2014-05-12T11:09:30-05:00 2013-06-30 990 2012-07-01 364015560 LOYOLA UNIVERSITY MEDICAL CENTER LOYO 7082169000 2160 SOUTH FIRST AVENUE MAYWOOD IL 601533328 AJAY SIAL 7082169000 2014-05-09 2012 2015-11-30 17:44:51Z LARRY GOLDBERG 2160 SOUTH FIRST AVENUE MAYWOOD IL 601533328 1081102001 0 X WWW.LUHS.ORG X 1995 IL TO EDUCATE STUDENTS, CARE FOR PATIENTS AND CONDUCT RESEARCH 16 9 7849 200 43954 0 11262114 6124661 943047625 1018466415 5141066 5254946 22426245 49874871 981877050 1079720893 23025422 23398369 0 0 519201313 560565716 0 0 0 423902064 450549196 966128799 1034513281 15748251 45207612 861493651 938261797 672730020 650937350 188763631 287324447 X TO EDUCATE STUDENTS, CARE FOR PATIENTS AND CONDUCT RESEARCH - SEE SCHEDULE H FOR MORE INFORMATION 0 0 866576679 23398369 1059990952 BASED IN THE WESTERN SUBURBS OF CHICAGO, LOYOLA UNIVERSITY MEDICAL CENTER (LUMC) IS A QUARTERNARY CARE SYSTEM WITH A 61-ACRE MAIN MEDICAL CENTER CAMPUS AND 18 PRIMARY AND SPECIALTY CARE FACILITIES IN COOK, WILL AND DUPAGE COUNTIES. THE MEDICAL CENTER IS CONVENIENTLY LOCATED IN MAYWOOD, 13 MILES WEST OF THE CHICAGO LOOP AND 8 MILES EAST OF OAK BROOK, ILLINOIS. THE HEART OF THE MEDICAL CENTER CAMPUS, LUMC'S HOSPITAL, IS A 569 LICENSED BED FACILITY. BESIDES THE HOSPITAL, THE FOLLOWING CLINICAL FACILITIES ARE LOCATED ON CAMPUS: A LEVEL 1 TRAUMA CENTER, A BURN CENTER, THE RONALD MCDONALD CHILDREN'S HOSPITAL OF LOYOLA UNIVERSITY MEDICAL CENTER, THE CARDINAL BERNARDIN CANCER CENTER, LOYOLA OUTPATIENT CENTER, LOYOLA CENTER FOR HEART & VASCULAR MEDICINE AND LOYOLA ORAL HEALTH CENTER. DURING FISCAL YEAR 2013, LUMC PROVIDED OVER 132,000 DAYS OF HEALTHCARE SERVICES AND OVER 890,000 OUTPATIENT VISITS TO THE COMMUNITY. THE MISSION STATEMENT OF LOYOLA UNIVERSITY MEDICAL CENTER IS AS FOLLOWS:WE, CHE TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. 866576679 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 1 0 0 1 338 0 1 7849 1 1 1 0 0 0 0 1 1 0 0 0 0 X 16 9 0 1 0 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IL AK AL AR AZ CA CO CT DC FL GA HI ID KS KY LA MA MD ME MI MN MO MS NC ND NH NJ NM NY OH OK OR PA RI SC TN UT VA WA WI WV X AJAY SIAL 7082164252 2160 SOUTH FIRST AVENUE MAYWOOD IL 601533328 LARRY GOLDBERG 32.00 13.00 X X 0 1106137 103495 ROBERT FLANIGAN MD 42.00 3.00 X 353766 0 25967 RICHARD GAMELLI MD 42.00 3.00 X 424205 0 22010 P TERRENCE O'ROURKE 2.00 48.00 X 0 964005 56964 ROBERT SULO MD 42.00 3.00 X 337625 0 41736 DAVID WILBER MD 42.00 3.00 X 614807 0 23644 NANCY KNOWLES 2.00 X 0 0 0 HENRY LANG 2.00 X 0 0 0 WILLIAM REICHERT 2.00 X 0 0 0 MARC SCHWARTZ 2.00 X 0 0 0 SR JOAN MARIE STEADMAN CSC 2.00 X X 0 0 0 JACK WEINBERG 2.00 X 0 0 0 JOY CUNNINGHAM 2.00 X 0 0 0 LORI HEALEY 2.00 X 0 0 0 ROBERT HOMBACH 2.00 X 0 0 0 STEPHEN RAY MITCHELL MD 2.00 X 0 0 0 AJAY SIAL 32.00 13.00 X 0 455517 28604 SILIA MIGLIO 35.00 10.00 X 0 163332 27738 JILL RAPPIS 40.00 5.00 X 327754 0 69848 DONNA HALINSKI 43.00 2.00 X 281171 0 128437 DAVID HECHT MD 35.00 10.00 X 348704 0 24152 DANIEL ISACKSEN 35.00 10.00 X 0 0 0 MARIA PEKAR 42.00 3.00 X 200089 0 65521 DANIEL POST 44.00 1.00 X 564033 0 116591 JOSEPH SWEDISH 2.00 53.00 X 0 3233500 601476 KEDRICK ADKINS 2.00 53.00 X 0 1821619 126167 J RICHARD O'CONNELL 2.00 53.00 X 0 1036410 130423 WENDY LEUTGENS 44.00 1.00 X 0 279983 22021 MAMDOUH BAKHOS 40.00 X 994835 0 28645 BRUCE LEWIS 40.00 X 752284 0 23816 RONALD POTKUL 40.00 X 746695 0 24488 RUSS NOCKELS 40.00 X 725115 0 23420 ALEXANDER GHANAYEM 40.00 X 698229 0 23500 DANIEL HALE 2.00 48.00 X 0 856049 63490 PATRICIA CASSIDY 0.00 X 416736 0 51223 PAUL WHELTON 0.00 X 928851 0 15049 BENJAMIN CARTER 2.00 48.00 X 0 799303 112810 TOM HONAN NAVIGANT 0.00 X 0 427675 0 KAREN ALEXANDER 0.00 X 358058 0 9749 WILLIAM CANNON MD 45.00 X 342251 0 41267 PAULA HINDLE 45.00 X 244055 0 77519 ARTHUR KRUMREY 45.00 X 364673 0 108866 THOMAS ANDERSON 0.00 45.00 X 0 549162 46429 MICHAEL MURPHY 0.00 X 0 180882 16630 10023936 11873574 2281695 742 1 1 1 SODEXO INC & AFFILIATES 4880 PAYSHERE CIRCLE CHICAGO IL 60674 MANAGEMENT SERVICES 10777255 LEOPARDO COMPANIES INC 5200 PRAIRIE STONE PARKWAY HOFFMAN ESTATES IL 60192 CONSTRUCTION SVCS 4978411 WALSH CONSTRUCTION 929 W ADAMS STREET CHICAGO IL 60607 CONSTRUCTION SVCS 3397451 SPACETIME INC 35 EAST WACKER DRIVE CHICAGO IL 60601 ADVERTISING SERVICES 2768106 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 53288 INFO TECHNOLOGY SERVICES 2623332 188 54229 222367 643940 5204125 583973 6124661 NET PATIENT SVC REV 621110 1015076967 1015033013 43954 HOSPITAL PHARMACY 446110 3389448 3389448 1018466415 5113380 5113380 1346578 1000 0 1206012 1346578 -1205012 141566 141566 99935 54229 50659 49276 49276 222038 124437 97601 97601 MEDICAID/MEDICARE HIT 900099 7537081 7537081 PARKING REVENUE 812930 4328450 4328450 CAFETERIA REVENUE 722210 3831053 3831053 34031410 34031410 49727994 1079720893 1059990952 43954 13561326 23398369 23398369 6834114 6834114 3406533 548161 2858372 463877701 396473513 67404188 17210219 14954733 2255486 38165509 32205902 5959607 31071640 26065396 5006244 2000 2000 1600412 1600412 107000 107000 27684007 23927688 3756319 2840492 229952 2610540 17639822 11592986 6046836 5225100 2101054 3124046 21720483 19066465 2654018 3139998 2570922 569076 296167 191408 104759 14606546 14606546 41839801 31259200 10580601 22310387 22310387 MEDICAL SUPPLIES 163301866 163301866 BAD DEBT 55293890 55293890 CONTRACT LABOR 19869845 14093502 5776343 HOSPITAL PROVIDER TAX 19097112 19097112 33974268 15598014 18376254 1034513281 866576679 167936602 0 18450951 1879525 427771 188910 1258457 1914076 154000902 157838615 15969238 16066000 3714990 3426142 536703338 80066687 459489563 456636651 61429440 104833112 82221837 90016140 36230000 36170000 28300502 69292626 861493651 938261797 225354099 174391538 6813000 1886741 440562921 474659071 672730020 650937350 X 165232322 264453767 16339868 15198567 7191441 7672113 188763631 287324447 861493651 938261797 X 45207612 3479227 49873977 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 196149 1 38534 0 0 234683 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: THE MAJORITY OF LOBBYING ACTIVITIES CONDUCTED BY LOYOLA UNIVERSITY MEDICAL CENTER INVOLVED EDUCATING LEGISLATORS REGARDING APPROPRIATE HEALTH CARE PUBLIC POLICIES IN THE AREAS OF ILLINOIS MEDICAID REIMBURSEMENTS AND ISSUES RELATING TO THE PROVISION OF HEALTH CARE IN AN ACADEMIC TEACHING HOSPITAL ENVIRONMENT. LOYOLA UNIVERSITY MEDICAL CENTER ALSO MADE GRANTS TO OTHER ORGANIZATIONS IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. LOYOLA UNIVERSITY MEDICAL CENTER MADE NO CONTRIBUTIONS TO ANY LEGISLATORS OR CANDIDATES. 7191441 480672 7672113 8933970 520265 2262794 7191441 8751883 31505 348552 197970 8933970 8810000 30600 126692 215409 8751883 9728929 26525 -697789 247665 8810000 1.00000 0 0 7400000 8850000 16250000 338537756 30952054 307585702 124378122 44954115 79424007 57537460 4160518 53376942 456636651 COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 27555961 F EQUITY METHOD INVESTMENTS 33067154 C HEDGE FUNDS 29393025 F 90016140 OTHER CURRENT ASSETS 126032 MISCELLANEOUS RECEIVABLES 2906657 INVESTMENT IN UNCONSOLIDATED AFFILIATES 18324388 INTERCOMPANY RECEIVABLES 21638683 OTHER LT ASSETS 26052747 INTERCOMPANY OTHER LT ASSETS 244119 69292626 ASSET RETIREMENT OBLIGATION 683832 OTHER CURRENT LIABILITIES 3160732 INTERCOMPANY ACCOUNTS PAYABLE 25708951 DEFERRED COMPENSATION 8480267 LONG TERM ANNUITY PAYABLE 320735 INTERCOMPANY NOTES PAYABLE 320544396 OTHER LONG TERM LIABILITIES 22816875 INTERCOMPANY OTHER LT LIABILITIES 49686032 CAPITAL LEASE OBLIGATION 43257251 474659071 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ENDOWMENT FUNDS ARE INTENDED TO BE USED FOR HEALTHCARE, HOSPITAL SERVICES, RESEARCH, CAPITAL PROJECTS AND INDIGENT CARE. 5K RUN/WALK 154164 54229 99935 50659 154164 54229 99935 50659 50659 49276 1 1 X 1 X 1 X 600.000000000000 1 1 1 0 1 1 1 1613 15632546 15632546 0.01600 140435715 121170005 19265710 0.01970 1 1613 156068261 121170005 34898256 0.03570 11 86671 455838 500 455338 0.00050 3 16058 48645908 24935204 23710704 0.02420 4 26156 7519194 4488213 3030981 0.00310 1 5 565 565 0.00000 5 3708 23081050 23081050 0.02360 24 132598 79702555 29423917 50278638 0.05140 25 134211 235770816 150593922 85176894 0.08710 2 1032 348046 348046 0.00040 1 6 13524 13524 0.00000 3 232 7614 7614 0.00000 6 1270 369184 369184 0.00040 0 16434924 6738319 238547557 220401057 18146500 X 1 1 1 1 FOSTER G MCGAW HOSPITAL

LOYOLA UNIVERSITY MEDICAL CENTER S FIRST AVE MA IL 60153

WWW.LUHS.ORG X X X X X X OUTPATIENT SURGERY FOSTER G MCGAW HOSPITAL 1 1 X X X X X X X X X 12 1 1 1 X X X X X X X X 0 0 1 1 200.000000000000 1 600.000000000000 1 X X X X X X 1 1 X X X X 1 0 X X X X 1 X 0 0 2 AMBULATORY SURGERY CENTER

2160 S FIRST AVENUE MAYWOOD IL 60153

OUTPATIENT SURGERY CENTER LOYOLA AMBULATORY SURGERY CENTER

15224 SUMMIT AVE SUITE 201 OAKBROOK TERRACE IL 60181

AMBULATORY SURGERY CENTER PART I, LINE 3C: IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS. PART I, LINE 6A: LOYOLA UNIVERSITY MEDICAL CENTER PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF ILLINOIS. IN ADDITION, LOYOLA UNIVERSITY MEDICAL CENTER REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH IN ITS ANNUAL REPORT, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, LOYOLA UNIVERSITY MEDICAL CENTER INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM. PART I, L7 COL(F): THE FOLLOWING NUMBER, $55,293,890, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). PART II: COMMUNITY BUILDING ACTIVITIES - LOYOLA UNIVERSITY MEDICAL CENTER (LUMC) PROVIDED A NUMBER OF COMMUNITY BUILDING ACTIVITIES IN FISCAL YEAR 2013 TO SUPPORT AND PROMOTE, IN THE SPIRIT OF ITS JESUIT TRADITION OF SERVING THE GREATER GOOD, WITH THE HEALTH AND HEALING SERVICES PROVIDED TO THE COMMUNITIES IT SERVES. THE PROVISION OF EMERGENCY MEDICAL SERVICES (EMS) MEANS PROVIDING LIFESAVING EARLY INTERVENTIONS FOR ILLNESSES AND INJURIES INCLUDING PATIENT ASSESSMENT, URGENT TREATMENT AND TRANSPORT TO THE NEAREST APPROPRIATE HOSPITAL. AS AN EMS RESOURCE HOSPITAL FOR REGION 8 (ONE OF ONLY 11 REGIONS IN ILLINOIS) PREDOMINATELY COVERING CHICAGO'S WESTERN SUBURBS, LUMC ALSO IS A KEY CONTRIBUTOR TO ILLINOIS' EMS SYSTEM. AS A RESOURCE HOSPITAL, LUMC MAKES A SUBSTANTIAL COMMUNITY COMMITMENT. IN THIS CAPACITY, LUMC SERVES AS A MEDICAL COMMUNICATION HUB IN THE EVENT OF DISASTER, IS RESPONSIBLE FOR THE EDUCATION AND TRAINING OF EMERGENCY MEDICAL PERSONNEL AND PROVIDES EQUIPMENT AND INSPECTION SERVICES OF AREA AMBULANCES. IN ADDITION, DURING FISCAL YEAR 2013 LUMC EMS AND THE SECURITY DEPARTMENT WORKED WITH THE COOK COUNTY SHERRIFF'S DEPARTMENT IN A DISASTER RELIEF AND EMERGENCY PREPAREDNESS TRAINING EXERCISE AND AN ACTIVE SHOOTER EXERCISE.LUMC REPRESENTATIVES WERE ALSO ACTIVE IN A LOCAL SCHOOL DISTRICT'S COLLEGE AND CAREER FAIR TO INTRODUCE STUDENTS TO HEALTHCARE CAREERS, PARTICIPATED ON LOCAL COMMUNITY BOARDS FOCUSED ON CHILDREN WITH DISABILITIES AND HOMELESSNESS, COORDINATED THE DONATION OF FOOD TO A LOCAL FOOD PANTRY AND PRESENTED HEALTHCARE TOPICS TO LAW ENFORCEMENT OFFICIALS. IN ADDITION, STAFF COORDINATED PLACEMENT OF DISADVANTAGED HIGH SCHOOL STUDENTS IN A WORK/STUDY PROGRAM AT LUMC IN VARIOUS CLINICAL AND SUPPORT DEPARTMENTS. COOK COUNTY HOSPITAL SYSTEM STAFF WERE PROVIDED PROJECT MANAGEMENT SKILLS TRAINING. FURTHERMORE, NEARLY 3,000 INDIVIDUALS PARTICIPATED IN LUMC'S MANY SUPPORT GROUPS ON GRIEF AND SERIOUS HEALTH CONDITIONS RELATED TO HEART DISEASE, CANCER, STROKE, TRANSPLANT, BURN, AND TRAUMA. PART III, LINE 4: LOYOLA UNIVERSITY MEDICAL CENTER IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM PAGE 17 OF THOSE STATEMENTS: "THE CORPORATION RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED EVEN THOUGH THE CORPORATION DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY AT THAT TIME. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE CORPORATION ESTABLISHES AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THIS ALLOWANCE IS ESTABLISHED BASED ON THE AGING OF ACCOUNTS RECEIVABLE AND THE HISTORICAL COLLECTION EXPERIENCE BY MINISTRY ORGANIZATION AND FOR EACH TYPE OF PAYOR. A SIGNIFICANT PORTION OF THE CORPORATION'S PROVISION FOR DOUBTFUL ACCOUNTS RELATES TO SELF-PAY PATIENTS, AS WELL AS CO-PAYMENTS AND DEDUCTIBLES OWED TO THE CORPORATION BY PATIENTS WITH INSURANCE."PART III, LINE 2: METHODOLOGY USED FOR LINE 2: BAD DEBT EXPENSE REPORTED ON LINE 2 IS SHOWN AT COST AND WAS CALCULATED USING A COST TO CHARGE RATIO METHODOLOGY.ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS.PART III, LINE 3: LOYOLA UNIVERSITY MEDICAL CENTER USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR CHARITY: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FY13 WAS THE FIRST YEAR LOYOLA UNIVERSITY MEDICAL CENTER UTILIZED THE PREDICTIVE MODEL WITH RESULTS USED FOR ANALYSIS ONLY. STARTING IN FY14, LOYOLA UNIVERSITY MEDICAL CENTER IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. PART III, LINE 8: LOYOLA UNIVERSITY MEDICAL CENTER DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CHA RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTHCARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. PART III, LINE 9B: THE LUMC WEBSITE EXPLAINS ALL OF THE VARIOUS FINANCIAL ASSISTANCE PROGRAMS, AND EVEN HAS THE FULL CHARITY POLICY AND APPLICATION ONLINE FOR PRINT OUT. ALL BILLING AND COLLECTION STATEMENTS TO PATIENTS MENTION AVAILABLE FINANCIAL ASSISTANCE PROGRAMS, INCLUDING CHARITY CARE. WHEN PATIENTS CALL TO SCHEDULE CARE, THEY ARE INFORMED OF THE SELF PAY POLICY, WHICH INCLUDES A 40% DISCOUNT. THE SCHEDULING STAFF IS ALSO TRAINED TO DISCUSS THE VARIOUS FINANCIAL ASSISTANCE PROGRAMS WHEN A PATIENT INDICATES AN INABILITY TO PAY. PATIENTS ARE OFFERED THE OPPORTUNITY TO MEET WITH AN LUMC FINANCIAL COUNSELOR TO ASSESS THEIR ELIGIBILITY FOR A PAYMENT PLAN, MEDICAID APPLICATION OR CHARITY APPLICATION. ONCE A PATIENT IS DEEMED ELIGIBLE FOR A FINANCIAL ASSISTANCE PROGRAM, THEY WILL BE RESPONSIBLE FOR PAYING ONLY THE BALANCE (IF ANY) AS COMPUTED PER THE LUMC PROGRAM GUIDELINES. FINANCIAL ASSISTANCE TO PATIENTS WITH A BALANCE WILL FOLLOW THE SELF PAY ACCOUNT BILLING CYCLE PER LUMC POLICY, WHICH INCLUDES THREE STATEMENTS, A FINAL NOTICE AND POSSIBLE REFERRAL TO A COLLECTION AGENCY IF THE ACCOUNT REMAINS UNPAID. FOSTER G MCGAW HOSPITAL PART V, SECTION B, LINE 3: LUMC ( A MEMBER OF LOYOLA UNIVERSITY HEALTH SYSTEM LUHS) REACHED OUT TO ITS COMMUNITY THROUGH FOUR METHODS OF COLLECTING COMMUNITY INPUT IN THE DEVELOPMENT OF ITS CHNA IN AN EFFORT TO BETTER UNDERSTAND HOW LUHS CAN IMPROVE THE WAYS IT SERVES ITS COMMUNITY. THESE INCLUDED 1) HEALTH SERVICES INVENTORY, 2) COMMUNITY SURVEY, 3) PROVIDER AND FAITH LEADER SURVEY AND PHYSICIAN FOCUS GROUPS AND 4) THREE COMMUNITY CONVERSATIONS REGARDING YOUTH WERE CONDUCTED BY UNITED WAY OF METROPOLITAN CHICAGO AND DUPAGE/WEST COOK. IN ADDITION, DATA WAS USED FROM THE NATIONAL RESEARCH CORPORATION CONSUMER HEALTH REPORT FOR THE MARKET AREA. A THIRTY-EIGHT QUESTION COMMUNITY SURVEY WAS DEVELOPED THROUGH THE INPUT OF THE LOYOLA UNIVERSITY HEALTH SYSTEM (LUHS), ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI), ACTING AS CONSULTANT TO THE PROCESS, AND THE CHNA STEERING COMMITTEE, COMPOSED OF COMMUNITY ORGANIZATIONS AND LOCAL PUBLIC HEALTH DEPARTMENTS. THE SURVEY WAS ADMINISTERED IN BOTH ENGLISH AND SPANISH AT 10 SITES DURING A THREE WEEK PERIOD. THE SITES INCLUDED WEST COOK YMCA, CORAZON/CICERO YOUTH TASK FORCE, PCC COMMUNITY WELLNESS CENTER, INFANT WELFARE-OAK PARK, WEST SUBURBAN PADS, CATHOLIC CHARITIES, AGING CARE CONNECTIONS, GOTTLIEB ADULT DAY CARE AND PROVISO PANTRY. A NINE-QUESTION PROVIDER SURVEY WAS ALSO DEVELOPED BY LUHS, IPHI AND THE STEERING COMMITTEE THAT WAS SENT TO HEALTH CARE PROVIDERS, SOCIAL SERVICE PROVIDERS AND COMMUNITY BASED ORGANIZATIONS SERVING IN THE CHNA AREA. FOSTER G MCGAW HOSPITAL PART V, SECTION B, LINE 4: OTHER HOSPITALS THAT PARTICIPATED IN THE CHNA INCLUDED GOTTLIEB MEMORIAL HOSPITAL, RML SPECIALTY HOSPITAL AND RIVEREDGE HOSPITAL. FOSTER G MCGAW HOSPITAL PART V, SECTION B, LINE 5C: LINE 5A: HTTP://WWW.LOYOLAMEDICINE.ORG/SITES/DEFAULT/FILES/CHNA-REPORT.PDFLINE 5C: COPIES OF THE CHNA WERE EMAILED TO ALL STEERING COMMITTEE MEMBERS AS WELL AS AREA SCHOOL PRINCIPALS, LOCAL ELECTED OFFICIALS AND LEADERS OF LOCAL COMMUNITY ORGANIZATIONS. FOSTER G MCGAW HOSPITAL PART V, SECTION B, LINE 7: FOLLOWING THE DATA COLLECTION, USING THE LATEST SOURCES OF INFORMATION, AND PRESENTATION OF FINDINGS, LUHS AND THE STEERING COMMITTEE WORKED TO IDENTIFY PRIORITY HEALTH ISSUES FOR THE LOCAL COMMUNITY. THROUGH A PRIORITIZATION REVIEW PROCESS, COMMITTEE MEMBERS DEVELOPED THE TOP PRIORITIES BASED ON PRIORITIZATION CRITERIA INCLUDING: SIZE OF THE ISSUE, SERIOUSNESS OF NOT ADDRESSING THE ISSUE, AVAILABLE RESOURCES TO ADDRESS THE ISSUE AND POTENTIAL TO IMPACT THE ISSUE. THE INITIAL PRIORITIZATION PROCESS YIELDED 10 TOP ISSUES INCLUDING ACCESS TO CARE, COORDINATION OF CARE, DENTAL HEALTH, DIABETES, HEART DISEASE, JOBS, LACK OF HEALTH EDUCATION, LOSS OF SERVICES, MENTAL HEALTH AND OBESITY. THROUGH A REVIEW OF THE DATA AND DISCUSSIONS BY THE COMMITTEE PRIORITIES WERE SET BASED ON THE STRENGTH OF THE DATA RELATED TO A PARTICULAR ISSUE AND WHETHER OR NOT THE ISSUE EMERGED IN THE PREVIOUS PRIORITIZATION ACTIVITIES. IT ALSO BECAME CLEAR THAT SEVERAL ISSUES WERE INTERRELATED OR COULD SERVE AS STRATEGIES TO ADDRESS OVERARCHING ISSUES. BASED ON THIS THE STEERING COMMITTEE DECIDED TO COMBINE ISSUES AND TO FOCUS ON TWO PRIORITIES: OBESITY AND ACCESS TO CARE. THE SIZE AND NATURE OF THESE PRIORITIES REQUIRE THE ENGAGEMENT OF NOT JUST LUHS BUT MANY COMMUNITY AND GOVERNMENTAL RESOURCES TO WORK TOGETHER TO ADDRESS THESE SOCIETAL ISSUES. FOSTER G MCGAW HOSPITAL PART V, SECTION B, LINE 12H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. FOSTER G MCGAW HOSPITAL PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 600% OF THE FPG RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE. PART VI, LINE 2: LUMC PERFORMS AN ONGOING EVALUATION OF THE NEEDS OF THE MEDICALLY UNDERSERVED POPULATION WITHIN THE COMMUNITY THAT SURROUNDS THE MAIN CAMPUS. LUMC SEEKS NEW OPPORTUNITIES TO BETTER SERVE THESE POPULATIONS AS THEIR NEEDS CHANGE AND AS ADVANCES ARE MADE IN MEDICAL CARE. THE NEEDS EVALUATION IS PERFORMED PERIODICALLY THROUGH VARIOUS METHODS, INCLUDING POPULATION PROJECTIONS BY ZIP CODE FOR LUMC'S SERVICE AREAS, WHICH INVOLVES IDENTIFICATION OF THE NUMBER OF PATIENTS SERVED INCLUDING THEIR AGE, RACE AND GENDER. THESE DATA ARE USED TO DETERMINE THE COMMUNITY NEEDS AND TO EVALUATE BOTH EXISTING AND FUTURE PROGRAMS THAT WILL BEST SERVE THIS POPULATION AND ENABLE THEM TO RECEIVE THE HEALTH THEY NEED. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - LUMC IS COMMITTED TO: - PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES; - CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES;- ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE; AND - BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITY.LUMC HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: - PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS;- MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS;- OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS;- IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER; AND- IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONS. LUMC PROVIDES EFFECTIVE COMMUNICATION WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING HEALTHCARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENT'S STAY AFTER STABILIZATION OR COLLECTION CYCLE.LUMC OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH FACE-TO-FACE FINANCIAL COUNSELING FOR PATIENTS AND FAMILY MEMBERS. ADMITTED PATIENTS WHO ARE UNINSURED ARE VISITED BY A FINANCIAL COUNSELOR WHO WILL WORK WITH THE PATIENT AND FAMILY TO SCREEN THEM FOR EVERY AND ALL GOVERNMENTAL PROGRAM FOR WHICH THEY MAY BE ELIGIBLE. THE COUNSELORS WILL COMPLETE THE APPLICATION(S) AND FOLLOW UP WITH THE APPROPRIATE AGENCY. ALSO, FINANCIAL COUNSELORS ARE LOCATED IN THE AMBULATORY SITES FOR THOSE PATIENTS SEEKING OUTPATIENT CARE. SIGNAGE ON OUR PROGRAMS IS POSTED THROUGHOUT THE HOSPITAL, AND OUR PATIENT BILLING STATEMENTS ALSO INFORM THE PATIENT ABOUT THE AVAILABILITY OF FREE OR DISCOUNTED CARE. INFORMATION ABOUT FINANCIAL ASSISTANCE ALSO IS AVAILABLE ON THE HOSPITAL WEBSITE, ALONG WITH AN APPLICATION THAT CAN BE PRINTED OUT. INFORMATION IS GIVEN OUT DURING INTAKE, AND IS IN THE ADMISSION PACKET. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN SPANISH AND POLISH REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. LUMC HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. LUMC MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. LUMC EDUCATES STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS (INCLUDING THOSE WORKING IN PATIENT REGISTRATION AND ADMITTING, FINANCIAL ASSISTANCE, CUSTOMER SERVICE, BILLING AND COLLECTIONS) ABOUT THESE POLICIES WITH AN EMPHASIS ON TREATING ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE STATUS OR THEIR ABILITY TO PAY FOR SERVICES. FINANCIAL COUNSELORS AND REGISTRARS RECEIVE TRAINING ON THE ELIGIBILITY CRITERIA FOR GOVERNMENTAL PROGRAMS, ALONG WITH OUR FINANCIAL ASSISTANCE ELIGIBILITY GUIDELINES. THEY ALSO RECEIVE CUSTOMER SERVICE TRAINING. PART VI, LINE 4: COMMUNITY INFORMATION - BASED IN THE WESTERN SUBURBS OF CHICAGO, LOYOLA UNIVERSITY MEDICAL CENTER IS A QUATERNARY CARE SYSTEM WITH A MAIN MEDICAL CENTER CAMPUS IN A DIVERSE COMMUNITY AND OPERATES PRIMARY- AND SPECIALTY-CARE FACILITIES ACROSS COOK, DUPAGE AND WILL COUNTIES. THE HEART OF THE MEDICAL CENTER CAMPUS, LUMC'S FOSTER G. MCGAW HOSPITAL, IS A 569-LICENSED-BED FACILITY IN FISCAL YEAR 2013. IN ADDITION TO THE HOSPITAL, THE FOLLOWING CLINICAL SERVICES ARE LOCATED ON CAMPUS: LEVEL 1 TRAUMA CENTER, RONALD MCDONALD CHILDREN'S HOSPITAL OF LOYOLA UNIVERSITY MEDICAL CENTER, CARDINAL BERNARDIN CANCER CENTER, LOYOLA OUTPATIENT CENTER, LOYOLA CENTER FOR HEART & VASCULAR MEDICINE AND LOYOLA ORAL HEALTH CENTER. THE CAMPUS ALSO IS THE HOME OF LOYOLA UNIVERSITY OF CHICAGO'S STRITCH SCHOOL OF MEDICINE, MARCELLA NIEHOFF SCHOOL OF NURSING, GRADUATE SCHOOL'S HEALTH SCIENCES DIVISION, AND LOYOLA CENTER FOR FITNESS. BECAUSE OF ITS CONVENIENT LOCATION, LUMC IS ACCESSIBLE TO THE MAJORITY OF CHICAGO'S (SIX-COUNTY) METROPOLITAN AREA OF 8.4 MILLION PEOPLE. LUMC'S PRIMARY SERVICE AREA CONSISTS OF THE WESTERN SUBURBS OF CHICAGO WHERE MORE THAN 17 ACUTE CARE HOSPITALS ARE LOCATED. LUMC'S PRIMARY SERVICE AREA ACCOUNTS FOR 58 PERCENT OF PATIENTS SERVED AT LUMC, HAS AN ETHNICALLY AND ECONOMICALLY DIVERSE POPULATION OF ALMOST 2 MILLION AND IS MADE UP OF THE FOLLOWING CHARACTERISTICS:- 49 PERCENT OF THE POPULATION IS UNDER THE AGE OF 35. - AVERAGE HOUSEHOLD INCOME IS $71,122 WITH 20 PERCENT OF HOUSEHOLDS OVER $100,000 AND 24 PERCENT UNDER $25,000.- HISPANICS ARE AMONG THE FASTEST-GROWING GROUP MAKING UP 38 PERCENT OF THE POPULATION.- THE AREA INCLUDES PARTS OF AUSTIN (CHICAGO), CICERO, MAYWOOD AND MELROSE PARK, WHICH HAVE BEEN FEDERALLY-DESIGNATED AS MEDICALLY UNDERSERVED AREAS.LUMC IS THE LEADING HOSPITAL PROVIDER OF INPATIENT SERVICES WITHIN ITS PRIMARY SERVICE AREA. FOR THE FIRST THREE QUARTERS OF FISCAL 2013 (LATEST PUBLICLY AVAILABLE DATA) LUMC HAD A MARKET SHARE OF 6.6%, THE HIGHEST INPATIENT MARKET SHARE AMONG THE AREA'S HOSPITALS. ON AN ANNUALIZED BASIS, TOTAL DISCHARGES IN THE PRIMARY SERVICE AREA ARE OVER 205,000. NEARLY 130 HOSPITALS TRANSFERRED MORE THAN 3,900 INPATIENTS TO LUMC LAST YEAR FOR SPECIALIZED CARE AND TREATMENT, IN PARTICULAR, FOR HEART DISEASE, CANCER, BURN/TRAUMA, ORGAN TRANSPLANTATION AND NEUROLOGICAL DISORDERS. LUMC ALSO PROVIDES CRITICAL CARE TO PATIENTS FROM AS FAR AS 300 MILES AWAY WHO ARE TRANSPORTED TO THE HOSPITAL VIA AN AIR-TRANSPORT SERVICE. THESE CRITICALLY INJURED OR SEVERELY ILL PATIENTS TYPICALLY RECEIVE LUMC'S LEVEL I TRAUMA SERVICES. PART VI, LINE 5: OTHER INFORMATION - LOYOLA UNIVERSITY MEDICAL CENTER AND LUHS ARE COMMITTED TO THE JESUIT TRADITION OF ACADEMIC DISTINCTION AND THE VALUES OF CARE, CONCERN AND RESPECT FOR STUDENTS AND FOR EACH OTHER. THROUGH AGREEMENTS WITH LOYOLA UNIVERSITY CHICAGO, LUMC PROVIDES CLINICAL EDUCATION SUPPORT AND TEACHING FACILITIES FOR THE UNIVERSITY'S HEALTH SCIENCES EDUCATION PROGRAMS AT THE LOYOLA UNIVERSITY CHICAGO'S STRITCH SCHOOL OF MEDICINE TO TRAIN FUTURE DOCTORS AND AT LOYOLA UNIVERSITY CHICAGO'S MARCELLA NIEHOFF SCHOOL OF NURSING TO PREPARE NURSING STUDENTS. LUMC DEMONSTRATED ITS COMMITMENT TO MEDICAL EDUCATION BY CONTRIBUTING $22.9 MILLION TO LOYOLA UNIVERSITY'S HEALTH SCIENCES DIVISION IN SUPPORT OF FUTURE PHYSICIAN AND NURSING EDUCATION. THESE FUNDS ARE USED TO ASSIST THE STRITCH SCHOOL OF MEDICINE AND MARCELLA SCHOOL OF NURSING IN PROVIDING ITS MEDICAL AND NURSING EDUCATION ACTIVITIES, WHICH COST FAR MORE TO PROVIDE THAN THE REVENUE AFFORDED BY TUITION AND OTHER GRANTS RECEIVED BY THE SCHOOLS. IN ADDITION, LUMC HAS AGREEMENTS WITH 23 OTHER SCHOOLS OF NURSING. FURTHERMORE, LUMC PROVIDES EDUCATION AND INSTRUCTION FOR PRE-HOSPITAL RESPONDERS (E.G. PARAMEDICS, DISPATCHERS), AND STUDENTS IN SOCIAL WORK, MEDICAL TECHNOLOGY, NUTRITION, PATHOLOGY AND PASTORAL CARE PROGRAMS. LUMC TRAINED OVER 600 MEDICAL RESIDENTS AND FELLOWS INVOLVED IN ITS VARIOUS GRADUATE MEDICAL EDUCATION PROGRAMS, 1,100 NURSES, 7,000 PRE-HOSPITAL RESPONDERS AND DOZENS OF OTHER STUDENTS IN HEALTH PROFESSION PROGRAMS.LUMC ALSO PROVIDES SUBSIDIZED HEALTH PROGRAMS, IN RESPONSE TO A COMMUNITY NEED, THAT OPERATE AT A FINANCIAL LOSS. THESE INCLUDE CLINICAL SERVICES, AS WELL AS COMMUNITY HEALTH AND EDUCATION PROGRAMS. THE CLINICAL SERVICES INCLUDE LUMC'S OUTPATIENT BURN CLINIC TREATING MORE THAN 3,400 CHILDREN AND ADULTS WITH ELECTRIC, CHEMICAL AND OTHER BURNS; THE COLEMAN CENTER OF THE CARDINAL BERNARDIN CANCER CENTER, OFFERING SPIRIT-LIFTING SUPPORT SERVICES FOR HUNDREDS OF CANCER PATIENTS; THE ORAL HEALTH CENTER PROVIDING DENTAL SERVICES TO NEARLY 14,000 INDIVIDUALS AND FAMILIES; THE CHILD LIFE PROGRAM HELPING IN FY13 9,326 PEDIATRIC PATIENTS ADJUST TO HOSPITALIZATIONS AND TREATMENT THROUGH VARIOUS SUPPORT PROGRAMS; AND THE HOSPICE PROGRAM OFFERING COMFORT SERVICES TO MORE THAN 200 END-OF-LIFE PATIENTS AND THEIR FAMILIES. IF LUMC DID NOT PROVIDE THESE SERVICES TO THE COMMUNITY, THESE SERVICES MAY NOT BE AVAILABLE, THE COMMUNITY'S CAPACITY TO PROVIDE THE SERVICE MAY BE LESS THAN THE COMMUNITY'S NEED, OR THE SERVICE MAY BECOME THE RESPONSIBILITY OF GOVERNMENT OR ANOTHER TAX-EXEMPT ORGANIZATION.FURTHERMORE, LUMC PHYSICIANS PROVIDED NEARLY 2,500 HOURS OF VOLUNTEER TIME TO PROVIDE FREE CARE FOR PATIENTS ENROLLED IN THE ACCESS TO CARE PROGRAM (A SEPARATE ORGANIZATION THAT CONNECTS UNINSURED/UNDERINSURED PATIENTS WITH HEALTHCARE PROVIDERS). LUMC PROVIDED FREE INPATIENT AND OUTPATIENT HOSPITAL SERVICES, AND LABORATORY AND RADIOLOGY SERVICES. OTHER ACTIVITIES INCLUDED LECTURES ON SPECIFIC WOMEN'S, MEN'S AND CHILDREN'S HEALTH ISSUES; AND LABORATORY TESTS FOR DISADVANTAGED HIGH SCHOOL STUDENTS. ADDITIONALLY, LUMC CONTRIBUTED FINANCIAL SUPPORT TO THE ILLINOIS POISON CENTER (IPC), WHICH PROVIDES EXPERT POISON-PREVENTION AND TREATMENT SERVICES THROUGHOUT ILLINOIS VIA A TOLL-FREE HOTLINE THAT OPERATES AROUND THE CLOCK. LUMC'S OTHER DONATIONS ALSO INCLUDED MEDICAL MISSION SUPPLIES, FREE LEGAL SERVICES FOR INDIGENT PATIENTS WHO NEED GUARDIANSHIP SERVICES, AND INFLUENZA VACCINATION DONATIONS. PART VI, LINE 6: LUMC IS A MEMBER OF CHE TRINITY HEALTH, THE SECOND-LARGEST CATHOLIC HEALTH CARE SYSTEM IN THE COUNTRY. CHE TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER ORGANIZATIONS DEFINE - AND ACHIEVE - COMMUNITY BENEFIT GOALS THAT INCLUDE IMPLEMENTING NEEDED SERVICES OR EXPANDING ACCESS TO SERVICES FOR LOW-INCOME INDIVIDUALS. AS A NOT-FOR-PROFIT HEALTH SYSTEM, CHE TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITY THROUGH PROGRAMS SERVING THOSE WHO ARE POOR AND UNINSURED, HELPING MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, PROMOTING WELLNESS AND REACHING OUT TO UNDERSERVED POPULATIONS. OVERALL, THE ORGANIZATION INVESTS MORE THAN $800 MILLION IN SUCH COMMUNITY BENEFITS AND WORKS TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ENHANCE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVE BY ADDRESSING EACH COMMUNITY'S SPECIFIC NEEDS. FOR MORE INFORMATION ABOUT CHE TRINITY HEALTH, VISIT WWW.NEWHEALTHMINISTRY.ORG. REPORTS FILED WITH STATES PART VI, LINE 7 IL 1 LOYOLA UNIVERSITY OF CHICAGO 820 N MICHIGAN AVENUE CHICAGO IL 60611 361408475 501(C)(3) 23111325 ACADEMIC OPERATIONS SUPPORT 1 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: DONATIONS MADE BY LOYOLA UNIVERSITY MEDICAL CENTER TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. PART II, LINE 1: LOYOLA UNIVERSITY MEDICAL CENTER PROVIDES CLINICAL EDUCATION SUPPORT AND TEACHING FACILITIES FOR THE UNIVERSITY'S HEALTH SCIENCES EDUCATION PROGRAMS AT THE LOYOLA UNIVERSITY STRITCH SCHOOL OF MEDICINE AND THE MARCELLA NIEHOFF SCHOOL OF NURSING. 1 1 0 0 0 0 0 0 0 LARRY GOLDBERG 0 733169 0 204410 0 168558 0 89568 0 13927 0 1209632 0 0 ROBERT FLANIGAN MD 310584 0 36263 0 6919 0 22531 0 3436 0 379733 0 0 0 RICHARD GAMELLI MD 184889 0 239316 0 0 0 21399 0 611 0 446215 0 0 0 P TERRENCE O'ROURKE 0 548590 0 254064 0 161351 0 24584 0 32380 0 1020969 0 0 ROBERT SULO MD 334109 0 0 0 3516 0 21399 0 20337 0 379361 0 0 0 DAVID WILBER MD 538889 0 68750 0 7168 0 21401 0 2243 0 638451 0 0 0 AJAY SIAL 0 345749 0 65000 0 44768 0 15341 0 13263 0 484121 0 0 SILIA MIGLIO 0 162972 0 0 0 360 0 23883 0 3855 0 191070 0 0 JILL RAPPIS 311012 0 15500 0 1242 0 61134 0 8714 0 397602 0 0 0 DONNA HALINSKI 241994 0 38025 0 1152 0 114967 0 13470 0 409608 0 0 0 DAVID HECHT MD 306289 0 38418 0 3997 0 22303 0 1849 0 372856 0 0 0 MARIA PEKAR 189160 0 10000 0 929 0 45012 0 20509 0 265610 0 0 0 DANIEL POST 418449 0 61185 0 84399 0 93487 0 23104 0 680624 0 0 0 JOSEPH SWEDISH 0 1402192 0 786411 0 1044897 0 572762 0 28714 0 3834976 0 520902 KEDRICK ADKINS 0 784856 0 366716 0 670047 0 112792 0 13375 0 1947786 0 265335 J RICHARD O'CONNELL 0 607209 0 284428 0 144773 0 97104 0 33319 0 1166833 0 0 WENDY LEUTGENS 0 234606 0 0 0 45377 0 13601 0 8420 0 302004 0 0 MAMDOUH BAKHOS 879389 0 106500 0 8946 0 26973 0 1672 0 1023480 0 0 0 BRUCE LEWIS 636334 0 111750 0 4200 0 22184 0 1632 0 776100 0 0 0 RONALD POTKUL 656989 0 85000 0 4706 0 22245 0 2243 0 771183 0 0 0 RUSS NOCKELS 633536 0 89227 0 2352 0 21177 0 2243 0 748535 0 0 0 ALEXANDER GHANAYEM 568109 0 128621 0 1499 0 21257 0 2243 0 721729 0 0 0 DANIEL HALE 0 527004 0 213622 0 115423 0 42104 0 21386 0 919539 0 24468 PATRICIA CASSIDY 146895 0 0 0 269841 0 46283 0 4940 0 467959 0 60502 0 PAUL WHELTON 0 0 0 0 928851 0 0 0 15049 0 943900 0 929989 0 BENJAMIN CARTER 0 523380 0 202878 0 73045 0 80824 0 31986 0 912113 0 0 TOM HONAN NAVIGANT 0 427675 0 0 0 0 0 0 0 0 0 427675 0 0 KAREN ALEXANDER 0 0 0 0 358058 0 3337 0 6412 0 367807 0 359505 0 WILLIAM CANNON MD 341025 0 0 0 1226 0 20000 0 21267 0 383518 0 0 0 PAULA HINDLE 240651 0 0 0 3404 0 66748 0 10771 0 321574 0 0 0 ARTHUR KRUMREY 319497 0 41665 0 3511 0 85544 0 23322 0 473539 0 0 0 THOMAS ANDERSON 0 403580 0 74406 0 71176 0 25000 0 21429 0 595591 0 0 MICHAEL MURPHY 0 139488 0 0 0 41394 0 4650 0 11980 0 197512 0 0 PART I, LINE 3 LOYOLA UNIVERSITY MEDICAL CENTER IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. LOYOLA UNIVERSITY MEDICAL CENTER'S PRESIDENT IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF LOYOLA UNIVERSITY MEDICAL CENTER'S PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2012. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III): KAREN ALEXANDER - $359,515 PATRICIA CASSIDY - $60,502 PAUL WHELTON - $929,989 PART I, LINE 4B: THE FOLLOWING ARE PARTICIPANTS IN THE TRINITY HEALTH CASH BALANCE RESTORATION AND RETENTION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETENTION BENEFITS PLUS RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($250,000 FOR 2012). THE FOLLOWING ACCRUALS FOR 2012 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $100,292 BENJAMIN CARTER - $60,824 LARRY GOLDBERG - $77,068 J. RICHARD O'CONNELL - $77,104 JOSEPH SWEDISH - $543,977 THE FOLLOWING IS A PARTICIPANT IN THE LOYOLA UNIVERSITY MEDICAL CENTER RETIREMENT RESTORATION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($250,000 FOR 2012). THE FOLLOWING TAXABLE AMOUNT FOR 2012 FOR THIS PLAN IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: PATRICIA CASSIDY - $205,638 PART II: THE FOLLOWING INDIVIDUALS ARE VESTED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING VESTED SERP AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: KEDRICK ADKINS - $185,540 DANIEL POST - $83,589 JOSEPH SWEDISH - $530,000 COLUMN F OF SCHEDULE J INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. SUPPLEMENTAL INFORMATION PART III PART II: TOM HONAN - THE AMOUNT LISTED IN COLUMN B(I) OF SCHEDULE J, PART II REPRESENTS THE AMOUNT PAID BY LOYOLA UNIVERSITY MEDICAL CENTER IN CALENDAR 2012 TO NAVIGANT FOR MR. HONAN'S SERVICES AS INTERIM CFO. LOYOLA UNIVERSITY MEDICAL CENTER DOES NOT KNOW HOW MUCH MR. HONAN RECEIVED AS WAGES FROM NAVIGANT IN CALENDAR 2012. DAWN MACK FAMILY MEMBER OF DANIEL POST, KEY EMPLOYEE 112950 EMPLOYMENT ARRANGEMENT 0 THERESA HINDLE FAMILY MEMBER OF PAULA HINDLE, FORMER KEY EMPLOYEE 58021 EMPLOYMENT ARRANGEMENT 0 DENISE OLIVIERI-SULO FAMILY MEMBER OF ROBERT SULO, MD, BOARD DIRECTOR 123804 EMPLOYMENT ARRANGEMENT 0 BRIAN CASSIN FAMILY MEMBER OF DONNA HALINSKI, BOARD ASSISTANT SECRETARY 141030 EMPLOYMENT ARRANGEMENT 0 ANNA BERRY-KRUMREY FAMILY MEMBER OF ARTHUR KRUMREY, FORMER KEY EMPLOYEE 26495 EMPLOYMENT ARRANGEMENT 0 MEDLINE INDUSTRIES PAULA HINDLE, FORMER KEY EMPLOYEE IS ON AN ADVISORY COUNCIL FOR MEDLINE 237059 LOYOLA UNIVERSITY MEDICAL CENTER PURCHASED MEDICAL SURGICAL SUPPLIES FROM MEDLINE INDUSTRIES 0 BAXTER HEALTHCARE CORPORATION ROBERT HOMBACH, DIRECTOR IS THE CFO OF BAXTER 1843720 LOYOLA UNIVERSITY MEDICAL CENTER PURCHASED MEDICAL PRODUCTS FROM BAXTER. 0 GAIL HECHT FAMILY MEMBER OF DAVID HECHT, OFFICER 85862 EMPLOYMENT ARRANGEMENT 0 X 8025 FMV X 7 467594 MEAN VALUE X 4 5281 FMV X MISCELLANEOUS 97 103073 FMV 0 1 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTIONS: PART I, COLUMN (B): THE AMOUNTS IN PART I, COLUMN (B) FOR "NUMBER OF CONTRIBUTIONS OR ITEMS CONTRIBUTED" REPRESENTS THE TOTAL NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION A, LINE 3 LOYOLA UNIVERSITY MEDICAL CENTER HAS CONTRACTED WITH NAVIGANT FOR THE PROVISION OF INTERIM CFO SERVICES. SEE SCHEDULE J, PART III FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 5 DURING THE YEAR ENDED JUNE 30, 2013, THE ORGANIZATION BECAME AWARE OF TWO INSTANCES (AS DESCRIBED BELOW) OF DIVERSION OF ASSETS AND THE COMBINED GROSS VALUE OF THESE DIVERSIONS EXCEEDS $250,000. BOTH INSTANCES HAVE BEEN REPORTED UP THROUGH THE TRINITY HEALTH AUDIT COMMITTEE AND CLAIMS FILED WITH INSURANCE AND RISK. OVERTIME PAYMENTS - $359,000 THERE IS AN ONGOING INVESTIGATION SURROUNDING THE ALLEGED FALSIFICATION OF TIMECARDS RESULTING IN APPROXIMATELY $359,000 IN QUESTIONED COMPENSATION. CORRECTIVE ACTION HAS BEEN TAKEN BY MANAGEMENT AND INFORMATION HAS BEEN PROVIDED TO LAW ENFORCEMENT. OUTPATIENT PHARMACY - $35,000 THERE IS AN ONGOING INVESTIGATION SURROUNDING ALLEGED MISSING CASH DEPOSITS TOTALLING APPROXIMATELY $35,000. CORRECTIVE ACTION HAS BEEN TAKEN BY MANAGEMENT AND INFORMATION HAS BEEN PROVIDED TO LAW ENFORCEMENT. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF LOYOLA UNIVERSITY MEDICAL CENTER IS LOYOLA UNIVERSITY HEALTH SYSTEM. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A LOYOLA UNIVERSITY HEALTH SYSTEM IS THE SOLE MEMBER OF LOYOLA UNIVERSITY MEDICAL CENTER. LOYOLA UNIVERSITY HEALTH SYSTEM HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF LOYOLA UNIVERSITY MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, LOYOLA UNIVERSITY HEALTH SYSTEM MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. LOYOLA UNIVERSITY HEALTH SYSTEM MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, A MATERIAL CHANGE IN MISSION, AND MODIFICATIONS TO GOVERNING DOCUMENTS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY THE TRINITY SYSTEM OFFICE TAX DEPARTMENT, BASED ON INFORMATION PROVIDED BY A MULTI-DISCIPLINARY TEAM OF LOYOLA STAFF. A DETAILED SUMMARY OF THE DRAFT FORM 990 IS PRESENTED TO THE ORGANIZATION'S BOARD FINANCE & PLANNING COMMITTEE AND THE ORGANIZATION'S OFFICERS ARE PROVIDED A COPY OF THE ORGANIZATION'S DRAFT FORM 990 (INCLUDING ALL KEY REQUIRED SCHEDULES). THE COMPLETE FORM 990 IS PROVIDED TO THE LOYOLA UNIVERSITY MEDICAL CENTER BOARD IN ELECTRONIC FORM, PRIOR TO FINALIZING AND FILING THE FORM. FORM 990, PART VI, SECTION B, LINE 12C LOYOLA UNIVERSITY MEDICAL CENTER HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL "INTERESTED PERSONS" OF LOYOLA UNIVERSITY MEDICAL CENTER, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH LOYOLA UNIVERSITY MEDICAL CENTER'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO LOYOLA UNIVERSITY MEDICAL CENTER OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF LOYOLA UNIVERSITY MEDICAL CENTER IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO LOYOLA UNIVERSITY MEDICAL CENTER. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE REVIEWED WITH THE BOARD OF DIRECTORS OF LOYOLA UNIVERSITY MEDICAL CENTER ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF LOYOLA UNIVERSITY MEDICAL CENTER ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FORM 990, PART VI, SECTION C, LINE 19 LOYOLA UNIVERSITY MEDICAL CENTER IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE ANNUAL REPORT (WHICH INCLUDES COMMUNITY BENEFIT MINISTRY INFORMATION) AND CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, LOYOLA UNIVERSITY MEDICAL CENTER WILL BE INCLUDING A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: EQUITY TRANSFERS FROM AFFILIATES: 49,898,141. CHANGE IN DEFERRED RETIREMENT COST: -3,339,272. EQUITY GAIN/LOSS IN UNCONSOLIDATED AFFILIATES 2,776,377. OTHER TRANSACTIONS 538,731. FORM 990, PART XII, LINE 2: LOYOLA UNIVERSITY MEDICAL CENTER'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY13 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. 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