2025-05-14T14:08:38+00:00 2024-06-30 861065772 Deloitte Tax LLP 50 South Sixth Street Suite 2800 Minneapolis MN 55402 990 2023-07-01 362174823 Rush University Medical Center RUSH 3129425000 1700 W Van Buren Street 265 Chicago IL 60612 Patricia S ONeil SVP and System CFO 3129425647 2025-05-14 true true Anna Kolakaluri P01275237 6123974000 2025-05-14 2023 2025-03-06 01:10:19Z Omar B Lateef DO 1700 W Van Buren Street 265 Chicago IL 60612 3879541975 false X www.rush.edu X 1883 IL The mission of Rush is to improve the health of the individuals and diverse communities we serve through the integration of outstanding patient care, education, research and community partnerships. 39 39 15426 1870 1410734 491651 92524024 65929236 2263128192 2447910266 42250781 208731779 267043109 277484469 2664946106 3000055750 17853410 16908637 0 1361417600 1449831578 465860 128320 13093735 1211426066 1321976866 2591162936 2788845401 73783170 211210349 4544022146 4702251786 1951006762 1843276056 2593015384 2858975730 X The mission of Rush is to improve the health of the individuals and diverse communities we serve through the integration of outstanding patient care, education, research and community partnerships. false false 2165599328 16908637 2356784459 Health Care: Rush University Medical Center (RUMC) is an academic medical center that brings together excellence in clinical care and research to address major health problems. The hospital operations of Rush University Medical Center are licensed by the State of Illinois to operate 678 beds and include the Johnston R. Bowman Health Center, which provides medical and rehabilitative care to older adults and people with short- and long-term disabilities, and Rush University Children's Hospital. According to COMPdata, RUMC is the fifth largest hospital provider in the eight county Chicago metropolitan area as measured by market share. It also includes a faculty practice plan, Rush University Medical Group, which employs more than 700 physicians and 300 advanced practice providers in more than 111 specialties and subspecialties, singularly focused on transforming health care and providing exceptional patient care. In FY2024, RUMC provided patient care to 29,087 inpatients for a total of 176,063 patient days, 10,091 observation cases, 60,422 emergency department visits and 825,553 provider visits. Rush University Medical Center has been named one of the nation's top hospitals, securing a spot on U.S. News & World Report's 2024-2025 Best Hospitals Honor Roll for the fifth straight year. Eleven Rush specialties ranked among the top 50 in the U.S., including six in the top 20. Rush University Medical Center tied for No. 1 as the top hospital in Illinois. The Rush specialties ranked among the top 50 for 2024-2025 include Cancer, Cardiology, Diabetes and Endocrinology, ENT, Gastroenterology and GI Surgery, Geriatrics, Gynecology, Neurology and Neurosurgery, Orthopedics, Pulmonology and Lung Surgery and Urology. Of the nearly 5,000 U.S. hospitals that U.S. News evaluated, Rush is among only 11% that earned a numerical ranking in a state or a medical specialty. Overall, Rush is in the top 1% of hospitals in the country based on its Honor Roll rating. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS. 260583164 207382573 Research: Because Rush is an academic medical center, research and clinical care come together in innovative and inspiring ways that have the power to transform lives. Even if research work starts in a laboratory, it won't stay there. Discoveries in Rush's labs lead to advances in patient care, while observations in clinical settings inspire research studies designed to improve the way we treat patients. This approach, known as translational research, has led to breakthroughs in patient care at Rush throughout the years. Investigators at Rush are involved in more than 500 projects, including hundreds of clinical studies to test the effectiveness and safety of new therapies and medical devices, as well as to expand scientific and medical knowledge. Total research awards in FY2024 topped $113 million. 105310677 94754276 Education: Rush University (RU) is a health sciences university that includes Rush Medical College, the College of Nursing, and the College of Health Sciences. Founded in 1837, Rush Medical College has an acclaimed history as one of the first medical colleges in the Midwest and continues to make major contributions to medical science and education through research and clinical trials. The College of Nursing is one of the nation's top-ranked nursing colleges with a national reputation for clinical excellence that helps make our graduates highly sought after by top health care employers around the country. The College of Health Sciences has been responsible for education and research in the allied health professions. The Medical Center also offers many highly selective residency and fellowship programs in medical and surgical specialties and subspecialties. RU's unique practitioner-teacher model for health sciences education and research provides its students the opportunity to learn from world-renowned instructors who practice what they teach. With more than 40 degree and certificate programs and 60 postgraduate training programs, RU educated 3,043 students in FY2024. Rush University provides outstanding health sciences education and conducts major research in a culture of inclusion, focused on the promotion and preservation of the health and well-being of our diverse communities. 80827551 61823341 Other program services: Rush provides various services for the benefit of its patients and visitors, such as parking, food services and interpreter services. Rush also sponsors a number of programs in the community focused on improving health, expanding education in health-related careers, community-based research to reduce health disparities and initiatives to provide economic development and job creation. Rush programs influenced tens of thousands of lives in FY2024. 80827551 61823341 2612320720 true true false true false false false false true true true false false true false false true false false true false false true true true true true true true true true false false false false false false false true true false true false false false true true true true false false true X 1143 0 true 15426 true true true true CJ false false false true true false false false false true false X 39 39 true true true false true true true true true false false true true true true true true true true true true IL X Patricia S O'Neil 3129425647 1700 West Van Buren Street Ste 265 Chicago IL 60612 Susan Crown Trustee/Chair 2.0 2.0 X X 0 0 0 Andrew J Mills Trustee 1.0 0 X 0 0 0 Ann W Cohn EdD Trustee 1.0 0 X 0 0 0 Barbara Jil Wu PhD Trustee 1.0 0 X 0 0 0 Bradley J Henderson Trustee 1.0 0 X 0 0 0 Brian T McCormack Trustee 1.0 0 X 0 0 0 Carl W Stern Trustee 1.0 0 X 0 0 0 Carole Browe Segal Trustee 1.0 0 X 0 0 0 Christine A Edwards Trustee/Vice Chair (Start 5/24) 1.0 1.0 X 0 0 0 Darrel H Hackett Trustee 1.0 0 X 0 0 0 David C Habiger Trustee 1.0 0 X 0 0 0 David H B Smith Jr Trustee 1.0 0 X 0 0 0 Eric A Reeves Trustee 1.0 0 X 0 0 0 Francis O Idehen Jr Trustee 1.0 0 X 0 0 0 James W DeYoung Trustee 1.0 0 X 0 0 0 Jennifer W Steans Trustee 1.0 0 X 0 0 0 Joan E Steel Trustee 1.0 0 X 0 0 0 Joan S Rubschlager Trustee 1.0 0 X 0 0 0 John J Sabl Trustee 1.0 0 X 0 0 0 John Segreti MD Trustee/Ex Officio (End 6/24) 1.0 0 X 176842 0 30747 Karen Jaffee Cofsky Trustee 1.0 0 X 0 0 0 Kenneth H M Leet Trustee 1.0 1.0 X 0 0 0 Kip Kirkpatrick Trustee 1.0 0 X 0 0 0 Matthew J Boler Trustee 1.0 0 X 0 0 0 Nicole J Walker Trustee (Start 7/23) 1.0 0 X 0 0 0 Pamela Forbes Lieberman Trustee 1.0 0 X 0 0 0 Paul W Theiss Trustee 1.0 0 X 0 0 0 Peter M Ellis Trustee 1.0 0 X 0 0 0 Robert A Wislow Trustee/Ex Officio 1.0 1.0 X 0 0 0 Robert F Finke Trustee 1.0 0 X 0 0 0 Sam Yagan Trustee 1.0 0 X 0 0 0 Sandra P Guthman Trustee 1.0 1.0 X 0 0 0 Sheila A Penrose Trustee 1.0 0 X 0 0 0 Shundrawn A Thomas Trustee 1.0 0 X 0 0 0 Stephen N Potter Trustee 1.0 1.0 X 0 0 0 Stephen R Quazzo Trustee 1.0 0 X 0 0 0 Wayne L Moore Trustee 1.0 0 X 0 0 0 Wendy Herb Trustee/Ex Officio 1.0 0 X 0 0 0 William A Mynatt Jr Trustee 1.0 0 X 0 0 0 William J Hagenah Trustee 1.0 0 X 0 0 0 Alex D Wiggins VP, Chief Investment Officer & Treasurer 40.0 1.0 X 650491 0 128340 Andrew Bean PhD Vice Provost, Research (Acting) (End 10/23) 40.0 0 X 443814 0 336432 Aney Abraham DNP RN NE-BC VP Patient Care Services (End 12/23) 40.0 0 X 335249 0 84038 Angelique Richard PhD RN CENP SVP Hospital Operations, CNO (End 4/24) 40.0 0 X 896171 0 856120 Brian D Stein MD MS Chief Quality Officer 28.0 12.0 X 608560 0 111556 Carl T Bergetz JD SVP Legal Affairs & General Counsel 40.0 1.0 X 890137 0 169621 Charlotte Royeen PhD VP & Dean College of Health Sciences (End 12/23) 40.0 0 X 437598 0 90674 Chris Gade VP Marketing & Engagement (End 12/23) 40.0 0 X 425104 0 431431 Christine Kennedy PhD RN VP & Dean College of Nursing 40.0 0 X 572020 0 97070 Courtney L Kammer MHA SVP Human Resources 40.0 1.0 X 721300 0 161225 Cynthia Brincat MD PhD Interim Dean, Rush Medical College 40.0 0 X 1062321 0 159808 Cynthia E Boyd MD VP and Chief Compliance Officer (End 12/23) 40.0 0 X 515920 0 76981 Dale Grandlic VP Facilities Management (End 12/23) 40.0 0 X 352365 0 86281 David A Ansell MD SVP Community Health Equity (End 12/23) 40.0 0 X 862730 0 162846 Denise N Szalko VP Revenue Cycle 40.0 1.0 X 576085 0 105297 Deval Daily VP and Chief Admin Officer, Neuro-Cardiac SL (End 12/23) 40.0 0 X 402329 0 98371 Dino P Rumoro DO MPH FACEP President & CEO ROPH (End 12/23) 12.0 29.0 X 203552 555763 175701 Douglas O'Brien VP Public Policy (End 12/23) 40.0 0 X 356254 0 91223 Janet Stifter PhD RN CPHQ VP Hospital Operations - Periop and Interv (End 12/23) 40.0 0 X 427855 0 78260 Jason S Turner PhD MAE Interim Dean, College of Health Sciences (Start 12/23) 40.0 0 X 273728 0 48399 Jeffrey M Gautney VP & Chief Information Officer 40.0 1.0 X 722211 0 160712 Jeremy E Strong VP Supply Chain 40.0 1.0 X 347269 0 93143 Kathryn H Jones SVP & Chief Strategy Officer 40.0 1.0 X 437060 0 88311 Kelly M Sullivan JD Deputy General Counsel (End 12/23) 40.0 1.0 X 420167 0 58397 Kerem Korkmaz MSN RN CENP VP Patient Care Services (End 12/23) 40.0 0 X 329233 0 52421 Larry J Goodman MD Interim President Rush University (End 3/24) 40.0 0 X 847359 0 30695 Matt Walsh System EVP & Chief Operating Officer (Start 1/24) 40.0 1.0 X 0 0 0 Mitchell Evans VP Internal Audit (End 12/23) 40.0 0 X 463354 0 96328 Murray T Ancell MS CFRE SVP & Chief Development Officer 40.0 1.0 X 591529 0 111775 Omar B Lateef DO President & CEO 40.0 1.0 X 3687548 0 476520 Patricia S O'Neil MAE SVP & System CFO 40.0 2.0 X 1163275 0 208664 Paul Casey MD MBA FACEP SVP & Chief Medical Officer 40.0 0 X 872323 0 194641 Peter Briechle PhD VP Programs and Services, Philanthropy (End 12/23) 40.0 0 X 435779 0 84965 Philip Quick VP RUMG Access Center (End 12/23) 40.0 0 X 285221 0 80698 Quincy M Stanley VP Support Services (End 12/23) 40.0 0 X 399066 0 88558 Richa Gupta MBBS MHSA SVP & COO, RUMG 40.0 0 X 665949 0 137958 Robert S D Higgins MD MSHA President & Chief Academic Officer, Rush University (Start 4/24) 40.0 0 X 0 0 0 Rukiya Curvey Johnson VP Community Health Equity (End 12/23) 40.0 0 X 259089 0 43391 Shannon Driscoll VP RUMG Practice Operations (End 12/23) 40.0 0 X 283136 0 42169 Sherri Boyle CPA MBA MSF VP Corporate Finance & Financial Operations (Start 12/23) 40.0 1.0 X 243062 0 34904 Shonda Morrow JD MS RN VP Patient Care Services (End 12/23) 40.0 0 X 404744 0 74063 Thomas P Wick VP Individual Giving, Philanthropy (End 12/23) 40.0 0 X 428912 0 90550 K Ranga Rama Krishnan MB ChB Executive Vice Chairman & Advisor to CEO 40.0 0.0 X 1866385 0 48019 Keith C Hood MD Physician 40.0 0 X 1257741 0 44939 Michael Liptay MD Chairperson Cardiovascular/Thoracic Surgery 40.0 0 X 1498964 0 70624 Richard Byrne MD Physician 40.0 0 X 1581311 0 60932 Robert J March MD Physician 40.0 0 X 1523781 0 0 Hiten M Patel PhD Former Officer 0.0 0 X 436008 0 15979 Joshua Jacobs MD Former Officer 0.0 0 X 595839 0 50780 Sherine E Gabriel MD MSc Former Officer 0.0 0 X 880461 0 28846 Susan L Freeman MD MS Former Officer 0.0 0 X 719604 0 120004 Thomas Deutsch MD Former Officer 0.0 0 X 459677 0 54384 Wayne E Keathley MPH Former Officer 0.0 0 X 913818 0 136260 36210300 555763 6460051 3037 true true false Allegiance Benefit Plan Management 2806 S Garfield St Missoula MT 59801 Claims Management 82748213 JONES LANG LASALLE AMERICAS 200 East Randolph Drive Floor 43-48 Chicago IL 60601 MANAGEMENT SERVICES 51911797 PowerUjamaa 4 LLC 8750 W Bryn Mawr Ave Chicago IL 60631 Construction 38437311 Bulley rews 1755 West Armitage Ave Chicago IL 60622 Construction Services 13308948 R1 RCM Inc 29586 Network Place Chicago IL 606731295 Revenue Cycle Management 10729060 237 456783 65472453 10102371 65929236 Patient Services 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true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true false false true 462644 true true 133246 595890 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying activities consist of promoting legislation that would protect and promote the continued ability of the organization to further its exempt purpose of providing excellence in healthcare. A portion of the lobbying expenditure stems from dues to hospital organizations, such as the Illinois Health & Hospital Association, American Hospital Association, Association of American Medical Colleges, and 340B Health. These organizations, as part of their missions, advocate in the General Assembly and Congress on legal and policy issues that affect healthcare including quality, affordability, patient access and accreditation. A portion of the annual membership dues paid to these organizations is attributable to these lobbying activities. 819710277 3679083 95781858 8438246 34636695 536565 875559712 773779044 3355506 74688152 6572554 25224803 315068 819710277 827541342 16768707 -45680678 5477128 19083012 290187 773779044 616333138 10942228 222254047 4245836 17554870 187365 827541342 641949379 12566265 -16815377 3291346 17847679 228104 616333138 0.01 0.4 0.59 false false 35287240 35287240 2117272959 1004632666 1112640293 845421428 636164706 209256722 95423560 66039434 29384126 332939041 97940718 234998323 1621566704 1080218140 F 1080218140 Swap Valuation 2793145 Pension Liabilities 58556270 Securities Lending Liabilities Annuities-Philanthropy 642987 Asset Retirement Cost 26721346 Payable to Affiliate 88713748 Schedule D, Part V, Line 4 Intended uses of endowment funds The endowments are used to fund professorships (35%), research (13%), free care (8%), student financial aid (16%), education and fellowships (8%) and other programs (20%). true Central America and the Caribbean 0 0 Investments 90709559 Central America and the Caribbean 0 0 Investments - Partnerships 32087266 Europe (Including Iceland and Greenland) 0 0 Investments - Partnerships 45022231 Central America and the Caribbean 0 0 Program Services Self Insurance 4981666 East Asia and the Pacific 0 0 Program Services Charitable Health Care 351329 Europe (Including Iceland and Greenland) 0 0 Program Services Charitable Health Care 982721 Middle East and North Africa 0 0 Program Services Charitable Health Care 237490 North America (Canada & Mexico only) 0 0 Program Services Charitable Health Care 2980924 South America 0 0 Program Services Charitable Health Care 1392622 South Asia 0 0 Program Services Charitable Health Care 19851 Sub-Saharan Africa 0 0 Program Services Charitable Health Care 278279 Central America and the Caribbean 0 0 Program Services Healthcare related travel 28544 East Asia and the Pacific 0 0 Program Services Healthcare related travel 56570 Europe (Including Iceland and Greenland) 0 0 Program Services Healthcare related travel 262570 Middle East and North Africa 0 0 Program Services Healthcare related travel 23691 North America (Canada & Mexico only) 0 0 Program Services Healthcare related travel 116089 South America 0 0 Program Services Healthcare related travel 33117 South Asia 0 0 Program Services Healthcare related travel 17056 Sub-Saharan Africa 0 0 Program Services Healthcare related travel 26062 0 0 0 0 0 0 179531402 76235 179607637 true false true true true false Schedule F, Part I, Line 2 Procedures for monitoring use of grant funds Rush University Medical Center did not issue grants to foreign organizations or individuals. The amounts presented were for foreign travel to assist countries in time of need and for participation in foreign held seminars and conferences. There were also payments to foreign vendors for purchases and to foreign individuals for services rendered. These were verified through purchase requisitions, validations and invoices. The transfer of assets were insurance premiums made to the entity's wholly owned Cayman Island insurance company. Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; MIDDLE EAST AND NORTH AFRICA-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual; SOUTH AMERICA-Accrual; SOUTH ASIA-Accrual; SUB-SAHARAN AFRICA-Accrual X X X X X X X true Ruffalo Noel Levitz LLC 1025 Kirkwood Pkwy SW Cedar Rapids IA 52404 Fundraising Application false 29849 -29849 Cygnus Applied Research Inc 205 N Michigan Ave Suite 810 Chicago IL 60601 Supporter Survey & Strategic Planning Services false 5592 -5592 Grenzebach Glier & Associates Inc 200 S Michigan Ave Suite 2100 Chicago IL 60604 Strategic counsel and thought partnership false 51108 -51108 0 86549 -86549 CA CO CT DE DC FL GA AL HI ID IL IN IA KS KY LA ME AK MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA AZ RI SC SD TN TX UT VT VA AR WA WV WI WY Woman's Board Fall Benefit 480290 190040 290250 62175 42116 89556 Woman's Board Spring Luncheon 427527 98607 328920 26759 70806 131742 3 558626 168136 390490 1392 34506 32178 53442 1466443 456783 1009660 1392 61265 165159 42116 274740 544672 464988 66022 5000 4530 true 1.0 66022 5000 4530 IL true false true false 0.0 1.0 Alison Fetzer CPA ORBA 455 N Cityfront Plaza Dr Chicago IL 606115314 false Sophia Glickman 0 Record Keeping and Bank Deposit X true 56492 Schedule G, Part IV Payments Exclusively for Expenses In FY2024 Rush University Medical Center paid $5,292 to Marketing Communication Resource, Inc. and $31,314 to Pentera Inc. for printing and mailing services. Schedule G, Part I, Line 2b(v) payment of fees or payment of expenses RUFFALO NOEL LEVITZ, LLC-ANY FEES AND POSTAGE CHARGES ARE BILLED SEPARATELY ON THE INVOICE. TOTAL POSTAGE CHARGES PAID TO RUFFALO, NOEL AND LEVITZ, LLC IN FY24 WERE $2,915 AND ARE NOT INCLUDED IN THE COLUMN (V) AMOUNT.;CYGNUS APPLIED RESEARCH, INC.-PAYMENTS WERE FOR FEES.;GRENZEBACH GLIER & ASSOCIATES, INC.-PAYMENTS WERE FOR FEES.; Schedule G, Part III, Line 17 Distributions required under state law STATE=ILLINOIS,MANDATORY DISTRIBUTION AMOUNT=56492; true true X true X 400 true X 600 true true true false true true 27696876 27696876 0.0099 550584986 415902617 134682369 0.0483 0 0.0 0 0 578281862 415902617 162379245 0.0582 65524 25519122 6886248 18632874 0.0067 203820354 126725641 77094713 0.0276 455997976 300752686 155245290 0.0557 224464232 187372119 37092113 0.0133 895061 895061 0.0003 0 65524 910696745 621736694 288960051 0.1036 0 65524 1488978607 1037639311 451339296 0.1618 0 0.0 0 0.0 1275 2374281 2374281 0.0009 1583127 1583127 0.0006 0 0.0 0 0.0 0 0.0 625 1809418 1809418 0.0006 62 1187 1187 0.0000 0 1962 5768013 0 5768013 0.0021 true 7674049 4233720 283375625 307501060 -24125435 X true true Rush SurgiCenter at the Professional Building LP Healthcare 0.5109 0.4891 Rush Oak Brook Surgery Center LLC Healthcare 0.25 0.75 Rush Radiosurgery LLC Healthcare 0.49 0.51 1 1 Rush University Medical Center 1653 W Congress Parkway Chicago IL 60612 www.rush.edu 0001917 X X X X X X X Rush University Medical Center 1 false false true X X X X X X X X X 21 true true true true X http://www.rush.edu/about-us/rush-community/chnachip-reports-and-cbr X X true 21 true https://www.rush.edu/sites/default/files/chna-chip-2022.pdf false true X 400.0 600.0 X X X X X true true X X X true X https://www.rush.edu/patients-visitors/financial-assistance X https://www.rush.edu/sites/default/files/2020-09/financial-assistance-application.pdf X HTTPS://WWW.RUSH.EDU/SITES/DEFAULT/FILES/FINANCIAL-ASSISTANCE-BROCHURE-ENGLISH.PDF X X X X X X true X false X X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Rush University Medical Center. To make real progress RUSH'S OFFICE OF COMMUNITY ENGAGEMENT, UNDER ITS SENIOR VICE PRESIDENT FOR COMMUNITY HEALTH EQUITY, LED THE EFFORT FOR THE 2022 RUSH COLLABORATIVE CHNA. We coordinated our work with that of other health systems, community residents, nonprofit organizations, government agencies and faith communities. We've partnered with the City of Chicago on Healthy Chicago 2025, the city's five-year community health improvement plan that focuses on racial and health equity to close the life expectancy gap. We're an active member of the Alliance for Health Equity, one of the largest collaborative hospital-community partnerships in the country. And our work is aligned with Healthy People 2030, the US Department of Health and Human Services' data-driven objectives to improve health and well-being nationwide over the next decade. Together, we focus on measurable ways to increase health equity, dismantle systemic racism and close the death gap. AS WE DEVELOPED OUR RECOMMENDED ACTIONS FOR THE CHNA, WE AGAIN SOUGHT INPUT FROM OUR KEY STAKEHOLDERS. TO SEE A LIST OF THOSE WHO ENGAGED IN THIS PROCESS AND RUSH WORKED WITH AT THE TIME, PLEASE VIEW OUR CHNA ONLINE AND PROCEED TO APPENDIX. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Rush University Medical Center. RUSH CONDUCTED ITS CHNA IN 2022 WITH THE LEADERSHIP OF THE ALLIANCE FOR HEALTH EQUITY, SIMILAR TO ITS CHNA IN 2019. THIS PARTNER GROUP INITIATED THE LARGEST COLLABORATIVE CHNAS IN THE COUNTRY WITH THE CURRENT INVOLVEMENT OF 30+ NONPROFIT AND PUBLIC HOSPITALS, ALONG WITH AREA HEALTH DEPARTMENTS, AND REPRESENTATIVES OF MORE THAN 100 COMMUNITY ORGANIZATIONS SERVING ON ACTION TEAMS. RUSH ALSO FOLLOWED BEST PRACTICE TO COMPLETE A COMPREHENSIVE CHNA AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR BOTH RUSH UNIVERSITY MEDICAL CENTER AND RUSH OAK PARK HOSPITAL COLLECTIVELY ONCE AGAIN. STEERING COMMITTEE HOSPITALS AND HEALTH DEPARTMENTS IN THE ALLIANCE FOR HEALTH EQUITY (AS OF JUNE 2022 WHEN THE CHNA WAS CONDUCTED): ASCENSION (5 hospitals) ADVENT HEALTH (La Grange Hospital) ADVOCATE HEALTH (6 hospitals) ALLIANCE FOR HEALTH EQUITY ANN AND ROBERT LURIE CHILDREN'S HOSPITAL OF CHICAGO CHICAGO DEPARTMENT OF PUBLIC HEALTH COOK COUNTY DEPARTMENT OF PUBLIC HEALTH (part of COOK COUNTY HEALTH) INSIGHT CHICAGO JACKSON PARK HOSPITAL LORETTO HOSPITAL LOYOLA MEDICINE, part of TRINITY HEALTH (includes Loyola, MacNeal, Gottlieb) NORTHWESTERN MEDICINE (includes NMH and Palos) ROSELAND COMMUNITY HOSPITAL RUSH UNIVERSITY SYSTEM FOR HEALTH SINAI HEALTH SYSTEM (includes Mount Sinai, Holly Cross, Schwab) SOUTH SHORE HOSPITAL SWEDISH HOSPITAL (part of Endeavor Health) UNIVERSITY OF ILLINOIS HOSPITAL AND HEALTH SCIENCES SYSTEM Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Rush University Medical Center. Participating health departments in the Health Impact Collaborative of Cook County: Chicago Department of Public Health Cook County Department of Public Health Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - RUSH University Medical Center. Rush has been actively promoting its Community Health Needs Assessment (CHNA) since its introduction, including the versions from 2019 and now 2022. These CHNA and Community Health Implementation Plan (CHIP) documents are accessible on our website. In line with our increasing dedication to community involvement, we've also developed an enhanced website focused on community health equity and engagement. We've presented the CHNA at various meetings with community-based organizations across the West Side of Chicago and partners in the nearby suburbs, treating it as a valuable resource for our communities. Additionally, we've shared the CHNA, CHIP, and Community Benefits Report with our ambulatory sites within the Rush network to broaden access. Rush has also discussed the CHNA at numerous internal and external meetings, showcasing it as a key example of our commitment to bridging academic research with community impact. A notable event is our 'On the Table' gathering, where we invite community leaders and Rush advocates to review health equity data. Here, we discuss our nineteen strategies and fifty-two initiatives, along with target goals and metrics, for the upcoming three years. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Rush University Medical Center. The Community Health Implementation Plan (CHIP) by Rush was adopted in June 2022, concurrently with the Community Health Needs Assessment (CHNA). This consistent strategy was pivotal for the CHNA/CHIP, building on the positive reception it garnered in 2019. We identified specific needs and simultaneously devised approaches to address them, coordinating closely with our team to establish metrics for achieving these goals. The identified community health needs were pinpointed in collaboration with the Alliance for Health Equity. Enhancements were made with focused guidance to align with local projects, as Rush is committed to partnering with organizations like the Alliance, West Side United, and Senator Durbin's HEAL Initiative to effectively advance health improvements. Although our CHNA/CHIP were formally adopted in June 2022, they align with the final year of our 2020-2022 CHNA/CHIP, with significant overlap as we intensify our efforts towards our new objectives, which include fifty-two initiatives. The identified needs for 2022 remained consistent. This section highlights only a selection of information. For comprehensive details, please refer to the published documents and supportive programs available on our website at https://www.rush.edu/about-us/rush-community. Goal 1: Prevent and/or manage chronic conditions and risk factors A. Reduce risk factors by conducting assessments, implementing disease management programs, and enhancing access to nutritious food options. RUSH created the Food Surplus Project to alleviate food insecurity in the community by redistributing unused food from hospitals to local food pantries and other community-based partners. This collaborative community effort arose from a RUSH Oak Park Hospital nurse's graduate work at Dominican University. Representatives from several local organizations, including RUSH Oak Park Hospital, the Oak Park-River Forest Day School, Oak Park-River Forest High School, and the Oak Park-River Forest Food Pantry, worked together to create the infrastructure of the program and implement strategies to reduce food insecurity. The Surplus Project continues at RUSH University Medical Center and RUSH Oak Park Hospital. Through a partnership with Franciscan Outreach, Beyond Hunger, and the West Cook YMCA, RUSH has provided more than 10,000 pounds of free meals annually. Many members of RUSH's "first community" of employees live on Chicago's West Side between the Medical Center and RUSH Oak Park Hospital - a swath that includes several neighborhoods without full-service grocery stores that sell healthy food. RUSH continues to commit to the community by collaborating with Top Box Foods and 40 Acres to provide local produce to employees monthly at a discounted rate. RUSH connected approximately 5,327 community residents with healthy meals. B. RUSH Department of Social Work and Community Health (SWACH) Social Work and Community Health (SWaCH) dismantles barriers to health and wellness by providing innovative programs to support patients and community members, and by advancing policies and practices that expand access to whole-person care. SWaCH programs fall within the three categories of Direct Care, Systems Change and Workforce Development, and Research and Policy: Direct Care activities include the Rush Generations program, Care Management services (including a Complex Care group), and a robust Mental Health Clinic. Rush Generations provides evidence-based workshops, lectures and group, health screenings, and wellness classes Care management services are integral to various health equity and quality improvement initiatives at Rush and in the community Complex care initiatives include Caring for Caregivers program, Rush@Home in-home primary care, and the Center to Transform Health and Housing SWaCH's Mental Health Clinic provides outpatient mental health care as a free-standing psychotherapy clinic as well as integrated partnerships with Rush specialty care providers. In FY24, 11,901 therapy sessions to referred patients were provided in RUSH's outpatient community psychotherapy clinic. o It also staffs Rush's Center for Clinical Wellness and runs the Legacy Mental Health Fellowship to bring mental health clinicians of color into the community. In addition, SWaCH operates the Anne Byron Waud Resource Center and the Tower Resource Center (TRC), which are both open daily to the public. Each center is staffed by a licensed clinical social worker who is available to help with a myriad of issues related to health and chronic health issues that particularly impact adults and caregivers. Systems Change and Workforce Development activities focus on health equity and quality improvement initiatives, Rush- and nation-wide leadership in aging, and a focus on education and training of the social care workforce (social workers, community health workers, and others) and students entering the health workforce broadly. Health equity and quality improvement initiatives include advancing the system-wide rollout and integration of social determinants of health screening and referrals, Age-Friendly Health Systems initiatives, virtual care clinics, and focused efforts to improve birth equity. SWaCH drives efforts within Rush and nationally to improve the quality of care and quality of life for older adults and their families via Rush's Center for Excellence in Aging. Education and training initiatives support the development of the social care workforce and interprofessional students; initiatives include the Social Work in Health Care Training Program, care management training, Rush Social Work Grand Rounds, and Rush's community health mentors' initiative. SWaCH Research and Policy work brings together research and evaluation activities with policy advocacy, as well as local and national coalition building - including a program of research and policy initiatives via the Center for Health and Social Care Integration. Goal 2: Increase access to mental and behavioral health services A. RUSH is working to address the mental and behavioral health needs of our patients and communities by offering social work services to our primary care, inpatient, and emergency department patients. In addition, the College of Nursing and RUSH Community-Based Practices team offer mental health services in the community at Simpson Academy for Young Women and College of Nursing Faculty Practice sites. RUSH also offers mental and behavioral health services through the Health Legacy Program for Women. This program focuses on behavioral change and addresses psychosocial issues through referrals for direct services offered through Social Work and Community Health. As part of their preventive health services, RUSH SBHCs conduct age-appropriate risk screening and evaluation for mental health issues. Students identified with mental health issues are referred for in-SBHC or community-based counseling and psychiatric services. In FY24, 1,526 risk screenings were completed and 454 patients received in-SBHC mental health services. Throughout FY24, SBHC staff remained connected to school administrations, students, and families by engaging in 64 meetings with school staff and 36 with school partners. Seventy-six outreach events were conducted either virtually or in person for students or the larger school community. In FY24, 9,599 students received group education that focused on healthy relationships, nutrition, mental health, transition of care, sexual health and wellness through school outreach activities. Finally, 522 parents, teachers and staff members participated in educational sessions on the same topics and/or received information on SBHC services and supports. In community listening sessions, West Side residents told us that their neighborhoods lack sufficient mental health resources - a major contributor to health disparities. In response, RUSH launched Mental Health First Aid training, which trains people to recognize signs and symptoms of mental illness, respond appropriately when someone needs help, support fellow community members, and help remove the stigma that persists around mental health services. Twenty-five community MHFA trainings facilitated. Trained 181 RUSH and community members in mental Health First Aid. B: Through a partnership with the RUSH Department of Psychiatry, psychiatric services are provided both in the SBHCs and by telehealth. During FY24, there were 1,656 students who received SBHC-provided psychiatric care. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - Rush University Medical Center. Goal 3: Reduce inequities caused by the social, economic, and structural determinants of health. Through enrichment, engagement, skills training, and high-quality work-based learning, RUSH is preparing underrepresented youth for success in STEM and healthcare fields. The RUSH Education and Career Hub (REACH) is a cradle-to-career pipeline program with a mission of increasing diversity in science, technology, engineering, and math (STEM) and health care professions. Its goals are to increase high school graduation rates, college matriculation, and interest in health care/STEM careers, and to build skills students need for the 21st-century workforce, including communication, collaboration, critical thinking, creativity, and leadership. RUSH's dedication to promoting a healthy community has fostered a strong commitment to supporting the growth and development of our neighborhoods, including school communities. In FY24, REACH served approximately 12,400 students, educators, and community members across its pipeline programs for learners from preschool to post-college. REACH also provided more than 409 high school and college students with more than 20,000 paid, work-based learning hours. RUSH uses a screening tool to identify non-medical barriers to good health, such as food insecurity, homelessness, lack of utilities, transportation barriers, and lack of primary care or insurance. This tool is used in the RUSH University Medical Center emergency department, primary care settings, and community-based settings. Patients screened for these Social Drivers of Health (SDOH) are connected to services via a partnership with Unite Us (formally known as NowPow), a locally based resource directory company that provides curated, personalized resources that are shared with patients. In FY24, 104,384 SDOH screenings were completed system-wide, including 2,445 in the emergency department and 41 in the community. GOAL 4: INCREASE ACCESS TO CARE AND COMMUNITY SERVICES. IN 2016, RUSH ESTABLISHED A FORMAL PARTNERSHIP WITH COMMUNITYHEALTH, THE LARGEST FREE CLINIC IN THE CITY OF CHICAGO. RUSH ATTENDING PHYSICIANS, MEDICAL RESIDENTS AND STUDENTS VOLUNTEER THEIR TIME AND SKILLS THROUGH ROTATIONS TO PROVIDE MEDICAL, DENTAL, MENTAL HEALTH AND FREE PRESCRIPTION SERVICES AT COMMUNITYHEALTH. The Transitional Care Program (TCP) at RUSH University Medical Center plays a vital role for patients in the emergency department or inpatient units who require assistance in arranging follow-up appointments after discharge. In this program, patient care navigators facilitate connections to suitable post-discharge care. TCP has greatly benefited from RUSH's numerous community collaborations, notably its formal alliance with CommunityHealth, Chicago's largest free clinic. Here, RUSH attending physicians, medical residents, and students generously contribute their expertise and time through volunteer rotations. CommunityHealth provides a comprehensive range of services including routine physicals, immunizations, a full laboratory and pharmacy, complimentary medications, and dental care. In FY2024, 681 patients were referred to CommunityHealth through this partnership. Additionally, this collaboration extends to RUSH's involvement with Franciscan Outreach, where RUSH students conduct screenings for primary care and insurance needs among shelter residents and refer them to TCP as necessary. Goal 5: Improve maternal and child health outcomes Family Connects Chicago is a vital program that continues to provide essential support to families with newborns through nurse home visits. These visits offer a comprehensive health check for both parents and infants, ensuring that any medical concerns are identified and addressed early. Additionally, the program screens families for social determinants of health (SDOH), such as access to food, housing, and healthcare, and provides referrals to relevant community resources that can help meet these needs. Since its inception, Family Connects Chicago has served over 960 families, and an impressive 85% of these families have been successfully connected to additional resources, significantly enhancing their well-being and fostering a stronger, healthier community. Through these ongoing efforts, the program continues to support families in a holistic manner, addressing not just physical health, but also social and environmental factors that contribute to long-term health outcomes. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - Rush University Medical Center. THE STATE OF ILLINOIS REQUIRES THAT HOSPITALS MAKE A GOOD FAITH EFFORT TO IDENTIFY PRESUMPTIVE CHARITY CARE FOR UNINSURED PATIENTS UNDER 200% OF FPL. WE FULFILL THIS REQUIREMENT BY RECEIVING INCOME INFORMATION FROM A 3RD PARTY SERVICE FOR ALL UNINSURED PATIENTS. FINANCIAL ASSISTANCE POLICY IN ADDITION TO MEETING FINANCIAL AND RESIDENCY REQUIREMENTS, INDIVIDUALS APPLYING FOR FINANCIAL ASSISTANCE MUST: COOPERATE WITH RUSH AND PROVIDE INFORMATION AND DOCUMENTATION TRUTHFULLY AND IN A TIMELY MANNER; MAKE A GOOD FAITH EFFORT TO HONOR THE TERMS OF REASONABLE PAYMENT TERMS ON OPEN BALANCES IF THE INDIVIDUAL QUALIFIES ONLY FOR A PARTIAL DISCOUNT; NOTIFY RUSH OF ANY CHANGE IN FINANCIAL SITUATION WHICH MAY IMPACT THE INDIVIDUALS ELIGIBILITY FOR FINANCIAL ASSISTANCE OR PAYMENT PLANS; AND AGREE TO APPLY FOR LOCAL, STATE OR FEDERAL ASSISTANCE FOR WHICH THE INDIVIDUAL MAY BE ELIGIBLE TO HELP PAY FOR SOME OR ALL OF THE INDIVIDUAL'S HOSPITAL BILL. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - Rush University Medical Center. RUSH CONDUCTS ALL OF THE EFFORTS DESCRIBED IN LINES 20 A-D PRIOR TO INITIATING ANY EXTRAORDINARY COLLECTION ACTIVITIES DESCRIBED IN LINE 19. RUSH REPORTS UNPAID BALANCES TO CREDIT AGENCIES, WHICH GENERALLY OCCURS NO SOONER THAN 450 DAYS AFTER THE DATE ON WHICH THE SERVICE WAS PROVIDED. RUSH ALSO WILL POTENTIALLY DEFER NOT MEDICALLY NECESSARY CARE FOR PATIENTS IN A BAD DEBT COLLECTION STATUS FOR A PRIOR BALANCE. HOWEVER, IF THE PATIENT APPLIES FOR FINANCIAL ASSISTANCE, MAKES A PAYMENT, OR SETS UP A PAYMENT PLAN, THEY WILL NOT HAVE CARE DEFERRED. 71 RUSH Professional Office Building 1725 W HARRISON CHICAGO IL 60612 Patient Care - Outpatient RUSH Cancer Center 1520 W Harrison St CHICAGO IL 60607 Patient Care - Outpatient RUSH Oak Brook 2011 YORK RD OAK BROOK IL 60523 Patient Care - Outpatient RUSH South Loop 1411 S Michigan Ave CHICAGO IL 60605 Patient Care - Outpatient RUSH Kellogg Building 1620 W HARRISON ST CHICAGO IL 60612 Patient Care - Outpatient Rush University Medical Group Jackson 1645 W JACKSON BLVD CHICAGO IL 60612 Patient Care - Outpatient Rush University Medical Group Copley Clinic 2040 ODGEN AVE AURORA IL 60504 Patient Care - Outpatient Rush University Medical Group Munster 9200 CALUMET AVE MUNSTER IN 46321 Patient Care - Outpatient RUSH River North 539 N Dearborn St CHICAGO IL 60654 Patient Care - Outpatient Rush University Medical Group Harrison 2150 W HARRISON ST CHICAGO IL 60612 Patient Care - Outpatient Rush University Medical Group OAB Orthopedic Building 1611 W HARRISON ST CHICAGO IL 60612 Patient Care - Outpatient RUSH Lincoln Park 2835 N SHEFFIELD AVE CHICAGO IL 60657 Patient Care - Outpatient Rush University Medical Group - TOB 1700 W VAN BUREN CHICAGO IL 60612 Patient Care - Outpatient Rush University Medical Group Gold Coast 1030 N CLARK CHICAGO IL 60610 Patient Care - Outpatient Rush University Medical Group JRB 710 S PAULINA ST CHICAGO IL 60612 Patient Care - Outpatient Rush University Medical Group Lakeview 1300 W BELMONT AVE CHICAGO IL 60657 Patient Care - Outpatient Armour Academic Center 600 S PAULINA ST CHICAGO IL 60612 Patient Care - Outpatient Rush University Medical Group Copley POB 2020 OGDEN AVENUE AURORA IL 60504 Patient Care - Outpatient Rush University Medical Group Hoffman Estates 1800 MCDONOUGH ROAD HOFFMAN ESTATES IL 60192 Patient Care - Outpatient Rush University Medical Group Lisle 430 WARRENVILLE RD LISLE IL 60532 Patient Care - Outpatient RUSH West Loop 839 W MADISON CHICAGO IL 60607 Patient Care - Outpatient Rush University Medical Group Atrium 500 S PAULINA ST CHICAGO IL 60612 Patient Care - Outpatient Rush University Medical Group Oak Lawn 4400 W 95TH ST OAK LAWN IL 60453 Patient Care - Outpatient Rush University Medical Group Oak Lawn 5851 W 95TH STREET OAK LAWN IL 60453 Patient Care - Outpatient Rush University Medical Center Munster 701 SUPERIOR AVENUE MUNSTER IN 46321 Patient Care - Outpatient Rush University Medical Group Archer 6187 S ARCHER AVE CHICAGO IL 60638 Patient Care - Outpatient Rush University Medical Group Circle Medical 1426 W Washington Blvd CHICAGO IL 60607 Patient Care - Outpatient Rush University Medical Group Michigan 2600 S MICHIGAN AVE CHICAGO IL 60616 Patient Care - Outpatient Rush University Medical Group Misericordia 6300 NORTH RIDGE AVE CHICAGO IL 60660 Patient Care - Outpatient Rush University Medical Group Skokie 4711 W GOLF RD SKOKIE IL 60076 Patient Care - Outpatient School Based Clinic Paulina 1321 S PAULINA ST CHICAGO IL 60612 Patient Care - Outpatient Internal Medicine 100 E WALTON CHICAGO IL 60611 Patient Care - Outpatient RUMG Catholic Charities Clinic 3019 W HARRISON ST CHICAGO IL 60612 Patient Care - Outpatient Rush CON Faculty Practice A Safe Haven 2750 ROOSEVELT ROAD CHICAGO IL 60608 Patient Care - Outpatient Rush CON Faculty Practice Ohare 4330 N TRANSWORLD ROAD SCHILLER PARK IL 60176 Patient Care - Outpatient RUSH CON Faculty Practice St Leonards 2100 W WARREN BLVD CHICAGO IL 60612 Patient Care - Outpatient Rush CON Faculty Practice Van Buren 2334 W VAN BUREN CHICAGO IL 60612 Patient Care - Outpatient Rush University Medical Group 60 E DELAWARE CHICAGO IL 60611 Patient Care - Outpatient Rush University Medical Group Berwyn 3501 S HARLEM AVE BERWYN IL 60402 Patient Care - Outpatient Rush University Medical Group Bourbonnais 1615 N COVENT BOURBONNAIS IL 60914 Patient Care - Outpatient Rush University Medical Group Bourbonnais 200 RIVERSIDE DR BOURBONNAIS IL 60914 Patient Care - Outpatient Rush University Medical Group Buffalo Grove 210 MCHENRY BLVD BUFFALO GROVE IL 60089 Patient Care - Outpatient Rush University Medical Group Cermak 230 W CERMAK RD CHICAGO IL 60616 Patient Care - Outpatient Rush University Medical Group Chesterton 650 DICKERSON CHESTERTON IN 46304 Patient Care - Outpatient Rush University Medical Group Copley Ogden 2088 OGDEN AVE AURORA IL 60504 Patient Care - Outpatient Rush University Medical Group Downers Grove 3825 HIGHLAND AVE DOWNERS GROVE IL 60515 Patient Care - Outpatient Rush University Medical Group Dyer 15900 W 101ST AVE DYER IN 46311 Patient Care - Outpatient Rush University Medical Group Elmhurst 1200 S York St Elmhurst IL 60126 Patient Care - Outpatient Rush University Medical Group Glenview 2501 COMPAS ROAD GLENVIEW IL 60026 Patient Care - Outpatient Rush University Medical Group Heartland 4822 NORTH BROADWAY AVE CHICAGO IL 60640 Patient Care - Outpatient Rush University Medical Group Hinsdale 121 N ELM STREET Hinsdale IL 60521 Patient Care - Outpatient Rush University Medical Group Hoffman Estates 4885 HOFFMAN BLVD HOFFMAN ESTATES IL 60192 Patient Care - Outpatient Rush University Medical Group Imaging 1750 W HARRISON ST CHICAGO IL 60612 Patient Care - Outpatient Rush University Medical Group Libertyville 1880 W WINCHESTER ROAD LIBERTYVILLE IL 60048 Patient Care - Outpatient Rush University Medical Group Mt Prospect 625 SLAWIN CT MOUNT PROSPECT IL 60056 Patient Care - Outpatient Rush University Medical Group Munster 1730 45TH AVE MUNSTER IN 46321 Patient Care - Outpatient Rush University Medical Group Northbrook 40 SKOKIE BOULEVARD NORTHBROOK IL 60062 Patient Care - Outpatient Rush University Medical Group Northbrook 900 SKOKIE BOULEVARD NORTHBROOK IL 60062 Patient Care - Outpatient Rush University Medical Group Oak Lawn 10448 S PULASKI OAK LAWN IL 60453 Patient Care - Outpatient Rush University Medical Group Orland Park 16011 S 108TH AVE ORLAND PARK IL 60467 Patient Care - Outpatient Rush University Medical Group Palos Heights 12927 S MONITOR AVE PALOS HEIGHTS IL 60463 Patient Care - Outpatient Rush University Medical Group Skokie 9669 KENTON AVE SKOKIE IL 60077 Patient Care - Outpatient Rush University Medical Group Willow Springs 9050 W 81ST ST JUSTICE IL 60458 Patient Care - Outpatient School Based Clinic ORR 730 N PULASKI CHICAGO IL 60624 Patient Care - Outpatient School Based Clinic Jackson 2245 W JACKSON BLVD CHICAGO IL 60612 Patient Care - Outpatient School Based Clinic King Drive 3000 S KING DR CHICAGO IL 60616 Patient Care - Outpatient School Based Clinic Pershing 244 E PERSHING RD CHICAGO IL 60653 Patient Care - Outpatient Rush University Medical Group Grayslake 1170 E BELVIDERE ROAD GRAYSLAKE IL 60030 Patient Care - Outpatient Road Home Broadview 1917 W ROOSEVELT RD BROADVIEW IL 60155 Patient Care - Outpatient Road Home Effingham 1200 N FOURTH STREET EFFINGHAM IL 62401 Patient Care - Outpatient Road Home Paulina 325 S PAULINA CHICAGO IL 60612 Patient Care - Outpatient Schedule H, Part I, Line 3c Other factors include Rush's Presumptive Charity Care Program RUSH UTILIZES INCOME DATA OBTAINED FROM A THIRD-PARTY SERVICE TO VERIFY INCOME BASED ELIGIBILITY CRITERIA TO QUALIFY FOR PRESUMPTIVE CHARITY CARE. A PATIENT MAY ALSO BE ELIGIBLE FOR PRESUMPTIVE CHARITY CARE IF THE PATIENT IS ELIGIBLE FOR MEDICAID FOR OTHER DATES OF SERVICE OR SERVICES DEEMED NON-COVERED BY MEDICAID; THE PATIENT IS HOMELESS, DECEASED WITH NO ESTATE, OR MENTALLY INCAPACITATED WITH NO ONE TO ACT ON THE PATIENT'S BEHALF; OR THE PATIENT IS ENROLLED IN, OR ELIGIBLE FOR, A PROGRAM FOR LOW INCOME INDIVIDUALS MANAGED BY THE STATE OF ILLINOIS, INCLUDING BUT NOT LIMITED TO WOMEN, INFANTS, AND CHILDREN NUTRITION PROGRAM (WIC), SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM; ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM, LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP), AND SIMILAR PROGRAMS. ELIGIBILITY FOR PRESUMPTIVE CHARITY CARE IS ALSO DEPENDENT ON INSURANCE STATUS AND CATCHMENT AREA RESIDENCY. PATIENTS NOT ELIGIBLE FOR PRESUMPTIVE CHARITY CARE ARE ELIGIBLE FOR AN UNINSURED DISCOUNT. THE DISCOUNT IS EITHER 80% OR 50% DEPENDING ON INCOME AND CATCHMENT AREA RESIDENCY. FURTHERMORE, PATIENTS NOT QUALIFYING FOR PRESUMPTIVE CHARITY CARE MAY ALSO COMPLETE AN APPLICATION TO DETERMINE ELIGIBILITY FOR RUSH'S CHARITY CARE PROGRAMS IDENTIFIED IN THE FINANCIAL ASSISTANCE POLICY. THESE PROGRAMS ARE INCOME-BASED BUT MAY ALSO UTILIZE AN ASSET TEST TO DETERMINE ELIGIBILITY.PATIENTS MEETING THE ASSET TEST WITH INCOME LESS THAN 400% OF FPG MAY QUALIFY FOR 100% DISCOUNT TO THEIR BILL. THIS DISCOUNT MAY BE APPLIED AFTER PRIMARY INSURANCE PAYMENT TO COVER DEDUCTIBLES AND COINSURANCE. LASTLY, THE CATASTROPHIC BALANCE PROGRAM WILL REDUCE PATIENT BILLS TO A MAXIMUM OF 20% OF THE HOUSEHOLD INCOME ON AN EPISODIC BASIS, PER TWELVE MONTH PERIOD. IN SUMMARY, RUSH UNIVERSITY MEDICAL CENTER USES INSURANCE STATUS, UNDERINSURANCE STATUS, TYPE OF SERVICE, AND/OR RESIDENCY AS FACTORS IN DETERMINING ELIGIBILITY FOR FREE AND DISCOUNTED CARE. Schedule H, Part I, Line 6a The Community Benefits Report for Rush University Medical (RUMC) is a separate report prepared by Rush. Rush prepares and files the Annual Non-Profit Community Benefit Plan Report with the Attorney General's Office of the State of Illinois which includes Schedule H information about RUMC and RUSH Oak Park Hospital (ROPH). For the purpose of Schedule H, only financial information for RUMC is reported. There is no data included for ROPH. Schedule H, Part VI, Line 5 Promotion of community health (continuation 1) Goal 2: Increase access to mental and behavioral health services Rush School-Based Health Centers (SBHCs) Rush has a 30-year history of providing health care at School-Based Health Centers. Rush currently has three SBHCs located in Chicago Public Schools: Orr Academy High School, Richard T. Crane Medical Preparatory High School, and Simpson Academy for Young Women. Crane and Orr have students in grades 9 through 12, and Simpson serves girls in grades 6 to 12 who are pregnant, parenting, or both. All three schools have student bodies from underserved populations and are in neighborhoods with high rates of poverty and economic hardship. Adolescent Family Center (AFC) In FY24, AFC provided clinic services to 443 youth in 1,642 healthcare encounters. During the fiscal year, 151 unintended adolescent pregnancies were prevented through patient-centered, adolescent-focused family planning services. Additionally, AFC completed 577 Sexually Transmitted Infection tests and had a 100% treatment rate, which promotes the preconception health of the young people AFC serves. AFC also saw a 33% increase in birth control utilization in the past fiscal year. The AFC had 63 pre and postnatal care patients in FY24. All pregnant and post-partum patients received mental health screening for depression and connection to resources like Women, Infants, and Children (WIC). AFC obstetric patients also experienced improved birth outcomes in FY24 such as preterm births. The AFC's preterm birth rate is 5% compared to Rush's West Side communities which have preterm birth rates anywhere from 12-16%. As part of the AFC's community education program, staff members regularly travel to Chicago-area high schools and middle schools to provide community education on pregnancy prevention, reproductive anatomy, contraception, sexually transmitted infection prevention, and reproductive health. In FY24 3,918 youth received group sexual health education. The AFC also offers free prenatal education to pregnant teens and their partners. AFFIRM: The RUSH Center for Gender, Sexuality, and Reproductive Health Established in January 2020, AFFIRM: The Rush Center for Gender, Sexuality & Reproductive Health is actively engaged in bridging healthcare gaps for the LGBTQ+ community. This health equity program addresses the challenges of longstanding internalized stigma, trauma, community marginalization and socioeconomic inequities that often lead to significant health disparities within the LGBTQ+ communities. The Affirm team supports the community through its Patient Navigation hub and is committed to guiding providers across the Rush system in delivering inclusive and affirming care and services to all individuals. In FY2024, 1,380 LGBTQ+ patients worked with Affirm patient navigators who helped them connect with inclusive care and services at Rush and in the community. Affirm also provided 55 hours of cultural competency training to 1,490 RUSH employees. The Road Home Program at the Center for Veterans and Their Families at Rush The Road Home Program provides care for the "invisible wounds of war" suffered by veterans and their families. Services for veterans include an adult mental health clinic that specializes in post-traumatic stress disorder; family and marital services such as support groups; counseling and guidance for parenting; a military sexual trauma clinic; and an Intensive Outpatient Program (IOP). The IOP is a three-week program where veterans receive intensive treatment Monday through Friday from 8 a.m. to 5 p.m. In FY2024, the Road Home Program provided clinical services to 1,151 unique veterans with 85% of veterans completing a 2-week intensive outpatient program. College of Nursing Faculty Practice Program The Rush College of Nursing (CON) has a 40-year history of providing healthcare services to historically underserved individuals, families, and communities at diverse community practice sites through the CON Faculty Practice Program. Most recipients of care are uninsured or underinsured and rely on the CON Faculty Practice sites as their main sources of health care. In addition to direct clinical care provided by Rush CON faculty clinicians, the CON Faculty Practice facilitates RUSH University interdisciplinary student volunteer programs for students to develop and deliver health education programs in alignment with the clinical care provided. Over 100,000 clinical care and community service hours were provided to historically underserved communities per year through the CON Faculty Practice Program. Schedule H, Part VI, Line 5 Promotion of community health (continuation 2) Goal 3: Reduce inequities caused by the social, economic, and structural determinants of health. RUSH Education and Career Hub (REACH) REACH provides programming across the educational continuum, from pre-kindergarten through college, through the initiatives highlighted below. Elementary School Outreach (Grades Pre-K through 5) The STEMagineers program for elementary school students helps establish a foundational interest in STEM and health care. The program builds awareness of STEM and health care education and careers, teacher professional development, family engagement, classroom curriculum resources, and alignment with standards and research that support best practices in early childhood education. Transitioning into FY2024, the STEMagineers program has continued to evolve and broaden its impact, offering compelling activities and presentations. Highlights include the successful execution of the sexual health education workshops for students who attended Pickard, Dett, and Melody Schools in November, garnering completion appreciation notes, and marking a significant milestone for the program. They engaged in crucial topics such as CPR, Diabetes, heart disease, and mental health for youth and teens. Middle school outreach (grades 6 through 8) In FY2024, REACH continued with four STEM educational enrichment programs for students in grades 6 through 8. Vitals for STEM Success is a 10-week after-school enrichment program for middle school students interested in STEM and healthcare careers. Participating students build their prerequisite skills and awareness of careers in STEM and health care through collaborative games, projects, and dissection labs to learn about human body systems. Students also engage in career pathway planning through research, simulations, and guest speakers in health care careers. This past year, the program was hosted at Lawndale Community Academy, Theodore Herzl Elementary School, and Village Leadership Academy. The program was also implemented as a middle school STEM summer camp at Melody STEM School and Carole Robertson Center Albany Park. Future Ready Learning Labs is an enrichment elective incorporated into the school day, focused on building interest and awareness of careers in the STEM and health care fields, increasing sense of self-efficacy, developing 21st-century learning skills and transitioning to high school. Students engage in the content through research projects, hands-on learning activities, Career Day events, and guest speakers from various health care careers. REACH's partner schools for this program during the 23-24 school year were Pickard Elementary School, William H. Brown STEM School, and Hefferan Elementary School. HOSA Jr or Future Health Professionals of America - middle school is an after-school program focused deepening exposure, career-connected learning and leadership skills for middle school students. REACH worked with Village Leadership Academy and took the only middle school students to the HOSA state competition in Springfield. High school outreach (grades 9 through 12) MedSTEM, one of our signature high school programs, is designed to introduce teens to a wide range of clinical and non-clinical health care careers, develop leadership skills and build academic skills. MedSTEM Pathways provides pre-internships for rising sophomores and juniors, and internships for rising juniors and seniors. By leveraging resources from across RUSH University Medical Center, we provided students with comprehensive, engaging experiences, including personal development workshops, industry-recognized certifications, and networking with career professionals. In FY2024, 135 students participated in MedSTEM Pathways and MedSTEM Explorers programming. Half of the summer's MedSTEM Pathways interns and 88% of MedSTEM Explorers earned one or more industry-recognized credentials: CPR, first aid/basic lifesaving, phlebotomy, and ECG technician. In the Spring of 2024, we launched our new Rush Youth Health Ambassador program. This initiative engages local high school teens to support social determinants of health screening, patient experience, and patient interactions at Rush University Medical Center. This year, we collaborated closely with North-Grand High School, where 10 students participated in the 10-week cohort. College and Beyond The College Career Pathways program supports underrepresented young people beyond high school for immersive work-based learning experiences in targeted career paths. The program includes paid internships, college and career advising, and professional and technical skills training, which helps participants find jobs with STEM and health care employers. Interns learn skills in several RUSH University Medical Center departments, including labor and delivery, the surgical ICU, outpatient psychology and pathology. In FY2024, 39 students each earned more than 256 hours of paid, work-based learning experience through College and Career Pathways. In the spring of 2024, REACH launched the Career Academy @Rush - Pharmacy Apprenticeship program. This one-year apprenticeship is designed for underrepresented high school and college students (ages 17 and older) interested in pursuing a career in pharmacy, whether short-term or long-term. The program provides students with the opportunity to explore the pharmaceutical sciences, develop career-specific skills, and earn licensure to practice in the field within one year. In our inaugural cohort, 10 students are currently participating and are halfway through their year in the program. REACH STEM Health Sciences Exploration Fair In 2024, REACH continued its commitment to community enrichment by sponsoring an impactful STEM Health Sciences Exploration Fair at Malcolm X College. The event served as the catalyst for educational transformation, reaching students of various age groups and sparking curiosity in STEM fields. Our dedication to hands-on learning was evident as students from grades 6-8 and high school participated in the annual spring event. Over 300 students took part in immersive experiences, engaging in science experiments, drone dissections, career panels, and interactive activities that brought STEM to life. The fair was not just about exploration but about opening doors to potential careers. Students had the unique chance to engage with healthcare professionals, gaining insight into the diverse and rewarding world of healthcare careers. The impact was undeniable, as young minds were inspired, and pathways to future opportunities began to take shape. Oak Park River Forest High School RUSH Oak Park Hospital started a collaboration with Oak Park River Forest High School (OPRFHS) to have their certified nursing assistant student's complete clinicals at ROPH. Currently, one of the ROPH nurses serves as liaison and clinical faculty for this program. In FY24, 53 students fulfilled educational requirements for licensing and increased the larger communities' healthcare educational attainment. RUSH Oak Park Hospital also collaborates with Oak Park River Forest High School in the CITE II: Community Integrated Transitional and Educational Program. ROPH is a host site for the OPRFHS CITE II Program. This program is a partnership between ROPH and OPRFHS that serves local students with developmental disabilities and/or Autism who have received a diploma from high school but still need additional assistance after graduation. CITE is an outcome-based program focused on facilitating students' independence in their home and community through direct teaching of life skills. The program assists the students within ROPH's professional environment by helping them move toward their desired post-school outcomes - particularly with an emphasis on learning job skills, providing coaching on social skills, and helping to acquire gainful employment within the community. In FY24, ten students found jobs in the community, including one at RUSH. Additionally, in FY24, these students provided a total of 1,278 volunteer hours in the hospital. Mini Medical School The RCSIP Mini Medical School offers a unique Saturday program once a month throughout the academic year, tailored for fourth and fifth graders from Chicago Public Schools. Its primary aim is to acquaint these young learners with the field of health sciences. Taking place at RUSH University, the program includes a series of anatomy and physiology lectures, interactive activities centered on the five key body systems, and practical dissection sessions. Committed RUSH student and physician volunteers play a pivotal role in crafting the curriculum, leading the activities, and providing guidance to the students during these educational sessions. In FY24 RCSIP Mini Medical School continued remote learning. There were eight remote sessions held with 466 students engaged. Schedule H, Part I, Line 7 TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25, COLUMN (A) DOES NOT INCLUDE BAD DEBT EXPENSE. THE BAD DEBT EXPENSE WAS REPORTED AS A REDUCTION OF REVENUE ON FORM 990, PART VIII. THE AMOUNT OF BAD DEBT IS $7,674,049. Schedule H, Part II Community Building Activities Promote the Health of the Community (continuation) WORKFORCE DEVELOPMENT Rush has established an organizational goal to increase hiring from the West Side and collaborates with two community-based partners (Skills for Chicagoland's Future and Cara) to increase local hiring for entry-level positions. RUSH also partners with other organizations to source local talent and, when necessary, refer candidates to other partners for employment and wraparound services. Since FY21, an average of 16% of Rush's annual new hires, which equates to 10,385 employees, have been hired from anchor mission communities. In FY24, 17.4% of Rush's new hires (2,228 individuals) were from anchor mission communities. Since FY21, 598 participants have been served in multiple career pathways programs via WSU, Rush and REACH to help community members and incumbent workers at Rush advance in their healthcare careers. Schedule H, Part VI, Line 5 Promotion of community health (continuation 3) GOAL 4: INCREASE ACCESS TO CARE AND COMMUNITY SERVICES. RCSIP clinics Rush's Community Health Worker Hub Community Health Workers (CHWs) at Rush University Medical Center play an important transformative role in bridging healthcare and social support systems to address critical inequities in Chicago's underserved neighborhoods. With 55.6% of the team residing in South and West Side communities and 66.7% bilingual in English and Spanish, CHWs reflect the populations they serve, fostering trust and culturally sensitive care. In 2024 CHWs conducted nearly 7,703 outreach activities, including over 5,825 screenings for social drivers of good health, addressing barriers like food insecurity, housing instability, and access to preventive care, in addition to emergency response efforts. Beyond numbers, CHWs empower individuals by connecting them to essential resources and providing personalized guidance. For example, in schools, CHWs have removed obstacles to education by ensuring children's health needs are met; in clinics, they have facilitated post-discharge support to reduce hospital readmissions. Through their dedicated efforts, CHWs not only improve health outcomes but also foster sustainable community development, embodying Rush's unwavering commitment to health equity. RCSIP Clinics RCSIP Clinics operate through the dedicated efforts of RUSH volunteers, comprising a physician leader and an interdisciplinary team of RUSH students. These clinics provide a range of services, including physical examinations, health education, complimentary basic medications, and procedures like wound care. Additionally, they assist patients in establishing primary and/or specialty care connections through referrals. These clinics include: RCSIP Haymarket, which serves adult men and women with primary care, and health education; it also provided COVID-19 vaccinations during 13 vaccination days and seven clinic days. More than 589 healthcare encounters were provided during FY2024. Goal 5: Improve maternal and child health outcomes Implement Adverse Childhood Experience (ACE) screening to identify pregnant and parenting individuals who have experienced childhood trauma. Use this screening process to connect these individuals to comprehensive, evidence-based services such as home visiting programs, doula support, and other parenting resources tailored to their needs. Aim to serve over 250 families annually, ensuring that at least 60% of those identified are successfully referred to and engaged with the appropriate support services. These efforts will promote healthier outcomes for both parents and children, addressing the long-term impacts of trauma through a network of targeted, trauma-informed interventions. Schedule H, Part V, Section B, Line 22 Charges to Individuals Eligible for Assistance Under the FAP The following disclosure is in accordance with Rev. Proc 2015-21 Section 7 in regard to Schedule H, Part V, Section B, Line 22b. RUSH University Medical Center's (RUMC) AGB% for calendar year 2022 was computed and effective on 3/1/2023 and RUMC began utilizing the percentage within 120 days of the end of the 12-month period. It was provided for posting on RUMC's website on 3/21/2023 but was inadvertently not posted due to a technical error. The error was corrected as soon as it was discovered September 19, 2023, and a procedure is now in place to check that the annual posting is indeed linked correctly so that it can be viewed. No individual was impacted by this error in posting as the correct AGB% was utilized as required. Schedule H, Part I, Line 7g Subsidized Health Services RUSH UNIVERSITY MEDICAL CENTER (RUMC) HAS INCLUDED COSTS ASSOCIATED WITH RUMC OWNED PHYSICIAN CLINICS IN SUBSIDIZED HEALTH SERVICES. THERE IS $114,941,204 IN NET COMMUNITY BENEFIT EXPENSE IN LINE 7G WHICH REPRESENTS THESE CLINICS. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST TO CHARGE RATIO APPLIED TO Charity Care, LINE 7A, AND Unreimbursed Medicaid, Line 7B, was calculatedd based on the IRS 2023 INSTRUCTIONS FOR SCHEDULE H, WORKSHEET 2. RATIO OF PATIENT CARE COST TO CHARGES. Community Health Improvement Services & Community Benefit Operations, Line 7e, and Cash and In-Kind Contributions, Line 7i, were reported at actual cost. Health Professions Education, Line 7f, was primarily taken directly from the FY24 as-filed Medicare Cost Report and includes other minimal community education. Rush University Medical Center (RUMC) CALCULATES A SEPARATE COST TO CHARGE RATIO FOR SUBSIDIZED HEALTH SERVICES, Line 7g, WHICH MORE ACCURATELY PORTRAYS THOSE SERVICES. RUMC UTILIZES A COST ACCOUNTING SYSTEM TO CALCULATE A SEPARATE COST TO CHARGE RATIO FOR PHYSICIAN CLINICS AND HOSPITAL SERVICE LINES. THOSE SERVICES ARE THEN COMBINED TO DERIVE A UNIQUE COST TO CHARGE RATIO FOR SUBSIDIZED HEALTH SERVICES. Schedule H, Part II Community Building Activities PHYSICAL IMPROVEMENTS AND HOUSING Rush launched the Center to Transform Health and Housing (CTHH), funded by the Chicago Trading Company in 2021. Since then, the Center has acquired additional funding from Illinois Tool Works to support its mission of improving health outcomes for people experiencing homelessness and housing insecurity. The Center's four-prong approach focuses on education and trainingby increasing learner experiences, clinical carewhich includes medical and social care, advocacy, and collaboration, and highlighting the voice of people with lived expertiseto address the social determinants of health that impact this population. The Center also facilitates and provides operational support to the Chicago Homelessness and Health Response Group for Equity (CHHRGE) a multisector collaborative, established in March 2020, that works to enhance communication and coordination with the City of Chicago and other collaborative stakeholders and serves as a clearinghouse for information, support, and problem-solving for health and housing equity. ECONOMIC DEVELOPMENT Invest locally: In collaboration with other hospitals under the West Side United (WSU) initiative, RUSH University Medical Center has contributed to disbursing $1.99M in small business grants (since 2018) to small businesses on Chicago's West Side. As part of WSU impact investment collective, $10.1 million is actively invested with community development financial institutions (CDFIs) to West Side social impact projects as of December 2024. Since 2018, WSU partners have collectively and cumulatively invested $15.8M with "recycled capital" into Community Development Financial Institution partners. Over $33 million dollars have been loaned to local businesses through WSU's CDFI partners to date. PURCHASE LOCALLY Purchase locally: To advance RUSH University Medical Center toward its goals to increase purchasing with vendors from the West Side, RUSH has partnered with the Healthcare Anchor Network and U3 Advisors to commit to identifying and contracting with vendors at the hyper-local level. RUSH University Medical Center spent over $13 million in purchased services in FY24 using Anchor Mission (AM) vendors and continued to mentor small local vendors to help them scale and grow. RUSH University Medical Center is part of the West Side Procurement Working Group with five other hospitals and health systems to share best practices and increase the use of local vendors.. EMPLOYEE EFFORTS RUSH IS ALSO COMMITTED TO SERVING OUR EMPLOYEES WHOM WE CONSIDER AS OUR "FIRST COMMUNITY HAVE DESIGNED PROGRAMS TO CREATE FINANCIAL STABILITY. THESE INCLUDE RETIREMENT READINESS AND FINANCIAL WELLNESS TRAINING FOR EMPLOYEES THROUGH WORKING CREDIT AND FIFTH-THIRD E-BUS. ENVIRONMENTAL IMPROVEMENTS In fiscal year 2024, the Environmental Sustainability (ES) team at RUSH University Medical Center earned an Emerald Greenhealth Award from Practice Greenhealth for their work in calendar year 2023. This award recognizes the top 20% of hospitals who submit data to their annual benchmarking initiative and recognizes advanced sustainability programs. The Medical Center was also awarded a Making Medicine Mercury Free Award for virtually eliminating mercury from our facilities, as mercury has known negative health impacts and the use of it in our operations is contrary to healthcare's mission of healing. The ES team began developing a Climate Resilience Plan, one of the requirements of the U.S. Department of Health and Human Services' Health Sector Climate Pledge. The team collaborated with various departments in the Medical Center to identify areas of opportunity to strengthen existing plans to help the hospital adapt and recover from disruptions caused by our changing climate. As the climate warms, it is also destabilizing, resulting in hotter hots, colder colds, and more intense and frequent storms. The need for such planning was highlighted by the flash flooding that hit the western and southwestern side of Chicago in July 2023, as well as the 13 confirmed tornadoes over Chicago in late July. Another significant milestone for the ES team was the completion of a "Unifying Efforts" pilot program through Practice Greenhealth. This program has enabled the ES team to connect their work to the more mature community health and equity teams at RUSH, highlighting the opportunity to amplify the message and impact of all of our teams into a stronger, unified directive. A monthly forum called the RUSH Commitment was born of that initiative, where a cross-departmental team meets to share updates on current initiatives and identify opportunities for collaboration. Other program highlights include: The development of a plan and timeline to achieve 100% renewable electricity for the campus by 2030. The expansion of our food waste avoidance programs through the implementation of a composting program in the patient kitchen, which has diverted over 120,000 pounds of food waste from the landfill since its inception, and the expansion of our food recovery program that supports Franciscan Outreach to include day-old goods from the Panera Bread on our campus. The Medical Center was awarded ComEd's MBCx 2022 project of the year for achieving the highest amount of energy savings of any account in ComEd's territory through a Monitoring Based Commissioning program. Medical device reprocessing grew on campus, with the Medical Center collecting over 200,000 pulse oximeters for reprocessing in calendar year 2024. The Procurement team approved a Sustainable Procurement charter through Vizient's Go Green: Healthcare Sustainability Optimization Collaborative to develop a sustainable procurement policy and strategy. The campus' Main Parking Garage and Armour Academic building were converted to LED lighting, significantly decreasing these buildings energy use and associated greenhouse gas emissions. o EV chargers, with a total of 25 ports, were installed in the Rubschlager Ambulatory Building parking garage, to increase the number of electric miles driven to campus and decrease greenhouse gas emissions from gas and diesel vehicles coming to campus. Supported the City of Chicago's Department of Public Health heat mapping campaign through NOAA, by volunteering as a navigator and participating in the data collection process to highlight the disparities in heat felt across the city of Chicago caused by the lack of green infrastructure across the west side caused by the racist practice of red-lining communities in the early-1900's. * The ES team formed a partnership with the Center for Hard to Recycle Materials (CHaRM Center) at South Suburban College that has expanded our reuse and recycling programs to include pathways for Styrofoam and textiles. COALITION BUILDING: WEST SIDE UNITED (WSU, WESTSIDEUNITED.ORG) WSU is a collaborative of six healthcare anchor institutions (Ann and Robert H. Lurie Children's Hospital, Ascension, Cook County Health, RUSH University Medical Center, Sinai Chicago, UI Health), the American Medical Association, and other healthcare providers, education providers, the faith community, business, government and residents. This collaborative is working to improve neighborhood health by addressing inequities in health care, education, economic vitality, and the physical environment, using a cross-sector, place-based strategy. The overarching aim is to eliminate the life expectancy gaps between the Loop and ten West Side neighborhoods. WEST SIDE CONNECTED RUSH continues to partner with the organizations in West Side ConnectED to improve our work to address the social determinants of health with support from Catholic Charities. The coalition has grown to include Lurie Children's Hospital and enjoys consistent representation by the Illinois Partners for Human Service, a coalition of 800 human rights organizations located in every legislative district in Illinois. Efforts continue to be focused on implementing screening for health care access (primary care/insurance), food security, housing/homelessness, utilities, and transportation, but have broadened to include each partner's entire hospital per their individual institutional goals. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT EXPENSE IS ESTIMATED BASED ON HISTORICAL COLLECTION EXPERIENCE. PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE GENERALLY RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. RUSH UNIVERSITY MEDICAL CENTER DETERMINES ITS ESTIMATE OF BAD DEBT FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE BAD DEBT EXPENSE IS THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS EXPECTED TO BE COLLECTED BASED ON COLLECTION HISTORY WITH THOSE PATIENTS. Schedule H, Part III, Line 3 Bad Debt Expense Methodology DUE TO THE PROCESS THAT RUSH UNIVERSITY MEDICAL CENTER (RUMC) AND OTHER HOSPITALS MUST FACILITATE TO PROVE A PATIENT'S ELIGIBILITY FOR DISCOUNTED OR FREE CARE, THE PRECISE AMOUNT OF CHARITY CARE OFTEN CAN BE INDISTINGUISHABLE FROM OTHER CATEGORIES OF UNCOMPENSATED CARE. WITHOUT THE PATIENT'S COOPERATION IN PROVIDING APPROPRIATE DOCUMENTATION, RUMC CANNOT CORRECTLY DISTINGUISH PATIENTS WHO MEET THE DEFINED CHARITY CARE POLICIES AND APPROPRIATELY CATEGORIZE THOSE INDIVIDUALS AS CHARITY CARE WRITE-OFFS. INSTEAD, THESE PATIENT CASES CAN BE CLASSIFIED AS BAD DEBT WRITE-OFFS DUE TO A LACK OF SUPPORTING INFORMATION. THIS CAN CREATE SITUATIONS IN WHICH PATIENTS CAN BE MISTAKENLY CLASSIFIED AS BAD DEBT, WHICH COULD ACTUALLY BE CLASSIFIED AS CHARITY CARE, BUT CANNOT BE CONFIRMED. The methodology used to determine the estimate of bad debt entered on line 2 that reasonably is attributable to patients who likely would qualify for financial assistance under the hospital's financial assistance policy as entered on Part 1, lines 1 through 4, but for whom insufficient information was obtained to determine their eligibility included a review of all traditional hospital bad debt write-offs by individual account. For each account the % poverty level was reviewed, if available, and for those accounts that were below the 200% poverty level the associated bad debt write-off was estimated to be 100% potentially eligible for charity, consistent with the financial assistance policy and for those accounts 201-400% poverty level the associated bad debt write-off was estimated to be 75% potentially eligible for charity, consistent with the financial assistance policy. The dollar amount obtained was then divided by total bad debt net of recoveries, and the resultant percentage was applied to the total bad debt expense for the fiscal year. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote DURING FY2024, RUSH UNIVERSITY MEDICAL CENTER'S (RUMC) REPORTED PROVISION FOR BAD DEBT WAS A TOTAL OF $7,674,049 WHICH EQUATES TO $3,034,651 AT COST BASED ON AN OVERALL COST TO CHARGE RATIO. RUMC PROVIDES ADDITIONAL INFORMATION ON THE BAD DEBT EXPENSE/IMPLICIT PRICE CONCESSIONS IN FOOTNOTE #2 SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - PATIENT SERVICE REVENUE AND PATIENT ACCOUNTS RECEIVABLE WHICH STARTS ON PAGE 8 OF THE AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE RATIO OF PATIENT COST TO CHARGES WAS CALCULATED BASED ON THE IRS 2023 INSTRUCTIONS FOR SCHEDULE H, WORKSHEET 2. RATIO OF PATIENT CARE COST TO CHARGES for RUMC. MEDICARE REVENUES AND COSTS WERE EXTRACTED FROM THE FY2024 AS-FILED MEDICARE COST REPORT. THERE IS A MEDICARE SURPLUS/SHORTFALL OF $24,125,434. SINCE THE IRS 2023 INSTRUCTIONS STATE UNDER PART III BAD DEBT, MEDICARE, & COLLECTIONS PRACTICES, LINE 5, THE MEDICARE SHORTFALL IS FOR MEDICARE FEE FOR SERVICES ASSOCIATED WITH THE ALLOWABLE COSTS THE ORGANIZATION ENTERED IN ITS MEDICARE COST REPORT, MANAGED MEDICARE AND RUSH MEDICAL GROUP SURPLUS/SHORTFALL WAS NOT INCLUDED. IF SO, THE TOTAL LOSS FOR THE MEDICARE SHORTFALL WOULD HAVE BEEN $143,092,141. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance FOR PUBLIC TRANSPARENCY AND EASE, THE DEBT COLLECTION POLICY IS INCLUDED IN THE FINANCIAL ASSISTANCE POLICY WITHIN SECTION ENTITLED - "COLLECTIONS AND OTHER ACTIONS TAKEN IN THE EVENT OF NON-PAYMENT" RUSH ATTEMPTS TO NOTIFY PATIENTS OF THE FINANCIAL ASSISTANCE POLICY BY MEANS OF THE BILLING STATEMENTS THAT ARE ISSUED TO PATIENTS WHEN A BALANCE IS DUE. THERE IS LANGUAGE IN ALL BILLING STATEMENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE AND A PLAIN LANGUAGE SUMMARY IS PROVIDED ON OUR STATEMENT PRIOR TO PLACING ACCOUNTS WITH A BAD DEBT COLLECTION AGENCY. IN ADDITION, OUR COLLECTION AGENCIES WILL ATTEMPT TO NOTIFY PATIENTS OF RUSH'S FINANCIAL ASSISTANCE POLICY BEFORE PLACING ACCOUNTS WITH THE CREDIT BUREAU. Schedule H, Part V, Section B, Line 16a FAP website - Rush University Medical Center: Line 16a URL: https://www.rush.edu/patients-visitors/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - Rush University Medical Center: Line 16b URL: https://www.rush.edu/sites/default/files/2020-09/financial-assistance-application.pdf; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Rush University Medical Center: Line 16c URL: HTTPS://WWW.RUSH.EDU/SITES/DEFAULT/FILES/FINANCIAL-ASSISTANCE-BROCHURE-ENGLISH.PDF; Schedule H, Part VI, Line 2 Needs assessment AS AN ACADEMIC HEALTH SYSTEM, RUSH ASSESSED THE HEALTH NEEDS OF THE COMMUNITIES WHICH IT SERVES IN A VERY COLLABORATIVE APPROACH AND CONTINUES TO DO SO BEYOND THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS. GIVEN THAT RUSH CONDUCTED ITS CHNA FOR FY2022, EVERYTHING WAS RELATED TO THAT EFFORT. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance IN KEEPING WITH RUMC'S MISSION TO PROVIDE COMPREHENSIVE, COORDINATED HEALTH CARE SERVICES TO OUR PATIENTS, RUMC OFFERS SEVERAL FINANCIAL ASSISTANCE PROGRAMS TO HELP PATIENTS WITH THEIR HOSPITAL BILL. THROUGH UTILIZATION OF A PATIENT ELIGIBILITY SERVICE THE MEDICAL CENTER IS EXTREMELY PROACTIVE IN ENROLLING PATIENTS, WHO PRESENT FOR SERVICE WITHOUT INSURANCE COVERAGE, FOR COVERAGE UNDER VARIOUS STATE AND FEDERAL PROGRAMS. THE MAINTENANCE OF THIS SERVICE FOR OUR PATIENTS HAS A SIGNIFICANT IMPACT ON DECREASING THE AMOUNT OF CHARITY CARE PROVIDED. IN ADDITION TO ACHIEVING APPROPRIATE, AVAILABLE COVERAGE FOR OUR PATIENTS' MEDICAL SERVICES, THIS ELIGIBILITY SERVICE ALSO OBTAINS ELIGIBILITY FOR SSI OR SSA BENEFITS FOR APPLICABLE PATIENTS. GUIDING THE PATIENT THROUGH THIS OFTEN TIME-CONSUMING AND ARDUOUS PROCESS IS EXTREMELY BENEFICIAL TO THE PATIENT, AS ONCE SSI/SSA ELIGIBILITY IS APPROVED, THE PATIENT WILL BEGIN RECEIVING A MONTHLY ASSISTANCE CHECK WHICH PROVIDED A BENEFIT WELL BEYOND THEIR HEALTH CARE AT RUSH. TO ASSIST THE PATIENT IN DECIDING WHICH IS THE RIGHT PROGRAM FOR THEM, RUMC OFFERS THE SERVICES OF FINANCIAL COUNSELORS AND BILLING CUSTOMER SERVICE REPRESENTATIVES. THESE INDIVIDUALS WILL ASSIST PATIENTS WITH THE COMPLETION OF FINANCIAL APPLICATION FORMS, OBTAINING AN ESTIMATED COST OF ANTICIPATED HOSPITAL SERVICES, PROVIDING AN EXPLANATION AND COPY OF THEIR HOSPITAL BILL, AND NOTARY SERVICES. RUMC MAKES ALL FINANCIAL ASSISTANCE INFORMATION AND POLICIES AVAILABLE ON THE HOSPITAL'S WEBSITE. Schedule H, Part VI, Line 4 Community information Rush provides patient care services that extend beyond the scope identified in its Community Health Needs Assessment (CHNA). The organization identifies its primary community as the West Side of Chicago and adjacent suburbs such as Oak Park, Forest Park, and River Forest. This definition was chosen for the CHNA to focus on the geographic area surrounding its two hospitals, a region characterized by significant needs and challenges. Rush's patient base is diverse in terms of ethnicity, economic, and insurance status. However, many in the West Side community encounter difficulties and belong to vulnerable groups, including racial/ethnic minorities, those of lower socio-economic status, and individuals living in crowded housing or facing high unemployment and limited access to education, transportation, and essential resources like grocery stores and healthcare facilities. The West Side of Chicago, despite its resilience, confronts some of the most severe hardships and health disparities in the city. Rush aims to be a stabilizing force in addressing these challenges, empowering the communities and remarkable individuals who reside on the West Side. Schedule H, Part VI, Line 5 Promotion of community health RUSH UNIVERSITY MEDICAL CENTER'S (RUMC) MISSION IS TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND DIVERSE COMMUNITIES THAT WE SERVE THROUGH INTEGRATION OF OUTSTANDING PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY PARTNERSHIPS. TO THAT END, THE MEDICAL CENTER SEEKS TO SERVE THE COMMUNITY IN WAYS THAT ENGAGE, EDUCATE, AND EMPOWER; ADDRESSING A WIDE ARRAY OF COMMUNITY HEALTH NEEDS, FROM CHRONIC CONDITION MANAGEMENT AND MENTAL AND BEHAVIORAL HEALTH SERVICES TO REDUCING HEALTH INEQUITIES LINKED TO SOCIAL DETERMINANTS. RUSH UNIVERSITY MEDICAL CENTER SERVES ALL PATIENTS WHO PRESENT FOR CARE AND SERVES THE SURROUNDING COMMUNITY ALONG WITH A BOARD OF DIRECTORS WITH A STRONG COMMUNITY BASE. THE BOARD MEMBERS ARE INDEPENDENT COMMUNITY LEADERS WHO ARE SELECTED BASED UPON THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS OF BENEFIT TO THE ORGANIZATION. THEIR ROLE AS BOARD MEMBERS IS TO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT OUR MISSION. BOARD MEMBERS ARE NOT COMPENSATED FOR THEIR SERVICE. OUR COMMUNITY OF PHYSICIANS, ADVANCED PRACTICE PROVIDERS, NURSES, RESEARCHERS, FACULTY, STUDENTS AND STAFF INCLUDES A HIGH PERCENTAGE OF WOMEN AND MINORITIES, AS WELL AS LGBT AND VETERAN EMPLOYEES, REFLECTING THE DIVERSE CHICAGO COMMUNITIES WE SERVE. RUMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. AS A CHARITABLE ORGANIZATION, ALL SURPLUS FUNDS ARE USED TO FURTHER OUR CHARITABLE PURPOSE, MISSION AND TO SERVE THE COMMUNITY. RUMC'S SIGNIFICANT INVESTMENT IN COMMUNITY HEALTH INITIATIVES-SUCH AS THE RUSH DEPARTMENT OF SOCIAL WORK AND COMMUNITY HEALTH (SWACH), SCHOOL-BASED HEALTH CENTERS (SBHCS), AND THE COLLEGE OF NURSING FACULTY PRACTICE PROGRAM-HIGHLIGHTS OUR STRATEGIC USE OF SURPLUS FUNDS. THESE INVESTMENTS AIM NOT ONLY TO ADDRESS IMMEDIATE HEALTHCARE NEEDS BUT ALSO TO DRIVE LONG-TERM IMPROVEMENTS IN HEALTH OUTCOMES THROUGH EDUCATION, POLICY ADVOCACY, AND DIRECT COMMUNITY ENGAGEMENT. SUCH A HOLISTIC STRATEGY UNDERSCORES RUMC'S ACUTE UNDERSTANDING OF THE COMPLEX INTERPLAY BETWEEN SOCIAL DETERMINANTS AND HEALTH OUTCOMES, DIRECTING OUR RESOURCES TOWARDS MAKING A SIGNIFICANT IMPACT ON COMMUNITY HEALTH. THIS APPROACH HIGHLIGHTS RUMC'S COMMITMENT TO ENHANCING HEALTHCARE ACCESS, QUALITY, AND OUTCOMES, PARTICULARLY FOR UNDERSERVED POPULATIONS, AND UNDERSCORES THE NEED FOR FURTHER DIRECT ENGAGEMENT AND THE SPECIFIC APPLICATION OF SURPLUS FUNDS. RUSH UNIVERSITY MEDICAL CENTER PROVIDES ACCESS TO PHYSICIAN, ACUTE CARE, DIAGNOSTIC, AND REHABILITATIVE SERVICES TO PEOPLE, REGARDLESS OF ABILITY TO PAY, THROUGH FACILITIES LOCATED THROUGHOUT THE SERVICE AREA. RUMC PROVIDES PROGRAMMING RELATING TO HEALTH EDUCATION, PREVENTION, AND SUPPORT TARGETED TO SPECIFIC POPULATIONS. MEDICAL EDUCATION EXTENDS TO CLINICAL SETTINGS FOR NURSING EDUCATION AND RESIDENCY PROGRAMS. EMPLOYEES FILL BOARD AND COMMITTEE LEADERSHIP POSITIONS FOR A NUMBER OF ECONOMIC DEVELOPMENT AND SOCIAL SERVICE AGENCIES IN COMMUNITIES THROUGHOUT THE SERVICE AREA. SUPPORTING INFORMATION - CHNA/CHIP Goal 1: Prevent and/or manage chronic conditions and risk factors RUSH Department of Social Work and Community Health (SWaCH) Social Work and Community Health (SWaCH) dismantles barriers to health and wellness by providing innovative programs to support patients and community members, and by advancing policies and practices that expand access to whole-person care. Rush Generations provides evidence-based workshops, lectures and group, health screenings, and wellness classes. Care management services are integral to various health equity and quality improvement initiatives at Rush and in the community. Complex care initiatives include Caring for Caregivers program, Rush@Home in-home primary care, and the Center to Transform Health and Housing. 5 + 1 = 20 5 + 1 = 20 is a RUSH Community Services Initiatives Program (RCSIP) program that aims to educate high school students at Chicago Public Schools on five diseases prevalent in the surrounding underserved community (asthma, hypertension, HIV, diabetes, and cancer). Twice a month, RUSH University student volunteers teach a health topic related to the five diseases, with content ranging from disease prevention to practical skills such as checking blood pressure. The students have opportunities to share their knowledge through 5 + 1 = 20 health fairs at their schools, where activities include body mass index calculations, blood pressure screenings, vision screenings, glucose level checks, referrals, and health education. Health fair participants include families and friends of the students and other members of their communities. The program's unusual name comes from the idea that knowledge of these five conditions, plus one informed student sharing what they know, can extend by 20 years the life of someone who might not otherwise be screened. In FY2024, 5 + 1 = 20 continued its reduced programming to Benito Juarez, IHSCA RTC Med Prep, Whittier, and Ruiz Elementary. There were 1,531 unique encounters by 65 RCSIP student volunteers. West Side Walk for Wellness The West Side Walk for Wellness, created and co-led by RUSH medical students, was developed to enhance exercise, and walking in West Side communities, create a sense of engagement and help people feel safe being outside in the community. The program, which lasted eight weeks, engaged 407 community members from RUSH and the communities we serve. Schedule H, Part VI, Line 6 Affiliated health care system RUSH SYSTEM FOR HEALTH ("RUSH"), IS A MULTIHOSPITAL HEALTH SYSTEM WITH OPERATIONS THAT CONSIST OF SEVERAL DIVERSE ACTIVITIES WITH A SHARED MISSION OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. RUSH CONSISTS OF AN ACADEMIC MEDICAL CENTER, RUSH UNIVERSITY MEDICAL CENTER ("RUMC"), TWO COMMUNITY HOSPITALS, RUSH COPLEY MEDICAL CENTER ("RCMC") AND RUSH OAK PARK HOSPITAL ("ROPH"), THAT EACH SERVE DISTINCT MARKETS IN CHICAGO, ILLINOIS, METROPOLITAN AREA AND RUSH HEALTH, A PHYSICIAN HOSPITAL ORGANIZATION AND CLINICALLY INTEGRATED NETWORK. Schedule H, Part VI, Line 7 State filing of community benefit report IL true ESPERANZA HEALTH CENTERS 1940 S Western Chicago IL 60608 320115907 501(c)(3) 338333 General Support ILLINOIS TRANSPLANT FUND 425 Spring Lake Dr Itasca IL 60143 474167931 501(c)(3) 153000 General Support Community Health NFP 2611 West Chicago Avenue Chicago IL 60622 363831793 501(c)(3) 50000 Sponsorship AMERICAN HEART ASSOCIATION 7272 Greenville Avenue Dallas TX 75231 135613797 501(c)(3) 33000 Sponsorship Alzheimer's Assoc 225 N Michigan Ave Chicago IL 60601 133039601 501(c)(3) 30000 Sponsorship Commercial Club Fnd 21 S Clark Street Chicago IL 60603 363406446 501(c)(3) 30000 General Support NATIONAL MULTIPLE SCLEROSIS 733 Third Ave New York NY 10017 135661935 501(c)(3) 22500 Sponsorship AMERICAN CANCER SOCIETY INC 150 S Wacker Dr Chicago IL 60606 131788491 501(c)(3) 21900 Sponsorship Chicago Bulls Charities 1901 W Madison Street Chicago IL 60612 363544506 501(c)(3) 21000 General Support BEARS CARE 1920 Football Drive Lake Forest IL 60045 203902715 501(c)(3) 18500 Sponsorship The Worship House 3800 178th Pl Country Club Hills IL 60478 834255685 501(c)(3) 15249 FMV Laptops General Support ACOUSTIC NEUROMA ASSOCIATION 600 Peachtree Parkway Cumming GA 30041 232170836 501(c)(3) 15000 Sponsorship SKILLS FOR CHICAGOLANDS FUTURE 191 N Wacker Dr Chicago IL 60606 451287418 501(c)(3) 15000 Sponsorship Health & Medicine Policy Research Group 29 E Madison Street Chicago IL 60602 363143826 501(c)(3) 17500 General Support CHICAGO URBAN LEAGUE 4510 S Michigan Ave Chicago IL 60653 362225483 501(c)(3) 10000 Sponsorship COMMUNITY EMPOWERMENT NFP 8 Milburn Park Evanston IL 60201 812760427 501(c)(3) 10000 Sponsorship EDGAR FELLOWS 515 N Stewart Street Geneseo IL 61254 844384051 501(c)(3) 9830 Sponsorship The CARA PROGRAM 237 S DesPlaines Chicago IL 60661 364268095 501(c)(3) 7500 Sponsorship PARK DISTRICT OF OAK PARK 218 Madison Street Oak Park IL 60302 366006028 6650 Sponsorship AGEOPTIONS INC 1048 Lake Street Oak Park IL 60301 362806193 501(c)(3) 5000 Sponsorship BIGGER DREAMS BETTER TOMORROWS FOUNDATION INC 2870 Pharr Court South NW Atlanta GA 30305 853418427 501(c)(3) 5000 General Support BRAINUP PO Box 244 Frankfort IL 60423 475516802 501(c)(3) 5000 Sponsorship ERIE FAMILY HEALTH FOUNDATION Inc 1701 West Superior Chicago IL 60622 814172423 501(c)(3) 5000 Sponsorship METROPOLITAN PLANNING COUNCIL 140 S Dearborn St Chicago IL 60603 362382849 501(c)(3) 5000 Sponsorship MUSEUM OF SCIENCE AND INDUSTRY 5700 S DuSable Lake Shore Dr Chicago IL 60637 362167797 501(c)(3) 5000 Sponsorship 24 1 Scholarships 1368 16013576 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Rush University Medical Center (RUMC) provides grants and assistance to organizations that are recognized public charities and to individuals primarily associated with the medical field. RUMC maintains contact with the grantees through the performance of its exempt purpose. X X true true X X X X true true false false false false false true false John Segreti MD Trustee/Ex Officio (End 6/24) 166170 0 9972 0 700 0 17057 0 13690 0 207589 0 0 0 Thomas Deutsch MD Former Officer 457496 0 0 0 2181 0 30031 0 24353 0 514061 0 0 0 Sherine E Gabriel MD MSc Former Officer 0 0 0 0 880461 0 28846 0 0 0 909307 0 129157 0 Joshua Jacobs MD Former Officer 528904 0 59373 0 7562 0 29412 0 21368 0 646619 0 0 0 Susan L Freeman MD MS Former Officer 0 0 0 0 719604 0 120004 0 0 0 839608 0 94633 0 Wayne E Keathley MPH Former Officer 434653 0 310915 0 168250 0 125769 0 10491 0 1050078 0 163416 0 Hiten M Patel PhD Former Officer 0 0 0 0 436008 0 15979 0 0 0 451987 0 115226 0 Carl T Bergetz JD SVP Legal Affairs & General Counsel 661832 0 152888 0 75417 0 150004 0 19617 0 1059758 0 59305 0 Omar B Lateef DO President & CEO 2015012 0 1511345 0 161191 0 448273 0 28247 0 4164068 0 113046 0 Patricia S O'Neil MAE SVP & System CFO 878034 0 204752 0 80489 0 192975 0 15689 0 1371939 0 31351 0 Courtney L Kammer MHA SVP Human Resources 585715 0 134481 0 1104 0 136498 0 24727 0 882525 0 0 0 Dino P Rumoro DO MPH FACEP President & CEO ROPH (End 12/23) 203552 400604 0 151533 0 3626 0 144404 0 31297 203552 731464 0 0 Jeffrey M Gautney VP & Chief Information Officer 568212 0 132493 0 21506 0 129975 0 30737 0 882923 0 0 0 Murray T Ancell MS CFRE SVP & Chief Development Officer 492576 0 97198 0 1755 0 89582 0 22193 0 703304 0 0 0 Kathryn H Jones SVP & Chief Strategy Officer 371439 0 65221 0 400 0 64123 0 24188 0 525371 0 0 0 Jeremy E Strong VP Supply Chain 289028 0 57555 0 686 0 62146 0 30997 0 440412 0 0 0 Alex D Wiggins VP, Chief Investment Officer & Treasurer 544323 0 104641 0 1527 0 92576 0 35764 0 778831 0 0 0 Sherri Boyle CPA MBA MSF VP Corporate Finance & Financial Operations (Start 12/23) 193062 0 50000 0 0 0 23130 0 11774 0 277966 0 0 0 Denise N Szalko VP Revenue Cycle 434056 0 84895 0 57134 0 82828 0 22469 0 681382 0 40189 0 Brian D Stein MD MS Chief Quality Officer 502763 0 104129 0 1668 0 84509 0 27047 0 720116 0 0 0 David A Ansell MD SVP Community Health Equity (End 12/23) 590579 0 143418 0 128733 0 141327 0 21519 0 1025576 0 115627 0 Paul Casey MD MBA FACEP SVP & Chief Medical Officer 695690 0 175574 0 1059 0 155267 0 39374 0 1066964 0 0 0 Kelly M Sullivan JD Deputy General Counsel (End 12/23) 351373 0 67746 0 1048 0 55397 0 3000 0 478564 0 0 0 Andrew Bean PhD Vice Provost, Research (Acting) (End 10/23) 311223 0 73761 0 58830 0 319382 0 17050 0 780246 0 0 0 Cynthia Brincat MD PhD Interim Dean, Rush Medical College 846324 0 212293 0 3704 0 129761 0 30047 0 1222129 0 0 0 Richa Gupta MBBS MHSA SVP & COO, RUMG 505906 0 120572 0 39471 0 117681 0 20277 0 803907 0 30677 0 Christine Kennedy PhD RN VP & Dean College of Nursing 437359 0 80018 0 54643 0 78751 0 18319 0 669090 0 46022 0 Angelique Richard PhD RN CENP SVP Hospital Operations, CNO (End 4/24) 682187 0 156463 0 57521 0 846252 0 9868 0 1752291 0 43759 0 Charlotte Royeen PhD VP & Dean College of Health Sciences (End 12/23) 323339 0 62948 0 51311 0 69139 0 21535 0 528272 0 40242 0 Larry J Goodman MD Interim President Rush University (End 3/24) 847359 0 0 0 0 0 29700 0 995 0 878054 0 0 0 Jason S Turner PhD MAE Interim Dean, College of Health Sciences (Start 12/23) 226208 0 5000 0 42520 0 16902 0 31497 0 322127 0 0 0 Aney Abraham DNP RN NE-BC VP Patient Care Services (End 12/23) 279828 0 55421 0 0 0 60469 0 23569 0 419287 0 0 0 Cynthia E Boyd MD VP and Chief Compliance Officer (End 12/23) 384827 0 73828 0 57265 0 75781 0 1200 0 592901 0 47136 0 Peter Briechle PhD VP Programs and Services, Philanthropy (End 12/23) 359778 0 73402 0 2599 0 70546 0 14419 0 520744 0 0 0 Deval Daily VP and Chief Admin Officer, Neuro-Cardiac SL (End 12/23) 335804 0 66130 0 395 0 65746 0 32625 0 500700 0 0 0 Shannon Driscoll VP RUMG Practice Operations (End 12/23) 235209 0 45204 0 2723 0 32521 0 9648 0 325305 0 0 0 Chris Gade VP Marketing & Engagement (End 12/23) 354464 0 68506 0 2134 0 422663 0 8768 0 856535 0 0 0 Dale Grandlic VP Facilities Management (End 12/23) 292596 0 58112 0 1657 0 59296 0 26985 0 438646 0 0 0 Kerem Korkmaz MSN RN CENP VP Patient Care Services (End 12/23) 276274 0 52429 0 530 0 52421 0 0 0 381654 0 0 0 Shonda Morrow JD MS RN VP Patient Care Services (End 12/23) 295790 0 69633 0 39321 0 64516 0 9547 0 478807 0 35196 0 Philip Quick VP RUMG Access Center (End 12/23) 235365 0 47104 0 2752 0 46001 0 34697 0 365919 0 0 0 Quincy M Stanley VP Support Services (End 12/23) 334866 0 63745 0 455 0 60076 0 28482 0 487624 0 0 0 Janet Stifter PhD RN CPHQ VP Hospital Operations - Periop and Interv (End 12/23) 324615 0 62503 0 40737 0 68292 0 9968 0 506115 0 39693 0 Thomas P Wick VP Individual Giving, Philanthropy (End 12/23) 356215 0 70098 0 2599 0 69402 0 21148 0 519462 0 0 0 Douglas O'Brien VP Public Policy (End 12/23) 312447 0 41995 0 1812 0 59726 0 31497 0 447477 0 0 0 Mitchell Evans VP Internal Audit (End 12/23) 370058 0 57887 0 35409 0 75805 0 20523 0 559682 0 0 0 Rukiya Curvey Johnson VP Community Health Equity (End 12/23) 220602 0 37975 0 512 0 42551 0 840 0 302480 0 0 0 K Ranga Rama Krishnan MB ChB Executive Vice Chairman & Advisor to CEO 1575871 0 0 0 290514 0 29700 0 18319 0 1914404 0 269768 0 Richard Byrne MD Physician 1371367 0 204218 0 5726 0 29700 0 31232 0 1642243 0 0 0 Michael Liptay MD Chairperson Cardiovascular/Thoracic Surgery 1247555 0 238970 0 12439 0 29700 0 40924 0 1569588 0 0 0 Robert J March MD Physician 0 0 0 0 1523781 0 0 0 0 0 1523781 0 0 0 Keith C Hood MD Physician 647287 0 610454 0 0 0 17892 0 27047 0 1302680 0 0 0 Schedule J, Part I, Line 1a Housing allowance or residence for personal use Omar B. Lateef DO was provided a housing benefit that was includable as compensation. Schedule J, Part I, Line 1a Health or social club dues or initiation fees Health or social club dues or initiation fees - membership is maintained for the President & CEO at The Economic Club of Chicago, Commercial Club, Chicago United and The Chicago Club. The Senior Vice President of Philanthropy & Chief Development Officer at the University Club. All memberships are used for Rush fundraising and/or business activities. Schedule J, Part I, Line 4a Severance or change-of-control payment Starting in FY2020, Rush University Medical Center (RUMC) undertook a multi-year management restructuring to decrease net expenses in executive salaries and benefits and redirect the savings toward expanded clinical efforts. Position eliminations, consolidations and separations resulted in certain severance and separation payments. All severance payments to former officers are reflected on the 990 for TY2023. These rationalization initiatives extended to executive positions at Rush University and across the Rush University System for Health. Due to RUMC's role in defraying the vast majority of system-level expenses, the changes across the Rush System have primarily impacted RUMC's financials. Although these severance/separation amounts show in the current 990 and future 990s, based on the inherent lag in reporting compensation on the 990, the actual cost was previously accrued by the organization and as a result the organization is currently able to reallocate expense budgets to clinical operations. The following received severance payments in CY2023: Andrew Bean - $46,125 Sherine Gabriel - $750,006 Susan Freeman - $624,021 Hiten Patel - $328,320 The following amounts were included in Schedule J, Part II, Column C as other deferred compensation in TY2023: Andrew Bean - $253,686 to be paid in CY2024 Sherine Gabriel - $28,846 to be paid in CY2024 Susan Freeman - $120,004 to be paid in CY2024 Hiten Patel - $13,133 to be paid in CY2024 Angelique Richard - $710,008 to be paid in CY2024 and CY2025 Chris Gade - $357,011 to be paid in CY2024 and CY2025 Andrew Bean, Vice Provost Research, termed 10/20/2023, signed a $299,811 severance agreement in FY2024 TY2023 payable in CY2023 and CY2024. Angelique Richard, SVP Hospital Operations, termed 4/5/2024, signed a $710,088 severance agreement in FY2024 TY2023 payable in CY2024 and CY2025. Chris Gade, VP Marketing & Engagement, termed 2/1/2024, signed a $357,011 severance agreement in FY2024 TY2023 payable in CY2024 and CY2025. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The Rush Executive Retirement Plan (the "RUSH ERP the "Plan") provides supplemental retirement benefits to eligible executives of Rush University Medical Center (the "Medical Center"). These benefits are in addition to those provided under the Retirement Plan (a tax-qualified defined benefit pension plan), the 403(b) Retirement Savings Plan, and the 457(b) Supplemental Retirement Savings Plan. The Rush ERP is effective January 1, 2014, and replaces the Supplemental Executive Retirement Plan (the "SERP"), which was frozen effective December 31, 2013. Any benefits earned under SERP will be preserved. The Rush ERP is a defined contribution plan designed to provide funds to participants that can be used to provide supplemental retirement income. Once vested, the amount contributed plus investment gains (and minus losses) is paid. The retirement benefits provided under the Plan, like those provided by the SERP prior to 2014, are in addition to those provided under the Medical Center's Retirement Plan, a defined benefit pension plan, the 403(b) Retirement Savings Plan, and the 457(b) Supplemental Retirement Savings Plan. The amounts paid out in 2023 from this plan were as follows: David A Ansell MD - $116,048 Carl Bergetz JD - $73,085 Cynthia E Boyd MD - $48,429 Susan L Freeman MD, MS - $95,583 Sherine E Gabriel MD, MSc - $130,454 Richa Gupta - $38,508 Wayne Keathley - $168,250 Christine Kennedy - $47,284 K. Ranga Rama Krishnan MB, ChB - $277,166 Omar B Lateef DO - $141,901 Robert March - $1,523,781 Shonda Morrow - $36,121 Patricia S O'Neil MAE - $38,252 Hiten Patel - $107,688 Angelique Richard PhD, RN, CENP - $53,390 Charlotte Royeen PhD - $41,346 Janet Stifter - $40,737 Denise N Szalko - $49,035 The amounts are included in Schedule J Part II Column (B)(iii). Schedule J, Part I, Line 7 Non-fixed payments Incentive payments are based upon a formula. The amounts are calculated after certain performance and operating goals are achieved. The plan provides limited discretionary parameters if needed. A Illinois Finance Authority 861091967 000000000 2016-06-29 50000000 Series 2016 (See Part VI) false false false B Illinois Finance Authority 861091967 45203HP71 2015-02-11 457240239 Series 2015A (See Part VI) false false false A 50000000 50000000 2016 true false true true B 64400000 457240239 3662582 453577657 2015 false true true true A false true true true true true 0.0 0.0 0.0 false false true B false true true true true true 0.0048 0.0 0.0048 false true 0.0348 true true A false false true false true false false false true B false false false true false false false false true A true B true Schedule K, Part I Rush University Medical Center's ("RUMC") long-term debt is issued under a master trust indenture which established the Rush University Medical Center obligated group ("OG") which is comprised of RUMC, Rush Oak Park Hospital (ROPH) and Copley Memorial Hospital, Inc. ("Copley") and its affiliates. The OG is jointly and severally liable for the obligations issued under the master trust indenture. Each OG member is expected to pay its allocated share of the debt issued on its behalf. The debt listed on lines A-B were issued for RUMC. Schedule K, Part I, Column (f) Line A Proceeds were used to refund the Series 2008A bonds issued 12/9/2008. Schedule K, Part I, Column (f) Line B Proceeds were used to refund the 2009C bonds issued 7/29/2009, the 2009A bonds issued 2/10/2009, and the 2006B bonds issued 5/28/2008. Schedule K, Part IV, Line 6 Column B This question is being answered without regard to a yield-restricted advanced refunding escrow financed with the proceeds of the bonds. Schedule K, Part II, Line 11 Column A Other spent proceeds are refunding proceeds of the issue no longer in escrow Schedule K, Part II, Line 11 Column B Other spent proceeds are refunding proceeds of the issue no longer in escrow Schedule K, Part III, Line 6 Column A ALL THIRD-PARTY ARRANGEMENTS OCCURRING IN BOND FINANCED PROPERTY FOR THIS ISSUE ARE EITHER COMPLIANT WITH THE MANAGEMENT CONTRACT AND RESEARCH AGREEEMENT SAFE HARBORS OR ARE COVERED BY EQUITY CONTRIBUTIONS TO THE FINANCED PROJECTS. Schedule K, Part III, Line 8a C Column B ON DECEMBER 29, 2017 RUMC ENTERED A SALES AGREEMENT OF THE TRIANGLE OFFICE BUILDING WHICH ACCOUNTED FOR 3.4783% OF THE OUTSTANDING SERIES 2015 ISSUE. RUMC FOLLOWED THE REMEDIAL ACTION REQUIREMENTS OF SECTION 1.141(e) BY PROPERLY ALLOCATING ALL DISPOSITION PROCEEDS TO A QUALIFIED USE (MENT PROJECT") AND ISSUED A FORM 8038 ON 12/29/2017 FOR THE PORTION OF THE BONDS RELATED TO THE DELIBERATE ACTION. THIS REISSUANCE IS NOT LISTED SEPARATELY BUT RUMC ACTIVELY MONITORS THE REPLACEMENT PROJECT FOR CONTINUED COMPLIANCE WITH THE FEDERAL TAX CODE INCLUDING SECTION 141. Schedule K, Part IV, Line 2c COLUMN B Issuer name: Illinois Finance Authority The calculation for computing no rebate due was performed on 02/11/2020 Paula Grabler Family Member of David A Ansell, MD, current Officer 363496 Wages false Candice Brown Family Member of Frederick M Brown, Jr., DNP, current Trustee 57539 Wages false Shiv K Patel Family Member of Deval K Daily, current Officer 66454 Wages false Marc A Sarran MD Family Member of Thomas Deutsch, MD, former Officer 425390 Wages false Najia Shakoor Family Member of Omar Lateef, current Trustee and Officer 173585 Wages false Sandhya Gantla Reddy Family Member of Vijaya B Reddy, MD, former Trustee 150257 Wages false Adrianna Rumoro Family Member of Dino Rumoro, DO, MPH, FACEP, Current Officer 134659 Wages false Kyle Popovich Family Member of Brian D Stein, MD, current Officer 275234 Wages false James Wyatt Family Member of Kelly Sullivan, JD, current Officer 180897 Wages false Scott Blanchard Family Member of Jeffrey R Snell, MD, former Trustee 151058 Wages false Kimberly Blanchard Family Member of Jeffrey R Snell, MD, former Trustee 127310 Wages false Jennifer Earvolino Family Member of Jeffrey R Snell, MD, former Trustee 312073 Wages false Michael J Boler Family Member of Matthew J Boler, current Trustee 18399 Wages false Alison Coogan Family Member of Christopher L Coogan, MD, former Trustee 68448 Wages false Jeffrey Gautney Jr Family Member of Jeffrey M Gautney, current Officer 19683 Wages false Donor 36 Substantial Contributor 2082244 Services Rendered false Donor 69 Substantial Contributor 231233 Membership false Donor 88 Substantial Contributor 12142197 Sale of Goods false Donor 106 Substantial Contributor 11159070 Sale of Goods false Donor 141 Substantial Contributor 10827856 Sale of Goods false Donor 150 Substantial Contributor 189879 Services Rendered false Donor 159 Substantial Contributor 1289723 Sale of Goods false Donor 175 Substantial Contributor 7677395 Services Rendered false Donor 235 Substantial Contributor 904054 Services Rendered false Donor 253 Substantial Contributor 13308948 Services Rendered false Donor 368 Substantial Contributor 38437311 Services Rendered false Donor 404 Substantial Contributor 6942401 Services Rendered false Donor 430 Substantial Contributor 17792513 Services Rendered false X 75 9951773 Market value X 1 2400 Market value X Event Tickets 1 728 Market value X Equipment - Headphones for Child Life Services 1 7470 Market value X Airline Vouchers for Patients Seeking Care at RUMC 1 140000 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Securities - Publicly traded - Number of separate contributions Other - Event Tickets Number of contributions Food inventory - Number of contributions Other - Equipment - Headphones for Child Life Services Number of contributions Other - Airline Vouchers for Patients Seeking Care at RUMC Number of contributions Form 990, Part III, Line 4d Description of other program services (Expenses $ 80,827,551 including grants of $)(Revenue $ 61,823,341) Other program services: Rush provides various services for the benefit of its patients and visitors, such as parking, food services and interpreter services. Rush also sponsors a number of programs in the community focused on improving health, expanding education in health-related careers, community-based research to reduce health disparities and initiatives to provide economic development and job creation. Rush programs influenced tens of thousands of lives in FY2024. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Christine A. Edwards and Darrel H. Hackett - Business relationship, Robert F. Finke and Paul W. Theiss - Business relationship, Eric A. Reeves and Sam Yagan - Business relationship, David H. B. Smith Jr., Susan Crown - Business relationship, Omar B. Lateef DO and Patricia S. O'Neil MAE - Business relationship, Murray T. Ancell MS, CFRE; Carl T. Bergetz JD; Sherri Boyle CPA, MBA, MSF; Susan Crown; Christine A. Edwards; Jeffrey M Gautney; Sandra P. Guthman; Kathryn H Jones; Courtney L. Kammer MHA; Omar B. Lateef DO; Kenneth H M Leet; Patricia S. O'Neil MAE; Stephen N. Potter; Dino Rumoro DO, MPH; Jeremy E Strong; Kelly M Sullivan Wyatt JD; Denise N Szalko; Matt Walsh; Alex D Wiggins; Robert A. Wislow - Business relationship, David A. Ansell MD; Patricia S. O'Neil MAE; Brian Stein MD, MS; Paul Casey MD, MBA, FACEP; Dino Rumoro DO, MPH - Business relationship, Peter M Ellis and Sandra P Guthman - Business relationship, Sandra P Guthman and Jennifer W Steans - Business relationship, Thomas Deutsch MD and David A Ansell MD - Business relationship Form 990, Part VI, Line 3 Delegation of management duties Reserved Powers over certain management duties have been delegated to Rush System for Health ("RSH") as the parent entity for the Rush system. These duties include approving various RUMC actions, including RUMC's operating budget and certain transactions, appointment of certain RUMC executives, appointment of RUMC's board members, etc. Form 990, Part VI, Line 4 Significant changes to organizational documents The Rush University Medical Center Board of Trustees (the "RUMC Board") approved changes to the Bylaws that will work to align the RUMC Board with best practices for governance, increase efficiencies, and streamline procedures. The over-arching goal is to empower the Rush University System for Health Board of Directors (the "System Board") and Subsidiary Boards for success as they continue to evolve to a more integrated Rush University System for Health. Executive Summary of Proposed RUMC Board Governance Changes 1. ROPH Reorganization: System to become the sole corporate member of ROPH. 2. RUMC Board Committees: Quality of Care Committee, University Governors, and Executive Committee to remain RUMC Board Committees. Other remaining RUMC Committees to be sunset. System Board to establish System Board Committees to provide system governance oversight in corporate service areas including Finance, Investment, Facilities, Human Capital and Compensation, Philanthropy, and Nominations and Governance; Audit to remain at the System level as well. 3. Board Size: Rationalize the size of the Rush University Medical Center Board. Implement Initial RUMC Director classes to ensure staggered turnover. 4. Board Name: Changes name of Rush University Medical Center Board of Trustees to Rush University Medical Center Board of Directors. 5. General Powers of the Subsidiary Boards: Clarify the RUMC Board's general powers (Section 3.1 of the RUMC Bylaws). 6. Reserved Powers of the System: Clarify the System Board's reserved powers over RUMC (Section 2.2 of the RUMC Bylaws). 7. Terms: Implement terms and term limits for the RUMC Board and its Committees. 8. Succession Planning: Implement Chair-Elect position prior to the end of the Chairperson's term or planned departure. Form 990, Part VI, Line 6 Classes of members or stockholders Rush System for Health is the sole corporate member of Rush University Medical Center and parent entity of the Rush System. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body As the sole-corporate member of Rush University Medical Center (RUMC), Rush System for Health obtained the Reserved Power to approve the appointment of members to the RUMC board of trustees, the organization's governing body (the "RUMC Board"). Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders As the sole corporate member of Rush University Medical Center (RUMC), Rush Oak Park Hospital (ROPH), and Rush Copley Medical Center, Inc. (RCMC), and the parent entity of the Rush System, Rush System for Health holds certain Reserved Powers over RUMC, ROPH, and RCMC in order to ensure a uniform vision and strategy across the Rush system. Form 990, Part VI, Line 11b Review of form 990 by governing body The information is compiled and reviewed internally by Corporate Finance. The return is reviewed by Deloitte Tax LLP before being submitted to the Audit Committee of the Board of Directors of Rush for review and approval. The return is distributed to the entire Board of Directors before it is filed. Form 990, Part VI, Line 12c Conflict of interest policy On an annual basis, members of the Rush University Medical Center (RUMC) Board and the corporate officers of RUMC complete and return a conflicts of interests survey form. Any disclosures are reviewed by the Institutional Conflicts of Interest (ICOI) Committee which is a sub-Committee of the Audit Committee of the Rush Board. The ICOI Committee makes any final determinations as deemed appropriate or necessary to manage, reduce or eliminate conflicts. If it is determined that there may be a business-related conflict of interest between RUMC and any members of the RUMC Board, such persons are asked to make transparency statements and recuse themselves from any committee or RUMC Board meetings during the time an agenda item that relates to the matters giving rise to the business-related conflict of interest are discussed. Form 990, Part VI, Line 15a Process to establish compensation of top management official The Compensation and Human Resources Committee of the Rush University Medical Center (RUMC) board uses an independent review, comparability data and contemporaneous substantiation to establish compensation packages for the RUMC CEO and other top management officials. All such officer compensation packages are approved by the Compensation and Human Resources Committee of the RUMC Board annually. Form 990, Part VI, Line 15b Process to establish compensation of other employees The Compensation and Human Resources Committee of the RUMC board uses an independent review, comparability data and contemporaneous substantiation to establish compensation packages for the RUMC CEO and other top management officials. All such officer compensation packages are approved by the Compensation and Human Resources Committee of the RUMC Board annually. Form 990, Part VI, Line 19 Required documents available to the public The Articles of Incorporation for Rush University Medical Center (RUMC) have been filed with the Illinois Secretary of State (the "IL SOS"). Additionally, key facts concerning the incorporation and good standing of RUMC are available through the website of the IL SOS. The financial statements of RUMC are available through the Illinois Attorney General's office. RUMC's conflict of interest policy is made available to the public upon request. Form 990, Part VII, Section A, Line 1a Payments to John Segreti, MD were compensation for his role as an employee not as a trustee. Form 990, Part VIII, Line 2f Other Program Service Revenue Other - Total Revenue: 60287421, Related or Exempt Function Revenue: 60287421, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Parking - Total Revenue: 39575, Related or Exempt Function Revenue: , Unrelated Business Revenue: 39575, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Post Retirement Related Changes - 36837305; Non Controlling interest in subsidiary - -18692328; Part VII Section A Effective December 6, 2023, the Rush System for Health Board of Directors (the "System Board") approved and adopted a new Officers List, following review and recommendation by the Rush University Medical Center Board (the "RUMC Board"), formally designating certain individuals as Officers of Rush University Medical Center (the "RUMC") for purposes of federal tax filings and signatory authority on behalf of the entity moving forward. For the FY2025 IRS Form 990 tax return, RUMC will report on this revised list of 22 Officers. 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