FY 2022 IS 58% AS ROUNDED FROM THE CALCULATION AS SHOWN BELOW. 2022 COST TO CHARGE RATIO = 31.17%31.17% X 135% = 42.08%100% - 42.08% = 57.92%THE HOSPITAL PROVIDES A 72% DISCOUNT TO UNINSURED PATIENTS. NOTE, THE 72% UNINSURED DISCOUNT PROVIDED TO OUR PATIENTS EXCEEDS THE MINIMUM REQUIREMENT UNDER ILLINOIS LAW.

PART I, LINE 3C:
HUMBOLDT PARK HEALTH USES THE FPG TO DETERMINE FREE AND DISCOUNTED CARE. PATIENTS WITH ELIGIBLE ASSETS AND INCOME ABOVE THE 200%, BUT NOT EXCEEDING 600% OF FPG, ADJUSTED FOR FAMILY SIZE, WILL RECEIVE A DISCOUNT ON MEDICALLY NECESSARY SERVICES PROVIDED TO THEM, BASED UPON A SLIDING SCALE ESTABLISHED BY HOSPITAL POLICY.

PART I, LINE 7:
THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED ON LINES 7A AND 7B IS THE COST-TO-CHARGE RATIO DERIVED FROM THE IRS'S SCHEDULE H, WORKSHEET 2 INSTRUCTIONS. HUMBOLDT PARK HEALTH USED ITS INTERNAL ACCOUNTING RECORDS TO CALCULATE THE AMOUNTS REPORTED IN LINES 7E AND 7F.MANAGEMENT DOES NOT CONCUR WITH WORKSHEET 3 INSTRUCTIONS IN REGARDS TO INCLUDING THE PROVIDER TAX EXPENSES IN WITH COLUMN (C) TOTAL COMMUNITY BENEFIT EXPENSE, AS WELL AS INCLUDING THE PROVIDER TAX REVENUE IN COLUMN (D) DIRECT OFFSETTING REVENUE. IF THESE WERE REMOVED FROM THE WORKSHEET 3 CALCULATION, NET COMMUNITY BENEFIT EXPENSE ON LINE 7B, COLUMN (E) WOULD HAVE BEEN $27,151,238 OR 19.49 PERCENT OF TOTAL EXPENSE. THIS WOULD HAVE INCREASED THE TOTAL NET COMMUNITY BENEFIT EXPENSE ON LINE 7K, COLUMN (E) FROM ($5,621,232) TO $32,772,470 OR 23.53 PERCENT OF TOTAL EXPENSE.

PART I, LINE 7G:
HUMBOLDT PARK HEALTH DID NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC AS SUBSIDIZED HEALTH SERVICES.

PART III, LINE 2:
THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX.

PART III, LINE 3:
"ALL OF THE HOSPITAL'S PATIENTS AUTOMATICALLY QUALIFY FOR FINANCIAL ASSISTANCE IF THEY DO NOT HAVE INSURANCE (THEY ARE CONSIDERED ""SELF-PAY AND GIVEN 72% DISCOUNT). ONCE THE HOSPITAL DETERMINES THAT A PATIENT HAS NO INSURANCE, THEY AUTOMATICALLY DISCOUNT THE BILL BY 72%. SO THERE ARE NO INDIVIDUALS THAT MAY HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE AND DID NOT RECEIVE ANY. BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS WITH INSURANCE THAT MAY NOT HAVE PAID THEIR SHARE/CO-PAY OF THE BILL OR ATTRIBUTABLE TO PATIENTS THAT RECEIVED FINANCIAL ASSISTANCE (72% DISCOUNT) BUT DID NOT PAY THEIR 28%. THEREFORE, ZERO HAS BEEN REPORTED IN PART III, LINE 3."

PART III, LINE 4:
AUDITED FINANCIAL STATEMENTS FOOTNOTE REGARDING BAD DEBT EXPENSE: 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 INCLUDES 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 6: MANAGEMENT DOES NOT CONCUR WITH PART III, SECTION B MEDICARE, LINE 6 REPORTING INSTRUCTIONS REGARDING UTILIZING ALLOWABLE COSTS FROM MEDICARE WORKSHEET B. IF MANAGEMENT USED THE ACTUAL AMOUNT OF COSTS TO CARE FOR MEDICARE PATIENTS, ALLOWABLE COST WOULD HAVE BEEN REPORTED AS $44,238,161 AND THE AMOUNT OF (SHORTFALL) WOULD HAVE BEEN $29,002,894

PART III, LINE 8:
COSTING METHODOLOGY USED IS THE MEDICARE COST REPORT WHICH UTILIZES A STEP-DOWN METHOD OF COST ALLOCATION. THIS ORDER OF ALLOCATION FOR OVERHEADS HAS BEEN PREDETERMINED BY MEDICARE AND IS PRINTED OUT ON THE COST REPORT. THE MOST COMMON OVERHEAD IS ALLOCATED FIRST TO ALL OTHER OVERHEADS AND THE PATIENT CARE COST CENTERS. THEN THAT COST CENTER IS CLOSED AND THE NEXT MOST COMMON OVERHEAD IS ALLOCATED. THIS IS CONTINUED UNTIL ALL THE OVERHEADS ARE ALLOCATED OUT. THE SEPTEMBER 30, 2021 COST REPORT DID NOT SHOW A SHORTFALL.

PART III, LINE 9B:
THE COLLECTION POLICIES CONTAIN PROVISIONS ON THE COLLECTIONS PRACTICES TO BE FOLLOWED FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. SUCH PRACTICES ARE: CHARITY - UPON APPROVAL OF PATIENT'S CHARITY APPLICATION THE COLLECTIONS ARE STOPPED, PATIENT'S BALANCE IS WRITTEN OFF ACCORDINGLY AND PATIENT IS NOTIFIED IN WRITING; UNINSURED PATIENT - UPON DETERMINATION THAT PATIENT HAS NO INSURANCE, 72% DISCOUNT IS APPLIED TO PATIENT ACCOUNT AND PATIENT IS NOTIFIED IN WRITING FOR THE OUTSTANDING BALANCE.

PART VI, LINE 2:
HUMBOLDT PARK HEALTH'S COMMUNITY BENEFIT PLAN WAS DEVELOPED TO ESTABLISH STRATEGIES FOR IMPROVING ACCESS TO CARE AND POSITIVELY AFFECTING THE HEALTH OF THE COMMUNITIES THAT IT SERVES. ADDITIONALLY, THE PLAN SETS THE COURSE FOR STRENGTHENING EXISTING PARTNERSHIPS AND BUILDING NEW ONES WITH INDIVIDUALS AND ORGANIZATIONS WITHIN HUMBOLDT PARK HEALTH'S PRIMARY SERVICE AREAS IN ORDER TO LEVERAGE AND MAXIMIZE THE IMPACT OF ITS PROGRAMS. DEVELOPMENT OF THE PLAN IS DERIVED THROUGH THE STRATEGIC PLANNING OF HUMBOLDT PARK HEALTH'S BOARD OF TRUSTEES AND THROUGH ORGANIZATIONAL INVOLVEMENT IN COMMUNITY PARTNERSHIPS. THE GOALS DEVELOPED FOR PLANNING COMMUNITY SERVICES INVOLVED MEETING WITH PHYSICIANS AND COMMUNITY PARTNERS TO DETERMINE WHERE THE GAPS OF CARE AND SERVICES COULD BE FILLED THROUGH HUMBOLDT PARK HEALTH INVOLVEMENT. IN DEVELOPING ITS COMMUNITY BENEFITS PLAN, HUMBOLDT PARK HEALTH SET THE FOLLOWING GOALS:1) SERVE AS A CATALYST/CONVENER FOR THE OBESITY AND DIABETES INITIATIVES IN HUMBOLDT PARK.2) PROMOTE INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE FOR THE UNINSURED AND UNDERINSURED.3) HUMBOLDT PARK HEALTH LEADERSHIP TO ASSUME AN ACTIVE ROLE IN COMMUNITY BASED ORGANIZATIONS BOARDS, TASK FORCES AND COMMUNITY EVENTS.

PART VI, LINE 3:
HUMBOLDT PARK HEALTH INFORMS AND EDUCATES PATIENTS AND PERSONS, WHO MAY BE BILLED FOR PATIENT CARE, ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S CHARITY CARE POLICY ON ITS INTRANET AND THROUGH FLYERS. PATIENTS ARE PROVIDED THESE POLICIES AT THE TIME OF REGISTRATION AND ARE ALSO AVAILABLE UPON REQUEST.

PART VI, LINE 6:
HUMBOLDT PARK HEALTH IS NOT PART OF AN AFFILIATED HEALTHCARE SYSTEM.

PART VI, LINE 7, REPORTS FILED WITH STATES
IL

PART VI, LINE 4:
HUMBOLDT PARK HEALTH SERVES A PRIMARY COMMUNITY AREA AND A SECONDARY COMMUNITY AREA. THE FOLLOWING INFORMATION WAS OBTAINED FROM THE US CENSUS BUREAU, 2010 CENSUS.THE PRIMARY COMMUNITY AREA CONSISTS OF THE FOLLOWING AREAS, ZIP CODES AND POPULATION:- AUSTIN- BELMONT-CRAGIN- HERMOSA- HUMBOLDT PARK- LOGAN SQUARE- WEST TOWN- IRVING PARK- NORTH CENTER- EAST GARFIELD PARK- WEST GARFIELD PARK- NORTH LAWNDALE WHITE HISPANIC AFRICAN-AMERICANPRIMARY ZIP CODES POPULATION - PERCENTAGE 60618 46,754 51% 42,771 46% 2,559 3%60622 33,399 64% 15,289 29% 3,860 7%60624 958 3% 1,160 3% 35,987 94%60639 8,056 9% 68,639 76% 13,712 15%60647 34,357 39% 47,697 55% 5,237 6%60651 2,538 4% 21,756 34% 39,973 62%THE SECONDARY AREA CONSISTS OF THE FOLLOWING AREAS, ZIP CODES AND POPULATION:- ARCHER HEIGHTS- BRIGHTON PARK- CAGE PARK- GARFIELD RIDGE- WEST ELSDON- SOUTH LAWNDALE- PORTAGE PARK- PULLMAN WHITE HISPANIC AFRICAN-AMERICANPRIMARY ZIP CODES POPULATION - PERCENTAGE 60612 8,738 26% 4,319 13% 20,412 61%60623 2,301 2% 59,438 65% 30,369 33%60625 47,050 60% 28,304 36% 3,297 4%60632 12,939 14% 76,902 84% 1,485 2%60641 32,054 45% 38,057 53% 1,552 2%60644 1,506 3% 1,583 3% 45,559 94%60640 44,239 67% 9,923 15% 11,628 18%HUMBOLDT PARK HEALTH'S AGE FOR THE FISCAL YEAR WAS AS FOLLOWS:AGE PERCENTAGE0-14 2%15-44 44%45-64 37%65-74 9%75+ 8%HUMBOLDT PARK HEALTH'S RACE AND ETHNICITY FOR THE FISCAL YEAR WAS AS FOLLOWS:RACE PERCENTAGEASIAN 1%AMERICAN INDIAN OR NATIVE ALASKAN 0%BLACK OR AFRICAN-AMERICAN 43%WHITE 13%OTHER 43%ETHNICITY PERCENTAGEHISPANIC 41%NON-HISPANIC 59%

PART VI, LINE 5:
IN ADDITION TO PROVIDING QUALITY INPATIENT AND OUTPATIENT SERVICES, HUMBOLDT PARK HEALTH REACHES BEYOND ITS WALLS AND INTO COMMUNITIES THROUGH AN ARRAY OF ACTIVITIES AND PROGRAMS DESIGNED AND DELIVERED TO BENEFIT THE COMMUNITIES IT SERVES. THESE COMMUNITY BENEFITS INCLUDE: - CARE THAT IS PROVIDED FREE, SUBSIDIZED OR WITHOUT FULL REIMBURSEMENT FROM MEDICARE, MEDICAID OR OTHER GOVERNMENT INSURANCE PROGRAMS.- SERVICES RESPONDING TO UNIQUE COMMUNITY NEEDS, SUCH AS DIABETES SERVICES, EMERGENCY CARE, BEHAVIORAL HEALTH SERVICES, SUBSTANCE ABUSE, PEDIATRIC CARE-A-VAN; AS WELL AS HEALTH SCREENINGS, IMMUNIZATION PROGRAMS, SCHOOL-BASED HEALTH CARE AND OTHER COMMUNITY OUTREACH PROGRAMS.- EDUCATION TO TRAIN PHYSICIANS, NURSES, RADIOLOGY TECHNICIANS, AND OTHER HIGHLY SKILLED HEALTH CARE PROFESSIONALS.- VOLUNTEER SERVICES PROVIDED BY HOSPITAL EMPLOYEES WHO VOLUNTEER IN THEIR COMMUNITIES AND COMMUNITY MEMBERS WHO VOLUNTEER AT THE HOSPITAL. IN FYE 2018, THE HOSPITAL CONTRIBUTED TO HURRICANE MARIA RELIEF EFFORTS BY SENDING PHYSICIANS AND NURSES TO PUERTO RICO TO DIRECTLY ASSIST WITH CARE. ADDITIONALLY, EMPLOYEES CONTRIBUTED THEIR PTO AND THE HOSPITAL FOUNDATION CONTRIBUTED MONETARILY.- LANGUAGE-ASSISTANCE SERVICES, SUCH AS TRANSLATORS, SIGNAGE, FORMS, BROCHURES, PATIENT EDUCATION MATERIALS AND OTHER INFORMATION IN LANGUAGES OTHER THAN ENGLISH.- DONATIONS BY HUMBOLDT PARK HEALTH OF MEETING AND CLINIC SPACE, AS WELL AS OTHER ASSISTANCE TO COMMUNITY GROUPS.