4A (Expenses $ 262364320 including grants of $ 65790) (Revenue $ 382146555)
EDWARD HOSPITAL IS A FULL-SERVICE, REGIONAL HEALTHCARE PROVIDER OFFERING ACCESS TO COMPLEX MEDICAL SPECIALTIES AND INNOVATIVE PROGRAMMING. EDWARD HOSPITAL HAS 371 PRIVATE PATIENT ROOMS AND 5,800 EMPLOYEES ACROSS EDWARD DIVISION AFFILIATES, INCLUDING 1,200 NURSES AND A MEDICAL STAFF OF NEARLY 1,000 PHYSICIANS COMPRISED OF INDEPENDENT MEMBERS OF THE MEDICAL STAFF, EMPLOYED PHYSICIANS AND INDEPENDENT CONTRACTORS. THE PHYSICIANS REPRESENT 82 MEDICAL AND SURGICAL SPECIALTIES AND SUB-SPECIALTIES WITH 98% BOARD CERTIFIED IN THEIR SPECIALTY -- A DESIGNATION AWARDED ONLY TO PHYSICIANS WHO COMPLETE RIGOROUS POST-MEDICAL SCHOOL TRAINING AND PASS AN EXTENSIVE CERTIFICATION TEST. EDWARD SERVES THE RESIDENTS OF CHICAGO'S WEST AND SOUTHWEST SUBURBS, INCLUDING NAPERVILLE, AURORA, BOLINGBROOK, DOWNERS GROVE, HOMER GLEN, JOLIET, LEMONT, LISLE, LOCKPORT, MINOOKA, OSWEGO, PLAINFIELD, ROMEOVILLE, SHOREWOOD, WARRENVILLE, WHEATON, WOODRIDGE AND YORKVILLE. (CONTINUED IN SCHEDULE O)

Schedule H, Part V, Section B, Line 5 Facility A, 1
"Facility A, 1 - Edward Hospital. Beginning in the Spring of 2016 (Will County) and Winter 2018 (DuPage County), EEH collaborated with Will and DuPage Counties in the development of their most recent CHNAs and implementation strategies; ultimately EEH incorporated these CHNAs into its FY20-FY22 joint CHNA report. County-specific CHNAs for Will and DuPage counties were developed through ""Mobilizing for Action through Planning and Partnerships"" (MAPP) collaborative forums, which allowed for each county, along with community leaders, to identify and prioritize the most pressing health issues within the region. This approach included comprehensive, cross-sector input to ensure creation of county plans that are relevant and responsive to community need, incorporating defined goals and initiatives. The framework incorporated the following qualitative and quantitative collection methods: * Community Themes and Strengths Assessment: a community survey distributed to residents in which feedback is requested about the health of the county. The survey is often used by public health systems to evaluate community health by answering questions such as: What is important to our community? How is quality of life perceived in our community? What assets do we have that can be used to improve community health? * Local Public Health Assessment: focused on community stakeholder input to assess how well the system works together to provide the 10 Essential Public Health Services . The Assessment is designed to answer two key questions, ""What are the components, activities, competencies, and capacities of our local service provider system?"" and ""How are the 10 Essential Services being provided to our community?"" * Community Health Status Assessment: presents quantitative data about each respective county. The information is designed to give a thorough snapshot of the current health status. * Forces of Change Assessment: aims to solicit wide-ranging input from community leaders to identify forces such as trends, factors or events that influence the health of the community. The goal is to better understand the current state in an effort to influence the outcomes of the future. The DuPage County CHNA was conducted from January - June 2018 and finalized in December of 2018. The process was led by the DuPage County Department of Community Services, a designated Community Action Agency that works to empower people with needs in DuPage County to become self-sufficient and lead enriched, productive lives, and Impact DuPage, a collective impact partnership, primarily comprised of community leaders from health and human service sectors throughout DuPage County. EEH participated in the conduct of the DuPage County CHNA, along with the DuPage County Health Department and numerous organizations serving and representing the interests of medically underserved, low-income and minority populations. The process and methods used to conduct this CHNA and a description of how input into the CHNA was solicited and taken into account is contained in the DuPage County CHNA report, including key stakeholder participants. Following a similar process, the Will County CHNA was conducted from May 2016 - May 2017 and finalized in August, 2017. Participants for each County can be made available upon request to the Will County MAPP Collaborative. EEH and EH participated in the conduct of the Will County CHNA, along with the Will County Health Department and numerous organizations serving and representing the interests of medically underserved, low-income and minority populations. The process and methods used to conduct this CHNA and a description of the participants and input provided is contained in the Will County CHNA report. After collaborating with DuPage and Will Counties in the development of the counties' three year CHNAs and Implementation Strategies (with involvement ranging from participation on executive steering committees to local public health assessments) and identifying the areas of overlap between the areas of opportunity identified in the DuPage and Will County CHNAs, EEH engaged in a process to further inform prioritization of its strategic priorities for the FY20-22 implementation strategy. This process involved internal and external (community) stakeholders participating in a series of forums. FORUM PARTICIPANTS INCLUDED REPRESENTATION FROM COUNTY HEALTH DEPARTMENTS AND MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. These forums were designed to review area demographics and Will and DuPage County CHNA findings and implementation strategies, finalize the selection of significant health needs for this FY 2019 joint CHNA report, prioritize these health needs, and identify resources potentially available to address those health needs. IN THE SPRING OF 2019, EEH SPONSORED A SERIES OF INTERNAL AND COMMUNITY STAKEHOLDER FORUMS, KNOWN AS HEALTHY DRIVEN COMMUNITIES, TO REVIEW COUNTY-SPECIFIC CHNA INFORMATION AND ESTABLISH RECOMMENDATIONS FOR THE JOINT CHNA AND IMPLEMENTATION STRATEGY FOR EEH. For more information regarding the dates these meetings were held and the participants, please see the CHNA."

Schedule H, Part V, Section B, Line 6a Facility A, 1
Facility A, 1 - Edward Hospital. DuPage County: Advocate Good Samaritan Hospital AMITA Health Edward Elmhurst Health Northwestern Medicine Loyola University - Chicago Will County: AMITA Health Edward Elmhurst Health Presence St Joes Medical Center Silver Cross Hospital

Schedule H, Part V, Section B, Line 6b Facility A, 1
Facility A, 1 - Edward Hospital. DuPage County DuPage County Health Department Metropolitan Family Services DuPage County Office of Homeland Security and Emergency Management WeGo Together for Kids DuPage Foundation SCARCE Catholic Charities Teen Parent Connection DuPage Senior Citizens Council United Way of Metro Chicago Fry Family YMCA of Metro Chicago West Chicago Library Peoples Resource Center Illinois Department of Human Services DuPage County Court YMCA of Metropolitan Chicago DuPage County Board of Health DU-COMM Illinois Department of Human Services DuPage Health Coalition DuPage Federation on Human Services Reform Family Shelter Service DuPage Pads YWCA Child Care Resource and Referral Access Community Health Network DuPage Senior Citizens Council Elmhurst College Benedictine University Will County Agape Missions, NFP Agency on Aging Northeastern IL Aunt Marthas Youth Services Bluestern Earth Festival Bolingbrook Fire Department Braidwood Area Healthy Community Coalition Breast Intentions of Illinois C.W. Avery Family YMCA Catholic Charities Dioceses of Joliet Channahon Par District Chestnut Health Systems Child and Family Connections #15 Child Care Resource and Referral CITGO Petroleum Corp Coldwell Banker Residential Community Alliance and Action Network Community Lifeline Ministries, INC Cornerstone Services Inc Easterseals Joliet Region, Inc Evergreen Terrace Apartments Food Allergy Research and Education Forest Park Center Franciscan Communities, Inc - Marian Village Glenwood Rehab Center Governors State University Greater Jolie Area YMCA Guardian Angel Community Services Harvey Brooks Foundation Heritage Woods of Plainfield Illinois Department of Children and Family Services Illinois Department of Employment Security J.F Holder Foundation Joliet Fire Department Joliet Junior College Joliet Police Department Joliet Public School District 86 Joliet Township High School District 204 Lakewood Nursing Center Lewis University Mari Gallagher Research and Consulting Group Mokena Police Department Mt Zio Baptist Church New Life Church PACE Suburban Bus Plainfield Counseling Center LLC Presence Home Care PT Solutions Physical Therapy Rasmussen College Senior Services Center of Will County Silver Cross Health Community Commission Illinois Department of Public Health Stepping Stones, Inc TEC Services Consulting Inc The Community Foundation of Will County Trinity Services Inc United Way of Will County University of Illinois Extension University of St Francis Valley View School District VNA Health Care Warren-Sharpe Community Center Wil County Adult Detention Facility Will County Board Will County Board of Health Will County Center for Community Concerns Will County Circuit Clerk Will County Community Health Center Will County Emergency Management Agency Will County Executive Office Will County Forest Preserve District Will County GIS Will County Health Department Will County Land Use Department Will County Medical Reserve Corps Will County Residents Will County Veterans Assistance Commission Will Grundy Center for Independent Living Will-Grundy Medical Clinic

Schedule H, Part V, Section B, Line 11 Facility A, 1
"Facility A, 1 - Edward Hospital. The FY2019 EEH CHNA findings, supported by findings and priorities of DuPage and Will County CHNAs health assessments, were considered by the EEH Community Benefit Steering Committee in finalizing priorities for action over the next three years (FY20-22). Criteria considered in prioritization included: * Overlap between DuPage and Will Counties: The fact that a health need was identified in both the DuPage and Will County CHNAs as an area of opportunity * Magnitude: the size of the population affected and the degree of variance from benchmarks and trends * Impact/Seriousness: the degree to which the issue affects or exacerbates other quality of life and health-related issues * Feasibility: the ability for EEH to reasonably impact the issue given available resources * Consequences of inaction: the risk of not addressing the problem at the earliest opportunity The following priorities were adopted for the FY2020-2022 EEH community health implementation plan. * Chronic Disease (Obesity/Diabetes, Cancer, Heart Disease/Stroke) * Behavioral Health (Mental Health, Substance Use, Adolescent Depression and Suicide) * Access to Primary Care and Community Resources (including provider supply and availability, financial access and health literacy around how to seek care) PRIORITY #1a - Chronic Disease (Obesity [children/adults]/Diabetes) PROBLEM STATEMENT: For both children and adults, obesity is a prevalent problem within DuPage and Will counties. It can be indicative of underlying social determinants of health and an unhealthy lifestyle, which increases the risk of chronic disease. Between both counties, approximately 400,000 individuals above the age of 20 years were categorized as obese (BMI > 30). In addition, 14.8% (137.496) of children/adolescents in DuPage County are obese and 13% (90,046) of 6th graders in Will County are obese. Strategy #1: Community engagement around the prevention and management of childhood obesity * Research best practices * Partner with community organizations, grocery stores, schools and others to establish a regional initiative to address childhood obesity, including nutrition and exercise programming and referral relationship development Strategy #2: Expand treatment options for weight management * Expand Edward and Elmhurst weight management programming (weight management clinics, bariatrics, and related educational support). Expand eligibility beyond morbidly obese adults to promote earlier intervention. * Continue to grow EEH System AWARE programs focused on child and adult obesity, nutrition, diabetes. Link 'at risk' patients to appropriate resources Strategy #3: Enhance education and programming focused on prevention and early intervention around obesity and diabetes * Provide community education programs focused on weight management, nutrition and fitness * Continue to grow EEH System AWARE programs focused on child and adult obesity, and diabetes. Link 'at risk' patients to appropriate resources PRIORITY #1b - Chronic Disease (Cancer) PROBLEM STATEMENT: Of all the chronic diseases researched within the community, the following continue to elevate to the top as most pressing: heart disease/stroke, cancer and diabetes. The age-adjusted death rate due to breast cancer is 21.6/100,000 population in DuPage County. The age-adjusted cancer incidence rate is 492.5/100,000 population in Will County. Strategy #1: Increase rates of screening for breast, colorectal and lung cancer * Increase cancer screening rates through EHV/PPD primary care providers (breast, colorectal) * Continue CT lung screening program * Promote EEH System LungAware, ColonAware and BreastAware and continue targeted screening reminder programs Strategy #2: Reduce smoking and vaping (cancer/cardiovascular risk factors) * Research anti-vaping initiatives and partner with school system on education/prevention initiative * Sponsor community smoking cessation programs PRIORITY #1c - Chronic Disease (Heart Disease/Stroke) PROBLEM STATEMENT: Of all the chronic diseases researched within the community, the following continue to elevate to the top as most pressing: heart disease/stroke, cancer and diabetes. The age-adjusted death rate due to coronary heart disease is 68.3/100,000 in DuPage County. The coronary heart disease mortality rate is 107.7/100,000 in Will County. Strategy #1: Early Detection and Intervention * Continue to grow EEH System HeartAware, StrokeAware (free online screening tools) and connect 'at risk' patients to appropriate resources Expand UltraFast Heartscan (UFHS) programs and connect 'at risk' patients to appropriate resources * Conduct community Peripheral vascular screenings and connect 'at risk' patients to appropriate resources * Expand ""Young Hearts for Life"" with Midwest Heart Specialists to provide EKG testing in high schools Strategy #2: Community education and tools to prevent and manage risk factors * Provide community education programs focused on heart health and stroke prevention Strategy #3: Reduce mortality from sudden cardiac arrest through CPR training * Sponsor CPR classes/certification programs PRIORITY #2 - Behavioral Health (Mental Health/Substance Use/Adolescent Depression & Suicide) PROBLEM STATEMENT: With limited resources across both counties, behavioral health (mental health/substance use disorders) continues to be a top concern. During the survey period, over 185,000 community members indicated that their mental health was 'not good' for at least the prior 8 days. Strategy #1: Increase behavioral health awareness and education/ decrease stigma * Expand Mental Health First Aid beyond Naperville into communities throughout the EEH service area * Adopt a new curriculum around Mental Health First aid, specific to adolescents * Expand local community partnerships as a vehicle for continued education and awareness * Continue to support area school districts in prevention, education and identification of students using the Signs of Suicide Program * Continue to provide education around adolescent mental health skills and treatment for school professional staff Strategy #2: Enhance access to behavioral health treatment * Expand the local supply of psychiatrists and psychiatric Advanced Practice Clinicians through Linden Oaks Medical Group recruitment Evaluate telemedicine options to expand cost effective access to mental health care * Continue to grow behavioral health provider integration and navigation programs within physician offices and appropriate hospital departments (e.g., ED, IC) * Develop pediatric/adolescent collaborative with physician and community resources focused on depression and anxiety Strategy #3: Reduce community-wide opioid abuse * Continue to enhance the EEH Opioid Program Efforts * Work with community partners on medication take back initiative and overall education/prevention efforts * Collaborate with local hospitals to establish consistent practices around opioid prescribing and monitoring * Develop tools to monitor physician opioid prescribing guidelines * Promote referrals to LOH Medication Assisted Therapy for patients with opioid dependence * Evolve pain management model to incorporate alternatives to medication management"

Schedule H, Part V, Section B, Line 11 Facility A, 2
Facility A, 2 - Edward Hospital. PRIORITY #3 - Access to Care & Community Resources PROBLEM STATEMENT: People who lack a regular source of health care may not receive the proper medical services when they need them, which can lead to missed and untreated diagnosis along with adverse health outcomes. In DuPage and Will counties, approximately 15-17% of adults do not have a usual provider or source of health care. That is equivalent to roughly 257,106 individuals within these counties. Further, traditionally health systems focus the majority of their resources on providing clinical care; however, evidence demonstrates that underlying social determinants of health, individual health behaviors, and the physical environment play an influential role in the overall health status of communities. Strategy #1: Enhance health literacy around accessing the most appropriate site of care * Provide public education about availability of EEH network of cost effective ambulatory access points (alternative to ED) and navigation support through Immediate Care Nurse Triage Program * Implement virtual triage program to provide digital guidance on the most appropriate site of care Strategy #2: Reduce Financial Barriers to Access * Promote and offer financial assistance policy to eligible patients Identify and assist uninsured patients in ED and other care settings in obtaining coverage through counseling and related assistance, including Medicaid Application initiative * Partner with DuPage Health Coalition, Will County MAPP collaborative, Impact DuPage to ensure access for low income residents * Advocacy to support adequate Medicaid funding to ensure access to physician and hospital services for low income patients Strategy #3: Increase Access to Primary Care & Specialists * Expand EEH primary care provider base, including physicians and Advanced Practice Clinicians (APCs) * Address gaps in physician specialty coverage through annual physician needs assessments/recruitment plans * Expand and grow Immediate Care, walk-in/retail clinic sites and connect new patients with PCPs Strategy #4: Increase connections between EEH patients and community organizations addressing social determinants of health * Evaluate process and technology platform for screening patients with social determinant needs and connecting to appropriate community resources * Evaluate opportunities to enhance support to local food banks Based on prioritization criteria and internal consensus around where EEH can play a unique and significant role and therefore drive greatest impact, summarized below is a list of Will and DuPage County-identified health priorities that will not be directly addressed by the FY2020-2022 EEH Implementation Strategy. Note that, while not directly driving initiatives around these priorities, EEH will support many of them by participating in task forces, community collaborative forums, and coalition building activities. DuPage and Will County Priority Health Issue That Will Not be Addressed and Supporting Rationale: Health Priorities Identified Rationale Affordable Housing This was identified in DuPage County and will be addressed through the DuPage Housing Collaborative. The Collaborative is comprised of representatives from nearby housing organizations, business leaders, and elected officials. As a newly formed organization in 2018, the Collaborative is beginning with a specific scope of identifying, developing, and serving one housing location in DuPage. EEH will participate in this Collaborative. Aging Population This was identified within DuPage county during the Forces of Change Assessment. As the population ages, different social and clinical needs will need to be addressed. EEH routinely provides programming and services responsive to this demographic segment. Specific initiatives around screening for social determinants of health for the senior population will be incorporated into the EEH implementation strategy. Inclusivity This was identified within DuPage county and is indirectly addressed and incorporated in Programs throughout EEH. Specifically, EEH established a diversity and inclusion council in 2016 and has implemented several initiatives to improve cultural sensitivity within the organization and promote the use of race, ethnicity and language data to eliminate disparities in health care. Technology Access and Overuse This was identified within DuPage County during the Forces of Change Assessment. While no quantitative data exists, community members perceive this to be a problem. The scope and problem statement need to be further refined before discussion on ways to address the issue. Transportation This was identified within both counties. While no quantitative data was reviewed, there is consensus around lack of a true transportation system and limited public transit routes. Support from EEH will be provided through collaborative partnerships and involvement with community coalitions. Further, as EEH aims to address transportation barriers for patients, the System already provides transportation vouchers to low income individuals on an as-needed basis, as well as a discounted ride services in the Elmhurst region. Workforce Development This was identified within DuPage County based on the perception that unemployment rates are misleading and that more people are unemployed or not employed in the jobs they want or were trained for. As one of the largest employers in the region, EEH is a major provider of jobs and attracts a diverse workforce. Continued growth of the organization and active involvement in regional economic development coalitions will ensure an ongoing positive contribution. Animal/Vector Borne Disease This was identified within Will County as the incidence of Lyme disease, Rabies and West Niles has increased. While not directly influencing incidence, EEH provides health care services for those affected from these diseases and advises about prevention through community education efforts. Education This was identified within Will County as higher education has been linked to positive health outcomes. Specifically, ethnicity in Will County illustrated a key discrepancy in education completion, as 34% of the Hispanic/Latino population had less than a high school diploma, compared to 6% of the non-Hispanic/Latino population. As EEH's core competency is health care and not education, support will be provided through community partnerships and collaboration around job training and other initiatives where appropriate. Injury/Violence As violence increasingly impacts EEH and its staff, it is already focused on mitigating strategies focused on its employees. In addition, continued focus on mental health and substance abuse will hopefully have an indirect positive impact on this trend. Additional resources already provided by EEH include: emergency department case managers which provide follow-up care to victims of abuse; access to a pediatric care center which provides expanded services for the care of sexually abused children; child protection task force which encompasses a multidisciplinary team to provide oversight of all child abuse cases identified and reported. EEH remains committed to the provision of these services. Maternal/Child Health This was identified within Will County during the CHNA assessment process. While not directly prioritized in the FY2020-2022 EEH implementation strategy, the System already plays a major role in Maternal and Child Health through its obstetrics and pediatric service lines, which provide a full range of preventive and treatment services for women and children in the region. Oral Health This was identified within Will County, which established an initiative to collaborate with health systems that provide dental care to develop a comprehensive oral health improvement plan. As EEH does not provide dental care services, this is out of scope and will be addressed at the county level.

Schedule H, Part V, Section B, Line 13 Facility A, 1
Facility A, 1 - Edward Hospital. State regulated uninsured discount

Schedule H, Part V, Section B, Line 3 Explanation of CHNA Noncompliance Due to Change in Fiscal Year
"IRC Section 501(r)(3) requires a hospital organization to conduct a community health needs assessment (CHNA) every three years and adopt an implementation strategy to meet the community health needs identified through such assessment. With respect to any taxable year, a hospital organization meets the requirements of section 501(r)(3) with respect to a hospital facility it operates only if the hospital facility has conducted a CHNA in such taxable year or in either of the two taxable years immediately preceding such taxable year. Edward Hospital previously conducted a CHNA before June 30, 2019. In connection with a system affiliation agreement with NorthShore University HealthSystem (NorthShore) effective January 1, 2022, the fiscal year of Edward Hospital was changed from June 30 to December 31, resulting short tax year for the six-month period ended December 31, 2021. As a result of the short tax year, which was not contemplated prior to the affiliation with NorthShore, Edward Hospital did not complete its most recent CHNA within the short tax year nor the two previous years. Edward Hospital was in the process of completing the CHNA as of December 31, 2021 and was fully expecting to have it completed by the historical June 30, 2022 deadline to comply with 501(r)(3). The failure to have the CHNA conducted before December 31, 2021 was discovered by Edward Hospital during January 2022. Afterwards, Edward Hospital communicated the error and expedited the CHNA to be completed as soon as reasonably possible. Edward Hospital made the CHNA report widely available to the public on its website and finished conducting the CHNA on May 18, 2022. The implementation strategy was adopted by the Edward-Elmhurst Regional Board of Directors on May 24, 2022. As described in 26 CFR Section 1.501(r)-2(c), ...""a hospital facility's failure to meet one or more of the requirements described in 1.501(r)-3 that is neither willful nor egregious shall be excused... if the hospital facility corrects and makes disclosure in accordance with rules set forth by revenue procedure, notice, or other guidance published in the Internal Revenue Bulletin. A ""willful"" failure includes a failure due to gross negligence, reckless disregard, or willful neglect, and an ""egregious"" failure includes only a very serious failure, taking into account the severity of the impact and the number of affected persons. Whether a failure is willful or egregious will be determined based on all the facts and circumstances. A hospital facility's correction and disclosure of a failure in accordance with the relevant guidance is a factor tending to show that the failure was not willful."" The failure was not willful because the CHNA process began before the change in fiscal year and with the expectation to be conducted before the end of the third tax year following the previously conducted CHNA. Further, Edward Hospital discovered the error and expedited to correct by finish conducting the CHNA as soon as reasonably possible. The failure is not egregious because the CHNA would have been timely conducted if the fiscal year had not changed. The previous CHNA was conducted and implementation strategy adopted during June 2019, which was within the last three years at the time the failure occurred. Based on the facts and circumstances described above, Edward Hospital did not willfully nor egregiously fail to comply with 501(r)(3). Further, Edward Hospital corrected the failure by promptly completing the most recent CHNA following the unexpected change in fiscal year. Accordingly, Edward Hospital has not filed an excise tax return or paid any related tax imposed under IRC section 4959. Edward Hospital has reviewed its procedures in place to address and monitor its compliance with the requirements of IRC section 501(r), including the timely adoption of future CHNA. The next CHNA will be adopted during tax year 2024, which will be the third consecutive tax year after the short tax year 2021."

Schedule H, Part I, Line 6a Community benefit report prepared by related organization
A single community benefit report was prepared for Edward Hospital, Elmhurst Memorial Hospital and Naperville Psychiatric Ventures (d/b/a Linden Oaks Hospital).

Schedule H, Part I, Line 7g Subsidized Health Services
THE ORGANIZATION DID NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES ANY COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS ON LINE 7G.

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
THE COSTS ENTERED FOR LINES 7A AND 7B WERE CALCULATED USING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. THE COSTS ENTERED IN THE SUBSIDIZED HEALTH SERVICES (7G) SECTION WERE CALCULATED USING A COST ACCOUNTING SYSTEM AND ADDRESSED ALL PATIENT SEGMENTS. THE COSTS ENTERED IN LINES 7E, 7F, 7H AND 7I WERE CALCULATED USING A COST ACCOUNTING SYSTEM OR WERE THE ACTUAL COSTS.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
THE AMOUNT OF BAD DEBT EXPENSE IS OBTAINED BY TAKING THE NET AMOUNT PLACED IN BAD DEBT LESS THE PAYMENTS AND ADJUSTMENTS RECEIVED. Discounts and payments on patient accounts reduce the organization's bad debt expense.

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
THE HOSPITAL IS UNABLE TO ESTIMATE ACCURATELY THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY. ALTHOUGH A PORTION OF BAD DEBT EXPENSES MAY RELATE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE, A REPORTABLE FIGURE CANNOT BE REASONABLY ESTIMATED.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGES 16-18 OF THE EDWARD-ELMHURST HEALTHCARE CONSOLIDATED AUDIT REPORT.

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
IF EDWARD HOSPITAL DISCONTINUED UNPROFITABLE SERVICES, IT WOULD BECOME THE RESPONSIBILITY OF ANOTHER PROVIDER OR THE GOVERNMENT TO CARE FOR THE MEDICARE PATIENT POPULATION. THIS WOULD, ULTIMATELY, RESULT IN ACCESS ISSUES AND NEGATIVELY IMPACT QUALITY OF CARE AND HEALTH OUTCOMES. THEREFORE THE SHORTFALL INCURRED BY CONTINUING TO PROVIDE THESE SERVICES IS CONSIDERED A COMMUNITY BENEFIT. A COST-TO-CHARGE RATIO WAS USED TO DETERMINE THE REPORTED AMOUNT.

Schedule H, Part V, Section B, Line 16a FAP website
A - EDWARD HOSPITAL: Line 16a URL: https://www.eehealth.org/patients-visitors/manage-my-costs-and-billing/billing/financial-assistance/;

Schedule H, Part V, Section B, Line 16b FAP Application website
A - EDWARD HOSPITAL: Line 16b URL: https://www.eehealth.org/patients-visitors/manage-my-costs-and-billing/billing/financial-assistance/;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
A - EDWARD HOSPITAL: Line 16c URL: https://www.eehealth.org/patients-visitors/manage-my-costs-and-billing/billing/financial-assistance/;

Schedule H, Part VI, Line 6 Affiliated health care system
EDWARD HOSPITAL AND LINDEN OAKS HOSPITAL ARE PART OF AN AFFILIATED HEALTH SYSTEM, EDWARD-ELMHURST HEALTH (EEH). THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE DEVELOPMENT AND MANAGEMENT OF THE COMMUNITY BENEFIT STRATEGIC PLAN IS PROVIDED BY EDWARD-ELMHURST HEALTH. EDWARD, ELMHURST AND LINDEN OAKS HOSPITALS EACH PLAY A VITAL ROLE IN IMPLEMENTING THE INITIATIVES SET FORTH IN THE STRATEGIC PLAN BY PROVIDING THE COMMUNITY BENEFIT SERVICES THAT ARE QUANTIFIED IN PART I AND PART II OF SCHEDULE H FOR EACH OF THE HOSPITAL TAX FILINGS.

Schedule H, Part II Community Building Activities
EMPLOYEES ARE ENCOURAGED TO SERVE ON COMMUNITY BOARDS AND PARTICIPATE IN PROGRAMS AND ON COMMITTEES THAT ADDRESS ECONOMIC DEVELOPMENT, TRAINING, COMMUNITY HEALTH NEEDS, ADVOCACY AND WORKFORCE DEVELOPMENT. EXAMPLES OF THESE PROGRAMS AND THE BENEFIT THEY PROVIDE ARE HIGHLIGHTED BELOW. ECONOMIC DEVELOPMENT AND ADVOCACY COMMITTEES ARE OFTEN COMPRISED OF PUBLIC AND PRIVATE MEMBERS. THE PRIMARY ROLE OF THE MEMBERSHIP IS TO DEVELOP, COORDINATE AND IMPLEMENT AN INTEGRATED APPROACH TO LOCAL AND COMMUNITY DEVELOPMENT. THEY PROVIDE BUSINESS LEADERSHIP BY PROMOTING ECONOMIC OPPORTUNITIES, ADVOCATING THE INTEREST OF BUSINESS, PROVIDING MEMBERS WITH EDUCATION AND RESOURCES AND ENCOURAGING MUTUAL SUPPORT. EXAMPLES OF ECONOMIC DEVELOPMENT ORGANIZATIONS, CHAMBERS AND OTHER COMMITTEES IN WHICH EDWARD-ELMHURST HEALTH EMPLOYEES ARE ACTIVELY INVOLVED INCLUDE: THE NAPERVILLE AREA CHAMBER OF COMMERCE AND LEGISLATIVE STEERING COMMITTEE, NAPERVILLE DEVELOPMENT PARTNERSHIP, DUPAGE REGIONAL ALLIANCE, NAPERVILLE SCHOOL DISTRICT 203 BUSINESS PARTNERSHIP ADVISORY COUNCIL FOR COLLEGE AND CAREER READINESS, PLAINFIELD CHAMBER OF COMMERCE, PLAINFIELD CHAMBER LEGISLATIVE COMMITTEE AND HEALTH AND WELLNESS COMMITTEE, OSWEGO CHAMBER OF COMMERCE AND LEGISLATIVE COMMITTEE, YORKVILLE CHAMBER OF COMMERCE AND WOMEN IN BUSINESS COMMITTEE, ROMEOVILLE CHAMBER OF COMMERCE, WILL COUNTY CENTER FOR ECONOMIC DEVELOPMENT, CHOOSE DUPAGE, WILL COUNTY HEALTH DEPARTMENTS MAPP COLLABORATIVE, DUPAGE COUNTY HEALTH DEPARTMENT AND 360 YOUTH SERVICES AND YOUNG HEARTS FOR LIFE CARDIAC SCREENING PROGRAM. COMMUNITY SUPPORT INCLUDES EDUCATIONAL AND MENTORING PROGRAMS FOR VULNERABLE POPULATIONS, NEIGHBORHOOD SUPPORT GROUPS, VIOLENCE PREVENTION PROGRAMS, DISASTER READINESS AND PUBLIC HEALTH EMERGENCY ACTIVITIES SUCH AS COMMUNITY DISEASE SURVEILLANCE AND READINESS TRAINING BEYOND WHAT IS REQUIRED BY ACCREDITING BODIES OR GOVERNMENT ENTITIES. COALITION BUILDING INCUDES PARTICIPATION IN COMMUNITY COALITIONS AND COLLABORATIVE EFFORTS TO ADDRESS HEALTH AND SAFETY ISSUES. THIS INCLUDES PROGRAMS SUCH AS THE DUPAGE HEALTH COALITION WHICH INCLUDES A SET OF INTERCONNECTED ORGANIZATIONS, PROGRAM AND FACILITIES THAT WORK TOGETHER TO PROVIDE COORDINATED MEDICAL CARE AND OTHER HEALTH RELATED SERVICES TO DUPAGE COUNTY'S LOW-INCOME RESIDENTS AND THE ROTARY CLUB OF NAPERVILLE WHICH HELPED SUPPORT THE FIGHT AGAINST HUMAN TRAFFICKING WITH THEIR FUNDRAISING EVENT THIS YEAR. COMMUNITY HEALTH IMPROVEMENT ADVOCACY INCLUDES EFFORTS TO SUPPORT POLICIES AND PROGRAMS TO SAFEGUARD OR IMPROVE PUBLIC HEALTH, ACCESS TO HEALTH CARE SERVICES, OBESITY, HOUSING NEEDS, FOOD INSECURITY, TRANSPORTATION BARRIERS AND OTHERS. COMMUNITY HEALTH NEEDS ARE DETERMINED, REVIEWED AND UPDATED ON A REGULAR BASIS.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
If the patient has no insurance coverage, Edward Hospital will provide financial counseling services to assist the patient or guarantor (parent or guardian responsible for payment of services) in applying for various programs that may help resolve the patient or guarantor's bill. Financial counselors assist patients in applying for government-sponsored health insurance or other third-party insurance (such as adding baby to policy), establishing a payment arrangement, and applying for financial assistance. Before receiving a bill, patients without insurance coverage will receive a letter informing them of our financial assistance program and the option of payment plans. If a patient is approved for financial assistance, the patient's accounts are discounted by the % approved. In cases where a balance remains, normal collection practices are followed.

Schedule H, Part VI, Line 2 Needs assessment
PLANNING FOR COMMUNITY BENEFITS IS AN INTEGRAL PART OF THE EDWARD-ELMHURST HEALTH STRATEGIC PLANNING PROCESS, WHICH FOLLOWS A THREE-YEAR CYCLE WITH INTERIM ANNUAL REVIEWS AND UPDATES. INTERIM REVIEWS OCCUR QUARTERLY AND UPDATES ARE MADE BASED ON THE RECOMMENDATIONS OF THE EEH SYSTEM COMMUNITY BENEFIT STEERING COMMITTEE. The Committee is tasked to assess community need, establish priorities and supporting initiatives, and monitor outcomes to ensure initiatives are consistent with its mission to advance the health of the community served. RECOMMENDATIONS FROM THE EEH COMMUNITY BENEFIT STEERING COMMITTEE ARE BASED ON REVIEW OF ORGANIZATIONAL PRIORITIES, STRATEGIC DIRECTION, PROGRAM DEVELOPMENT, AND PERFORMANCE OUTCOMES. Edward Elmhurst Health (EEH) collaborated with DuPage and Will Counties in the development of the counties' most recent CHNAs and implementation strategies and ultimately incorporated these CHNAs into a joint EEH CHNA report. THE FINDINGS ARE DERIVED FROM COMMUNITY DEMOGRAPHICS INCLUDING SOCIAL DETERMINANTS OF HEALTH, ANALYSIS OF GENERAL HEALTH STATUS INCLUDING DEATH, DISEASE, INFECTIOUS DISEASE AND CHRONIC CONDITIONS, AND MODIFIABLE HEALTH RISKS. THE PROCESS BRINGS TOGETHER THE ABOVE OUTLINED INFORMATION, PUBLIC HEALTH STATISTICS AND INPUT FROM REPRESENTATIVES FROM THE COMMUNITY, INCLUDING PATIENTS AND PROVIDER AGENCIES. THE OVERARCHING GOAL OF THIS PROCESS IS TO UNDERSTAND THE ESSENTIAL HEALTH ISSUES IN THE COMMUNITY IN ORDER TO ENSURE ORGANIZATIONAL RESPONSIVENESS AND APPROPRIATE PRIORITIZATION OF RESOURCES. In addition, in the Spring of 2019, EEH sponsored a series of internal and community stakeholder forums, known as Healthy Driven Communities, to review County-specific CHNA information and establish recommendations for the joint CHNA and Implementation Strategy for EEH. Throughout this process, forum participants, which included representation from county health departments and medically underserved, low-income, and minority populations, prioritized issues and opportunities based on an assessment of: * Overlap between DuPage and Will Counties: The fact that a health need was identified in both the DuPage and Will County CHNAs as an area of opportunity * Magnitude: the size of the population affected and the degree of variance from benchmarks and trends * Impact/Seriousness: the degree to which the issue affects or exacerbates other quality of life and health-related issues * Feasibility: the ability for EEH to reasonably impact the issue given available resources * Consequences of inaction: the risk of not addressing the problem at the earliest opportunity

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

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
INFORMING OUR PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE IS AN IMPORTANT PART OF EEH's FINANCIAL ASSISTANCE PROGRAM. FINANCIAL ASSISTANCE IS AVAILABLE TO THE UNDER-INSURED AS WELL AS THE UNINSURED. INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM AND THE APPLICATION IS AVAILABLE ON EEH WEBSITE IN ENGLISH AND SPANISH. PATIENT STATEMENTS ALSO INCLUDE INFORMATION ON HOW TO OBTAIN A FINANCIAL ASSISTANCE APPLICATION. UNINSURED INPATIENTS ARE SCREENED FOR ELIGIBILITY FOR GOVERMENTAL PROGRAMS. PATIENTS WHO DO NOT QUALIFY FOR SUCH PROGRAMS ARE GIVEN A FINANCIAL ASSISTANCE APPLICATION. SIGNAGE IS POSTED AT ALL REGISTRATION AREAS INCLUDING THE EMERGENCY DEPARTMENT. A NOTICE ON OUR CONSENT TO TREAT HIGHLIGHTS THAT FINANCIAL ASSISTANCE IS AVAILABLE. ALSO, OUR CUSTOMER SERVICE DEPARTMENT AND FINANCIAL COUNSELORS ARE AVAILABLE TO ASSIST PATIENTS WHO ARE HAVING DIFFICULTY PAYING THEIR BILL AND THE NEED FOR FINANCIAL ASSISTANCE. LASTLY, EEH LEVERAGES A PRESUMPTIVE ELIGIBLITY TOOL THAT PROVIDES ADDITIONAL SCREENING FOR FINANCIAL ASSISTANCE PRIOR TO THE STATEMENTS BEING SENT. FOR UNINSURED PATIENTS THE STATEMENT REFLECTS ANY DISCOUNTS THE PATIENT WAS ELIGIBLE FOR UNDER OUR FINANCIAL ASSISTANCE POLICY. EEH continues its partnership with Change Healthcare with the goal to provide under- and uninsured patients with insurance coverage through various Medicaid programs. The service is offered to patients receiving care as an inpatient, in the emergency department and in various outpatient departments, and is tailored to guide the patient through a complex application process for applicable federal, state, and community benefit programs.

Schedule H, Part VI, Line 4 Community information
EEH IS A FULL-SERVICE, REGIONAL HEALTHCARE PROVIDER OFFERING ACCESS TO A FULL RANGE OF HEALTH CARE SERVICES, INCLUDING PRIMARY CARE, COMPLEX MEDICAL SPECIALTIES, AND INNOVATIVE PROGRAMMING FOR community members OF CHICAGO'S WEST AND SOUTHWEST SUBURBS. Over 50% of patients receiving inpatient services at EEH are Medicare or Medicaid recipients. EEH services a population of nearly two million residents from DuPage, Will, and Cook counties, with additional representation from Kane and Kendall counties. The System's Primary Service Area (PSA) - the area from which Edward and Elmhurst Hospitals draw roughly seventy-five percent (75%) of inpatient (IP) admissions - stretching approximately 42 miles from Yorkville (southwest corner of Edward PSA) to Bensenville (northeast corner of Elmhurst PSA). The specific communities included in EEH's Primary Service Area (PSA) are directly. Note that Linden Oaks Hospital provides services across each acute care hospital's service areas. Edward Hospital Service Area Edward North Primary Service Area WARRENVILLE - 60555 NAPERVILLE - 60540 NAPERVILLE - 60563 NAPERVILLE - 60565 NAPERVILLE - 60566 NAPERVILLE - 60567 WOODRIDGE - 60517 LISLE - 60532 AURORA - 60502 AURORA - 60503 AURORA - 60504 Edward South Primary Service Area NAPERVILLE - 60564 PLAINFIELD - 60544 PLAINFIELD - 60585 PLAINFIELD - 60586 BOLINGBROOK - 60440 ROMEOVILLE - 60446 BOLINGBROOK - 60490 OSWEGO - 60543 YORKVILLE - 60560 Elmhurst Hospital Primary Service Area zip codes: City - Zip Code Elmhurst - 60126 Hillside - 60162 Berkeley - 60163 Villa Park - 60181 Oak Brook - 60523 Bellwood - 60104 Franklin Park - 60131 Westchester - 60154 Melrose Park - 60160 Northlake - 60164 Stone Park - 60165 Addison - 60101 Bensenville - 60106 Wood Dale - 60191 Glen Ellyn - 60137 Lombard - 60148 OTHER HOSPITALS SERVING THE EEH COMMUNITY: --RUSH-COPLEY MEDICAL CENTER --ADVENTIST BOLINGBROOK HOSPITAL -- ADVOCATE GOOD SAMARITAN HOSPITAL --NORTHWESTERN CENTRAL DUPAGE HOSPITAL --PRESENCE SAINT JOSEPH MEDICAL CENTER --ADVOCATE GOOD SAMARITAN HOSPITAL --LOYOLA UNIVERSITY MEDICAL CENTER --AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER --GOTTLIEB MEMORIAL HOSPITAL --WESTLAKE HOSPITAL --AMITA HEALTH ADVENTIST GLENOAKS --AMITA HEALTH ADVENTIST HINSDALE HOSPITAL POPULATION: The EEH Systems primary service area has over 950,000 residents while the total service area has over 1.9 million residents. EEH SERVICE AREA POPULATION ESTIMATES: EDWARD NORTH PRIMARY SERVICE AREA- 277,334 EDWARD SOUTH PRIMARY SERVICE AREA- 330,939 EDWARD NORTH SECONDARY SERVICE AREA- 201,312 EDWARD SOUTH SECONDARY SERVICE AREA- 225,589 ELMHURST PRIMARY - 361,508 ELMHURST SECONDARY - 544,539 Roughly 69% of EEH System patients reside in DuPage (47%) or Will (22%) county. The hospitals also see patients from Cook (20%), Kane (4%), Kendall (3%), and other (4%) counties. The median age of DuPage county is higher than that of Illinois (40.1 yrs compared to 38.9 yrs) while the median age of Will county is slightly lower (38.6 yrs compared to 38.9 yrs). The projected growth rate of residents 65+ is disproportionately higher than that of other age groups; the growth rate of this age group within DuPage and Will county is 16% compared to projected decreases in ages 0-64 years.

Schedule H, Part VI, Line 5 Promotion of community health
"The majority of EEH's governing body is comprised of persons who reside in the primary service area and are neither employees nor independent contractors of the organization, nor family members thereof. The organization extends medical staff privileges to all qualified physicians in its community for all departments. As a Not-For-Profit Organization, EEH re-invests earnings in the organization to maintain and enhance services that benefit the community served by the hospitals. The organization develops and updates a strategic plan on a regular basis to identify needs and opportunities to deploy excess funds (revenue in excess of expenditures). Projects are evaluated based on organizational objectives and community needs, and are prioritized by senior management and the board of trustees. Edward-Elmhurst Health actively promotes the health of its community by integrating community benefit planning into its strategic planning process, which ensures resources are allocated to supporting activities. Examples of efforts are reflected below: EEH also promotes the health of its community by participating in a range of committees, coalitions, panels, advisory groups, commissions, and boards. In addition, members of senior management participate in coalitions to strengthen partnerships with other organizations for the development of programs for the health of the community. An example is Will County Mobilizing for Action through Planning and Partnerships (MAPP), which represents a unique partnership of hospitals, physicians, local government, human services agencies and community groups working together locally to address the national healthcare crisis. Another example is a statewide coalition focused on obesity prevention, Illinois Alliance to Prevent Obesity which drives legislative change to combat obesity and promote equity in health outcomes. EEH actively engages with local and national non-profit partners to advance health equity, with a premier example being the American Heart Association. EEH staff organize a walk every year with hundreds of community participants in cooperation with the AHA to fundraise for the organization. We also actively participate in their Health Equity Task Force, where we learn and share best practices to advance health equity along with guiding the advocacy efforts for the organization to advance health equity in the region. As a not-for-profit, community-based healthcare system, Edward-Elmhurst Health (EEH) applies surplus funds to a number of initiatives aimed at providing enhanced patient care to the residents of the communities served, including but not limited to improvements in facilities and equipment, patient care, medical training, and education. On an annual basis, the EEH Board of Trustees and EEH Finance Committee approve a capital budget as presented by EEH management. The annual capital expenditures are designed to fund the facility and equipment requirements of various strategic patient-care initiatives, as well as to replace or modernize existing equipment. The annual budget is set based on the operational needs of the organization to provide patient care, taking into account available surplus funds. EEH's senior executive leadership team regularly evaluate opportunities to invest in improved patient care across the system, as well as medical training/education across employees. In August 2021, the EEH Board of Trustees approved the establishment of a Community Investment Program (the ""Program""), to be funded by an investment of $100 million. The purpose of the Program is to establish EEH as a community anchor institution committed to partnering with organizations to meaningfully advance the health and well-being of the communities it serves. Community Education is provided free of charge to the community at large with the aim of promoting wellness, enhancing understanding of disease prevention and management to minimize related complications and improve quality of life. Monthly webinars, presented by primary care physicians, specialists, dietitians and advanced practice clinicians are provided free of charge to promote prevention, awareness, education and overall wellness. These programs reach an average of 150 participants per program. Key health areas include nutrition, fitness, diabetes, cardiology, cancer prevention, arthritis, pain management, sleep and integrative medicine. The hospital system also funds access to an application/database of area resources for ""in need"" individuals and families call ""Find Help"". Finally, we partner with area non-profits to encourage physical activity through our newly created annual ""Take a Hike! Challenge"". The system provides the coordination and structure of the program as well as an award incentive for participants, which takes place for 8 weeks in the Fall. Participation in this year's event was over 1,300. Additional community education is provided through a vast database of online education, primarily in the form of blog articles, authored by experts in their fields, which can be accessed through the website: EEHealth.org. These are also featured on social media such as Facebook, Instagram and Twitter. Additional blog content is regularly added. Education is also pushed out through our monthly newsletters: Healthy Driven Newsletter, Healthy Driven Moms, Cancer Fight, HD Hearts. EEH provides a speakers bureau, free of charge, to a wide array of community organizations including senior centers, churches, cultural organizations, school STEM programs, living communities, newcomers organizations, libraries and school districts throughout the year. The ED participates in a large Road to Reality program with Plainfield School District that is a re-enactment of a drinking and driving accident scene. The ED also provides education at many community fairs on dog bite and bicycle safety."