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        <CompensationAmt>1823820</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Aramark Chicago Lockbox</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>27310 Network Place</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60673</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Food and Facility Services</ServicesDesc>
        <CompensationAmt>1399998</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDICAL INFORMATION TECHNOLOGY INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 74569</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60696</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE SERVICES</ServicesDesc>
        <CompensationAmt>1192505</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CHICAGO INSTITUTE OF ADVANCED SURGERY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3000 N HALSTED ST 703</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60657</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SURGICAL SERVICES</ServicesDesc>
        <CompensationAmt>1055781</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UNITED MAINTENANCE COMPANY INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1550 S INDIANA AVE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60605</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>HOUSEKEEPING &amp; FACILITY SERVICES</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>88</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>2000000</GovernmentGrantsAmt>
      <TotalContributionsAmt>2000000</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM SERVICE REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>88339075</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>88339075</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>38533534</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>2135944</RelatedOrExemptFuncIncomeAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>13212601</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <RelatedOrExemptFuncIncomeAmt>131480</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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        <UnrelatedBusinessRevenueAmt>21897</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>29409083</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>3500</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>2324389</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>30757535</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5425579</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>3022065</ProgramServicesAmt>
        <ManagementAndGeneralAmt>694932</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>2034565</ProgramServicesAmt>
        <ManagementAndGeneralAmt>508641</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>224548</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>186609</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>13893702</ProgramServicesAmt>
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        <ProgramServicesAmt>10012381</ProgramServicesAmt>
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        <ProgramServicesAmt>6003082</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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      </CostingMethodologyUsedGrp>
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        <BusinessName>
          <BusinessNameLine1Txt>THOREK MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>850 W IRVING PARK ROAD</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60613</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.THOREK.ORG</WebsiteAddressTxt>
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      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
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        <BusinessName>
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        </BusinessName>
        <USAddress>
          <AddressLine1Txt>5025 NORTH PAULINA STREET</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60640</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>https://thorekandersonville.org/</WebsiteAddressTxt>
        <StateLicenseNum>0000125</StateLicenseNum>
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      </HospitalFacilitiesGrp>
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        </HospitalFacilityName>
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        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
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        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>24</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
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        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>https://www.thorek.org/community/community-benefit</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>24</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>https://www.thorek.org/community/community-benefit</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.0</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>600.0</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
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        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
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        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>https://www.thorek.org/patients-and-visitors/patient-financial-services/financial-assistance</FAPAvailableOnWebsiteURLTxt>
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        <FAPAppAvailableOnWebsiteURLTxt>https://www.thorek.org/patients-and-visitors/patient-financial-services/financial-assistance</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>https://www.thorek.org/patients-and-visitors/patient-financial-services/financial-assistance</FAPSummaryOnWebsiteURLTxt>
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        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
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        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
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        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
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      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - THOREK MEMORIAL HOSPITAL. THE HOSPITAL HAS CONSULTED AND RECEIVED INPUT FROM MULTIPLE CONSTITUENTS WHO REPRESENT THE COMMUNITY IN WHICH THE HOSPITAL SERVES. MANAGEMENT ROUTINELY MEETS WITH REPRESENTATIVES FROM THE BUENA PARK NEIGHBORS (BPN), A NOT FOR PROFIT COMMUNITY ORGANIZATION, TO IDENTIFY NEEDS IN THE COMMUNITY OF BUENA PARK. THROUGH DONATIONS, MEETINGS WITH LEADERSHIP OF BPN, AND INVOLVEMENT IN VARIOUS ACTIVITIES OF BPN, THOREK ACTIVELY PARTICIPATES IN THE BUENA PARK COMMUNITY. THOREK ALSO ROUTINELY RECEIVES INPUT FROM THE ALDERMAN'S OFFICE REGARDING ITS STANDING WITHIN THE COMMUNITY AS WELL AS OPPORTUNITIES TO PROVIDE SERVICES OR RESOURCES TO THE LOCAL COMMUNITY AS NEEDS ARE IDENTIFIED. THOREK ALSO SEEKS AND RECEIVES INPUT FROM MANAGEMENT AT SEVERAL LOCAL CHICAGO HOUSING AUTHORITY BUILDINGS WITHIN ITS IMMEDIATE COMMUNITY AND SERVICE AREA. THIS INPUT PRIMARILY FOCUSES ON THE GERIATRIC NEEDS OF THE COMMUNITY AND LEADS TO PROGRAMS AND SERVICES DIRECTED TO MEET THE NEEDS OF SENIORS WITHIN THOREK'S COMMUNITY. ADDITIONALLY, THOREK UTILIZES A COMMUNITY HEALTH ASSESSMENT SURVEY (CONDUCTED DURING THE 2024 TAX YEAR) WITH ASSISTANCE OF AN OUTSIDE RESEARCH FIRM IN ORDER TO CAPTURE PRIMARY AND SECONDARY DATA ON THE HEALTH STATUS AND OPPORTUNITIES FOR IMPROVEMENT OF HEALTH SERVICES IN ITS COMMUNITY. THE PRIMARY DATA WAS OBTAINED THROUGH A TELEPHONE SURVEY OF 400 ADULTS IN THE METROPOLITAN CHICAGO HEALTHCARE CARE COUNTY REGION INCLUDING 205 IN THE PRIMARY SERVICE AREA AND 195 IN THE SECONDARY SERVICE AREA. THE PRIMARY DATA WAS SUPPLEMENTED WITH SECONDARY DATA INCLUDING SUCH SOURCES AS CDC, FBI, COUNTY AND STATE PUBLIC HEALTH DEPARTMENTS, NATIONAL CENTER FOR HEALTH STATISTICS, AND THE U.S. CENSUS BUREAU DATA. THE SECONDARY DATA INCLUDES BUT IS NOT LIMITED TO THE FOLLOWING TOPICS: LEADING CAUSES OF DEATH, AGE-ADJUSTED DEATH RATES, VACCINE-PREVENTABLE CONDITIONS, STDS, HIV, AND OTHER INFECTIOUS DISEASES, AND FBI CRIME INDEX. THOREK PLANS TO USE THE ASSESSMENT INFORMATION TO EXPAND EXISTING AND CREATE NEW COMMUNITY HEALTH PROGRAMS MOST NEEDED BY UNDERSTANDING THE PREVALENCE OF CHRONIC CONDITIONS, BARRIERS TO ACCESS, AND OTHER HEALTH ISSUES IN THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - THOREK MEMORIAL HOSPITAL. BASED ON PRIORITIZATION OF COMMUNITY HEALTHCARE NEEDS SUBMITTED THROUGH THE ASSESSMENT, AND TAKING INTO CONSIDERATION THE HOSPITAL'S MISSION, GOALS, AND AVAILABLE RESOURCES, THOREK PLANS TO FOCUS ON THE IMPLEMENTATION OF THE FOLLOWING STRATEGIES AND INITIATIVES TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY IN 2025-2027. PLANS TO ADDRESS THE COMMUNITY HEALTH NEEDS IDENTIFIED: A. MENTAL HEALTH/SUBSTANCE ABUSE OBJECTIVE: EXPAND CONTINUUM OF ASSESSMENT AND CARE TO THE COMMUNITY, ESPECIALLY RELATED TO CRISIS MANAGEMENT, ACUTE INPATIENT SERVICES, AND FOLLOW-UP OUTPATIENT CARE FOR LOW-INCOME AND UNINSURED BEHAVIORAL HEALTH AND SUBSTANCE ABUSE PATIENTS. KEY ACTIONS AND ACTIVITIES 1. PROVIDE CRISIS INTERVENTION, INTEGRATED ASSESSMENTS AND TREATMENT PLANNING (IATP), BEHAVIORAL HEALTH ASSESSMENTS, AND NAVIGATION SERVICES IN EMERGENCY ROOM FOR MENTAL HEALTH PATIENTS THROUGH COMMUNITY MENTAL HEALTH CLINIC SERVICES. 2. ESTABLISH A MEDICATION ASSISTED TREATMENT PROGRAM AT TMHA FOR OPIOID PATIENTS IN THE COMMUNITY THAT INTEGRATES MEDICAL CARE AND SUBSTANCE ABUSE SERVICES TO IMPROVE OVERALL HEALTH OF PATIENTS. 3. DEVELOPMENT OF OUTPATIENT BEHAVIORAL HEALTH SERVICES ON THE TMHA CAMPUS TO IMPROVE COORDINATION OF CARE AND ADDRESS AND PROVIDE POST DISCHARGE CARE FOR INPATIENTS AS WELL AS ASSIST IN MEETING INCREASED DEMAND FOR ACCESS TO THESE SERVICES IN THE COMMUNITY. B. CANCER CARE OBJECTIVE: EXPAND SCREENING, DIAGNOSTIC, AND TREATMENT AND INFUSION SERVICES TO PRIMARY CARE PATIENTS, ESPECIALLY THOSE AT HIGHER RISK TO IMPROVE EARLY DETECTION, TREATMENT, OUTCOMES AND OVERALL CARE FOR PATIENTS DIAGNOSED WITH CANCER AMONG OUR PATIENT POPULATION IN THE COMMUNITY. KEY ACTIONS AND ACTIVITIES 1. EDUCATE PATIENTS, THROUGH PRIMARY CARE AND SPECIALTY PROVIDERS AND VISITS, ON IMPORTANCE OF SCHEDULING SCREENING AND DIAGNOSTIC PROCEDURES TO IMPROVE EARLY DETECTION OF CANCER. 2. PROVIDE TREATMENT FOR PATIENTS DIAGNOSED WITH CANCER THROUGH THE MEDICAL AND RADIATION ONCOLOGY SERVICES AS WELL AS SURGICAL INTERVENTIONS THROUGH SPECIALTY SURGEONS WHICH OFFER A CONTINUUM OF TREATMENTS AND SERVICES BASED ON PATIENT CONDITION AND CARE NEEDED. 3. COMMUNICATION AND OUTREACH TO PATIENTS IN THE COMMUNITY OF THE AVAILABILITY OF CANCER SERVICES THROUGH HOSPITAL NEWSLETTER, SOCIAL MEDIA POSTINGS, EMAIL CAMPAIGN, AND EVENTS -ANNUAL COLORECTAL CANCER AWARENESS FAIR. C. ACCESS TO HEALTH SERVICES (ESPECIALLY ELDERLY, LOW INCOME, AND HOMELESS POPULATIONS) OBJECTIVE: OFFER HOSPITAL AND PHYSICIAN SERVICES TO POPULATIONS THAT HAVE DIFFICULTY OBTAINING CARE INCLUDING ELDERLY, LOW INCOME, AND HOMELESS POPULATIONS WE SERVE. IT IS IMPORTANT TO NOTE THAT THIS EXTENDS WELL BEYOND THE HOSPITALS' PRIMARY SERVICE ARE AS EVIDENCED IN THE ZIP CODES ABOVE. INTEGRAL TO THIS OUTREACH IS THOREK' S ACCEPTANCE OF ALL MEDICAID PLANS OFFERED BY THE STATE OF ILLINOIS. KEY ACTIONS AND ACTIVITIES 1. OUTREACH AND PARTNERSHIP WITH LOCAL FQHCS AND COMMUNITY ORGANIZATIONS (SHELTERS, ETC.) TO OFFER ACCESS TO PRIMARY CARE, SPECIALTY CARE, AND HOSPITAL SERVICES TO THE ELDERLY, LOW INCOME, AND HOMELESS POPULATIONS THAT STRUGGLE TO ACCESS THESE SERVICES. 2. RENOVATION OF THE THOREK HOSPITAL ANDERSONVILLE EMERGENCY ROOM TO IMPROVE ACCESS FOR MEDICAL AND BEHAVIORAL HEALTH CARE (INCLUDING CRISIS MANAGEMENT) FOR POPULATIONS THAT HAVE DIFFICULTY ACCESSING THESE SERVICES IN THE COMMUNITY. 3. ENGAGEMENT AND PARTNERSHIP WITH LOCAL COMMUNITY ORGANIZATIONS (LONG TERM CARE FACILITIES, SHELTERS, AND PAYORS) TO ASSIST WITH THE NEED FOR HOUSING AND ACCESS TO MEDICAL AND BEHAVIOR HEALTH CARE FOR LOW-INCOME SENIORS ON THE NORTHSIDE. D. NUTRITION/DIABETES OBJECTIVE: PROVIDE NUTRITION EDUCATION AND SERVICES TO PATIENTS TO THE COMMUNITIES WE SERVE. TARGET THE PRE-DIABETES AND DIABETES POPULATION OF PATIENTS IN OUR COMMUNITY AND IMPROVE IDENTIFICATION AND MANAGEMENT OF DIABETES COMPARED TO CURRENT PERFORMANCE. KEY ACTIONS AND ACTIVITIES 1. OFFER OUTPATIENT NUTRITION EDUCATION AND DIET MANAGEMENT VIA CLINIC STAFFED BY A REGISTERED DIETICIAN (RD) ON A WEEKLY BASIS THAT OFFERS ONSITE AS WELL AS VIRTUAL VISITS. INPATIENT ROUNDING BY AN RD IS AVAILABLE ON BOTH HOSPITAL CAMPUSES ON A DAILY BASIS. 2. ESTABLISH DATA REGISTRY OF PREDIABETIC AND DIABETIC PATIENTS VIA EXPANSE EMR ANALYSIS FOR CLINICAL METRICS (A1C, CLINIC VISITS, ETC.) WHICH WILL BE USED TO TARGET THIS POPULATION FOR INTERVENTION BY PRIMARY CARE AND SPECIALTY PROVIDERS. ENABLE EARLY INTERVENTION AND SUBSEQUENT MANAGEMENT OF DIABETES AND IMPROVE OUTCOMES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - THOREK MEMORIAL HOSPITAL ANDERSONVILLE. THE HOSPITAL HAS CONSULTED AND RECEIVED INPUT FROM MULTIPLE CONSTITUENTS WHO REPRESENT THE COMMUNITY IN WHICH THE HOSPITAL SERVES. MANAGEMENT ROUTINELY MEETS WITH REPRESENTATIVES FROM THE BUENA PARK NEIGHBORS (BPN), A NOT FOR PROFIT COMMUNITY ORGANIZATION, TO IDENTIFY NEEDS IN THE COMMUNITY OF BUENA PARK. THROUGH DONATIONS, MEETINGS WITH LEADERSHIP OF BPN, AND INVOLVEMENT IN VARIOUS ACTIVITIES OF BPN, THOREK ACTIVELY PARTICIPATES IN THE BUENA PARK COMMUNITY. THOREK ALSO ROUTINELY RECEIVES INPUT FROM THE ALDERMAN'S OFFICE REGARDING ITS STANDING WITHIN THE COMMUNITY AS WELL AS OPPORTUNITIES TO PROVIDE SERVICES OR RESOURCES TO THE LOCAL COMMUNITY AS NEEDS ARE IDENTIFIED. THOREK ALSO SEEKS AND RECEIVES INPUT FROM MANAGEMENT AT SEVERAL LOCAL CHICAGO HOUSING AUTHORITY BUILDINGS WITHIN ITS IMMEDIATE COMMUNITY AND SERVICE AREA. THIS INPUT PRIMARILY FOCUSES ON THE GERIATRIC NEEDS OF THE COMMUNITY AND LEADS TO PROGRAMS AND SERVICES DIRECTED TO MEET THE NEEDS OF SENIORS WITHIN THOREK'S COMMUNITY. ADDITIONALLY, THOREK UTILIZES A COMMUNITY HEALTH ASSESSMENT SURVEY (CONDUCTED DURING THE 2024 TAX YEAR) WITH ASSISTANCE OF AN OUTSIDE RESEARCH FIRM IN ORDER TO CAPTURE PRIMARY AND SECONDARY DATA ON THE HEALTH STATUS AND OPPORTUNITIES FOR IMPROVEMENT OF HEALTH SERVICES IN ITS COMMUNITY. THE PRIMARY DATA WAS OBTAINED THROUGH A TELEPHONE SURVEY OF 400 ADULTS IN THE METROPOLITAN CHICAGO HEALTHCARE CARE COUNTY REGION INCLUDING 205 IN THE PRIMARY SERVICE AREA AND 195 IN THE SECONDARY SERVICE AREA. THE PRIMARY DATA WAS SUPPLEMENTED WITH SECONDARY DATA INCLUDING SUCH SOURCES AS CDC, FBI, COUNTY AND STATE PUBLIC HEALTH DEPARTMENTS, NATIONAL CENTER FOR HEALTH STATISTICS, AND THE U.S. CENSUS BUREAU DATA. THE SECONDARY DATA INCLUDES BUT IS NOT LIMITED TO THE FOLLOWING TOPICS: LEADING CAUSES OF DEATH, AGE-ADJUSTED DEATH RATES, VACCINE-PREVENTABLE CONDITIONS, STDS, HIV, AND OTHER INFECTIOUS DISEASES, AND FBI CRIME INDEX. THOREK PLANS TO USE THE ASSESSMENT INFORMATION TO EXPAND EXISTING AND CREATE NEW COMMUNITY HEALTH PROGRAMS MOST NEEDED BY UNDERSTANDING THE PREVALENCE OF CHRONIC CONDITIONS, BARRIERS TO ACCESS, AND OTHER HEALTH ISSUES IN THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - THOREK MEMORIAL HOSPITAL ANDERSONVILLE. BASED ON PRIORITIZATION OF COMMUNITY HEALTHCARE NEEDS SUBMITTED THROUGH THE ASSESSMENT, AND TAKING INTO CONSIDERATION THE HOSPITAL'S MISSION, GOALS, AND AVAILABLE RESOURCES, THOREK PLANS TO FOCUS ON THE IMPLEMENTATION OF THE FOLLOWING STRATEGIES AND INITIATIVES TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY IN 2025-2027. PLANS TO ADDRESS THE COMMUNITY HEALTH NEEDS IDENTIFIED: A. MENTAL HEALTH/SUBSTANCE ABUSE OBJECTIVE: EXPAND CONTINUUM OF ASSESSMENT AND CARE TO THE COMMUNITY, ESPECIALLY RELATED TO CRISIS MANAGEMENT, ACUTE INPATIENT SERVICES, AND FOLLOW-UP OUTPATIENT CARE FOR LOW-INCOME AND UNINSURED BEHAVIORAL HEALTH AND SUBSTANCE ABUSE PATIENTS. KEY ACTIONS AND ACTIVITIES 1. PROVIDE CRISIS INTERVENTION, INTEGRATED ASSESSMENTS AND TREATMENT PLANNING (IATP), BEHAVIORAL HEALTH ASSESSMENTS, AND NAVIGATION SERVICES IN EMERGENCY ROOM FOR MENTAL HEALTH PATIENTS THROUGH COMMUNITY MENTAL HEALTH CLINIC SERVICES. 2. ESTABLISH A MEDICATION ASSISTED TREATMENT PROGRAM AT TMHA FOR OPIOID PATIENTS IN THE COMMUNITY THAT INTEGRATES MEDICAL CARE AND SUBSTANCE ABUSE SERVICES TO IMPROVE OVERALL HEALTH OF PATIENTS. 3. DEVELOPMENT OF OUTPATIENT BEHAVIORAL HEALTH SERVICES ON THE TMHA CAMPUS TO IMPROVE COORDINATION OF CARE AND ADDRESS AND PROVIDE POST DISCHARGE CARE FOR INPATIENTS AS WELL AS ASSIST IN MEETING INCREASED DEMAND FOR ACCESS TO THESE SERVICES IN THE COMMUNITY. B. CANCER CARE OBJECTIVE: EXPAND SCREENING, DIAGNOSTIC, AND TREATMENT AND INFUSION SERVICES TO PRIMARY CARE PATIENTS, ESPECIALLY THOSE AT HIGHER RISK TO IMPROVE EARLY DETECTION, TREATMENT, OUTCOMES AND OVERALL CARE FOR PATIENTS DIAGNOSED WITH CANCER AMONG OUR PATIENT POPULATION IN THE COMMUNITY. KEY ACTIONS AND ACTIVITIES 1. EDUCATE PATIENTS, THROUGH PRIMARY CARE AND SPECIALTY PROVIDERS AND VISITS, ON IMPORTANCE OF SCHEDULING SCREENING AND DIAGNOSTIC PROCEDURES TO IMPROVE EARLY DETECTION OF CANCER. 2. PROVIDE TREATMENT FOR PATIENTS DIAGNOSED WITH CANCER THROUGH THE MEDICAL AND RADIATION ONCOLOGY SERVICES AS WELL AS SURGICAL INTERVENTIONS THROUGH SPECIALTY SURGEONS WHICH OFFER A CONTINUUM OF TREATMENTS AND SERVICES BASED ON PATIENT CONDITION AND CARE NEEDED. 3. COMMUNICATION AND OUTREACH TO PATIENTS IN THE COMMUNITY OF THE AVAILABILITY OF CANCER SERVICES THROUGH HOSPITAL NEWSLETTER, SOCIAL MEDIA POSTINGS, EMAIL CAMPAIGN, AND EVENTS -ANNUAL COLORECTAL CANCER AWARENESS FAIR. C. ACCESS TO HEALTH SERVICES (ESPECIALLY ELDERLY, LOW INCOME, AND HOMELESS POPULATIONS) OBJECTIVE: OFFER HOSPITAL AND PHYSICIAN SERVICES TO POPULATIONS THAT HAVE DIFFICULTY OBTAINING CARE INCLUDING ELDERLY, LOW INCOME, AND HOMELESS POPULATIONS WE SERVE. IT IS IMPORTANT TO NOTE THAT THIS EXTENDS WELL BEYOND THE HOSPITALS' PRIMARY SERVICE ARE AS EVIDENCED IN THE ZIP CODES ABOVE. INTEGRAL TO THIS OUTREACH IS THOREK' S ACCEPTANCE OF ALL MEDICAID PLANS OFFERED BY THE STATE OF ILLINOIS. KEY ACTIONS AND ACTIVITIES 1. OUTREACH AND PARTNERSHIP WITH LOCAL FQHCS AND COMMUNITY ORGANIZATIONS (SHELTERS, ETC.) TO OFFER ACCESS TO PRIMARY CARE, SPECIALTY CARE, AND HOSPITAL SERVICES TO THE ELDERLY, LOW INCOME, AND HOMELESS POPULATIONS THAT STRUGGLE TO ACCESS THESE SERVICES. 2. RENOVATION OF THE THOREK HOSPITAL ANDERSONVILLE EMERGENCY ROOM TO IMPROVE ACCESS FOR MEDICAL AND BEHAVIORAL HEALTH CARE (INCLUDING CRISIS MANAGEMENT) FOR POPULATIONS THAT HAVE DIFFICULTY ACCESSING THESE SERVICES IN THE COMMUNITY. 3. ENGAGEMENT AND PARTNERSHIP WITH LOCAL COMMUNITY ORGANIZATIONS (LONG TERM CARE FACILITIES, SHELTERS, AND PAYORS) TO ASSIST WITH THE NEED FOR HOUSING AND ACCESS TO MEDICAL AND BEHAVIOR HEALTH CARE FOR LOW-INCOME SENIORS ON THE NORTHSIDE. D. NUTRITION/DIABETES OBJECTIVE: PROVIDE NUTRITION EDUCATION AND SERVICES TO PATIENTS TO THE COMMUNITIES WE SERVE. TARGET THE PRE-DIABETES AND DIABETES POPULATION OF PATIENTS IN OUR COMMUNITY AND IMPROVE IDENTIFICATION AND MANAGEMENT OF DIABETES COMPARED TO CURRENT PERFORMANCE. KEY ACTIONS AND ACTIVITIES 1. OFFER OUTPATIENT NUTRITION EDUCATION AND DIET MANAGEMENT VIA CLINIC STAFFED BY A REGISTERED DIETICIAN (RD) ON A WEEKLY BASIS THAT OFFERS ONSITE AS WELL AS VIRTUAL VISITS. INPATIENT ROUNDING BY AN RD IS AVAILABLE ON BOTH HOSPITAL CAMPUSES ON A DAILY BASIS. 2. ESTABLISH DATA REGISTRY OF PREDIABETIC AND DIABETIC PATIENTS VIA EXPANSE EMR ANALYSIS FOR CLINICAL METRICS (A1C, CLINIC VISITS, ETC.) WHICH WILL BE USED TO TARGET THIS POPULATION FOR INTERVENTION BY PRIMARY CARE AND SPECIALTY PROVIDERS. ENABLE EARLY INTERVENTION AND SUBSEQUENT MANAGEMENT OF DIABETES AND IMPROVE OUTCOMES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>5</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CHINA SQUARE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2142 S ARCHER AVENUE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60616</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>UKRANIAN VILLAGE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2515 WEST CHICAGO</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60622</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>RUTH SHRIMAN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4040 N SHERIDAN ROAD</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60612</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SHERWAY TOWER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4225 N SHERIDAN ROAD</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60613</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>THOREK SKOKIE OFFICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4709 GOLF RD SUITE 1200</AddressLine1Txt>
            <CityNm>Skokie</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60076</ZIPCd>
          </USAddress>
          <FacilityTxt>CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>THOREK PREPARES AND FILES THE ANNUAL NON PROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT BY DECEMBER 31 OF EACH YEAR WITH THE ATTORNEY GENERAL'S OFFICE OF THE STATE OF ILLINOIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 22</FormAndLineReferenceDesc>
        <ExplanationTxt>THOREK MEMORIAL HOSPITAL CALCULATES AGB UNDER THE PROSPECTIVE MEDICARE METHOD, WHICH MEANS THAT THOREK DETERMINES AGB FOR ANY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE PROVIDED TO AN INDIVIDUAL ELIGIBLE FOR FINANCIAL ASSISTANCE BY USING THE BILLING AND CODING PROCESS THOREK WOULD USE IF THE INDIVIDUAL WERE A MEDICARE FEE-FOR-SERVICE BENEFICIARY AND SETTING THE AGB FOR THE CARE AT THE AMOUNT MEDICARE WOULD ALLOW FOR THE CARE (INCLUDING BOTH THE AMOUNT THAT WOULD BE REIMBURSED BY MEDICARE AND THE AMOUNT THAT THE BENEFICIARY WOULD BE PERSONALLY RESPONSIBLE FOR PAYING IN THE FORM OF CO-PAYMENTS, COINSURANCE AND DEDUCTIBLES).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation</FormAndLineReferenceDesc>
        <ExplanationTxt>6003082</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Patient accounts receivable are primarily paid by federal and state governmental authorities (under the Medicare and Medicaid programs), managed health plans, commercial insurance companies, workers' compensation programs, employers and patients. Patient receivables are reported at net realizable value. For accounts receivable associated with services provided to patients who have third-party coverage, the Hospital estimates net realizable value and related explicit price concessions based on the estimated contractual reimbursement percentage, which in turn is based on current contract provisions and historical paid claims by payor. For self-pay accounts, including uninsured and patient responsibility accounts, the net realizable value is determined using historical collection experience, adjusted for estimated conversions of patient responsibility portions, expected recoveries and changes in trends to estimate implicit price concessions. Management continually analyzes the estimated net realizable value of accounts receivable by monitoring cash collections, economic conditions and trends, changes in payor mix, changes in federal or state healthcare coverage and other matters. Changes in general economic conditions, patient accounting service center operations, payer mix, payer claim processing could affect our collection of accounts receivable, cash flows and results of operations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE COSTS ARE ALLOCATED BY COST CENTER IN ACCORDANCE WITH MEDICARE REGULATIONS. THE COSTS ARE CALCULATED USING A COST TO CHARGE RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THOREK SEEKS TO ENGAGE PATIENTS PROACTIVELY TO DETERMINE IF FINANCIAL ASSISTANCE IS NEEDED, ESPECIALLY AT THE TIME OF SERVICE. THIS SERVICE IS ACCOMPLISHED BY COMMUNICATING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO THE PATIENT THROUGH POSTED SIGNS THROUGHOUT THE HOSPITAL AS WELL AS NOTICES ON THE HOSPITAL WEBSITE AND ALL BILLING CORRESPONDENCE. FURTHERMORE THE HOSPITAL FINANCIAL COUNSELORS PROVIDE ASSISTANCE RANGING FROM ASSISTANCE IN COMPLETING THE HOSPITAL'S FINANCIAL ASSISTANCE APPLICATION, TO PROVIDING PAYMENT PLANS TO THOSE WITHOUT INSURANCE OR WITH PATIENT RESPONSIBILITIES AFTER REIMBURSEMENT BY THE PRIMARY INSURANCE, AND SEEKING INSURANCE COVERAGE FOR THOSE PATIENTS UNINSURED. THE HOSPITAL'S FINANCIAL COUNSELORS SEEK TO MAKE CONTACT AND WORK WITH THE PATIENT OR THEIR FAMILY TO HELP THEM IN ANY WAY POSSIBLE TO MEET THEIR FINANCIAL RESPONSIBILITIES IN A SUPPORTIVE MANNER OR IDENTIFY ELIGIBILITY FOR THE HOSPITAL'S CHARITY CARE POLICY. FINANCIAL COUNSELORS WORK WITH PATIENTS IN PERSON WHILE STILL AN INPATIENT IF APPROPRIATE, AFTER AN OUTPATIENT SERVICE AT THE HOSPITAL, OR SOON AFTER SERVICE IS PROVIDED TELEPHONICALLY. AS PART OF THIS PROCESS, THE COUNSELORS ATTEMPT TO DETERMINE IF THERE ARE ANY THIRD-PARTY PAYERS WHICH MAY BE AVAILABLE TO HELP THE PATIENT MEET THEIR OBLIGATIONS. THE COUNSELORS WORK WITH OUR PATIENTS TO DETERMINE IF THEY ARE ELIGIBLE FOR MEDICAID OR OTHER STATE OR LOCAL FUNDED PROGRAMS INCLUDING CRIME VICTIMS, ILLINOIS MARKET PLACE INSURANCE PLANS, ALTERNATIVE INSURANCE INCLUDING COBRA, WORKER'S COMPENSATION, AND/OR OTHER APPROPRIATE THIRD-PARTY LIABILITY PAYOR. THE HOSPITAL CONTRACTS WITH AN OUTSIDE FIRM TO PROVIDE SUPPORTING STAFF THAT WORK WITH PATIENT ACCOUNTS IN THIS PROCESS. THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE BEGINS WITH A PHONE CALL OR MEETING WITH THE PATIENT TO COMPLETE THE HOSPITAL CHARITY CARE APPLICATION FORMS AND/OR PROVIDED EVIDENCE OF THE NEED FOR FINANCIAL ASSISTANCE. IF THE CHARITY CARE APPLICATION MEETS THE HOSPITAL CHARITY CARE GUIDELINES OF 200% OF THE FEDERAL POVERTY GUIDELINES, NO FURTHER COLLECTION ACTIVITY OCCURS, AND THE AMOUNT IS APPROPRIATELY RECORDED AS CHARITY CARE AND WRITTEN OFF AFTER THE 53% INITIAL DISCOUNT IS APPLIED. IF THE APPLICATION MEETS THE 201%-600% OF FEDERAL POVERTY GUIDELINE THE ACCOUNT IS DISCOUNTED AT ADDITIONAL 50% AND THE PAYMENT PLAN IS INITIATED FOR THE REMAINING BALANCE. FOR PATIENTS THAT DO NOT MEET CHARITY CARE GUIDELINES, A 53% (BASED ON 300% OF FEDERAL POVERTY GUIDELINES) INITIAL DISCOUNT IS TAKEN. THE REMAINING AMOUNT IS PAID BASED UPON AN AGREED PAYMENT PLAN WITH THE PATIENT OR THE PATIENT RECEIVES A FURTHER DISCOUNT BASED UPON THE INDIVIDUAL PATIENT'S FINANCIAL SITUATION. ANY FINAL AMOUNT TO BE PAID IS DETERMINED AND PAID IN FULL OR ACCORDING TO AN AGREED UPON PAYMENT PLAN WITH THE PATIENT. EVERY OPPORTUNITY IS MADE TO ENSURE THE PATIENT HAS THE CHANCE TO PAY WHAT THEY CAN AFFORD BASED UPON THEIR FINANCIAL SITUATION AT THAT TIME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- THOREK MEMORIAL HOSPITAL: Line 16a URL: https://www.thorek.org/patients-and-visitors/patient-financial-services/financial-assistance; - THOREK MEMORIAL HOSPITAL ANDERSONVILLE: Line 16a URL: https://www.thorek.org/patients-and-visitors/patient-financial-services/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- THOREK MEMORIAL HOSPITAL: Line 16b URL: https://www.thorek.org/patients-and-visitors/patient-financial-services/financial-assistance; - THOREK MEMORIAL HOSPITAL ANDERSONVILLE: Line 16b URL: https://www.thorek.org/patients-and-visitors/patient-financial-services/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- THOREK MEMORIAL HOSPITAL: Line 16c URL: https://www.thorek.org/patients-and-visitors/patient-financial-services/financial-assistance; - THOREK MEMORIAL HOSPITAL ANDERSONVILLE: Line 16c URL: https://www.thorek.org/patients-and-visitors/patient-financial-services/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO THE CHNA, THOREK MEMORIAL HOSPITAL HAS HISTORICALLY AND CONTINUES TO IDENTIFY PRIORITIES FOR COMMUNITY BENEFIT THROUGH THE FOLLOWING INTERNAL REVIEW: THE THOREK MEMORIAL HOSPITAL (TMH) COMMUNITY NEEDS ASSESSMENT IS AN ONGOING PROCESS CONDUCTED BY TMH MANAGEMENT AND SUMMARIZED ANNUALLY IN THE ANNUAL NON-PROFIT HOSPITAL COMMUNITY BENEFIT PLAN REPORT SUBMITTED TO THE ATTORNEY GENERAL'S OFFICE OF THE STATE OF ILLINOIS. THIS PROCESS UTILIZES INFORMATION OBTAINED FROM HEALTH AGENCIES AND PRACTITIONERS, COMMUNITY ORGANIZATIONS, AND COMMUNITY REPRESENTATIVES. THIS INFORMATION HAS BEEN GATHERED EITHER THROUGH REVIEW OF PUBLISHED INFORMATION, WRITTEN FEEDBACK, OR DIRECT INTERVIEWS OR DISCUSSIONS WITH PHYSICIANS AND PATIENTS. INDIVIDUALS INCLUDED ARE PHYSICIANS AND ALLIED HEALTH PROFESSIONALS, REPRESENTATIVES FROM THE ELDERLY POPULATION, LOCAL EMPLOYERS, AND COMMUNITY REPRESENTATIVES. FINDINGS FROM THE ASSESSMENT INDICATE: - TMH SERVES A POPULATION HAVING LIMITED ECONOMIC MEANS - THE POPULATION SERVED BY TMH IS NOT BASED ON GEOGRAPHIC PROXIMITY - THERE IS A CONSENSUS BETWEEN TMH AND ITS MEDICAL STAFF REGARDING GOALS - THERE IS LOW CONSUMER AWARENESS OF TMH SERVICES, HOWEVER, THIS IS IMPROVING. THE TOP PRIORITY UNMET HEALTH NEEDS, BY AGE GROUP, ARE AS FOLLOWS: - ADULTS: ACCESS TO SERVICES (INSURANCE, COST) - SENIORS: COST; MEDICATIONS; POST-HOSPITAL SUPPORT; AND TRANSPORTATION THOREK MEMORIAL HOSPITAL HAS ADDRESSED AND/OR PLANS TO ADDRESS THESE IDENTIFIED PRIORITY NEEDS IN THE FOLLOWING WAYS IN THE COMMUNITY: - IMPROVE ACCESS TO SERVICES - AMBULATORY CARE. TMH HAS FOCUSED ON THE EXPANSION AND DIFFERENTIATION OF ITS AMBULATORY CARE PROGRAMS IN ORDER TO IMPROVE ACCESS AND SERVICE. THE AMBULATORY CARE DEPARTMENT HAS BEEN PHYSICALLY EXPANDED AND SE PARA TED INTO DISTINCT COMPONENTS. - CENTER FOR PRIMARY CARE. TMH OPERATES ITS CENTER FOR PRIMARY CARE. THIS NOT ONLY INCREASED THE SPACE DEVOTED TO AMBULATORY CARE BUT PROVIDES A PHYSICALLY DISTINCT AREA DESIGNED TO HAVE THE LOOK AND FEEL OF A PRIVATE MEDICAL OFFICE RATHER THAN A "WALK-IN CLINIC". - COMMUNITY AND LOCAL EMPLOYER HEALTH FAIRS AND EDUCATION SESSIONS FOCUS ON NEEDS AND CONCERNS OF SENIORS - CHA PROGRAM. TMH PROVIDES ACCESS TO MEDICAL SERVICES FOR RESIDENTS OF FIVE NEARBY CHICAGO HOUSING AUTHORITY (CHA) RESIDENTIAL FACILITIES BY OPERATING MEDICAL OFFICES IN THESE BUILDINGS. RESIDENTS OF THESE BUILDINGS ARE PREDOMINANTLY SENIORS WHO QUALIFY FOR SUBSIDIZED HOUSING BASED ON FINANCIAL NEED. TYPICAL OFFICE STAFFING CONSISTS OF AN RN AND A PHYSICIAN. IN ADDITION, PHARMACEUTICALS NEEDED BY RESIDENTS ARE DELIVERED FREE OF CHARGE FOR THOSE RESIDENTS THAT REQUIRE THEM BASED ON AN APPROPRIATE COMPLETED SCRIPTS BY THE PHYSICIANS. IN ADDITION TO THE PROVISION OF HEALTH SERVICES, EDUCATIONAL, SOCIAL, AND OTHER ACTIVITIES ARE ARRANGED BY STAFF FOR THE PATIENTS OF CHA AT FIVE SITES ON THE NORTH SIDE OF CHICAGO, IN THOREK'S PRIMARY SERVICE AREA. NO AMOUNTS ARE BILLED BY THE HOSPITAL FOR HEALTHCARE SERVICES PROVIDED AT THESE SITES. THOREK MEMORIAL HOSPITAL ALSO HELPS TO PROVIDE ACCESS TO SPECIALTY (CONSULTANT) PHYSICIAN SERVICES TO MEMBERS ON AN AS NEEDED BASIS. - MEDICATION. RECOGNIZING THE NEED TO PROVIDE ACCESS, EXPAND ALTERNATIVES, AND IMPROVE CONVENIENCE TO THOSE WE SERVE, TMH CONTINUES TO PROVIDE MEDICATION THROUGH ITS OUTPATIENT PHARMACY TO HOSPITAL PATIENTS AND CHA RESIDENTS. -TRANSPORTATION. TMH PROVIDES TRANSPORTATION VIA HOSPITAL VAN AND CONTRACTED TRANSPORTATION SERVICES BASED ON HOSPITAL TRANSPORTATION POLICIES TO 50+ CLUB MEMBERS AND OTHERS WITHIN DESIGNATED GEOGRAPHIC BOUNDARIES, AS DETERMINED APPROPRIATE BASED ON NEED AND CLINICAL STATUS, WHEN HOSPITAL SERVICES HAVE BEEN SCHEDULED IN ACCORDANCE WITH THE HOSPITAL'S TRANSPORTATION POLICY. INCREASE AWARENESS OF HEALTH PROGRAMS AVAILABLE: - COMMUNICATION OF SERVICES TO THE COMMUNITY AND ITS ORGANIZATIONS. - COMMUNITY HEALTH EDUCATION PROGRAMS DISCUSSING PREVENTION AND WELLNESS - ACCESS TO HOSPITAL AND PHYSICIAN SERVICES</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THOREK UTILIZES SEVERAL METHODS TO COMMUNICATE ITS RESPONSIBILITY TO INFORM AND EDUCATE PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER GOVERNMENTAL PROGRAMS OR THE HOSPITAL'S FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES. THE HOSPITAL POSTS THE AVAILABILITY OF FINANCIAL ASSISTANCE AND CHARITY CARE IN ENGLISH AND SPANISH IN ALL REGISTRATION AND MOST WAITING AREAS THROUGHOUT THE HOSPITAL. MEMBERS OF THE BUSINESS OFFICE ALSO WORK WITH PATIENTS TO SEE WHAT OTHER COMMUNITY RESOURCES MAY BE AVAILABLE TO THE PATIENT FOR CURRENT AND FUTURE CARE PROVISION. THE FINANCIAL COUNSELOR AND MOST OTHER EMPLOYEES IN THE HOSPITAL'S BUSINESS OFFICE AND PATIENT REGISTRATION ARE FLUENT IN SPANISH, AND PHONE TRANSLATORS ARE USED FOR OTHER LANGUAGES. THE AVAILABILITY FOR CHARITY CARE AS WELL AS THE WORKSHEET TO CALCULATE ELIGIBILITY FOR CHARITY CARE IS POSTED ON THE HOSPITAL'S WEBSITE. IN ADDITION, ALL BILLS AND STATEMENTS SENT TO PATIENTS INCLUDE INFORMATION REGARDING THE FINANCIAL ASSISTANCE AND CHARITY CARE OPPORTUNITIES IN ENGLISH AND SPANISH. THE HOSPITAL ALSO CONTRACTS FOR A FULL TIME FTE TO PROVIDE FINANCIAL COUNSELING TO PATIENTS WHICH INCLUDES THE ASSISTANCE IN THE MEDICAID APPLICATION PROCESS AS WELL AS A SEARCH FOR OTHER COVERAGE OPTIONS AVAILABLE.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THOREK MEMORIAL HOSPITAL IS REPRESENTATIVE OF THE WIDE CROSS-SECTION OF THE POPULATION THAT IT SERVES. ITS COMMUNITY INCLUDES A SIZABLE NUMBER OF AFRICAN AMERICAN, ASIAN, AND HISPANIC RESIDENTS AS WELL AS A VARIETY OF OTHER ETHNIC GROUPS. THOREK MEMORIAL HOSPITAL'S LONG-STANDING STATUS AS A PREFERRED PROVIDER OF MEDICAL SERVICES FOR EMPLOYERS, ALSO WITH A MULTL ETHNIC MEMBERSHIP, CONTRIBUTES TO A WELL-ESTABLISHED WORKING CLASS ETHNIC CLIENT BASE. THE DEMOGRAPHICS INCLUDE A LISTING THAT GIVES THE ETHNIC DISTRIBUTION OF INPATIENTS. SINCE THOREK MEMORIAL HOSPITAL'S MEDICAL STAFF ALSO REFLECTS ETHNIC DIVERSITY, WE EXPECT TO MAINTAIN A SIGNIFICANT ETHNIC CUSTOMER BASE. ALTHOUGH THOREK MEMORIAL HOSPITAL SERVES PATIENTS THROUGHOUT THE CHICAGO METROPOLITAN AREA AND EVEN AS FAR AWAY AS INDIANA AND WISCONSIN, WE HAVE DEFINED OUR COMMUNITY BASED UPON GEOGRAPHIC PROXIMITY. A PRIMARY SERVICE AREA HAS BEEN IDENTIFIED CONSISTING OF NEARBY ZIP CODE AREAS. THOREK MEMORIAL HOSPITAL AND THOREK MEMORIAL HOSPITAL ANDERSONVILLE (COLLECTIVELY, "THOREK") SERVE A ZIPCODE-DEFINED SERVICE AREA IN THE GREATER CHICAGO REGION ANCHORED ON CHICAGO'S NORTH SIDE AND ENCOMPASSING BOTH A PRIMARY SERVICE AREA (PSA) AND SECONDARY SERVICE AREA (SSA). THE PSA INCLUDES ZIP CODES 60606, 60607, 60612, 60613, 60614, 60618, AND 60622, AND THE SSA INCLUDES 60091, 60601-60605, 60610, 60616, 60624-60626, 60630-60634, 60639-60642, 60644, 60646, 60647, 60651, 60653, 60657, AND 60660. THOREK'S TOTAL SERVICE AREA SPANS 94.18 SQUARE MILES AND IS 100% URBAN, WITH AN ESTIMATED POPULATION OF ~1.51 MILLION RESIDENTS. IN ADDITION TO IMMEDIATEAREA PATIENTS, THOREK'S MISSION AND POLICIES RESULT IN THE HOSPITAL NOT TURNING AWAY PATIENTS BASED ON INSURANCE, AND IT MAINTAINS REFERRAL RELATIONSHIPS WITH CHICAGOAREA NURSING HOMES (WHICH ACCOUNT FOR ~70% OF INPATIENT ADMISSIONS) AND NEIGHBORHOOD CARE CLINICS (INCLUDING CHINATOWN SQUARE AND UKRAINIAN VILLAGE) TO IMPROVE ACCESS. THE PRIMARY NOT-FOR-PROFIT COMMUNITY HOSPITALS ALSO SERVING THIS AREA INCLUDE: ILLINOIS MASONIC MEDICAL CENTER (ADVOCATE), SWEDISH HOSPITAL (ENDEAVOR), ST. JOSEPH HOSPITAL (ASCENSION), HUMBOLDT PARK HEALTH, AND ST. MARY AND ST ELIZABETH HOSPITALS (PRIME HEALTHCARE). APPROXIMATELY 85% OF ADMISSIONS SERVED AT THOREK ARE FEDERALLY FUNDED OR SELF PAY/CHARITY. THE HOSPITAL CONTINUES TO MEET THE CRITERIA FOR A DISPROPORTIONATE SHARE HOSPITAL FOR MEDICARE/MEDICAID HIGH-VOLUME ADJUSTMENT FOR THE DEPARTMENT OF HUMAN SERVICES (PUBLIC AID).</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>THOREK MEMORIAL HOSPITAL'S GOVERNING BODY INCLUDES MEMBERS WHO RESIDE WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE INDEPENDENT OF THE ORGANIZATION (I.E., NEITHER EMPLOYEES, INDEPENDENT CONTRACTORS, NOR FAMILY MEMBERS)-ENSURING LOCAL COMMUNITY INPUT INTO STRATEGIC DECISIONS. THOREK EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED COMMUNITY PHYSICIANS. THE HOSPITAL DEPLOYS SURPLUS FUNDS TOWARD COMMUNITY HEALTH IMPROVEMENT, INCLUDING EXPANDED ACCESS POINTS, SUBSIDIZED CARE, AND FREE LANGUAGE AND TRANSPORTATION SERVICES. EXAMPLES (PER CHNA AND COMMUNITY BENEFITS REPORT): (1) EXTENDED HOURS AMBULATORY CARE CENTER AND OFF SITE NEIGHBORHOOD CLINICS (CHINATOWN SQUARE; UKRAINIAN VILLAGE) THAT ACCEPT BOTH APPOINTMENTS AND WALK INS; (2) AMN LANGUAGE SERVICES (PHONE AND TABLET VIDEO) AT NO COST TO NON ENGLISH SPEAKING AND HEARING IMPAIRED PATIENTS/FAMILIES; (3) HOSPITAL VAN AND CONTRACTED PATIENT TRANSPORTATION WITHIN DEFINED GEOGRAPHIC BOUNDARIES TO ENSURE ACCESS TO MEDICALLY NECESSARY SERVICES; (4) AN INTEGRATED BEHAVIORAL HEALTH PLATFORM (NEARLY 100 INPATIENT BEDS, 5 DAY OUTPATIENT CLINIC, AND A MEDICAL STABILIZATION UNIT FOR ALCOHOL/OPIOID WITHDRAWAL-~3,000 ADMISSIONS AND ~9,000 PATIENT DAYS OVER THREE YEARS); (5) CANCER CARE (DISCOUNTED MAMMOGRAPHY IN PARTNERSHIP WITH ASIAN HUMAN SERVICES/IBCCP, MEDICAL ONCOLOGY AND RADIATION THERAPY WITH ~30,000 VISITS/TREATMENTS OVER THREE YEARS); (6) ON SITE DENTAL PRACTICE (FAMILY/PEDIATRIC DENTISTRY); (7) WEEKLY OUTPATIENT NUTRITION/DIABETES EDUCATION BY A REGISTERED DIETITIAN; AND (8) CHARITY CARE POLICY WITH SUBSTANTIAL AUTOMATIC DISCOUNTS FOR UNINSURED PATIENTS AND INTEREST FREE PAYMENT PLANS, AND WITH NO WAGE GARNISHMENT OR LIENS UNDER HOSPITAL POLICY. IN THE MOST RECENT THREE YEAR PERIOD (PER THE CHNA), THOREK INVESTED OVER $15,500,000 IN COMMUNITY BENEFIT (EXCLUDING UNCOMPENSATED MEDICARE) AND PROVIDED MORE THAN $650,000 IN CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS. IN ADDITION TO THE 2023 AMOUNTS PREVIOUSLY REPORTED ON SCHEDULE H (E.G., CHARITY CARE AT COST AND SUBSIDIZED HEALTH SERVICES, PLUS FREE GUARDIANSHIP AND TRANSPORTATION), THESE MULTI YEAR FIGURES FURTHER DEMONSTRATE ONGOING REINVESTMENT OF SURPLUS FUNDS INTO COMMUNITY HEALTH PRIORITIES IDENTIFIED BY THE CHNA (MENTAL HEALTH; SUBSTANCE USE; INJURY &amp; VIOLENCE; CARDIOVASCULAR DISEASE &amp; STROKE; CANCER; CHRONIC DISEASE MANAGEMENT; NUTRITION/PHYSICAL ACTIVITY/WEIGHT; RESPIRATORY DISEASE; SEXUAL HEALTH; AND ACCESS TO CARE).</ExplanationTxt>
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        <ExplanationTxt>IL</ExplanationTxt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>355648</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>AS INDICATED IN SCHEDULE J, PART II, CERTAIN OFFICERS AND HIGHEST COMPENSATED EMPLOYEES OF THE ORGANIZATION RECEIVED A BONUS BASED ON PERFORMANCE GOALS AND THE FINANCIAL RESULTS OF THE ORGANIZATION. The compensation committee reviewed and recommended the bonus amounts to the Board of Directors. After review, the Board of Directors approved the bonuses.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DID NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES RETAINS THE SERVICES OF AN INDEPENDENT CPA FIRM TO PREPARE THE ORGANIZATION'S FORM 990. MANAGEMENT REVIEWS THE COMPLETED FORM 990 AND SUBSEQUENTLY PRESENTS A COPY TO THE HOSPITAL BOARD OF TRUSTEES ALONG WITH THE INDEPENDENT CPA FIRM. THE BOARD OF TRUSTEES HAS THE OPPORTUNITY TO REVIEW THE RETURN, ASK QUESTIONS, AND SUGGEST CHANGES. THE BOARD OF TRUSTEES APPROVES THE FINAL VERSION OF THE RETURN AND MANAGEMENT FILES THIS RETURN WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL REGULARLY AND CONSISTENTLY MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH AN ANNUAL REVIEW AND COMPLETION OF THE ANNUAL BOARD MEMBER QUESTIONNAIRE AND CONFLICT OF INTEREST POLICY BY EACH</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>AN ANNUAL REVIEW OF COMPENSATION WAS COMPLETED FOR FISCAL YEAR 2024. THE INFORMATION WAS DISTRIBUTED TO THE COMPENSATION COMMITTEE OF THE BOARD. THE COMMITTEE WILL THEN MAKE RECOMMENDATIONS TO THE BOARD OF TRUSTEES ON AN ANNUAL BASIS. ALL DECISIONS BY THE COMPENSATION COMMITTEE ARE DOCUMENTED IN THE MINUTES OF THE COMPENSATION COMMITTEE. THE HOSPITAL ENGAGED A THIRD PARTY TO PROVIDE A COMPARATIVE SALARY ANALYSIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Purchased Services - Total Expense: 12227198, Program Service Expense: 9781758, Management and General Expenses: 2445440, Fundraising Expenses: ; Physicians - Total Expense: 9915737, Program Service Expense: 7932590, Management and General Expenses: 1983147, Fundraising Expenses: ; Agency Fees - Total Expense: 2610963, Program Service Expense: 2088770, Management and General Expenses: 522193, Fundraising Expenses: ; Other - Total Expense: 58700, Program Service Expense: 46960, Management and General Expenses: 11740, Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THOREK MEMORIAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>850 W IRVING PARK ROAD</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60613</ZIPCd>
        </USAddress>
        <EIN>366124318</EIN>
        <PrimaryActivitiesTxt>SUPPORT THOREK MEMORIAL HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>THOREK MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>