2025-02-17T13:06:40-06:00 2024-03-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2023-04-01 362448028 JACKSON PARK HOSPITAL FOUNDATION JACK 7739477500 7531 STONY ISLAND AVENUE CHICAGO IL 60649 WILLIAM DORSEY MD CHAIRMAN/CEO 7739477500 2025-02-14 1 0 AMBER ROGNAN-HAMILTON P01251012 3149254300 2025-02-14 2023 2025-03-06 01:10:19Z WILLIAM DORSEY MD 7531 STONY ISLAND AVENUE CHICAGO IL 60649 99005286 0 X WWW.JACKSONPARKHOSPITAL.ORG X 1960 IL TO PROVIDE COMPASSIONATE CARE AND HIGH QUALITY HEALTHCARE SERVICES TO MEET THE NEEDS OF THE PATIENTS AND COMMUNITIES WE SERVE. 9 1 812 1 0 0 12297254 5190121 91311110 92533290 48035 232 867180 1281643 104523579 99005286 0 0 0 0 42921696 43378549 0 0 0 55473226 56625784 98394922 100004333 6128657 -999047 138360093 139715086 44845925 46567548 93514168 93147538 X TO PROVIDE COMPASSIONATE CARE AND HIGH QUALITY HEALTHCARE SERVICES TO MEET THE NEEDS OF THE PATIENTS AND COMMUNITES WE SERVE. 0 0 57188648 0 56762520 INPATIENT MEDICAL CARE TO CHICAGO'S SOUTH SIDE COMMUNITIES REGARDLESS OF THE PATIENT'S ABILITY TO PAY INPATIENT SERVICES INCLUDING MEDICAL SURGICAL, ICU AND HOSPICE. IN 2023 THE HOSPITAL SERVED 1,933 ACUTE CARE ADMISSIONS WHICH AMOUNTED TO 10,063 PATIENT DAYS. 21020786 0 20864154 JACKSON PARK HOSPITAL FOUNDATION PROVIDES INPATIENT AND OUTPATIENT BEHAVIORAL MEDICINE SERVICES TO THE GREATER CHICAGOLAND AREA. JACKSON PARK HOSPITAL IS ONE OF THE FEW HOSPITALS IN CHICAGO THAT CONTINUES TO PROVIDE BEHAVIORAL MEDICINE TO ITS COMMUNITY. IN 2023 JACKSON PARK HOSPITAL SERVED 2,739 INPATIENT BEHAVIORAL MEDICINE PATIENTS WHICH AMOUNTED TO 14,632 PATIENT DAYS. JACKSON PARK HOSPITAL PROVIDES MULTIPLE LEVELS OF CARE TO MEET THE NEEDS OF AN ADULT INDIVIDUAL WITH EMOTIONAL AND BEHAVIORAL PROBLEMS. IN ADDITION TO 24 HOUR EMERGENCY PSYCHIATRIC AND INTAKE SERVICES, JACKSON PARK HOSPITAL OFFERS 86-BED INPATIENT PSYCHIATRIC SERVICES, PARTIAL HOSPITAL PROGRAM AND OUTPATIENT SERVICES. THE TREATMENT IS PROVIDED BY MULTIDISCIPLINARY STAFF INCLUDING PSYCHIATRIST, INTERNIST, PSYCHOLOGIST, PSYCHIATRIC NURSE, SOCIAL WORKER, CLINICAL THERAPIST, OCCUPATIONAL THERAPIST, AND NUTRITIONIST. 12164824 0 12074181 JACKSON PARK HOSPITAL PROVIDES BASIC EMERGENCY ROOM SERVICES TO ITS COMMUNITY 24 HOURS A DAY 7 DAYS A WEEK REGARDLESS OF THE PATIENTS' ABILITY TO PAY. IN 2023 THE HOSPITAL SERVED 11,035 EMERGENCY PATIENTS. 2853698 0 2832435 MEDICAL EDUCATION - OUR VISION IS TO PROMOTE COMPETENCE IN HEALTH CARE AND CUSTOMER SERVICE BY PROVIDING EDUCATION, DIRECTION, TRAINING AND LEADERSHIP TO OUR STAFF. JPH EDUCATION DEPARTMENT WORKS WITH SEVERAL MEDICAL AND NURSING COLLEGES AND UNIVERSITIES SERVING AS A CLINICAL SITE FOR MEDICAL STUDENTS, NURSING STUDENTS AND ALLIED HEALTH PROFESSIONALS WHO COMPLETE THEIR CLINICAL AFFILIATION AT JPH AS PART OF THEIR ACADEMIC TRAINING. WE ALSO PARTICIPATE IN COMMUNITY OUTREACH AND HEALTH SCREENING TO PROMOTE WELLNESS IN OUR COMMUNITY. 2853698 0 2832435 93227956 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 1 1 0 0 1 58 0 812 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 9 1 0 0 0 0 1 0 1 1 1 0 0 0 1 1 1 1 1 0 0 0 IL X BARRY MANDELL 7739477701 7531 STONY ISLAND AVENUE CHICAGO IL 60649 JAMES I CLARK III DIRECTOR 2.00 0.00 X 0 0 0 DR WILLIAM O DORSEY III CHAIRMAN/CEO 40.00 0.00 X X 772434 0 53822 DR HARSHAD MEHTA DIRECTOR/PHYSICIAN 40.00 0.00 X 206056 0 28643 DR LAKSHMI DODDA DIRECTOR/PHYSICIAN 25.00 0.00 X 229235 0 41449 DR HAROON OLOMI DIRECTOR/PHYSICIAN 4.00 36.00 X 6754 209996 25832 DR ZAHIDUR RAHMAN DIRECTOR/PHYSICIAN 4.00 36.00 X 76853 181111 25832 DR SURRENTHIA PARKER DIRECTOR/PHYSICIAN 4.00 0.00 X 46396 0 37638 DR BANGALORE R MURTHY DIRECTOR/PHYSICIAN 25.00 0.00 X 160554 0 42681 DR ARLENE RICHARDSON DIRECTOR/PHYSICIAN (TERM END 9/23) 40.00 0.00 X 0 0 0 DR OKECHUKU U OKOLO DIRECTOR/PHYSICIAN 22.00 18.00 X 76380 138852 25832 MERRITT HASBROUCK PRESIDENT 40.00 0.00 X 666257 0 40368 G RANDALL SMITH EXECUTIVE VP 40.00 0.00 X 651876 0 76016 MARGO BROOKS-PUGH VICE PRESIDENT 40.00 0.00 X 115162 0 50181 ALVIN KRUSE SECRETARY 0.25 0.00 X 0 0 0 KENNETH MCGHEE VP FINANCE 40.00 0.00 X 243767 0 14370 M PATRICIA SIMON SENIOR VP QUALITY & COMPLIANCE 40.00 0.00 X 211373 0 43158 BARRY MANDELL VP SPECIAL PROJECTS 40.00 0.00 X 226493 0 50254 MAGDALENE ARMSTEAD VP PATIENT CARE 40.00 0.00 X 210094 0 19860 RAYLENE SWINOCK NURSE 40.00 0.00 X 246754 0 9547 SYED ALA MD PHYSICIAN 12.00 28.00 X 73630 170000 37638 MATTHEW MALTERS MD PHYSICIAN 2.00 38.00 X 13166 1051762 37638 CYRIL EZEANYAGU NURSE 40.00 0.00 X 226911 0 28329 SAHR NGOMBU NURSE 40.00 0.00 X 231922 0 51528 4692067 1751721 740616 80 0 1 0 WHITE CAP NURSING 2600 SOUTH MICHIGAN AVENUE CHICAGO IL 60616 TEMPORARY NURSE STAFFING 3527865 SIMPLE LABORATORIES LLC 5960 NORTH MILWAUKEE AVENUE CHICAGO IL 60646 LAB SERVICES 2773816 GREAT LAKES MEDICAL GROUP 1001 GALAXY WAY SUITE 400 CONCORD CA 94520 EMERGENCY ROOM DOCTORS 1926982 DMS NURSING SOLUTION INC 2250 E DEVON AVE STE 341 DES PLAINES IL 60018 TEMPORARY NURSE STAFFING 1505622 RADIOLOGY IMAGING CONSULTING 71W 156 ST STE 110 HARVEY IL 60426 CONSULTING 1163842 22 4951385 238736 5190121 PATIENT SERVICE REVENUE 621110 54008542 54008542 PROVIDER TAX PROCEEDS 621110 38524748 38524748 92533290 232 232 310376 0 310376 310376 310376 INSURANCE REFUND 621110 310094 310094 REBATES - OPTUM RX 621110 304027 304027 CAFETERIA 722514 223986 223986 133160 133160 971267 99005286 92533290 0 1281875 X 4475620 4475620 31755045 31484430 270615 1126790 1064807 61983 3481287 3289788 191499 2539807 2400097 139710 620196 620196 240684 240684 21345 21345 46861 46861 21597121 21275709 321412 107713 107713 6156457 5522593 633864 1288403 1197740 90663 40 40 792948 442148 350800 3093594 2900244 193350 1141439 1141439 BAD DEBT 12292693 12292693 HOSPITAL PROVIDER TAX & 9161606 9161606 DUES & SUBSCRIPTIONS 47738 47738 PATIENT TRANSPORTATION 14641 14641 2305 2305 100004333 93227956 6776377 0 569244 225617 600835 600835 257312 399500 10685571 7545873 1268032 1051971 649635 430076 88782841 66348842 22794473 22433999 15307411 16100012 913 8488 486163 486163 85740504 90432552 138360093 139715086 16661253 17536968 1410954 45011 11722127 13918251 9047199 9089398 6004392 5977920 44845925 46567548 X 93514168 93147538 93514168 93147538 138360093 139715086 X -999047 794802 -162385 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 21345 21345 0 PART II-B, LINE 1: A PORTION OF THE MEMBERSHIP DUES PAID TO VARIOUS HOSPITAL ASSOCIATIONS ARE RELATED TO LOBBYING. 2482024 2482024 40314330 36108542 4205788 27139289 14143488 12995801 18772262 16096812 2675450 74936 74936 22433999 DUE FROM RELATED PARTY 87679949 FINANCING RIGHT-OF-USE ASSETS 2752603 90432552 THIRD PARTY PAYOR SETTLEMENTS 117236 PENSION LIABILITY 774040 PROFESSIONAL LIABILITY 5086644 5977920 X PART X, LINE 2: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE CONSOLIDATED FINANCIAL STATEMENTS. 1 1 1 X 1 X 1 1 1 0 1 1 9741993 840302 8901691 0.10150 48319283 38524748 9794535 0.11170 58061276 39365050 18696226 0.21320 6616496 6616496 11623743 6327639 5296104 0.06040 18240239 12944135 5296104 0.06040 76301515 52309185 23992330 0.27360 1 6470138 1416854 7014075 9239910 -2225835 X 1 1 1 1 JACKSON PARK HOSPITAL FOUNDATION 7531 STONY ISLAND CHICAGO IL 60649 JACKSONPARKHOSPITAL.ORG 0001115 X X X X JACKSON PARK HOSPITAL FOUNDATION 1 0 0 1 X X X X X X X X X 23 1 0 1 1 X SEE PART V, SECTION C X 1 21 1 SEE PART V, SECTION C 0 1 X 200.000000000000 200.000000000000 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 JACKSON PARK HOSPITAL FOUNDATION PART V, SECTION B, LINE 5: IN 2023, JACKSON PARK HOSPITAL WORKED WITH THE ALLIANCE FOR HEALTH EQUITY AND THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE ALLIANCE FOR HEALTH EQUITY WAS DEVELOPED SO THAT PARTICIPATING ORGANIZATIONS CAN COLLABORATIVELY ASSESS COMMUNITY HEALTH NEEDS, COLLECTIVELY DEVELOP SHARED IMPLEMENTATION PLANS TO ADDRESS COMMUNITY HEALTH NEEDS, MORE EFFICIENTLY SHARE RESOURCES, AND HAVE A GREATER IMPACT ON THE LARGE POPULATION RESIDING IN COOK COUNTY. CURRENTLY, 30 HOSPITALS, 6 LOCAL HEALTH DEPARTMENTS INCLUDING CHICAGO DEPARTMENT OF PUBLIC HEALTH AND COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, AND NEARLY 100 COMMUNITYBASED ORGANIZATIONS ARE PARTICIPATING IN THE ALLIANCE FOR HEALTH EQUITY. THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) SERVES AS A BACKBONE ORGANIZATION THAT HELPS TO FACILITATE THE ASSESSMENT AND IMPLEMENTATION PROCESSES, CONVENES PARTNERS ACROSS SECTORS, AND PROVIDES TECHNICAL SUPPORT. THE ALLIANCE FOR HEALTH EQUITY IS COMPRISED OF A STEERING COMMITTEE AND WORKGROUPS AND COMMITTEES COLLABORATING ON IMPLEMENTATION STRATEGIES FOR SEVERAL COMMUNITY HEALTH PRIORITIES. JACKSON PARK HOSPITAL SITS ON THE STEERING COMMITTEE FOR THE ALLIANCE FOR HEALTH EQUITY.THE ALLIANCE FOR HEALTH EQUITY'S METHODS OF COMMUNITY ENGAGEMENT FOR THE CHNA AND IMPLEMENTATION STRATEGIES INCLUDE:GATHERING INPUT FROM COMMUNITY RESIDENTS WHO ARE UNDERREPRESENTED IN TRADITIONAL ASSESSMENT AND IMPLEMENTATION PLANNING PROCESSES; PARTNERING WITH COMMUNITY BASED ORGANIZATIONS FOR COLLECTION OF COMMUNITY INPUT THROUGH SURVEYS AND FOCUS GROUPS; ENGAGING COMMUNITY BASED ORGANIZATIONS AND COMMUNITY RESIDENTS AS MEMBERS OF IMPLEMENTATION COMMITTEES AND WORKGROUPS; UTILIZING THE EXPERTISE OF THE MEMBERS OF IMPLEMENTATION COMMITTEES AND WORKGROUPS IN ASSESSMENT DESIGN, DATA INTERPRETATION, AND IDENTIFICATION OF EFFECTIVE IMPLEMENTATION STRATEGIES AND EVALUATION METRICS; WORKING WITH HOSPITAL AND HEALTH DEPARTMENT COMMUNITY ADVISORY GROUPS TO GATHER INPUT INTO THE CHNA AND IMPLEMENTATION STRATEGIES; AND PARTNERING WITH LOCAL COALITIONS TO SUPPORT AND ALIGN WITH EXISTING COMMUNITYDRIVEN EFFORTS.THE COMMUNITY BASED ORGANIZATIONS ENGAGED IN THE ALLIANCE FOR HEALTH EQUITY REPRESENT A BROAD RANGE OF SECTORS SUCH AS WORKFORCE DEVELOPMENT, HOUSING SERVICES, FOOD SECURITY, COMMUNITY SAFETY, PLANNING, COMMUNITY DEVELOPMENT, IMMIGRANT RIGHTS, PRIMARY AND SECONDARY EDUCATION, FAITH COMMUNITIES, BEHAVIORAL HEALTH SERVICES, ADVOCACY, POLICY, TRANSPORTATION, OLDER ADULT SERVICES, HEALTH CARE SERVICES, HIGHER EDUCATION, AND MANY MORE. ALL COMMUNITY PARTNERS WORK WITH OR REPRESENT COMMUNITIES THAT ARE DISPROPORTIONATELY AFFECTED BY HEALTH INEQUITIES SUCH AS COMMUNITIES OF COLOR, IMMIGRANTS, YOUTH, OLDER ADULTS AND CAREGIVERS, LGBTQ+, INDIVIDUALS EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY, INDIVIDUALS LIVING WITH MENTAL ILLNESS OR SUBSTANCE USE DISORDERS, INDIVIDUALS WITH DISABILITIES, VETERANS, AND UNEMPLOYED YOUTH AND ADULTS. THIS INFORMATION WAS CONSIDERED DURING THE PROCESS OF ESTABLISHING HEALTH PRIORITIES.EPIDEMIOLOGISTS FROM THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH (CCDPH) AND CHICAGO DEPARTMENT OF PUBLIC HEALTH (CDPH) AND METOPIO ARE INVALUABLE PARTNERS IN IDENTIFYING, COMPILING, AND ANALYZING SECONDARY DATA FOR THE CHNA. IPHI AND THE ALLIANCE FOR HEALTH EQUITY STEERING COMMITTEE WORKED WITH CDPH AND CCDPH TO REFINE A COMMON SET OF INDICATORS BASED ON AN ADAPTED VERSION OF THE COUNTY HEALTH RANKINGS AND ROADMAPS MODEL.PRIMARY DATA FOR THE CHNA WAS COLLECTED THROUGH THREE METHODS: COMMUNITY INPUT SURVEYS; COMMUNITY RESIDENT FOCUS GROUPS; AND SOCIAL SERVICE PROVIDER FOCUS GROUPS.THE COMMUNITY INPUT SURVEY WAS A QUALITATIVE TOOL DESIGNED TO UNDERSTAND COMMUNITY HEALTH NEEDS AND ASSETS WITH A FOCUS ON HEARING FROM COMMUNITY MEMBERS THAT ARE MOST IMPACTED BY HEALTH INEQUITIES. FROM 2021 TO 2022, 112 COMMUNITY INPUT SURVEYS WERE COLLECTED IN JPH'S SERVICE AREA. UPDATED SURVEY RESPONSES WERE COLLECTED FROM 35 FOCUS GROUP PARTICIPANTS FROM DECEMBER 2023 TO FEBRUARY 2024. TWO FOCUS GROUPS WERE CONDUCTED WITHIN JPH'S SERVICE AREA. THE FOCUS GROUPS INCLUDED COMMUNITY RESIDENTS AND LOCAL GOVERNMENT OFFICIALS AS PARTICIPANTS. JACKSON PARK HOSPITAL FOUNDATION PART V, SECTION B, LINE 6B: THE 2023 CHNA WAS CONDUCTED WITH THE ALLIANCE FOR HEALTH EQUITY (ALLIANCE OR AHE), WHICH IS A PARTNERSHIP BETWEEN THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI), HOSPITALS, HEALTH DEPARTMENTS, AND COMMUNITY ORGANIZATIONS ACROSS CHICAGO AND SUBURBAN COOK COUNTY. WORKING THROUGH THE ALLIANCE, HOSPITALS IN CHICAGO AND THROUGHOUT COOK COUNTY AIM TO MAKE A POSITIVE IMPACT ON HEALTH OUTCOMES BY SHARING RESOURCES AND INFORMATION, COOPERATING ON DATA COLLECTION AND ANALYSIS, AND COLLABORATING ON COMMUNITY HEALTH IMPROVEMENT STRATEGIES. JACKSON PARK HOSPITAL FOUNDATION PART V, SECTION B, LINE 11: GOAL 1: IMPROVE ACCESS TO HEALTHCARE AND TRANSPORTATION. LACK OF ACCESS TO TRANSPORTATION IS A MAJOR BARRIER TO SEEKING PREVENTATIVE CARE OR TREATMENT FOR ACUTE AND CHRONIC CONDITIONS. DELAYED CARE OFTEN LEADS TO WORSENED HEALTH OUTCOMES.STRATEGY FOR GOAL 1: THE HOSPITAL AIMS TO EXPAND TRANSPORTATION SERVICES (WHICH PROVIDES FREE ROUND-TRIP TRANSPORTATION) TO ACCOMMODATE MORE PATIENTS AND EXTEND ELIGIBILITY TO ALL PATIENTS NEEDING TRANSPORTATION TO THE MEDICAL PROFESSIONAL BUILDING, REGARDLESS OF AGE. IT ALSO SEEKS TO UTILIZE PARTNERSHIPS WITH FIRST SOURCE TO COVER TRANSPORTATION COSTS THROUGH VARIOUS GOVERNMENT INSURANCE PROGRAMS FOR PREVIOUSLY UNINSURED OR UNDERINSURED PATIENTS. ADDITIONALLY, THE HOSPITAL WILL CONTINUE PROVIDING CHARITY ASSISTANCE AND DISCOUNTED CARE, AS WELL AS HELP ELIGIBLE PATIENTS ENROLL IN ASSISTANCE PROGRAMS, INCLUDING PUBLIC BENEFITS.GOAL 2: IMPROVE BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDERS. BEHAVIORAL HEALTH IS A CRITICAL COMPONENT OF OVERALL WELL-BEING. IN ADDITION TO AFFECTING THE PATIENT'S MENTAL, SOCIAL, AND ECONOMIC WELLBEING, BEHAVIORAL HEALTH INFLUENCES MANY PHYSICAL HEALTH OUTCOMES.STRATEGY FOR GOAL 2: THE HOSPITAL WILL IMPLEMENT ROUTINE DEPRESSION SCREENINGS FOR ALL PSYCHIATRIC CARE PATIENTS TO PROVIDE BETTER-TAILORED CARE AND REINTRODUCE SUBOXONE TREATMENT FOR OPIOID USE DISORDER IN BOTH INPATIENT AND OUTPATIENT SETTINGS. IT ALSO AIMS TO ESTABLISH AN OUTPATIENT PSYCHIATRIC SPECIALTY CLINIC, EXPLORE TELEHEALTH OPTIONS TO INCREASE ACCESS TO OUTPATIENT BEHAVIORAL HEALTH SERVICES, AND OFFER FAMILIES AND CAREGIVERS INFORMATION ON COPING SKILLS AND UNDERSTANDING MENTAL CONDITIONS. ADDITIONALLY, THE HOSPITAL WILL CONTINUE COLLABORATING WITH PARTNERS LIKE THE ALLIANCE FOR HEALTH EQUITY TO ADDRESS MEDICATION ACCESS BARRIERS AND PROVIDE COMMUNITY TRAININGS.GOAL 3: IMPROVE PREVENTION AND MANAGEMENT OF CHRONIC DISEASE. PREVENTION, EARLY DETECTION, AND CONSISTENT TREATMENT OF CHRONIC CONDITIONS SUCH AS HEART DISEASE, DIABETES, AND HYPERTENSION LEAD TO OVERALL BETTER HEALTH OUTCOMES FOR COMMUNITIES. HOWEVER, COMMUNITIES OF COLOR EXPERIENCING HIGH RATES OF SOCIAL AND ECONOMIC HARDSHIP, LIKE THOSE IN THE HOSPITAL'S SERVICE AREA, OFTEN EXPERIENCE SIGNIFICANT INEQUITIES IN CHRONIC DISEASE PREVALENCE AND CHRONIC DISEASE RELATED MORTALITY.STRATEGY FOR GOAL 3: THE HOSPITAL PLANS TO ORGANIZE OUTREACH EVENTS OFFERING HEALTH SCREENINGS AND EDUCATION, TARGETING OLDER ADULTS AND COMMUNITIES WITH HIGH SOCIAL NEEDS THROUGH THE GOLDEN LIGHT PROGRAM. IT WILL CONTINUE AND EXPAND "THE DOCTOR SPEAKS" PROGRAM, WHICH INCLUDES Q&A SESSIONS ON VARIOUS HEALTH TOPICS, AND STRENGTHEN PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS AND LOCAL BUSINESSES TO SUPPORT OUTREACH EVENTS AND GATHER INSIGHTS FOR CLINICAL IMPROVEMENTS. FURTHERMORE, THE HOSPITAL WILL REGULARLY EVALUATE PROGRAMS TO ENSURE THEY ARE EFFECTIVE AND EQUITABLE, ADDRESSING SOCIAL NEEDS GAPS AND IMPROVING SOCIAL DETERMINANTS OF HEALTH.GOAL 4: INCREASE WORKFORCE DEVELOPMENT OPPORTUNITIES. SUSTAINED EMPLOYMENT IS A SOCIAL DETERMINANT OF HEALTH AND HAS A SIGNIFICANT IMPACT ON HEALTH THROUGH ITS INFLUENCE ON AN INDIVIDUAL'S ABILITY TO ACCESS NECESSARY RESOURCES SUCH AS SAFE HOUSING, ADEQUATE FOOD, AND HEALTH INSURANCE. HAVING HEALTHCARE STAFF THAT ARE DIVERSE AND INVESTED IN THE COMMUNITIES THEY SERVE IMPROVES QUALITY OF CARE.STRATEGY FOR GOAL 4: THE HOSPITAL PLANS TO CONTINUE COLLABORATING WITH THE EIGHTH WARD ALDERMAN'S OFFICE, COMMUNITY PARTNERS, AND LOCAL EDUCATIONAL INSTITUTIONS TO RECRUIT AND TRAIN COMMUNITY MEMBERS FOR ENTRY-LEVEL POSITIONS. IT WILL EXPLORE NEW PARTNERSHIPS TO ENHANCE WORKFORCE DEVELOPMENT AND RETENTION, IMPLEMENT COMPREHENSIVE RECRUITMENT AND TRAINING PROGRAMS, AND DEVELOP ONGOING EDUCATION AND PROFESSIONAL DEVELOPMENT PLANS. ADDITIONALLY, THE HOSPITAL WILL ESTABLISH METRICS TO MEASURE THE IMPACT OF THESE INITIATIVES AND MONITOR EMPLOYEE PROGRESS TO ENSURE THE EFFECTIVENESS OF TRAINING PROGRAMS. PART V, SECTION B, LINE 7A - HOSPITAL FACILITY'S WEBSITE FOR CHNA HTTPS://WWW.JACKSONPARKHOSPITAL.ORG/ASSETS/1/7/JACKSON%20PARK%20HOSPITAL%20COMMUNITY%20HEALTH%20NEEDS%20ASSESSMENT%202024%2025MARCH2024.PDF PART V, SECTION B, LINE 10 - HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY HTTPS://WWW.JACKSONPARKHOSPITAL.ORG/ASSETS/1/7/CHNA%20IMPLEMENTATION%20STRATEGY%202021%2022.PDF PART V, SECTION B, LINE 16A - FAP WEBSITE HTTPS://WWW.JACKSONPARKHOSPITAL.ORG/ASSETS/1/7/FINANCIAL%20ASSISTANCE%20POLICY%202021%20DOCX.PDF PART V, SECTION B, LINE 16B - FAP APPLICATION WEBSITE HTTPS://WWW.JACKSONPARKHOSPITAL.ORG/ASSETS/1/7/FINANCIAL_ASSISTANCE_GUIDELINES_PACKET.PDF PART V, SECTION B, LINE 16C - PLAIN LANGUAGE SUMMARY WEBSITE HTTPS://WWW.JACKSONPARKHOSPITAL.ORG/ASSETS/1/7/FAP%20PLAIN%20LANGUAGE%20SUMMARY.PDF PART I, LINE 7: CHARITY CARE COST IS BASED ON THE TOTAL COST TO CHARGE RATIO DERIVED FROM THE MEDICARE COST REPORT FOR SERVICES PROVIDED TO PATIENTS. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 12,292,693. PART III, LINE 2: THE COST OF BAD DEBT EXPENSE IS BASED ON THE COST TO CHARGE DERIVED FROM THE HOSPITAL'S MEDICARE COST REPORT. PART III, LINE 3: MANAGEMENT HAS ESTIMATED THE CALCULATION USING THE RATIO OF THE HOSPITAL'S COST OF PROVIDING PATIENT CARE TO ITS CHARGES. THE HOSPITAL VOLUNTARILY PROVIDES FREE CARE TO PATIENTS WHO ARE UNABLE TO PAY FOR ALL OR PART OF THEIR HEALTH CARE EXPENSES AND AS RESULT, THIS HAS BEEN INCLUDED AS COMMUNITY BENEFIT. PART III, LINE 4: SEE THE "UNCOMPENSATED CARE AND COMMUNITY BENEFIT" FOOTNOTE 11 ON PAGE 23 AND 24 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE MEDICARE SHORTFALL WAS NOT TREATED AS A COMMUNITY BENEFIT. THE MEDICARE ALLOWABLE COSTS REPORTED ON LINE 6 WERE CALCULATED USING THE FILED MEDICARE COST REPORT. PART III, LINE 9B: THE HOSPITAL HAS A PRESUMPTIVE ELIGIBILITY POLICY AS REQUIRED BY THE STATE OF ILLINOIS. PART VI, LINE 2: JACKSON PARK HOSPITAL FOUNDATION OUTREACH AND ASSESSMENT OF ITS COMMUNITY HEALTH BY EVALUATING WHICH HEALTH CONDITIONS AND DISEASES ARE PREVALENT AMONG ITS INPATIENT AND OUTPATIENTS. THE HOSPITAL PREPARED ITS COMMUNITY HEALTH NEEDS ASSESSMENT USING A PROFESSIONAL COMPANY EXPERIENCED IN ASSISTING HOSPITALS IN THE PROCESS. TOGETHER WE CONFIRMED THE NEED FOR EDUCATION AND OTHER INVENTIONS FOR DIABETES, ASTHMA, AND BEHAVIORAL MEDICINE. THE HOSPITAL HAS RESPONDED TO THESE NEEDS THROUGH THE DEVELOPMENT OF SEVERAL COMMUNITY PROGRAMS AND SPECIALTY CLINICS. THE HOSPITAL IMPLEMENTED FREE TRANSPORTATION FOR PATIENTS WHO ARE UNABLE TO KEEP APPOINTMENTS WITH THEIR PRIMARY CARE PROVIDER OR CONSULTANT. PART VI, LINE 3: THE HOSPITAL HAS CONTRACTED WITH A THIRD PARTY NAMED FIRST SOURCE TO ASSIST ANY PATIENT THROUGH THE FINANCIAL APPLICATION PROCESS TO QUALIFY FOR MEDICAID, MEDICARE AND THE AFFORDABLE CARE ACT. THIS SAME COMPANY WILL ALSO ASSIST A PATIENT AND OR FAMILY THROUGH THE HOSPITAL'S CHARITY APPLICATION PROCESS. PART VI, LINE 4: JACKSON PARK HOSPITAL'S PRIMARY SERVICE AREA IS 60649, 60621, 60637, 60619 AND 60617. OUR PRIMARY CARE AREA FOR BEHAVIORAL PATIENTS IS MUCH BROADER AND ENCOMPASSES THE CITY OF CHICAGO. THE AVERAGE INCOME IN THE HOSPITALS PRIMARY SERVICE AREA IS APPROXIMATELY 53% OF THE STATE OF ILLINOIS AVERAGE. PART VI, LINE 5: IN ADDITION TO VARIOUS EDUCATION PROGRAMS WITHIN THE HOSPITAL, THE HOSPITAL STARTED REGULAR EDUCATION AND OUTREACH PROGRAMS AT LOCAL GROCERY STORES AND BANKS IN 2019. THE HOSPITAL ALSO BEGAN AN OUTREACH PROGRAM FOR SENIOR PATIENTS. THIS SENIOR PROGRAM WILL MANAGE THE PRIMARY HEALTHCARE NEEDS AND MATCH THE PATIENT WITH THE PHYSICIAN. PART VI, LINE 7, REPORTS FILED WITH STATES IL X X X 0 0 0 0 0 0 0 0 0 MATTHEW MALTERS MD PHYSICIAN 13166 1051762 0 0 0 0 0 0 37638 0 50804 1051762 0 0 DR WILLIAM O DORSEY III CHAIRMAN/CEO 772434 0 0 0 0 0 38858 0 14964 0 826256 0 0 0 G RANDALL SMITH EXECUTIVE VP 651876 0 0 0 0 0 38858 0 37158 0 727892 0 0 0 MERRITT HASBROUCK PRESIDENT 666257 0 0 0 0 0 38858 0 1510 0 706625 0 0 0 DR ZAHIDUR RAHMAN DIRECTOR/PHYSICIAN 76853 181111 0 0 0 0 0 0 25832 0 102685 181111 0 0 SAHR NGOMBU NURSE 200122 0 31800 0 0 0 37177 0 14351 0 283450 0 0 0 SYED ALA MD PHYSICIAN 73630 170000 0 0 0 0 0 0 37638 0 111268 170000 0 0 BARRY MANDELL VP SPECIAL PROJECTS 226493 0 0 0 0 0 13090 0 37164 0 276747 0 0 0 DR LAKSHMI DODDA DIRECTOR/PHYSICIAN 229235 0 0 0 0 0 0 0 41449 0 270684 0 0 0 KENNETH MCGHEE VP FINANCE 243767 0 0 0 0 0 0 0 14370 0 258137 0 0 0 RAYLENE SWINOCK NURSE 214654 0 32100 0 0 0 0 0 9547 0 256301 0 0 0 CYRIL EZEANYAGU NURSE 188211 0 38700 0 0 0 13978 0 14351 0 255240 0 0 0 M PATRICIA SIMON SENIOR VP QUALITY & COMPLIANCE 211373 0 0 0 0 0 33250 0 9908 0 254531 0 0 0 DR HAROON OLOMI DIRECTOR/PHYSICIAN 6754 209996 0 0 0 0 0 0 25832 0 32586 209996 0 0 DR OKECHUKU U OKOLO DIRECTOR/PHYSICIAN 76380 138852 0 0 0 0 0 0 25832 0 102212 138852 0 0 DR HARSHAD MEHTA DIRECTOR/PHYSICIAN 206056 0 0 0 0 0 0 0 28643 0 234699 0 0 0 MAGDALENE ARMSTEAD VP PATIENT CARE 210094 0 0 0 0 0 0 0 19860 0 229954 0 0 0 DR BANGALORE R MURTHY DIRECTOR/PHYSICIAN 160554 0 0 0 0 0 0 0 42681 0 203235 0 0 0 MARGO BROOKS-PUGH VICE PRESIDENT 115162 0 0 0 0 0 11093 0 39088 0 165343 0 0 0 BANGALORE MURTHY MD DIRECTOR OF ORGANIZATION/BUSINESS OWNER 839193 TEMPORARY STAFFING 0 BANGALORE MURTHY MD DIRECTOR OF ORGANIZATION/BUSINESS OWNER 71804 MEDICAL EDUCATION BILLING 0 SURRENTHIA PARKER MD DIRECTOR OF ORGANIZATION/BUSINESS OWNER 425436 MEDICAL STAFFING 0 LAKSHMI DODDA MD DIRECTOR OF ORGANIZATION/BUSINESS OWNER 101611 MEDICAL STAFFING 0 M PATRICIA SIMON KEY EMPLOYEE OF ORGANIZATION/BUSINESS OWNER 151250 QUALITY AND COMPLIANCE CONTRACTED SERVICES 0 ZAHIDUR RAHMAN MD DIRECTOR OF ORGANIZATION/BUSINESS OWNER 133506 MEDICAL STAFFING 0 FORM 990, PART VI, SECTION A, LINE 1A THE BOARD 0F DIRECTORS BY RESOLUTION ADOPTED BY A MAJORITY OF THE WHOLE BOARD MAY DESIGNATE TWO OR MORE DIRECTORS TO CONSTITUTE AN EXECUTIVE COMMITTEE. THE DESIGNATION OF SUCH COMMITTEE AND THE DELEGATION THERETO OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OF DIRECTORS OR ANY MEMBER THEREOF OF ANY RESPONSIBILITY IMPOSED UPON IT OR HIM BY LAW. THE EXECUTIVE COMMITTEE, WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, SHALL HAVE AND EXERCISE ALL OF THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE CORPORATION EXCEPT TO THE EXTENT, IF ANY, THAT SUCH AUTHORITY SHALL BE LIMITED BY THE RESOLUTION APPOINTING THE EXECUTIVE COMMITTEE AND EXCEPT ALSO THAT THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE AUTHORITY OF THE BOARD OF DIRECTORS IN REFERENCE TO AMENDING THE ARTICLES OF INCORPORATION; ADOPTING A PLAN OF MERGER OR ADOPTING A PLAN OF CONSOLIDATION WITH ANOTHER CORPORATION OR CORPORATIONS; RECOMMENDING TO THE MEMBERS THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION IF NOT MADE IN THE USUAL AND REGULAR COURSE 0 ITS BUSINESS; RECOMMENDING TO THE MEMBERS A VOLUNTARY DISSOLUTION OF THE CORPORATION OR A REVOCATION THEREOF; AMENDING, ALTERING OR REPEALING THE BY-LAWS OF THE CORPORATION; ELECTING OR REMOVING OFFICERS OF THE CORPORATION OR MEMBERS OF THE EXECUTIVE COMMITTEE; FILLLNG VACANCIES ON THE BOARD OF DIRECTORS AND THE EXECUTIVE COMMITTEE; OR AMENDING, ALTERING OR REPEALING ANY RESOLUTION OF THE BOARD OF DIRECTORS WHICH BY ITS TERMS PROVIDES THAT IT SHALL NOT BE AMENDED, ALTERED OR REPEALED BY THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION A, LINE 6 ANY ADULT PERSON INTERESTED IN ADVANCING THE PURPOSES OF THE CORPORATION MAY REQUEST ADMISSION TO MEMBERSHIP, AND HE OR SHE SHALL BE ADMITTED TO MEMBERSHIP UPON AN AFFIRMATIVE VOTE BY THE BOARD OF DIRECTORS AT ANY MEETING OF THE SAID BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS ARE LIMITED TO VOTING ON ANY PROPOSED VOLUNTARY DISSOLUTION OF THE ORGANIZATION, THE ADOPTION OF ANY REQUIRED PLAN OF DISTRIBUTION OF THE ASSETS OF THE CORPORATION UPON DISSOLUTION AND ANY PROPOSED REVOCATION OF VOLUNTARY DISSOLUTION PROCEEDINGS. MEMBERS CANNOT VOTE ON ANY OTHER MATTERS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S SENIOR MANAGEMENT REVIEWS THE 990 BEFORE IT IS SUBMITTED. THIS INCLUDES THE ASSISTANT VP OF FINANCE, VP OF FINANCE, EXECUTIVE VP, PRESIDENT AND CEO. FORM 990, PART VI, SECTION B, LINE 12C THE COMPLIANCE OFFICER REVIEWS POLICIES ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 JACKSON PARK HOSPITAL FOUNDATION HAS AN AUDIT/COMPENSATION COMMITTEE. THE CHAIRMAN OF THIS COMMITTEE REVIEWS THE COMPENSATION OF SENIOR MANAGEMENT AND KEY EMPLOYEES ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 JACKSON PARK HOSPITAL FOUNDATION MAKES ITS COMMUNITY HEALTH NEEDS ASSESSMENT AVAILABLE ON ITS WEBSITE AND BY APPOINTMENT WITH ITS VICE PRESIDENT OF FINANCE. THE CONFLICT OF INTEREST POLICY, COMMUNITY BENEFIT REPORT, FORM 990 AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC BY APPOINTMENT WITH ITS VICE PRESIDENT OF FINANCE OR ITS SENIOR VICE PRESIDENT OF QUALITY AND COMPLIANCE. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 8,607,806. MANAGEMENT AND GENERAL EXPENSES 153,303. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,761,109. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 9,439,097. MANAGEMENT AND GENERAL EXPENSES 168,109. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,607,206. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,228,806. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,228,806. FORM 990, PART XI, LINE 9: CHANGE IN MINIMUM PENSION LIABILITY -162,385. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. THE FRIEDELL CLINIC SC 7531 STONY ISLAND CHICAGO IL 60649 363290656 PRIMARY HEALTH CARE IL JACKSON PARK HOSPITAL FOUNDATION C -4743024 218362 1.00000 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 THE FRIEDELL CLINIC SC D 87679949 GL