2019-05-13T15:38:03-05:00 2018-06-30 990 2017-07-01 364015560 LOYOLA UNIVERSITY MEDICAL CENTER LOYO 7082169000 2160 SOUTH FIRST AVENUE MAYWOOD IL 601533328 DANIEL ISACKSEN CFO 7082169000 2019-05-13 170.232.227.252 2019-05-13 15:37:53 ED P 943C2B779621AE68CF3E0BED5C235FDF89DF7949 931FD144836D950546B27D5795367136474FF98E 2017 2019-02-21 02:37:17Z SEE SCHEDULE O TAD GOMEZ 2160 SOUTH FIRST AVENUE MAYWOOD IL 601533328 1332740380 0 X WWW.LOYOLAMEDICINE.ORG X 1995 IL TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 13 6 9453 277 0 0 5909918 3779641 1183072314 1236789715 4345449 7127052 76398872 84911210 1269726553 1332607618 23881391 24711630 0 0 682366810 706257885 0 0 0 571280611 603966759 1277528812 1334936274 -7802259 -2328656 1085527722 1037927234 886703605 832179207 198824117 205748027 X WE, LOYOLA UNIVERSITY HEALTH SYSTEM AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.LUMC IS A MEMBER OF LOYOLA UNIVERSITY HEALTH SYSTEM AND TRINITY HEALTH. 0 0 1124749058 24711630 1315258866 BASED IN THE WESTERN SUBURBS OF CHICAGO, LOYOLA UNIVERSITY MEDICAL CENTER (LUMC) IS A QUATERNARY CARE SYSTEM WITH A 61-ACRE MAIN MEDICAL CENTER CAMPUS AS WELL AS HEALTH CENTERS IN MORE THAN 30 LOCATIONS. THE MEDICAL CENTER CAMPUS IS LOCATED IN MAYWOOD, 13 MILES WEST OF THE CHICAGO LOOP AND 8 MILES EAST OF OAKBROOK, ILLINOIS. THE HEART OF THE MEDICAL CENTER CAMPUS, LUMC'S HOSPITAL, IS A 547 LICENSED BED FACILITY. THE MAYWOOD CAMPUS INCLUDES THE FOLLOWING: A LEVEL I TRAUMA CENTER, THE CARDINAL BERNARDIN CANCER CENTER, THE RONALD MCDONALD CHILDREN'S HOSPITAL OF LUMC, A BURN CENTER, A STROKE CENTER, LOYOLA CENTER FOR HEART & VASCULAR MEDICINE, A RENOWNED TRANSPLANT CENTER AND A SPECIAL 20 BED UNIT FOR PATIENTS UNDERGOING STEM CELL TRANSPLANTS, A LEVEL III PERINATAL CENTER AND THE LOYOLA OUTPATIENT CENTER. LUMC PROVIDES TOP HOSPITAL CARE IN ALL MEDICAL SPECIALTIES, INCLUDING ORTHOPAEDICS, NEPHROLOGY, CARDIOLOGY, CANCER, OPHTHALMOLOGY AND SURGERY. IN FY18, THE HOSPITAL PROVIDED OVER 130,000 PATIENT DAYS OF HEALTH CARE SERVICES AND OVER 1,040,000 OUTPATIENT VISITS TO THE COMMUNITY.PLEASE VISIT SCHEDULE H AND OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITIONS AND AWARDS:WWW.LOYOLAMEDICINE.ORG 1124749058 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 1 0 0 1 1150 0 1 9453 1 1 1 0 0 0 0 1 1 0 0 0 0 X 13 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 IL AK AL CA CO CT DC FL GA HI KS KY MA MD ME MI MN MS NC ND NH NJ NM NY OH OK OR SC UT WA WI X DONNA WALLACE 7082160378 2160 SOUTH FIRST AVENUE MAYWOOD IL 601533328 ROGER SPOELMAN DIRECTOR; INT PRES & CEO AS OF 4/18 42.00 13.00 X X 0 993383 48564 LARRY GOLDBERG DIRECTOR, PRESIDENT & CEO THR 3/18 42.00 13.00 X X 0 1615151 28733 MARC SCHWARTZ DIRECTOR; CHAIR 2.00 4.00 X X 0 0 0 BENJAMIN CARTER DIRECTOR AS OF 1/18;TRINITY EVP, CFO 2.00 53.00 X 0 1622886 50779 JOY CUNNINGHAM DIRECTOR 2.00 4.00 X 0 0 0 OMAR DUQUE DIRECTOR 2.00 4.00 X 0 0 0 STEVE AN GOLDSTEIN MD DIRECTOR AS OF 7/17; PROFESSOR 2.00 4.00 X 618 0 602 LORI HEALEY DIRECTOR 2.00 4.00 X 0 0 0 SALLY JEFFCOAT DIR THR 12/17; EVP TRINITY HEALTH 2.00 53.00 X 0 1517657 43445 SCOTT MIROWITZ MD DIRECTOR AS OF 1/18; PROFESSOR 46.00 4.00 X 608656 0 21229 JUAN MORENO DIRECTOR 2.00 4.00 X 0 0 0 THE VERY REV JOHN O'CALLAGHAN DIRECTOR 2.00 4.00 X 0 0 0 RONALD POTKUL MD DIRECTOR; LUMC PHYSICIAN 46.00 4.00 X 762061 0 43711 BRIAN PROCTOR DO DIRECTOR; GMH COMMITTEE CHAIR 2.00 10.00 X 0 25000 0 WILLIAM SMALL MD DIRECTOR; PROFESSOR 46.00 4.00 X 609260 0 33324 JOAN MARIE STEADMAN CSC DIRECTOR THROUGH 10/17 2.00 4.00 X 0 0 0 KEITH VESELIK MD DIRECTOR THR 12/17; MEDICAL DIRECTOR 47.00 3.00 X 363553 0 41906 CHAD WHELAN MD PRESIDENT LUMC 54.00 1.00 X 392203 216331 47599 BLAINE PETERSEN TREASURER; EVP & REG CFO 13.00 42.00 X 0 798148 38275 DANIEL ISACKSEN ASSISTANT TREASURER; VP FINANCE 38.00 12.00 X 415350 0 32595 JILL RAPPIS SECRETARY; SVP LEGAL & GENL COUNSEL 45.00 5.00 X 0 438865 63302 MARIA PEKAR ASSISTANT SEC.; ASSOC GENL CNSL 45.00 5.00 X 0 276190 62235 DAVID HECHT MD MS MBA EVP, CLINICAL AFFAIRS; REGIONAL CMO 35.00 15.00 X 762010 0 29857 DANIEL POST EVP, NETWORK DEV. & SYSTEM INTEGR. 49.00 1.00 X 0 560021 75107 JOSHUA LEE MD CHIEF MEDICAL OFFICER LUMC 50.00 0.00 X 534687 0 27591 MAMDOUH BAKHOS PROFESSOR, THORATIC/CARDIO SURGERY 50.00 0.00 X 1949013 0 21976 BRYAN FOY PROFESSOR, THORATIC/CARDIO SURGERY 50.00 0.00 X 1149275 0 37343 RUSS NOCKELS PROFESSOR, NEUROLOGICAL SURGERY 50.00 0.00 X 937855 0 30885 EDWIN MCGEE PROFESSOR, THORATIC/CARDIO SURGERY 50.00 0.00 X 909195 0 33761 DOUGLAS ANDERSON PROFESSOR, NEUROLOGICAL SURGERY 50.00 0.00 X 880439 0 40513 RICHARD O'CONNELL FORMER KEY EMPLOYEE 0.00 0.00 X 0 880863 16625 DONNA HALINSKI FORMER OFFICER; VP CLINICAL AFFAIRS 50.00 0.00 X 318183 0 77872 SILIA MIGLIO FORMER OFFICER; CORP. CONTROLLER 40.00 15.00 X 231992 0 24745 AJAY SIAL FORMER OFFICER 0.00 0.00 X 0 278567 10666 WENDY LEUTGENS FORMER OFFICER 0.00 0.00 X 0 711207 175768 10824350 9934269 1159008 1081 1 1 0 MA MORTENSON COMPANY 700 MEADOW LN MINNEAPOLIS MN 55422 CONSTRUCTION SERVICES 5552823 GIFT OF HOPE ORGAN & TISSUE 426 SPRING LAKE DR ITASCA IL 60143 ORGAN & TISSUE DONATION SERVICES 5401270 ANGELICA CORPORATION PO BOX 96777 LOS ANGELES CA 90084 LAUNDRY/LINEN SERVICE 3460169 ALL CLEAN FACILITIES SERVICES PO BOX 800194 ROSWELL GA 30075 CLEANING & JANITORIAL SERVICES 3161414 HURON CONSULTING SERVICES LLC 550 W VAN BUREN ST CHICAGO IL 60607 CONSULTING SERVICES 2847185 173 216089 56743 1803367 1703442 520235 3779641 NET PATIENT SERVICE REVENUE 622110 1232948130 1232948130 HOSPITAL PHARMACY 446110 3841585 3841585 1236789715 3229679 3229679 37208 0 37208 37208 37208 3946476 0 49103 3946476 -49103 3897373 3897373 84301 216089 83659 642 642 PARKING REVENUE 812930 3712723 3712723 CAFETERIA REVENUE 722514 2691486 2691486 GOV'T SUBSIDY - EHR 622110 1236420 1236420 77232731 77232731 84873360 1332607618 1315258866 0 13569111 24711630 24711630 8899170 2484920 6414250 2190762 514576 1676186 601133256 475740714 125392542 24576293 19451268 5125025 29966859 23611511 6355348 39491545 30905589 8585956 11010 8616 2394 309422 309422 9557 9557 113392 113392 355897 355897 58637758 46987836 11649922 4856586 3800703 1055883 9731510 7615758 2115752 34808929 27241032 7567897 28095966 21987551 6108415 1881840 1472704 409136 3251742 2544773 706969 20172968 20172968 47659886 37298030 10361856 23031593 18024236 5007357 MEDICAL SUPPLIES 229872215 229872215 BAD DEBT 63811202 63811202 HOSPITAL PROVIDER TAX 27385492 27385492 I/C PURCHASED SERVICES 24375487 19075951 5299536 25594307 20029783 5564524 1334936274 1124749058 210187216 0 5612397 19205819 372292 416562 1518785 414170 196952518 194290661 637475 1798611 23242000 26206609 2665932 3898724 736265970 295909256 454985557 440356714 149966568 111697958 106895998 49119106 36170000 41826834 106508200 148695466 1085527722 1037927234 251403368 242131598 2607360 2445501 41253655 40183284 591439222 547418824 886703605 832179207 X 161373571 168148320 26135701 26259788 11314845 11339919 198824117 205748027 1085527722 1037927234 X -2328656 5189662 4062904 X X 0 1 X 1 1 1 X 0 0 0 0 0 1 13297 1 113392 0 0 126689 0 PART II-B, LINE 1: THE MAJORITY OF LOBBYING ACTIVITIES CONDUCTED BY LOYOLA UNIVERSITY MEDICAL CENTER (LUMC) INVOLVED EDUCATING LEGISLATORS REGARDING APPROPRIATE HEALTH CARE PUBLIC POLICIES IN THE AREAS OF ILLINOIS MEDICAID REIMBURSEMENTS AND ISSUES RELATING TO THE PROVISION OF HEALTH CARE IN AN ACADEMIC TEACHING HOSPITAL ENVIRONMENT. LUMC ALSO MADE GRANTS TO OTHER ORGANIZATIONS IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. 11314946 25073 11340019 10293500 1021446 11314946 8657000 1636500 10293500 8301978 355022 8657000 7672113 629865 8301978 0.00000 1.00000 0.00000 0 0 7400000 8850000 16250000 472943976 140977600 331966376 231941695 154931656 77010039 15130299 15130299 440356714 OTHER CURRENT ASSETS 2444683 MISCELLANEOUS RECEIVABLES 15096930 INVESTMENT IN UNCONSOLIDATED AFFILIATES 40030542 INTERCOMPANY RECEIVABLES 72019836 OTHER LT ASSETS 537314 INTERCOMPANY OTHER LT ASSETS 18561161 NET LT DEFERRED TAX ASSET 5000 148695466 ASSET RETIREMENT OBLIGATION 915359 OTHER CURRENT LIABILITIES 5466998 INTERCOMPANY ACCOUNTS PAYABLE 9936300 DEFERRED COMPENSATION 33029429 LONG TERM ANNUITY PAYABLE 211703 INTERCOMPANY NOTES PAYABLE 482758317 OTHER LONG TERM LIABILITIES 5414686 INTERCOMPANY OTHER LT LIABILITIES 9686032 547418824 PART V, LINE 4: THE ENDOWMENT FUNDS ARE INTENDED TO BE USED FOR HEALTH CARE, HOSPITAL SERVICES, RESEARCH, CAPITAL PROJECTS AND INDIGENT CARE. HEALTH, HOPE & HEROES 5K RUN/WALK 162805 115118 47687 10960 37222 10060 LINKS OF HOPE GOLF OUTING 53740 53740 3 83845 47231 36614 5566 17500 2351 300390 216089 84301 16526 17500 37222 12411 83659 642 1 1 X 1 X 1 X 600.000000000000 1 1 0 1 1 6031288 6031288 0.00470 225363193 169042917 56320276 0.04430 231394481 169042917 62351564 0.04900 14 18574 1059598 1059598 0.00080 2 12359 30522886 30522886 0.02400 1 1 1468251 1468251 0.00120 16 4169 24579884 24579884 0.01930 33 35103 57630619 57630619 0.04530 33 35103 289025100 169042917 119982183 0.09430 1 75 172 172 0.00000 1 1 6454 6454 0.00000 2 76 6626 6626 0.00000 1 63811202 0 257668892 245802173 11866719 X 1 1 1 1 FOSTER G MCGAW HOSPITAL LOYOLA UNIVERSITY MEDICAL CENTER S FIRST AVE MA IL 60153 WWW.LOYOLAMEDICINE.ORG 0005801 X X X X X X OUTPATIENT SURGERY FOSTER G MCGAW HOSPITAL 1 0 0 1 X X X X X X X X X 15 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X X 1 15 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 600.000000000000 X X X X X X 1 1 X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X X 1 X 0 X X X X 1 X 0 0 FOSTER G MCGAW HOSPITAL PART V, SECTION B, LINE 3J: N/ALINE 3E: LOYOLA UNIVERSITY MEDICAL CENTER (LUMC) INCLUDED IN ITS CHNA WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS, KNOWN AS THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY. BASED ON THE DATA AND FEEDBACK GATHERED THROUGH THE CHNA PROCESS, THE HEALTH IMPACT COLLABORATIVE CAME TO A CONSENSUS ON FOUR FOCUS AREAS THAT TOUCH AND CUT ACROSS THE THREE REGIONS IN COOK COUNTY:1. IMPROVING SOCIAL, ECONOMIC, AND STRUCTURAL DETERMINANTS OF HEALTH, WHILE REDUCING SOCIAL AND ECONOMIC INEQUITIES;2. IMPROVING MENTAL HEALTH AND DECREASING SUBSTANCE ABUSE;3. PREVENTING AND REDUCING CHRONIC DISEASE, WITH A FOCUS ON THREE RISK FACTORS - NUTRITION, PHYSICAL ACTIVITY AND TOBACCO; AND 4. INCREASING ACCESS TO CARE AND COMMUNITY SERVICES. FOSTER G MCGAW HOSPITAL PART V, SECTION B, LINE 5: BEGINNING IN MARCH 2015, LUMC, A MEMBER OF LOYOLA UNIVERSITY HEALTH SYSTEM (LUHS), PARTICIPATED IN A COLLABORATIVE OF HOSPITALS IN CHICAGO AND SUBURBAN COOK COUNTY TO CONDUCT THEIR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). KNOWN AS THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICC), HOSPITALS, COMMUNITY ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS COLLABORATIVELY GATHERED DATA AND INPUT THROUGH A COMMUNITY SURVEY AND A SERIES OF FOCUS GROUPS. THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) SERVED AS THE PROCESS FACILITATOR AND BACKBONE ORGANIZATION FOR THE COLLABORATIVE CHNA AND IMPLEMENTATION PLANNING PROCESS. IPHI AND PARTNERS WORKED TOGETHER TO DESIGN A SHARED LEADERSHIP MODEL AND COLLABORATIVE INFRASTRUCTURE TO SUPPORT COMMUNITY-ENGAGED PLANNING, PARTNERSHIPS, AND STRATEGIC ALIGNMENT OF IMPLEMENTATION, WHICH WILL FACILITATE MORE EFFECTIVE AND SUSTAINABLE COMMUNITY HEALTH IMPROVEMENT IN THE FUTURE. THE COLLABORATIVE DIVIDED COOK COUNTY INTO THREE REGIONS, OF WHICH THE LUMC CHNA (WEST SUBURBAN COOK COUNTY) WAS INCLUDED WITHIN THE CENTRAL REGION. SEVEN NONPROFIT HOSPITALS, ONE PUBLIC HOSPITAL, THREE HEALTH DEPARTMENTS, AND APPROXIMATELY 30 COMMUNITY STAKEHOLDERS PARTNERED ON THE CHNA FOR THE CENTRAL REGION. HEALTH DEPARTMENTS WERE KEY PARTNERS IN LEADING THE COLLABORATIVE AND CONDUCTING THE CHNA. THE PARTICIPATING HEALTH DEPARTMENTS IN THE CENTRAL REGION WERE THE CHICAGO DEPARTMENT OF PUBLIC HEALTH, COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, AND OAK PARK DEPARTMENT OF PUBLIC HEALTH. THE HICC IS FOCUSED ON COMMUNITY-ENGAGED ASSESSMENT, PLANNING, AND IMPLEMENTATION. STAKEHOLDERS AND COMMUNITY PARTNERS WERE INVOLVED IN MULTIPLE WAYS THROUGHOUT THE ASSESSMENT PROCESS, BOTH IN TERMS OF COMMUNITY INPUT DATA AND AS DECISION-MAKING PARTNERS. AVENUES FOR ENGAGEMENT IN THE CENTRAL REGION CHNA INCLUDED: STAKEHOLDER ADVISORY TEAM, HOSPITALS' COMMUNITY ADVISORY GROUPS, DATA COLLECTION (COMMUNITY INPUT THROUGH SURVEY AND FOCUS GROUPS), AND ACTION PLANNING FOR STRATEGIC PRIORITIES (STARTED IN SUMMER 2016). BETWEEN MARCH AND MAY 2016, IPHI WORKED WITH THE PARTICIPATING HOSPITALS AND HEALTH DEPARTMENTS IN THE CENTRAL REGION OF COOK COUNTY (I.E., CENTRAL LEADERSHIP TEAM) TO IDENTIFY AND INVITE COMMUNITY STAKEHOLDERS TO PARTICIPATE AS MEMBERS OF THE STAKEHOLDER ADVISORY TEAM. THE STAKEHOLDER ADVISORY TEAM MEMBERS BROUGHT DIVERSE PERSPECTIVES AND EXPERTISE, AND REPRESENTED POPULATIONS AFFECTED BY HEALTH INEQUITIES, INCLUDING DIVERSE RACIAL AND ETHNIC GROUPS, IMMIGRANTS AND REFUGEES, OLDER ADULTS, YOUTH, HOMELESS INDIVIDUALS, UNEMPLOYED, UNINSURED, AND VETERANS. THE CENTRAL STAKEHOLDER ADVISORY TEAM INCLUDED REPRESENTATIVES OF DIVERSE COMMUNITY ORGANIZATIONS FROM ACROSS THE WEST SIDE OF CHICAGO AND WEST COOK SUBURBS. THE ORGANIZATIONS REPRESENTED ON THE CENTRAL STAKEHOLDER ADVISORY TEAM INCLUDED: AGE OPTIONS, AGING CARE CONNECTIONS, AMERICAN CANCER SOCIETY, CASA CENTRAL, CATHOLIC CHARITIES, CHICAGO POLICE DEPARTMENT - 14TH DISTRICT, CHICAGO PUBLIC SCHOOLS, COMMUNITYHEALTH, DIABETES EMPOWERMENT CENTER, HEALTHCARE ALTERNATIVES SYSTEMS, HOUSING FORWARD, INFANT WELFARE-OAK PARK/THE CHILDREN'S CLINIC, INTERFAITH LEADERSHIP PROJECT, LOYOLA UNIVERSITY STRITCH SCHOOL OF MEDICINE, METROPOLITAN PLANNING COUNCIL, MILE SQUARE HEALTH CENTER, PCC WELLNESS, PROVISO LEYDEN COUNCIL FOR COMMUNITY ACTION (PLCC), PROVISO TOWNSHIP MENTAL HEALTH COMMISSION, RESPIRATORY HEALTH ASSOCIATION, SAINT ANTHONY'S HOSPITAL, WEST 40 INTERMEDIATE SERVICE CENTER, WEST COOK YMCA, WEST HUMBOLDT PARK DEVELOPMENT COUNCIL, WEST SIDE HEALTH AUTHORITY, AND WICKER PARK BUCKTOWN CHAMBER OF COMMERCE. MEMBERS OF THE STAKEHOLDER ADVISORY TEAM WERE VERY IMPORTANT PARTNERS IN THE CHNA AND IMPLEMENTATION PLANNING PROCESS AND CONTRIBUTED IN SOME OF THE FOLLOWING WAYS: PARTICIPATED IN A SERIES OF 8-10 MEETINGS BETWEEN MAY 2015 AND AUGUST 2016; PROVIDED INPUT ON ASSESSMENT DESIGN, INCLUDING DATA INDICATORS, SURVEYS, FOCUS GROUPS, AND ASSET MAPPING; FACILITATED THE PARTICIPATION OF COMMUNITY MEMBERS TO PROVIDE INPUT THROUGH SURVEYS AND FOCUS GROUPS; REVIEWED ASSESSMENT DATA, ASSISTED WITH DEVELOPING FINDINGS, AND IDENTIFIED PRIORITY STRATEGIC ISSUES; AND JOINED AN ACTION TEAM TO HELP SHAPE IMPLEMENTATION STRATEGIES. THE HICC ORGANIZED 23 FOCUS GROUPS THROUGHOUT CHICAGO AND SUBURBAN COOK COUNTY BETWEEN OCTOBER 2015 AND MARCH 2016, INCLUDING SEVEN FOCUS GROUPS IN THE CENTRAL REGION. THE GOAL OF THE FOCUS GROUPS WAS TO UNDERSTAND THE NEEDS, ASSETS, AND POTENTIAL RESOURCES IN VARIOUS COMMUNITIES OF CHICAGO AND SUBURBAN COOK COUNTY, AND TO GATHER IDEAS ABOUT HOW HOSPITALS CAN PARTNER WITH COMMUNITIES TO IMPROVE HEALTH. THE FOCUS GROUP FINDINGS WERE AN INTEGRAL COMPONENT OF DATA IN THE CHNA, AND THE HOSPITALS AND THEIR PARTNERS IN THE HICC FOCUSED ON HEARING FROM COMMUNITY REPRESENTATIVES WHO HAVE DIRECT KNOWLEDGE AND EXPERIENCE RELATED TO THE HEALTH INEQUITIES IN OUR REGION. MEMBERS OF THE REGIONAL LEADERSHIP TEAM AND STAKEHOLDER ADVISORY TEAM HOSTED THE FOCUS GROUPS AND RECRUITED FOCUS GROUP PARTICIPANTS, WITH AN INTENTIONAL APPROACH TO INCLUDE A DIVERSE RANGE OF COMMUNITIES AND SERVICE PROVIDERS. RECRUITERS SPECIFICALLY SOUGHT OUT PARTICIPANTS WHO BELONG TO OR INTERACT WITH POPULATIONS SUCH AS RACIAL OR ETHNIC MINORITIES, IMMIGRANTS, LIMITED ENGLISH SPEAKERS, LOW-INCOME COMMUNITIES, FAMILIES WITH CHILDREN, FORMERLY INCARCERATED INDIVIDUALS, VETERANS, SENIORS, AND YOUNG ADULTS. HOST ORGANIZATIONS INCLUDED: CASA CENTRAL, CATHOLIC CHARITIES, HOUSING FORWARD, NATIONAL ALLIANCE FOR THE EMPOWERMENT OF THE FORMERLY INCARCERATED (NAEFI), NORWEGIAN AMERICAN HOSPITAL, PRESENCE SAINT MARY AND ELIZABETH CENTER, AND QUINN COMMUNITY CENTER. ADDITIONALLY, BY LEVERAGING ITS PARTNERS AND NETWORKS, THE COLLABORATIVE COLLECTED APPROXIMATELY 5,200 RESIDENT SURVEYS BETWEEN OCTOBER 2015 AND JANUARY 2016, INCLUDING 1,200 IN THE CENTRAL REGION. THE SURVEY WAS AVAILABLE ON PAPER AND ONLINE AND WAS DISSEMINATED IN FIVE LANGUAGES - ENGLISH, SPANISH, POLISH, KOREAN, AND ARABIC.LUHS CONTINUED ITS MEMBERSHIP AND PARTICIPATION ON THE STEERING COMMITTEE OF HICC, NOW CALLED THE ALLIANCE FOR HEALTH EQUITY (AHE). THE STEERING COMMITTEE IDENTIFIES OPPORTUNITIES AND COLLABORATIVE EFFORTS TO ADDRESS THE FOCUS AREAS DEVELOPED THROUGH THE CHNA PROCESS. FOSTER G MCGAW HOSPITAL PART V, SECTION B, LINE 6A: OTHER HOSPITALS THAT PARTICIPATED IN THE CHNA INCLUDED GOTTLIEB MEMORIAL HOSPITAL, NORWEGIAN AMERICAN HOSPITAL, PRESENCE SAINT MARY AND ELIZABETH MEDICAL CENTER, RML SPECIALTY HOSPITALS, RUSH (INCLUDING RUSH UNIVERSITY MEDICAL CENTER AND RUSH OAK PARK), AND STROGER HOSPITAL OF COOK COUNTY. FOSTER G MCGAW HOSPITAL PART V, SECTION B, LINE 6B: OTHER THAN HOSPITAL FACILITIES, ORGANIZATIONS THAT PARTICIPATED IN THE CHNA INCLUDED AGE OPTIONS, AGING CARE CONNECTIONS, AMERICAN CANCER SOCIETY, CASA CENTRAL, CATHOLIC CHARITIES, CHICAGO POLICE DEPARTMENT - 14TH DISTRICT, CHICAGO PUBLIC SCHOOLS, COMMUNITYHEALTH, DIABETES EMPOWERMENT CENTER, HEALTHCARE ALTERNATIVES SYSTEMS, HOUSING FORWARD, INFANT WELFARE-OAK PARK/THE CHILDREN'S CLINIC, INTERFAITH LEADERSHIP PROJECT, LOYOLA UNIVERSITY STRITCH SCHOOL OF MEDICINE, METROPOLITAN PLANNING COUNCIL, MILE SQUARE HEALTH CENTER, PCC WELLNESS, PROVISO LEYDEN COUNCIL FOR COMMUNITY ACTION (PLCC), PROVISO TOWNSHIP MENTAL HEALTH COMMISSION, RESPIRATORY HEALTH ASSOCIATION, SAINT ANTHONY'S HOSPITAL, WEST 40 INTERMEDIATE SERVICE CENTER, WEST COOK YMCA, WEST HUMBOLDT PARK DEVELOPMENT COUNCIL, WEST SIDE HEALTH AUTHORITY, WICKER PARK BUCKTOWN CHAMBER OF COMMERCE. FOSTER G MCGAW HOSPITAL PART V, SECTION B, LINE 7D: IN ADDITION TO MAKING THE CHNA AVAILABLE AT THE HOSPITAL AND ON THE WEBSITE, COPIES OF THE CHNA WERE EMAILED TO ALL STEERING COMMITTEE MEMBERS. FOSTER G MCGAW HOSPITAL PART V, SECTION B, LINE 11: BASED ON THE DATA AND FEEDBACK GATHERED THROUGH THE CHNA PROCESS, THE HICC CAME TO A CONSENSUS ON FOUR FOCUS AREAS THAT IMPACT THE THREE REGIONS IN COOK COUNTY: 1. IMPROVING SOCIAL, ECONOMIC, AND STRUCTURAL DETERMINANTS OF HEALTH, WHILE REDUCING SOCIAL AND ECONOMIC INEQUITIES; 2. IMPROVING MENTAL HEALTH AND DECREASING SUBSTANCE ABUSE; 3. PREVENTING AND REDUCING CHRONIC DISEASE, WITH A FOCUS ON RISK FACTORS - NUTRITION, PHYSICAL ACTIVITY AND TOBACCO; AND 4. INCREASING ACCESS TO CARE AND COMMUNITY SERVICES. THE RECOMMENDATION OF THE COLLABORATIVE IS THAT ALL PARTICIPATING HOSPITALS INCLUDE FOCUS AREA #1 AS A PRIORITY WITHIN THEIR SPECIFIC CHNA AREA. AFTER REVIEW AND CONSULTATION WITH ITS COMMUNITY PARTNERS, LUMC IS COMMITTED TO WORKING TO DEVELOP STRATEGIES AND PROGRAMS THAT WILL ADDRESS SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH, CHRONIC DISEASE PREVENTION, AND ACCESS TO CARE. THROUGH COLLABORATION WITH ITS COMMUNITY PARTNERS AS WELL AS OTHER HEALTH PROVIDERS, LUMC HAS SUPPORTED INITIATIVES THAT ADDRESS THE UNDERLYING ISSUES THAT CUT ACROSS THESE FOCUS AREAS. DURING FY18, INITIATIVES INCREASING ACCESS TO CARE INCLUDED:- OFFERING PRIMARY CARE AND MENTAL HEALTH CARE SERVICES TO THE DISADVANTAGED, SUCH AS THE LOYOLA ACCESS TO CARE CLINIC FOR THE UNINSURED, UNDERINSURED AND MEDICAID POPULATIONS- A PEDIATRIC MOBILE HEALTH VAN OFFERING CHILDREN PHYSICALS AND HEALTH SCREENINGS, FREE FLU SHOTS, AND SUPPORT OF THE PROVISO EAST HIGH SCHOOL STUDENT HEALTH CLINICLUMC'S WORK AROUND CHRONIC DISEASE INCLUDED: - A PEDIATRIC WEIGHT MANAGEMENT PROGRAM FOR DISADVANTAGED CHILDREN- CONDUCTING NUMEROUS COMMUNITY-BASED HEALTH SCREENINGS- REGULARLY SCHEDULED HEALTH EDUCATION WORK IN LOW-INCOME COMMUNITIES IN PARTNERSHIP WITH CATHOLIC CHARITIES AND THE LOCAL FAITH-BASED COMMUNITYINITIATIVES IMPROVING SOCIAL DETERMINANTS OF HEALTH INCLUDED:- LUMC'S IN-KIND AND FINANCIAL SUPPORT FOR PROVISO PARTNERS FOR HEALTH, A COMMUNITY-BASED COALITION ADDRESSING COMMUNITY SAFETY - FOOD INSECURITY AND TOBACCO USE PREVENTION AND CESSATION ACROSS PROVISO TOWNSHIPLUMC ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED AND WITHIN ITS ABILITY TO INFLUENCE. LUMC WILL NOT ALLOCATE SIGNIFICANT RESOURCES TO ADDRESS MENTAL AND SUBSTANCE ABUSE ISSUES DUE TO LIMITED PROGRAMS AND RESOURCES. LUMC WILL CONTINUE TO WORK WITH AREA PROVIDERS AND SUPPORT INITIATIVES DEVELOPED BY THE HICC AS APPROPRIATE TO LUMC'S MISSION AND RESOURCES. FOSTER G MCGAW HOSPITAL PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. FOSTER G MCGAW HOSPITAL - PART V, SECTION B, LINE 7A: HTTPS://WWW.LOYOLAMEDICINE.ORG/ABOUT-LOYOLA/COMMUNITY-BENEFIT FOSTER G MCGAW HOSPITAL - PART V, SECTION B, LINE 9: AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. FOSTER G MCGAW HOSPITAL - PART V, SECTION B, LINE 10A: HTTPS://WWW.LOYOLAMEDICINE.ORG/ABOUT-LOYOLA/COMMUNITY-BENEFIT FOSTER G MCGAW HOSPITAL - PART V, SECTION B, LINE 16A: HTTPS://WWW.LOYOLAMEDICINE.ORG/PATIENT-INFORMATION/FINANCIAL-CHARITY-POLICY FOSTER G MCGAW HOSPITAL - PART V, SECTION B, LINE 16B: HTTPS://WWW.LOYOLAMEDICINE.ORG/PATIENT-INFORMATION/FINANCIAL-CHARITY-POLICY FOSTER G MCGAW HOSPITAL - PART V, SECTION B, LINE 16C: HTTPS://WWW.LOYOLAMEDICINE.ORG/PATIENT-INFORMATION/FINANCIAL-CHARITY-POLICY 43 1 - CARDINAL BERNARDIN CANCER CENTER 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 CANCER CENTER 2 - LOYOLA CENTER FOR HEALTH AT BURR RIDGE 6800 NORTH FRONTAGE ROAD BURR RIDGE IL 60527 OUTPATIENT CLINIC 3 - LOYOLA OUTPATIENT CENTER 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 OUTPATIENT CLINIC 4 - LOYOLA CENTER FOR HEALTH AT OAKBROOK TER 1S 224-260 SUMMIT AVE OAKBROOK TERRACE IL 60181 OUTPATIENT CLINIC 5 - LOYOLA CENTER FOR HEALTH AT HOMER GLEN 15750 MARIAN DRIVE HOMER GLEN IL 60491 OUTPATIENT CLINIC 6 - LOYOLA CENTER FOR HEALTH AT NORTH RIVERS 1950 S HARLEM AVENUE NORTH RIVERSIDE IL 60546 OUTPATIENT CLINIC 7 - LOYOLA CENTER FOR HEALTH AT ORLAND PARK 16621 S 107TH COURT ORLAND PARK IL 60467 OUTPATIENT CLINIC 8 - LOYOLA CENTER FOR HEALTH AT HICKORY HILL 9608 ROBERTS ROAD HICKORY HILLS IL 60457 OUTPATIENT CLINIC 9 - MARJORIE G WEINBERG CANCER CENTER 715 W NORTH AVE MELROSE PARK IL 60160 CANCER CENTER 10 - LOYOLA CENTER FOR HEALTH AT PARK RIDGE 1030 WEST HIGGINS ROAD PARK RIDGE IL 60068 OUTPATIENT CLINIC 11 - LOYOLA CENTER FOR HEALTH AT RIVER FOREST 7617 W NORTH AVENUE RIVER FOREST IL 60305 OUTPATIENT CLINIC 12 - LOYOLA CENTER FOR HEART & VASCULAR MEDIC 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 OUTPATIENT CLINIC 13 - LOYOLA CENTER FOR HEALTH AT ELMHURST 300 N YORK ROAD ELMHURST IL 60126 OUTPATIENT CLINIC 14 - LOYOLA CENTER FOR HEALTH AT MELROSE PARK 675 W NORTH AVE MELROSE PARK IL 60160 OUTPATIENT CLINIC 15 - LOYOLA CENTER FOR CANCER CARE & RESEARCH 15300 WEST AVENUE SUITE 108 ORLAND PARK IL 60462 OUTPATIENT CLINIC 16 - LOYOLA CENTER FOR HEALTH AT OAK PARK 7005 W NORTH AVENUE OAK PARK IL 60302 OUTPATIENT CLINIC 17 - LOYOLA CENTER FOR HEALTH AT ELMWOOD PARK 7255 W GRAND AVE ELMWOOD PARK IL 60707 OUTPATIENT CLINIC 18 - MPG-BRIDGEVIEW 7020 W 79TH ST BRIDGEVIEW IL 60455 OUTPATIENT CLINIC 19 - MPG-LAGRANGE 47 S 6TH AVE LAGRANGE IL 60525 OUTPATIENT CLINIC 20 - MPG-MACNEAL PSYCHIATRY 3231 S EUCLID AVE STE 407 BERWYN IL 60402 OUTPATIENT CLINIC 21 - MPG-SOUTHPORT 3357 N SOUTHPORT AVE CHICAGO IL 60657 OUTPATIENT CLINIC 22 - MPG-BERWYN 6425 W CERMAK RD STE 101-102 BERWYN IL 60402 OUTPATIENT CLINIC 23 - LOYOLA CENTER FOR HEALTH AT LAGRANGE PAR 321 N LA GRANGE ROAD LA GRANGE PARK IL 60526 OUTPATIENT CLINIC 24 - MPG-RIVERSIDE MULTISPECIALTY 3722 S HARLEM AVE STE 101 RIVERSIDE IL 60546 OUTPATIENT CLINIC 25 - MPG-UROLOGY 3231 S EUCLID AVE STE 403 BERWYN IL 60402 OUTPATIENT CLINIC 26 - MPG-RIVERSIDE WOMEN'S CARE 3722 S HARLEM AVE STE 204 RIVERSIDE IL 60546 OUTPATIENT CLINIC 27 - MPG-RIVERSIDE PEDIATRICS 3722 S HARLEM AVE STE 200 RIVERSIDE IL 60546 OUTPATIENT CLINIC 28 - MPG-BERWYN OBGYN 6425 W CERMAK RD STE 202 BERWYN IL 60402 OUTPATIENT CLINIC 29 - MPG-OAK PARK 610 S MAPLE AVE STE 3300 OAK PARK IL 60304 OUTPATIENT CLINIC 30 - MPG-ARCHER 6187 S ARCHER AVE STE 102 CHICAGO IL 60638 OUTPATIENT CLINIC 31 - LOYOLA CENTER FOR HEALTH AT CHICAGO 7634 W BELMONT CHICAGO IL 60634 OUTPATIENT CLINIC 32 - LOYOLA CENTER FOR METABOLIC SURGERY & BA 719 W NORTH AVE MELROSE PARK IL 60160 OUTPATIENT CLINIC 33 - MPG-MACNEAL CANCER CENTER 6801 W 34TH ST STE 107 BERWYN IL 60402 CANCER CENTER 34 - MPG-IMMEDIATE CARE 3635 S HARLEM AVE BERWYN IL 60402 OUTPATIENT CLINIC 35 - MPG-LAGRANGE PLASTIC SURGERY 47 S 6TH AVE STE N LAGRANGE IL 60525 OUTPATIENT CLINIC 36 - MPG-LAGRANGE ORTHO 47 S 6TH AVE STE M LAGRANGE IL 60525 OUTPATIENT CLINIC 37 - MPG-FAMILY AND SPORTS MEDICINE 3231 S EUCLID AVE STE 202 BERWYN IL 60402 OUTPATIENT CLINIC 38 - MPG-VASCULAR 3231 S EUCLID AVE STE 400 BERWYN IL 60402 OUTPATIENT CLINIC 39 - LOYOLA CENTER FOR HEALTH AT OAK PARK SOU 1100 LAKE STREET OAK PARK IL 60301 OUTPATIENT CLINIC 40 - LOYOLA CENTER FOR HEALTH AT PALOS SOUTH 15300 WEST AVENUE BUILDING A ORLAND PARK IL 60462 OUTPATIENT CLINIC 41 - LOYOLA CENTER FOR HEALTH AT ROOSEVELT RO 1211 ROOSEVELT ROAD MAYWOOD IL 60153 OUTPATIENT CLINIC 42 - LOYOLA CENTER FOR ORAL HEALTH MAGUIRE C 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 OUTPATIENT CLINIC 43 - MPG-RIVER FOREST 7411 LAKE ST STE 1120 RIVER FOREST IL 60305 OUTPATIENT CLINIC PART I, LINE 3C: IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS. PART I, LINE 6A: LOYOLA UNIVERSITY MEDICAL CENTER (LUMC) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF ILLINOIS. IN ADDITION, LUMC REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.LUMC ALSO INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM. PART I, LN 7 COL(F): THE FOLLOWING NUMBER, $63,811,202, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). PART II, COMMUNITY BUILDING ACTIVITIES: VOICES AT THE TABLE IS AN INTERACTIVE DAY WHERE COMMUNITY MEMBERS AND CROSS-SECTOR PARTNERS (YOUTH, PARENTS, ELDERS, LOCAL COMMUNITY, FAITH, EDUCATION, POLITICAL AND HEALTHCARE LEADERS) ARE HOSTED AT LEXINGTON ELEMENTARY SCHOOL IN MAYWOOD. AT EACH TABLE, A COMMUNITY CHANGE AGENT WILL PROVIDE AN INTERACTIVE EXERCISE TO SHOWCASE THEIR WORK TO COMMUNITY MEMBERS. THE GOAL IS TO BRING PEOPLE TOGETHER TO INTERACT IN WAYS THAT USUALLY AREN'T AVAILABLE TO THEM IN ORDER TO CREATE SOCIAL COHESION AND INITIATE DIALOGUE ABOUT COMMUNITY NEEDS. AS A RESULT OF VOICES AT THE TABLE, LUMC SUPPORTED A SUBSEQUENT COMMUNITY SAFETY SUMMIT IN RESPONSE TO COMMUNITY MEMBERS' STATED CONCERNS ABOUT PUBLIC SAFETY IN MAYWOOD. SEPARATELY, IN FY18, THE LUMC SECURITY AND PARKING STAFF CONDUCTED AN ACTIVE SHOOTER TRAINING DRILL ON THE CAMPUS OF LUMC. THE DRILL WAS DESIGNED TO TRAIN AND EDUCATE SECURITY AND OTHER PERSONNEL IN RESPONDING TO AN ARMED ASSAILANT ON THE PREMISE OF MEDICAL CENTER PROPERTY. PART III, LINE 2: METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS. PART III, LINE 3: LUMC USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, LUMC IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, LUMC IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: LUMC IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "THE CORPORATION RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED EVEN THOUGH THE CORPORATION DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY AT THAT TIME. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE CORPORATION ESTABLISHES AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THIS ALLOWANCE IS ESTABLISHED BASED ON THE AGING OF ACCOUNTS RECEIVABLE AND THE HISTORICAL COLLECTION EXPERIENCE BY THE HEALTH MINISTRIES FOR EACH TYPE OF PAYOR. A SIGNIFICANT PORTION OF THE CORPORATION'S PROVISION FOR DOUBTFUL ACCOUNTS RELATES TO SELF-PAY PATIENTS, AS WELL AS CO-PAYMENTS AND DEDUCTIBLES OWED TO THE CORPORATION BY PATIENTS WITH INSURANCE."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION. PART III, LINE 8: LUMC DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CATHOLIC HEALTH ASSOCIATION RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. PART III, LINE 9B: THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN THE ORGANIZATION'S COLLECTION POLICY. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. PART VI, LINE 2: NEEDS ASSESSMENT - LUMC ASSESSES THE HEALTH STATUS OF ITS COMMUNITY, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. TO ASSESS THE HEALTH OF THE COMMUNITY, THE HOSPITAL USES PATIENT UTILIZATION DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES, AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED. LUMC ALSO UTILIZES PUBLICLY AVAILABLE DATA, SUCH AS THE CENTERS FOR DISEASE CONTROL'S BRFSS AND THE COUNTY HEALTH RANKINGS TO DETERMINE COMMUNITY NEEDS. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - LUMC COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. LUMC OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. LUMC HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. LUMC MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. PART VI, LINE 4: COMMUNITY INFORMATION - BASED IN THE WESTERN SUBURBS OF CHICAGO, LUMC IS A QUATERNARY CARE SYSTEM WITH A MAIN MEDICAL CENTER CAMPUS IN A DIVERSE COMMUNITY AND OPERATES PRIMARY- AND SPECIALTY-CARE FACILITIES ACROSS COOK, DUPAGE AND WILL COUNTIES. THE HEART OF THE MEDICAL CENTER CAMPUS, LUMC'S FOSTER G. MCGAW HOSPITAL, IS A 547-LICENSED-BED FACILITY. IN ADDITION TO THE HOSPITAL, THE FOLLOWING CLINICAL SERVICES ARE LOCATED ON CAMPUS: LEVEL 1 TRAUMA CENTER, RONALD MCDONALD CHILDREN'S HOSPITAL OF LUMC, CARDINAL BERNARDIN CANCER CENTER, LOYOLA OUTPATIENT CENTER, LOYOLA CENTER FOR HEART & VASCULAR MEDICINE, AND LOYOLA ORAL HEALTH CENTER. THE CAMPUS ALSO IS THE HOME OF LOYOLA UNIVERSITY OF CHICAGO (LUC) STRITCH SCHOOL OF MEDICINE, LUC MARCELLA NIEHOFF SCHOOL OF NURSING, LUC GRADUATE SCHOOL'S HEALTH SCIENCES DIVISION, AND LOYOLA CENTER FOR FITNESS. THE CHNA SERVICE AREA IS CENTERED AROUND THE TWO CAMPUSES OF LUMC (MAYWOOD) AND GOTTLIEB MEMORIAL HOSPITAL (MELROSE PARK) IN THE WESTERN SUBURBS OF CHICAGO. THE CHNA AREA IS COMPOSED OF A DIVERSE POPULATION OF ABOUT 540,000. HISPANICS MAKE UP THE LARGEST RACE/ETHNIC GROUPS AT 41.1% OF THE POPULATION, WHITE NON-HISPANIC IS THE SECOND LARGEST GROUP AT 33.7%, AND AFRICAN-AMERICANS REPRESENT 21.5% OF THE CHNA POPULATION. AN INVENTORY OF HOSPITALS FOR THE CHNA SERVICE AREA INCLUDED A TOTAL OF 12 FACILITIES. DUE TO ITS CONVENIENT LOCATION, LUMC IS ACCESSIBLE TO THE MAJORITY OF CHICAGO'S (SIX-COUNTY) METROPOLITAN AREA OF 8.4 MILLION PEOPLE. LUMC'S PRIMARY SERVICE AREA, WHICH ACCOUNTS FOR 58% OF PATIENTS SERVED AT LUMC, HAS A DIVERSE POPULATION OF ALMOST 2 MILLION. APPROXIMATELY 13% OF THE POPULATION IS AGE 65 OR OLDER. AVERAGE HOUSEHOLD INCOME IS $77,474, WITH 24% OF HOUSEHOLDS OVER $100,000 AND 22% UNDER $25,000. HISPANICS ARE AMONG THE FASTEST-GROWING DEMOGRAPHIC, MAKING UP 39% OF THE POPULATION.IN FY18, LUMC SERVED 6.3% OF THE 204,385 DISCHARGED INPATIENTS FROM THIS PRIMARY SERVICE AREA, WHICH IS SECOND HIGHEST AMONG THE AREA'S HOSPITALS. OVER 197 HOSPITALS TRANSFERRED 5,343 INPATIENTS TO LUMC LAST YEAR FOR SPECIALIZED CARE AND TREATMENT, INCLUDING HEART DISEASE, CANCER, BURN/TRAUMA, ORGAN TRANSPLANTATION, OBSTETRICS AND NEUROLOGICAL DISORDERS. PART VI, LINE 5: OTHER INFORMATION - LUMC AND LUHS ARE COMMITTED TO THE JESUIT TRADITION OF ACADEMIC DISTINCTION AND THE VALUES OF CARE, CONCERN, COOPERATION AND RESPECT FOR OUR STUDENTS AND FOR EACH OTHER. THROUGH AGREEMENTS WITH LOYOLA UNIVERSITY CHICAGO (LUC), LUMC PROVIDES CLINICAL EDUCATION SUPPORT AND TEACHING FACILITIES FOR THE UNIVERSITY'S HEALTH SCIENCES EDUCATION PROGRAMS AT THE LUC STRITCH SCHOOL OF MEDICINE TO TRAIN FUTURE DOCTORS, AND AT LUC MARCELLA NIEHOFF SCHOOL OF NURSING TO PREPARE NURSING STUDENTS. LUMC DEMONSTRATED ITS COMMITMENT TO MEDICAL EDUCATION BY CONTRIBUTING APPROXIMATELY $23.9 MILLION TO LOYOLA UNIVERSITY'S HEALTH SCIENCES DIVISION IN SUPPORT OF FUTURE PHYSICIAN AND NURSING EDUCATION. THESE FUNDS ARE USED TO ASSIST THE STRITCH SCHOOL OF MEDICINE AND MARCELLA SCHOOL OF NURSING IN PROVIDING ITS MEDICAL AND NURSING EDUCATION ACTIVITIES, WHICH COST FAR MORE TO PROVIDE THAN THE REVENUE AFFORDED BY TUITION AND OTHER GRANTS RECEIVED BY THE SCHOOLS. IN ADDITION, LUMC HAS AGREEMENTS WITH 25 OTHER SCHOOLS OF NURSING. LUMC ALSO PROVIDES EDUCATION AND INSTRUCTION FOR PRE-HOSPITAL RESPONDERS (E.G. PARAMEDICS, DISPATCHERS), AND STUDENTS IN SOCIAL WORK, MEDICAL TECHNOLOGY, DIETICIAN, PATHOLOGY AND PASTORAL CARE PROGRAMS. LUMC TRAINED 610 MEDICAL RESIDENTS AND FELLOWS INVOLVED IN ITS VARIOUS GRADUATE MEDICAL EDUCATION PROGRAMS, AS WELL AS NURSES, PRE-HOSPITAL RESPONDERS AND OTHER STUDENTS IN HEALTH PROFESSIONAL PROGRAMS. LUMC PROVIDED $1,468,251 IN SUBSIDIZED SUPPORT FOR CLINICAL SERVICES THAT MET AN IDENTIFIED COMMUNITY NEED. THESE SERVICES INCLUDE THE ORAL HEALTH CENTER PROVIDING DENTAL SERVICES FOR OVER 11,932 VISITS, AND PALLIATIVE CARE FOR PATIENTS AND FAMILIES. IF LUMC DID NOT PROVIDE THESE SERVICES TO THE COMMUNITY, THESE SERVICES MAY NOT BE AVAILABLE, THE COMMUNITY'S CAPACITY TO PROVIDE THE SERVICE MAY BE LESS THAN THE COMMUNITY'S NEED, OR THE SERVICE MAY BECOME THE RESPONSIBILITY OF GOVERNMENT OR ANOTHER TAX-EXEMPT ORGANIZATIONS.LUMC PROVIDED $530,224 IN COMMUNITY HEALTH AND SCREENING PROGRAMS. LUMC PHYSICIANS AND RESIDENTS PROVIDED OVER 5,000 HOURS OF VOLUNTEER TIME TO PROVIDE FREE CARE FOR PATIENTS ENROLLED IN THE ACCESS TO CARE PROGRAM. ACCESS TO CARE IS A NON-PROFIT CORPORATION THAT PARTNERS WITH LUMC TO PROVIDE CARE TO UNINSURED RESIDENTS OF SUBURBAN COOK COUNTY AT LOYOLA'S MAYWOOD PRIMARY CARE CLINIC. THIS IS THE LARGEST PRIMARY CARE SITE WITHIN ACCESS TO CARE'S NETWORK. IN ADDITION, LUMC ALSO PROVIDED HOSPITALIZATION, LABORATORY AND RADIOLOGY SERVICES.ADDITIONALLY, LUMC CONTRIBUTED FINANCIAL SUPPORT TO OPERATE THE ILLINOIS POISON CENTER (IPC), WHICH PROVIDES EXPERT POISON-PREVENTION AND TREATMENT SERVICES THROUGHOUT ILLINOIS VIA A TOLL-FREE HOTLINE THAT OPERATES AROUND THE CLOCK. METROPOLITAN CHICAGO HOSPITALS CONTRIBUTE TO THE IPC'S ANNUAL OPERATING BUDGET, ENSURING THAT THE PUBLIC AND PHYSICIANS ALIKE HAVE ACCESS TO TRAINED SPECIALISTS IN TOXICOLOGY IN TIMES OF AN EMERGENCY.FURTHERMORE, TO HELP IMPROVE THE HEALTH OF COMMUNITIES, LUMC PROVIDES HEALTH CARE SERVICES SUCH AS HEALTH EDUCATION, HEALTH SCREENINGS AND SUPPORT GROUPS. THESE ACTIVITIES INCLUDED CPR INSTRUCTION FOR FAMILIES; CLINICAL SERVICES FOR A WOMEN'S SHELTER; LABORATORY TESTS FOR DISADVANTAGED HIGH SCHOOL STUDENTS; HEALTH SCREENINGS FOR COMMUNITY CLERGY; LECTURES ON SPECIFIC WOMEN'S, MEN'S AND CHILDREN'S HEALTH ISSUES; SEVERAL CHRONIC CONDITION AND GRIEF SUPPORT GROUPS; AND MAKING WEB-BASED DISEASE-SPECIFIC INFORMATION AVAILABLE TO THE COMMUNITY. LUMC CONTINUED TO ACTIVELY SUPPORT PROVISO PARTNERS FOR HEALTH (PP4H), A MULTI-SECTOR, COMMUNITY-DRIVEN COALITION OF MORE THAN 25 LOCAL COMMUNITY GROUPS AND ORGANIZATIONS FOCUSED ON CREATING ENVIRONMENTS THAT PROMOTE HEALTHY LIFESTYLES. AS A FOUNDING MEMBER OF PP4H, LUMC LEADERS ACTIVELY PARTICIPATED ON PLANNING COMMITTEES TO IDENTIFY AND IMPLEMENT STRATEGIES TO IMPROVE CHILDHOOD NUTRITION, ACCESS TO HEALTHY FOOD, TOBACCO-FREE LIVING, AND THE BUILT ENVIRONMENT TO SUPPORT HEALTH AND WELL-BEING. IN 2016, LUHS/PP4H WAS AMONG SIX COLLABORATIONS RECEIVING THE FIRST TRANSFORMING COMMUNITIES INITIATIVE GRANTS SPONSORED BY TRINITY HEALTH. AS PART OF THIS AWARD, LUHS/PP4H IS ELIGIBLE TO RECEIVE UP TO $500,000 A YEAR FOR FIVE YEARS TO BE DIRECTED TOWARDS THE IMPLEMENTATION OF A SERIES OF PRE-SELECTED, PRO-HEALTH POLICY, SYSTEM, AND ENVIRONMENTAL (PSE) INTERVENTIONS. INTERVENTIONS INCLUDE: TOBACCO 21, COMPLETE STREETS, IMPLEMENTATION OF NUTRITION STANDARDS IN EARLY CHILDHOOD SETTINGS, BREASTFEEDING POLICY ENHANCEMENT, SCHOOL BOARD POLICY TO ENHANCE PHYSICAL ACTIVITY IN SCHOOLS, AND FOOD & BEVERAGE STANDARDS/COMPETITIVE FOODS POLICIES.DURING FY18, LUMC, AS PART OF LUHS AND THROUGH ITS COMMUNITY COALITION PP4H, SUPPORTED EFFORTS ON THE STATE AND LOCAL LEVELS TO ADOPT TOBACCO 21 POLICIES. TOBACCO 21 ADVOCATES INCREASING THE LEGAL AGE TO PURCHASE TOBACCO PRODUCTS FROM 18 TO 21. LUHS JOINED THE TOBACCO 21 EFFORT IN ILLINOIS AND COORDINATED WITH COMMUNITY PARTNERS AND OTHERS FOR ADVOCACY OF STATE-WIDE LEGISLATION RESTRICTING SALE TO MINORS OF CIGARETTE PRODUCTS. OTHER STATEWIDE ORGANIZATIONS LUHS PARTNERED WITH INCLUDED THE ILLINOIS HOSPITAL ASSOCIATION, RESPIRATORY HEALTH ASSOCIATION, AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, AMERICAN CANCER ASSOCIATION, AND TOBACCO FREE KIDS. INITIATIVES INCLUDED A CAMPAIGN THAT ENCOURAGED LUHS EMPLOYEES AND THE PUBLIC TO WRITE THEIR REPRESENTATIVE IN SUPPORT OF THE LEGISLATION AS WELL AS MEETINGS WITH LAWMAKERS. STATEWIDE LEGISLATION PASSED IN MAY OF 2018, BUT THE GOVERNOR VETOED IT. LUMC CONTINUED IN FY18 TO PARTNER WITH AND SUPPORT PP4H, A COMMUNITY-BASED ORGANIZATION FOCUSED ON IMPROVING THE HEALTH STATUS OF THE DISADVANTAGED IN THE MANAGED AREA. THROUGH A TRINITY HEALTH COMMUNITY GRANT FACILITATED BY LUHS, PP4H CONTINUES TO EXPAND THE VOLUME OF PRODUCE DONATED TO LOW-INCOME FAMILIES FROM OUR URBAN GARDENS. THE PRODUCE FROM THESE LOCAL GARDENS ALSO SUPPLY LOCAL CORNER STORES IN MAYWOOD FOR THE PURPOSE OF INCREASING ACCESS TO HEALTHY FOODS IN MAYWOOD. MAYWOOD IS A FOOD DESERT WITH NO GROCERY STORES. PART VI, LINE 6: LUMC IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER MINISTRIES DEFINE - AND ACHIEVE - SPECIFIC COMMUNITY HEALTH AND WELL-BEING GOALS. IN FISCAL YEAR 2018, EVERY MINISTRY FOCUSED ON FOUR GOALS: 1. REDUCE TOBACCO USE 2. REDUCE OBESITY PREVALENCE3. ADDRESS AT LEAST ONE SIGNIFICANT HEALTH NEED IDENTIFIED IN THE MINISTRY COMMUNITY HEALTH NEEDS ASSESSMENT4. ADDRESS AT LEAST ONE SOCIAL DETERMINANT OF HEALTH TRINITY HEALTH ACKNOWLEDGES THE IMPACT SOCIAL DETERMINANTS SUCH AS ADEQUATE HOUSING, SAFETY, ACCESS TO FOOD, EDUCATION, INCOME, AND HEALTH COVERAGE HAVE ON THE HEALTH OF THE COMMUNITY. IN FISCAL YEAR 2016, TRINITY HEALTH LAUNCHED THE TRANSFORMING COMMUNITIES INITIATIVE (TCI) TO ADVANCE COMMUNITY PARTNERSHIPS THAT FOCUS ON IMPROVING THE HEALTH AND WELL-BEING IN COMMUNITIES SERVED BY THE MINISTRIES OF TRINITY HEALTH. TCI IS AN INNOVATIVE FUNDING MODEL AND TECHNICAL ASSISTANCE INITIATIVE SUPPORTING EIGHT COMMUNITIES USING POLICY, SYSTEM, AND ENVIRONMENTAL (PSE) CHANGE STRATEGIES TO PREVENT TOBACCO USE AND CHILDHOOD OBESITY, AS WELL AS ADDRESS SOCIAL DETERMINANTS OF HEALTH. TRINITY HEALTH INVESTED $3.6 MILLION IN FISCAL YEAR 2018 IN TCI. IN FISCAL YEAR 2018, TRINITY HEALTH LAUNCHED THE GOOD SAMARITAN INITIATIVE (GSI) TO SUPPORT THE MOST VULNERABLE PATIENTS' SOCIAL AND ECONOMIC NEEDS IN OUR SYSTEM THROUGH INTEGRATING COMMUNITY HEALTH WORKERS AS PART OF CARE TEAMS ACROSS NINE MINISTRIES. TRINITY HEALTH INVESTED OVER $260,000 IN FISCAL YEAR 2018 IN GSI. ADDITIONALLY, TRINITY HEALTH INVESTED $500,000 IN ELEVEN GRANTS TO IMPROVE THE BUILT ENVIRONMENT ACROSS EIGHT MINISTRIES. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO OUR COMMUNITIES THROUGH PROMOTING WELLNESS AND DEVELOPING PROGRAMS SPECIFICALLY SUPPORTING THOSE WHO ARE POOR AND VULNERABLE, HELPING MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, AND MOVING FORWARD POLICY, SYSTEM AND ENVIRONMENTAL CHANGE. THE ORGANIZATION WORKS TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ENHANCE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVE BY ADDRESSING THE SPECIFIC NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2018, TRINITY HEALTH INVESTED OVER $1.1 BILLION IN SUCH COMMUNITY BENEFITS.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. PART VI, LINE 7, REPORTS FILED WITH STATES IL 1 LOYOLA UNIVERSITY OF CHICAGO 820 N MICHIGAN AVENUE CHICAGO IL 60611 361408475 501(C)(3) 24421700 ACADEMIC AND GENERAL SUPPORT, ENDOWMENT FUNDING AMERICAN CANCER SOCIETY 340 POPLAR ST HANOVER PA 17333 381387120 501(C) (3) 10000 GENERAL SUPPORT AMERICAN LIVER FOUNDATION 108 N MICHIGAN STE 1870 CHICAGO IL 60601 362883000 501(C) (3) 7000 GENERAL SUPPORT RML HEALTH PROVIDERS 5601 S COUNTY LINE RD HINSDALE IL 60521 364113692 501(C) (3) 5000 GENERAL SUPPORT WEST COOK YMCA 255 S MARION ST OAK PARK IL 60302 362179780 501(C) (3) 5000 GENERAL SUPPORT HOUSING FORWARD 1851 S NINTH AVE MAYWOOD IL 60153 363876660 501(C) (3) 10000 GENERAL SUPPORT AMERICAN HEART ASSOCIATION 2410 GRAPE RD STE5A MISHAWAKA IN 46545 135613797 501(C) (3) 30000 GENERAL SUPPORT HIMALAYAN CATARACT PROJECT INC PO BOX 55 WATERBURY VT 05676 030362926 501(C) (3) 12000 GENERAL SUPPORT HUMANITY FIRST USA 300 E LOMBARD ST STE 840 BALTIMORE MD 21202 200464012 501(C) (3) 16000 GENERAL SUPPORT ILLINOIS TRANSPLANT FUND 425 SPRING LAKE DR ITASCA IL 60143 474167931 501(C) (3) 150000 GENERAL SUPPORT RONALD MCDONALD CHARITIES 1301 W 22ND ST OAK BROOK IL 60523 363532553 501(C) (3) 5000 GENERAL SUPPORT UNIVERSITY OF ILLINOIS 506 S WRIGHT ST URBANA IL 31801 376000511 501(C) (3) 5680 GENERAL SUPPORT CREIGHTON UNV HEALTH SCIENCE 1912 CALIFORNIA PLZ OMAHA NE 68178 470376583 501(C) (3) 20000 GENERAL SUPPORT ALIVIO MEDICAL CENTER 966 W 21ST ST CHICAGO IL 60608 363661051 501(C) (3) 5000 GENERAL SUPPORT QUINN CENTER OF ST EULALIA 1845 S NINTH AVE MAYWOOD IL 60153 362170993 501(C) (3) 9250 GENERAL SUPPORT 15 0 PART I, LINE 2: DONATIONS MADE BY LOYOLA UNIVERSITY MEDICAL CENTER (LUMC) TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. PART II, LINE 1: LUMC PROVIDES CLINICAL EDUCATION SUPPORT AND TEACHING FACILITIES FOR THE UNIVERSITY'S HEALTH SCIENCES EDUCATION PROGRAMS AT THE LOYOLA UNIVERSITY STRITCH SCHOOL OF MEDICINE AND THE MARCELLA NIEHOFF SCHOOL OF NURSING. 1 1 0 0 0 0 0 0 0 ROGER SPOELMAN DIRECTOR; INT PRES & CEO AS OF 4/18 0 614701 0 211406 0 167276 0 20250 0 28314 0 1041947 0 0 LARRY GOLDBERG DIRECTOR, PRESIDENT & CEO THR 3/18 0 870178 0 346231 0 398742 0 12150 0 16583 0 1643884 0 183120 BENJAMIN CARTER DIRECTOR AS OF 1/18;TRINITY EVP, CFO 0 939676 0 366755 0 316455 0 12150 0 38629 0 1673665 0 90148 SALLY JEFFCOAT DIR THR 12/17; EVP TRINITY HEALTH 0 898754 0 388608 0 230295 0 12150 0 31295 0 1561102 0 0 SCOTT MIROWITZ MD DIRECTOR AS OF 1/18; PROFESSOR 541514 0 51273 0 15869 0 12150 0 9079 0 629885 0 0 0 RONALD POTKUL MD DIRECTOR; LUMC PHYSICIAN 688759 0 63793 0 9509 0 20250 0 23461 0 805772 0 0 0 WILLIAM SMALL MD DIRECTOR; PROFESSOR 543506 0 48140 0 17614 0 12150 0 21174 0 642584 0 0 0 KEITH VESELIK MD DIRECTOR THR 12/17; MEDICAL DIRECTOR 321063 0 38584 0 3906 0 20250 0 21656 0 405459 0 0 0 CHAD WHELAN MD PRESIDENT LUMC 306735 212794 72230 0 13238 3537 10480 12150 13215 11754 415898 240235 0 0 BLAINE PETERSEN TREASURER; EVP & REG CFO 0 557910 0 159838 0 80400 0 12150 0 26125 0 836423 0 0 DANIEL ISACKSEN ASSISTANT TREASURER; VP FINANCE 362229 0 52626 0 495 0 8100 0 24495 0 447945 0 0 0 JILL RAPPIS SECRETARY; SVP LEGAL & GENL COUNSEL 0 340242 0 91673 0 6950 0 48465 0 14837 0 502167 0 0 MARIA PEKAR ASSISTANT SEC.; ASSOC GENL CNSL 0 247668 0 27455 0 1067 0 39062 0 23173 0 338425 0 0 DAVID HECHT MD MS MBA EVP, CLINICAL AFFAIRS; REGIONAL CMO 612869 0 140651 0 8490 0 20250 0 9607 0 791867 0 0 0 DANIEL POST EVP, NETWORK DEV. & SYSTEM INTEGR. 0 454053 0 104828 0 1140 0 50245 0 24862 0 635128 0 0 JOSHUA LEE MD CHIEF MEDICAL OFFICER LUMC 481649 0 39632 0 13406 0 10735 0 16856 0 562278 0 0 0 MAMDOUH BAKHOS PROFESSOR, THORATIC/CARDIO SURGERY 1184803 0 249029 0 515181 0 20025 0 1951 0 1970989 0 0 0 BRYAN FOY PROFESSOR, THORATIC/CARDIO SURGERY 1130751 0 0 0 18524 0 16200 0 21143 0 1186618 0 0 0 RUSS NOCKELS PROFESSOR, NEUROLOGICAL SURGERY 922414 0 1976 0 13465 0 8100 0 22785 0 968740 0 0 0 EDWIN MCGEE PROFESSOR, THORATIC/CARDIO SURGERY 892359 0 0 0 16836 0 12150 0 21611 0 942956 0 0 0 DOUGLAS ANDERSON PROFESSOR, NEUROLOGICAL SURGERY 816871 0 46800 0 16768 0 20250 0 20263 0 920952 0 0 0 RICHARD O'CONNELL FORMER KEY EMPLOYEE 0 31633 0 193351 0 655879 0 7059 0 9566 0 897488 0 0 DONNA HALINSKI FORMER OFFICER; VP CLINICAL AFFAIRS 277088 0 39888 0 1207 0 53875 0 23997 0 396055 0 0 0 SILIA MIGLIO FORMER OFFICER; CORP. CONTROLLER 209771 0 21949 0 272 0 22522 0 2223 0 256737 0 0 0 AJAY SIAL FORMER OFFICER 0 0 0 0 0 278567 0 0 0 10666 0 289233 0 281131 WENDY LEUTGENS FORMER OFFICER 0 146207 0 106593 0 458407 0 154477 0 21291 0 886975 0 0 PART I, LINE 3 LOYOLA UNIVERSITY MEDICAL CENTER (LUMC) IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. LUMC'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF LUMC'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2017. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: WENDY LEUTGENS - $376,941 RICHARD O'CONNELL - $448,968 AJAY SIAL - $281,131 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/17: WENDY LEUTGENS - $152,814 (PAID IN 2018) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2017. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. BENEFITS FOR PARTICIPANTS VESTED IN A PLAN WERE PAID OUT IN 2017, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2017. THE FOLLOWING PAYOUTS FOR 2017 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: BENJAMIN CARTER - $191,020 LARRY GOLDBERG - $189,922 SALLY JEFFCOAT - $199,865 WENDY LEUTGENS - $78,141 RICHARD O'CONNELL - $202,294 BLAINE PETERSEN - $66,698 ROGER SPOELMAN - $141,449 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION OR RETENTION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($270,000 FOR 2017). THE FOLLOWING PAYOUTS FOR 2017 FOR THESE PLANS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: BENJAMIN CARTER - $100,285 LARRY GOLDBERG - $189,505 JILL RAPPIS - $3,939 COLUMN (F) OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING IS A PARTICIPANT IN THE LUHS/LUMC INVESTMENT OPTION PLAN. THE PLAN IS A SUPPLEMENTAL NONQUALIFIED COMPENSATION PLAN. THE FOLLOWING PAYOUT FOR 2017 IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: MAMDOUH BAKHOS - $481,427 GAIL HECHT FAMILY MEMBER OF DAVID HECHT, OFFICER 220746 EMPLOYMENT ARRANGEMENT 0 MEAGHAN KLUMP FAMILY MEMBER OF KEITH VESELIK, MD, BOARD DIRECTOR 44869 EMPLOYMENT ARRANGEMENT 0 GRACE PEKAR FAMILY MEMBER OF MARIA PEKAR, OFFICER 58469 EMPLOYMENT ARRANGEMENT 0 JENNIFER BOURJAILY FAMILY MEMBER OF KEITH VESELIK, MD, BOARD DIRECTOR 56602 EMPLOYMENT ARRANGEMENT 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 417700 PROVIDED GOODS/SERVICES TO LOYOLA UNIVERSITY MEDICAL CENTER 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 331683 PROVIDED GOODS/SERVICES TO LOYOLA UNIVERSITY MEDICAL CENTER 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 9012491 PROVIDED GOODS/SERVICES TO LOYOLA UNIVERSITY MEDICAL CENTER 0 DAWN MACK FAMILY MEMBER OF DANIEL POST, KEY EMPLOYEE 123074 EMPLOYMENT ARRANGEMENT 0 CLAIRE VESELIK FAMILY MEMBER OF KEITH VESELIK, MD, BOARD DIRECTOR 10906 EMPLOYMENT ARRANGEMENT 0 X 1 496235 MARKET PRICE X AIRPLANE TICKETS 1 24000 FMV 0 0 1 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF LOYOLA UNIVERSITY MEDICAL CENTER (LUMC) IS LOYOLA UNIVERSITY HEALTH SYSTEM (LUHS). SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A LUHS IS THE SOLE MEMBER OF LUMC. LUHS HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF LUMC. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, LUHS MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. LUHS MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. AS THE PARENT OF THE NATIONAL TRINITY HEALTH SYSTEM, CERTAIN POWERS ARE RESERVED TO TRINITY HEALTH CORPORATION. THESE INCLUDE THE AUTHORITY TO ADOPT OR MODIFY THE ORGANIZATION'S GOVERNING DOCUMENTS, TO APPROVE MAJOR CHANGES SUCH AS A MERGER OR DISSOLUTION, AND TO APPROVE SIGNIFICANT FINANCE MATTERS IN EXCESS OF CERTAIN LIMITS ESTABLISHED BY TRINITY HEALTH CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR LUMC IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C LUMC HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF LUMC, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF LUMC AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO INTERNAL LEGAL COUNSEL AND THE INTEGRITY AND COMPLIANCE OFFICER, FROM WHICH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF LUMC (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO LUMC OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF LUMC (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF LUMC. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 15 QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF LUMC IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO AND CFO COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE CEO AND CFO OF LUMC ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FORM 990, PART VI, SECTION C, LINE 19 LUMC IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, LUMC INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. LUMC'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS TO AFFILIATES -13,060,684. CHANGE IN DEFERRED RETIREMENT COSTS 9,242,090. EQUITY GAIN IN UNCONSOLIDATED AFFILIATES 7,881,498. FORM 990, PART XII, LINE 2: LUMC'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY18 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. FORM 990, PART I, DOING BUSINESS AS: LOYOLA CENTER FOR HOME CARE AND HOSPICE L MEDICINE PHYSICIAN GROUP LLC 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 320552496 PHYSICIAN NETWORK IL 1814986 14883024 LOYOLA UNIVERSITY MEDICAL CENTER LOYOLA AMBULATORY CENTERS LLC 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 364321058 AMBULATORY SERVICES IL 549861 2238219 LOYOLA UNIVERSITY MEDICAL CENTER ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 245 STATE ST SE GRAND RAPIDS MI 49503 272491974 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR FL 34684 581492325 GRANT MAKING FL 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 061450170 HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 421500277 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 262973307 FOUNDATION IA 501(C)(3) LINE 12A, I BAUM HARMON MERCY HOSPITAL 1 BEECHWOOD INC 2212 BURDETT AVE TROY NY 12180 141651563 TITLE HOLDING COMPANY NY 501(C)(2) N/A LTC (EDDY) INC 1 BETHLEHEM HAVEN OF PITTSBURGH 905 WATSON STREET PITTSBURGH PA 15219 251436685 HOMELESS SHELTER PA 501(C)(3) LINE 7 PITTSBURGH MERCY HEALTH SYSTEM INC 1 BEVERWYCK INC 40 AUTUMN DRIVE SLINGERLANDS NY 12159 141717028 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 BRIGHTSIDE INC 1221 MAIN STREET SUITE 213 HOLYOKE MA 01040 042182395 HEALTH CARE SERVICES MA 501(C)(3) LINE 10 THE MERCY HOSPITAL INC 1 CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA STREET COHOES NY 12047 141701597 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 CARING PARTNERS HOME HEALTH INC 1200 EARHART RD ANN ARBOR MI 48105 201681131 HOME HEALTH SERVICES MI 501(C)(3) LINE 10 GLACIER HILLS INC 1 CATHERINE MCAULEY HEALTH SERVICES CORP PO BOX 995 ANN ARBOR MI 48106 382507173 HEALTH CARE SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN 1 CATHOLIC HEALTH MINISTRIES 20555 VICTOR PARKWAY LIVONIA MI 48152 GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM VT 501(C)(3) LINE 1 N/A 0 COLUMBUS ACQUISITION CORP 111 CENTRAL AVENUE NEWARK NJ 07102 262616342 INACTIVE ENTITY NJ 501(C)(3) LINE 10 SAINT MICHAEL'S MEDICAL CENTER 1 DILEY RIDGE MEDICAL CENTER 6150 EAST BROAD STREET COLUMBUS OH 43213 342032340 HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 MOUNT CARMEL HEALTH SYSTEM 1 DUBUQUE MERCY HEALTH FOUNDATION 250 MERCY DRIVE DUBUQUE IA 52001 262227941 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 DYERSVILLE HEALTH FOUNDATION INC 1111 3RD STREET SW DYERSVILLE IA 52040 205383271 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 EAST NORRITON PHYSICIANS SERVICES INC ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 232515999 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 EDDY LICENSED HOME CARE AGENCY 433 RIVER ST SUITE 3000 TROY NY 12180 141818568 HOME HEALTH SERVICES NY 501(C)(3) LINE 3 LTC (EDDY) INC 1 EMBRACING AGE INC 333 BUTTERNUT DRIVE DEWITT NY 13214 461051881 PACE PROGRAM NY 501(C)(3) LINE 10 ST JOSEPH'S HEALTH INC 1 EMPIRE HOME INFUSION SERVICE INC 10 BLACKSMITH DRIVE MALTA NY 12020 141795732 HOME HEALTH SERVICES NY 501(C)(3) LINE 10 HOME AIDE SERVICE OF EASTERN NEW YORK INC 1 FARREN CARE CENTER INC 1221 MAIN STREET SUITE 213 HOLYOKE MA 01040 042501711 LONG TERM CARE MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 FRANCISCAN ELDERCARE CORPORATION PO BOX 2500 WILMINGTON DE 19805 223008680 LONG TERM CARE (INACTIVE) DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL 1 GLACIER HILLS FOUNDATION 1200 EARHART RD ANN ARBOR MI 48105 208072723 FOUNDATION MI 501(C)(3) LINE 12A, I GLACIER HILLS INC 1 GLACIER HILLS INC 1200 EARHART RD ANN ARBOR MI 48105 381891500 SENIOR LIVING COMMUNITY MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 GLEN EDDY INC 1 GLEN EDDY DRIVE NISKAYUNA NY 12309 141794150 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 GLOBAL HEALTH MINISTRY 20555 VICTOR PARKWAY LIVONIA MI 48152 421253527 HEALTH CARE SERVICES MI 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 GOOD SAMARITAN HOSPITAL INC 5401 LAKE OCONEE PARKWAY GREENSBORO GA 30642 261720984 HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 ST MARY'S HEALTH CARE SYSTEM INC 1 GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION 701 W NORTH AVE MELROSE PARK IL 60160 363332852 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 GOTTLIEB MEMORIAL HOSPITAL 1 GOTTLIEB MEMORIAL FOUNDATION 701 WEST NORTH AVENUE MELROSE PARK IL 60160 743260011 FOUNDATION IL 501(C)(3) LINE 12C, III-FI N/A 0 GOTTLIEB MEMORIAL HOSPITAL 701 W NORTH AVE MELROSE PARK IL 60160 362379649 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 GRAND RAPIDS MEDICAL EDUCATION PARTNERS 945 OTTAWA AVE NW GRAND RAPIDS MI 49503 237270669 MEDICAL EDUCATION TRAINING PROGRAMS MI 501(C)(3) LINE 12A, I TRINITY HEALTH-MICHIGAN 1 HACKLEY LIFE COUNSELING 125 E SOUTHERN AVENUE MUSKEGON MI 49442 381386362 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 MERCY HEALTH PARTNERS 1 HAWTHORNE RIDGE INC 30 COMMUNITY WAY EAST GREENBUSH NY 12061 800102840 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HEART CENTER OF GREATER WATERBURY INC PO BOX 2153 WATERBURY CT 06722 830416893 MANAGEMENT CT 501(C)(3) LINE 12A, I N/A 0 HERITAGE HOUSE NURSING CENTER INC 2920 TIBBITS AVE TROY NY 12180 141725101 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HOLY CROSS CARENET INC PO BOX 9184 FARMINGTON HILLS MI 48152 521945054 LONG TERM CARE MD 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 HOLY CROSS HEALTH FOUNDATION INC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 208428450 FOUNDATION MD 501(C)(3) LINE 7 HOLY CROSS HEALTH INC 1 HOLY CROSS HEALTH INC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 520738041 HEALTH CARE AND HOSPITAL SERVICES MD 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 HOLY CROSS HOSPITAL INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 590791028 HEALTH CARE AND HOSPITAL SERVICES FL 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 HOLY CROSS OUTPATIENT SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 465421068 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOLY CROSS PRIMARY CARE INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 812531495 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOME & COMMUNITY HEALTH SERVICES INC 114 WOODLAND STREET HARTFORD CT 06105 810723591 HOME HEALTH SERVICES CT 501(C)(3) LINE 10 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 HOME AIDE SERVICE OF EASTERN NEW YORK INC 433 RIVER ST SUITE 3000 TROY NY 12180 141514867 HOME HEALTH SERVICES NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HOSPICE OF NORTH IOWA 232 SECOND STREET SE MASON CITY IA 50401 421173708 HOSPICE SERVICES IA 501(C)(3) LINE 10 MERCY HEALTH SERVICES-IOWA CORP 1 HOSPICE OF SIOUXLAND 4300 HAMILTON BLVD SIOUX CITY IA 51104 383320710 HOSPICE SERVICES IA 501(C)(3) LINE 12A, I N/A 0 IHA HEALTH SERVICES CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR MI 48106 383316559 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 JOHNSON MEMORIAL HOSPITAL INC 114 WOODLAND STREET HARTFORD CT 06105 475676956 HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 LANGHORNE MRI INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232519529 HEALTH CARE SERVICES (INACTIVE) PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 LANGHORNE PHYSICIAN SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232571699 HEALTH CARE SERVICES PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 LIFE AT LOURDES INC 2475 MCCLELLAN AVENUE PENNSAUKEN NJ 08109 261854750 PACE PROGRAM NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES 1 LIFE AT ST FRANCIS HEALTHCARE INC 7TH AND CLAYTON STREETS WILMINGTON DE 19805 452569214 PACE PROGRAM DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL 1 LIFE ST FRANCIS CORPORATION 7500 K JOHNSON BOULEVARD BORDENTOWN NJ 08505 222797282 PACE PROGRAM NJ 501(C)(3) LINE 10 ST FRANCIS MEDICAL CENTER TRENTON NJ 1 LIFE ST JOSEPH OF THE PINES INC 100 GOSSMAN DRIVE SOUTHERN PINES NC 28387 272159847 PACE PROGRAM NC 501(C)(3) LINE 3 ST JOSEPH OF THE PINES INC 1 LIFE ST MARY 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 262976184 PACE PROGRAM PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 LOURDES ANCILLARY SERVICES 1600 HADDON AVENUE CAMDEN NJ 08103 222568525 VOLUNTEER SERVICE AUXILIARY NJ 501(C)(3) LINE 12B, II OUR LADY OF LOURDES HEALTH CARE SERVICES 1 LOURDES CARDIOLOGY SERVICES PC 1600 HADDON AVENUE CAMDEN NJ 08103 274357794 HEALTH CARE SERVICES NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES 1 LOURDES MEDICAL CENTER OF BURLINGTON COUNTY 218 SUNSET ROAD WILLINGBORO NJ 08046 223612265 HEALTH CARE AND HOSPITAL SERVICES NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES 1 LOYOLA MEDICINE TRANSPORT LLC 905 W NORTH AVE MELROSE PARK IL 60160 474147171 TRANSPORATION SERVICES IL 501(C)(3) LINE 10 LOYOLA UNIVERSITY MEDICAL CENTER 1 LOYOLA UNIVERSITY HEALTH SYSTEM 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 363342448 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 LOYOLA UNIVERSITY MEDICAL CENTER 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 364015560 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 0 LTC (EDDY) INC 2212 BURDETT AVE TROY NY 12180 222564710 MANAGEMENT SERVICES FOR LONG TERM CARE NY 501(C)(3) LINE 12B, II ST PETER'S HEALTH PARTNERS 1 MARIAN HOME HEALTHCARE 801 5TH STREET SIOUX CITY IA 51101 383320705 HOME HEALTH SERVICES (INACTIVE) IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 MAXIS HEALTH SYSTEM 3805 WEST CHESTER PIKE STE 100 NEWTOWN SQUARE PA 19073 911940902 HEALTH CARE SYSTEM 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CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 231352191 HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA 1 MERCY COMMUNITY HEALTH INC 2021 ALBANY AVENUE WEST HARTFORD CT 06117 061492707 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT CT 501(C)(3) LINE 12B, II TRINITY CONTINUING CARE SERVICES 1 MERCY FAMILY SUPPORT 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD PA 19064 232325059 HOME HEALTH SERVICES PA 501(C)(3) LINE 10 MERCY HOME HEALTH SERVICES 1 MERCY FOUNDATION INC 2525 SOUTH MICHIGAN AVENUE CHICAGO IL 60616 363227350 FOUNDATION IL 501(C)(3) LINE 7 MERCY HEALTH SYSTEM OF CHICAGO 1 MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE 888 TERRACE STREET MUSKEGON MI 49440 383321856 HOME HEALTH SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 232829864 FOUNDATION PA 501(C)(3) LINE 12B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA 1 MERCY HEALTH NETWORK INC 1111 6TH AVENUE DES MOINES IA 50314 421478417 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT DE 501(C)(3) LINE 12B, II N/A 0 MERCY HEALTH PARTNERS 1500 E SHERMAN BLVD MUSKEGON MI 49444 382589966 HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN 1 MERCY HEALTH PLAN ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 222483605 MEDICAID MANAGED CARE PLAN PA 501(C)(3) LINE 12B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA 1 MERCY HEALTH SERVICES - IOWA CORP 1000 4TH STREET SW MASON CITY IA 50401 311373080 HEALTH CARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 MERCY HEALTH SYSTEM OF CHICAGO 2525 SOUTH MICHIGAN AVENUE CHICAGO IL 60616 363163327 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 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203357131 FOUNDATION MI 501(C)(3) LINE 12A, I TRINITY HEALTH-MICHIGAN 1 MERCY LIFE CENTER CORPORATION 1200 REEDSDALE STREET PITTSBURGH PA 15233 251604115 COMMUNITY OUTREACH PA 501(C)(3) LINE 10 PITTSBURGH MERCY HEALTH SYSTEM INC 1 MERCY LIFE OF ALABAMA PO BOX 7957 MOBILE AL 36670 273163002 PACE PROGRAM AL 501(C)(3) LINE 3 TRINITY HEALTH PACE 1 MERCY LIFE INC 1221 MAIN STREET SUITE 213 HOLYOKE MA 01040 453086711 PACE PROGRAM MA 501(C)(3) LINE 3 SISTERS OF PROVIDENCE CARE CENTERS INC 1 MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 232627944 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 MERCY MEDICAL CENTER - CLINTON INC 1410 NORTH 4TH ST CLINTON IA 52732 421336618 HEALTH CARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION 801 5TH STREET SIOUX CITY IA 51102 141880022 FOUNDATION IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP 1 MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA 1000 4TH STREET SW MASON CITY IA 50401 421229151 FOUNDATION IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP 1 MERCY MEDICAL CORPORATION PO BOX 7957 MOBILE AL 36670 636002215 PACE PROGRAM AL 501(C)(3) LINE 10 TRINITY HEALTH CORPORATION 1 MERCY MEDICAL GROUP INC 1221 MAIN STREET SUITE 213 HOLYOKE MA 01040 454884805 HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 MERCY PHYSICIAN NETWORK ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 461187365 MANAGEMENT SERVICES FOR PHYSICIAN SERVICE ORGANIZATIONS PA 501(C)(3) LINE 12B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA 1 MERCY SENIOR CARE INC 424 DECATUR STREET ATLANTA GA 30312 581366508 COMMUNITY OUTREACH GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC 1 MERCY SERVICES DOWNTOWN INC 424 DECATUR STREET ATLANTA GA 30312 272046353 TITLE HOLDING COMPANY GA 501(C)(3) LINE 12B, II SAINT JOSEPH'S HEALTH SYSTEM INC 1 MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION PO BOX 9184 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