4A (Expenses $ 99659866 including grants of $ 0) (Revenue $ 103675996)
SEE SCHEDULE O

PART V, SECTION B, LINE 4
"IN PRESENCE HEALTH'S 2012 SCHEDULE H (FORM 990), IT WAS INDICATED THAT THE CHNA WAS COMPLETED IN 2012. ALTHOUGH THE QUANTITATIVE AND QUALITATIVE DATA WAS COLLECTED AND COMPILED IN 2012, THE CHNA REPORT WAS NOT MADE PUBLICLY AVAILABLE UNTIL THE BEGINNING OF 2013. THE CHNA COMPLETION DATE HAS BEEN UPDATED ON THIS FORM TO 2013 TO BE CONSISTENT WITH WHEN THE IRS DEEMS THE CHNA TO BE CONDUCTED (THE DATE ON WHICH THE CHNA REPORT IS PUBLISHED AND MADE ""WIDELY AVAILABLE."")"

PART V, SECTION B, LINE 5
A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS A COLLABORATIVE COMMUNITY PROCESS OF IDENTIFYING AND PRIORITIZING A COMMUNITY'S HEALTH NEEDS, ACCOMPLISHED THROUGH THE COLLECTION AND ANALYSIS OF DATA, INCLUDING INPUT FROM COMMUNITY STAKEHOLDERS. IN JULY 2012, A CHNA STEERING COMMITTEE WAS FORMED TO REPRESENT STAKEHOLDERS WITHIN THE POLRMC COMMUNITY, AS WELL AS TO PROVIDE OVERSIGHT AND INPUT THROUGHOUT THE CHNA PROCESS. THE COMMITTEE'S ROLE IS ALSO TO ASSIST IN THE IDENTIFICATION OF DATA-DRIVEN COMMUNITY PRIORITIES AND TO ENGAGE STAKEHOLDERS IN COMMUNITY SOLUTIONS THROUGH PARTNERSHIPS AND COLLABORATION. BY TAKING ON A COMMUNITY APPROACH TO BOTH THE ASSESSMENT AND IMPLEMENTATION STRATEGIES, THE GOAL IS TO ENSURE THE DATA, PROCESSES, AND OUTPUTS ADD VALUE TO ALL COMMUNITY PARTNERS, NOT JUST THE HOSPITAL.

ENGAGEMENT OF PUBLIC HEALTH EXPERTISE
PRESENCE HEALTH FORMALLY ENGAGED THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) FOR ASSISTANCE IN PLANNING AND EXECUTING THE CHNA PROCESS. IPHI SERVED AS AN EXPERT PUBLIC HEALTH CONSULTANT THROUGHOUT THE CHNA TIMELINE. FURTHER, IPHI PROVIDED INVALUABLE ASSISTANCE IN OBTAINING PARTNERSHIPS WITH THE LOCAL AND COUNTY HEALTH DEPARTMENTS. GIVEN THE VAST NUMBER OF COUNTY HOSPITALS SERVED BY THE SAME HEALTH DEPARTMENT IN COOK COUNTY, RESOURCE ALLOCATION WAS DIFFICULT TO OBTAIN. AS SUCH, IPHI FUNCTIONED AS A LIAISON ROLE BETWEEN PRESENCE HEALTH AND THE HEALTH DEPARTMENTS SO AS TO OBTAIN ENGAGEMENT THROUGH PUBLIC DATA SHARING AND LINKAGES WITH IMPLEMENTATION PLANS. CONVERSATIONS WERE FACILITATED BETWEEN THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH SO AS TO CONTINUALLY INFORM ALL PARTIES OF CHNA PROCESS INPUTS AND OBTAIN BOTH FEEDBACK AND SUPPORT.

CHNA STEERING COMMITTEE
TO PROVIDE COMMUNITY LEVEL OVERSIGHT FOR THE PROCESS, A DIVERSE GROUP OF COMMUNITY STAKEHOLDERS AND PRESENCE OUR LADY OF THE RESURRECTION MEDICAL CENTER REPRESENTATIVES FROM ITS SERVICE AREA (THE CHICAGO COMMUNITY AREAS OF: JEFFERSON PARK, DUNNING, MONTCLARE, BELMONT CRAGIN, HERMOSA AND PORTAGE PARK) WERE INVITED TO PARTICIPATE ON THE CHNA STEERING COMMITTEE. TO ENSURE REPRESENTATIVE ENGAGEMENT, PERSONAL INVITATIONS WERE SENT TO ORGANIZATIONS REPRESENTING CULTURAL, LINGUISTIC, RACIAL, ETHNIC, AND OTHER MINORITY GROUPS. IN ADDITION, INDIVIDUALS WITH SPECIALIZED QUALIFICATIONS IN DEALING WITH SPECIAL POPULATIONS OR CLINICAL GROUPS WERE SOLICITED FOR THEIR PARTICIPATION. FINALLY, EFFORTS WERE MADE TO INCLUDE INDIVIDUALS ON THE CHNA STEERING COMMITTEE WITH PUBLIC HEALTH EXPERTISE. THOSE WHO COMMITTED TO THE ASSESSMENT AND PLANNING PROCESS BECAME THE 30 MEMBERS OF THE CHNA STEERING COMMITTEE, WHICH CONTINUES TO MEET REGULARLY TO PROVIDE FEEDBACK AND OVERSIGHT, ASSESS PROGRESS, AND MODIFY PLANS AS NEEDED. THE AGENCIES REPRESENTED ON THE CHNA STEERING COMMITTEE ARE LISTED BELOW: - PORTAGE PARK CHAMBER OF COMMERCE - HERMOSA COMMUNITY ORGANIZATION - METROPOLITAN FAMILY SERVICES, NORTH CENTER - PRIMECARE COMMUNITY HEALTH CENTER - POLISH AMERICAN ASSOCIATION - LUTHERAN SOCIAL SERVICES OF ILLINOIS - BELMONT-CENTRAL CHAMBER OF COMMERCE - SISTER BONAVENTURE CHILDREN'S CHOICE LEARNING CENTER - COALITION TO SAVE OUR MENTAL HEALTH CENTERS - OLD IRVING PARK COMMUNITY CLINIC - MATHER LIFEWAYS - NORTHWEST SIDE HOUSING CENTER

COMMUNITY HEALTH PROFILE
THE COMMUNITY HEALTH PROFILE IS A COMPILATION OF SECONDARY DATA (DATA ALREADY PUBLISHED AND AVAILABLE) ABOUT A PARTICULAR COMMUNITY. THE PROFILE PROVIDES COMPARATIVE INFORMATION TO ASSIST IN UNDERSTANDING THE NEEDS AND PRIORITIES OF A COMMUNITY. THE COMMUNITY HEALTH PROFILE FOR POLRMC ANALYZED OVER 50 INDICATORS. EXAMPLE INDICATORS INCLUDE: POPULATION TRENDS, RACE, INCOME, POVERTY LEVELS, AND PERCENTAGE OF UNINSURED, HEALTH PROFESSIONAL SHORTAGES, LEADING CAUSES OF DEATH, TEEN BIRTHS, BIRTH WEIGHTS, TOBACCO USE, PHYSICAL ACTIVITY, CRIME RATES, AND FOOD INSECURITY. THE COMMUNITY HEALTH PROFILE CAN BE FOUND ONLINE AT WWW.PRESENCEHEALTH.ORG/COMMUNITY.

COMMUNITY INPUT REPORT
THE COMMUNITY INPUT PROCESS WAS COMPLETED BETWEEN AUGUST AND OCTOBER 2012. THE PROCESS INCLUDED CREATING AND ADMINISTERING A COMMUNITY INPUT SURVEY IN SPANISH, POLISH AND RUSSIAN AS WELL AS ENGLISH, FACILITATING THREE FOCUS GROUPS, AND COMPLETING AN ASSET AND RESOURCES INVENTORY. THE COMMUNITY SURVEY EXPLORED RESIDENTS' PERCEPTIONS OF ISSUES SURROUNDING QUALITY OF LIFE, HEALTH, AND SOCIAL FACTORS AND COLLECTED RESPONDENTS' DEMOGRAPHICS INCLUDING INSURANCE COVERAGE. NINE HUNDRED FIFTY ONE (951) COMMUNITY RESIDENTS COMPLETED THE SURVEY. THE COMMUNITY INPUT REPORT CAN BE FOUND ONLINE AT WWW.PRESENCEHEALTH.ORG/COMMUNITY. IN CONJUNCTION WITH THE CHNA STEERING COMMITTEE AND NUMEROUS COMMUNITY STAKEHOLDERS, AN INVENTORY OF COMMUNITY ASSETS WAS THEN CONDUCTED SO AS TO DETERMINE EXISTING HEALTH RESOURCES THAT COULD BE BUILT UPON OR COLLABORATED WITH TO CONDUCT THE WORK OF POLRMC'S MINISTRY. THE COMMUNITY ASSET MATRIX CAN BE FOUND IN APPENDIX 1 OF THE COMMUNITY INPUT REPORT ONLINE AT WWW.PRESENCEHEALTH.ORG/COMMUNITY.

PART V, SECTION B, LINE 7D
PRINT COPIES ARE AVAILABLE UPON REQUEST. IN ADDITION, COPIES WERE MAILED TO COMMUNITY PARTNERS WHO COLLECTED COMMUNITY INPUT AND PARTICIPATED IN THE CHNA PROCESS FOR MORE SPECIFIC DISSEMINATION OF FINDINGS. PARTNERS WERE ALSO PROVIDED LINKS TO THE WEBSITE VIA EMAIL FOR DISSEMINATION TO THEIR MAILING LISTS AND RESPECTIVE CONSTITUENTS.

PART V, SECTION C, LINE 11
"PRESENCE OUR LADY OF THE RESURRECTION MEDICAL CENTER'S (POLRMC) CHNA STEERING COMMITTEE FOLLOWED A NINE-STEP PROCESS IN IDENTIFYING COMMUNITY NEEDS. THIS INVOLVED: DEFINING COMMUNITY FOR CHNA; FORMING A STEERING COMMITTEE; UPDATING AND DEVELOPING A MISSION, VALUES AND VISION; CONDUCTING THE CHNA THROUGH DEFINED INDICATORS AND GATHERING INPUT THROUGH FOCUS GROUPS AND SURVEYS; SYNTHESIZING AND ANALYZING ASSESSMENT DATA, IDENTIFYING KEY ISSUES AND PRIORITIZING NEEDS; DEVELOPING HIGH LEVEL ACTION PLANS; AND DEVELOPING AND COMMUNICATING THE CHNA REPORT. POLRMC THEN WORKED WITH THE CHNA STEERING COMMITTEE TO IDENTIFY THE PRIORITY ISSUES THAT WERE DEEMED MOST SIGNIFICANT IN THE COMMUNITY. THE FOLLOWING THEMES SURFACED ACROSS ALL DATA COLLECTION METHODS AND WERE PRIORITIZED BY THE CHNA STEERING COMMITTEE AS THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY: - COORDINATION OF CARE - RISK FACTORS FOR CHRONIC DISEASE - ACCESS TO PRIMARY CARE THE CHNA STEERING COMMITTEE ALSO DETERMINED THAT ADDRESSING ECONOMIC DISPARITIES, HEALTH LITERACY, AFFORDABILITY AND LANGUAGE BARRIERS WILL BE ADDRESSED THROUGHOUT ALL PRIORITIES AND STRATEGIES SO AS TO ENSURE A FOCUS ON THE MOST VULNERABLE AND UNDERSERVED POPULATIONS. POLRMC TOOK STEPS TO ADDRESS ALL OF THESE NEEDS IN 2014 AS FOLLOWS: COORDINATION OF CARE IN RESPONSE TO A DEMONSTRATED NEED OF IMPROVING TRANSITIONS OF CARE/COORDINATION OF CARE BETWEEN HEALTHCARE AND SOCIAL SERVICES PROVIDERS, POLRMC HAS PARTNERED WITH PRIMECARE COMMUNITY HEALTH, A FEDERALLY QUALIFIED HEALTH CENTER, TO IMPROVE ACCESS TO PRIMARY CARE PROVIDERS FOR THOSE USING POLRMC'S EMERGENCY DEPARTMENT FOR NON-EMERGENT CARE. THE COORDINATION OF CARE OBJECTIVE WAS TO IDENTIFY A VIABLE SYSTEM TO ASSESS THE NUMBER OF REFERRALS TO PRIMECARE BY DECEMBER 31, 2013. THE STRATEGIES EMPLOYED IN MEETING THAT OBJECTIVE WAS CREATING AN ACTION TEAM TO IDENTIFY THE REFERRAL PROCESS BETWEEN POLRMC AND PRIMECARE. FURTHER, THE LEADERSHIP OF PRIMECARE AND POLRMC MET BI-MONTHLY TO ASSESS THE REFERRAL PROCESS AND STRATEGIZE IMPROVEMENTS. POLRMC ALSO PROVIDED MEETING ROOM SPACE, ADDITIONAL ROOM SPACE TO PRIMECARE, AND CONFERENCE CALLS ACCESS. POLRMC HAD VOLUNTEERS CALL UNINSURED EMERGENCY DEPARTMENT PATIENTS TO INFORM THEM ABOUT COUNTYCARE REQUIREMENTS AND REFERRED THEM TO PRIMECARE FOR ENROLLMENT. MOREOVER, THERE WAS AN EFFORT ON BEHALF POLRMC STAFF TO ENCOURAGE AND ASSIST POLMRC PHYSICIAN SPECIALISTS TO BECOME COUNTYCARE PROVIDERS. THE PRIMECARE STAFF HELD TWO LECTURES AT POLRMC TO INFORM COMMUNITY MEMBERS ABOUT THE AFFORDABLE CARE ACT. PRIMECARE STAFF ALSO HOSTED AN INFORMATION SESSION FOR FORTY-FIVE POLRMC STAFF MEMBERS REGARDING COUNTYCARE REQUIREMENTS, HOW TO IDENTIFY PATIENTS AND COMMUNITY MEMBERS WHO QUALIFY AND WHERE TO SEND THEM TO ENROLL. EMAILS WERE SENT TO COMMUNITY PARTNERS AND LOCAL CHURCHES ABOUT COUNTYCARE AND HOW COMMUNITY MEMBERS CAN APPLY. POLRMC SPECIALISTS AGREED TO BECOME COUNTYCARE PROVIDERS. DUE TO THE SUCCESS OF PRIMECARE IN TERMS OF AMOUNT OF PATIENTS ENROLLED AT THE PORTAGE PARK LOCATION, A ROOM IN THE HOSPITAL WAS GIVEN TO PRIMECARE FOR GROUP SESSIONS. RISK FACTORS FOR CHRONIC DISEASE THE GOAL OF THE CHRONIC DISEASE CHNA ACTION TEAM IS TO EDUCATE THE COMMUNITY OF THEIR RISK FOR CHRONIC ILLNESS. SPECIFIC GOALS IN RESPONSE TO THIS CRUCIAL COMMUNITY NEED WERE TO: PROVIDE PROGRAMS TO MEASURE OVERALL HEALTH OF PROGRAM PARTICIPANTS RELATED TO BLOOD PRESSURE AND CHOLESTEROL; INCREASE COMMUNITY AWARENESS OF THEIR RISK FOR DIABETES; DEVELOP A COMPREHENSIVE COMMUNITY BASED EDUCATION PROGRAM FOR CHRONIC DISEASE IN THE COMMUNITY; AND DEVELOP A PROGRAM TO PROMOTE PHYSICAL ACTIVITY, FITNESS, AND MOBILITY TO COMMUNITY MEMBERS. THESE OBJECTIVES CULMINATED INTO LECTURES AND HEALTH-RELATED EVENTS. DUE TO ITS EFFECTIVENESS, THESE PROGRAMS CONTINUE TO EXPAND. SPANISH SPEAKING POLRMC STAFF ALSO MADE SURE TO ATTEND VARIOUS LOCAL SCHOOL MEETINGS TO ESTABLISH COMMUNITY RELATIONSHIPS AND ASSESS WHAT THE COMMUNITY WANTED POLRMC TO DO TO HELP PREVENT CHRONIC ILLNESS IN THEIR FAMILIES. SPANISH EDUCATIONAL OFFERINGS WERE ALSO DEVELOPED AND PRESENTED. POLRMC OFFERED FREE MONTHLY BLOOD PRESSURE SCREENINGS WHICH INCLUDED PROFESSIONAL COUNSELING RELATED TO READINGS AND FOLLOW-UP RECOMMENDATIONS. SOME BLOOD PRESSURE SCREENINGS TOOK PLACE OFFSITE, AT COMMUNITY FAIRS AND EVENTS. A SIMILAR PROGRAM WAS IMPLEMENTED RELATED TO CHOLESTEROL, EXCEPT THAT LIPID PANELS WERE LOW COST RATHER THAN FREE. PARTICIPANTS IN THE CHOLESTEROL READING PROGRAM RECEIVED FOLLOW-UP LETTERS WITH RESULTS AND AN EXPLANATION OF HOW THOSE RESULTS COMPARED TO THE AMERICAN HEART ASSOCIATION'S (AHA) GUIDELINES. POLRMC ALLOCATED STAFF TO PROVIDE THE SCREENINGS. ALL ATTENDEES WERE ENCOURAGED TO CONTINUE MONITORING BLOOD PRESSURE READINGS TO MAINTAIN GOOD HEALTH AND PREVENT CHRONIC ILLNESS. THESE CHOLESTEROL SCREENINGS WERE PROVIDED THREE TIMES PER YEAR AT THE HOSPITAL AS WELL AS AT HEART FEST. OTHER CHOLESTEROL RELATED AWARENESS INITIATIVES INCLUDED DISTRIBUTING LITERATURE ON WHAT CHOLESTEROL READINGS MEANT, AND A ""KNOW YOUR NUMBERS"" LECTURE DELIVERED BY POLRMC STAFF AT COMMUNITY PARTNER LOCATIONS (ST. PASCAL'S CHURCH AND MATHER'S CAF). IN ADDITION TO PROVIDING MONTHLY SCREENINGS, POLRMC STAFF ATTENDED LOCAL HEALTH FAIR AND RESEARCHED AND OBTAINED INFORMATION FROM THE AHA. DIABETES RELATED PROGRAMS WERE ALSO IMPLEMENTED IN AN EFFORT TO INCREASE COMMUNITY AWARENESS OF THE DISEASE. THIS INVOLVED OFFERING LOW COST A1C SCREENINGS AT THE HOSPITAL (THREE TIMES PER YEAR) ALONG WITH COUNSELING AND PROVIDING ACCUCHECK GLUCOSE READINGS AT COMMUNITY EVENTS. FURTHERMORE, POLRMC HOSTED A MONTHLY SUPPORT GROUP TO HELP COMMUNITY MEMBERS DEAL WITH THE EMOTIONAL SIDE OF A DIABETES DIAGNOSIS. ANOTHER OBJECTIVE WAS TO DEVELOP A COMPREHENSIVE COMMUNITY BASED EDUCATION PROGRAM FOR CHRONIC DISEASE IN THE COMMUNITY. THIS WAS ACCOMPLISHED IN PART BY CREATING A PROGRAM FOR CHILDREN AND THEIR PARENTS TO EDUCATE THEM ON HEALTHY FOOD OPTIONS, WHICH INCLUDED TEACHING HEALTHY MEAL PREPARATION. ANOTHER PART OF THE COMPREHENSIVE PROGRAM WAS EDUCATING CHILDREN AND THEIR PARENTS ON THE BENEFITS OF SAFE PHYSICAL ACTIVITY AS WELL AS FREE OPTIONS FOR KEEPING KIDS SAFELY ACTIVE DURING THE WINTER AND SUMMER. POLRMC MADE SURE TO MEET WITH PRESENCE RESURRECTION MEDICAL CENTER TO DISCUSS ACTIVITIES TO ELIMINATE DUPLICATION OF EFFORTS DUE TO SERVICE OVERLAP TO STREAMLINE OVERALL EFFICIENCY. PARENTS WERE GIVEN LISTS OF EDUCATION OFFERING TO ASSESS WHAT PROGRAMS THEY WOULD LIKE RELATED TO CHRONIC ILLNESS. SIXTY-ONE FAMILIES COMPLETED AN EATING HEALTHY AND STAYING ACTIVE SURVEY. A PROGRAM TO PROMOTE PHYSICAL ACTIVITY, FITNESS AND MOBILITY WAS ALSO DEVELOPED FOR COMMUNITY MEMBERS. TO IMPLEMENT THE PROGRAM, A WALKING CLUB WAS CREATED AT A WELL-KNOWN LOCAL AREA PARK, PORTAGE PARK. POLRMC STAFF, ALONG WITH PARTICIPANTS, ATTENDED WEEKLY WALKING SESSIONS AT THE PARK. PRE AND POST TESTING WAS ADMINISTERED BY THE PHYSICAL THERAPY DEPARTMENT TO ASSESS OUTCOMES. PARTICIPANTS ALSO RECEIVED EDUCATIONAL HANDOUTS. PORTAGE PARK ADVERTISED THE AVAILABILITY OF THE CLUB AND PROVIDED MEETING SPACE FOR THE GROUP. A POLRMC PHYSICIAN PAID ADMISSION FOR THE CLUB MEMBERS AT THE POLRMC 5K WALK/RUN. POLRMC ALSO HOSTED A 5K WALK/RUN WITH ADMISSION PAID FOR BY CARDIOLOGISTS, ATTRACTING 200 COMMUNITY MEMBERS. PARTICIPANTS INCLUDED SIXTY-TWO MEMBERS FROM PORTAGE PARK SCHOOL AND TWENTY-NINE MEMBERS FROM DR. JOSE PRIETO SCHOOL. ACCESS TO PRIMARY CARE PRESENCE HEALTH IMPLEMENTED A COMMUNITY-WIDE ENROLLMENT STRATEGY ACROSS THE SYSTEM IN RESPONSE TO ACCESS TO HEALTH NEEDS WITH THE GOAL OF DECREASING THE PERCENTAGE OF ILLINOIS RESIDENTS WITHOUT HEALTH INSURANCE. A MULTI-DISCIPLINARY ENROLLMENT STEERING COMMITTEE EMPLOYED A FOUR-PRONGED APPROACH IN AN EFFORT TO ACHIEVE THE GOAL: CERTIFIED APPLICATION COUNSELORS, IN-PERSON COUNSELOR PARTNERSHIPS, DIRECTIONAL SUPPORT AND NAVIGATION, AND PUBLIC OUTREACH AND EDUCATION. CERTIFIED APPLICATION COUNSELORS (CACS) LEVERAGED HOSPITAL-LEVEL CAPACITY TO ASSIST UNINSURED COMMUNITY MEMBERS WITH ENROLLMENT BY OCTOBER 2013. ALL 12 PRESENCE HEALTH HOSPITALS WERE REGISTERED AS CAC ORGANIZATIONS THROUGH CMS. CACS WERE TRAINED TO ENROLL CONSUMERS IN EXPANDED MEDICAID AND THE MARTKETPLACE. THE EXISTING ROLE OF HOSPITAL FINANCIAL COUNSELORS WAS EXPANDED TO INCREASE MEDICAID ""REACH"" FROM IN-HOUSE TO COMMUNITY POPULATION. PRESENCE HEALTH ASSUMED STAFFING COSTS TO COVER NON-PRODUCTIVE TIME WHILE TRAINING THE FINANCIAL COUNSELORS AND PATIENT ACCESS LEADERS. THESE EFFORTS CONTINUED THROUGH 2014 TO ADDRESS THE PRESSING NEED. CONTRACTED PARTNERSHIPS WITH LOCAL IN-PERSON COUNSELOR (IPC) GRANTEES WERE CREATED TO EXPAND CAPACITY FOR COMMUNITY ENROLLMENT. THIS INVOLVED A LOCAL NETWORK ANALYSIS OF IPC GRANT RECIPIENTS AND REGULARLY SCHEDULED TIMES AT MINISTRY SITES FOR IPC PARTNERS TO ASSIST COMMUNITY MEMBERS WITH ENROLLMENT. POLRMC MADE EFFORTS TO ENSURE ENROLLMENT SUPPORT PROVIDED LINGUISTIC AND CULTURAL COMPETENCY THROUGHOUT. PRESENCE HEALTH PROVIDED SPACE IN HIGH"

PART I, LINE 3C - CHARITY CARE ELIGIBILITY CRITERIA
THIS QUESTION IS NOT APPLICABLE BECAUSE PRESENCE HEALTH USES THE FEDERAL POVERTY GUIDELINES.

PART I, LINE 6A
PRESENCE HEALTH, THE SYSTEM PARENT CORPORATION OF PRESENCE OUR LADY OF THE RESURRECTION MEDICAL CENTER (POLRMC), PUBLISHED A COMMUNITY BENEFIT REPORT FOR 2014, WHICH DETAILS THE COMBINED CHARITABLE IMPACT PRESENCE HEALTH FACILITIES HAVE WITHIN THE COMMUNITIES THEY SERVE. IN ADDITION TO THE COMMUNITY BENEFIT REPORT FOR 2014, POLRMC PUBLISHES A MINISTRY-SPECIFIC IMPLEMENTATION STRATEGY WHICH OUTLINES THE GOALS AND OBJECTIVES POLRMC HAS ESTABLISHED TO ADDRESS THE PRIORITIZED NEEDS OF ITS COMMUNITY. THE PRESENCE HEALTH SYSTEM IS REFERENCED IN THIS DOCUMENT, BUT OTHER HOSPITALS WITHIN THE PRESENCE HEALTH SYSTEM FILE THEIR OWN 990S AND SCHEDULE H.

PART I, LINE 6B
THE 2014 PRESENCE HEALTH COMMUNITY BENEFIT REPORT WAS MADE PUBLICLY AVAILABLE THROUGH A VARIETY OF WAYS TO SHARE THE INFORMATION WITH THE COMMUNITY AT LARGE: - PRINT VERSION OF REPORT - THE REPORT WILL BE MAILED TO COMMUNITY PARTNERS, ELECTED OFFICIALS AND LOCAL LEADERS. - WEBSITE - A ROBUST COMMUNITY SECTION HAS BEEN DEVELOPED AND CAN BE FOUND ONLINE AT WWW.PRESENCEHEALTH.ORG/COMMUNITY. THIS SECTION INCLUDES AN ONLINE, DOWNLOADABLE FILE OF THE 2014 COMMUNITY BENEFIT REPORT. PRESENCE OUR LADY OF THE RESURRECTION MEDICAL CENTER HAS ITS OWN MINISTRY LINK ON THIS PAGE. THROUGH THIS LINK, COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DOCUMENTS SPECIFIC TO PRESENCE OUR LADY OF THE RESURRECTION MEDICAL CENTER CAN BE DOWNLOADED, INCLUDING A COMMUNITY-FRIENDLY CHNA FLIPBOOK, THE SOURCE DOCUMENTS OF ALL DATA REVIEWED, AN OVERALL CHNA REPORT, AND AN IMPLEMENTATION STRATEGY. - POWERPOINT PRESENTATION - A STANDARD POWERPOINT OF THE ENTIRE 2014 COMMUNITY BENEFIT REPORT HAS BEEN MADE AVAILABLE. A CUSTOMIZED VERSION OF THIS PRESENTATION HAS ALSO BEEN CREATED FOR PRESENCE OUR LADY OF THE RESURRECTION MEDICAL CENTER TO SHARE WITH THE COMMUNITY, WHICH SHOWS THE LOCAL COMMUNITY BENEFIT CONTRIBUTIONS, PERSONS SERVED, AND THE 2014 PRIORITIZED COMMUNITY NEEDS.

PART I, LINE 7G
COSTS FROM PHYSICIAN CLINICS ARE NOT INCLUDED IN SUBSIDIZED SERVICE TOTALS.

PART I, LINE 7, COLUMN F
PER 2014 INSTRUCTIONS FOR SCHEDULE H (FORM 990), THE BAD DEBT EXPENSE OF $1,817,899 HAS BEEN REMOVED FROM THE DENOMINATOR IN CALCULATING THE PERCENTAGE OF TOTAL EXPENSE IN LINE 7.

PART I, LINE 7 - EXPLANATION OF COSTING METHODOLOGY
THE COST-TO-CHARGE RATIO WAS USED TO DETERMINE SCHEDULE H, PART I, LINE 7A, FINANCIAL ASSISTANCE AT COST. SCHEDULE H, PART I, LINE 7B, UNREIMBURSED MEDICAID, WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES. THE REMAINING AMOUNTS REPORTED ON LINE 7 ARE REPORTED AT COST.

PART II - COMMUNITY BUILDING ACTIVITIES
COMMUNITY BUILDING ACTIVITIES INCLUDE PROGRAMS THAT IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSES AND SOCIAL DETERMINANTS OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL HAZARDS. PARTICIPATION IN COLLABORATIVE COMMUNITY EFFORTS TO PROMOTE PUBLIC HEALTH INITIATIVES IS ALSO INCLUDED, SUCH AS ENGAGEMENT IN COALITIONS AND ADVOCACY FOR HEALTH IMPROVEMENT. THESE ACTIVITIES STRENGTHEN THE COMMUNITY'S CAPACITY TO PROMOTE THE HEALTH AND WELL-BEING OF ITS RESIDENTS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HEALTH CARE ORGANIZATION. PRESENCE OUR LADY OF THE RESURRECTION MEDICAL CENTER ENGAGES IN A VARIETY OF COMMUNITY-BUILDING ACTIVITIES WHICH ULTIMATELY IMPROVE THE HEALTH OF THE COMMUNITIES WE ARE PRIVILEGED TO SERVE, EVEN THOUGH THEY ARE NOT SPECIFIC HEALTH ACTIVITIES. EXAMPLES OF COMMUNITY BUILDING ACTIVITIES INCLUDE: - ALL OF OUR HOSPITALS WORK TO SUPPORT DISASTER READINESS AND EMERGENCY PREPAREDNESS. THIS WORK GOES ABOVE AND BEYOND ANY LICENSURE REQUIREMENTS TO PROACTIVELY ENSURE OUR COMMUNITIES ARE SAFE AND PREPARED IF A DISASTER SHOULD PRESENT ITSELF. - PRESENCE OUR LADY OF THE RESURRECTION MEDICAL CENTER PARTICIPATES IN SEVERAL COMMUNITY COALITIONS, SUCH AS BUILDING A HEALTHIER CHICAGO. BUILDING A HEALTHIER CHICAGO IS A COLLABORATIVE OF MORE THAN 150 LOCAL AND NATIONAL STAKEHOLDERS INCLUDING: US DEPARTMENT OF HEALTH AND HUMAN SERVICES - REGION V, CHICAGO DEPARTMENT OF PUBLIC HEALTH, INSTITUTE OF MEDICINE IN CHICAGO, AND THE CHICAGO MEDICAL SOCIETY. THE GOAL OF BUILDING A HEALTHIER CHICAGO IS TO IMPROVE THE HEALTH OF CHICAGO'S RESIDENTS AND EMPLOYEES THROUGH THE INTEGRATION OF NEW AND EXISTING PUBLIC HEALTH, BUSINESS, MEDICINE AND COMMUNITY EFFORTS. THE GOALS ARE GEARED TOWARD ACHIEVING: REDUCTION OF HEALTH RISKS, IMPROVEMENT OF HEALTH SYSTEMS, AND ELIMINATION OF HEALTH DISPARITIES. IT IS OUR BELIEF THAT WORKING IN COLLABORATION WITH COMMUNITY PARTNERS HELPS TO BUILD THE FOUNDATION FOR A HEALTHIER COMMUNITY.

PART III, SECTION A, LINE 2
THERE ARE NO ESTIMATES OF BAD DEBT INCLUDED. BAD DEBT IS AT TOTAL EXPENSE.

PART III, SECTION A, LINE 3
FOR TAX RETURN PURPOSES THE BAD DEBT EXPENSE IS SHOWN ON PART IX. THE PROVISION FOR FINANCIAL ASSISTANCE POLICY ALLOWS FOR ACCOUNTS IN BAD DEBT TO BE APPROVED FOR FINANCIAL ASSISTANCE IF THE PATIENT MEETS THE CRITERIA. THERE ARE POSSIBLE FINANCIAL ASSISTANCE ACCOUNTS IN BAD DEBT, ALTHOUGH THE EXACT PERCENTAGE IS UNKNOWN AS WE DO NOT HAVE THE APPROPRIATE TOOLS TO DETERMINE THIS PERCENTAGE ACCURATELY.

PART III, SECTION A, LINE 4
FOR TAX RETURN PURPOSES THE BAD DEBT EXPENSE IS SHOWN ON PART IX, STATEMENT OF FUNCTIONAL EXPENSE. FOR AUDIT PURPOSES THE ORGANIZATION FOLLOWS ASU 2011-07 PRESENTATION. PATIENTS' ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF PATIENTS' ACCOUNTS RECEIVABLE, PRESENCE HEALTH ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOUCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, PRESENCE HEALTH ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH PATIENT RESPONSIBILITY (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 PATIENTS ARE SCREENED AGAINST THE PRESENCE HEALTH CHARITY CARE POLICY AND UNINSURED DISCOUNT POLICY. FOR ANY REMAINING PATIENT RESPONSIBILITY BALANCE, PRESENCE HEALTH RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE 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. THE DIFFERENCE BETWEEN THE STANDARD RATE (OR DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.

PART III, SECTION B, LINE 8
THE ORGANIZATION COMPUTES THE MEDICARE SHORTFALL BASED ON A RATIO OF COST TO CHARGES. PRESENCE OUR LADY OF THE RESURRECTION MEDICAL CENTER BELIEVES IT IS IMPORTANT FOR THE COMMUNITY AND THE IRS TO BE MADE AWARE OF GOVERNMENT SHORTFALLS, SPECIFICALLY MEDICARE. HOWEVER, WE ACKNOWLEDGE THAT MEDICARE SHORTFALLS MAY BE EXPERIENCED BY OTHER THAN NON-PROFIT HEALTHCARE ORGANIZATIONS. AS SUCH, PRESENCE OUR LADY OF THE RESURRECTION MEDICAL CENTER DOES NOT BELIEVE THAT MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT.

PART III, SECTION C, LINE 9B
COLLECTION POLICIES ARE THE SAME FOR ALL PRESENCE HEALTH ENTITIES, WHICH INCLUDES PRESENCE our lady of the resurrection medical center'S PATIENTS. PATIENTS ARE NOTIFIED OF THE FINANCIAL ASSISTANCE POLICY AT THE TIME OF REGISTRATION VIA POSTED NOTIFICATIONS AND ON EVERY ACCOUNT STATEMENT THAT IS SENT TO THEM. THIS INFORMATION IS AVAILABLE IN A NUMBER OF LANGUAGES. PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE REVENUE CYCLE. PER THE PROVISION FOR FINANCIAL ASSISTANCE POLICY, THE COLLECTION PROCESSIS AS FOLLOWS: 1. PRE-LITIGATION REVIEW. PRIOR TO AN ACCOUNT BEING AUTHORIZED FOR THE FILING OF SUIT FOR NON-PAYMENT OF A PATIENT BILL, A FINAL REVIEW OF THE ACCOUNT WILL BE CONDUCTED AND APPROVED BY THE FINANCIAL COUNSELING REPRESENTATIVE (OR DESIGNEE) TO MAKE SURE THAT NO APPLICATION OF FINANCIAL ASSISTANCE WAS EVER RECEIVED AND THAT THERE EXISTS OBJECTIVE EVIDENCE THAT THE PATIENT DOES HAVE SUFFICIENT FINANCIAL MEANS TO PAY ALL OR PART OF HIS/HER BILL. PRIOR TO A COLLECTIONS SUIT BEING FILED, THE SELF-PAY COLLECTIONS DIRECTOR MUST REVIEW AND APPROVE. 2. RESIDENTIAL LIENS. NO HOSPITAL WILL PLACE A LIEN ON THE PRIMARY RESIDENCE OF A PATIENT WHO HAS BEEN DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE/CHARITY CARE, FOR PAYMENT OF THE PATIENT'S UNDISCOUNTED BALANCE DUE. FURTHER, IN NO CASE WILL ANY HOSPITAL EXECUTE ALIEN BY FORCING THE SALE OR FORECLOSURE OF THE PRIMARY RESIDENCE OF ANY PATIENT TO PAY FOR ANY OUTSTANDING MEDICAL BILL. 3. NO USE OF BODY ATTACHMENTS. NO HOSPITAL WILL USE BODY ATTACHMENTS TO REQUIRE ANY PERSON, WHETHER RECEIVING FINANCIAL ASSISTANCE/CHARITY CARE DISCOUNTS OR NOT, TO APPEAR IN COURT. 4. COLLECTION AGENCY REFERRALS. EACH HOSPITAL FINANCE ACCOUNTING WILL ENSURE THAT ALL COLLECTION AGENCIES USED TO COLLECT PATIENT BILLS PROMPTLY REFER ANY PATIENT WHO INDICATES FINANCIAL NEED, OR OTHER WISE APPEARS TO QUALIFY FOR FINANCIAL ASSISTANCE/CHARITY CARE DISCOUNTS, TO AFINANCIAL COUNSELOR TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR SUCHA CHARITABLE DISCOUNT. FOR MORE INFORMATION ABOUT THE PRESENCE HEALTH FINANCIAL ASSISTANCE PROGRAM, SEE WWW.PRESENCEHEALTH.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE.

PART VI, 2 - NEED ASSESSMENT
IN ADDITION TO CONDUCTING CHNAS EVERY THREE (3) YEARS, PRESENCE OUR LADY OF THE RESURRECTION MEDICAL CENTER JOINS FORCES WITH LOCAL COMMUNITY ORGANIZATIONS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY ON AN ONGOING BASIS. WE PARTICIPATE IN A VARIETY OF COALITIONS, COMMISSIONS, COMMITTEES, BOARDS, PARTNERSHIPS AND PANELS. OUR COMMUNITY OUTREACH WORKERS AND LIAISONS SPEND AMPLE TIME IN THE COMMUNITY POLRMC SERVES, AND BRING BACK FIRST-HAND KNOWLEDGE OF COMMUNITY NEEDS. WE ALSO SOLICIT GUIDANCE AND INVITE INPUT FROM A GROUP OF EXTERNAL PARTICIPANTS TO REVIEW OUR COMMUNITY BENEFIT PLAN, NEIGHBORHOOD RELATIONS, AND DATA SUPPLEMENTS TO ADVISE US ON THE PRIORITY NEEDS AND DIRECTIONS WITH REGARD TO COMMUNITY NEEDS. EXTERNAL GROUP PARTICIPANTS INCLUDE REPRESENTATIVES FROM THE PUBLIC HEALTH DEPARTMENT, LOCAL ALDERMEN AND REPRESENTATIVES, LEADERS FROM COMMUNITY BASED ORGANIZATIONS, FOUNDATIONS, CHURCHES, COLLEGES, COALITIONS AND ASSOCIATIONS. THESE PARTICIPANTS ARE EXPERTS IN A WIDE RANGE OF AREAS INCLUDING: PUBLIC HEALTH, MINORITY POPULATIONS, HEALTH CARE DISPARITIES, MENTAL HEALTH, AND HEALTH AND SOCIAL SERVICES. SOLICITING FEEDBACK FROM THIS GROUP HELPS US TO ENSURE WE ARE AWARE OF THE MOST PRESSING COMMUNITY HEALTH NEEDS. PRESENCE HEALTH MINISTRIES ALSO COMPLETE MEDICAL STAFF DEVELOPMENT PLANS. THESE PLANS ARE CONDUCTED BY EXTERNAL CONSULTANTS, WHO PROVIDE AN INDEPENDENT ASSESSMENT OF THE NEED FOR PHYSICIANS BY SPECIALTY WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA AS DEFINED BY STARK REGULATIONS. WE ALSO REVIEW AND ANALYZE OUR OWN INTERNAL PATIENT DATA (INPATIENT AND EMERGENCY DEPARTMENT UTILIZATION) ON AN ANNUAL BASIS TO UNCOVER ANY NEW COMMUNITY HEALTH TRENDS. WE REVIEW PURCHASED AND PUBLICLY AVAILABLE DATA AND ANALYSES ON THE MARKET, DEMOGRAPHICS, AND HEALTH SERVICE UTILIZATION.

PART VI, 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE
PRESENCE HEALTH HOSPITAL MINISTRIES PROACTIVELY COMMUNICATE THE AVAILABILITY OF OUR FINANCIAL ASSISTANCE/CHARITY CARE PROGRAMS BY USING MULTIPLE TYPES OF APPROPRIATE MEDIA AND IN MULTIPLE APPROPRIATE LANGUAGES. THE MECHANISMS USED BY PRESENCE HEALTH HOSPITALS TO COMMUNICATE THE AVAILABILITY OF FINANCIAL ASSISTANCE/CHARITY CARE INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING: 1. SIGNAGE. SIGNS ARE POSTED PROMINENTLY THROUGHOUT HIGH TRAFFIC AREAS OF OUR MINISTRIES, AS WELL AS WITHIN OUR INPATIENT AND OUTPATIENT REGISTRATION/PATIENT ADMITTING AREAS AND EMERGENCY DEPARTMENTS. SIGNS STATE THAT PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE/CHARITY CARE DISCOUNTS, AND DESCRIBE HOW TO OBTAIN MORE INFORMATION, INCLUDING IDENTIFICATION OF APPROPRIATE HOSPITAL REPRESENTATIVES BY TITLE. SIGNS ARE IN MULTIPLE LANGUAGES. 2. PROVISION OF FINANCIAL ASSISTANCE MATERIALS TO UNINSURED PATIENTS. PRESENCE HEALTH HOSPITALS PROVIDE A SUMMARY OF ITS FINANCIAL ASSISTANCE PROGRAMS AND A FINANCIAL ASSISTANCE APPLICATION TO ALL PERSONS RECEIVING HOSPITAL CARE THAT IT IDENTIFIES AS UNINSURED PATIENTS AT THE TIME OF IN-PERSON REGISTRATION, ADMISSION, OR SUCH LATER TIME THAT THE PATIENT IS FIRST IDENTIFIED AS AN UNINSURED PATIENT. FOR PATIENTS PRESENTING IN THE EMERGENCY DEPARTMENT, ALL PRESENCE HEALTH HOSPITALS PROVIDE SUCH FINANCIAL ASSISTANCE MATERIALS AT SUCH TIME AND IN SUCH MANNER AS IS CONSISTENT WITH THEIR OBLIGATIONS UNDER EMTALA TO ACCESS FOR AND STABILIZE ANY PATIENT WITH AN EMERGENCY MEDICAL CONDITION BEFORE MAKING INQUIRY OF THE PATIENT'S ABILITY TO PAY. 3. BROCHURES. BROCHURES, INFORMATION SHEETS AND SIMILAR FORMS OF WRITTEN COMMUNICATION REGARDING THE HOSPITAL'S FINANCIAL ASSISTANCE/CHARITY CARE POLICY ARE MAINTAINED IN APPROPRIATE AREAS OF THE HOSPITAL (E.G. EMERGENCY DEPARTMENT, ORGANIZED REGISTRATION AREAS, THE BUSINESS OFFICE). THESE COMMUNICATIONS STATE IN MULTIPLE LANGUAGES THAT THE HOSPITAL OFFERS FINANCIAL ASSISTANCE/CHARITY CARE DISCOUNTS AND DESCRIBES HOW TO OBTAIN MORE INFORMATION. 4. WEBSITE. COMPREHENSIVE INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAMS - INCLUDING ELIGIBILITY CRITERIA, APPLICATION DETAILS, AND CONTACT INFORMATION - IS ALSO AVAILABLE ON OUR CONSUMER WEB SITE(HTTP://PRESENCEHEALTH.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE) 5. BILLING NOTICES. EACH PRESENCE HEALTH HOSPITAL INCLUDES A NOTE ON OR WITH THE HOSPITAL BILL AND/OR STATEMENT REGARDING THE HOSPITAL'S FINANCIAL ASSISTANCE/CHARITY CARE PROGRAM AND HOW THE PATIENT MAY APPLY FOR CONSIDERATION UNDER THIS PROGRAM. 6. FINANCIAL COUNSELORS. EACH PRESENCE HEALTH HOSPITAL HAS ONE OR MORE FINANCIAL COUNSELORS WHOSE CONTACT INFORMATION IS LISTED OR PROVIDED WITH OTHER INFORMATION CONCERNING THE FINANCIAL ASSISTANCE/CHARITY CARE DISCOUNT PROGRAM. THESE COUNSELORS ARE AVAILABLE TO DISCUSS ELIGIBILITY AND OTHER QUESTIONS CONCERNING THE PROGRAM, AND PROVIDE aSSISTANCE WITH APPLICATIONS. THEY ARE ALSO AVAILABLE TO MEET WITH PATIENTS DURING THEIR STAY IF THEY HAVE QUESTIONS ABOUT THEIR ABILITY TO PAY FOR SERVICES AND OUR FINANCIAL ASSISTANCE PROGRAMS. 7. NOTIFICATION OF DETERMINATION. WHEN A PRESENCE HEALTH HOSPITAL MAKES A DETERMINATION THAT A PATIENT'S BILL IS DISCOUNTED OR ADJUSTED BASED ON A DETERMINATION OF FINANCIAL NEED, THE HOSPITAL NOTIFIES THE PATIENT OF SUCH ELIGIBILITY DETERMINATION AND THAT THERE IS NO FURTHER COLLECTION ACTION TAKEN ON THE DISCOUNTED PORTION OF THE PATIENT'S BILL.

PART VI, 4 - COMMUNITY INFORMATION
"PRESENCE HEALTH PROVIDES SERVICES AT 150 SITES, INCLUDING TWELVE ACUTE CARE HOSPITALS WITH A TOTAL OF 2,997 STAFFED BEDS AND OVER 90 PRIMARY AND SPECIALTY CARE CLINIC. THESE MINISTRIES OFFER A BROAD RANGE OF SERVICES FROM HIGHLY SPECIALIZED TERTIARY SERVICES TO AN EXTENDED NETWORK OF PRIMARY AND AMBULATORY CARE. PRESENCE HEALTH HAS IDENTIFIED A SEPARATE SERVICE AREA FOR EACH OF ITS ACUTE CARE HOSPITALS UTILIZING A CONSISTENT METHODOLOGY AND REFLECTING A COMBINATION OF GEOGRAPHIC LOCATION AND MARKET SHARE CRITERIA. THE TOTAL SERVICE AREA OF EACH MINISTRY REPRESENTS APPROXIMATELY 80% TO 90% OF THE TOTAL INPATIENT DISCHARGES FROM THAT FACILITY. THE PRIMARY SERVICE AREA (THE ""PRIMARY SERVICE AREA"") OF EACH FACILITY REPRESENTS APPROXIMATELY 65 TO 75% OF SUCH DISCHARGES AND THE SECONDARY SERVICE AREA (THE ""SECONDARY SERVICE AREA"") OF EACH FACILITY REPRESENTS APPROXIMATELY 15 TO 25% OF SUCH DISCHARGES. THE PRIMARY SERVICE AREAS AND SECONDARY SERVICE AREAS HAVE BEEN DETERMINED BY UTILIZING A PATIENT ORIGIN ANALYSIS TO IDENTIFY THOSE ZIP CODES THAT REPRESENT INPATIENT DISCHARGES. THESE ZIP CODES ARE THEN MAPPED TO IDENTIFY GEOGRAPHIC COVERAGE OF THE PRIMARY SERVICE AREAS AND SECONDARY SERVICE AREAS. MANY OF THE PRESENCE HEALTH HOSPITAL MINISTRIES FACILITIES ARE LOCATED IN POPULATION GROWTH AREAS. BASED UPON POPULATION ESTIMATES AND PROJECTIONS OBTAINED FROM CLARITAS, INC., THE POPULATION OF THE OUR HOSPITALS' COMBINED SERVICE AREA IS EXPECTED TO GROW AT A RATE OF 1.9% ANNUALLY BETWEEN 2012 AND 2017, COMPARED WITH A GROWTH RATE OF 1.3% AND 1.6% PER YEAR IN THE CHICAGO MSA AND IN ILLINOIS, RESPECTIVELY. OF PRESENCE'S TOTAL SERVICE AREA POPULATION, 10.7% IS OVER THE AGE OF 65, COMPARED TO 11.1% AND 12.3% IN THE CHICAGO MSA AND IN ILLINOIS, RESPECTIVELY. THE PRESENCE OUR LADY OF THE RESURRECTION MEDICAL CENTER CHNA SERVICE AREA INCLUDES THE ZIP CODES 60630, 60634, 60639, AND 60641, WHICH CORRESPOND TO THE CHICAGO COMMUNITY AREAS OF JEFFERSON PARK, DUNNING, MONTCLARE, BELMONT CRAGIN, HERMOSA AND PORTAGE PARK. THE TOTAL POPULATION OF ZIP CODES 60630, 60634, 60639, AND 60641 IN 2010 WAS 248,683, MAKING UP THE SERVICE AREA OF POLRMC. PRESENCE OUR LADY OF THE RESURRECTION MEDICAL CENTER HAS BEEN PROVIDING HEALTH CARE TO RESIDENTS OF CHICAGO'S NORTHWEST SIDE SINCE 1955. POLRMC SPECIALIZES IN PROVIDING ITS NEIGHBORS WITH COMPREHENSIVE MEDICAL AND SURGICAL SERVICES PLUS SPECIALIZED SERVICES THAT MEET THE DIVERSE HEALTH CARE NEEDS OF THE COMMUNITY. ACCORDING TO A 2012 MARKET SHARE ANALYSIS, TEN (10) OTHER HOSPITALS SERVE THE POLRMC SERVICE AREA COMMUNITIES."

DEMOGRAPHICS
IN THE PAST TEN YEARS, POPULATION CHANGE WAS MODEST IN THE POLRMC SERVICE AREA COMMUNITIES, WITH DECREASES IN THE 1 TO 2% RANGE FOR JEFFERSON PARK, DUNNING, BELMONT CRAGIN AND PORTAGE PARK, AND 7% FOR HERMOSA. THE MONTCLARE POPULATION INCREASED BY 6%. IN CONTRAST, THE POPULATION OF CHICAGO DECREASED BY 7%, AND THE ILLINOIS AND U.S. POPULATIONS SAW INCREASES OF 3% AND 10%, RESPECTIVELY. ROUGHLY A QUARTER OF THE POPULATION IS UNDER 20 YEARS OF AGE IN THE POLRMC SERVICE AREA, THE ONE EXCEPTION BEING ZIP CODE 60639 AT 34%. THESE PERCENTAGES ARE SIMILAR TO THOSE FOR COOK COUNTY, CHICAGO, ILLINOIS AND THE U.S. TWO OF THE ZIP CODES HAD LESS THAN 10% OF THEIR POPULATION OVER 65 (60639 AND 60641). ZIP CODES 60630 AND 60634 HAVE PROPORTIONS OF SENIOR POPULATIONS THAT ARE QUITE SIMILAR TO THE PERCENTAGES IN COOK COUNTY, ILLINOIS AND THE UNITED STATES, WHICH RANGE FROM 10 TO 13%. THE ZIP CODES 60630 (JEFFERSON PARK), 60634 (DUNNING AND MONTCLARE) AND 60641 (PORTAGE PARK) EXPERIENCED SLIGHT DECREASES IN THE PROPORTION OF PEOPLE OVER 65 FROM 2000 TO 2010. THE PROPORTION OF HISPANIC/LATINOS INCREASED IN EACH OF THE COMMUNITIES IN THE POLRMC SERVICE AREA. THE COMMUNITIES HAVE HISPANIC/LATINO POPULATIONS THAT RANGED FROM ABOUT 20% IN JEFFERSON PARK TO ALMOST 90% IN HERMOSA. THE LARGEST INCREASE IN THE HISPANIC/LATINO POPULATION WAS IN JEFFERSON PARK, NEARLY DOUBLING FROM 2000 TO 2010. THE CAUCASIAN POPULATION DECREASED IN ALL THE COMMUNITIES IN THE SERVICE AREA WHILE THE ASIAN POPULATION REMAINED BELOW 10% FOR ALL OF THE COMMUNITIES, THE LARGEST PROPORTION BEING 9% IN JEFFERSON PARK. THE SERVICE AREA HAS A CONSIDERABLE PERCENTAGE OF LIMITED ENGLISH SPEAKING POPULATION WITH THE MOST COMMON LANGUAGE BEING SPANISH, WITH RATES OVER 30% IN BELMONT CRAGIN AND HERMOSA. POLISH WAS THE SECOND MOST COMMON LANGUAGE SPOKEN WITH DUNNING THE LEADER AT 16% FOLLOWED BY JEFFERSON PARK AND PORTAGE PARK.

SOCIOECONOMICS
THE MEDIAN HOUSEHOLD INCOME IN DUNNING ($61,584) AND JEFFERSON PARK ($60,592) EXCEEDED THE U.S. MEDIAN. MONTCLARE'S MEDIAN HOUSEHOLD INCOME WAS VERY NEAR THAT FOR CHICAGO WHILE BELMONT CRAGIN AND HERMOSA FELL SLIGHTLY BELOW THAT AT A LITTLE OVER $42,000. BELMONT CRAGIN AND HERMOSA HAD 19% OF THEIR POPULATION LIVING BELOW THE POVERTY LINE, A PERCENTAGE JUST BELOW THE CHICAGO RATE BUT 6 PERCENTAGE POINTS ABOVE THE ILLINOIS RATE. BELMONT CRAGIN AT 26% AND HERMOSA AT 27% HAD RATES OF CHILDREN LIVING IN POVERTY THAT WERE ABOVE THE COOK COUNTY PERCENTAGE AND TWICE THE COUNTY HEALTH RANKING (CHR)'S BENCHMARK. THE OTHER COMMUNITIES HAD RATES RANGING FROM 21% TO 5%, ALL BELOW THE COOK COUNTY RATE OF 22%. OVER HALF THE POPULATION IN BELMONT CRAGIN AND HERMOSA LIVES BELOW 200% OF THE FEDERAL POVERTY LEVEL. PORTAGE PARK AND MONTCLARE HAVE ABOUT A THIRD OF THEIR POPULATION BELOW 200% OF THE FEDERAL POVERTY LEVEL, A NUMBER NEAR THE COOK COUNTY, ILLINOIS AND U.S. RATES. THE RATES IN DUNNING AND JEFFERSON PARK WERE NEAR 20%. FOUR OF THE SERVICE AREA COMMUNITIES, BELMONT CRAGIN, MONTCLARE, PORTAGE PARK AND HERMOSA, HAD 70% OR MORE STUDENTS ELIGIBLE FOR FREE AND REDUCED LUNCH. ALL BUT ONE OF THE HIGH SCHOOLS IN THE SERVICE AREA HAD GRADUATION RATES THAT EXCEEDED THE CHICAGO RATE (73.8%). SIX OF THE SEVEN COMMUNITIES HAD RATES OF RESIDENTS WITHOUT HIGH SCHOOL DIPLOMAS THAT EXCEEDED THE 15% RATE IN THE U.S. FOUR OF THE SIX COMMUNITIES HAD DOUBLE DIGIT UNEMPLOYMENT RATES RANGING FROM 12.9% IN HERMOSA TO 10.8% IN PORTAGE PARK AND MONTCLARE. THESE RATES ARE ALL SIMILAR TO THE CHICAGO AND COOK COUNTY RATES, BUT ABOVE THAT FOR THE U.S. JEFFERSON PARK AND DUNNING HAD RATES THAT WERE SIMILAR TO THE ILLINOIS RATE OF 8.6%.

ACCESS TO CARE
THE RATE OF UNINSURED FOR CHICAGO IS NEARLY 20%, CONSIDERABLY ABOVE THE CHR BENCHMARK AND THE ILLINOIS RATE OF 13.1%. EACH OF THE ZIP CODES IN THE SERVICE AREA HAD RATES OF MEDICAID ENROLLEES THAT WERE HIGHER THAN THE STATE RATE. ZIP CODE 60639 HAD THE HIGHEST RATE AT 41% WHILE 19% IN ZIP CODE 60630 WAS THE LOWEST. OF ALMOST 1,300 REQUESTS FOR INTERPRETERS IN THE ER, 80% WERE FOR SPANISH AND POLISH, HOWEVER REQUESTS FOR 28 DIFFERENT LANGUAGES WERE RECEIVED. BELMONT CRAGIN, HERMOSA AND MONTCLARE ARE DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS FOR PRIMARY CARE. BELMONT CRAGIN, HERMOSA, MONTCLARE, PORTAGE PARK AND DUNNING ALL HAVE SHORTAGES OF MENTAL HEALTH PROVIDERS. A FULL COMMUNITY HEALTH PROFILE OF DEMOGRAPHIC AND OTHER HEALTH INDICATORS CAN BE FOUND OF PRESENCE OUR LADY OF THE RESURRECTION MEDICAL CENTER AT WWW.PRESENCEHEALTH.ORG/COMMUNITY.

PART VI, 5 - PROMOTION OF COMMUNITY HEALTH
PRESENCE HEALTH HOSPITALS ARE FAITH-BASED MINISTRIES THAT PROVIDE SERVICES CONSISTENT WITH THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES. PRESENCE HEALTH HOSPITALS ENHANCE THE PUBLIC HEALTH OF OUR COMMUNITIES BY: 1. ENSURING OUR MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS. 2. ENSURING ALL OF OUR HOSPITALS ARE ACCREDITED AND IN GOOD STANDING WITH THE JOINT COMMISSION ACCREDITATION OF HEALTHCARE ORGANIZATIONS. 3. ENSURING OUR BOARD OF DIRECTORS IS DIVERSE AND ABLE TO PROVIDE EXPERTISE, AND INCLUDES INDEPENDENT MEMBERS OF THE COMMUNITIES WE SERVE. OUR BOARD MEMBERS MUST FOLLOW A CONFLICT OF INTEREST POLICY. 4. REINVESTING SURPLUS FUNDS INTO THE ORGANIZATION TO IMPROVE PATIENT CARE THOUGH NEW PROGRAMS AND TECHNOLOGY. 5. PROVIDING FINANCIAL ASSISTANCE, SLIDING SCALE DISCOUNTS AND HAVING COLLECTION PRACTICES THAT ARE IN COMPLIANCE WITH STATE AND FEDERAL GUIDELINES. IN ADDITION, WE FOLLOW THE FINANCIAL ASSISTANCE AND CHARITY GUIDELINES OF THE CATHOLIC HEALTH ASSOCIATION. 6. PARTICIPATING IN ALL GOVERNMENT SPONSORED HEALTH CARE PROGRAMS, MEDICARE, MEDICAID, CHAMPUS, TRICARE, SCHIP AND OTHERS. 7. PROVIDING EMERGENCY ROOM SERVICES IN ALL OF OUR COMMUNITIES AND PROVIDE TRAINING TO LOCAL FIRE DEPARTMENTS AND AMBULANCES. OUR EMERGENCY ROOM PARTICIPATES WITH LOCAL POLICE AND FIRE DEPARTMENTS IN DISASTER DRILLS. 8. STAFFING BOARD CERTIFIED EMERGENCY ROOM PHYSICIANS IN OUR EMERGENCY ROOM AND URGENT CARE SERVICES. WE TREAT PATIENTS ACCORDING TO EMTALA GUIDELINES AND SERVE ALL PATIENTS REGARDLESS OF ABILITY TO PAY. IN ADDITION, WE ARE COMMITTED TO DETERMINING THE NEEDS OF OUR COMMUNITIES AND CREATING WAYS TO MEET THOSE NEEDS. THE OBLIGATION TO REACH OUT TO THOSE IN NEED AND IMPROVE HEALTH FLOWS DIRECTLY FROM OUR CATHOLIC IDENTITY AND THE HERITAGE OF OUR FOUNDING CONGREGATIONS. THE Polrmc SENIOR LEADERSHIP TEAM AND THE GOVERNING BOARD HAVE A STRONG COMMITMENT TO COMMUNITY HEALTH INITIATIVES. COMMUNITY INITIATIVES AND ACTIVITIES HAVE ON GOING MONITORING AND EVALUATION FOR PROGRAM EFFECTIVENESS. THE FOLLOWING PROGRAMS ARE EXISTING COMMUNITY BENEFIT PROGRAMS Polrmc SPONSORS IN THE COMMUNITY.

WALKING CLUB AT PORTAGE PARK
PROGRAM DESCRIPTION THIS FREE PROGRAM WAS DEVELOPED BY THE PHYSICAL THERAPY DEPARTMENT TO PROMOTE PHYSICAL ACTIVITY, FITNESS AND MOBILITY TO COMMUNITY MEMBERS. ONCE A WEEK A PHYSICAL THERAPIST MEETS A SMALL GROUP IN A LOCAL PARK TO PROVIDE EDUCATION AND ENCOURAGE WALKING. OUTCOMES ARE MEASURED BY MONITORING IF THERE IS AN INCREASE IN EACH PARTICIPANT'S ENDURANCE LEVEL. MANY MEMBERS OF THE POLRMC HEALTH TEAM SUCH AS DIETICIANS, OCCUPATIONAL THERAPISTS, AND NURSES PROVIDED EDUCATION TO THE GROUP. COMMUNITY MEMBERS LEARNED ZUMBA, NUTRITION, YOGA, AND EVEN DID WATER EXERCISES IN THE PORTAGE PARK POOL. THE GROUP MET FOR 17 WEEKS FOR 1-2 HOURS EACH WEEK. HEALTH INFORMATION HANDOUTS, COOKBOOKS, AND WATER BOTTLES WERE PROVIDED TO THOSE ATTENDING. TO FURTHER PROMOTE WALKING, A POLRMC PHYSICIAN SPONSORED THE GROUP AND PAID ADMISSION FEES TO THE POLRMC FALL INTO FITNESS WALK/RUN HELD EACH SEPTEMBER.

LET'S MOVE OUR NUMBERS
PROGRAM DESCRIPTION THE LET'S MOVE OUR NUMBERS PROGRAM PROVIDES COMMUNITY EDUCATION AND SCREENING PROGRAMS ON A VARIETY OF HEALTH AND WELLNESS TOPICS BOTH IN THE COMMUNITY AND MAIN HOSPITAL LOCATION. COMPONENTS OF THE PROGRAM INCLUDE: BLOOD PRESSURE, BLOOD GLUCOSE, BLOOD LIPID PANEL, BODY MASS INDEX (BMI) AND/OR BODY FAT ANALYSIS. HEALTH EDUCATION TOPICS ON CHRONIC DISEASE INCLUDE OBESITY, HYPERTENSION, HEART DISEASE, STROKE, DIABETES, AND CANCER.

PART VI, 6 - AFFILIATED HEALTH CARE SYSTEM
"THE PROVENA HEALTH AND RESURRECTION HEALTH CARE SYSTEMS CAME TOGETHER ON NOVEMBER 1, 2011 TO FORM A NEW HEALTH SYSTEM, PRESENCE HEALTH, CREATING A COMPREHENSIVE FAMILY OF NOT-FOR-PROFIT HEALTH CARE SERVICES AND THE SINGLE LARGEST CATHOLIC HEALTH SYSTEM IN ILLINOIS. THE NAME PRESENCE HEALTH EMBODIES THE ACT OF BEING PRESENT IN EVERY MOMENT WE SHARE WITH THOSE WE SERVE AND IS THE CORNERSTONE OF A PATIENT, RESIDENT AND FAMILY-CENTERED CARE ENVIRONMENT. ""PRESENCE"" HEALTH EMBODIES THE WAY WE CHOOSE TO BE PRESENT IN OUR COMMUNITIES, AS WELL AS WITH ONE ANOTHER AND THOSE WE SERVE. PRESENCE HEALTH IS SPONSORED BY FIVE CONGREGATIONS OF CATHOLIC RELIGIOUS WOMEN: THE FRANCISCAN SISTERS OF THE SACRED HEART, THE SERVANTS OF THE HOLY HEART OF MARY, THE SISTERS OF THE HOLY FAMILY OF NAZARETH, SISTERS OF MERCY OF THE AMERICAS AND THE SISTERS OF THE RESURRECTION. AS WAS THE CASE FROM OUR VERY BEGINNINGS, PRESENCE HEALTH IS CALLED TO BE MUCH MORE THAN JUST A PROVIDER OF HEALTH SERVICES. PRESENCE HEALTH HAS INSTILLED WITHIN ALL OF ITS MINISTRIES THAT ARE COMMITTED TO RESPONDING TO THE NEEDS OF THOSE WE ARE PRIVILEGED TO SERVE; DELIVERING HIGH QUALITY CARE THAT IS ACCESSIBLE TO ALL. IT IS THIS CULTURE OF CARING AND GIVING THAT DRIVES OUR DILIGENT EFFORTS TO ENSURE WE RETURN THE OPTIMAL VALUE OF OUR CHARITABLE ASSETS TO OUR LOCAL COMMUNITIES. AS A NOT-FOR-PROFIT HEALTH SYSTEM, PRESENCE HEALTH INVESTS A SIGNIFICANT PORTION OF ITS OPERATING CAPITAL INTO THE COMMUNITY THROUGH PROGRAMS TO SERVE VULNERABLE POPULATIONS, SUCH AS THE POOR AND UNINSURED, MANAGE CHRONIC CONDITIONS, AND PROMOTE HEALTH EDUCATION AND PROMOTION OUTREACH AND INITIATIVES. IN FISCAL YEAR 2014, THIS INCLUDED $180 MILLION IN COMMUNITY BENEFIT ACTIVITIES. PRESENCE HEALTH TAKES A SYSTEMS APPROACH TO ITS COMMUNITY BENEFIT EFFORTS, AND THEREFORE ENSURES ITS MEMBER HOSPITALS AND OTHER ENTITIES AND AFFILIATES ARE HELPING TO PROMOTE AND ADDRESS THE HEALTH NEEDS OF THE COMMUNITIES THEY SERVE. FOR MORE INFORMATION ON PRESENCE HEALTH, VISIT WWW.PRESENCEHEALTH.ORG."

PART VI, 7 - STATE FILING OF COMMUNITY BENEFIT REPORT
PRESENCE HEALTH FILES ITS ANNUAL COMMUNITY BENEFIT REPORT IN ILLINOIS.