4A (Expenses $ 1356616224 including grants of $ 26810243) (Revenue $ 1566044468)
BASED IN THE WESTERN SUBURBS OF CHICAGO, LOYOLA UNIVERSITY MEDICAL CENTER (LUMC) IS A QUATERNARY CARE SYSTEM WITH A 61-ACRE MAIN MEDICAL CENTER CAMPUS AS WELL AS HEALTH CENTERS IN MORE THAN 30 LOCATIONS. THE MEDICAL CENTER CAMPUS IS LOCATED IN MAYWOOD, 13 MILES WEST OF THE CHICAGO LOOP AND 8 MILES EAST OF OAKBROOK, ILLINOIS. THE HEART OF THE MEDICAL CENTER CAMPUS, LUMC'S HOSPITAL, IS A 547 LICENSED BED FACILITY. THE MAYWOOD CAMPUS INCLUDES THE FOLLOWING: A LEVEL I TRAUMA CENTER, THE CARDINAL BERNARDIN CANCER CENTER, THE RONALD MCDONALD CHILDREN'S HOSPITAL OF LUMC, A BURN CENTER, A STROKE CENTER, WILLIAM G AND MARY A RYAN CENTER FOR HEART & VASCULAR MEDICINE, A RENOWNED TRANSPLANT CENTER AND A SPECIAL 20-BED UNIT FOR PATIENTS UNDERGOING STEM CELL TRANSPLANTS, A LEVEL III PERINATAL CENTER AND THE LOYOLA OUTPATIENT CENTER. LUMC PROVIDES TOP HOSPITAL CARE IN ALL MEDICAL SPECIALTIES, INCLUDING ORTHOPAEDICS, NEPHROLOGY, CARDIOLOGY, CANCER, OPHTHALMOLOGY AND SURGERY. IN FY22, THE HOSPITAL PROVIDED OVER 132,000 PATIENT DAYS OF HEALTH CARE SERVICES AND OVER 1.2 MILLION OUTPATIENT VISITS TO THE COMMUNITY.PLEASE SEE SCHEDULE H AND VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITIONS AND AWARDS:WWW.LOYOLAMEDICINE.ORG

FOSTER G MCGAW HOSPITAL
PART V, SECTION B, LINE 3J: N/ALINE 3E: LOYOLA UNIVERSITY MEDICAL CENTER (LUMC) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. MENTAL HEALTH 2. SOCIAL AND STRUCTURAL INFLUENCERS OF HEALTH 3. COMMUNITY COMMUNICATION AND COMMUNITY LEADER ENGAGEMENT 4. ACCESS TO HEALTH CARE 5. CHRONIC DISEASE

FOSTER G MCGAW HOSPITAL
PART V, SECTION B, LINE 5: THE ALLIANCE FOR HEALTH EQUITY (AHE) CONDUCTED A COLLABORATIVE CHNA BETWEEN MAY 2021 AND MARCH 2022. AHE IS A COLLABORATIVE OF 35 HOSPITALS WORKING WITH HEALTH DEPARTMENTS AND REGIONAL AND COMMUNITY-BASED ORGANIZATIONS TO IMPROVE HEALTH EQUITY, WELLNESS, AND QUALITY OF LIFE ACROSS CHICAGO AND SUBURBAN COOK COUNTY. LOYOLA MEDICINE IS A FOUNDING MEMBER OF AHE SINCE ITS LAUNCH IN 2015. THE COLLABORATIVE CHNA IN COOK COUNTY IS AN IMPORTANT FOUNDATION FOR THE WORK OF AHE, WHOSE PURPOSE IS TO IMPROVE POPULATION AND COMMUNITY HEALTH. THE 2022 CHNA IS THE THIRD COLLABORATIVE CHNA IN COOK COUNTY, ILLINOIS. THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI), THE BACKBONE ORGANIZATION FOR AHE, WORKS CLOSELY WITH THE STEERING COMMITTEE TO DESIGN THE CHNA TO MEET REGULATORY REQUIREMENTS UNDER THE AFFORDABLE CARE ACT AND TO ENSURE CLOSE COLLABORATION WITH THE CHICAGO DEPARTMENT OF PUBLIC HEALTH (CDPH) AND COOK COUNTY DEPARTMENT OF PUBLIC HEALTH (CCDPH) ON THEIR COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLANNING PROCESSES. LOYOLA MEDICINE ENGAGED COMMUNITY MEMBERS AND STAKEHOLDERS IN THE CHNA BOTH THROUGH AHE AND THROUGH PARTNERSHIPS WITH COALITIONS AND COMMUNITY GROUPS IN THE AREAS OF BERWYN-CICERO AND MAYWOOD-MELROSE PARK. LOYOLA MEDICINE AND AHE PRIORITIZED ENGAGEMENT OF COMMUNITY MEMBERS AND COMMUNITY-BASED ORGANIZATIONS AS A CRITICAL COMPONENT OF ASSESSING AND ADDRESSING COMMUNITY HEALTH NEEDS.THE ALLIANCE FOR HEALTH EQUITY'S METHODS OF COMMUNITY ENGAGEMENT FOR THE CHNA AND IMPLEMENTATION STRATEGIES INCLUDED: - GATHERING INPUT FROM COMMUNITY RESIDENTS WHO ARE UNDERREPRESENTED IN TRADITIONAL ASSESSMENT AND IMPLEMENTATION PLANNING PROCESSES; - PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS FOR COLLECTION OF COMMUNITY INPUT THROUGH SURVEYS AND FOCUS GROUPS; - ENGAGING COMMUNITY-BASED ORGANIZATIONS AND COMMUNITY RESIDENTS AS MEMBERS OF IMPLEMENTATION COMMITTEES AND WORKGROUPS; - UTILIZING THE EXPERTISE OF THE MEMBERS OF IMPLEMENTATION COMMITTEES AND WORKGROUPS IN ASSESSMENT DESIGN, DATA INTERPRETATION, AND IDENTIFICATION OF EFFECTIVE IMPLEMENTATION STRATEGIES AND EVALUATION METRICS; - WORKING WITH HOSPITAL AND HEALTH DEPARTMENT COMMUNITY ADVISORY GROUPS TO GATHER INPUT FOR THE CHNA AND IMPLEMENTATION STRATEGIES; AND - PARTNERING WITH LOCAL COALITIONS TO SUPPORT AND ALIGN WITH EXISTING COMMUNITY-DRIVEN EFFORTS.THE COMMUNITY-BASED ORGANIZATIONS ENGAGED IN THE AHE REPRESENT A BROAD RANGE OF SECTORS SUCH AS WORKFORCE DEVELOPMENT, HOUSING AND HOMELESS SERVICES, FOOD ACCESS AND FOOD JUSTICE, COMMUNITY SAFETY, PLANNING AND COMMUNITY DEVELOPMENT, IMMIGRANT RIGHTS, YOUTH DEVELOPMENT, COMMUNITY ORGANIZING, FAITH COMMUNITIES, MENTAL HEALTH SERVICES, SUBSTANCE USE SERVICES, POLICY AND ADVOCACY, TRANSPORTATION, OLDER ADULT SERVICES, HEALTH CARE SERVICES, HIGHER EDUCATION, AND MANY OTHERS. ALL COMMUNITY PARTNERS WORK WITH OR REPRESENT COMMUNITIES THAT ARE DISPROPORTIONATELY AFFECTED BY HEALTH INEQUITIES SUCH AS COMMUNITIES OF COLOR, IMMIGRANTS, YOUTH, OLDER ADULTS AND CAREGIVERS, LGBTQ+, INDIVIDUALS EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY, INDIVIDUALS LIVING WITH MENTAL ILLNESS OR SUBSTANCE USE DISORDERS, INDIVIDUALS WITH DISABILITIES, VETERANS, AND UNEMPLOYED YOUTH AND ADULTS.THE AHE 2022 CHNA PROCESS FOR COOK COUNTY RELIED UPON INPUT FROM OVER 5,200 COMMUNITY INPUT SURVEYS, WHICH WERE DISTRIBUTED IN BOTH ONLINE AND PRINTED FORMATS IN ENGLISH AND SPANISH; 43 FOCUS GROUPS WITH EXISTING AHE WORKGROUPS; AND POPULATION DATA COLLECTED BY HEALTH DEPARTMENTS. WHERE NECESSARY AND APPLICABLE, EXISTING RESEARCH PROVIDED RELIABLE INFORMATION IN DETERMINING COUNTY-WIDE PRIORITY HEALTH ISSUES. LOYOLA MEDICINE PARTNERED WITH INTERNAL EXPERTS AND THE COMMUNITY COALITIONS TO IDENTIFY PRIORITIES BY CONSIDERING MULTIPLE FACTORS, INCLUDING HEALTH EQUITY GOALS, COMMUNITY PRIORITIES, URGENCY, FEASIBILITY, EXISTING PRIORITIES, AND ALIGNMENT WITH THE EXISTING WORK OF HEALTH DEPARTMENTS, OTHER HOSPITALS, AND COMMUNITY PARTNERS. LOYOLA MEDICINE INTENTIONALLY STRUCTURED DEEPER ENGAGEMENT OF LOCAL COMMUNITIES DURING THE PHASE OF PRIORITIZING COMMUNITY HEALTH NEEDS. SPECIFICALLY, WE WORKED WITH CICERO COMMUNITY COLLABORATIVE, THE COMMUNITY ALLIANCE OF MELROSE PARK, PROVISO PARTNERS FOR HEALTH, AND PROVISO TOWNSHIP MINISTERIAL ALLIANCE TO HOST MEETINGS THROUGHOUT MARCH AND APRIL 2022 TO REVIEW CHNA DATA AND PROVIDE INPUT ON PRIORITIES.

FOSTER G MCGAW HOSPITAL
PART V, SECTION B, LINE 6A: AHE MEMBER HOSPITALS PARTICIPATING IN THE 2022 COOK COUNTY CHNA PROCESS INCLUDED ADVOCATE AURORA CHILDREN'S HOSPITAL, ADVOCATE AURORA CHRIST MEDICAL CENTER, ADVOCATE AURORA ILLINOIS MASONIC MEDICAL CENTER, ADVOCATE AURORA LUTHERAN GENERAL HOSPITAL, ADVOCATE AURORA SOUTH SUBURBAN HOSPITAL, ADVOCATE AURORA TRINITY HOSPITAL, ADVENT HEALTH MEDICAL CENTER LA GRANGE, ASCENSION ALEXIAN BROTHERS MEDICAL CENTER, ELK GROVE VILLAGE, ASCENSION HOLY FAMILY MEDICAL CENTER, ASCENSION RESURRECTION MEDICAL CENTER, ASCENSION ST. ALEXIUS MEDICAL CENTER AND ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL, ASCENSION SAINT FRANCIS HOSPITAL, ASCENSION SAINT JOSEPH HOSPITAL, ASCENSION SAINTS MARY AND ELIZABETH MEDICAL CENTER, ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO, HUMBOLDT PARK HEALTH, JACKSON PARK HOSPITAL, THE LORETTO HOSPITAL, LOYOLA MEDICINE - GOTTLIEB MEMORIAL HOSPITAL, LOYOLA MEDICINE - LOYOLA UNIVERSITY MEDICAL CENTER, LOYOLA MEDICINE - MACNEAL HOSPITAL, NORTHWESTERN MEMORIAL HOSPITAL, NORTHWESTERN PALOS COMMUNITY HOSPITAL, OSF LITTLE COMPANY OF MARY MEDICAL CENTER, ROSELAND COMMUNITY HOSPITAL, RUSH OAK PARK RUSH UNIVERSITY MEDICAL CENTER, SINAI HEALTH SYSTEM - HOLY CROSS HOSPITAL, SINAI HEALTH SYSTEM - MOUNT SINAI HOSPITAL, SINAI HEALTH SYSTEM - SCHWAB REHABILITATION HOSPITAL, SOUTH SHORE HOSPITAL, SWEDISH HOSPITAL, AND UNIVERSITY OF ILLINOIS HOSPITAL AND HEALTH SCIENCES SYSTEM.

FOSTER G MCGAW HOSPITAL
PART V, SECTION B, LINE 6B: OTHER THAN HOSPITAL FACILITIES, ORGANIZATIONS THAT PARTICIPATED IN THE 2022 COOK COUNTY CHNA INCLUDED THE CHICAGO DEPARTMENT OF PUBLIC HEALTH, COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, COOK COUNTY HEALTH, WEST COOK COALITION (WCC), PROVISO PARTNERS FOR HEALTH (PP4H), PROVISO TOWNSHIP MINISTERIAL ALLIANCE (PTMAN), CICERO COMMUNITY COLLABORATIVE (CCC), AND THE COMMUNITY ALLIANCE OF MELROSE PARK.

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PART V, SECTION B, LINE 7D: IN ADDITION TO PUBLICIZING THE CHNA ON THE HOSPITAL WEBSITE AND MAKING PAPER COPIES AVAILABLE AT THE HOSPITAL FACILITY, ALL LOYOLA MEDICINE COMMUNITY BENEFIT COUNCIL MEMBERS RECEIVED AN EMAILED COPY OF THE CHNA.

FOSTER G MCGAW HOSPITAL
PART V, SECTION B, LINE 11: IN FY22, LUMC ADDRESSED THE FOLLOWING COMMUNITY NEEDS AND ALSO SUPPORTED FY22 COMMUNITY INITIATIVES: MENTAL HEALTH - LOYOLA MEDICINE PARTNERED WITH ORGANIZATIONS SUCH AS THE GATEWAY FOUNDATION, NAMI, HAS, THE INTERFAITH MENTAL HEALTH COALITION, AND CENTER FOR SPIRITUALITY AND PUBLIC LEADERSHIP (CSPL) TO PROMOTE ACCESS TO PEER SUPPORT AND THE LIVING ROOM MODEL, MENTAL HEALTH FIRST AID TRAINING, AND EDUCATION WORKSHOPS ON SUICIDE PREVENTION, TRAUMA-INFORMED CARE, MENTAL HEALTH STIGMA IN BLACK AND BROWN COMMUNITIES, AND SELF-CARE. MOREOVER, LOYOLA AND CSPL PARTNERED ON A MENTAL HEALTH FIRST AID TRAINING CO-LED BY LUMC STAFF, AND ON ONE MENTAL HEALTH FIRST AID TRAINING PROVIDED BY COALITION FOR SPIRITUAL AND PUBLIC LEADERSHIP FOR LOYOLA MEDICINE COMMUNITY HEALTH & WELL-BEING STAFF AND COMMUNITY AGENCIES, WHICH EMPLOYED CHWS AND OTHER FRONTLINE STAFF TO BUILD CAPACITY IN THE PROVISO AREA. VIA A FEDERALLY-FUNDED LUMC-GATEWAY FOUNDATION PARTNERSHIP, A RECOVERY COACH STAFFED THE EMERGENCY ROOM TO OFFER SUPPORT AND RESOURCES TO PATIENTS USING OPIOIDS.LOYOLA MEDICINE STAFF ACTIVELY PARTICIPATE IN THE LOYOLA STANDS AGAINST GUN VIOLENCE COMMITTEE, A GUN VIOLENCE INITIATIVE THAT INCLUDES AN INTERDISCIPLINARY GROUP OF EDUCATORS AND HEALTH CARE PROFESSIONALS WHO COLLABORATE TO ADDRESS AND ADVOCATE AGAINST GUN VIOLENCE WITHIN THE COMMUNITY. SOCIAL AND STRUCTURAL INFLUENCERS OF HEALTH - LUMC ADDRESSED THIS HEALTH NEED BY COLLABORATING WITH THE COMMUNITIES WE SERVE ON POLICY CHANGES WITHIN THE LOYOLA MEDICINE ORGANIZATION TO PROMOTE RACIAL JUSTICE, THEREBY INCREASING COMMUNITY MEMBERS PARTICIPATION IN EXISTING SOCIAL PROGRAMS/OPPORTUNITIES THAT PROMOTE EMPOWERMENT AND INCREASING THE NUMBER OF LOYOLA MEDICINE NEW HIRES WHO RESIDE WITHIN OUR SERVICE AREA ZIP CODES. DUE TO THE PANDEMIC AND THE RESULTING REPRIORITIZATION OF RESOURCES, THE OVERALL TRACKING OF THE EFFORT WAS INTERRUPTED AND PAUSED.LUMC ADDRESSED THE SOCIAL DETERMINANTS OF HEALTH THROUGH UTILIZATION OF COMMUNITY HEALTH WORKERS WHO SCREENED PATIENTS FOR SOCIAL NEEDS (FOOD, HOUSING, HEALTH CARE, AND EMPLOYMENT). PATIENTS WHO SCREENED POSITIVE WERE PROVIDED RESOURCES OR CONNECTED TO COMMUNITY-BASED ORGANIZATIONS OR GOVERNMENT ENTITIES FOR FURTHER ASSISTANCE. IN PARTNERSHIP WITH PROVISO PARTNERS FOR HEALTH AND WINDY CITY HARVEST, LOYOLA MEDICINE SUPPORTED VEGGIE RX AT SEVERAL OF LOYOLA'S AND GOTTLIEB'S CLINIC SITES. VEGGIE RX WAS A CROSS-SECTOR PROGRAM IN WHICH HEALTH CARE PROVIDERS IDENTIFIED PATIENTS WITH FEDERAL SNAP BENEFITS WHO HAVE OR ARE AT RISK FOR DIET-RELATED DISEASE. THE PATIENTS WERE REFERRED TO WEEKLY NUTRITION EDUCATION CLASSES AND WERE PROVIDED WITH FREE PRODUCE, HEALTHY RECIPES AND DOUBLE VALUE COUPONS TO USE AT POP-UP FARM STANDS AND MARKETS. THE PROGRAM PROMOTED SNAP PARTICIPANTS' SELF-EFFICACY IN PREPARING PLANT-BASED MEALS THROUGH NUTRITION EDUCATION AND COOKING DEMONSTRATIONS. RESIDENTS AND PATIENTS RECEIVED WEEKLY PRODUCE DISTRIBUTIONS, AS WELL AS REGULAR CHECK-INS AND EMOTIONAL AND PEER SUPPORT.LUMC SUPPORTED THE CORPORATE WORK STUDY PROGRAM (CWSP) OF CRISTO REY AND CHRIST THE KING JESUIT COLLEGE PREP HIGH SCHOOLS, BOTH OF WHICH EXCLUSIVELY SERVE STUDENTS WITH LOW SOCIOECONOMIC STATUS (SES). VIA CWSP, STUDENTS WORKED AND EARNED NEARLY 70% OF THEIR EDUCATIONAL COSTS, MAKING COLLEGE PREPARATORY EDUCATION POSSIBLE. THE RESULTING WORK EXPERIENCE, CAREER EXPLORATION, MENTORSHIP, AND NETWORKING WILL BE INVALUABLE TO STUDENTS' FUTURES. THE LUMC FOOD SURPLUS PROJECT WAS ESTABLISHED IN RESPONSE TO THE PANDEMIC TO PROVIDE NUTRITIONAL HEALTH AND ELIMINATE FOOD INSECURITY AND WASTE BY DISTRIBUTING SURPLUS FOOD FROM THE HOSPITAL CAFETERIA TO CREATE FOOD ACCESS AND ADDRESS FOOD INSECURITY. IN PARTNERSHIP WITH THE EDWARD HINES, JR. VA HOSPITAL, THE HOSPITAL CAFETERIA'S FOOD SURPLUS WAS DELIVERED TO A LOCAL ORGANIZATION. IN FY22, LUMC DELIVERED AND DONATED OVER 3,000 MEALS. LUMC RESIDENTS AND FACULTY PROVIDED CLINICAL SERVICES TO INDIVIDUALS EXPERIENCING HOMELESSNESS AND STAYING IN SHELTERS OPERATED BY WEST SUBURBAN COOK'S HOUSING FORWARD.LUMC AND LOYOLA UNIVERSITY CHICAGO SCHOOL OF LAW'S HEALTH JUSTICE PROJECT (HJP) COLLABORATED ON A MEDICAL-LEGAL PARTNERSHIP FOR LOW-INCOME CLINIC PATIENTS WHO HAVE HEALTH-HARMING LEGAL NEEDS THROUGH REFERRALS TO ON-SITE CIVIL LEGAL AID COUNSEL. ACCESS TO HEALTH CARE - LUMC PROVIDES SERVICES THAT INCLUDE THE CHILD ADVOCACY PROGRAM WHICH EVALUATES AND COUNSELS CHILDREN REFERRED DUE TO SUSPECTED ABUSE OR NEGLECT; THE ORAL HEALTH CENTER WHICH PROVIDES DENTAL SERVICES VISITS; EMS CLASSES FOR AMBULANCES AND LOCAL MUNICIPAL FIRE DEPARTMENTS, INCLUDING NARCAN (NALOXONE HCI) TRAINING; AND PALLIATIVE AND SPIRITUAL CARE. IF LUMC HAD NOT PROVIDED THESE SERVICES TO THE COMMUNITY, THEY MAY NOT HAVE BEEN AVAILABLE, OR THE GOVERNMENTAL AGENCIES OR ANOTHER TAX-EXEMPT ORGANIZATION MAY HAVE BEEN HELD RESPONSIBLE FOR PROVIDING THESE SERVICES. VIA ACCESS TO CARE, A NONPROFIT ORGANIZATION, LUMC PROVIDED SUBSIDIZED CLINICAL SERVICES, INCLUDING DENTAL, PALLIATIVE AND PRIMARY CARE, COMMUNITY HEALTH, SCREENING PROGRAMS AND SUPPORT GROUPS STAFFED BY CLINICIANS.LUMC PROVIDED $291,100 TO FUND MEDICAID ELIGIBILITY, SSI/SSDI, AND ACA SCREENING AND ENROLLMENT ASSISTANCE FOR 2,035 UNINSURED AND UNDERINSURED PATIENTS.CHRONIC DISEASE - LOYOLA MEDICINE'S NATIONAL DIABETES PREVENTION PROGRAM (FRESH START) IS A CENTER FOR DISEASE CONTROL LIFESTYLE CHANGE PROGRAM. IN 2022, 495 PEOPLE WERE REACHED THROUGH EDUCATION AND COMMUNITY OUTREACH, 30 PEOPLE WERE SCREENED, AND 17 PEOPLE WERE ENROLLED INTO THE PROGRAM. TWO COHORTS WERE COMPLETED IN FY22. WITH 17 PARTICIPANTS ENROLLED, THE GROUP LOST 249 POUNDS, WITH AN AVERAGE OF OVER 200 MINUTES OF PHYSICAL ACTIVITY PER WEEK COMPLETED BY PARTICIPANTS. THESE OUTCOMES ARE PROVEN TO PREVENT OR DELAY TYPE 2 DIABETES IN THOSE AT RISK. LOYOLA MEDICINE'S PROGRAM HAS MET THE REQUIREMENTS TO ACHIEVE AND MAINTAIN CDC RECOGNITION. THE DPP (DIABETES PREVENTION PROGRAM) STAFF ALSO CONDUCTED TOBACCO SCREENINGS FOR PARTICIPANTS ENROLLED IN DPP AND PROVIDED THE CENTERS OF DISEASE CONTROL'S (CDC) READY, SET, QUIT INFORMATION TO PARTICIPANTS WHO REQUESTED ADDITIONAL INFORMATION. LOYOLA UNIVERSITY MEDICAL CENTER ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH ARE THE MOST PRESSING, UNDER-ADDRESSED AND WITHIN ITS ABILITY TO INFLUENCE. LOYOLA UNIVERSITY MEDICAL CENTER DOES NOT INTEND TO ADDRESS THE FOLLOWING HEALTH NEED: COMMUNITY COMMUNICATION AND LEADER ENGAGEMENT - LOYOLA UNIVERSITY MEDICAL CENTER DOES NOT PLAN TO DIRECTLY ADDRESS THIS NEED BECAUSE OUR COMMUNITY STAKEHOLDER FEEDBACK DID NOT INDICATE IT WAS THE MOST URGENT NEED. LOYOLA UNIVERSITY MEDICAL CENTER LEADERSHIP AND STAFF CURRENTLY PARTICIPATE IN COMMUNITY COALITIONS AND COMMUNITY EVENTS WITHIN THE LOYOLA UNIVERSITY MEDICAL CENTER SERVICE AREA AND WILL CONTINUE TO PARTICIPATE IN THESE EFFORTS.

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PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.

FOSTER G MCGAW HOSPITAL - PART V, SECTION B, LINE 7A:
WWW.LOYOLAMEDICINE.ORG/ABOUT-LOYOLA/COMMUNITY-BENEFIT

FOSTER G MCGAW HOSPITAL - PART V, SECTION B, LINE 9:
AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC.

FOSTER G MCGAW HOSPITAL - PART V, SECTION B, LINE 10A:
WWW.LOYOLAMEDICINE.ORG/ABOUT-LOYOLA/COMMUNITY-BENEFIT

FOSTER G MCGAW HOSPITAL - PART V, SECTION B, LINE 16A:
WWW.LOYOLAMEDICINE.ORG/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-AND-CHARITY-CARE-POLICY

FOSTER G MCGAW HOSPITAL - PART V, SECTION B, LINE 16B:
WWW.LOYOLAMEDICINE.ORG/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-AND-CHARITY-CARE-POLICY

FOSTER G MCGAW HOSPITAL - PART V, SECTION B, LINE 16C:
WWW.LOYOLAMEDICINE.ORG/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-AND-CHARITY-CARE-POLICY

PART I, LINE 3C:
IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS.

PART I, LINE 6A:
LOYOLA UNIVERSITY MEDICAL CENTER (LUMC) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF ILLINOIS. IN ADDITION, LUMC REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.LUMC ALSO INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE.

PART I, LINE 7:
THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM.

PART I, LN 7 COL(F):
THE FOLLOWING NUMBER, $19,432,095, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F).

PART II, COMMUNITY BUILDING ACTIVITIES:
LUMC'S COVID-19 EMERGENCY PREPAREDNESS RESPONSE INCLUDED JOINING AN EMERGENCY OPERATIONS CENTER (EOC) ESTABLISHED BY LOYOLA MEDICINE LEADERSHIP THAT SET OBJECTIVES, SAFETY PROTOCOLS, PPE, ALTERNATIVE STAFFING MATRIX, SURGE, FINANCIAL RECORDING PROTOCOLS, AND COMPLYING WITH THE COVID-19 DATA REPORTING REQUIREMENTS TO IDPH, IEMA.A MEMBER OF LOYOLA MEDICINE STAFF SERVES AS CHAIR OF THE ILLINOIS REGION 8 HEALTHCARE COALITION (HCC), INCLUDING LIAISING BETWEEN PARTICIPATING HOSPITALS, PUBLIC HEALTH AGENCIES, NON-HOSPITAL HEALTH ENTITIES, EMERGENCY MANAGEMENT AGENCIES AND FIRST RESPONDERS. REGIONAL AND STATE SITUATIONAL REPORTS WERE PRODUCED AND DISSEMINATED TO OVER 70 HCC MEMBERS. RESPONSE SUPPLIES AMASSED THROUGH THE ASPR HOSPITAL PREPAREDNESS PROGRAM AND THROUGH STRATEGIC NATIONAL STOCKPILE (SNS) REQUESTS SUBMITTED BY LUMC WERE DISTRIBUTED TO HCC MEMBERS. LOYOLA MEDICINE PARTNERED WITH IDPH FOR STAFFING OPTIONS. IN JANUARY 2022, LOYOLA MEDICINE OPENED A REGIONAL INCIDENT COMMAND FOR OMICRON RESPONSE AND CREATED AN EMERGENCY STAFFING PLAN.IN APRIL 2022, LOYOLA MEDICINE PARTICIPATED IN A MULTIREGIONAL MEDICAL RESPONSE SURGE EXERCISE (MRSE) TO ADDRESS COMMUNICATIONS, SURGE, TRANSPORT RESOURCES NECESSARY, AND RESOURCE REQUESTS THROUGHOUT REGIONS.

PART III, LINE 2:
METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS.

PART III, LINE 3:
LUMC USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, LUMC IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, LUMC IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL.

PART III, LINE 4:
"LUMC IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 13 OF THOSE STATEMENTS: ""AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED.""PART III, LINE 5: TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE ONE PERCENT SEQUESTRATION REDUCTION FOR THE PERIOD APRIL 1, 2022 THROUGH JUNE 30, 2022."

PART III, LINE 9B:
THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS.

PART VI, LINE 2:
NEEDS ASSESSMENT - LUMC ASSESSES THE HEALTH STATUS OF ITS COMMUNITY, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. TO ASSESS THE HEALTH OF THE COMMUNITY, THE HOSPITAL USES PATIENT UTILIZATION DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES, AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED.

PART VI, LINE 7, REPORTS FILED WITH STATES
IL

PART III, LINE 8:
LUMC DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CATHOLIC HEALTH ASSOCIATION RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT.

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PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - LUMC COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. LUMC OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. LUMC HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. LUMC MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER.

PART VI, LINE 4:
COMMUNITY INFORMATION - BASED IN THE WESTERN SUBURBS OF CHICAGO, LUMC IS A QUATERNARY CARE SYSTEM WITH A MAIN MEDICAL CENTER CAMPUS IN A DIVERSE COMMUNITY AND OPERATES PRIMARY- AND SPECIALTY-CARE FACILITIES ACROSS COOK, DUPAGE AND WILL COUNTIES. THE HEART OF THE MEDICAL CENTER CAMPUS, LUMC'S FOSTER G. MCGAW HOSPITAL, IS A 547-LICENSED-BED FACILITY. IN ADDITION TO THE HOSPITAL, THE FOLLOWING CLINICAL SERVICES ARE LOCATED ON CAMPUS: LEVEL 1 TRAUMA CENTER, RONALD MCDONALD CHILDREN'S HOSPITAL OF LUMC, CARDINAL BERNARDIN CANCER CENTER, LOYOLA OUTPATIENT CENTER, LOYOLA CENTER FOR HEART AND VASCULAR MEDICINE, AND LOYOLA ORAL HEALTH CENTER. THE CAMPUS ALSO IS THE HOME OF LOYOLA UNIVERSITY OF CHICAGO (LUC) STRITCH SCHOOL OF MEDICINE, LUC MARCELLA NIEHOFF SCHOOL OF NURSING, LUC GRADUATE SCHOOL'S HEALTH SCIENCES DIVISION, AND LOYOLA CENTER FOR FITNESS. LOYOLA UNIVERSITY MEDICAL CENTER (MAYWOOD, IL) AND GOTTLIEB MEMORIAL HOSPITAL (MELROSE PARK, IL) SERVE A CHNA COMMUNITY SERVICE AREA THAT INCLUDES 30 ZIP CODES IN WEST SUBURBAN COOK COUNTY AND THE WEST SIDE OF CHICAGO. LOYOLA MEDICINE DEFINES THE CHNA SERVICE AREA AS THE PRIMARY SERVICE AREAS FOR BOTH HOSPITALS, MAKING SURE TO INCLUDE ANY NEARBY COMMUNITIES OF HIGHEST NEED. THE LOYOLA-GOTTLIEB SERVICE AREA IS HOME TO 747,000 COMMUNITY MEMBERS. FORTY PERCENT (40%) OF THE POPULATION IDENTIFIES AS HISPANIC/LATINX, 36% NON-HISPANIC WHITE, 20% BLACK, 3% ASIAN, AND 1.4% TWO OR MORE RACES (AMERICAN COMMUNITY SURVEY, 2016-2020). TWENTY-FOUR PERCENT (24%) OF THE POPULATION ARE CHILDREN AND YOUTH UNDER 18, 62% ARE 18-64, AND 14% ARE OLDER ADULTS OVER 65. THE LOYOLA-GOTTLIEB SERVICE AREA HAS A GREATER PERCENTAGE OF COMMUNITY MEMBERS THAT IDENTIFY AS HISPANIC/LATINX COMPARED TO THE COUNTY, STATE, AND U.S. THE SERVICE AREA HAS A SIMILAR PROPORTION OF COMMUNITY MEMBERS THAT IDENTIFY AS BLACK COMPARED TO COOK COUNTY AND GREATER THAN ILLINOIS OR THE U.S. IN THE LOYOLA-GOTTLIEB SERVICE AREA, NEARLY 10% OF HOUSEHOLDS ARE LIMITED ENGLISH PROFICIENT, COMPARED TO ONLY 4% STATEWIDE. AN INVENTORY OF HOSPITALS FOR THE CHNA SERVICE AREA INCLUDED A TOTAL OF 11 FACILITIES.IN FY22, LUMC SERVED 5.5% (FOURTH LARGEST AMONG THE AREA'S HOSPITALS, SOURCE: COMPDATA) OF THE 235,903 DISCHARGED INPATIENTS FROM THIS PRIMARY SERVICE AREA. DURING FY22, AREA HOSPITALS TRANSFERRED OVER 5,000 PATIENTS TO LUMC LAST YEAR FOR SPECIALIZED CARE AND TREATMENT FOR HEART DISEASE, CANCER, BURN/TRAUMA, ORGAN TRANSPLANTATION, NEUROLOGICAL DISORDERS, AND SPECIALIZED PEDIATRIC CARE. LUMC ALSO PROVIDED CRITICAL CARE TO PATIENTS THAT ARE OFTEN TRANSPORTED TO THE HOSPITAL VIA AN AIR-TRANSPORT SERVICE. THESE CRITICALLY INJURED OR SEVERELY ILL PATIENTS TYPICALLY RECEIVE CARE FROM LOYOLA'S LEVEL I TRAUMA SERVICES OR THE BURN CENTER.

PART VI, LINE 5:
"OTHER INFORMATION - VIA AGREEMENTS WITH LOYOLA UNIVERSITY CHICAGO (LUC), LUMC PROVIDED CLINICAL EDUCATION, FACILITIES, AND FUNDING FOR STRITCH SCHOOL OF MEDICINE AND MARCELLA NIEHOFF SCHOOL OF NURSING. LUMC ALSO HAS AGREEMENTS WITH 25 OTHER NURSING SCHOOLS. LUMC TRAINED HUNDREDS OF GRADUATE MEDICAL EDUCATION STUDENTS. IN ADDITION, LUMC OFFERS CLINICAL EDUCATION TO OTHER HEALTH PROFESSIONALS (I.E., OCCUPATIONAL, PHYSICAL, SPEECH THERAPY).LOYOLA UNIVERSITY MEDICAL CENTER (LUMC) IS COMMITTED TO PROVIDING HEALTH CARE SERVICES TO ALL PATIENTS BASED ON MEDICAL NECESSITY. FOR PATIENTS WHO REQUIRE FINANCIAL ASSISTANCE OR WHO EXPERIENCE TEMPORARY FINANCIAL HARDSHIP, LOYOLA MEDICINE OFFERS SEVERAL ASSISTANCE AND PAYMENT OPTIONS, INCLUDING CHARITY AND DISCOUNTED CARE AS WELL AS SHORT-TERM AND LONG-TERM PAYMENT PLANS.LUHS PARTICIPATED IN HEALTH CARE ADVOCACY ON BEHALF OF THE COMMUNITIES SERVED. IN FY22, EFFORTS INCLUDED POLICY CHANGE ON COVID-19 RESPONSE, IMPROVED PUBLIC HEALTH INFRASTRUCTURE, EXPANDED ACCESS TO CARE, ADDRESSING FOOD INSECURITY, AND RACIAL EQUITY. IT INCLUDED STATE LEGISLATOR DISCUSSIONS IN COLLABORATION WITH OUR LOBBYISTS AND THE ILLINOIS HOSPITAL ASSOCIATION.IN 2020, RACISM WAS DECLARED A PUBLIC HEALTH CRISIS IN AN EFFORT TO ADDRESS THE RACIAL INEQUITY OF COVID-19 OUTCOMES AND TO ADVANCE COMPREHENSIVE HEALTH CARE FOR ALL. LOYOLA MEDICINE SIGNED THE AMERICAN HOSPITAL ASSOCIATION INSTITUTE FOR DIVERSITY AND HEALTH EQUITY (IFDHE) #123FOREQUITY CAMPAIGN TO ELIMINATE HEALTH CARE DISPARITIES, JOINING 1,700+ HOSPITALS AND SYSTEMS NATIONWIDE TO INCREASE THE DIVERSE PHYSICIAN WORKFORCE AND TO ADDRESS RACE AND CULTURAL CONCORDANCE, THEREBY CONNECTING KNOWN SIOH (SOCIAL INFLUENCERS OF HEALTH) CONTRIBUTORS. MORE THAN 700 PHYSICIANS PARTICIPATED IN UNCONSCIOUS BIAS TRAINING. ADDITIONALLY, LOYOLA MEDICINE HUMAN RESOURCE COLLEAGUES PARTICIPATED IN THE REVIEW OF ALL POLICIES AND PROCEDURES TO REINFORCE AND PROMOTE EQUITY AND MITIGATE THE IMPACT OF STRUCTURAL RACISM. MORE THAN 1,200 POLICIES WERE REVIEWED.LUMC EARNED THE COVETED BABY-FRIENDLY USA DESIGNATION, A REFLECTION OF OUR DEDICATION TO HELPING MOTHERS SUCCESSFULLY BREASTFEED THEIR NEWBORNS. THIS IS PART OF THE BABY-FRIENDLY HOSPITAL INITIATIVE THAT WAS LAUNCHED IN 1991 BY THE WORLD HEALTH ORGANIZATION AND UNICEF.LOYOLA MEDICINE IS COMMITTED TO THE HEALTH OF THE COMMUNITY THEY SERVE, INSTALLED HEALTHY VENDING MACHINES IN EACH OF ITS MAIN HOSPITALS AND STRATEGICALLY POSITIONING THEM IN AREAS FOR COLLEAGUES, PATIENTS, AND VISITORS TO EASILY ACCESS HEALTHY FRESH VENDING MEALS. EACH MEAL CONTAINS A FULL SERVING OF FRUITS AND VEGETABLES.LUMC PROVIDED FUNDING TO THE AMERICAN HEART ASSOCIATION TO CONDUCT RESEARCH, TO PROVIDE PUBLIC HEALTH EDUCATION AND PROFESSIONAL TRAINING, AND TO COMPLETE CHICAGOLAND COMMUNITY SERVICE AND ADVOCACY PROJECTS. LUMC PROVIDED AN EMR SYSTEM AND LEADERSHIP TO THE LOCAL COVID-19 EQUITY RESPONSE COLLABORATIVE, WHICH CONDUCTED FREE COMMUNITY TESTING AND CONTACT TRACING. LUMC PARTNERED WITH CBOS AND THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH ON VIRTUAL COVID-19 EDUCATION. LUMC BECAME A VACCINATION SITE FOR PATIENTS, STAFF AND CHICAGOLAND FIRST RESPONDERS. LUMC ALSO CONVENED MONTHLY STAKEHOLDERS' MEETINGS TO BRING AWARENESS AND INFORMATION REGARDING VACCINE CONFIDENCE, COMMUNITY AMBASSADOR UPDATES, AND TO DEVELOP AND DISTRIBUTE VIRTUAL COMMUNITY AND PROVIDER EDUCATION. IN JUNE 2022, LOYOLA UNIVERSITY MEDICAL CENTER ACTIVATED AND OPENED AN INCIDENT COMMAND FOR A SEVERE WEATHER ALERT AND POWER OUTAGE (CODE TRIAGE INTERNAL) TO COORDINATE STAFF ACTIONS, SET OBJECTIVES TO RESTORE POWER, AND PROVIDE A SAFE ENVIRONMENT FOR COLLEAGUES, PATIENTS, AND VISITORS.LUHS RECEIVED ""IT STARTS HERE"" FUNDING FROM TRINITY HEALTH TO DEPLOY MOBILE VACCINATIONS AND COMMUNITY COVID-19 AMBASSADORS TO GIVE VACCINE INFORMATION, ADDRESS HESITANCY AND PROMOTE LOCAL VACCINATION EFFORTS. LUHS PARTNERED WITH CBOS IN WESTERN COOK COUNTY PRIORITY AREAS: BELLWOOD, BERWYN, BROADVIEW, CICERO, MAYWOOD, MELROSE PARK AND SUMMIT. FROM JULY 2021 TO JUNE 2022 AND AS PART OF THE IT STARTS HERE CAMPAIGN IN ILLINOIS, LOYOLA MEDICINE, IN COLLABORATION WITH THE COMMUNITY AMBASSADOR PROGRAM, WAS ABLE TO VACCINATE 296 INDIVIDUALS; REACH 20,622 PEOPLE VIA OUTREACH AND EDUCATION; AND PARTICIPATE IN 139 COMMUNITY EVENTS.THROUGH TRANSFORMING COMMUNITY INITIATIVE AND COMMUNITY GRANT FUNDS PROVIDED BY TRINITY HEALTH, LUMC PROVIDED FUNDING TO COMMUNITY-BASED ORGANIZATIONS WITHIN THE LOYOLA MEDICINE SERVICE AREA TO ADDRESS HOUSING INSECURITY, HOMELESSNESS PREVENTION AND AWARENESS, AND PROGRAMING TO ADDRESS MENTAL HEALTH.LOYOLA MEDICINE IS COMMITTED TO IMPROVING ACCESS TO AND PROMOTION OF HEALTHIER FOODS AND BEVERAGES FOR COLLEAGUES, PATIENTS, AND VISITORS BY INVESTING AND PROVIDING A HEALTHIER RETAIL ENVIRONMENT FOR THOSE WE SERVE THROUGH OUR MENUS, CAFETERIA SELECTIONS AND VENDING MACHINE OPTIONS."

PART VI, LINE 6:
LUMC IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH'S COMMUNITY HEALTH AND WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR PEOPLE EXPERIENCING POVERTY AND OTHER VULNERABILITIES IN THE COMMUNITIES WE SERVE BY CONNECTING SOCIAL AND CLINICAL CARE, ADDRESSING SOCIAL NEEDS, DISMANTLING SYSTEMIC RACISM, AND REDUCING HEALTH INEQUITIES. WE DO THIS BY: 1. INVESTING IN OUR COMMUNITIES, 2. ADVANCING SOCIAL CARE, AND 3. IMPACTING SOCIAL INFLUENCERS OF HEALTH.TO FURTHER OUR STRATEGY IN FISCAL YEAR 2022 (FY22), CHWB LAUNCHED TWO TRAINING SERIES TO ADVANCE HEALTH AND RACIAL EQUITY IN OUR COMMUNITIES.1. CHWB LEADER SERIES TO ADVANCE HEALTH AND RACIAL EQUITY: A YEAR-LONG PEER LEARNING SERIES TO BUILD THE CAPACITY OF OUR CHWB LEADERS TO DELIVER ON OUR CHWB STRATEGY WITH A FOCUS ON COMMUNITY LEADERSHIP AND ENGAGEMENT, AND THE USE OF A RACIAL EQUITY LENS IN ALL OF OUR DECISION MAKING. 2. COMMUNITY ENGAGEMENT TO ADVANCE RACIAL JUSTICE - PREPARING FOR IMPLEMENTATION STRATEGY: A FOUR-PART SERIES ON ENGAGING OUR COMMUNITIES IN MEANINGFUL WAYS USING A HEALTH EQUITY AND RACIAL EQUITY LENS TO BUILD LASTING PARTNERSHIPS AND IMPACTFUL IMPLEMENTATION STRATEGIES.INVESTING IN OUR COMMUNITIES - TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES THEY SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FY22, TRINITY HEALTH CONTRIBUTED $1.37 BILLION IN COMMUNITY BENEFIT SPENDING TO AID THOSE WHO ARE VULNERABLE AND LIVING IN POVERTY, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH WE SERVE. SOME EXAMPLES OF THESE INVESTMENTS INCLUDE: TRINITY HEALTH AWARDED OVER $1.6 MILLION IN COMMUNITY GRANTS THAT DIRECTLY ALIGN WITH INTERVENTIONS AND LOCAL PARTNERSHIPS IDENTIFIED IN ITS MEMBER HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION STRATEGIES, INCLUDING ACCESS TO HEALTH CARE, MENTAL HEALTH, TRANSPORTATION, COMMUNITY ENGAGEMENT, FOOD ACCESS, AND HOUSING SUPPORTS. WITH A $1.2 MILLION INITIAL INVESTMENT, TRINITY HEALTH LAUNCHED ROUND 2 OF THE TRANSFORMING COMMUNITIES INITIATIVE (TCI), A FIVE-YEAR, INNOVATIVE FUNDING AND TECHNICAL ASSISTANCE INITIATIVE, PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS AND RESIDENTS TO ADVANCE HEALTH AND RACIAL EQUITY IN NINE OF OUR COMMUNITIES EXPERIENCING HIGH POVERTY AND OTHER VULNERABILITIES. HEALTH MINISTRIES RECEIVING TCI FUNDING ARE COLLABORATING WITH A LOCAL MULTI-SECTOR COLLABORATIVE TO DEVELOP AND IMPLEMENT EVIDENCE-BASED STRATEGIES THAT ADVANCE HEALTH AND RACIAL EQUITY THROUGH ADDRESSING AT LEAST ONE ROOT CAUSE OF POOR HEALTH IDENTIFIED IN THE DEVELOPMENT OF THEIR MOST RECENT CHNA IMPLEMENTATION STRATEGY. TRINITY HEALTH AWARDED OVER $1 MILLION IN COVID-19 FUNDING TO SUPPORT NEW AND ONGOING COMMUNITY ENGAGEMENT AND MOBILIZATION EFFORTS AROUND MAKING THE COVID-19 VACCINATION ACCESSIBLE TO ALL ELIGIBLE POPULATIONS. THIS FUNDING WAS DESIGNED TO SUPPORT ALL COMMUNITIES TO ENSURE EASY AND EQUITABLE ACCESS TO THE VACCINE BY REMOVING BARRIERS FOR ALL PEOPLE TO RECEIVE THE VACCINE, ESPECIALLY COMMUNITIES THAT HAVE LESS THAN A 75% VACCINATION RATE. WITH THIS FUNDING, HEALTH MINISTRIES FACILITATED 3,200 COVID-19 VACCINE EVENTS, ADMINISTERED 80,000 COVID-19 VACCINE DOSES, AND REACHED 874,000 PEOPLE WITH EDUCATIONAL MATERIALS ON COVID-19 AND THE BENEFITS OF VACCINATION.IN ADDITION TO THE $1.37 BILLION IN COMMUNITY BENEFIT SPENDING, OUR COMMUNITY INVESTING PROGRAM HAD THE MOST ROBUST YEAR OF LENDING SINCE THE PROGRAM'S INCEPTION OVER 20 YEARS AGO: $17.8 MILLION IN NEW LOANS AND $8.3 MILLION IN LOAN RENEWALS WERE APPROVED, FOCUSING ON BUILDING AFFORDABLE HOUSING AND INCREASING ACCESS TO EDUCATION IN PARTNERSHIP WITH OUR HEALTH MINISTRIES. ADVANCING SOCIAL CARE - TRINITY HEALTH'S SOCIAL CARE PROGRAM WAS DEVELOPED TO ADDRESS SOCIAL NEEDS, SUCH AS ACCESS TO TRANSPORTATION, CHILDCARE, OR AFFORDABLE MEDICATIONS BY FACILITATING CONNECTIONS BETWEEN OUR PATIENTS, HEALTH CARE PROVIDERS AND COMMUNITY PARTNERS THAT PROMOTE HEALTHY BEHAVIORS. HIGHLIGHTS FROM FY22 INCLUDE THE FOLLOWING SUCCESSES:- LAUNCHED TRINITY HEALTH COMMUNITY HEALTH WORKER (CHW) CERTIFICATION PROGRAM, TRAINING 86 CHWS WITH 40+ HOURS OF TRAINING, AND INCREASED CHW STAFF ACROSS MOST HEALTH MINISTRIES- LAUNCHED A SYSTEM-WIDE ASSESSMENT OF LANGUAGE ACCESS SERVICES TO RECOMMEND SYSTEM STANDARDS THAT ENSURE CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES FOR ALL OF OUR PATIENTS, THEIR COMPANIONS, AND CAREGIVERS- ENGAGED OVER 1,100 PARTICIPANTS IN THE NATIONAL DIABETES PREVENTION PROGRAM, EXCEEDING OUR PROGRAM YEAR 5 GOAL- INCREASED THE NUMBER OF ACTIVE COMMUNITY PARTNER ORGANIZATIONS ON THE COMMUNITY RESOURCE DIRECTORY BY 120% FROM FISCAL YEAR 2021- ENGAGED 5,300+ PATIENTS WHO ARE DUALLY ENROLLED IN MEDICARE AND MEDICAID IN A SOCIAL CARE OR MEDICAL CARE ACTIVITY, IN SUPPORT OF REDUCING PREVENTABLE HOSPITALIZATIONS (SUCH AS DIABETES AND ASTHMA)IMPACTING SOCIAL INFLUENCERS OF HEALTH - LEVERAGING INVESTOR POWER TO CATALYZE CORPORATE SOCIAL RESPONSIBILITY, TRINITY HEALTH'S SHAREHOLDER ADVOCACY WORK FOCUSES ON DISMANTLING RACISM ACROSS FIVE STRATEGIC FOCUS AREAS BY HOLDING CORPORATIONS ACCOUNTABLE FOR THE HUMAN RIGHTS VIOLATIONS THOSE COMPANIES PERPETUATE IN THE U.S. AND BEYOND. IN FY22, TRINITY HEALTH FACILITATED OVER 135 SHAREHOLDER ADVOCACY ENGAGEMENTS, WITH GREAT SUCCESS:- FIVE BELOW COMMITTED TO ASSESS AND MANAGE THE RISKS/HAZARDS ASSOCIATED WITH CHEMICALS OF HIGH CONCERN CONTAINED IN THEIR PRIVATE LABEL PRODUCTS- UNILEVER AGREED TO STOP FOOD AND BEVERAGE MARKETING TO CHILDREN UNDER AGE 16, AND WILL ADOPT NEW TARGETS TO REDUCE SALT, ADDED SUGARS AND CALORIES, AND INCREASE SALES OF THEIR HEALTHIER PRODUCTS- PEPSICO SET GOALS TO INCREASE POSITIVE NUTRIENTS IN THEIR PRODUCTS- PDC ENERGY ACCELERATED ITS GOAL TO END ROUTINE FLARING OF METHANE, FROM 2030 TO 2025, THUS REDUCING ENVIRONMENTAL HEALTH RISKS AND GREENHOUSE GAS EMISSIONSADDITIONALLY, TRINITY HEALTH AND OTHER MEMBERS OF THE INTERFAITH CENTER ON CORPORATE RESPONSIBILITY GUN SAFETY GROUP SUBMITTED A SHAREHOLDER RESOLUTION ASKING STURM RUGER, ONE OF THE NATION'S LEADING MANUFACTURERS OF FIREARMS, TO CONDUCT AND PUBLISH AN INDEPENDENT HUMAN RIGHTS IMPACT ASSESSMENT OF ITS POLICIES, PRACTICES AND PRODUCTS, AND MAKE RECOMMENDATIONS FOR IMPROVEMENT. THE RESOLUTION RECEIVED A 68.5% VOTE IN FAVOR, WELL ABOVE THE THRESHOLD REQUIRED FOR THE RESOLUTION TO BE RESUBMITTED IN 2023, INDICATING A LARGE MAJORITY OF STURM RUGER INVESTORS BELIEVE THE COMPANY HAS TO ADDRESS ITS HUMAN RIGHTS IMPACTS. TRINITY HEALTH AND TRINITY HEALTH OF NEW ENGLAND ARE CITED AS PART OF THE GROUP WHO MOVED FORWARD THIS RESOLUTION.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.