2025-05-14T09:22:39+00:00 2024-06-30 861065772 Deloitte Tax LLP 50 South Sixth St Suite 2800 Minneapolis MN 55402 990 2023-07-01 362183812 Rush Oak Park Hospital Inc RUSH 7083839300 520 S MAPLE AVENUE OAK PARK IL 60304 Dino P Rumoro DO MPH FACEP President and CEO 7083839300 2025-05-14 true Anna Kolakaluri P01275237 6123974000 2025-05-14 2023 2025-03-06 01:10:19Z Dino P Rumoro DO MPH FACEP 520 S MAPLE AVENUE OAK PARK IL 60304 240664114 false X WWW.ROPH.ORG X 1906 IL Rush Oak Park Hospital is committed to providing exceptional and compassionate health care service that promotes the dignity and well-being of the people we serve. 9 8 1316 40 0 0 2064272 1261534 181276584 203518344 1082135 4619192 -114025 1885 184308966 209400955 7000 10854 0 111437022 113882000 0 0 76992804 83739858 188436826 197632712 -4127860 11768243 204195129 195564928 83426065 60052383 120769064 135512545 The mission of Rush is to improve the health of the individuals and diverse communities we serve through the integration of outstanding patient care, education, research and community partnerships. false false 162882595 10854 183137727 Patient Care- Rush Oak Park Hospital (ROPH) is a community hospital committed to balancing clinical excellence, a professional and healing environment and community outreach programs to address various healthcare issues. Patient care in Fiscal Year 2024 was provided in more than 4,484 inpatient admissions and 132,575 outpatient visits. 21135114 15761968 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. In Fiscal Year 2024, the physicians provided services in more than 68,506 visits. 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. 7780918 4618649 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 Fiscal Year 2024, the ER served 43,920 persons for a variety of healthcare symptoms. 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. 191798627 true true false true false false false false false true false false false true false false true false false false false false false false false true true true false true false false false false false false true false false false false false false true true true false false true 70 0 true 1316 true false false false false false false false false false false false false X 9 8 true true true false true true true true true false false true true true true true true false false false IL X Patricia S O'Neil 3129425647 1700 West Van Buren Street Ste 265 Chicago IL 60304 Anan Abu-Taleb Trustee (start 7/23) 1.0 0 X 0 0 0 Cheryl Ingram Trustee 1.0 0 X 0 0 0 Donna T Myers Trustee (start 5/24) 1.0 0 X 0 0 0 Everett Ward Trustee/Vice Chair 1.0 1.0 X 0 0 0 Gary E McCullough Trustee 1.0 1.0 X 0 0 0 Jane Llewellyn Trustee 1.0 0 X 0 0 0 Justin T Johnson Trustee (start 7/23) 1.0 0 X 0 0 0 Sandra Sokol Trustee 1.0 0 X 0 0 0 Thomas F Gull Trustee (start 8/23) 1.0 0 X 0 0 0 Angela Cooper AVP Patient Care & CNO (end 12/23) 40.0 0 X 223645 0 54098 Brian D Stein MD MS Acting Chief Medical Officer (end 12/23) 12.0 28.0 X 0 608560 111556 Dino P Rumoro DO MPH FACEP President & CEO ROPH 28.0 13.0 X 555763 203552 175701 Keri Fair Medical Staff President (end 12/23) 40.0 0 X 253682 0 19631 Patricia S O'Neil MAE SVP & CFO (End 12/23) 1.0 41.0 X 0 1163275 208664 David Manno Physician 40.0 0 X 366076 0 42899 Juan Cobo Physician 40.0 0 X 393342 0 63780 Nicholas J Peacock Physician 40.0 0 X 406065 0 50703 Paula B Green Physician 40.0 0 X 346146 0 41315 Raymond Hunsucker Physician 40.0 0 X 380520 0 18139 Donald Childs Former Officer 40.0 0 X 316658 0 59495 3241897 1975387 845981 236 true true false Maxim Staffing Solutions 230 W Monroe St Suite 550 Chicago IL 60606 Healthcare Staffing 8453583 Allegiance Benefit Plan 2806 Garfield St Missoula MT 59801 Claims Management 7141499 PRN Healthcare 1101 E South River St Appleton WI 54915 Healthcare Staffing 3719831 Locumtenenscom LLC 2575 Northwinds Pkwy Alpharetta GA 30009 Healthcare Staffing/Recruiting 1950210 Bear Construction 1 N LaSalle St Chicago IL 606023901 Construction 1645844 39 1057276 204258 1261534 NET PATIENT REVENUE 622110 169586859 169586859 NET PHYSICIAN GROUP REVENUE 621111 15761968 15761968 MEDICAID TAX REVENUE 622110 12336207 12336207 NET ER PHYSICIAN GROUP REVENUE 621111 4618649 4618649 Other Program Service 900099 1214661 1214661 0 0 0 0 203518344 2061740 2061740 8470 6585 1885 0 1885 1885 33805859 8167 31246157 10417 2559702 -2250 2557452 2557452 0 0 0 0 0 209400955 203518344 0 4621077 10854 10854 1667161 1667161 417963 417963 93856099 91498737 2357362 4341351 4232310 109041 7765649 7197586 568063 5833777 5833777 357657 258681 98976 11341 7366 3975 34521 34521 7176860 6965329 211531 0 198367 184060 14307 262977 261579 1398 17463567 17448066 15501 55263 50697 4566 136756 112729 24027 7213591 7213591 3658822 3658822 SUPPLIES 33682415 33546579 135836 EQUIPMENT RENTAL & EXPENSE 6609810 6418225 191585 MEDICAID TAX ASSESSMENT 6150811 6150811 OTHER 457241 451407 5834 269859 262900 6959 0 197632712 191798627 5834085 0 1925 0 38145777 31830686 23363197 25858607 0 0 0 0 4098597 5071783 218065 341383 152415694 69839523 70816293 82576171 41843782 49208298 0 0 25707493 678000 204195129 195564928 20310338 21897208 253944 318194 0 0 15287733 17570325 47574050 20266656 83426065 60052383 120675626 135327812 93438 184733 120769064 135512545 204195129 195564928 11768243 2975238 0 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true false false true false false true true true 34521 34521 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING ACTIVITIES CONSIST OF PROMOTING LEGISLATION THAT WOULD PROTECT AND PROMOTE THE CONTINUED ABILITY OF THE ORGANIZATION TO FURTHER ITS EXEMPT PURPOSE OF PROVIDING EXCELLENCE IN HEALTHCARE. The indirect expense amount was a percentage of total expense paid for Illinois Health & Hospital Association dues and American Hospital Association dues. These organizations, as a part of their missions, advocate in the General Assembly and Congress on legal and policy issues that affect healthcare including quality, affordability, patient access and accreditation. A portion of the annual membership dues paid to these organizations is attributable to these lobbying activities. 11335216 11335216 89460531 40882114 48578417 956720 750049 206671 44287845 26549067 17738778 6375382 1658293 4717089 82576171 REINSURANCE LIABILITY 316334 SELF INSURANCE LIABILITY 3131173 457B PLAN LIABILITY 927910 ARO LIABILITY 1044025 WORKERS COMP INSURANCE LIABILITY 84446 Payable to Rush University Medical Center 14729176 Payable to Rush System for Health 33367 Cash 225 20266656 true true X true X 400 true X 600 true true true false true true 4324330 0 4324330 0.0219 48318420 33764413 14554007 0.0736 0 0.0 0 0 52642750 33764413 18878337 0.0955 7694 268866 0 268866 0.0014 284843 375097 0 0.0 25014472 19987857 5026615 0.0254 0 0.0 100 10854 0 10854 0.0001 0 7794 25579035 20362954 5306335 0.0268 0 7794 78221785 54127367 24184672 0.1224 0 0.0 0 0.0 8 6548 0 6548 0.0000 0 0.0 0 0.0 0 0.0 0 0.0 10 15695 0 15695 0.0001 0 0.0 0 18 22243 0 22243 0.0001 true 5215857 3118995 29513241 37045755 -7532514 X true true 1 1 RUSH OAK PARK HOSPITAL INC 520 S MAPLE AVENUE OAK PARK IL 60304 WWW.ROPH.ORG 0001750 X X X RUSH OAK PARK HOSPITAL INC 1 false false true X X X X X X X X X 21 true true true true X https://www.rush.edu/about-us/rush-community/chnachip-reports-and-cbr X X true 21 true https://www.rush.edu/sites/default/files/chna-chip-2022.pdf false true X 400.0 600.0 X X X X X true true X X X true X https://www.rush.edu/patients-visitors/financial-assistance X HTTPS://WWW.RUSH.EDU/SITES/DEFAULT/FILES/2020-09/FINANCIAL-ASSISTANCE-APPLICATION.PDF X HTTPS://WWW.RUSH.EDU/SITES/DEFAULT/FILES/FINANCIAL-ASSISTANCE-BROCHURE-ENGLISH.PDF X X X X X X true X false X X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - RUSH OAK PARK HOSPITAL INC.. To make real progress RUSH'S OFFICE OF COMMUNITY ENGAGEMENT, UNDER ITS SENIOR VICE PRESIDENT FOR COMMUNITY HEALTH EQUITY, LED THE EFFORT FOR THE 2022 RUSH COLLABORATIVE CHNA. We coordinated our work with that of other health systems, community residents, nonprofit organizations, government agencies and faith communities. We've 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. We're an active member of the Alliance for Health Equity, one of the largest collaborative hospital-community partnerships in the country. And our work is aligned with Healthy People 2030, the US Department of Health and Human Services' data-driven objectives to improve health and well-being nationwide over the next decade. Together, we focus on measurable ways to increase health equity, dismantle systemic racism and close the death gap. AS WE DEVELOPED OUR RECOMMENDED ACTIONS FOR THE CHNA, WE AGAIN SOUGHT INPUT FROM OUR KEY STAKEHOLDERS. TO SEE A LIST OF THOSE WHO ENGAGED IN THIS PROCESS AND RUSH WORKED WITH AT THE TIME, PLEASE VIEW OUR CHNA ONLINE AND PROCEED TO APPENDIX. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - RUSH OAK PARK HOSPITAL INC.. RUSH CONDUCTED ITS CHNA IN 2022 WITH THE LEADERSHIP OF THE ALLIANCE FOR HEALTH EQUITY, SIMILAR TO ITS CHNA IN 2019. 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 2022 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, Holly Cross, Schwab) SOUTH SHORE HOSPITAL SWEDISH HOSPITAL (part of Endeavor Health) UNIVERSITY OF ILLINOIS HOSPITAL AND HEALTH SCIENCES SYSTEM Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - RUSH OAK PARK HOSPITAL INC.. Participating health departments in the Health Impact Collaborative of Cook County: Chicago Department of Public Health Cook County Department of Public Health Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - RUSH OAK PARK HOSPITAL INC.. Rush has been actively promoting its Community Health Needs Assessment (CHNA) since its introduction, including the versions from 2019 and now 2022. These CHNA and Community Health Implementation Plan (CHIP) documents are accessible on our website. In line with our increasing dedication to community involvement, we've also developed an enhanced website focused on community health equity and engagement. We've 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 our communities. Additionally, we've shared the CHNA, CHIP, and Community Benefits Report with our 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 our commitment to bridging academic research with community impact. A notable event is our 'On the Table' gathering, where we invite community leaders and Rush advocates to review health equity data. Here, we discuss our nineteen strategies and fifty-two initiatives, along with target goals and metrics, for the upcoming three years. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - RUSH Oak Park Hospital. The Community Health Implementation Plan (CHIP) by Rush was adopted in June 2022, 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 2019. We identified specific needs and simultaneously devised approaches to address them, coordinating closely with our 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 our CHNA/CHIP were formally adopted in June 2022, they align with the final year of our 2020-2022 CHNA/CHIP, with significant overlap as we intensify our efforts towards our new objectives, which include fifty-two initiatives. The identified needs for 2022 remained consistent. This section highlights only a selection of information. For comprehensive details, please refer to the published documents and supportive programs available on our 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 University Medical Center and RUSH Oak Park Hospital. Through a partnership with Franciscan Outreach, Beyond Hunger, and the West Cook YMCA, RUSH has 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 and 40 Acres to provide local produce to employees monthly at a discounted rate. RUSH connected approximately 5,327 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, twice weekly, ROPH staff volunteers 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. RUSH Oak Park has continued to expand its involvement in the community through the development of the Cardiometabolic Health Initiative (CHI). This initiative is led by A RUSH Oak Park cardiologist and is run by an interdisciplinary team of nurses, nurse practitioners, mental health providers, social workers, physicians, and over 20 medical students. CHI provides comprehensive cardiovascular screening to the underserved, food insecure population at food pantries on the West Side of Chicago. During this fiscal year the program has expanded its reach and received the Physician's Foundation grant of $130,000 to continue its growth. CHI now has two locations: Beyond Hunger and Harmony Church and is in contract with Marillac St. Vincents and Nourishing Hope (Mercadito). In the past year and a half over 350 West Side residents have been screenings. In the coming fiscal year, CHI will be conducting a clinical trial, investing in the effectiveness of medical student-led health coaching in this underserved population. The screening protocol and epidemiologic findings has been accepted for presentation at various academic conferences. 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 their 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 FY24, 1,526 risk screenings were completed and 454 patients received in-SBHC mental health services. 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 FY24, 11,901 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. Throughout FY24, SBHC staff remained connected to school administrations, students, and families by engaging in 64 meetings with school staff and 36 with school partners. Seventy-six outreach events were conducted either virtually or in person for students or the larger school community. In FY24, 9,599 students received group education that focused on healthy relationships, nutrition, mental health, transition of care, sexual health and wellness through school outreach activities. Finally, 522 parents, teachers and staff members participated in educational sessions on the same topics and/or received information on SBHC services and supports. b. Expand access to other screenings and services. Through a partnership with the RUSH Department of Psychiatry, psychiatric services are provided both in the SBHCs and by telehealth. During FY24, there were 1,656 students who received SBHC-provided psychiatric care. Schedule H, Part V, Section B, Line 11 Facility , 2 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, and 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 our neighborhoods, including school communities. FY2024, REACH served approximately 12,400 students, educators, and community members across its pipeline programs for learners from preschool to post-college. REACH also provided more than 409 high school and college students with more than 20,000 paid, work-based learning hours. 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 the RUSH System for Health: 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 FY2024, 104,384 SDOH screenings were completed in Rush University Medical Center. Oak Park River Forest High School Rush Oak Park Hospital (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 FY24, 53 students fulfilled educational requirements for licensing and increased the larger communities' healthcare educational attainment. Rush Oak Park Hospital (ROPH) also collaborates with Oak Park River Forest High School (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 FY24, ten students found jobs in the community, including one at RUSH. Additionally, in FY24, these students provided a total of 1,278 volunteer hours in the hospital. GOAL 4: INCREASE ACCESS TO CARE AND COMMUNITY SERVICES. IN 2016, RUSH ESTABLISHED A FORMAL PARTNERSHIP WITH COMMUNITYHEALTH, THE LARGEST FREE CLINIC IN THE CITY OF CHICAGO. RUSH ATTENDING PHYSICIANS, MEDICAL RESIDENTS AND STUDENTS VOLUNTEER THEIR TIME AND SKILLS THROUGH ROTATIONS TO PROVIDE MEDICAL, DENTAL, MENTAL HEALTH, AND FREE PRESCRIPTION SERVICES AT COMMUNITYHEALTH. The Transitional Care Program (TCP) at Rush University Medical Center plays a vital role for patients in the emergency department or inpatient units who require assistance in arranging follow-up appointments after discharge. In this program, patient care navigators facilitate connections to suitable post-discharge care. TCP has greatly benefited from 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 FY2024, 681 patients were referred to CommunityHealth through this partnership. Additionally, this collaboration extends to RUSH's involvement with Franciscan Outreach, where RUSH students conduct screenings for primary care and insurance needs among shelter residents and refer them to TCP as necessary. Goal 5: Improve maternal and child health outcomes Family Connects Chicago is a vital program that continues to provide essential support to families with newborns through nurse home visits. These visits offer a comprehensive health check for both parents and infants, ensuring that any medical concerns are identified and addressed early. Additionally, the program screens families for social determinants of health (SDOH), such as access to food, housing, and healthcare, and provides referrals to relevant community resources that can help meet these needs. Since its inception, Family Connects Chicago has served over 960 families, and an impressive 85% of these families have been successfully connected to additional resources, significantly enhancing their well-being and fostering a stronger, healthier community. Through these ongoing efforts, the program continues to support families in a holistic manner, addressing not just physical health, but also social and environmental factors that contribute to long-term health outcomes. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - RUSH OAK PARK HOSPITAL INC.. THE STATE OF ILLINOIS REQUIRES THAT HOSPITALS MAKE A GOOD FAITH EFFORT TO IDENTIFY PRESUMPTIVE CHARITY CARE FOR UNINSURED PATIENTS UNDER 200% OF FPL. WE FULFILL THIS REQUIREMENT BY RECEIVING INCOME INFORMATION FROM A 3RD 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. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - RUSH OAK PARK HOSPITAL INC.. Rush conducts all of the efforts described in lines 20 a-d prior to initiating any extraordinary collection activities described in line 19. 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 will potentially 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, they will not have care deferred. 4 Rush Oak Park Medical Office Building 610 S Maple Ave Oak Park IL 60304 Medical Office Building Rush Oak Park Physicians Group North Riverside 7222 W Cermak Road North Riverside IL 60546 Medical Office Building Rush Oak Park Physicians Group Elmwood Park 7734 W North Ave Elmwood Park IL 60707 Medical Office Building Rush Oak Park Physicians Group Lake Street 1011 Lake St Oak Park IL 60301 Medical Office Building Schedule H, Part I, Line 3c Other factors include Rush's Presumptive Charity Care Program RUSH UTILIZES INCOME DATA OBTAINED FROM A THIRD-PARTY SERVICE TO VERIFY INCOME BASED ELIGIBILITY CRITERIA TO QUALIFY 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, 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; 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 ON INCOME AND CATCHMENT AREA RESIDENCY. FURTHERMORE, PATIENTS NOT QUALIFYING FOR PRESUMPTIVE CHARITY CARE MAY ALSO COMPLETE AN APPLICATION TO DETERMINE ELIGIBILITY FOR RUSH'S CHARITY CARE 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 400% 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 UNIVERSITY MEDICAL CENTER USES INSURANCE STATUS, UNDERINSURANCE STATUS, TYPE OF SERVICE, AND/OR RESIDENCY AS FACTORS IN DETERMINING ELIGIBILITY FOR FREE AND DISCOUNTED CARE. Schedule H, Part VI, Line 5 Promotion of community health (continuation 1) Goal 2: Increase access to mental and behavioral health services: RUSH School-Based Health Centers (SBHCs) 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 FY24, AFC provided clinic services to 443 youth in 1,642 healthcare encounters. During the fiscal year, 151 unintended adolescent pregnancies were prevented through patient-centered, adolescent-focused family planning services. Additionally, AFC completed 577 Sexually Transmitted Infection tests and had a 100% treatment rate, which promotes the preconception health of the young people AFC serves. AFC also saw a 33% increase in birth control utilization in the past fiscal year. The AFC had 63 pre and postnatal care patients in FY24. All pregnant and post-partum patients received mental health screening for depression and connection to resources like Women, Infants, and Children (WIC). AFC obstetric patients also experienced improved birth outcomes in FY24 such as preterm births. The AFC's preterm birth rate is 5% compared to RUSH's West Side communities which have preterm birth rates anywhere from 12-16%. As part of the AFC's community education program, staff members regularly travel to Chicago-area high schools and middle schools to provide community education on pregnancy prevention, reproductive anatomy, contraception, sexually transmitted infection prevention, and reproductive health. In FY24 3,918 youth received group sexual health education. The AFC also offers free prenatal education to pregnant teens and their partners. AFFIRM: The RUSH Center for Gender, Sexuality, and Reproductive Health Established in January 2020, AFFIRM: The Rush Center for Gender, Sexuality & 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 LGBTQ+ communities. The Affirm team supports the community through its Patient Navigation hub and is committed to guiding providers across the RUSH system in delivering inclusive and affirming care and services to all individuals. In FY2024, 1,380 LGBTQ+ 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 1,490 RUSH employees. 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 FY2024, the Road Home Program provided clinical services to 1,151 unique veterans with 85% of veterans completing a 2-week intensive outpatient program. 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. Schedule H, Part VI, Line 5 Promotion of community health (continuation 2) Goal 3: Reduce inequities caused by the social, economic, and structural determinants of health. 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 FY24, AFC provided clinic services to 443 youth in 1,642 healthcare encounters. During the fiscal year, 151 unintended adolescent pregnancies were prevented through patient-centered, adolescent-focused family planning services. Additionally, AFC completed 577 Sexually Transmitted Infection tests and had a 100% treatment rate, which promotes the preconception health of the young people AFC serves. AFC also saw a 33% increase in birth control utilization in the past fiscal year. The AFC had 63 pre and postnatal care patients in FY24. All pregnant and post-partum patients received mental health screening for depression and connection to resources like Women, Infants, and Children (WIC). AFC obstetric patients also experienced improved birth outcomes in FY24 such as preterm births. The AFC's preterm birth rate is 5% compared to RUSH's West Side communities which have preterm birth rates anywhere from 12-16%. As part of the AFC's community education program, staff members regularly travel to Chicago-area high schools and middle schools to provide community education on pregnancy prevention, reproductive anatomy, contraception, sexually transmitted infection prevention, and reproductive health. In FY24 3,918 youth received group sexual health education. The AFC also offers free prenatal education to pregnant teens and their partners. AFFIRM: The RUSH Center for Gender, Sexuality, and Reproductive Health Established in January 2020, AFFIRM: The Rush Center for Gender, Sexuality & 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 LGBTQ+ communities. The Affirm team supports the community through its Patient Navigation hub and is committed to guiding providers across the RUSH system in delivering inclusive and affirming care and services to all individuals. In FY2024, 1,380 LGBTQ+ 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 1,490 RUSH employees. 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 FY2024, the Road Home Program provided clinical services to 1,151 unique veterans with 85% of veterans completing a 2-week intensive outpatient program. 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. GOAL 4: INCREASE ACCESS TO CARE AND COMMUNITY SERVICES. Rush's Community Health Worker Hub Community Health Workers (CHWs) at Rush University Medical Center 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 2024 CHWs conducted nearly 7,703 outreach activities, including over 5,825 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; it also provided COVID-19 vaccinations during 13 vaccination days and seven clinic days. More than 589 healthcare encounters were provided during FY2024. 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. Schedule H, Part I, Line 7f 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 $5,215,857. Schedule H, Part V, Section B, Line 22 Charges to Individuals Eligible for Assistance Under the FAP The following disclosure is in accordance with Rev Proc 2015-21 Section 7 in regard to Schedule H, Part V, Section B, Line 22b. RUSH Oak Park Hospital's (ROPH) AGB% for calendar year 2022 was computed and effective on 3/1/2023 and ROPH began utilizing the percentage within 120 days of the end of the 12-month period. It was provided for posting on ROPH's website on 3/21/2023 but was inadvertently not posted due to a technical error. The error was corrected as soon as it was discovered September 19, 2023, and a procedure is now in place to check that the annual posting is indeed linked correctly so that it can be viewed. No individual was impacted by this error in posting as the correct AGB% was utilized as required. Schedule H, Part I, Line 6a Community benefit report prepared by related organization Rush University Medical Center Schedule H, Part I, Line 7g Subsidized Health Services Rush Oak Park Hospital (ROPH) HAS INCLUDED COSTS ASSOCIATED WITH ROPH OWNED PHYSICIAN CLINICS IN SUBSIDIZED HEALTH SERVICES. THERE IS $3,585,581 IN NET COMMUNITY BENEFIT EXPENSE IN LINE 7G WHICH REPRESENTS THESE CLINICS. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THIS COST TO CHARGE RATIO APPLIED TO Charity Care, LINE 7A, AND Unreimbursed Medicaid, Line 7B, was calculated BASED ON the IRS 2023 INSTRUCTIONS FOR SCHEDULE H, WORKSHEET 2. RATIO OF PATIENT CARE COST TO CHARGES. Community Health Improvement Services & Community Benefit Operations, Line 7e, and Cash and In-Kind Contributions, Line 7i, were reported at actual cost. Health Professions Education, Line 7f, was taken directly from the FY24 as-filed Medicare Cost Report. 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 A SEPARATE COST TO CHARGE RATIO FOR PHYSICIAN CLINICS AND HOSPITAL SERVICE LINES. THOSE SERVICES ARE THEN COMBINED TO DERIVE A UNIQUE COST TO CHARGE RATIO FOR SUBSIDIZED HEALTH SERVICES. Schedule H, Part II Community Building Activities COMMUNITY SUPPORT - PURCHASE LOCALLY To advance Rush University Medical Center 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 University Medical Center spent over $13 million in purchased services in FY24 using Anchor Mission (AM) vendors and continued to mentor small local vendors to help them scale and grow. Rush University Medical Center 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 OUR EMPLOYEES WHOM WE CONSIDER AS OUR "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 fiscal year 2024, the Environmental Sustainability (ES) team at RUSH University Medical Center earned an Emerald Greenhealth Award from Practice Greenhealth for their work in calendar year 2023. This award recognizes the top 20% of hospitals who submit data to their annual benchmarking initiative and recognizes advanced sustainability programs. The Medical Center was also awarded a Making Medicine Mercury Free Award for virtually eliminating mercury from our facilities, as mercury has known negative health impacts and the use of it in our operations is contrary to healthcare's mission of healing. The ES team began developing a Climate Resilience Plan, one of the requirements of the U.S. Department of Health and Human Services' Health Sector Climate Pledge. The team collaborated with various departments in the Medical Center to identify areas of opportunity to strengthen existing plans to help the hospital adapt and recover from disruptions caused by our 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 such planning was highlighted by the flash flooding that hit the western and southwestern side of Chicago in July 2023, as well as the 13 confirmed tornadoes over Chicago in late July. Another significant milestone for the ES team was the completion of a "Unifying Efforts" pilot program through Practice Greenhealth. This program has enabled the ES team to connect their work to the more mature community health and equity teams at RUSH, highlighting the opportunity to amplify the message and impact of all of our teams into a stronger, unified directive. A monthly forum called the RUSH Commitment was born of that initiative, where a cross-departmental team meets to share updates on current initiatives and identify opportunities for collaboration. Other program highlights include: The development of a plan and timeline to achieve 100% renewable electricity for the campus by 2030. The expansion of our food waste avoidance programs through the implementation of a composting program in the patient kitchen, which has diverted over 120,000 pounds of food waste from the landfill since its inception, and the expansion of our food recovery program that supports Franciscan Outreach to include day-old goods from the Panera Bread on our campus. The Medical Center was awarded ComEd's MBCx 2022 project of the year for achieving the highest amount of energy savings of any account in ComEd's territory through a Monitoring Based Commissioning program. Medical device reprocessing grew on campus, with the Medical Center collecting over 200,000 pulse oximeters for reprocessing in calendar year 2024. The Procurement team approved a Sustainable Procurement charter through Vizient's Go Green: Healthcare Sustainability Optimization Collaborative to develop a sustainable procurement policy and strategy. The campus' Main Parking Garage and Armour Academic building were converted to LED lighting, significantly decreasing these buildings energy use and associated greenhouse gas emissions. o EV chargers, with a total of 25 ports, were installed in the Rubschlager Ambulatory Building parking garage, to increase the number of electric miles driven to campus and decrease greenhouse gas emissions from gas and diesel vehicles coming to campus. Supported the City of Chicago's Department of Public Health heat mapping campaign through NOAA, by volunteering as a navigator and participating in the data collection process to highlight the disparities in heat felt across the city of Chicago caused by the lack of green infrastructure across the west side caused by the racist practice of red-lining communities in the early-1900's. The ES team formed a partnership with the Center for Hard to Recycle Materials (CHaRM Center) at South Suburban College that has expanded our reuse and recycling programs to include pathways for Styrofoam and textiles. 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 efforts to highlight local businesses in the ROPH gift shop. As a result of a collaboration with the Oak Park River Forest and Austin - Chicago Chambers of Commerce, a process was created for the ROPH gift shop to host local small businesses' pop-up shops, from anchor mission communities. This process serves to promote and showcase these small business goods/products and 100% of sales go back to the businesses. 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 - there were a total of 80 vendor tables at the FY24 event. RUSH provided health education and free screenings, including blood pressure, glucose, A1C, DEXA Scan and information on prediabetes. A total of 55+ RUSH volunteers provided these free health screenings, education & resources to 1,000+ community members representing 60 zip codes. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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 DETERMINES ITS ESTIMATE OF BAD DEBT FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM 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. Schedule H, Part III, Line 3 Bad Debt Expense Methodology Due to the process that Rush Oak Park 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, Rush Oak Park Hospital 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 can be classified as bad debt write-offs due to a lack of supporting information. This can create situations in which patients can be mistakenly classified as bad debt, which could actually be classified as charity care, but cannot be confirmed. The methodology used to determine the estimate of bad debt entered on line 2 that reasonably is attributable 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 200% 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 201-400% poverty level the associated bad debt write-off was estimated to be 75% potentially eligible for charity, consistent with the financial assistance policy. The dollar amount obtained 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. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote RUSH OAK PARK HOSPITAL PROVIDES ADDITIONAL INFORMATION ON THE BAD DEBT EXPENSE/IMPLICIT PRICE CONCESSIONS IN FOOTNOTE #2 SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - PATIENT SERVICE REVENUE AND PATIENT ACCOUNTS RECEIVABLE WHICH STARTS ON PAGE 8 OF THE AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE CALCULATION OF THE RATIO OF PATIENT COST TO CHARGES WAS CALCULATED USING IRS 2023 INSTRUCTIONS FOR SCHEDULE H, WORKSHEET 2. RATIO OF PATIENT CARE COST TO CHARGES FOR RUSH OAK PARK HOSPITAL. MEDICARE REVENUES AND COSTS WERE EXTRACTED FROM THE FY2024 AS-FILED MEDICARE COST REPORT. THERE IS A MEDICARE SHORTFALL OF $7,532,514. SINCE IRS 2023 INSTRUCTIONS STATE UNDER PART III BAD DEBT, MEDICARE, & COLLECTIONS PRACTICES, LINE 5, THE MEDICARE SHORTFALL IS FOR MEDICARE FEE FOR SERVICES ASSOCIATED WITH THE ALLOWABLE COSTS THE ORGANIZATION ENTERED IN ITS MEDICARE COST REPORT, MANAGED MEDICARE AND RUSH MEDICAL GROUP SURPLUS/SHORTFALL WAS NOT INCLUDED. IF MANAGED MEDICARE AND THE RUSH OAK PARK PHYSICIAN GROUP WERE INCLUDED, THE TOTAL MEDICARE SHORTFALL WOULD HAVE BEEN $13,020,594. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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 before placing accounts with the credit bureau. Schedule H, Part V, Section B, Line 16a FAP website - RUSH OAK PARK HOSPITAL INC: Line 16a URL: https://www.rush.edu/patients-visitors/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - RUSH OAK PARK HOSPITAL INC: Line 16b URL: HTTPS://WWW.RUSH.EDU/SITES/DEFAULT/FILES/2020-09/FINANCIAL-ASSISTANCE-APPLICATION.PDF; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - RUSH OAK PARK HOSPITAL INC: Line 16c URL: HTTPS://WWW.RUSH.EDU/SITES/DEFAULT/FILES/FINANCIAL-ASSISTANCE-BROCHURE-ENGLISH.PDF; Schedule H, Part VI, Line 2 Needs assessment AS AN ACADEMIC HEALTH SYSTEM, RUSH ASSESSED THE HEALTH NEEDS OF THE COMMUNITIES WHICH IT SERVES WITH A VERY COLLABORATIVE APPROACH AND CONTINUES TO DO SO BEYOND THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS. GIVEN THAT RUSH CONDUCTED ITS CHNA FOR FY22, EVERYTHING WAS RELATED TO THAT EFFORT. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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. THROUGH UTILIZATION OF A PATIENT ELIGIBILITY SERVICE THE HOSPITAL IS EXTREMELY PROACTIVE IN ENROLLING PATIENTS, WHO PRESENT FOR SERVICE WITHOUT INSURANCE COVERAGE, FOR COVERAGE UNDER VARIOUS STATE AND FEDERAL PROGRAMS. THE MAINTENANCE OF THIS SERVICE FOR OUR PATIENTS HAS A SIGNIFICANT IMPACT ON DECREASING THE AMOUNT OF CHARITY CARE PROVIDED. IN ADDITION TO ACHIEVING APPROPRIATE, AVAILABLE COVERAGE FOR OUR PATIENTS' MEDICAL SERVICES, THIS ELIGIBILITY SERVICE ALSO OBTAINS ELIGIBILITY FOR SSI OR SSA BENEFITS FOR APPLICABLE PATIENTS. GUIDING THE PATIENT THROUGH THIS OFTEN TIME-CONSUMING AND ARDUOUS PROCESS IS EXTREMELY BENEFICIAL TO THE PATIENT, AS ONCE SSI/SSA ELIGIBILITY IS APPROVED, THE PATIENT WILL BEGIN RECEIVING A MONTHLY ASSISTANCE CHECK WHICH PROVIDED A BENEFIT WELL BEYOND THEIR HEALTH CARE AT RUSH. TO ASSIST THE PATIENT IN DECIDING WHICH IS THE RIGHT PROGRAM FOR THEM, ROPH OFFERS THE SERVICES OF FINANCIAL COUNSELORS AND BILLING CUSTOMER SERVICE REPRESENTATIVES. THESE INDIVIDUALS WILL ASSIST PATIENTS IN COMPLETION OF FINANCIAL APPLICATION FORMS, OBTAINING AN ESTIMATED COST OF ANTICIPATED HOSPITAL SERVICES, PROVIDING AN EXPLANATION AND COPY OF THEIR HOSPITAL BILL, AND NOTARY SERVICES. ROPH MAKES ALL FINANCIAL ASSISTANCE INFORMATION AND POLICIES AVAILABLE ON THE HOSPITAL'S WEBSITE. Schedule H, Part VI, Line 4 Community information 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. Schedule H, Part VI, Line 5 Promotion of community health 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, THE HOSPITAL 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. OUR 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 WE SERVE. 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 OUR 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. RUSH OAK PARK HOSPITAL 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 A NUMBER OF 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) dismantles 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 group, 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 5 + 1 = 20 is a RUSH Community Services Initiatives Program (RCSIP) program that aims to educate high school students at Chicago Public Schools on five diseases prevalent in the surrounding underserved community (asthma, hypertension, HIV, diabetes, and cancer). Twice a month, RUSH University student volunteers teach a health topic related to the five diseases, with content ranging from disease prevention to practical skills such as checking blood pressure. The students have opportunities to share their knowledge through 5 + 1 = 20 health fairs at their schools, where activities include body mass index calculations, blood pressure screenings, vision screenings, glucose level checks, referrals, and health education. Health fair participants include families and friends of the students and other members of their communities. The program's unusual name comes from the idea that knowledge of these five conditions, plus one informed student sharing what they know, can extend by 20 years the life of someone who might not otherwise be screened. In FY2024, 5 + 1 = 20 continued its reduced programming to Benito Juarez, IHSCA RTC Med Prep, Whittier, and Ruiz Elementary. There were 1,531 unique encounters by 65 RCSIP student volunteers. West Side Walk for Wellness The West Side Walk for Wellness, created and co-led by RUSH medical students, was developed to enhance exercise, and walking in West Side communities, create a sense of engagement and help people feel safe being outside in the community. The program, which lasted eight weeks, engaged 407 community members from RUSH and the communities we serve. Schedule H, Part VI, Line 6 Affiliated health care system RUSH SYSTEM FOR HEALTH ("RUSH"), 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 CONSISTS OF AN ACADEMIC MEDICAL CENTER, RUSH UNIVERSITY MEDICAL CENTER ("RUMC"), TWO COMMUNITY HOSPITALS, RUSH COPLEY MEDICAL CENTER ("RCMC") AND RUSH OAK PARK HOSPITAL ("ROPH"), THAT EACH SERVE DISTINCT MARKETS IN CHICAGO, ILLINOIS, METROPOLITAN AREA AND RUSH HEALTH, A PHYSICIAN HOSPITAL ORGANIZATION AND CLINICALLY INTEGRATED NETWORK. Schedule H, Part VI, Line 7 State filing of community benefit report IL true American Red Cross 431 18th Street NW Washington DC 20006 530196605 501(c)(3) 7854 Support Mission 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Rush Oak Park Hospital provides grants and assistance to organizations that are recognized public charities. false true false false false false false true false Donald Childs Former Officer 209667 0 106991 0 0 0 29517 0 29978 0 376153 0 0 0 Dino P Rumoro DO MPH FACEP President & CEO ROPH 400604 203552 151533 0 3626 0 144404 0 31297 0 731464 203552 0 0 Patricia S O'Neil MAE SVP & CFO (End 12/23) 0 878034 0 204752 0 80489 0 192975 0 15689 0 1371939 0 31351 Angela Cooper AVP Patient Care & CNO (end 12/23) 194290 0 29096 0 259 0 19146 0 34952 0 277743 0 0 0 Brian D Stein MD MS Acting Chief Medical Officer (end 12/23) 0 502763 0 104129 0 1668 0 84509 0 27047 0 720116 0 0 Keri Fair Medical Staff President (end 12/23) 183119 0 69788 0 775 0 19631 0 0 0 273313 0 0 0 Juan Cobo Physician 275674 0 117668 0 0 0 26808 0 36972 0 457122 0 0 0 Nicholas J Peacock Physician 374221 0 30294 0 1550 0 21078 0 29625 0 456768 0 0 0 David Manno Physician 332416 0 33660 0 0 0 26872 0 16027 0 408975 0 0 0 Paula B Green Physician 329316 0 16830 0 0 0 22288 0 19027 0 387461 0 0 0 Raymond Hunsucker Physician 344060 0 33660 0 2800 0 18139 0 0 0 398659 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation 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 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan 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: Patricia S. O'Neil - $38,252 The amounts are included in Schedule J Part II Column (B)(iii). Schedule J, Part I, Line 7 Non-fixed payments 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. Allison A Krunnfusz Family Member of Dino P. Rumoro, Current Officer 79783 Wages false Form 990, Part VI, Line 15 PART VI, LINE 15 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. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Brian D. Stein MD, MS; Dino P. Rumoro DO, MPH, FACEP; Patricia S. O'Neil MAE - Business relationship, Gary E McCullough; Everett Ward; Dino P Rumoro, DO, MPH, FACEP; Patricia S O'Neil, MAE - Business relationship Form 990, Part VI, Line 3 Delegation of management duties 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. Form 990, Part VI, Line 4 Significant changes to organizational documents The Rush Oak Park Hospital Board of Directors (the "ROPH Board") approved changes to the Bylaws that will work 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. Executive Summary of Proposed ROPH Board Governance Changes 1. ROPH Reorganization: Rush System for Health to become the sole corporate member of ROPH. 2. Board Size: Change size of ROPH Board from six to eleven ROPH Directors. Implement Initial ROPH Director classes to ensure staggered turnover. 3. General Powers of the Subsidiary Boards: Clarify the ROPH Board's general powers (Section 3.1 of the ROPH Bylaws). 4. Reserved Powers of the System: Clarify the System Board's reserved powers over ROPH (Section 2.2 of the ROPH Bylaws). 5. Terms: Implement terms and term limits for the ROPH Board and its Committees. 6. Succession Planning: Implement Chair-Elect position prior to the end of the Chairperson's term or planned departure. The Articles of Incorporation for Rush Oak Park Hospital were amended to change the Member from Rush University Medical Center to Rush System for Health and to change the Registered Agent from Anne M. Murphy to Carl Bergetz. Form 990, Part VI, Line 6 Classes of members or stockholders Rush System for Health (RSH) is the sole corporate member of Rush Oak Park Hospital, Inc. (ROPH) and parent entity of the RUSH system. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body 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. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders 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. Form 990, Part VI, Line 11b Review of form 990 by governing body 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. Form 990, Part VI, Line 12c Conflict of interest policy 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. Form 990, Part VI, Line 19 Required documents available to the public 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. Schedule L, Part I Conclusion of Previously Reported Excess Benefit Transaction In 2021, a potential diversion of funds by a former executive at Rush Oak Park Hospital (ROPH) was identified and investigated with the assistance of external forensic auditors and counsel. The amount at issue was approximately $622,500. The matter was disclosed to the Illinois Attorney General at that time, and ROPH worked cooperatively with both the Illinois Attorney General and the Federal Bureau of Investigation on their inquiry into this potential misappropriation, which was the subject of a federal action against the former employee. ROPH followed the recommendations from forensic auditors to strengthen pertinent vendor and conflict of interest management policies and procedures. The matter is not material to the financial condition of either ROPH or the consolidated Rush System. ROPH reported this diversion of funds on the 2022 disclosure as an excess benefit transaction on Schedule L since the former executive is considered a disqualified person. Per the Regulations, a reportable excess benefit transaction includes a disqualified person who received an economic benefit that was obtained by theft or fraud. The transfer of the benefit was not authorized by the ROPH organization managers. Therefore, there was no tax incurred or reported by the organization managers. The transaction has been corrected, as the federal investigation concluded in January 2024 when the former executive pled guilty to mail fraud resulting in imprisonment and full restitution of all monies owed. 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