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        <ReportableCompFromRltdOrgAmt>629519</ReportableCompFromRltdOrgAmt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Patricia S O'Neil MAE</PersonNm>
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        <ReportableCompFromRltdOrgAmt>1386497</ReportableCompFromRltdOrgAmt>
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      <TotReportableCompRltdOrgAmt>3802155</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>953073</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>258</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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            <BusinessNameLine1Txt>Allegiance Benefit Plan</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
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            <StateAbbreviationCd>MT</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Locumtenenscom LLC</BusinessNameLine1Txt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Rush Oak Park Hospital. To make real progress the Office of Community Engagement at Rush University System for Health (RUSH) under its Senior Vice President for Community Health Equity, led the effort for the 2025 RUSH collaborative CHNA. RUSH coordinated its work with that of other health systems, community residents, nonprofit organizations, government agencies and faith communities. RUSH partnered with the City of Chicago on Healthy Chicago 2025, the city's five-year community health improvement plan that focuses on racial and health equity to close the life expectancy gap. RUSH is an active member of the Alliance for Health Equity, one of the largest collaborative hospital-community partnerships in the country. And RUSH's work is aligned with healthy people 2030, the U.S. Department of Health and Human Services' data-driven objectives to improve health and well-being nationwide over the next decade. Together, all focus on measurable ways to increase health equity, dismantle systemic racism and close the death gap. As RUSH developed its recommended actions for the CHNA, RUSH again sought input from its key stakeholders. To see a list of those who engaged in this process and rush worked with at the time, please view the RUSH CHNA online and proceed to appendix.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Rush Oak Park Hospital. RUSH conducted its CHNA in 2025 with the leadership of the Alliance for Health Equity, similar to its CHNA in 2022. This partner group initiated the largest collaborative CHNAs in the country with the current involvement of 30+ nonprofit and public hospitals, along with area health departments, and representatives of more than 100 community organizations serving on action teams. RUSH also followed best practice to complete a comprehensive CHNA and Community Health Improvement Plan (CHIP) for both Rush University Medical Center and Rush Oak Park Hospital collectively once again. Steering committee hospitals and health departments in the alliance for health equity (as of June 2025 when the CHNA was conducted): Ascension (5 hospitals) Advent Health (La Grange Hospital) Advocate Health (6 hospitals) Alliance for Health Equity Ann and Robert Lurie Children's Hospital of Chicago Chicago Department of Public Health Cook County Department of Public Health (part of Cook County Health) Insight Chicago Jackson Park Hospital Loretto Hospital Loyola Medicine, part of Trinity Health (includes Loyola, Macneal, Gottlieb) Northwestern Medicine (includes NMH and Palos) Roseland Community Hospital Rush University System for Health Sinai Health System (includes Mount Sinai, Holy Cross, Schwab) South Shore Hospital Swedish Hospital (part of Endeavor Health) University of Illinois Hospital and Health Sciences System</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Rush Oak Park Hospital. Participating health departments in the health impact collaborative of Cook County: Chicago Department of Public Health Cook County Department of Public Health</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 7 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Rush Oak Park Hospital. RUSH has been actively promoting its Community Health Needs Assessment (CHNA) since its introduction, including the versions from 2022 and now 2025. These CHNA and Community Health Implementation Plan (CHIP) documents are accessible on the website. In line with RUSH's increasing dedication to community involvement, RUSH also developed an enhanced website focused on community health equity and engagement. RUSH presented the CHNA at various meetings with community-based organizations across the west side of Chicago and partners in the nearby suburbs, treating it as a valuable resource for RUSH communities. Additionally, RUSH shared the CHNA, CHIP, and Community Benefits Report with RUSH's ambulatory sites within the RUSH network to broaden access. RUSH has also discussed the CHNA at numerous internal and external meetings, showcasing it as a key example of RUSH's commitment to bridging academic research with community impact. A notable event is RUSH's 'on the table' gathering, where RUSH invited community leaders and RUSH advocates to review health equity data. Here, RUSH discussed its nineteen strategies and fifty-two initiatives, along with target goals and metrics, for the upcoming three years.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Rush Oak Park Hospital. The Community Health Implementation Plan (CHIP) by RUSH was adopted in June 2025, concurrently with the Community Health Needs Assessment (CHNA). This consistent strategy was pivotal for the CHNA/CHIP, building on the positive reception it garnered in 2022. RUSH identified specific needs and simultaneously devised approaches to address them, coordinating closely with its team to establish metrics for achieving these goals. The identified community health needs were pinpointed in collaboration with the Alliance for Health Equity. Enhancements were made with focused guidance to align with local projects, as RUSH is committed to partnering with organizations like the Alliance, West Side United, and Senator Durbin's Heal Initiative to effectively advance health improvements. Although RUSH's CHNA/CHIP were formally adopted in June 2025, they align with the final year of our 2023-2025 CHNA/CHIP, with significant overlap as RUSH intensifies its efforts towards our new objectives, which include fifty-two initiatives. The identified needs for 2025 remained consistent. This section highlights only a selection of information. For comprehensive details, please refer to the published documents and supportive programs available on the website at https://www.rush.edu/about-us/rush-community. Goal 1: Prevent and/or Manage Chronic Conditions and Risk Factors a. Reduce risk factors by conducting assessments, implementing disease management programs, and enhancing access to nutritious food options RUSH created the food surplus project to alleviate food insecurity in the community by redistributing unused food from hospitals to local food pantries and other community-based partners. This collaborative community effort arose from a Rush Oak Park Hospital nurse's graduate work at Dominican University. Representatives from several local organizations, including Rush Oak Park Hospital, the Oak Park-River Forest Day School, Oak Park-River Forest High School, and the Oak Park-River Forest Food Pantry, worked together to create the infrastructure of the program and implement strategies to reduce food insecurity. The surplus project continues at RUSH. Through a partnership with Franciscan Outreach, Beyond Hunger, and the West Cook YMCA, RUSH provided more than 10,000 pounds of free meals annually. Many of RUSH's patients live on Chicago's west side between the Medical Center and Rush Oak Park Hospital - a swath that includes several neighborhoods without full-service grocery stores that sell healthy food. RUSH continues to commit to the community by collaborating with top box foods, 40 acres and Dion's Chicago Dream to provide local produce to employees monthly at a discounted rate. RUSH connected approximately 5,417 community residents with healthy meals. b. Expand free and subsidized screenings Another program aimed at increasing free screenings includes the Rush Oak Park Collaboration with Beyond Hunger, a local organization providing hunger-relief programs and services. During Beyond Hunger food distribution days ROPH staff volunteer at least once per month to provide free blood pressure screenings to food pantry clients. Volunteers provide basic BP education, provide handouts, resources, and answer questions. This program's objective is to improve the health of community members through screening and education to help them lead healthier lives and address chronic disease. ROPH has continued to expand its involvement in the community through the development of the Cardiometabolic Health Initiative (CHI). This initiative is led by a ROPH cardiologist and is run by an interdisciplinary team of nurses, nurse practitioners, mental health providers, social workers, physicians, and more than 90 medical students. CHI provides comprehensive cardiovascular screening to the underserved, food insecure population at food pantries on the west side of Chicago. The program massively expanded in FY25, with physician hours dedicated to the project growing sixfold. CHI expanded from two to four locations: Beyond Hunger, Harmony Church, Marillac St. Vincents and Nourishing Hope (Mercadito). In FY25 more than 250 west side residents have received screenings. Goal 2: increase access to mental and behavioral health services a. Enhance the number of community screenings and boost referrals to mental and behavioral health services RUSH is working to address the mental and behavioral health needs of our patients and communities by offering social work services to our primary care, inpatient, and emergency department patients. In addition, the College of Nursing and RUSH community-based practices team offer mental health services in the community at Simpson Academy for Young Women and College of Nursing faculty practice sites. RUSH also offers mental and behavioral health services through the Health Legacy Program for Women. This program focuses on behavioral change and addresses psychosocial issues through referrals for direct services offered through social work and community health. School-Based Health Centers (SBHCs) As part of its preventive health services, RUSH SBHCs conduct age-appropriate risk screening and evaluation for mental health issues. Students identified with mental health issues are referred for in-SBHC or community-based counseling and psychiatric services. In FY25, RUSH providers saw 1,192 unique individuals for more than 4,700 health service visits. SWACH's mental health clinic provides outpatient mental health care as a free-standing psychotherapy clinic as well as integrated partnerships with RUSH specialty care providers. In FY25, 11,733 therapy sessions to referred patients were provided in RUSH's outpatient community psychotherapy clinic. It also staffs RUSH's Center for Clinical Wellness and runs the Legacy Mental Health fellowship to bring mental health clinicians of color into the community. In addition, SWACH operates the Anne Byron Waud Resource Center and the Tower Resource Center (TRC), which are both open daily to the public. Each center is staffed by a licensed clinical social worker who is available to help with a myriad of issues related to health and chronic health issues that particularly impact adults and caregivers. In community listening sessions, west side residents told RUSH that its neighborhoods lack sufficient mental health resources - a major contributor to health disparities. In response, RUSH launched mental health first aid training, which trains people to recognize signs and symptoms of mental illness, respond appropriately when someone needs help, support fellow community members, and help remove the stigma that persists around mental health services. Twelve community MHFA trainings facilitated. Trained 202 RUSH and community members in mental health first aid.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 2 - Rush Oak Park Hospital. Goal 3: Reduce inequities caused by the social, economic, and structural determinants of health Through enrichment, engagement, skills training, and high-quality work-based learning, RUSH is preparing underrepresented youth for success in stem and healthcare fields. The RUSH Education And Career Hub (REACH) is a cradle-to-career pipeline program with a mission of increasing diversity in Science, Technology, Engineering, Math (STEM) and health care professions. Its goals are to increase high school graduation rates, college matriculation, and interest in health care/stem careers, and to build skills students need for the 21st-century workforce, including communication, collaboration, critical thinking, creativity, and leadership. RUSH's dedication to promoting a healthy community has fostered a strong commitment to supporting the growth and development of its neighborhoods, including school communities. In FY25, REACH served more than 10,000 students, educators, and community members across its pipeline programs, supporting learners from preschool through post-college. Additionally, REACH provided over 380 high school and college students with more than 20,000 hours of paid, work-based learning experience. RUSH uses a screening tool to identify non-medical barriers to good health, such as food insecurity, homelessness, lack of utilities, transportation barriers, and interpersonal violence. This tool is used across RUSH: Emergency Department, Primary Care settings, and community-based settings. Patients screened for these health-related social needs (SDOH) are connected to services via a partnership with Unite Us, a locally based resource directory company that provides curated, personalized resources that are shared with patients. In FY25, 144,469 SDOH screenings were completed in RUSH. Oak Park River Forest High School ROPH started a collaboration with Oak Park River Forest High School (OPRFHS) to have their certified nursing assistant student's complete clinicals at ROPH. Currently, one of the ROPH nurses serves as liaison and clinical faculty for this program. In FY25, 25 students fulfilled educational requirements for licensing and increased the larger communities' healthcare educational attainment. ROPH also collaborates with OPRFHS in The Cite II: Community Integrated Transitional and Educational Program. ROPH is a host site for the OPRFHS Cite II Program. This program is a partnership between ROPH and OPRFHS that serves local students with developmental disabilities and/or autism who have received a diploma from high school but still need additional assistance after graduation. Cite is an outcome-based program focused on facilitating students' independence in their home and community through direct teaching of life skills. The program assists the students within ROPH's professional environment by helping them move toward their desired post-school outcomes - particularly with an emphasis on learning job skills, providing coaching on social skills, and helping to acquire gainful employment within the community. In FY25, ten students worked in the Environmental Services (EVS) and Food &amp; Nutrition departments. They logged more than 315 hours with EVS and 445 hours in the kitchen. Goal 4: Increase Access to Care and Community Services The FQHC Navigation Program at RUSH plays a vital role for patients who utilize the emergency department who require assistance in arranging follow-up appointments after discharge. This program engages rush's numerous community collaborations, notably its formal alliance with CommunityHealth, Chicago's largest free clinic. Here, RUSH attending physicians, medical residents, and students generously contribute their expertise and time through volunteer rotations. CommunityHealth provides a comprehensive range of services including routine physicals, immunizations, a full laboratory and pharmacy, complimentary medications, and dental care. In FY25, 201 patients were referred to CommunityHealth through this partnership. RUSH is in process of developing and strengthening community partnerships with access, PCCWellness and Erie, to name a few, and will report on those findings next fiscal year. Goal 5: Improve Maternal and Child Health Outcomes ROPH began participating in the black maternal health collaborative of the greater westside Chicagoland area. The collaborative is a coalition of community leaders, healthcare professionals, advocates, and residents committed to advancing equity in maternal health outcomes for black birthing people. The collaborative centers black voices and experiences in all aspects of its work, striving to create a future where every black mother not only survives childbirth-but thrives in motherhood. With a focus on building trust, empowering families, and holding institutions accountable, BMHC is a force for sustainable change and racial justice in maternal health across the greater westside. In FY25, ROPH participated in partnership with the Village of Oak Park, local federally qualified health center PCC wellness, the collaboration for early childhood, and more for a community event on a panel discussion with a doula, a midwife and an OB/GYN to foster community growth and education.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Rush Oak Park Hospital. The state of Illinois requires that hospitals make a good faith effort to identify presumptive charity care for uninsured patients under 200% of FPL. RUSH fulfills this requirement by receiving income information from a third-party service for all uninsured patients. Financial Assistance Policy In addition to meeting financial and residency requirements, individuals applying for financial assistance must: cooperate with RUSH and provide information and documentation truthfully and in a timely manner; make a good faith effort to honor the terms of reasonable payment terms on open balances if the individual qualifies only for a partial discount; notify rush of any change in financial situation which may impact the individuals eligibility for financial assistance or payment plans; and agree to apply for local, state or federal assistance for which the individual may be eligible to help pay for some or all of the individual's hospital bill.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Rush Oak Park Hospital. RUSH conducts all the efforts described in Lines 20a-20d prior to initiating any extraordinary collection activities described in Line 19. As permitted, RUSH reports unpaid balances to credit agencies, which generally occurs no sooner than 450 days after the date on which the service was provided. RUSH also may defer not medically necessary care for patients in a bad debt collection status for a prior balance. However, if the patient applies for financial assistance, makes a payment, or sets up a payment plan, care will not deferred.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>4</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Rush Oak Park Medical Office Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>610 S Maple Avenue</AddressLine1Txt>
            <CityNm>Oak Park</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60304</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Rush Oak Park Physicians Group North Riverside</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7222 W Cermak Road</AddressLine1Txt>
            <CityNm>North Riverside</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60546</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Rush Oak Park Physicians Group Elmwood Park</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7734 W North Avenue</AddressLine1Txt>
            <CityNm>Elmwood Park</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60707</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Rush Oak Park Physicians Group Lake Street</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1011 Lake Street</AddressLine1Txt>
            <CityNm>Oak Park</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60301</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c Other Factors Include RUSH's Presumptive Charity Care Program</FormAndLineReferenceDesc>
        <ExplanationTxt>RUSH utilizes income data obtained from a third-party service to verify income-based eligibility criteria to qualify patients for presumptive charity care. A patient may also be eligible for presumptive charity care if the patient is eligible for Medicaid for other dates of service or services deemed non-covered by Medicaid; the patient is homeless, incarcerated in a penal institution, deceased with no estate, or mentally incapacitated with no one to act on the patient's behalf; or the patient is enrolled in, or eligible for, a program for low income individuals managed by the state of Illinois, including but not limited to women, infants, and Children Nutrition Program (WIC), Supplemental Nutrition Assistance Program (SNAP); Illinois free lunch and breakfast program, Low Income Home Energy Assistance Program (LIHEAP), and similar programs. Eligibility for presumptive charity care is also dependent on insurance status and catchment area residency. Patients not eligible for presumptive charity care are eligible for an uninsured discount. The discount is either 80% or 50% depending upon income and catchment area residency. Furthermore, patients not qualifying for presumptive charity care may also complete an application to determine eligibility for RUSH's financial assistance programs identified in the financial assistance policy. These programs are income-based but may also utilize an asset test to determine eligibility. Patients meeting the asset test with income less than 300% of FPG may qualify for 100% discount to their bill. This discount may be applied after primary insurance payment to cover deductibles and coinsurance. Lastly, the catastrophic balance program will reduce patient bills to a maximum of 20% of the household income on an episodic basis, per twelve-month period. In summary, RUSH uses insurance status, underinsurance status, type of service, and/or residency as factors in determining eligibility for free and discounted care.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7f</FormAndLineReferenceDesc>
        <ExplanationTxt>Total expenses reported on Form 990, Part IX, Line 25, Column (A) does not include bad debt expense. The bad debt expense was reported as a reduction of revenue on Form 990, Part VIII. The amount of bad debt is $9,659,912.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of Community Health (continuation 1)</FormAndLineReferenceDesc>
        <ExplanationTxt>Goal 2: Increase Access to Mental and Behavioral Health Services RUSH School-Based Health Centers (SBHCs) RUSH has a 30-year history of providing health care at school-based health centers. RUSH currently has three SBHCs located in Chicago public schools: Orr Academy High School, Richard T. Crane Medical Preparatory High School, and Simpson Academy for Young Women. Crane and Orr have students in grades 9 through 12, and Simpson serves girls in grades 6 to 12 who are pregnant, parenting, or both. All three schools have student bodies from underserved populations and are in neighborhoods with high rates of poverty and economic hardship. Adolescent Family Center (AFC) In FY25, AFC provided clinic services to 427 youth in 1,209 healthcare encounters. During the fiscal year, 101 unintended adolescent pregnancies were prevented through patient-centered, adolescent-focused family planning services. Additionally, AFC completed 2,440 sexually transmitted infection tests and had a 98% treatment rate within 30 days, which promotes the preconception health of the young people AFC serves. AFC had 38 prenatal and 31 postnatal care patients in FY25. Average gestation age was 37.3 wks. NTSV rates were 6% (2/31), drastically below state average of 23%. Low birth weight infants comprised 3 of 31 deliveries (9%), above city/state average, but not when race/ethnicity/income used to stratify data (11%). The average birth weight of AFC babies is 6.7 lbs. Affirm: the RUSH Center for Gender, Sexuality, and Reproductive Health established in January 2020 Affirm: the RUSH Center for Gender, Sexuality &amp; Reproductive Health is actively engaged in bridging healthcare gaps for the LGBTQ+ community. This health equity program addresses the challenges of longstanding internalized stigma, trauma, community marginalization and socioeconomic inequities that often lead to significant health disparities within the LGTBQ+ communities. The Affirm team supports the community through its patient navigation hub and is committed to guiding providers across RUSH in delivering inclusive and affirming care and services to all individuals. In FY25, 1,541 LGTBQ+ patients worked with Affirm patient navigators who helped them connect with inclusive care and services at rush and in the community. Affirm also provided 55 hours of cultural competency training to rush employees, faculty, students, residents and affiliates, including Chicago public schools. The Road Home Program at the Center for Veterans and their Families at RUSH The Road Home program provides care for the "invisible wounds of war" suffered by veterans and their families. Services for veterans include an adult mental health clinic that specializes in post-traumatic stress disorder; family and marital services such as support groups; counseling and guidance for parenting; a military sexual trauma clinic; and an Intensive Outpatient Program (IOP). The IOP is a three-week program where veterans receive intensive treatment Monday through Friday from 8 a.m. to 5 p.m. In FY25, ROPH Road Home program provided clinical services to 1,533 unique veterans. College of Nursing Faculty Practice Program The Rush College of Nursing (CON) has a 40-year history of providing healthcare services to historically underserved individuals, families, and communities at diverse community practice sites through the con faculty practice program. Most recipients of care are uninsured or underinsured and rely on the CON faculty practice sites as their main sources of health care. In addition to direct clinical care provided by RUSH CON faculty clinicians, the CON faculty practice facilitates Rush University interdisciplinary student volunteer programs for students to develop and deliver health education programs in alignment with the clinical care provided. Over 100,000 clinical care and community service hours were provided to historically underserved communities per year through the con faculty practice program.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of Community Health (continuation 2)</FormAndLineReferenceDesc>
        <ExplanationTxt>Goal 3: Reduce Inequities caused by the Social, Economic, and Structural Determinants of Health Rush Education And Career Hub (REACH) REACH provides programming across the educational continuum, from pre-kindergarten through college, through the initiatives highlighted below. Elementary School Outreach (grades pre-k through 5) TheStemagineersprogramfor elementary school students helpsestablisha foundational interest in stem and health care. The program builds awareness of stem and health care education and careers, teacher professional development, family engagement, classroom curriculum resources, and alignment with standards and research that support best practices in early childhood education.Stemagineers program has continued to evolve and broaden its impact, offering compelling activities and presentations. Highlights include the successful execution of the sexual health education workshops for students who attended Pickard, Dett, and Melody schools in November, garnering completion appreciation notes and marking a significant milestone for the program. They engaged in crucial topics such as CPR, diabetes, heart disease, and mental health for youth and teens. Middle School Outreach (grades 6 through 8) In FY25, REACH continued with four stem educational enrichment programs for students in grades 6 through 8. Vitals for STEM successis a 10-week after-school program designed for students interested in stem and health care careers. Participants build foundational skills and career awareness through collaborative projects, games, and dissection labs focused on human body systems. Students also explore career pathways through research, simulations, and guest speakers from health careprofessions. During the past year, the program was hosted at Lawndale Community Academy, Theodore Herzl Elementary School, and Village Leadership Academy. It was also offered as a middle school stem summer camp at Melody Stem School and the Carole Robertson Center-Albany Park. Future ready learning labs, supported in part by the Michael Reese Health Trust, is an in-school enrichment elective focused on increasing awareness of stem and health care careers, strengthening self-efficacy, developing 21st-century learning skills, and supporting the transition to high school. Students engage through research projects, hands-on learning activities, career day events, and guest speakers. During the 2024-25 school year, partner schools included Pickard Elementary School, William H. Brown Stem School, and Hefferan Elementary School. High School Outreach (grades 9 through 12) Medstem, one of reach's signature programs, introduces high school students to a wide range of clinical and non-clinical health care careers while building leadership and academic skills.MedstemExplorers andPathwaysoffer pre-internships for rising sophomores and juniors, as well as internships for rising juniors and seniors. Leveraging resources across rush university system for health, studentsparticipatein personal development workshops, earn industry-recognized certifications, and network with health care professionals. In FY25, 132 studentsparticipatedin Medstem Pathways and Medstem Explorers.71%of all Medstem program participants earned one or more industry-recognized credentials, including CPR, first aid/basic lifesaving, phlebotomy, and ECG technician certifications. In Spring 2025, REACH continued to engage youth through therush youth health ambassador program, which supports social determinants of health screening, patient experience, and patient interactions at rush university medical center. In partnership with north-grand high school, 10 studentsparticipatedin a 10-week cohort. College and Beyond The College Career Pathways program supports underrepresented young people beyond high school for immersive work-based learning experiences in targeted career paths. The program includes paid internships, college and career advising, and professional and technical skills training, which helps participants find jobs with stem and health care employers. Interns learn skills in several RUSH departments, including labor and delivery, the surgical ICU, outpatient psychology and pathology. In FY25, 39 students each earned more than256 hoursof paid, work-based learning experience through college and career pathways. In Spring 2025, REACH launched the second cohort of theCareer Academy @ RUSH - pharmacy apprenticeship program. This one-year apprenticeship serves underrepresented high school and college students (ages 17 and older) interested in pursuing pharmacy careers. Participants explore pharmaceutical sciences, develop career-specific skills, and earn licensure to practice in the field within one year. Reach Stem Health Sciences Exploration Fair In 2025, REACH continued its commitment to community engagement by sponsoring the AnnualSTEM Health Sciences Exploration Fairat Malcolm X College. The event reached students across multiple age groups and sparked interest in stem and health care careers.More than 200elementary school andmiddle schoolstudentsparticipatedin hands-on science experiments, interactive activities, and career panels.students also had the opportunity to engage directly with health care professionals, gaining insight into a wide range of career pathways.The fairinspired curiosity, expanded awareness, and helped open doors to future educational and career opportunities. Mini Medical School The RCSIP Mini Medical School offers a unique Saturday program once a month throughout the academic year, tailored for fourth and fifth graders from Chicago public schools. Its primary aim is to acquaint these young learners with the field of health sciences. Taking place at Rush University, the program includes a series of anatomy and physiology lectures, interactive activities centered on the five key body systems, and practical dissection sessions. Committed RUSH student and physician volunteers play a pivotal role in crafting the curriculum, leading the activities, and providing guidance to the students during these educational sessions. In FY25 RCSIP Mini Medical School continued with in-person learning. There were 10 remote sessions held with 100 students enrolled for a total of 591student encounters.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of Community Health (continuation 3)</FormAndLineReferenceDesc>
        <ExplanationTxt>Goal 4: Increase Access to Care and Community Services RUSH's Community Health Worker Hub Community Health Workers (CHWs) at RUSH play an important transformative role in bridging healthcare and social support systems to address critical inequities in Chicago's underserved neighborhoods. With 55.6% of the team residing in south and west side communities and 66.7% bilingual in English and Spanish, CHWs reflect the populations they serve, fostering trust and culturally sensitive care. In 2025, CHWs conducted nearly 11,489 outreach activities, including over 8,496 screenings for social drivers of good health, addressing barriers like food insecurity, housing instability, and access to preventive care, in addition to emergency response efforts. Beyond numbers, CHWs empower individuals by connecting them to essential resources and providing personalized guidance. For example, in schools, CHWs have removed obstacles to education by ensuring children's health needs are met; in clinics, they have facilitated post-discharge support to reduce hospital readmissions. Through their dedicated efforts, CHWs not only improve health outcomes but also foster sustainable community development, embodying RUSH's unwavering commitment to health equity. RCSIP Clinics RCSIP clinics operate through the dedicated efforts of rush volunteers, comprising a physician leader and an interdisciplinary team of rush students. These clinics provide a range of services, including physical examinations, health education, complimentary basic medications, and procedures like wound care. Additionally, they assist patients in establishing primary and/or specialty care connections through referrals. These clinics include: RCSIP Haymarket, which serves adult men and women with primary care, and health education. 435 healthcare encounters were provided during FY25. Goal 5: Improve Maternal and Child Health Outcomes Implement Adverse Childhood Experience (ACE) screening to identify pregnant and parenting individuals who have experienced childhood trauma. Use this screening process to connect these individuals to comprehensive, evidence-based services such as home visiting programs, doula support, and other parenting resources tailored to their needs. Aim to serve over 250 families annually, ensuring that at least 60% of those identified are successfully referred to and engaged with the appropriate support services. These efforts will promote healthier outcomes for both parents and children, addressing the long-term impacts of trauma through a network of targeted, trauma-informed interventions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a Community benefit report prepared by related organization</FormAndLineReferenceDesc>
        <ExplanationTxt>Rush System for Health</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g Subsidized Health Services</FormAndLineReferenceDesc>
        <ExplanationTxt>Rush Medical Group (RMG) operates at an overall financial loss, with operations supported through intercompany balance sheet transfers from Rush University Medical Center (RUMC), Rush Oak Park Hospital (ROPH), and Copley Memorial Hospital (CMH). ROPH has included $12,625,937 of costs associated with its portion of RMG subsidies on Line 7g.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>The cost to charge ratio applied to charity care (Line 7a) and unreimbursed Medicaid (Line 7b) was calculated based on the IRS 2024 instructions for Schedule H, Worksheet 2: Ratio of Patient Care Cost to Charges. Community health improvement services &amp; community benefit operations (Line 7e) and cash and in kind contributions (Line 7i) were reported at actual cost. Health professions education (Line 7f) was primarily taken directly from the FY25 as filed Medicare cost report and includes other minimal community education. ROPH calculates a separate cost to charge ratio for subsidized health services (Line 7g), which more accurately portrays those services. ROPH utilizes a cost accounting system to calculate separate cost to charge ratios for physician clinics and hospital service lines. Those services are combined to calculate the total subsidized health amount.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY SUPPORT - PURCHASE LOCALLY To advance Rush University System for Health (RUSH) toward its goals to increase purchasing with vendors from the west side, RUSH has partnered with the Healthcare Anchor Network and U3 Advisors to commit to identifying and contracting with vendors at the hyper-local level. RUSH spent more than $20.8 million in purchased services in FY25 using Anchor Mission (AM) vendors and continued to mentor small local vendors to help them scale and grow. RUSH is part of the west side procurement working group with five other hospitals and health systems to share best practices and increase the use of local vendors. COMMUNITY SUPPORT - EMPLOYEE EFFORTS RUSH is also committed to serving its employees whom it considers as its "first community have created programs to create financial stability. These include retirement readiness and financial wellness training for employees through working credit and Fifth-Third E-Bus. ENVIRONMENTAL IMPROVEMENTS In FY25, the Environmental Sustainability (ES) team at RUSH earned an EmeraldGreenhealthaward from PracticeGreenhealthfor its work in CY24. This award recognizes the top 20% of hospitals whosubmitdata to their annual benchmarking initiative and recognizes advanced sustainability programs. RUSH was also awarded a Making Medicine Mercury Free award for virtuallyeliminatingmercury from its facilities, as mercury has known negative health impacts and the use of it in RUSH's operations is contrary to healthcare's mission of healing. The Office of Environmental Sustainability alsodevelopedaclimateresilienceplan, one of the requirements of the U.S. Department of Health and HumanServices' health sector climate pledge. The teamcollaborated withvarious departments at RUSH toidentifyareas of opportunity to strengthenexisting plans to help the hospital and its west side community adapt and recover from disruptions caused by changing climate.As the climate warms, it is also destabilizing, resulting in hotter hots, colder colds, and more intense and frequent storms.The need for this planning was highlighted by extreme heat events in June 2025. Another significant milestone for the Office of Environmental Sustainabilitywas working with the Illinois Sustainable Technology Center toidentifyopportunities on campus to divert waste from landfill.Landfilling waste can cause adverse health effects in those populations living near them, as well as air pollution for nearby communities. By seeking options for more environmentally friendly waste disposal, such as reuse, reprocessing, or recycling, RUSH can decrease its environmental health impacton patients. Moreover, by shifting its consumption and waste practices, RUSH can keep costs of healthcare down to ensure that healthcareremainsaffordable to those who need it most. RUSH hopes to implement recycling and other landfill diversion opportunities to promote the health of patients and accessibility of care. OTHER PROGRAM HIGHLIGHTS The development ofa Strategic Plan to achieve50% reduction indirectgreenhouse gas emissionsby 2030. Rush also received the Joint Commission Sustainable Healthcare Certification to recognize healthcare institutions that arecommittedto reducing greenhouse gasemissionsthrough setting goals, providingdataand developing a plan for reduction across three categories - energy use, anesthetic gas use, and waste disposal - of focus.Currently, less than 25 healthcare organizations across the US and only three in Illinois have earned this certification. RUSH was awarded ComEd's MBCx 2024project of the year for achieving the highest amount of energy savings of any account in ComEd's territory through a Monitoring Based Commissioning program. RUSH also received the Joint Commission Sustainable Healthcare Certification to recognize healthcare institutions that arecommittedto reducing greenhouse gasemissionsthrough setting goals, providingdataand developing a plan for reduction across three categories - energy use, anesthetic gas use, and waste disposal - of focus.Currently, less than 25 healthcare organizations across the US and only three in Illinois have earned this certification. RUSH received two honorable mentionsfrom the International Hospital Federationfor its investment in the community and efforts to reduce its carbon footprint, respectively.One of the awards, the Seddiqi Holding Excellence Award for Social and Environmental Responsibility, recognized RUSH's partnership in developing and contracting Fillmore Linen Service, which has brought jobs to the historically disadvantaged West Side and decreased Rush's environmental burden in its laundry operations. The Sustainable Procurement Working Group began drafting a Sustainable Purchasing policy, which will outline recommendations for sustainablespending. WORKFORCE DEVELOPMENT Rush Oak Park Hospital (ROPH) works with local vendors and continues to expand local hiring initiatives. ROPH has a long-standing partnership with the Oak Park River Forest Chamber of Commerce, including ROPH board participation, contributions to monthly wellness newsletters, sponsorship of an annual health and wellness fair, identification of potential local job candidates, and contracts with local businesses in the ROPH gift shop. After a collaboration with the Oak Park River Forest and Austin - Chicago Chambers of Commerce for pop-up shops in FY24, two businesses in the ROPH catchment area found specific popularity among ROPH patients and visitors. Those two businesses are now contracted with the gift shop to provide their product on a regular basis, promoting and showcasing these small business goods/products. As part of the ROPH/Oak Park River Forest Chamber of Commerce partnership, ROPH serves as the presenting sponsor of the Chamber's annual health and wellness fair. The fair is a collaboration with multiple local health, wellness, and social services agencies/organizations/small businesses - in addition to dozens of vendors, RUSH itself had 15 booths at the event providing: comprehensive cardiac screening, head and neck cancer, A1C and BP. In addition, several service lines had booths diabetes, neurology/stroke, primary care, colorectal cancer, pharmacy, RUSH center for prevention of cardiovascular care, RUSH community health workers/ equal hope, RUSH community health workers and RUSH generations &amp; social work services. RUSH itself attracted more than 500 visitors to the event.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad debt expense is estimated based on historical collection experience. Patients who are covered by third party payors are generally responsible for related deductibles and coinsurance, which vary in amount. Rush Oak Park Hospital (ROPH) determines its estimate of bad debt for patients with deductibles and coinsurance, and for those who are uninsured, based on historical experience and current market conditions. The bad debt expense is the difference between amounts billed to patients and the amounts expected to be collected based on collection history with those patients.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>Due to the process that Rush Oak Park Hospital (ROPH) and other hospitals must facilitate to prove a patient's eligibility for discounted or free care, the precise amount of charity care often can be indistinguishable from other categories of uncompensated care. Without the patient's cooperation in providing appropriate documentation, ROPH cannot correctly distinguish patients who meet the defined charity care policies and appropriately categorize those individuals as charity care write-offs. Instead, these patient cases may be classified as bad debt write-offs due to a lack of supporting information. Since charity care cannot be confirmed, this may create situations in which patients classified as bad debt could be classified as charity care. The methodology used to determine the estimate of bad debt entered on Line 2 that is reasonably attributed to patients who likely would qualify for financial assistance under the hospital's financial assistance policy as entered on Part 1, lines 1 through 4, but for whom insufficient information was obtained to determine their eligibility included a review of all traditional hospital bad debt write-offs by individual account. For each account the % poverty level was reviewed, if available, and for those accounts that were below the 300% poverty level the associated bad debt write-off was estimated to be 100% potentially eligible for charity, consistent with the financial assistance policy and for those accounts 301-400% poverty level the associated bad debt write-off was estimated to be 80% potentially eligible for charity, consistent with the financial assistance policy. The dollar amount was then divided by total bad debt net of recoveries, and the resultant percentage was applied to the total bad debt expense for the fiscal year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Rush Oak Park Hospital (ROPH) provides additional information on the bad debt expense/implicit price concessions in Note #2, Summary of Significant Accounting Policies - Patient Service Revenue and Accounts Receivable for Patient Services, which starts on page 8 of the audited financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>The ratio of patient cost to charges was calculated based on the IRS 2024 instructions for Schedule H, Worksheet 2: Ratio of Patient Care Cost to Charges for ROPH. Medicare revenues and costs were extracted from the FY2025 as filed Medicare cost report. ROPH has a Medicare shortfall of $10,491,013 Since the IRS 2024 instructions state under Part III, Bad Debt, Medicare &amp; Collections Practices, Line 5, that the Medicare shortfall is for Medicare fee for service associated with the allowable costs the organization entered in its Medicare cost report, managed Medicare shortfall was not included. If managed Medicare had been included, the total Medicare shortfall would have been $17,617,757.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>For public transparency and ease, the debt collection policy is included in the financial assistance policy within section entitled - "Collections and Other Actions Taken in the Event of Non-Payment" Rush Oak Park Hospital (ROPH) attempts to notify patients of the financial assistance policy by means of the billing statements that are issued to patients when a balance is due. There is language in all billing statements that financial assistance is available, and a plain language summary is provided on our statement prior to placing accounts with bad debt collection agency. In addition, our collection agencies will attempt to notify patients of ROPH's financial assistance policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Rush Oak Park Hospital: Line 16a URL: https://www.rush.edu/patient-billing-policy;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Rush Oak Park Hospital: Line 16b URL: https://www.rush.edu/financial-assistance-application;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Rush Oak Park Hospital: Line 16c URL: https://www.rush.edu/financial-assistance-policy;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>As an academic health system, RUSH assessed the health needs of the communities it serves in a very collaborative approach and continues to do so beyond the Community Health Needs Assessment (CHNA) process. Given that RUSH conducted its CHNA for FY25, everything was related to that effort.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>In keeping with Rush Oak Park Hospital's (ROPH) mission to provide comprehensive, coordinated health care services to our patients, ROPH offers several financial assistance programs to help patients with their hospital bill. ROPH utilizes a patient eligibility service to proactively enroll uninsured patients for coverage under various state and federal programs. The maintenance of this service has a significant impact on our patients by decreasing the amount of charity care provided. In addition to obtaining available coverage for our patients' medical services, this eligibility service also supports eligibility for SSI or SSA benefits for applicable patients. Guiding the patient through this often time-consuming and difficult process is extremely beneficial to the patient. Once SSI/SSA eligibility is approved, the patient will begin receiving a monthly assistance check, a benefit well beyond their health care at RUSH. ROPH offers a team of financial counselors and billing customer service representatives to assist patients with the completion of financial application forms, obtain an estimated cost of anticipated hospital services, and support billing-related questions . All financial assistance information and policies are posted on the hospital's website.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>RUSH provides patient care services that extend beyond the scope identified in its Community Health Needs Assessment (CHNA). The organization identifies its primary community as the west side of Chicago and adjacent suburbs such as Oak Park, Forest Park, and River Forest. This definition was chosen for the CHNA to focus on the geographic area surrounding its two hospitals, a region characterized by significant needs and challenges. RUSH's patient base is diverse in terms of ethnicity, economic, and insurance status. However, many in the west side community encounter difficulties and belong to vulnerable groups, including racial/ethnic minorities, those of lower socio-economic status, and individuals living in crowded housing or facing high unemployment and limited access to education, transportation, and essential resources like grocery stores and healthcare facilities. The west side of Chicago, despite its resilience, confronts some of the most severe hardships and health disparities in the city. RUSH aims to be a stabilizing force in addressing these challenges, empowering the communities and remarkable individuals who reside on the west side.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>Rush Oak Park Hospital's (ROPH) mission is to improve the health of the individuals and diverse communities that we serve through integration of outstanding patient care, education, and community partnerships. To that end, ROPH seeks to serve the community in ways that engage, educate, and empower; addressing a wide array of community health needs, from chronic condition management and mental and behavioral health services to reducing health inequities linked to social determinants. ROPH serves all patients who present for care and serves the surrounding community along with a board of directors with a strong community base. The board members are independent community leaders who are selected based upon their expertise and experience in a variety of areas of benefit to the organization. Their role as board members is to direct and guide management in carrying out our mission. Board members are not compensated for their service. ROPH community of physicians, advanced practice providers, nurses, and staff includes a high percentage of women and minorities, as well as LGBT and veteran employees, reflecting the diverse communities ROPH serves. ROPH extends medical staff privileges to all qualified physicians in its community. As a charitable organization, all surplus funds are used to further our charitable purpose, mission, and to serve the community. ROPH's significant investment in community health initiatives-such as the RUSH Department of Social Work and Community Health (SWACH), School-Based Health Centers (SBHCs), and the College of Nursing faculty practice program-highlights ROPH strategic use of surplus funds. These investments aim not only to address immediate healthcare needs but also to drive long-term improvements in health outcomes through education, policy advocacy, and direct community engagement. Such a holistic strategy underscores ROPH's acute understanding of the complex interplay between social determinants and health outcomes, directing our resources towards making a significant impact on community health. This approach highlights ROPH's commitment to enhancing healthcare access, quality, and outcomes, particularly for underserved populations, and underscores the need for further direct engagement and the specific application of surplus funds. ROPH provides access to physician, acute care, diagnostic, and rehabilitative services to people, regardless of ability to pay, through facilities located throughout the service area. ROPH provides programming relating to health education, prevention, and support targeted to specific populations. Employees fill board and committee leadership positions for several economic development and social service agencies in communities throughout the service area. Supporting information - CHNA/CHIP Goal 1: Prevent and/or Manage Chronic Conditions and Risk Factors Rush Department of Social Work and Community Health (SWACH) Social Work and Community Health (SWACH) dismantle barriers to health and wellness by providing innovative programs to support patients and community members, and by advancing policies and practices that expand access to whole-person care. RUSH Generations provides evidence-based workshops, lectures and groups, health screenings, and wellness classes. Care management services are integral to various health equity and quality improvement initiatives at RUSH and in the community. Complex care initiatives include caring for caregivers program, RUSH@Home in-home primary care, and the center to transform health and housing. 5 + 1 = 20 The 5+1=20 program aims to educate high school students at Chicago public schools on the five diseases prevalent in the surrounding underserved community (asthma, hypertension, HIV, diabetes and cancer). Participating schools include Benito Juarez High School, Crane Medical Preparatory Academy and the Marine Math and Science Academy. The 5+1=20 program is based on the idea that knowledge of these five common conditions plus one informed high school student (or person) can extend one's life by 20 years (individuals without health insurance have an average life expectancy of 20 years less than the general U.S. Population). Once a week, RUSH student volunteers teach a health topic related to the five diseases to high school students. The content of the interactive health lectures ranges from disease prevention to practical skills such checking blood pressure. The high school students have opportunities to spread their knowledge through 5+1=20 health fairs at their schools. Health fair activities include body mass index (BMI) calculations, blood pressure screenings, vision screenings, glucose level checks, referrals, and health education. Health fair participants include families and friends of the students as well as other members of their communities. Additional partners include Phoenix Military Academy, Irma Ruiz Elementary, Whittier, and Pilsen Academy. In FY25, more than 600 students were served in more than 400 volunteer hours. RUSH Walk for Wellness The RUSH Walk for Wellness, formerly known as the West Side Walk for Wellness, was created and is co-led by RUSH medical students. The walk was developed to enhance exercise in west side communities, create a sense of engagement and help people feel safe walking outside in the community. The program, which lasted seven weeks, engaged 635 community members from rush and the communities we serve.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>Rush System for Health (RUSH), d/b/a Rush University System for Health, is a multihospital health system with operations that consist of several diverse activities with a shared mission of patient care, education, research, and community service. RUSH, also referred to as the "System Parent," is the sole corporate member of Rush University Medical Center (RUMC), Rush Copley Medical Center (RCMC), Rush Oak Park Hospital (ROPH), and Rush Medical Group (RMG), each of which serves distinct markets in the Chicago, Illinois metropolitan area, and Rush Health, a physician hospital organization and clinically integrated network.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>IL</ExplanationTxt>
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        <PersonNm>Carl T Bergetz JD</PersonNm>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO's compensation is determined by a related organization which includes the use of the following methods. - Compensation committee - Independent compensation consultant - Compensation survey - Approval by the board</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>The Rush Executive Retirement Plan (the "Rush ERP the "Plan") provides supplemental retirement benefits to eligible executives of the Rush System. These benefits are in addition to those provided under the Retirement Plan (a tax-qualified defined benefit pension plan), the 403(b) Retirement Savings Plan, and the 457(b) Supplemental Retirement Savings Plan. The Rush ERP is effective January 1, 2014, and replaces the Supplemental Executive Retirement Plan (the "SERP"), which was frozen effective December 31, 2013. Any benefits earned under SERP will be preserved. The Rush ERP is a defined contribution plan designed to provide funds to participants that can be used to provide supplemental retirement income. Once vested, the amount contributed plus investment gains (and minus losses) is paid. The retirement benefits provided under the Plan, like those provided by the SERP prior to 2014, are in addition to those provided under the Retirement Plan, a defined benefit pension plan, the 403(b) Retirement Savings Plan, and the 457(b) Supplemental Retirement Savings Plan. The amounts paid out from this plan were as follows: Carl T. Bergetz JD - $126,334 Patricia S. O'Neil - $48,630 The amounts are included in Schedule J Part II Column (B)(iii).</ExplanationTxt>
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        <ExplanationTxt>Incentive payments are based on a formula. The amounts are calculated after certain performances and operating goals are achieved. The plan provides limited discretionary parameters if needed.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 3 Significant changes in program services</FormAndLineReferenceDesc>
        <ExplanationTxt>In fiscal year 2025, the following program services were moved to Rush Medical Group as they continue to evolve to a more integrated Rush University System for Health. Physician Practices - A group of eight employed physician practices provide a variety of community healthcare services. Rush Oak Park Physician Group primarily serves residents in Oak Park, Illinois. Other communities include but are not limited to River Forest, Forest Park, Elmwood Park, Hillside, Berwyn and North Riverside. Types of services provided include family medicine, internal medicine, gynecology, geriatric and neurology. The hospital supports the staff, physicians and operations of the practices. The practices adhere to the mission statement of the hospital. Emergency Room Outpatient Services - A group of sixteen Rush Oak Park Hospital (ROPH) employed ER physicians serve the emergency needs of the community at ROPH. In line with ROPH's strategic initiatives, the ER aims to increase safety and satisfaction. ROPH's new state-of-the-art ER features 22 private treatment rooms, 2 behavioral health rooms and a decontamination room, which prevents the spread of infections.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15 Part VI, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Rush Oak Park Hospital relies on Rush University Medical Center to follow a comprehensive procedure for determining compensation. The procedure followed by Rush University Medical Center is as follows: The Compensation and Human Resources Committee uses an independent review, comparability data and contemporaneous substantiation to establish compensation packages for the CEO, Executive Director and other top management officials. All such officer compensation packages are approved by the Compensation and Human Resources Committee.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>Dino P. Rumoro DO, MPH, FACEP; Carl T. Bergetz, JD - Business relationship, Gary E. McCullough; Everett Ward; Dino P. Rumoro, DO, MPH, FACEP; Carl T. Bergetz, JD - Business relationship</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 3 Delegation of management duties</FormAndLineReferenceDesc>
        <ExplanationTxt>Reserved Powers over certain management duties have been delegated to Rush System for Health (RSH), an Illinois not-for-profit corporation, the sole-corporate member of Rush Oak Park Hospital (ROPH) and the parent entity for the Rush System. These duties include approving various ROPH actions, including ROPH's operating budget and certain transactions, appointment of certain ROPH executives, appointment of ROPH's board member, etc.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4 Significant changes to organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>The Rush Oak Park Hospital Board of Directors (the "ROPH Board") amended the Bylaws two times during FY25 to align the ROPH Board with best practices for governance, increase efficiencies, and streamline procedures. The over-arching goal is to empower the Rush University System for Health Board of Directors (the "System Board") and Subsidiary Boards for success as they continue to evolve to a more integrated Rush University System for Health. Amendments Summary - November 21, 2024 - 1. Removed System Board's reserved power to approve the establishment of RUSH Councils. 2. Adjusted the name of the System Trustees Advisory Body to RUSH Trustees Group and reference members as RUSH Trustees. 3. Removed reference to nominations process of the RUSH Trustees Group and RUSH Councils, enabling the RUSH Trustees Group charter to dictate. 4. Maintained that ROPH Board Directors and Committee Members shall also be RUSH Trustees but reduce overuse of the statement. 5. Clarified the name of the Quality and Safety committee as "Quality of Care Committee" 6. Changed the CEO reporting line to the System COO, rather than the System CEO. Amendments Summary - June 12, 2025 - 1. Amended the term of a chairperson to specify that it is a board or committee chairperson. Changed the term of a vice chair from not counting against the term limits or membership on a board or committee to being limited only during the duration of their membership on that board or committee. 2. Removed the responsibility of the Executive Committee for maintaining and approving a policy on ROPH chairperson succession process.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Rush System for Health (RSH) is the sole corporate member of Rush Oak Park Hospital, Inc. (ROPH) and parent entity of the RUSH system.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>As the sole-corporate member of Rush Oak Park Hospital (ROPH), Rush System for Health (RSH) holds the Reserved Power to appoint and remove or replace the members of the ROPH Board of Directors, the organization's governing body.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>As the sole-corporate member of Rush Oak Park Hospital (ROPH), Rush System for Health (RSH) holds certain Reserved Powers over ROPH to ensure a uniform vision and strategy across the RUSH system.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The information is compiled and reviewed internally by the finance department and the controller. The return is reviewed by Deloitte Tax LLP before being submitted to the Rush University Health System Board of Directors for review and approval. The approved return is signed by the Treasurer of Rush Oak Park Hospital and Deloitte Tax LLP. A copy of the return is distributed to the board members prior to filing.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>On an annual basis, members of the Rush Oak Park Hospital (ROPH) Board and the corporate officers of ROPH complete and return a conflict-of-interest survey form. Any disclosures are reviewed by the Institutional Conflicts of Interest (ICOI) Committee which is a sub-Committee of the Audit Committee of the RUSH Board. The ICOI Committee makes any final determinations as deemed appropriate or necessary to manage, reduce or eliminate conflicts. If it is determined that there may be a business-related conflict of interest between ROPH and any members of the ROPH Board, such persons are asked to make transparency statements and recuse themselves from any committee or ROPH Board meetings during the time an agenda item that relates to the matters giving rise to the business-related conflict of interest are discussed.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The Articles of Incorporation of Rush Oak Park Hospital have been filed with the Illinois Secretary of State (the "IL SOS"). Additionally, key facts concerning the incorporation and good standing of ROPH are available through the website of the IL SOS. The financial statements of ROPH are available through the Illinois Attorney General's office. ROPH's conflict of interest policy is made available to the public upon request.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Net Assets Transfer to Rush Medical Group - -453987; Total - -453987;</ExplanationTxt>
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