4A (Expenses $ 230172146 including grants of $ 133292) (Revenue $ 297499357)
IU HEALTH WEST HOSPITAL IS A 173-BED MULTIDISCIPLINARY HEALTHCARE FACILITY LOCATED IN AVON, IN. THE HOSPITAL OFFERS A FULL RANGE OF SERVICES, INCLUDING MATERNITY, ORTHOPEDICS AND CANCER CARE. BUILT WITH A SPECIFIC GOAL TO MEET THE NEEDS OF OUR PATIENTS, FAMILIES AND VISITORS. IU HEALTH WEST HOSPITAL INCLUDES FEATURES DESIGNED TO ENSURE PRIVACY AND CREATE A QUIET, SOOTHING ATMOSPHERE IN PATIENT SPACES. FROM ALL-PRIVATE ROOMS AND INTIMATE, COMFORTABLE FAMILY WAITING AREAS TO SEPARATE CORRIDORS AND ELEVATORS AWAY FROM PUBLIC SPACES FOR STAFF AND SUPPLY MOVEMENT, IU HEALTH WEST HOSPITAL DELIVERS ON OUR GOALS TO CREATE A HEALING SANCTUARY FOR PATIENTS.

4B (Expenses $ 0 including grants of $ 0) (Revenue $ 5294815)
As of December 31, 2021, Indiana University Health West Hospital, Inc. had received stimulus funds from the Provider Relief Fund under the provisions of the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) and Paycheck Protection Program and Health Care Enhancement Act. Indiana University Health West Hospital recognized $5,294,815 as other program service revenue. Indiana University Health West Hospital, Inc. will continue to monitor compliance with the terms and conditions of the Provider Relief Fund.

4C (Expenses $ 688783 including grants of $ 0) (Revenue $ 890257)
IU HEALTH WEST HOSPITAL, INC. RECEIVES RENT FROM A RELATED EXEMPT ORGANIZATION, INDIANA UNIVERSITY HEALTH CARE ASSOCIATES, INC. FOR SPACE IN THEIR MEDICAL OFFICE BUILDING THAT'S CONNECTED TO THE HOSPITAL AND THE ORTHO, SPORT & SPINE CENTER.

4D (Expenses $ 335871 including grants of $ 0) (Revenue $ 434116)
IU Health West Hospital provides services, which include coordinated activities and polices, to related tax-exempt organizations designed to meet the mission of the Indiana University Health System.

Schedule H, Part V, Section B, Line 3E
IU Health West Hospital's 2021 Community Health Needs Assessment (CHNA) Report includes a prioritized description of significant health needs in the community. The CHNA report identified the following needs as priorities for IU Health West Hospital: 1. Access to Healthcare Services 2. Aging Population and Needs of Seniors 3. Behavioral Health 4. Chronic Disease and Chronic Disease Management 5. Health Education and Navigation 6. Maternal and Infant Health and Child Well-being 7. Smoking, Tobacco Use and Exposure to Secondhand Smoke 8. Social Determinants of Health

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - IU HEALTH WEST HOSPITAL. In conducting each its most recent CHNA, IU Health West Hospital took into account input from persons who represent the broad interests of the communities it serves by hosting six community focus groups and three interviews. These events engaged public health officials and community-based organizations that provide services and/or reflect community members who are medically underserved, low-income, or of a minority subpopulation to discuss the health needs of the service area and what role IU Health could play in addressing the identified needs. IU Health West Hospital The defined community per the most recent CHNA is Hendricks and Marion Counties, Indiana. The hospital resides in Hendricks County. Hendricks County - Community Meetings and Interview Two community meetings were held in May 2021 to receive input from stakeholders regarding the health needs in Hendricks County. Secondary data was presented, and each group was asked to discuss their reactions to the data, needs identified from the data, thoughts regarding the causes of the needs, impacts of the COVID-19 pandemic and others. After this discussion, participants were given the opportunity to make additional comments before being asked to select what they believed were the most significant needs in the county. Participants focused discussion on the need for social associations, alcohol abuse and drunk driving, mental health and access to services, costs of care, teen suicide, child abuse and ACEs, housing, elderly needs, health insurance, obesity, physical inactivity, diabetes, transportation, sexual abuse and crisis services, domestic violence, isolation in Hispanic (or Latino) and non-English speaking communities and sex education and contraceptives. From this process, participants identified the following needs as most significant for Hendricks County: * Access to behavioral and mental health services * Substance abuse, including alcohol * Social isolation * Child abuse and teen suicide/self-harm * Obesity and related chronic diseases * Housing access and affordability * Transportation In discussing the impacts of the COVID-19 pandemic, residents identified issues regarding increasing violence and domestic violence, inability to access health and social services, increasing stress on caregivers, increased community togetherness, increasing telehealth services and food insecurity. A survey was also issued to internal providers at IU Health that serve Hendricks County, asking them to identify priority needs among the patients they serve. The following issues were identified as the most significant: * Substance abuse access to treatment * Mental health and access to mental health services * Obesity and education on healthy eating The survey also asked about the impacts of the COVID-19 pandemic. Issues most often selected as significant impacts include: * Social isolation and loneliness * Lack of access to healthcare services An additional interview was conducted with a representative of the local public health department to obtain subject-matter expertise into the health needs in Hendricks County. The following issues were discussed as significant: * Mental health is the greatest health need in Hendricks County, and access to mental health services and integration into primary care is needed for complete healthcare * Obesity is an issue, influenced by a lack of physical activity and places to exercise * Smoking and tobacco usage is still a need, including the use of e-cigarettes * Alcohol abuse is a significant concern * Access to affordable housing is difficult for many * Transportation is a barrier, with few public options * Insurance and costs of care are two of the largest barriers to accessing healthcare * Elderly needs are significant, particularly transportation to medical care from rural areas In regard to the COVID-19 pandemic, a wide array of impacts was noted, including: Alcohol abuse has likely increased Mental health needs have increased greatly due to stress and impacts of isolation Marion County - Community Meetings and Interviews In collaboration with other local health systems - Ascension St. Vincent and Community Health Network - four community meetings were held in May 2021 to receive input from stakeholders regarding the health needs in Marion County. Secondary data and a preliminary list of community health need priorities was presented at all meetings. Each group was then asked questions about the preliminary list, including their reactions, additions to the proposed needs, thoughts regarding the causes of the needs, impacts of the COVID-19 pandemic and others. After this discussion, participants were given the opportunity to make additional comments before being asked to vote on what they believed were the most significant needs in the county. Participants were asked to choose three to five significant health needs via an online poll during and after the meeting. Preliminary needs identified include a wide-array of topics, including COVID-19, food insecurity, maternal and child health, racial and ethnic disparities, mental health and access to mental health providers, obesity and physical inactivity, poverty, educational achievement, housing, crime and community safety, public health funding and others. In addition to these topics, participants focused discussion around substance abuse and treatment, transportation barriers, culturally appropriate care and services (including language barriers), affordability of healthy food, smoking and tobacco use, access to and cost of primary care, health insurance, preventive health services, lack of providers within high-need areas, childcare, chronic conditions (including diabetes and hypertension), navigating existing resources, dental health needs, child health, job opportunities and trainings, technology barriers and digital-divide, post-incarceration resources and social connectedness. For those unable to attend community meetings, a separate survey was distributed to receive their input into the most significant needs. These findings were combined with those of the community meeting participants. From this process, participants identified the following needs as most significant for Marion County: * Racial and ethnic health disparities * Access to mental and behavioral healthcare services * Food insecurity and access to affordable, healthy food * Access to safe and affordable housing * Mental health * Poverty and associated community need A survey was also issued to internal providers at the Academic Medical Center, asking them to identify priority needs among the patients they serve. Among 12 responses, the following issues were identified as the most significant: * Food insecurity and nutrition * Health disparities, particularly for racial and ethnic minority populations * Mental health * Poverty and income inequality The survey also asked about the impacts of the COVID-19 pandemic. Issues most often selected as significant impacts include: * Social isolation and loneliness * Health disparities * Digital divide (lack of internet or device access) * Economic disparities * Housing (inability to stay sheltered, pay rent or mortgage)

Schedule H, Part V, Section B, Line 5 Facility , 2
Facility , 2 - IU HEALTH WEST HOSPITAL (CONTINUED). Two additional interviews were conducted with representatives of a local public health department and health equity organization to obtain subject-matter expertise into the health needs in Marion County. The following issues were discussed as significant: * Poverty is a significant issue and impacts almost all areas of wellbeing, including housing, accessing health services, nutrition, stress and mental health, chronic disease, transportation and others (the need for a living wage for all residents is significant) * Health disparities are significant, including large disparities in social determinants of health for racial and ethnic minority populations * Health insurance is a significant barrier to optimal health, with restrictions in coverage leading to a lack of preventive health * Mental health is a significant issue, with depression and anxiety both widespread (self-medication through substance abuse is common) * Obesity continues to be an issue, as well as diabetes, with rates increasing for adults * Infant and maternal mortality are significant issues, with social determinants of health impacting access to prenatal care and other needed services * HIV is still a concern, with some hope that the disease can be eradicated within the next decade through modern medicine and available tools such as PrEP (pre-exposure prophylaxis) * Tobacco and vaping are issues, with a low cigarette tax in Indiana perpetuating the issue * Environmental health - including old housing and air pollution - is leading to poor health, including lead poisoning, arsenic poisoning and pediatric asthma (the need for safe and stable housing is significant) * Health literacy is a need, particularly affecting Hispanic (or Latino) populations due to language barriers (education disparities around health are also leading to generational persistence of health disparities for racial and ethnic minority populations) * Food insecurity is significant and food pantries may have irregular hours and face huge demand * Education needs better funding, including adequate teacher compensation * More community collaboration is needed, with health systems and social service providers sitting at the same table to talk about community improvement and planned interventions In regard to the COVID-19 pandemic, a wide array of impacts were noted, including: * Testing was a large challenge throughout the beginning of the pandemic, due to inadequate federal resources and other limits * The pandemic highlighted the impact of social determinants of health, as homeless populations faced huge concerns due to inability to socially distance in shelters and access care (hotels were turned into isolation areas for patients with COVID-19) * Racial and ethnic disparities in testing, treatment and outcomes were highlighted by the pandemic (elderly Black residents were particularly affected) * Care was delayed for a lot of individuals due to fear of going to a provider and being exposed to the virus, leading to unmet needs and emergency situations * Community collaboration among providers led to a better response, including health systems offering testing and other aid to public health organizations (more collaboration and coordination will be needed in the future) * Vaccination disparities are evident, with Black populations disproportionately unable to access the vaccine if desired * The need for better health information sharing (including the identification of health disparities) between organizations Community meeting and survey participants Individuals from a wide variety of organizations and communities participated in the interview process, community meetings and surveys. Participants included representatives from the following organizations: * Allen Chapel AME Church * Anthem * Anthem Medicaid * Ascension St. Vincent * Aspire Indiana * Health Avon Education Foundation * Avon Community School Corporation * Broadway United Methodist Church * Brownsburg Education Foundation * Care to Change Counseling * Central Indiana Council on Aging (CICOA) * City of Indianapolis * City-County Council staff * City of Indianapolis, Division of Community Nutrition and Food Policy * Coalition for Our Immigrant Neighbors * Coburn Place * Community Action of Greater Indiana * Community Health Network * Concerned Clergy of Indianapolis * Connections IN Health, Indiana Clinical and Translational Sciences Institute (CTSI), Indiana University School of Medicine * Covering Kids & Families of Indiana * Crossroads AME Church/Common Grounds Institute * Cummins Behavioral Health Systems * First Baptist Church North Indianapolis * Gennesaret Free Clinic * Gleaners Food Bank of Indiana * Habitat for Humanity of Greater Indianapolis * Health by Design * Hendricks County Community Foundation * Hendricks County Economic Development Partnership * Hendricks County Health Department * Hendricks County Health Partnership * Hendricks County Senior Services * Hendricks County Trauma Resource Center * Hendricks Regional Health * HOPE Healthcare Services * Horizon House * Immigrant Welcome Center * Indiana Department of Health * Indiana Division of Mental Health and Addiction * Indiana Legal Services * Indiana Native American Indian Affairs Commission * Indiana Public Health Association * Indiana University Richard M. Fairbanks School of Public Health * Indianapolis City Council * Indianapolis Neighborhood Housing Partnership * Indianapolis Urban League * Indy Go * Indy Hunger Network * IU Health * IU Health Indy Suburban Region * IU Health Methodist Hospital * IU Health University Hospital * IU Health West Hospital * Jump IN for Healthy Kids * Managed Health Services (MHS) * Marion County Public Health Department * Marian University/College of Osteopathic Medicine * Mental Health America of Hendricks County * MSD of Wayne Township * Neighborhood Christian Legal Clinic * New Strength Counselling * Nine13sports * Nurse Family Partnership of Goodwill of Central and Southern Indiana * Pathway to Recovery * Plainfield Schools * Playworks * Prevail, Inc. * Prime Life Enrichment * Purdue Extension * Raphael Health Center, Inc. * Richard M. Fairbanks Foundation * Sheltering Wings * Susie's Place * The Julian Center * The Willow Center * United States Congress, Representative Andre Carson (staff) * University of Indianapolis * United Way of Central Indiana * Wayne Township Education Foundation * YMCA of Greater Indianapolis/Top 10 Coalition

Schedule H, Part V, Section B, Line 11 Facility , 1
"Facility , 1 - IU HEALTH WEST HOSPITAL. In conjunction with the CHNA, IU Health West Hospital's Board adopted an implementation strategy in April 2022 related to the 2021 CHNA. IU Health West Hospital prioritized and determined which of the community health needs identified in its most recently conducted CHNA were most critical for it to address. IU Health West Hospital will address the following community health needs between 2022 and 2024: - Access to Healthcare Services - Aging Population and Needs of Seniors - Behavioral Health* - Chronic Disease and Chronic Disease Management* - Maternal and Infant Health and Child Well-being - Smoking, Tobacco Use and Exposure to Secondhand Smoke - Social Determinants of Health* *IU Health uses the term Behavioral Health to refer to mental health and drug and substance abuse (including opioids and alcohol) *Chronic Disease and Chronic Disease Management includes needs such as obesity, diabetes, and physical inactivity *Social Determinants of Health includes needs such as food insecurity and healthy eating IU Health West Hospital is unable to address all of the significant community health needs identified in the local community. This is not meant to minimize the importance of any health need or the integrity of the CHNA process. IU Health West Hospital is a mission and values driven hospital; therefore, addressing community health needs that align with the hospital's mission will have the greatest opportunity to activate and leverage hospital resources as well as maximize current strategic collaborations with community-based partners. IU Health West is unable to address the following community health needs identified in the 2021 Community Health Needs Assessment: - Health Education and Navigation However, during 2021 IU Health West Hospital continued to address the needs identified in the 2018 CHNA, through the implementation strategy adopted in April 2019 related to the 2018 CHNA. IU Health West Hospital will address the following community health needs between 2019 and 2021: - Access to Healthcare Services - Drug and Substance Abuse (including Opioids and Alcohol) - Food Insecurity - Mental Health - Obesity and Diabetes - Smoking and Tobacco Usage - Social Determinants of Health IU Health uses the term ""Behavioral Health"" to refer to Mental Health and Drug and Substance Abuse (including Opioids and Alcohol). Access to Healthcare Services IU Health West Hospital's implementation strategy to address the identified need of Access to Healthcare includes the following: Provide operational funding to support HOPE Healthcare Services. In 2021, IU Health West Hospital provided assistance to HOPE Healthcare Services to support healthcare services for patients who were un- and under - insured in Hendricks County and the surrounding areas. Provide free vaccines to vulnerable populations. IU Health West Hospital administered 181 flu vaccines and 183 COVID-19 vaccines to the Hendricks County area through the execution of six community pop-up clinics. Note: This strategy did not appear in the April 2019 implementation strategy but was undertaken in 2021 as it meets significant community health needs in relation access to healthcare. Behavioral Health (includes Drug & Substance Abuse and Mental Health) IU Health West Hospital's implementation strategy to address the identified need of Behavioral Health includes the following: Partner with the Hendricks County Health Partnership to help educate the community about substance abuse and stigma. In 2021, physical outreach efforts in the community were hindered due to the ongoing pandemic but there were social media campaigns created through the Substance Abuse Task Force to promote addiction prevention and trying to reduce the stigma. Partner with the Hendricks County Health Partnership to support their efforts to educate students on the dangers of opioids and substance abuse. Students received education about substance abuse through the This is Not About Drugs program. School resource officers were instrumental in this by facilitating the sessions and educating their students on the harms of substance abuse. Provide funding to support the efforts of Sheltering Wings in their mission to provide resources and shelter to those affected by domestic violence and support their educational outreach efforts within the community. In 2021, IU Health West Hospital provided funding to Sheltering Wings. With this support, Sheltering Wings was able to provide safe housing for 229 residents, answer 1,347 help line calls, and educate 10,745 victims. Much of this funding went towards their mobile advocacy program. The mobile advocacy program allowed the shelter to connect women and men with resources at a neutral location such as a public library, cafe or church instead of the victims having to visit the shelter for services. Provide funding to support counseling for Susie's Place clients. IU Health West Hospital provided support to Susie's Place, which in 2021 conducted over 1,200 (spanning the counties of Hendricks, Morgan, Putnam and Shelby) forensic interviews. The funding primary supports the family advocate role; the family advocate provides social services to victims and families throughout the process of abuse, investigation and aftermath. Continue supporting the Academic Health Center's successful Addictions and Pain Management Program in the IU Health West Hospital service area. In 2021, over 200 patients presenting signs of substance abuse disorders (SUD) were served via the 24/7 peer counseling telemedicine for patients in the emergency department (ED). Food Insecurity IU Health West Hospital's implementation strategy to address the identified need of Food Insecurity includes the following: Support Women, Infants, and Children (WIC) and Supplemental Nutrition Assistance Program (SNAP) acceptance at all county farmers' markets AND Fund Double Up Bucks program to increase the value of vouchers for participants. IU Health West Hospital funded the Double Up Bucks program in 2021 to provide more farmers market spendable dollars to those in need. WIC was given 100 packets of Farmers' Market Nutrition Program (FMNP) checks. Each packet contained three checks for eight dollars each. 105 packets of Double Up Produce checks were distributed, each of these packets contained five checks for five dollars each. Twenty packs of FMNP checks were given to Senior Services. Each packet contained four Double Up checks valued at five dollars each. Food Pantry Grant. IU Health West Hospital provided a food pantry grant to the Hendricks County Food Pantry Coalition to help address the food disparity needs within the community caused by the pandemic. The funds were used to stock 18 local food pantries. Note: This strategy did not appear in the April 2019 implementation strategy but was undertaken in 2021 as it meets significant community health needs in relation to food insecurity. Obesity and Diabetes IU Health West Hospital's implementation strategy to address the identified need of Obesity and Diabetes includes the following: Provide 50 Hendricks County residents with a free 10-week program to improve their overall health through fitness and nutrition. In 2021, The Fresh & Fit program was not launched due to the safety concerns and obstacles that the ongoing pandemic presented when trying to launch an in-person program. The program will resume in a virtual format in 2022. IU Health Days of Service. During the 2021 IU Health annual Days of Service, team member volunteers planted over 1,000 native trees, plants and shrubs in partnership with the Brownsburg Parks Department. These improvements will lead to an increase in physical activity among community members. Several other projects were also completed during the annual Days of Service for local partners including HOPE Healthcare, Hendricks County Senior Services and the Town of Brownsburg. 93 team members put in a combined 213 hours of service. Smoking and Tobacco Usage IU Health West Hospital's implementation strategy to address the identified need of Smoking and Tobacco Usage includes the following: Hendricks County Health Partnership In 2021, IU Health West Hospital provided assistance to the Hendricks County Health Partnership to support its work, including efforts to decrease smoking and tobacco usage."

Schedule H, Part V, Section B, Line 11 Facility , 2
Facility , 2 - IU HEALTH WEST HOSPITAL (CONTINUED). Hendricks County Health Partnership - School Outreach Outreach efforts in schools became limited due to schools following a virtual format because of safety concerns during the COVID-19 pandemic. Outreach was also hampered due to low coalition attendance and focus being shifted to other initiatives. Students did partake in a Not About Drugs program which covered the dangers of smoking and vaping. Social Determinants of Health IU Health West Hospital's implementation strategy to address the identified need of Social Determinants of Health includes the following: Kindergarten Countdown Program. In 2021, IU Health West Hospital provided funding to Avon Community Schools to run their Kindergarten Countdown program. This program provided a two-week summer camp for students identified as academically low and needing additional support before starting kindergarten or first grade. The funding went towards teacher salaries, student meals, curriculum and books. Note: This strategy did not appear in the April 2019 implementation strategy but was undertaken as it meets significant community health needs in relation to social determinants of health. IU West Hospital addressed all community health needs based on their 2018 CHNA. There were no identified needs that were not addressed. IU West Hospital will address all community health needs based on their 2018 CHNA. There were no identified needs that will not be addressed.

Schedule H, Part V, Section B, Line 13 Facility , 1
Facility , 1 - IU HEALTH WEST HOSPITAL. IN ADDITION TO FPG, IU HEALTH WEST HOSPITAL MAY TAKE INTO CONSIDERATION A PATIENT'S INCOME AND/OR ABILITY TO PAY IN CALCULATION OF A FINANCIAL ASSISTANCE AWARD.

Schedule H, Part V, Section B, Line 13 Facility , 1
Facility , 1 - IU HEALTH WEST HOSPITAL. IU Health West Hospital takes into consideration several other factors in determining patient eligibility for financial assistance. These factors include the following: 1. Eligibility for Financial Assistance due to Financial or Personal Hardship In order to be eligible for Financial Assistance due to Financial or Personal Hardship under this Policy, a patient or guarantor must: - Submit a completed Financial Assistance Application with all supporting documentation and be approved in accordance with this Policy; - Be an Indiana Resident as defined in this Policy; and - If Uninsured, consult with a member of IU Health's Individual Solutions department to determine if health care coverage may be obtained from a government insurance or assistance product, the Health Insurance Marketplace, or from any other source of coverage. Financial Assistance due to Financial Hardship is only available for encounters where care was initiated via an eligible facility's emergency department, direct admission from a physician's office, or transfer from another hospital facility. 2. Financial Assistance due to Financial Hardship The FPL income threshold under this section is as follows: - If one or more adults and zero dependents are in the household, the FPL Income Threshold is 200%. - If two or more adults and one or more dependents are in the household, the FPL Income Threshold is 250%. - If one adult and one or more dependents are in the household, the FPL Income Threshold is 300%. In some instances, an adult will also qualify as a dependent. When this occurs, IU Health will treat the adult as a dependent for purposes of the FPL calculation. IU Health will utilize the most recent FPL data available and will apply the FPL data to a patient or guarantor's account balance based upon the calendar date a completed Financial Assistance Application was received, not a patient's date of service. An Uninsured Patient or their guarantor whose household income is less than or equal to the FPL income threshold may be eligible for full Financial Assistance up to 100% of Gross Charges if approved. An Underinsured Patient or their guarantor whose household income is less than or equal to the FPL income threshold may be eligible for full Financial Assistance up to 100% of Patient Responsibility if approved. 3. Financial Assistance due to Personal Hardship An Uninsured or Underinsured patient or their guarantor whose household income is above the FPL income threshold may be eligible for Financial Assistance if the patient's outstanding Patient Responsibility exceeds 20% of the patient's or their guarantor's annual household income. - If approved, the patient's balance will be reduced to 20% of the patient or guarantor's annual household income or the Amounts Generally Billed, whichever is less. - IU Health will work with the patient or guarantor to identify a reasonable payment plan on the remainder of the balance. 4. Eligibility Period If approved for financial assistance by IU Health, the patient will be guaranteed financial assistance for treatment related to the underlying condition, for which the patient was originally screened and approved, through the remainder of the calendar year. As a condition of extending the on-going Financial Assistance, the patient must comply with requests from IU Health to verify that the patient continues to meet the conditions for qualification. 5. Appeals and Assistance Granted By the Financial Assistance Committee The Financial Assistance Committee will review and make determinations on all requests for appeals related to Financial Assistance. If a patient or guarantor seeks to appeal a Financial Assistance Determination, a written request must be submitted, along with the supporting documentation. The Financial Assistance Committee will review requests for and may grant additional Financial Assistance, including but not limited to, the following: - Assistance to patients who are seeking treatment that can only be provided in Indiana by IU Health or who would benefit from continued medical services from IU Health for continuity of care; - Care approved by the IU Health Chief Medical Officer (CMO) or the Chief Executive Officer (CEO) or CMO of an IU Health facility or region, including medically necessary non-elective services for which no payment source can be identified; - Care provided when it is known no payment source exists; - International humanitarian aid; and - Other care identified by the Financial Assistance Committee that fulfills the IU Health Mission. All decisions of the Financial Assistance Committee are final. 6. Presumptive Eligibility No Financial Assistance Application is required to receive Financial Assistance under this Presumptive Eligibility section. IU Health will deem patients or their guarantors presumptively eligible for Financial Assistance if they are found to be eligible for one of the following programs and care was initiated via an eligible facility's emergency department, direct admission from a physician's office, or transfer from another hospital facility: - Medicaid (any state) - Indiana Children's Special Health Care Services - Healthy Indiana Plan - Patients who are awarded Hospital Presumptive Eligibility (HPE) - A state and/or federal program that verifies the patient or guarantor's gross household income meets the FPL income threshold. IU Health will conduct a quarterly review of all accounts placed with a collection agency partner for at least one hundred and twenty (120) days after the account is eligible for an ECA as set forth in this Policy. If the patient or guarantor's individual scoring criteria demonstrates the patient has a low likelihood and/or propensity to pay or no credit, the patient or guarantor may be deemed presumptively eligible for Financial Assistance. Financial Assistance may additionally be granted in the following circumstances: - If the patient or their guarantor is found to have filed a petition for bankruptcy. - If the patient is deceased and found to have no estate. - If the patient is deceased and was under 21 years of age at the time of death. 7. Exhaustion of Alternate Sources of Assistance Patients must exhaust all other state and federal assistance programs prior to receiving Financial Assistance due to Financial or Personal Hardship under this Policy including, but not limited to, Medicaid. Patients who may be eligible for coverage under an applicable health insurance policy must exhaust all insurance benefits. - This includes patients covered under their own policy and those who may be entitled to benefits from a third-party policy. - IU Health may request patients show proof that such a claim was properly submitted to the appropriate insurance provider before awarding Financial Assistance. Eligible patients who receive medical care from an IU Health facility as a result of an injury proximately caused by a third party, and later receive a monetary settlement or award from said third party, may receive Financial Assistance for any outstanding balance not covered by the settlement or award. In the event Financial Assistance has already been granted in the above circumstances, IU Health reserves the right to reverse the Financial Assistance Determination in an amount equal to the amount IU Health would be entitled to receive had no Financial Assistance been awarded. 8. Patient Assets There are situations where a patient or their guarantor may have significant income or assets available to pay for healthcare services such as a legal settlement. The Financial Assistance Committee may evaluate the income or assets in determining Financial Hardship. IU Health may require a list of all property owned by the patient or guarantor and adjust a Financial Assistance Determination as a result.

Schedule H, Part V, Section B, Line 16 Facility , 1
Facility , 1 - IU HEALTH WEST HOSPITAL. IU Health West Hospital takes several other measures to publicize its FAP within the community. These measures include the following: 1. Post this Policy, a Plain Language Summary of this Policy, and the Financial Assistance Application on its website. 2. Provide patients with a Plain Language Summary of this Policy during registration and/or discharge. 3. Post conspicuous displays in appropriate acute care settings such as emergency departments and registration areas describing the available assistance and directing eligible patients to the Financial Assistance Application. 4. Include a conspicuous written notice on all patient post-discharge billing statements notifying the patient about this Policy and the telephone number of the Customer Service Department which can assist patients with questions regarding this Policy. 5. Make available Customer Service representatives via telephone during normal business hours. 6. Mail copies of this Policy, a Plain Language Summary of this Policy, and a Financial Assistance Application to patients or their guarantor free of charge upon request. 7. Broadly communicate this Policy as a part of its general outreach efforts. 8. Educate patient-facing team members on this Policy and the process for referring patients to the program.

Schedule H, Part I, Line 6a C.B. REPORT PREPARED BY A RELATED ORG.
IU HEALTH WEST HOSPITAL'S COMMUNITY BENEFIT AND OTHER INVESTMENTS, ENCOMPASSING ITS TOTAL COMMUNITY INVESTMENT, ARE INCLUDED IN THE IU HEALTH COMMUNITY BENEFIT REPORT WHICH IS PREPARED ON BEHALF OF AND INCLUDES IU HEALTH AND ITS RELATED HOSPITAL ENTITIES IN THE STATE OF INDIANA. THE IU HEALTH COMMUNITY BENEFIT REPORT IS MADE AVAILABLE TO THE PUBLIC ON IU HEALTH'S WEBSITE AT HTTPS://IUHEALTH.ORG/IN-THE-COMMUNITY/COMMUNITY-BENEFIT. THE IU HEALTH COMMUNITY BENEFIT REPORT IS ALSO DISTRIBUTED TO NUMEROUS KEY ORGANIZATIONS THROUGHOUT THE STATE OF INDIANA IN ORDER TO BROADLY SHARE THE IU HEALTH STATEWIDE SYSTEM'S COMMUNITY BENEFIT EFFORTS. IT IS ALSO AVAILABLE BY REQUEST THROUGH THE INDIANA STATE DEPARTMENT OF HEALTH OR IU HEALTH.

Schedule H, Part I, Line 7f BAD DEBT EXPENSE
The amount of bad debt expense included on Form 990, Part IX, Line 25, column (A), but subtracted for purposes of calculating the percentage of total expense on Line 7, column (f) is $14,142,040. Bad debt expense is reported at cost based on the cost-to-charge ratio derived from worksheet 2, ratio of patient care cost-to-charges.

Schedule H, Part I, Line 7 TOTAL COMMUNITY BENEFIT EXPENSE
Schedule H, Part I, Line 7, Column (f), Percent of Total Expense, is based on column (e) Net Community Benefit Expense. The percent of total expense based on column (c) Total Community Benefit Expense, which does not include direct offsetting revenue, is 23.87%.

Schedule H, Part II PROMOTION OF HEALTH IN COMMUNITIES SERVED
"IU Health West Hospital supports and/or participates in a variety of community-building activities that address the non-medical, root causes of health problems in the communities it serves. IU Health West Hospital and its related hospital entities across the state of Indiana (""IU Health Statewide System"") investments include economic development efforts across the state, workforce development opportunities, collaborate with like-minded organizations through coalitions that address key issues, and advocate for improvements in the health status of vulnerable populations. Some activities meet the definition of community benefit and have been reported as such. In 2021, IU Health West Hospital supported a community building activity to promote the health of the community. Community Support: The Kindergarten Countdown - Avon Community Schools. IU Health West Hospital provided funding to Avon Community Schools to run their Kindergarten Countdown program. This program provided a two-week summer camp for students identified as academically low and needing additional support before starting kindergarten or first grade. The funding went towards teacher salaries, student meals, curriculum and books. Supporting opportunities to help children succeed in school is vital to future economic stability which can positively impact health and quality of life."

Schedule H, Part I, Line 7g Subsidized Health Services
IU HEALTH WEST INCLUDES COSTS ASSOCIATED WITH PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES, BUT IS NOT ABLE TO SEGREGATE THE COSTS ASSOCIATED WITH PHYSICIAN CLINICS.

Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation
14142040

Schedule H, Part II Community Building Activities
"IU Health West Hospital supports and/or participates in a variety of community-building activities that address the non-medical, root causes of health problems in the communities it serves. IU Health West Hospital and its related hospital entities across the state of Indiana (""IU Health Statewide System"") investments include economic development efforts across the state, workforce development opportunities, collaborate with like-minded organizations through coalitions that address key issues, and advocate for improvements in the health status of vulnerable populations. Some activities meet the definition of community benefit and have been reported as such. In 2021, IU Health West Hospital supported a community building activity to promote the health of the community. Community Support: The Kindergarten Countdown - Avon Community Schools. IU Health West Hospital provided funding to Avon Community Schools to run their Kindergarten Countdown program. This program provided a two-week summer camp for students identified as academically low and needing additional support before starting kindergarten or first grade. The funding went towards teacher salaries, student meals, curriculum and books. Supporting opportunities to help children succeed in school is vital to future economic stability which can positively impact health and quality of life."

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
THE AMOUNT REPORTED ON LINE 2 AS BAD DEBT IS REPORTED AT COST, AS CALCULATED USING THE COST TO CHARGE RATIO METHODOLOGY.

Schedule H, Part V, Section B, Line 16a FAP website
- IU HEALTH WEST HOSPITAL: Line 16a URL: https://iuhealth.org/pay-a-bill/financial-assistance;

Schedule H, Part V, Section B, Line 16b FAP Application website
- IU HEALTH WEST HOSPITAL: Line 16b URL: https://iuhealth.org/pay-a-bill/financial-assistance;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- IU HEALTH WEST HOSPITAL: Line 16c URL: https://iuhealth.org/pay-a-bill/financial-assistance;

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

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
IU Health will deem patients or their guarantors presumptively eligible for Financial Assistance if they are found to be eligible for one of the following programs and care was initiated via an eligible facility's emergency department, direct admission from a physician's office, or transfer from another hospital facility: 1. Medicaid (any state) 2. Indiana Children's Special Health Care Services 3. Healthy Indiana Plan 4. Patients who are awarded Hospital Presumptive Eligibility (HPE) 5. A state and/or federal program that verifies the patient or guarantor's gross household income meets the FPL income threshold. No Financial Assistance Application is required to receive Financial Assistance under this Presumptive Eligibility section. IU Health will conduct a quarterly review of all accounts placed with a collection agency partner for at least one hundred and twenty (120) days after the account is eligible for an ECA as set forth in this Policy. If the patient or guarantor's individual scoring criteria demonstrates the patient has a low likelihood and/or propensity to pay or no credit, the patient or guarantor may be deemed presumptively eligible for Financial Assistance.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
IU HEALTH'S CONSOLIDATED FINANCIAL STATEMENTS, FOOTNOTE 5, ADDRESSES BAD DEBT EXPENSE AS FOLLOWS: The Indiana University Health System does not require collateral or other security from its patients, substantially all of whom are residents of the State, for the delivery of health care services. However, consistent with industry practice, the Indiana University Health System routinely obtains assignment of (or is otherwise entitled to receive) patients' benefits payable under their health insurance programs, plans, or policies (e.g., Medicare, Medicaid, managed care payers, and commercial insurance policies). The Indiana University Health System uses a portfolio approach to account for categories of patient contracts as a collective group, rather than recognizing revenue on an individual contract basis. The portfolios consist of major payer classes for inpatient revenue and outpatient revenue. Based on the historical collection trends and other analysis, the Indiana University Health System believes that revenue recognized by utilizing the portfolio approach approximates the revenue that would have been recognized if an individual contract approach were used. In support of its mission, the Indiana University Health System provides care to uninsured and underinsured patients. The Indiana University Health System provides charity care to patients who lack financial resources and are deemed to be medically indigent. Financial assistance is available to qualifying uninsured and underinsured patients receiving care at an Indiana University Health System hospital location. Under its financial assistance policy, the Indiana University Health System provides medically necessary care to uninsured patients. Financial assistance up to the full amount of patient financial responsibility is available for uninsured and underinsured patients receiving care via the emergency department, direct admission from a physician's office, or transfer from another hospital. The federal poverty level (FPL) thresholds for this type of financial assistance are based on household makeup. Households without dependents are eligible for assistance if household income is less than or equal to 200% FPL, two adults and at least one dependent are eligible if household income is less than or equal to 250% FPL, and households with one adult and at least one dependent are eligible if household income is less than or equal to 300% FPL. Individuals with medical bills totaling more than 20% of annual household income, regardless of FPL, qualify for catastrophic assistance and are eligible for a reduction in patient financial responsibility to 20% of annual household income. Since the Indiana University Health System does not pursue collection of these amounts, the discounted amounts are not reported as patient service revenue. The Indiana University Health System uses presumptive eligibility screening procedures for some forms of financial assistance and recognizes net patient service revenue on services provided to self-pay patients at the discounted rate at the time services are rendered. The estimated cost of charity care, using the consolidated cost to charge ratio, was $133,584,000 and $90,358,000 in 2021 and 2020, respectively.

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
"The amount reported on Schedule H, Part III, Line 6 is calculated, in accordance with the Form 990 instructions, using ""allowable costs"" from the IU Health West Hospital Medicare Cost Report. ""Allowable costs"" for Medicare Cost Report purposes, however, are not reflective of all costs associated with IU Health West Hospital's participation in Medicare programs. For example, the Medicare Cost Report excludes certain costs such as billed physician services, the costs of Medicare Parts C and D, fee schedule reimbursed services, and durable medical equipment services. Inclusion of all costs associated with IU Health West's participation in Medicare programs would significantly increase the Medicare shortfall reported on Schedule H, Part III, Line 7. IU Health West Hospital's Medicare shortfall is attributable to reimbursements that are less than the cost of providing patient care and services to Medicare beneficiaries and does not include any amounts that result from inefficiencies or poor management. IU Health West Hospital accepts all Medicare patients knowing that there may be shortfalls; therefore it has taken the position that any shortfall should be counted as part of its community benefit. Additionally, it is implied in Internal Revenue Service Revenue Ruling 69-545 that treating Medicare patients is a community benefit. Revenue Ruling 69-545, which established the community benefit standard for nonprofit hospitals, states that if a hospital serves patients with governmental health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community."

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
IU Health West Hospital's FAP and Written Debt Collection Policy describe the collection practices applicable to patients, including those who may qualify for financial assistance. 1. Financial Assistance Application Financial Assistance Applications must include the following documentation: - All sources of Income for the last three (3) months. - Most recent three (3) months of pay stubs or Supplemental Security Income via Social Security. - Most recent three (3) statements from checking and savings accounts, certificates of deposit, stocks, bonds and money market accounts. - Most recent state and Federal Income Tax forms including Schedules C, D, E, and F. In the event the patient or guarantor's income does not warrant the filing of a federal tax statement, the individual may submit a notarized affidavit attesting to the foregoing. - Most recent W-2 statement. - For patients or members of the Household who are currently unemployed, Wage Inquiry from WorkOne. - If applicable, divorce/dissolution decrees and child custody order. Patients or their guarantors wishing to apply for Financial Assistance due to Financial Hardship are encouraged to submit an Application within ninety (90) days of discharge. Patients or their guarantors may submit an Application up to two-hundred and forty (240) days from the date of their initial post-discharge billing statement from IU Health, however, accounts may be subject to Extraordinary Collection Actions (ECA) as soon as one-hundred and twenty (120) days after receipt of the initial post-discharge billing statement. Patients or their guarantors submitting an incomplete Financial Assistance Application will receive written notification of the Application's deficiency upon discovery by IU Health. The Application will be pended for a period of forty-five (45) days from the date the notification is mailed. IU Health will suspend any ECA until the Application is complete or the expiration of the forty-five (45) day period. Patients with limited English proficiency may request a copy of this Policy, a Financial Assistance Application, and a Plain Language Summary in one of the below languages: - Arabic; - Burmese; - Burmese - Falam; - Burmese - Hakha Chin; - Mandarin/Chinese; or - Spanish The patient, and/or their representative, such as the patient's physician, family members, legal counsel, community or religious groups, social services or hospital personnel may request a Financial Assistance Application be mailed to a patient's primary mailing address free of charge. IU Health maintains the confidentiality of all Financial Assistance Applications and supporting documentation. IU Health will deny or revoke Financial Assistance for any patient or guarantor who falsifies any portion of a Financial Assistance Application. 2. Financial Assistance Determinations IU Health will inform patients or guarantors of the results of their Application by providing the patient or guarantor with a Financial Assistance Determination within ninety (90) days of receiving a completed Application and all requested documentation. A patient's Financial Assistance Application and Financial Assistance Determination are specific to each date(s) of service and approved related encounters. If a patient or guarantor is granted less than full charity assistance and the patient or guarantor provides additional information for reconsideration, Revenue Cycle Services may amend a prior Financial Assistance Determination. 3. Extraordinary Collection Actions IU Health may refer delinquent patient accounts to a third-party collection agency after utilizing reasonable efforts to determine a patient's eligibility for assistance under this Policy. Reasonable efforts include the following: - IU Health will notify the patient of this Policy at least thirty (30) days prior to initiating an ECA. - IU Health will not initiate an ECA for at least one-hundred and twenty (120) days after the patient's initial post-discharge billing statement. - IU Health will review all Financial Assistance Applications received up to and including two-hundred and forty (240) days after the patient's initial post-discharge billing statement. IU Health will cease any ECAs it has initiated upon receipt of a Financial Assistance Application until a Financial Assistance Determination is made under this policy. - If an Application is Approved, IU Health will issue a revised statement, issue refunds, and make reasonable efforts to reverse ECAs as necessary. IU Health and its third-party collection agencies may initiate an ECA against a patient or their guarantor in accordance with this Policy and 26 C.F.R.  1.501(r). ECAs may include the following: - Selling a patient or their guarantor's outstanding financial responsibility to a third party. - Reporting adverse information about the patient or their guarantor to consumer credit reporting agencies or credit bureaus. - Deferring or denying, or requiring a payment before providing, medically necessary care because of a patient or their guarantor's nonpayment of one or more bills for previously provided care covered under this Policy. - Actions requiring a legal or judicial process, including but not limited to placing a lien on a patient's or their guarantor's property, foreclosing on a patient's or their guarantor's real property, attaching or seizing a patient's or their guarantor's bank account or other personal property, commencing a civil action against a patient or their guarantor, causing a patient or guarantor's arrest, causing a patient and/or guarantor to be subject to a writ of body attachment, and garnishing a patient or guarantor's wages When it is necessary to engage in such action, IU Health and its third party collection agencies, will engage in fair, respectful and transparent collections activities. 4. Refunds Patients eligible for Financial Assistance under this Policy who remitted payment to IU Health in excess of their Patient Responsibility will be alerted to the overpayment as promptly after discovery as is reasonable given the nature of the overpayment. Patients with an outstanding account balance due on a separate account will have their refund applied to the outstanding balance. Patients without an outstanding account balance described above will be issued a refund check for their overpayment as soon as technically feasible.

Schedule H, Part VI, Line 2 Needs assessment
Each IU Health hospital is dedicated to the community it serves. Each hospital conducts a CHNA to understand current community health needs and to inform strategies designed to improve community health, including initiatives designed to address social determinants of health. The CHNAs are conducted using widely accepted methodologies to identify the significant needs of a specific community. The assessments also are conducted to comply with federal laws and regulatory requirements that apply to tax-exempt hospitals. IU Health West Hospital assesses the health care needs of the communities it serves by conducting a Community Health Needs Assessment (CHNA) for its hospital location. For the 2021 CHNA, IU Health West Hospital obtained community input through focus groups of community stakeholders, additional surveys issued to stakeholders who were unable to attend community meetings, a survey issued to internal providers from IU Health West Hospital and key informant interviews with those possessing public health expertise. After completion of the CHNA, IU Health West Hospital reviewed secondary data, findings from other community health assessments of areas served by the hospital, input obtained from individuals who participated in community meetings, and input obtained from key stakeholders. The top health needs of the IU Health communities are those that are supported by multiple data sources. Additionally, the effectiveness of an intervention for each need and IU Health's ability to impact positive change was evaluated. IU Health believes its CHNA process is comprehensive and additional assessments are not required.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
IU Health West Hospital is committed to serving the healthcare needs of all of its patients regardless of their ability to pay for such services. To assist in meeting those needs, IU Health West Hospital has established a FAP to provide Financial Assistance to Uninsured Patients. IU Health West Hospital is committed to ensuring its patients are compliant with all provisions of the Patient Protection & Affordable Care Act. To that end, IU Health West Hospital will make a good faith effort to locate and obtain health insurance coverage for patients prior to considering patients for coverage under the FAP. IU Health West Hospital takes several measures to inform its patients of the FAP and FAP-eligibility. These measures include the following: 1. Post this Policy, a Plain Language Summary of this Policy, and the Financial Assistance Application on its website. 2. Provide patients with a Plain Language Summary of this Policy during registration and/or discharge. 3. Post conspicuous displays in appropriate acute care settings such as emergency departments and registration areas describing the available assistance and directing eligible patients to the Financial Assistance Application. 4. Include a conspicuous written notice on all patient post-discharge billing statements notifying the patient about this Policy and the telephone number of the Customer Service Department which can assist patients with questions regarding this Policy. 5. Make available Customer Service representatives via telephone during normal business hours. 6. Mail copies of this Policy, a Plain Language Summary of this Policy, and a Financial Assistance Application to patients or their guarantor free of charge upon request. 7. Broadly communicate this Policy as a part of its general outreach efforts. 8. Educate patient-facing team members on this Policy and the process for referring patients to the program.

Schedule H, Part VI, Line 4 Community information
IU Health West Hospital is located in Hendricks County, Indiana, a county located in central Indiana. Based on the most recent Census Bureau (2021) statistics, Hendricks County's population is 179,355 persons with approximately 49.6% being female and 50.4% male. The county's population estimates by race are 84.4% White, 9.5% Black, 4.7% Hispanic or Latino, 3.4% Asian, 0.3% American Indian or Alaska Native, 0.1% Native Hawaiian or Other Pacific Islander and 2.3% persons reporting two or more races. Hendricks County has relatively moderate levels of educational attainment. Among adults 25 and above, 94.3% completed their education with a high school diploma or equivalent. 38.9% had a bachelor's degree or higher. About 5.7% ended their formal education before finishing high school.

Schedule H, Part VI, Line 5 Promotion of community health
IU Health West Hospital is a subsidiary of Indiana University Health, Inc., a tax-exempt healthcare organization, whose Board of Directors is composed of members, of which substantially all are independent community members. IU Health and its related hospital entities across the state of Indiana, including IU Health West Hospital, extends medical privileges to all physicians who meet the credentialing qualifications necessary for appointment to its medical staff. IU Health does not deny appointments based on gender, race, creed or national origin. IU Health, in conjunction with the IU School of Medicine, trains the next generation of physicians in an exceptional environment, blending breakthrough research and treatments with the highest quality of patient care. During 2021, IU Health West Hospital's promotion of community health included the following highlights: In 2021, IU Health West Hospital maintained a strong presence across the Hendricks County area and supported numerous not-for-profit agencies including local parks departments, health partnerships, medical and dental clinics that provide care to the un- and under-insured, behavioral health agencies and organizations that provide health and social services to those who are in need.

Schedule H, Part VI, Line 6 Affiliated health care system
"Indiana University Health West Hospital is part of Indiana University Health (""IU Health"" or ""the healthcare system""), which is Indiana's most comprehensive healthcare system. A unique partnership with the Indiana University School of Medicine (""IU School of Medicine""), one of the nation's leading medical schools, gives patients access to innovative treatments and therapies. The healthcare system is comprised of hospitals, physicians and allied services dedicated to providing preeminent care throughout Indiana and beyond. IU Health's affiliate hospitals are divided into five regions that serve communities in Northwest, Northeast, Central and Southern Indiana. The 16 hospitals in the healthcare system include IU Health Inc. (i.e., the IU Health Academic Health Center consists of IU Health Methodist Hospital, IU Health University Hospital, Riley Hospital for Children at IU Health and IU Health Saxony Hospital); IU Health Arnett; IU Health Ball; IU Health Bedford Hospital; IU Health Blackford Hospital; IU Health Bloomington Hospital; IU Health Frankfort; IU Health Jay; IU Health North Hospital; IU Health Paoli Hospital; IU Health Tipton Hospital; IU Health West Hospital; and IU Health White Memorial Hospital. Each affiliate hospital in the healthcare system conducts and adopts its own community health needs assessment (CHNA) and implementation strategy. IU Health considers the sum of these CHNAs and the implementation strategies part of a system wide goal of making Indiana one of the healthiest states in the nation. The affiliate hospitals are guided by a system wide mission to improve the health of our patients and community through innovation, and excellence in care, education, research, and service. The healthcare system is keenly aware of the positive impact it can have on improving the health of communities throughout the state of Indiana by aligning resources in a system-level and strategic way. The healthcare system includes an Academic Health Center (i.e., IU Health Inc.), a regional academic health center (i.e., IU Health Bloomington Hospital) and several affiliate hospitals that work in partnership with the IU School of Medicine to train physicians, blending breakthrough research and treatments with the highest quality of patient care throughout IU Health. Each year, more than 1,000 residents and fellows receive training in affiliate hospitals. Research conducted by IU School of Medicine faculty gives IU Health physicians and patients access to the most leading-edge and comprehensive treatment options. To further promote the health of the communities served by IU Health, the system-level Community Health Division team partners with state and local community-based organizations, community coalitions and governmental agencies to focus on clinical care, community investment and advocacy strategy that seeks to improve the health of communities. All affiliate hospitals in the healthcare system identifies and addresses significant health needs unique to the community they serve. Some of these health needs are common in communities served by multiple affiliate hospitals in the healthcare system and align with system priority areas, warranting a system level strategy. The Community Health Division plans and provides technical assistance for system-level strategies that address these common health needs including health inequities, tobacco, behavioral health access, infant and maternal health and social needs. Each affiliate hospital works collaboratively with the Community Health Division team to operationalize system-level strategies through the implementation of specific activities that align and activate local resources too. This benefits the community each affiliate hospital serves and works towards a statewide impact (system-level) on health outcomes. As part of the Community Health Division, IU Health Serves, a system-level team member volunteer program, seeks to positively impact the health of communities IU Health affiliate hospitals serve and foster a culture of engagement and social responsibility. IU Health West Hospital coordinates the different initiatives of the program, including Days of Service. This is the largest volunteer event of the year, consisting of projects designed to engage IU Health West Hospital team members in activities that address local, identified community health priorities. The Community Impact and Investment (CII) Fund is a $100 million board designated fund that is managed by the IU Health Foundation to financially support high impact community investing designed to address social determinants of health in communities IU Health serves. Each affiliate hospital has a significant impact on and is deeply invested in their local communities. Through the grants provided by this CII Fund, IU Health can strategically and intentionally address the social, economic, and environmental factors that impact the health of their surrounding communities. Each IU Health affiliate hospital and its team members are eligible to pursue this grant opportunity with a community organization or agency."