CEO Report Debra D Carey Interim CEO

July 31 2020

COVID-19 Update

Latest Numbers

Confirmed Cases

DeathsTotal Tests Performed

Cook County (IDPH link)

102583 4830 1124530

Illinois (IDPH link)

171424 7398 2511567

US (CDC link)

4163892 145982 52942145

World (WHO link)

15785641 640016 NA

3

July 26 2020

COVID-19 Update

Latest Numbers

Confirmed Cases

DeathsTotal Tests Performed

Cook County (IDPH link)

102583 4830 1124530

Illinois (IDPH link)

171424 7398 2511567

US (CDC link)

4163892 145982 52942145

World (WHO link)

15785641 640016 NA

3

July 26 2020

Latest Numbers

Confirmed Cases

DeathsTotal Tests Performed

Cook County (IDPH link)

102583 4830 1124530

Illinois (IDPH link)

171424 7398 2511567

US (CDC link)

4163892 145982 52942145

World (WHO link)

15785641 640016 NA

3

July 26 2020

CCH COVID Testing

Test ResultTest

Count Percent

Negative 21479 86

Positive 3226 13

Undetermined 152 1

Grand Total 24857 100

4

All CCH Testing as of 72720

This slide represents all tests conducted at CCH If a patient was tested multiple times each test is counted

11119

356 362 406

541

890904

1022936

11251073 1085 1125

1182 1219

972

1530 1567 1526

9

33

65

60

62

55

41

37

2722

1413

7 54 3 4 3 4

40

17

34

51

68

0

400

800

1200

1600

Per

cen

t P

osi

tiv

e (O

ran

ge

Lin

e)

Tes

ts P

erfo

rmed

(B

lue

Ba

r)

CCH All Patients Tested vs Positive Rate

Patients Tested Positive Rate

COVID-19 Patient Testing Conducted across all CCH locations

5

Source Cerner COVID-19 Orders Mar 12020-July 25 2020

17951 patients have have been tested for COVID-19 through CCH

This slide represents unique patients tested

COVID-19 Positive Patients across all CCH Locations

6

Source Cerner COVID-19 Orders Mar 12020-July 25 2020

1

39

232217

253

300

366

336

273

207

157143

7855 45 35 36 40

63 56

0

50

100

150

200

250

300

350

400

2932 Patients Have Tested Positive

Cermak Update

Cermak Update

8

This graph illustrates the impact of testing availability As was true in the community our initial testing was constrained exclusively to symptomatic patients The availability expanded eventually to include patients without overt signs of infection and then to surveillance Testing continues to inform care and housing and plays a critical role in focused interventions and ongoing containment

The Importance of Testing

16

158114

135 154

460

387421

337

435

541

606

403

453416 403

532

481

000

1000

2000

3000

4000

5000

6000

7000

8000

9000

10000

0

100

200

300

400

500

600

700

Total Patients Tested By Week

NEGATIVE POSITIVE TOTAL POSITIVE

Cermak Update

bull Cermak remains our highest priority

bull Population continues to rise compressing

space to accommodate social distancing

bull If additional vacant space is reopened to

accommodate social distancing will require

additional staffing

bull Lower census has allowed for single celling

distancing and other mitigation strategies

that have led to containment

9

Feb29

March 31

April 29

May 31

June 30

July 27

Census 5555 4767 4124 4330 4617 4916

5555

4767

4124

4330

4617

4916

3000

3500

4000

4500

5000

5500

6000

Jail Census

Census

Feb 29 Mar 31 Apr 29 May 31 Jun 30 Jul 27

Source httpswwwcookcountysherifforgdata

11119

356 362 406

541

890904

1022936

11251073 1085 1125

1182 1219

972

1530 1567 1526

9

33

65

60

62

55

41

37

2722

1413

7 54 3 4 3 4

40

17

34

51

68

0

400

800

1200

1600

Per

cen

t P

osi

tiv

e (O

ran

ge

Lin

e)

Tes

ts P

erfo

rmed

(B

lue

Ba

r)

CCH All Patients Tested vs Positive Rate

Patients Tested Positive Rate

COVID-19 Patient Testing Conducted across all CCH locations

5

Source Cerner COVID-19 Orders Mar 12020-July 25 2020

17951 patients have have been tested for COVID-19 through CCH

This slide represents unique patients tested

COVID-19 Positive Patients across all CCH Locations

6

Source Cerner COVID-19 Orders Mar 12020-July 25 2020

1

39

232217

253

300

366

336

273

207

157143

7855 45 35 36 40

63 56

0

50

100

150

200

250

300

350

400

2932 Patients Have Tested Positive

Cermak Update

Cermak Update

8

This graph illustrates the impact of testing availability As was true in the community our initial testing was constrained exclusively to symptomatic patients The availability expanded eventually to include patients without overt signs of infection and then to surveillance Testing continues to inform care and housing and plays a critical role in focused interventions and ongoing containment

The Importance of Testing

16

158114

135 154

460

387421

337

435

541

606

403

453416 403

532

481

000

1000

2000

3000

4000

5000

6000

7000

8000

9000

10000

0

100

200

300

400

500

600

700

Total Patients Tested By Week

NEGATIVE POSITIVE TOTAL POSITIVE

Cermak Update

bull Cermak remains our highest priority

bull Population continues to rise compressing

space to accommodate social distancing

bull If additional vacant space is reopened to

accommodate social distancing will require

additional staffing

bull Lower census has allowed for single celling

distancing and other mitigation strategies

that have led to containment

9

Feb29

March 31

April 29

May 31

June 30

July 27

Census 5555 4767 4124 4330 4617 4916

5555

4767

4124

4330

4617

4916

3000

3500

4000

4500

5000

5500

6000

Jail Census

Census

Feb 29 Mar 31 Apr 29 May 31 Jun 30 Jul 27

Source httpswwwcookcountysherifforgdata

COVID-19 Positive Patients across all CCH Locations

6

Source Cerner COVID-19 Orders Mar 12020-July 25 2020

1

39

232217

253

300

366

336

273

207

157143

7855 45 35 36 40

63 56

0

50

100

150

200

250

300

350

400

2932 Patients Have Tested Positive

Cermak Update

Cermak Update

8

This graph illustrates the impact of testing availability As was true in the community our initial testing was constrained exclusively to symptomatic patients The availability expanded eventually to include patients without overt signs of infection and then to surveillance Testing continues to inform care and housing and plays a critical role in focused interventions and ongoing containment

The Importance of Testing

16

158114

135 154

460

387421

337

435

541

606

403

453416 403

532

481

000

1000

2000

3000

4000

5000

6000

7000

8000

9000

10000

0

100

200

300

400

500

600

700

Total Patients Tested By Week

NEGATIVE POSITIVE TOTAL POSITIVE

Cermak Update

bull Cermak remains our highest priority

bull Population continues to rise compressing

space to accommodate social distancing

bull If additional vacant space is reopened to

accommodate social distancing will require

additional staffing

bull Lower census has allowed for single celling

distancing and other mitigation strategies

that have led to containment

9

Feb29

March 31

April 29

May 31

June 30

July 27

Census 5555 4767 4124 4330 4617 4916

5555

4767

4124

4330

4617

4916

3000

3500

4000

4500

5000

5500

6000

Jail Census

Census

Feb 29 Mar 31 Apr 29 May 31 Jun 30 Jul 27

Source httpswwwcookcountysherifforgdata

Cermak Update

Cermak Update

8

This graph illustrates the impact of testing availability As was true in the community our initial testing was constrained exclusively to symptomatic patients The availability expanded eventually to include patients without overt signs of infection and then to surveillance Testing continues to inform care and housing and plays a critical role in focused interventions and ongoing containment

The Importance of Testing

16

158114

135 154

460

387421

337

435

541

606

403

453416 403

532

481

000

1000

2000

3000

4000

5000

6000

7000

8000

9000

10000

0

100

200

300

400

500

600

700

Total Patients Tested By Week

NEGATIVE POSITIVE TOTAL POSITIVE

Cermak Update

bull Cermak remains our highest priority

bull Population continues to rise compressing

space to accommodate social distancing

bull If additional vacant space is reopened to

accommodate social distancing will require

additional staffing

bull Lower census has allowed for single celling

distancing and other mitigation strategies

that have led to containment

9

Feb29

March 31

April 29

May 31

June 30

July 27

Census 5555 4767 4124 4330 4617 4916

5555

4767

4124

4330

4617

4916

3000

3500

4000

4500

5000

5500

6000

Jail Census

Census

Feb 29 Mar 31 Apr 29 May 31 Jun 30 Jul 27

Source httpswwwcookcountysherifforgdata

Cermak Update

8

This graph illustrates the impact of testing availability As was true in the community our initial testing was constrained exclusively to symptomatic patients The availability expanded eventually to include patients without overt signs of infection and then to surveillance Testing continues to inform care and housing and plays a critical role in focused interventions and ongoing containment

The Importance of Testing

16

158114

135 154

460

387421

337

435

541

606

403

453416 403

532

481

000

1000

2000

3000

4000

5000

6000

7000

8000

9000

10000

0

100

200

300

400

500

600

700

Total Patients Tested By Week

NEGATIVE POSITIVE TOTAL POSITIVE

Cermak Update

bull Cermak remains our highest priority

bull Population continues to rise compressing

space to accommodate social distancing

bull If additional vacant space is reopened to

accommodate social distancing will require

additional staffing

bull Lower census has allowed for single celling

distancing and other mitigation strategies

that have led to containment

9

Feb29

March 31

April 29

May 31

June 30

July 27

Census 5555 4767 4124 4330 4617 4916

5555

4767

4124

4330

4617

4916

3000

3500

4000

4500

5000

5500

6000

Jail Census

Census

Feb 29 Mar 31 Apr 29 May 31 Jun 30 Jul 27

Source httpswwwcookcountysherifforgdata

Cermak Update

bull Cermak remains our highest priority

bull Population continues to rise compressing

space to accommodate social distancing

bull If additional vacant space is reopened to

accommodate social distancing will require

additional staffing

bull Lower census has allowed for single celling

distancing and other mitigation strategies

that have led to containment

9

Feb29

March 31

April 29

May 31

June 30

July 27

Census 5555 4767 4124 4330 4617 4916

5555

4767

4124

4330

4617

4916

3000

3500

4000

4500

5000

5500

6000

Jail Census

Census

Feb 29 Mar 31 Apr 29 May 31 Jun 30 Jul 27

Source httpswwwcookcountysherifforgdata

Cook County Jail HousingExpanded footprint to achieve social distancing

10= pre-COVID = post-COVID

Public Health Update

COVID-19 Current Situation in CCDPH Jurisdiction

12

httpsccdphcdshinyappsiocovid19

Public Health Update

COVID-19 Current Situation in CCDPH Jurisdiction

12

httpsccdphcdshinyappsiocovid19

COVID-19 Current Situation in CCDPH Jurisdiction

12

httpsccdphcdshinyappsiocovid19

COVID-19 Response Activities

bull Contact trace new infections - existing contact tracing team has been tracing for COVID-19 since

late January prioritizing cases in young people hiring process underway for additional tracers

under the grant

bull Provide infection control guidance in long-term care facilities

bull Provide technical assistance

bull School webinar series to discuss state guidance and public health recommendations

bull Workplace violation follow up and information

bull Engage the community

bull Hotline and email

bull Website and Social Media

bull Partner meetings and community education

13

CCDPH continues to

Recommendations

CCDPH issued travel guidance on 71720

Any person entering suburban Cook County living in a high-incidence state or who visited the high-

incidence state for more than 24 hours is recommended to self-quarantine for 14 days after arrival

or for the duration of their stay in suburban Cook County whichever is shorter

bull List of states updated every Tuesday

In accordance with IDPH CCDPH plans to issue recommendations to mitigate

increases in community transmission especially among people 20-29

bull Limits on capacity in restaurants only outdoor in bars

bull Guidance and FAQS available on the CCDPH website

14

Travel and Community Mitigation

CCDPH COVID-19 Contact Tracing Initiative

bull $40 million grant for contact tracing program in suburban Cook County

bull Expands from current tracing staff from 25 to 400bull Initial 60 staff being hired through Hektoen Institute with balance hired directly by CCH

bull Capacity to trace at least 90 of all new cases each day within 24 hrs

bull Grant is for a one-year period from June 1 2020 ndash May 31 2021

bull 20 of grant funds will be distributed through competitive process to

community-based organizations to

bull Conduct outreach and education

bull Provide testing as well as additional contact tracing support and wrap around services

bull Create formal collaborations between agency and CCDPH to support surveillance and

enforcement of safe work practices

15

Program funding and administration

CCDPH jurisdiction is suburban Cook County exclusive of Evanston Oak Park Skokie Stickney Chicago

Department of Public Health will contact trace in Chicago

CCDPH COVID-19 Contact Tracing Initiative

bull Teams to be composed of individuals from suburban Cook

County communities most vulnerable to COVID-19 through economic

hardship and racial and ethnic discrimination

bull Working to create pathway for new healthcare jobscareers to help suburban

Cook County communities most vulnerable to COVID-19

bull Demand for jobs is great ndash over 10000 have submitted IDPHrsquos interest form

16

Hiring

CountyCare Update

CountyCare Update Impact of COVID on Medicaid

Source HMA ndash COVID-19 Impact on Medicaid Marketplace and Uninsured Enrollment by State

Note Cook County Percentage is based on current of total enrolled in IL at 47 and assumes the unemployment rate is evenly impacted across the state

As a Result of Economic Climate

18

Scenario Unemployment Rate

Pre-COVID 3

Low 10

Medium 175

High 25

Enrollment Total Enrolled

of IL

Cook County 1007849 47

Illinois Statewide

2143788 100

452000

729000

1033000

212440

342630

485510

-

200000

400000

600000

800000

1000000

1200000

LowUnemployment

Scenario

MediumUnemployment

Scenario

HighUnemployment

Scenario

Estimated Change in Insurance Coverage from COVID-Related Economic Downturn - Illinois

Illinois Total Cook County Percentage

Recommendations

CCDPH issued travel guidance on 71720

Any person entering suburban Cook County living in a high-incidence state or who visited the high-

incidence state for more than 24 hours is recommended to self-quarantine for 14 days after arrival

or for the duration of their stay in suburban Cook County whichever is shorter

bull List of states updated every Tuesday

In accordance with IDPH CCDPH plans to issue recommendations to mitigate

increases in community transmission especially among people 20-29

bull Limits on capacity in restaurants only outdoor in bars

bull Guidance and FAQS available on the CCDPH website

14

Travel and Community Mitigation

CCDPH COVID-19 Contact Tracing Initiative

bull $40 million grant for contact tracing program in suburban Cook County

bull Expands from current tracing staff from 25 to 400bull Initial 60 staff being hired through Hektoen Institute with balance hired directly by CCH

bull Capacity to trace at least 90 of all new cases each day within 24 hrs

bull Grant is for a one-year period from June 1 2020 ndash May 31 2021

bull 20 of grant funds will be distributed through competitive process to

community-based organizations to

bull Conduct outreach and education

bull Provide testing as well as additional contact tracing support and wrap around services

bull Create formal collaborations between agency and CCDPH to support surveillance and

enforcement of safe work practices

15

Program funding and administration

CCDPH jurisdiction is suburban Cook County exclusive of Evanston Oak Park Skokie Stickney Chicago

Department of Public Health will contact trace in Chicago

CCDPH COVID-19 Contact Tracing Initiative

bull Teams to be composed of individuals from suburban Cook

County communities most vulnerable to COVID-19 through economic

hardship and racial and ethnic discrimination

bull Working to create pathway for new healthcare jobscareers to help suburban

Cook County communities most vulnerable to COVID-19

bull Demand for jobs is great ndash over 10000 have submitted IDPHrsquos interest form

16

Hiring

CountyCare Update

CountyCare Update Impact of COVID on Medicaid

Source HMA ndash COVID-19 Impact on Medicaid Marketplace and Uninsured Enrollment by State

Note Cook County Percentage is based on current of total enrolled in IL at 47 and assumes the unemployment rate is evenly impacted across the state

As a Result of Economic Climate

18

Scenario Unemployment Rate

Pre-COVID 3

Low 10

Medium 175

High 25

Enrollment Total Enrolled

of IL

Cook County 1007849 47

Illinois Statewide

2143788 100

452000

729000

1033000

212440

342630

485510

-

200000

400000

600000

800000

1000000

1200000

LowUnemployment

Scenario

MediumUnemployment

Scenario

HighUnemployment

Scenario

Estimated Change in Insurance Coverage from COVID-Related Economic Downturn - Illinois

Illinois Total Cook County Percentage

CCDPH COVID-19 Contact Tracing Initiative

bull $40 million grant for contact tracing program in suburban Cook County

bull Expands from current tracing staff from 25 to 400bull Initial 60 staff being hired through Hektoen Institute with balance hired directly by CCH

bull Capacity to trace at least 90 of all new cases each day within 24 hrs

bull Grant is for a one-year period from June 1 2020 ndash May 31 2021

bull 20 of grant funds will be distributed through competitive process to

community-based organizations to

bull Conduct outreach and education

bull Provide testing as well as additional contact tracing support and wrap around services

bull Create formal collaborations between agency and CCDPH to support surveillance and

enforcement of safe work practices

15

Program funding and administration

CCDPH jurisdiction is suburban Cook County exclusive of Evanston Oak Park Skokie Stickney Chicago

Department of Public Health will contact trace in Chicago

CCDPH COVID-19 Contact Tracing Initiative

bull Teams to be composed of individuals from suburban Cook

County communities most vulnerable to COVID-19 through economic

hardship and racial and ethnic discrimination

bull Working to create pathway for new healthcare jobscareers to help suburban

Cook County communities most vulnerable to COVID-19

bull Demand for jobs is great ndash over 10000 have submitted IDPHrsquos interest form

16

Hiring

CountyCare Update

CountyCare Update Impact of COVID on Medicaid

Source HMA ndash COVID-19 Impact on Medicaid Marketplace and Uninsured Enrollment by State

Note Cook County Percentage is based on current of total enrolled in IL at 47 and assumes the unemployment rate is evenly impacted across the state

As a Result of Economic Climate

18

Scenario Unemployment Rate

Pre-COVID 3

Low 10

Medium 175

High 25

Enrollment Total Enrolled

of IL

Cook County 1007849 47

Illinois Statewide

2143788 100

452000

729000

1033000

212440

342630

485510

-

200000

400000

600000

800000

1000000

1200000

LowUnemployment

Scenario

MediumUnemployment

Scenario

HighUnemployment

Scenario

Estimated Change in Insurance Coverage from COVID-Related Economic Downturn - Illinois

Illinois Total Cook County Percentage

CCDPH COVID-19 Contact Tracing Initiative

bull Teams to be composed of individuals from suburban Cook

County communities most vulnerable to COVID-19 through economic

hardship and racial and ethnic discrimination

bull Working to create pathway for new healthcare jobscareers to help suburban

Cook County communities most vulnerable to COVID-19

bull Demand for jobs is great ndash over 10000 have submitted IDPHrsquos interest form

16

Hiring

CountyCare Update

CountyCare Update Impact of COVID on Medicaid

Source HMA ndash COVID-19 Impact on Medicaid Marketplace and Uninsured Enrollment by State

Note Cook County Percentage is based on current of total enrolled in IL at 47 and assumes the unemployment rate is evenly impacted across the state

As a Result of Economic Climate

18

Scenario Unemployment Rate

Pre-COVID 3

Low 10

Medium 175

High 25

Enrollment Total Enrolled

of IL

Cook County 1007849 47

Illinois Statewide

2143788 100

452000

729000

1033000

212440

342630

485510

-

200000

400000

600000

800000

1000000

1200000

LowUnemployment

Scenario

MediumUnemployment

Scenario

HighUnemployment

Scenario

Estimated Change in Insurance Coverage from COVID-Related Economic Downturn - Illinois

Illinois Total Cook County Percentage

CountyCare Update

CountyCare Update Impact of COVID on Medicaid

Source HMA ndash COVID-19 Impact on Medicaid Marketplace and Uninsured Enrollment by State

Note Cook County Percentage is based on current of total enrolled in IL at 47 and assumes the unemployment rate is evenly impacted across the state

As a Result of Economic Climate

18

Scenario Unemployment Rate

Pre-COVID 3

Low 10

Medium 175

High 25

Enrollment Total Enrolled

of IL

Cook County 1007849 47

Illinois Statewide

2143788 100

452000

729000

1033000

212440

342630

485510

-

200000

400000

600000

800000

1000000

1200000

LowUnemployment

Scenario

MediumUnemployment

Scenario

HighUnemployment

Scenario

Estimated Change in Insurance Coverage from COVID-Related Economic Downturn - Illinois

Illinois Total Cook County Percentage

CountyCare Update Impact of COVID on Medicaid

Source HMA ndash COVID-19 Impact on Medicaid Marketplace and Uninsured Enrollment by State

Note Cook County Percentage is based on current of total enrolled in IL at 47 and assumes the unemployment rate is evenly impacted across the state

As a Result of Economic Climate

18

Scenario Unemployment Rate

Pre-COVID 3

Low 10

Medium 175

High 25

Enrollment Total Enrolled

of IL

Cook County 1007849 47

Illinois Statewide

2143788 100

452000

729000

1033000

212440

342630

485510

-

200000

400000

600000

800000

1000000

1200000

LowUnemployment

Scenario

MediumUnemployment

Scenario

HighUnemployment

Scenario

Estimated Change in Insurance Coverage from COVID-Related Economic Downturn - Illinois

Illinois Total Cook County Percentage

CountyCare Impact (Growth Scenarios)

Conservative estimatehellip1220 membership = 348876

August 2020 Actual Membership = 368600

Middle Ground estimatehellip1220 membership = 369126

High estimatehellip1220 membership = 384759

19

Impact of COVID on CountyCare

Operational Updates

Operational Update

bull Rebuilding clinical volumes is a priority

bull Voluntary Travel Guidelines issued following order by CDPH and guidance by CCDPH

Travel guidelines impacting staffing

bull Resurgence Committee meeting regularly

bull Major focuses PPE planning and training lessons learned

bull Leadership looking at impact of remote learning on staffing and the ongoing provision of clinical

services

bull Command Center remains open

bull Leadership developing a plan to further address health disparities

21

CCH Health Prior 13 Month Admissions - FY 2020

22

-

200

400

600

800

1000

1200

1400

1600

1800

May-19 Jun-19 Jul-19 Aug-19 Sep-19 Oct-19 Nov-19 Dec-19 Jan-20 Feb-20 Mar-20 Apr-20 May-20

Actual 1439 1229 1475 1530 1466 1510 1439 1509 1570 1389 1276 1062 1258

Budget 1464 1324 1322 1353 1224 1287 1135 1261 1389 1247 1443 1347 1439

CCH Health Prior 13 Month Adjusted Patient Days- FY 2020

23

-

5000

10000

15000

20000

25000

May-19 Jun-19 Jul-19 Aug-19 Sep-19 Oct-19 Nov-19 Dec-19 Jan-20 Feb-20 Mar-20 Apr-20 May-20

Actual 20862 21471 21579 22099 22837 21378 20701 22821 23039 21267 19886 14916 17269

Budget 19830 18471 17856 19936 19137 19057 17966 20147 21952 18291 20385 19530 20862

Patient Activity Indicators ndash May 2020

5000

15000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

ER Visits

2020Target 2019 Actual 2020 Actual

FY2020 YTD 65304 FY2019 YTD 61485FY2020 Target 61485

10000

40000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

Specialty Care Visits

2020 Target 2019 Actual 2020 Actual

FY2020 YTD 157993FY2019 YTD 140614FY2020 Target 146239

10000

30000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

Primary Care Visits

2020 Target 2019 Actual 2020 Actual

FY2020 YTD 127378FY2019 YTD 96483FY2020 Target 100342

100

2000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

Surgery

2020 Target 2019 Actual 2020 Actual

FY2020 YTD 6362FY2019 YTD 5991FY2020 Target 6530

24

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

Telephone

In Person

COVID-19 Telehealth Implementation

25

Source Cerner Appointment Data Feb 232020-July 25 2020

85349 telehealth visits have been completed

March 19TeleHealthExec Order

2068 2039 2093

1633

1252

990 1027 1066 11071015 1085 1032 1011

1094 10621236 1252 1278 1206

1380 1342 1360

0

500

1000

1500

2000

2500

Stroger Emergency Department Volume

COVID-19 Emergency Department Impact

26

Source Cerner Appointment Data Feb 232020-July 25 2020

bull Pre-COVID averaged just over 2000 visits a weekbull COVID drastically reduced the volume dropping down to ~1000 visitsweek April-Maybull ED Volume started increasing in June now up to just under 1400 visitsweek

COVID-19 Revenue Impact bull Altered operations and service offering on March 16

bull Significant volumepatient revenue decline

bull Charges Per Calendar Day

bull Net Patient Revenue Loss

bull Additional Funding Received

27

Revenue Loss Offset March April May June July Total

CARES Act Revenue Loss Offset -$ 18$ 59$ 44$ 31$ 152$

DSH Enhanced FMAP -$ 2$ 9$ 2$ 2$ 15$

BIPA Enhanced FMAP -$ -$ 12$ -$ -$ 12$

-$ 20$ 80$ 46$ 33$ 179$

Other Funding March April May June July Total

CARES Act Advance for cash flow -$ 28$ -$ -$ -$ 28$

Grant CCDPH Crisis Grant -$ -$ 1$ -$ -$ 1$

Dec 1 - Mar 15 Mar 16 - Jue 30 Change ChangeChargesDay 4811082$ 3380036$ (1431046)$ -30

March April May June Cummulative

Net Patient Service Revenue 31000509$ 19524573$ 23354890$ 26771217$ 100651190$

Net Patient Service Revenue - Budget 45485312$ 49649192$ 45485312$ 44661604$ 185281420$

Impact (14484803)$ (30124619)$ (22130422)$ (17890387)$ (84630230)$

CCH COVID-19 News

Cook County Health could face more layoffs as CEO search continues

July 23 2020 ndash Beckerrsquos Hospital Review

Cook County Health faces potential layoffs amidst COVID-19 pandemic

28

How six months of pandemic have changed Illinois foreverJuly 24 2020 ndash Crainrsquos Chicago

Amid virus uncertainty parents decide how to school kidsJuly 26 2020 ndash Washington PostDr Kiran Joshi co-lead of CCDPH weighs in on the value of in-person classroom instruction

Summer violence could overwhelm coronavirus precautions in Chicagos biggest jailJune 29 2020 ndash CNNDr Connie Mennella Chair of Correctional Health speaks about containing the COVID-19 outbreak at Cook County Jail where the rate of positive tests decreased from more than 90 in March to less than 1 today

How COVID-19 threatens health care in Cook CountyJuly 6 2020 ndash Modern HealthcareDebra Carey interim CEO at CCH discusses the financial impact COVID-19 has had on the health system and what it means for the future

Operational Updates

Operational Update

bull Rebuilding clinical volumes is a priority

bull Voluntary Travel Guidelines issued following order by CDPH and guidance by CCDPH

Travel guidelines impacting staffing

bull Resurgence Committee meeting regularly

bull Major focuses PPE planning and training lessons learned

bull Leadership looking at impact of remote learning on staffing and the ongoing provision of clinical

services

bull Command Center remains open

bull Leadership developing a plan to further address health disparities

21

CCH Health Prior 13 Month Admissions - FY 2020

22

-

200

400

600

800

1000

1200

1400

1600

1800

May-19 Jun-19 Jul-19 Aug-19 Sep-19 Oct-19 Nov-19 Dec-19 Jan-20 Feb-20 Mar-20 Apr-20 May-20

Actual 1439 1229 1475 1530 1466 1510 1439 1509 1570 1389 1276 1062 1258

Budget 1464 1324 1322 1353 1224 1287 1135 1261 1389 1247 1443 1347 1439

CCH Health Prior 13 Month Adjusted Patient Days- FY 2020

23

-

5000

10000

15000

20000

25000

May-19 Jun-19 Jul-19 Aug-19 Sep-19 Oct-19 Nov-19 Dec-19 Jan-20 Feb-20 Mar-20 Apr-20 May-20

Actual 20862 21471 21579 22099 22837 21378 20701 22821 23039 21267 19886 14916 17269

Budget 19830 18471 17856 19936 19137 19057 17966 20147 21952 18291 20385 19530 20862

Patient Activity Indicators ndash May 2020

5000

15000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

ER Visits

2020Target 2019 Actual 2020 Actual

FY2020 YTD 65304 FY2019 YTD 61485FY2020 Target 61485

10000

40000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

Specialty Care Visits

2020 Target 2019 Actual 2020 Actual

FY2020 YTD 157993FY2019 YTD 140614FY2020 Target 146239

10000

30000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

Primary Care Visits

2020 Target 2019 Actual 2020 Actual

FY2020 YTD 127378FY2019 YTD 96483FY2020 Target 100342

100

2000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

Surgery

2020 Target 2019 Actual 2020 Actual

FY2020 YTD 6362FY2019 YTD 5991FY2020 Target 6530

24

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

Telephone

In Person

COVID-19 Telehealth Implementation

25

Source Cerner Appointment Data Feb 232020-July 25 2020

85349 telehealth visits have been completed

March 19TeleHealthExec Order

2068 2039 2093

1633

1252

990 1027 1066 11071015 1085 1032 1011

1094 10621236 1252 1278 1206

1380 1342 1360

0

500

1000

1500

2000

2500

Stroger Emergency Department Volume

COVID-19 Emergency Department Impact

26

Source Cerner Appointment Data Feb 232020-July 25 2020

bull Pre-COVID averaged just over 2000 visits a weekbull COVID drastically reduced the volume dropping down to ~1000 visitsweek April-Maybull ED Volume started increasing in June now up to just under 1400 visitsweek

COVID-19 Revenue Impact bull Altered operations and service offering on March 16

bull Significant volumepatient revenue decline

bull Charges Per Calendar Day

bull Net Patient Revenue Loss

bull Additional Funding Received

27

Revenue Loss Offset March April May June July Total

CARES Act Revenue Loss Offset -$ 18$ 59$ 44$ 31$ 152$

DSH Enhanced FMAP -$ 2$ 9$ 2$ 2$ 15$

BIPA Enhanced FMAP -$ -$ 12$ -$ -$ 12$

-$ 20$ 80$ 46$ 33$ 179$

Other Funding March April May June July Total

CARES Act Advance for cash flow -$ 28$ -$ -$ -$ 28$

Grant CCDPH Crisis Grant -$ -$ 1$ -$ -$ 1$

Dec 1 - Mar 15 Mar 16 - Jue 30 Change ChangeChargesDay 4811082$ 3380036$ (1431046)$ -30

March April May June Cummulative

Net Patient Service Revenue 31000509$ 19524573$ 23354890$ 26771217$ 100651190$

Net Patient Service Revenue - Budget 45485312$ 49649192$ 45485312$ 44661604$ 185281420$

Impact (14484803)$ (30124619)$ (22130422)$ (17890387)$ (84630230)$

CCH COVID-19 News

Cook County Health could face more layoffs as CEO search continues

July 23 2020 ndash Beckerrsquos Hospital Review

Cook County Health faces potential layoffs amidst COVID-19 pandemic

28

How six months of pandemic have changed Illinois foreverJuly 24 2020 ndash Crainrsquos Chicago

Amid virus uncertainty parents decide how to school kidsJuly 26 2020 ndash Washington PostDr Kiran Joshi co-lead of CCDPH weighs in on the value of in-person classroom instruction

Summer violence could overwhelm coronavirus precautions in Chicagos biggest jailJune 29 2020 ndash CNNDr Connie Mennella Chair of Correctional Health speaks about containing the COVID-19 outbreak at Cook County Jail where the rate of positive tests decreased from more than 90 in March to less than 1 today

How COVID-19 threatens health care in Cook CountyJuly 6 2020 ndash Modern HealthcareDebra Carey interim CEO at CCH discusses the financial impact COVID-19 has had on the health system and what it means for the future

Operational Update

bull Rebuilding clinical volumes is a priority

bull Voluntary Travel Guidelines issued following order by CDPH and guidance by CCDPH

Travel guidelines impacting staffing

bull Resurgence Committee meeting regularly

bull Major focuses PPE planning and training lessons learned

bull Leadership looking at impact of remote learning on staffing and the ongoing provision of clinical

services

bull Command Center remains open

bull Leadership developing a plan to further address health disparities

21

CCH Health Prior 13 Month Admissions - FY 2020

22

-

200

400

600

800

1000

1200

1400

1600

1800

May-19 Jun-19 Jul-19 Aug-19 Sep-19 Oct-19 Nov-19 Dec-19 Jan-20 Feb-20 Mar-20 Apr-20 May-20

Actual 1439 1229 1475 1530 1466 1510 1439 1509 1570 1389 1276 1062 1258

Budget 1464 1324 1322 1353 1224 1287 1135 1261 1389 1247 1443 1347 1439

CCH Health Prior 13 Month Adjusted Patient Days- FY 2020

23

-

5000

10000

15000

20000

25000

May-19 Jun-19 Jul-19 Aug-19 Sep-19 Oct-19 Nov-19 Dec-19 Jan-20 Feb-20 Mar-20 Apr-20 May-20

Actual 20862 21471 21579 22099 22837 21378 20701 22821 23039 21267 19886 14916 17269

Budget 19830 18471 17856 19936 19137 19057 17966 20147 21952 18291 20385 19530 20862

Patient Activity Indicators ndash May 2020

5000

15000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

ER Visits

2020Target 2019 Actual 2020 Actual

FY2020 YTD 65304 FY2019 YTD 61485FY2020 Target 61485

10000

40000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

Specialty Care Visits

2020 Target 2019 Actual 2020 Actual

FY2020 YTD 157993FY2019 YTD 140614FY2020 Target 146239

10000

30000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

Primary Care Visits

2020 Target 2019 Actual 2020 Actual

FY2020 YTD 127378FY2019 YTD 96483FY2020 Target 100342

100

2000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

Surgery

2020 Target 2019 Actual 2020 Actual

FY2020 YTD 6362FY2019 YTD 5991FY2020 Target 6530

24

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

Telephone

In Person

COVID-19 Telehealth Implementation

25

Source Cerner Appointment Data Feb 232020-July 25 2020

85349 telehealth visits have been completed

March 19TeleHealthExec Order

2068 2039 2093

1633

1252

990 1027 1066 11071015 1085 1032 1011

1094 10621236 1252 1278 1206

1380 1342 1360

0

500

1000

1500

2000

2500

Stroger Emergency Department Volume

COVID-19 Emergency Department Impact

26

Source Cerner Appointment Data Feb 232020-July 25 2020

bull Pre-COVID averaged just over 2000 visits a weekbull COVID drastically reduced the volume dropping down to ~1000 visitsweek April-Maybull ED Volume started increasing in June now up to just under 1400 visitsweek

COVID-19 Revenue Impact bull Altered operations and service offering on March 16

bull Significant volumepatient revenue decline

bull Charges Per Calendar Day

bull Net Patient Revenue Loss

bull Additional Funding Received

27

Revenue Loss Offset March April May June July Total

CARES Act Revenue Loss Offset -$ 18$ 59$ 44$ 31$ 152$

DSH Enhanced FMAP -$ 2$ 9$ 2$ 2$ 15$

BIPA Enhanced FMAP -$ -$ 12$ -$ -$ 12$

-$ 20$ 80$ 46$ 33$ 179$

Other Funding March April May June July Total

CARES Act Advance for cash flow -$ 28$ -$ -$ -$ 28$

Grant CCDPH Crisis Grant -$ -$ 1$ -$ -$ 1$

Dec 1 - Mar 15 Mar 16 - Jue 30 Change ChangeChargesDay 4811082$ 3380036$ (1431046)$ -30

March April May June Cummulative

Net Patient Service Revenue 31000509$ 19524573$ 23354890$ 26771217$ 100651190$

Net Patient Service Revenue - Budget 45485312$ 49649192$ 45485312$ 44661604$ 185281420$

Impact (14484803)$ (30124619)$ (22130422)$ (17890387)$ (84630230)$

CCH COVID-19 News

Cook County Health could face more layoffs as CEO search continues

July 23 2020 ndash Beckerrsquos Hospital Review

Cook County Health faces potential layoffs amidst COVID-19 pandemic

28

How six months of pandemic have changed Illinois foreverJuly 24 2020 ndash Crainrsquos Chicago

Amid virus uncertainty parents decide how to school kidsJuly 26 2020 ndash Washington PostDr Kiran Joshi co-lead of CCDPH weighs in on the value of in-person classroom instruction

Summer violence could overwhelm coronavirus precautions in Chicagos biggest jailJune 29 2020 ndash CNNDr Connie Mennella Chair of Correctional Health speaks about containing the COVID-19 outbreak at Cook County Jail where the rate of positive tests decreased from more than 90 in March to less than 1 today

How COVID-19 threatens health care in Cook CountyJuly 6 2020 ndash Modern HealthcareDebra Carey interim CEO at CCH discusses the financial impact COVID-19 has had on the health system and what it means for the future

CCH Health Prior 13 Month Admissions - FY 2020

22

-

200

400

600

800

1000

1200

1400

1600

1800

May-19 Jun-19 Jul-19 Aug-19 Sep-19 Oct-19 Nov-19 Dec-19 Jan-20 Feb-20 Mar-20 Apr-20 May-20

Actual 1439 1229 1475 1530 1466 1510 1439 1509 1570 1389 1276 1062 1258

Budget 1464 1324 1322 1353 1224 1287 1135 1261 1389 1247 1443 1347 1439

CCH Health Prior 13 Month Adjusted Patient Days- FY 2020

23

-

5000

10000

15000

20000

25000

May-19 Jun-19 Jul-19 Aug-19 Sep-19 Oct-19 Nov-19 Dec-19 Jan-20 Feb-20 Mar-20 Apr-20 May-20

Actual 20862 21471 21579 22099 22837 21378 20701 22821 23039 21267 19886 14916 17269

Budget 19830 18471 17856 19936 19137 19057 17966 20147 21952 18291 20385 19530 20862

Patient Activity Indicators ndash May 2020

5000

15000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

ER Visits

2020Target 2019 Actual 2020 Actual

FY2020 YTD 65304 FY2019 YTD 61485FY2020 Target 61485

10000

40000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

Specialty Care Visits

2020 Target 2019 Actual 2020 Actual

FY2020 YTD 157993FY2019 YTD 140614FY2020 Target 146239

10000

30000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

Primary Care Visits

2020 Target 2019 Actual 2020 Actual

FY2020 YTD 127378FY2019 YTD 96483FY2020 Target 100342

100

2000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

Surgery

2020 Target 2019 Actual 2020 Actual

FY2020 YTD 6362FY2019 YTD 5991FY2020 Target 6530

24

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

Telephone

In Person

COVID-19 Telehealth Implementation

25

Source Cerner Appointment Data Feb 232020-July 25 2020

85349 telehealth visits have been completed

March 19TeleHealthExec Order

2068 2039 2093

1633

1252

990 1027 1066 11071015 1085 1032 1011

1094 10621236 1252 1278 1206

1380 1342 1360

0

500

1000

1500

2000

2500

Stroger Emergency Department Volume

COVID-19 Emergency Department Impact

26

Source Cerner Appointment Data Feb 232020-July 25 2020

bull Pre-COVID averaged just over 2000 visits a weekbull COVID drastically reduced the volume dropping down to ~1000 visitsweek April-Maybull ED Volume started increasing in June now up to just under 1400 visitsweek

COVID-19 Revenue Impact bull Altered operations and service offering on March 16

bull Significant volumepatient revenue decline

bull Charges Per Calendar Day

bull Net Patient Revenue Loss

bull Additional Funding Received

27

Revenue Loss Offset March April May June July Total

CARES Act Revenue Loss Offset -$ 18$ 59$ 44$ 31$ 152$

DSH Enhanced FMAP -$ 2$ 9$ 2$ 2$ 15$

BIPA Enhanced FMAP -$ -$ 12$ -$ -$ 12$

-$ 20$ 80$ 46$ 33$ 179$

Other Funding March April May June July Total

CARES Act Advance for cash flow -$ 28$ -$ -$ -$ 28$

Grant CCDPH Crisis Grant -$ -$ 1$ -$ -$ 1$

Dec 1 - Mar 15 Mar 16 - Jue 30 Change ChangeChargesDay 4811082$ 3380036$ (1431046)$ -30

March April May June Cummulative

Net Patient Service Revenue 31000509$ 19524573$ 23354890$ 26771217$ 100651190$

Net Patient Service Revenue - Budget 45485312$ 49649192$ 45485312$ 44661604$ 185281420$

Impact (14484803)$ (30124619)$ (22130422)$ (17890387)$ (84630230)$

CCH COVID-19 News

Cook County Health could face more layoffs as CEO search continues

July 23 2020 ndash Beckerrsquos Hospital Review

Cook County Health faces potential layoffs amidst COVID-19 pandemic

28

How six months of pandemic have changed Illinois foreverJuly 24 2020 ndash Crainrsquos Chicago

Amid virus uncertainty parents decide how to school kidsJuly 26 2020 ndash Washington PostDr Kiran Joshi co-lead of CCDPH weighs in on the value of in-person classroom instruction

Summer violence could overwhelm coronavirus precautions in Chicagos biggest jailJune 29 2020 ndash CNNDr Connie Mennella Chair of Correctional Health speaks about containing the COVID-19 outbreak at Cook County Jail where the rate of positive tests decreased from more than 90 in March to less than 1 today

How COVID-19 threatens health care in Cook CountyJuly 6 2020 ndash Modern HealthcareDebra Carey interim CEO at CCH discusses the financial impact COVID-19 has had on the health system and what it means for the future

CCH Health Prior 13 Month Adjusted Patient Days- FY 2020

23

-

5000

10000

15000

20000

25000

May-19 Jun-19 Jul-19 Aug-19 Sep-19 Oct-19 Nov-19 Dec-19 Jan-20 Feb-20 Mar-20 Apr-20 May-20

Actual 20862 21471 21579 22099 22837 21378 20701 22821 23039 21267 19886 14916 17269

Budget 19830 18471 17856 19936 19137 19057 17966 20147 21952 18291 20385 19530 20862

Patient Activity Indicators ndash May 2020

5000

15000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

ER Visits

2020Target 2019 Actual 2020 Actual

FY2020 YTD 65304 FY2019 YTD 61485FY2020 Target 61485

10000

40000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

Specialty Care Visits

2020 Target 2019 Actual 2020 Actual

FY2020 YTD 157993FY2019 YTD 140614FY2020 Target 146239

10000

30000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

Primary Care Visits

2020 Target 2019 Actual 2020 Actual

FY2020 YTD 127378FY2019 YTD 96483FY2020 Target 100342

100

2000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

Surgery

2020 Target 2019 Actual 2020 Actual

FY2020 YTD 6362FY2019 YTD 5991FY2020 Target 6530

24

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

Telephone

In Person

COVID-19 Telehealth Implementation

25

Source Cerner Appointment Data Feb 232020-July 25 2020

85349 telehealth visits have been completed

March 19TeleHealthExec Order

2068 2039 2093

1633

1252

990 1027 1066 11071015 1085 1032 1011

1094 10621236 1252 1278 1206

1380 1342 1360

0

500

1000

1500

2000

2500

Stroger Emergency Department Volume

COVID-19 Emergency Department Impact

26

Source Cerner Appointment Data Feb 232020-July 25 2020

bull Pre-COVID averaged just over 2000 visits a weekbull COVID drastically reduced the volume dropping down to ~1000 visitsweek April-Maybull ED Volume started increasing in June now up to just under 1400 visitsweek

COVID-19 Revenue Impact bull Altered operations and service offering on March 16

bull Significant volumepatient revenue decline

bull Charges Per Calendar Day

bull Net Patient Revenue Loss

bull Additional Funding Received

27

Revenue Loss Offset March April May June July Total

CARES Act Revenue Loss Offset -$ 18$ 59$ 44$ 31$ 152$

DSH Enhanced FMAP -$ 2$ 9$ 2$ 2$ 15$

BIPA Enhanced FMAP -$ -$ 12$ -$ -$ 12$

-$ 20$ 80$ 46$ 33$ 179$

Other Funding March April May June July Total

CARES Act Advance for cash flow -$ 28$ -$ -$ -$ 28$

Grant CCDPH Crisis Grant -$ -$ 1$ -$ -$ 1$

Dec 1 - Mar 15 Mar 16 - Jue 30 Change ChangeChargesDay 4811082$ 3380036$ (1431046)$ -30

March April May June Cummulative

Net Patient Service Revenue 31000509$ 19524573$ 23354890$ 26771217$ 100651190$

Net Patient Service Revenue - Budget 45485312$ 49649192$ 45485312$ 44661604$ 185281420$

Impact (14484803)$ (30124619)$ (22130422)$ (17890387)$ (84630230)$

CCH COVID-19 News

Cook County Health could face more layoffs as CEO search continues

July 23 2020 ndash Beckerrsquos Hospital Review

Cook County Health faces potential layoffs amidst COVID-19 pandemic

28

How six months of pandemic have changed Illinois foreverJuly 24 2020 ndash Crainrsquos Chicago

Amid virus uncertainty parents decide how to school kidsJuly 26 2020 ndash Washington PostDr Kiran Joshi co-lead of CCDPH weighs in on the value of in-person classroom instruction

Summer violence could overwhelm coronavirus precautions in Chicagos biggest jailJune 29 2020 ndash CNNDr Connie Mennella Chair of Correctional Health speaks about containing the COVID-19 outbreak at Cook County Jail where the rate of positive tests decreased from more than 90 in March to less than 1 today

How COVID-19 threatens health care in Cook CountyJuly 6 2020 ndash Modern HealthcareDebra Carey interim CEO at CCH discusses the financial impact COVID-19 has had on the health system and what it means for the future

Patient Activity Indicators ndash May 2020

5000

15000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

ER Visits

2020Target 2019 Actual 2020 Actual

FY2020 YTD 65304 FY2019 YTD 61485FY2020 Target 61485

10000

40000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

Specialty Care Visits

2020 Target 2019 Actual 2020 Actual

FY2020 YTD 157993FY2019 YTD 140614FY2020 Target 146239

10000

30000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

Primary Care Visits

2020 Target 2019 Actual 2020 Actual

FY2020 YTD 127378FY2019 YTD 96483FY2020 Target 100342

100

2000

Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

Surgery

2020 Target 2019 Actual 2020 Actual

FY2020 YTD 6362FY2019 YTD 5991FY2020 Target 6530

24

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

Telephone

In Person

COVID-19 Telehealth Implementation

25

Source Cerner Appointment Data Feb 232020-July 25 2020

85349 telehealth visits have been completed

March 19TeleHealthExec Order

2068 2039 2093

1633

1252

990 1027 1066 11071015 1085 1032 1011

1094 10621236 1252 1278 1206

1380 1342 1360

0

500

1000

1500

2000

2500

Stroger Emergency Department Volume

COVID-19 Emergency Department Impact

26

Source Cerner Appointment Data Feb 232020-July 25 2020

bull Pre-COVID averaged just over 2000 visits a weekbull COVID drastically reduced the volume dropping down to ~1000 visitsweek April-Maybull ED Volume started increasing in June now up to just under 1400 visitsweek

COVID-19 Revenue Impact bull Altered operations and service offering on March 16

bull Significant volumepatient revenue decline

bull Charges Per Calendar Day

bull Net Patient Revenue Loss

bull Additional Funding Received

27

Revenue Loss Offset March April May June July Total

CARES Act Revenue Loss Offset -$ 18$ 59$ 44$ 31$ 152$

DSH Enhanced FMAP -$ 2$ 9$ 2$ 2$ 15$

BIPA Enhanced FMAP -$ -$ 12$ -$ -$ 12$

-$ 20$ 80$ 46$ 33$ 179$

Other Funding March April May June July Total

CARES Act Advance for cash flow -$ 28$ -$ -$ -$ 28$

Grant CCDPH Crisis Grant -$ -$ 1$ -$ -$ 1$

Dec 1 - Mar 15 Mar 16 - Jue 30 Change ChangeChargesDay 4811082$ 3380036$ (1431046)$ -30

March April May June Cummulative

Net Patient Service Revenue 31000509$ 19524573$ 23354890$ 26771217$ 100651190$

Net Patient Service Revenue - Budget 45485312$ 49649192$ 45485312$ 44661604$ 185281420$

Impact (14484803)$ (30124619)$ (22130422)$ (17890387)$ (84630230)$

CCH COVID-19 News

Cook County Health could face more layoffs as CEO search continues

July 23 2020 ndash Beckerrsquos Hospital Review

Cook County Health faces potential layoffs amidst COVID-19 pandemic

28

How six months of pandemic have changed Illinois foreverJuly 24 2020 ndash Crainrsquos Chicago

Amid virus uncertainty parents decide how to school kidsJuly 26 2020 ndash Washington PostDr Kiran Joshi co-lead of CCDPH weighs in on the value of in-person classroom instruction

Summer violence could overwhelm coronavirus precautions in Chicagos biggest jailJune 29 2020 ndash CNNDr Connie Mennella Chair of Correctional Health speaks about containing the COVID-19 outbreak at Cook County Jail where the rate of positive tests decreased from more than 90 in March to less than 1 today

How COVID-19 threatens health care in Cook CountyJuly 6 2020 ndash Modern HealthcareDebra Carey interim CEO at CCH discusses the financial impact COVID-19 has had on the health system and what it means for the future

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

Telephone

In Person

COVID-19 Telehealth Implementation

25

Source Cerner Appointment Data Feb 232020-July 25 2020

85349 telehealth visits have been completed

March 19TeleHealthExec Order

2068 2039 2093

1633

1252

990 1027 1066 11071015 1085 1032 1011

1094 10621236 1252 1278 1206

1380 1342 1360

0

500

1000

1500

2000

2500

Stroger Emergency Department Volume

COVID-19 Emergency Department Impact

26

Source Cerner Appointment Data Feb 232020-July 25 2020

bull Pre-COVID averaged just over 2000 visits a weekbull COVID drastically reduced the volume dropping down to ~1000 visitsweek April-Maybull ED Volume started increasing in June now up to just under 1400 visitsweek

COVID-19 Revenue Impact bull Altered operations and service offering on March 16

bull Significant volumepatient revenue decline

bull Charges Per Calendar Day

bull Net Patient Revenue Loss

bull Additional Funding Received

27

Revenue Loss Offset March April May June July Total

CARES Act Revenue Loss Offset -$ 18$ 59$ 44$ 31$ 152$

DSH Enhanced FMAP -$ 2$ 9$ 2$ 2$ 15$

BIPA Enhanced FMAP -$ -$ 12$ -$ -$ 12$

-$ 20$ 80$ 46$ 33$ 179$

Other Funding March April May June July Total

CARES Act Advance for cash flow -$ 28$ -$ -$ -$ 28$

Grant CCDPH Crisis Grant -$ -$ 1$ -$ -$ 1$

Dec 1 - Mar 15 Mar 16 - Jue 30 Change ChangeChargesDay 4811082$ 3380036$ (1431046)$ -30

March April May June Cummulative

Net Patient Service Revenue 31000509$ 19524573$ 23354890$ 26771217$ 100651190$

Net Patient Service Revenue - Budget 45485312$ 49649192$ 45485312$ 44661604$ 185281420$

Impact (14484803)$ (30124619)$ (22130422)$ (17890387)$ (84630230)$

CCH COVID-19 News

Cook County Health could face more layoffs as CEO search continues

July 23 2020 ndash Beckerrsquos Hospital Review

Cook County Health faces potential layoffs amidst COVID-19 pandemic

28

How six months of pandemic have changed Illinois foreverJuly 24 2020 ndash Crainrsquos Chicago

Amid virus uncertainty parents decide how to school kidsJuly 26 2020 ndash Washington PostDr Kiran Joshi co-lead of CCDPH weighs in on the value of in-person classroom instruction

Summer violence could overwhelm coronavirus precautions in Chicagos biggest jailJune 29 2020 ndash CNNDr Connie Mennella Chair of Correctional Health speaks about containing the COVID-19 outbreak at Cook County Jail where the rate of positive tests decreased from more than 90 in March to less than 1 today

How COVID-19 threatens health care in Cook CountyJuly 6 2020 ndash Modern HealthcareDebra Carey interim CEO at CCH discusses the financial impact COVID-19 has had on the health system and what it means for the future

2068 2039 2093

1633

1252

990 1027 1066 11071015 1085 1032 1011

1094 10621236 1252 1278 1206

1380 1342 1360

0

500

1000

1500

2000

2500

Stroger Emergency Department Volume

COVID-19 Emergency Department Impact

26

Source Cerner Appointment Data Feb 232020-July 25 2020

bull Pre-COVID averaged just over 2000 visits a weekbull COVID drastically reduced the volume dropping down to ~1000 visitsweek April-Maybull ED Volume started increasing in June now up to just under 1400 visitsweek

COVID-19 Revenue Impact bull Altered operations and service offering on March 16

bull Significant volumepatient revenue decline

bull Charges Per Calendar Day

bull Net Patient Revenue Loss

bull Additional Funding Received

27

Revenue Loss Offset March April May June July Total

CARES Act Revenue Loss Offset -$ 18$ 59$ 44$ 31$ 152$

DSH Enhanced FMAP -$ 2$ 9$ 2$ 2$ 15$

BIPA Enhanced FMAP -$ -$ 12$ -$ -$ 12$

-$ 20$ 80$ 46$ 33$ 179$

Other Funding March April May June July Total

CARES Act Advance for cash flow -$ 28$ -$ -$ -$ 28$

Grant CCDPH Crisis Grant -$ -$ 1$ -$ -$ 1$

Dec 1 - Mar 15 Mar 16 - Jue 30 Change ChangeChargesDay 4811082$ 3380036$ (1431046)$ -30

March April May June Cummulative

Net Patient Service Revenue 31000509$ 19524573$ 23354890$ 26771217$ 100651190$

Net Patient Service Revenue - Budget 45485312$ 49649192$ 45485312$ 44661604$ 185281420$

Impact (14484803)$ (30124619)$ (22130422)$ (17890387)$ (84630230)$

CCH COVID-19 News

Cook County Health could face more layoffs as CEO search continues

July 23 2020 ndash Beckerrsquos Hospital Review

Cook County Health faces potential layoffs amidst COVID-19 pandemic

28

How six months of pandemic have changed Illinois foreverJuly 24 2020 ndash Crainrsquos Chicago

Amid virus uncertainty parents decide how to school kidsJuly 26 2020 ndash Washington PostDr Kiran Joshi co-lead of CCDPH weighs in on the value of in-person classroom instruction

Summer violence could overwhelm coronavirus precautions in Chicagos biggest jailJune 29 2020 ndash CNNDr Connie Mennella Chair of Correctional Health speaks about containing the COVID-19 outbreak at Cook County Jail where the rate of positive tests decreased from more than 90 in March to less than 1 today

How COVID-19 threatens health care in Cook CountyJuly 6 2020 ndash Modern HealthcareDebra Carey interim CEO at CCH discusses the financial impact COVID-19 has had on the health system and what it means for the future

COVID-19 Revenue Impact bull Altered operations and service offering on March 16

bull Significant volumepatient revenue decline

bull Charges Per Calendar Day

bull Net Patient Revenue Loss

bull Additional Funding Received

27

Revenue Loss Offset March April May June July Total

CARES Act Revenue Loss Offset -$ 18$ 59$ 44$ 31$ 152$

DSH Enhanced FMAP -$ 2$ 9$ 2$ 2$ 15$

BIPA Enhanced FMAP -$ -$ 12$ -$ -$ 12$

-$ 20$ 80$ 46$ 33$ 179$

Other Funding March April May June July Total

CARES Act Advance for cash flow -$ 28$ -$ -$ -$ 28$

Grant CCDPH Crisis Grant -$ -$ 1$ -$ -$ 1$

Dec 1 - Mar 15 Mar 16 - Jue 30 Change ChangeChargesDay 4811082$ 3380036$ (1431046)$ -30

March April May June Cummulative

Net Patient Service Revenue 31000509$ 19524573$ 23354890$ 26771217$ 100651190$

Net Patient Service Revenue - Budget 45485312$ 49649192$ 45485312$ 44661604$ 185281420$

Impact (14484803)$ (30124619)$ (22130422)$ (17890387)$ (84630230)$

CCH COVID-19 News

Cook County Health could face more layoffs as CEO search continues

July 23 2020 ndash Beckerrsquos Hospital Review

Cook County Health faces potential layoffs amidst COVID-19 pandemic

28

How six months of pandemic have changed Illinois foreverJuly 24 2020 ndash Crainrsquos Chicago

Amid virus uncertainty parents decide how to school kidsJuly 26 2020 ndash Washington PostDr Kiran Joshi co-lead of CCDPH weighs in on the value of in-person classroom instruction

Summer violence could overwhelm coronavirus precautions in Chicagos biggest jailJune 29 2020 ndash CNNDr Connie Mennella Chair of Correctional Health speaks about containing the COVID-19 outbreak at Cook County Jail where the rate of positive tests decreased from more than 90 in March to less than 1 today

How COVID-19 threatens health care in Cook CountyJuly 6 2020 ndash Modern HealthcareDebra Carey interim CEO at CCH discusses the financial impact COVID-19 has had on the health system and what it means for the future

CCH COVID-19 News

Cook County Health could face more layoffs as CEO search continues

July 23 2020 ndash Beckerrsquos Hospital Review

Cook County Health faces potential layoffs amidst COVID-19 pandemic

28

How six months of pandemic have changed Illinois foreverJuly 24 2020 ndash Crainrsquos Chicago

Amid virus uncertainty parents decide how to school kidsJuly 26 2020 ndash Washington PostDr Kiran Joshi co-lead of CCDPH weighs in on the value of in-person classroom instruction

Summer violence could overwhelm coronavirus precautions in Chicagos biggest jailJune 29 2020 ndash CNNDr Connie Mennella Chair of Correctional Health speaks about containing the COVID-19 outbreak at Cook County Jail where the rate of positive tests decreased from more than 90 in March to less than 1 today

How COVID-19 threatens health care in Cook CountyJuly 6 2020 ndash Modern HealthcareDebra Carey interim CEO at CCH discusses the financial impact COVID-19 has had on the health system and what it means for the future

Additional Updates

US News amp World Reports

Stroger Hospital named High Performing Hospital for 2020-21

bull Heart Failure Care

bull Chronic Obstructive Pulmonary Disease (COPD)

High-performing organizations rank within the top 10 percent

nationally of a given specialty Hospitals that are high performing are

considered significantly better than the national average

30

Stroger Hospital

Media Dashboard June 25- July 25 2020

31

Total Number of Media Hits 84

Top 5 National Media Outlets1 MSN2 Yahoo News3 CNN4 Associated Press5 New York Times

1 Chicago Tribune2 CBS-2 News3 WGN-9 News4 Crainrsquos Chicago Business5 NBC-5 FOX-32 and WTTW

Most Common Topics1 Increase in opioid overdoses in

Cook County2 CDC study on dramatic decrease

in COVID-19 cases at jail3 Budget gap due to COVID-194 Importance of following public

health guidelines for COVID-195 COVID-19 research studies at CCH6 Travel restrictions due to COVID-

197 Hot weather8 Children and masking9 Fireworks safety10 Donations11 New CEO search12 Contact tracing

Media Outlet Type

Media Mentions by Department

25

26

5

44

Web Print Radio Television

0

5

10

15

20

25

Top 5 Local Media Outlets1 Chicago Tribune2 CBS-2 News3 WGN-9 News4 Crainrsquos Chicago Business5 NBC-5 FOX-32 and WTTW

US News amp World Reports

Stroger Hospital named High Performing Hospital for 2020-21

bull Heart Failure Care

bull Chronic Obstructive Pulmonary Disease (COPD)

High-performing organizations rank within the top 10 percent

nationally of a given specialty Hospitals that are high performing are

considered significantly better than the national average

30

Stroger Hospital

Media Dashboard June 25- July 25 2020

31

Total Number of Media Hits 84

Top 5 National Media Outlets1 MSN2 Yahoo News3 CNN4 Associated Press5 New York Times

1 Chicago Tribune2 CBS-2 News3 WGN-9 News4 Crainrsquos Chicago Business5 NBC-5 FOX-32 and WTTW

Most Common Topics1 Increase in opioid overdoses in

Cook County2 CDC study on dramatic decrease

in COVID-19 cases at jail3 Budget gap due to COVID-194 Importance of following public

health guidelines for COVID-195 COVID-19 research studies at CCH6 Travel restrictions due to COVID-

197 Hot weather8 Children and masking9 Fireworks safety10 Donations11 New CEO search12 Contact tracing

Media Outlet Type

Media Mentions by Department

25

26

5

44

Web Print Radio Television

0

5

10

15

20

25

Top 5 Local Media Outlets1 Chicago Tribune2 CBS-2 News3 WGN-9 News4 Crainrsquos Chicago Business5 NBC-5 FOX-32 and WTTW

Media Dashboard June 25- July 25 2020

31

Total Number of Media Hits 84

Top 5 National Media Outlets1 MSN2 Yahoo News3 CNN4 Associated Press5 New York Times

1 Chicago Tribune2 CBS-2 News3 WGN-9 News4 Crainrsquos Chicago Business5 NBC-5 FOX-32 and WTTW

Most Common Topics1 Increase in opioid overdoses in

Cook County2 CDC study on dramatic decrease

in COVID-19 cases at jail3 Budget gap due to COVID-194 Importance of following public

health guidelines for COVID-195 COVID-19 research studies at CCH6 Travel restrictions due to COVID-

197 Hot weather8 Children and masking9 Fireworks safety10 Donations11 New CEO search12 Contact tracing

Media Outlet Type

Media Mentions by Department

25

26

5

44

Web Print Radio Television

0

5

10

15

20

25

Top 5 Local Media Outlets1 Chicago Tribune2 CBS-2 News3 WGN-9 News4 Crainrsquos Chicago Business5 NBC-5 FOX-32 and WTTW