2024-11-15T13:17:45+00:00 2023-12-31 346565596 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE INDIANAPOLIS IN 462045100 990 2023-01-01 363637465 Hoopeston Community Memorial Hospital HOOP 2173833311 611 W PARK STREET URBANA IL 61801 DENNIS HESCH EXEC VP & CFO 2172835531 2024-11-15 true true Jennifer D Rhoderick P00395735 3176817000 2024-11-13 2023 2024-10-15 13:58:12Z X CARLE HOOPESTON REGIONAL HEALTH CTR DENNIS HESCH EXEC VP & CFO 611 W PARK ST URBANA IL 61801 72576568 false X www.carle.org X 1956 IL TO PROVIDE QUALITY HEALTH CARE AND OTHER MEDICALLY RELATED SERVICES AND EDUCATION TO THE COMMUNITY THROUGH THE OPERATION OF A CRITICAL ACCESS HOSPITAL AND RURAL HEALTH CLINICS. 7 3 376 0 0 0 1764884 1439589 68574377 70717419 -2148 -4704 233878 415751 70570991 72568055 39072 34636 0 39166987 37229600 0 0 33035873 34754316 72241932 72018552 -1670941 549503 25822835 26232610 13478264 12821169 12344571 13411441 SEE SCHEDULE O false false 69267373 34636 70728025 HOOPESTON COMMUNITY MEMORIAL HOSPITAL, DOING BUSINESS AS CARLE HOOPESTON REGIONAL HEALTH CENTER (CHRHC), A 24 BED CRITICAL ACCESS HOSPITAL LOCATED IN HOOPESTON, IL, SERVES HOOPESTON, VERMILION COUNTY AND THE SURROUNDING AREA. CHRHC EMPLOYS MORE THAN 300 STAFF MEMBERS AND 40 PROVIDERS. CHRHC IS COMMITTED TO PROVIDING QUALITY, DEPENDABLE HEALTH SERVICES. CHRHC OFFERS SPECIALTY SERVICES WITH CARDIOLOGY, ORTHOPEDICS, GYNECOLOGY, MENTAL HEALTH, UROLOGY AND DIAGNOSTIC SERVICES INCLUDING NUCLEAR MEDICINE, DIGITAL MAMMOGRAPHY, RADIOLOGY AND LABORATORY. EMERGENCY MEDICINE AND SURGICAL SERVICES ARE PROVIDED IN STATE OF THE ART FACILITIES. CHRHC PROVIDES ACCESS TO PRIMARY CARE WITH CLINICS IN HOOPESTON, ROSSVILLE, MILFORD, CISSNA PARK, DANVILLE, WATSEKA, TUSCOLA AND MATTOON, IL. CHRHC HAS BEEN DEDICATED TO CARING FOR THOSE IN THE AREA FOR OVER 60 YEARS. 69267373 true true false true false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false true false false false false false false true true true false false true 15 0 true 376 true false false false false false false false false false false false false X 7 3 true false true false true true true true true false false true true true true true true false false false IL X X DENNIS HESCH EXEC VP & CFO 2173833311 611 W PARK STREET URBANA IL 61801 Karla Coon Chair 1.0 0.0 X X 0 0 0 Sally Salmons MD Vice Chair 8.0 32.0 X X 0 572407 72879 William Nicholls Secretary/Treasurer 1.0 0.0 X X 0 0 0 Allison Slocum Trustee & VP, Corporate Integrity Officer 1.0 39.0 X 0 288344 24250 Larry Baughn Trustee 1.0 0.0 X 0 0 0 Laura Williams Trustee 1.0 0.0 X 0 0 0 Rachel Kloth Trustee BEG 07/01/2023 1.0 0.0 X 0 0 0 Dennis Hesch Officer - EVP, Chief Finance & Strategy Officer 1.0 39.0 X 0 1395995 366889 Elizabeth Angelo DNP RN-BC Officer - President, Carle Health - East Region // Chief Nursing Officer 1.0 39.0 X 0 722013 95920 James C Leonard MD Officer - President & CEO 0.5 39.5 X 0 5690001 36885 Matthew Kolb JD MHA Officer - President, Carle Health Regions // EVP, Chief Operating Officer 1.0 39.0 X 0 1567332 363305 Napoleon Knight MD MBA Officer - EVP, Chief Medical Officer 1.0 39.0 X 0 940875 115459 Caleb Miller SVP, Surgical Services & Ambulatory Care 1.0 39.0 X 0 654000 124899 David Chan MD Associate Chief Medical Director, Acute Care & Children's Services 1.0 39.0 X 0 580503 25540 Heather Tucker Hospital Administrator 40.0 0.0 X 222592 0 32469 Jason Hirschi VP, Primary Care 10.0 30.0 X 0 216198 39688 Kayla Banks PhD Interim Chancellor, Methodist College 10.0 30.0 X 0 416293 66749 Lauren Schmid MBA EVP, Chief Human Resources Officer 1.0 39.0 X 0 945711 209640 Luke Sullivan VP, Specialty Care Services 10.0 30.0 X 0 445761 70714 Nicholas Crompton VP, Construction & Facility Services 1.0 39.0 X 0 364372 68059 Timothy Meneely DO Medical Director, Carle at the Riverfront 39.0 1.0 X 0 447321 102963 Allan Vega Nurse Practitioner 40.0 0.0 X 178762 0 3404 Angela Rome Quality Outcomes Coordinator 40.0 0.0 X 195421 0 33352 Contessa Wilson Pharmacist 40.0 0.0 X 196514 0 19540 Kayla Blundy Nurse Practitioner 40.0 0.0 X 241969 0 5467 Russia Vega Nurse Practitioner 40.0 0.0 X 191656 0 28358 Blair Rowitz MD Former - Key Employee 0.0 40.0 X 0 704507 37479 Charles Dennis MD Former - Key Employee 0.0 40.0 X 0 283640 35014 Douglas Morton MD Former - Key Employee 0.0 40.0 X 0 726084 25540 Ikechukwu Uzoaru MD Former - Key Employee 0.0 40.0 X 0 757720 27770 Kenneth Aronson MD Former - Key Employee 0.0 40.0 X 0 674881 36405 Laurence Fallon JD Former - Key Employee 0.0 40.0 X 0 926444 234361 Lesly Whitlow Former - Key Employee 0.0 40.0 X 0 385539 46495 1226914 19705941 2349493 54 true true false Hoopeston Emergency Medicine S PO Box 5977 Carol Stream IL 601975977 Staffing Services 1768663 Abbott Lab PO Box 92679 Chicago IL 606752679 Medical Lab Services 265367 Crosspoint Human Services 210 Avenue C Danville IL 61832 Staffing Services 198382 Sentry Data Systems Inc PO Box 505353 St Louis MO 631505353 Pharmacy Software Maintenance 123000 Medical Alliance Insurance Co 28206 Network Place Chicago IL 606731282 Insurance Coverage 120143 6 16211 1423378 1439589 NET PATIENT SERVICES 622110 70717419 70717419 0 0 0 0 70717419 7762 3809 3953 0 3953 3953 4704 0 -4704 -4704 -4704 PERPETUAL TRUST INCOME 900099 252074 252074 COFFEE SHOP 722212 136667 136667 Patient Billing Interest 900099 13777 10606 3171 9280 0 0 9280 411798 72568055 70728025 0 400441 34636 34636 232276 232276 384492 384492 30500218 30048583 451635 308838 308838 3818821 3578924 239897 1984955 1892059 92896 10183 10183 6349260 6204087 145173 0 10264 119 10145 1271407 1076884 194523 400698 378030 22668 2846375 2536571 309804 87745 75516 12229 23659 23659 136418 136418 1459579 977801 481778 368350 246036 122314 INTERNAL MANAGEMENT FEES 13406161 12844898 561263 PATIENT CARE SUPPLIES 6468265 6468265 Provider Assessment Tax & OTHER TAXES 1768031 1768031 NON-PHYSICIAN RECRUITMENT 51250 51250 96671 0 96671 0 72018552 69267373 2751179 0 7652 262294 6007522 6904194 0 0 0 0 176221 193624 30361275 19980318 11001872 10380957 0 0 4444690 4444690 4184878 4046851 25822835 26232610 3389504 3645194 550792 0 0 0 3482780 3045007 6055188 6130968 13478264 12821169 X 8470830 9447573 3873741 3963868 12344571 13411441 25822835 26232610 X 549503 517367 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 10183 10183 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY $10,183 - Portion of miscellaneous health care organization dues attributable to lobbying 110211 110211 12757068 7447165 5309903 1737515 1734361 3154 13823379 9874323 3949056 1933102 924469 1008633 10380957 LONG TERM INVESTMENTS 3928035 NET RIGHT-OF-USE ASSETS 75711 DEVL LIMITED ASSETS 35832 INCOME TAX RECEIVABLE 7273 4046851 ACCOUNTS PAYABLE - MEDICARE 2814322 HRHC / FNDN NOTES PAYABLE 2065356 DUE TO BLUE CROSS 684013 MISC LIABILITIES 336389 ASSET RETIREMENT OBLIGATION 149893 OPERATING & FINANCE LEASE LIAB 80995 6130968 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENTS RECOGNITION OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED OR RECORDED AS A LIABILITY AS OF DECEMBER 31, 2023 AND 2022. true true X true X true X true true false false 1464421 0 1464421 0.0203 20519415 16351663 4167752 0.0579 0 0.0 0 0 21983836 16351663 5632173 0.0782 15170 0 15170 0.0002 0 0.0 0 0.0 0 0.0 23655 0 23655 0.0003 0 0 38825 0 38825 0.0005 0 0 22022661 16351663 5670998 0.0787 0 0.0 0 0.0 5280 5280 0.0001 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 5280 0 5280 0.0001 true 1563905 781953 20975565 32117609 -11142044 X true true 1 1 Carle Hoopeston Regional Health Center 701 E ORANGE ST HOOPESTON IL 609421801 https://carle.org/locations/carle-hoopeston-regional-health-center 0004200 X X X X Carle Hoopeston Regional Health Center 1 false false true X X X X X X X X X 22 true true true true X HTTPS://CARLE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS X HTTPS://X.OSFHEALTHCARE.ORG/PATIENTS-VISITORS/ABOUT/COMMUNITY-HEALTH X true 22 true HTTPS://CARLE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS false true X 200.0 400.0 X true true X X true X SEE SCHEDULE H, PART VI X SEE SCHEDULE H, PART VI X SEE SCHEDULE H, PART VI X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Carle Hoopeston Regional Health Center. The Vermilion County Community Health Needs Assessment is a collaborative undertaking by the Vermilion County Executive group (Carle Hoopeston Regional Health Center, OSF Sacred Heart Medical Center, United Way of Danville Area, Vermilion County Mental Health Board, and Vermilion County Public Health Department). Through this needs assessment, collaborative community partners have identified numerous health issues impacting individuals and families in the Vermilion County region. Several themes are prevalent in this health-needs assessment - the demographic composition of the Vermilion County region, the predictors for and prevalence of diseases, leading causes of mortality, accessibility to health services and healthy behaviors. Results from this study can be used for strategic decision-making purposes as they directly relate to the health needs of the community. The study was designed to assess issues and trends impacting the communities served by the collaborative, as well as perceptions of targeted stakeholder groups. This study includes a detailed analysis of secondary data to assess information regarding the health status of the community. In order to perform these analyses, information was collected from numerous secondary sources, including publicly available sources as well as private sources of data. Additionally, primary data were collected for the general population and the at-risk or economically disadvantaged population. Areas of investigation included perceptions of the community health issues, unhealthy behaviors, issues with quality of life, healthy behaviors and access to medical care, dental care, prescription medications and mental-health counseling. Additionally, demographic characteristics of respondents were utilized to provide insights into why certain segments of the population responded differently. Ultimately, the identification and prioritization of the most important health-related issues in the Vermilion County region were identified. The collaborative team considered health needs based on: (1) magnitude of the issue (i.e., what percentage of the population was impacted by the issue); (2) severity of the issue in terms of its relationship with morbidities and mortalities; (3) potential impact through collaboration. The 2022 Community Health Needs Assessment was approved and adopted by Board of Trustees on October 27, 2022. The 2023-2025 Community Benefit Implementation Plan was adopted and approved by the Board of Trustees on October 27, 2022. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Carle Hoopeston Regional Health Center. OSF HEALTHCARE SACRED HEART MEDICAL CENTER, DANVILLE, ILLINOIS Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Carle Hoopeston Regional Health Center. Vermilion County Health Department (Danville, Vermilion County, Illinois) Vermilion County Mental Health Board (Danville, Vermilion County, Illinois) United Way of Danville, Illinois Area (Danville, Vermilion County, Illinois) Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Carle Hoopeston Regional Health Center. Health Needs Selected Using a modified version of the Hanlon Method, four significant health needs were identified and determined to have equal priority: 1. Violence 2. Income/Poverty 3. Healthy Behaviors 4. Behavioral Health Behavioral Health: Description of Priority Area: Behavioral health issues continue to be an issue across the county. Lack of resources, funding, and stigma contribute to the issue in Vermilion County. According to County Health Rankings, the ratio of the county population in Vermilion County to the number of mental health providers in 2023 was 260:1, a slight increase from recent years. This number is better than the State of Illinois national ratio of 320:1. The number of suicides in Vermilion County has increased every year for the past four years in Vermilion County, with 19 in 2023, the number of 211 calls in Vermilion County continue to increase, and aggregate data on drug-related overdose deaths maintains high in Vermilion County. When asked to identify health concerns other than chronic disease, survey respondents identified mental health as a priority. When combined with drug/substance abuse, the behavioral health priority area was deemed essential to creating a healthier community. By educating community partners on early identification of behavioral health conditions, increasing awareness of behavioral services and decreasing the stigma associated with seeking services, behavioral health improvement will be brought to the forefront of health priority in Vermilion County. Implementation Plan - Anticipated Impact & Plan to Evaluate: Carle Hoopeston Regional Health Center, in partnership with the Carle Health system, will pursue these initiatives to address behavioral health in Vermilion County: 1. Increase access to behavioral health care by working to increase the number of behavioral health providers, LCSWs, X-wavered physicians in Vermilion County. 2. Institute mental health medical care in Carle primary care offices in Vermilion County. 3. Establish and launch a new telehealth service focused on Behavioral Health for residents in Vermilion County, allowing residents to connect with world-class care from their home. 4. Continue partnering with Iroquois Mental Health to offer mental and behavioral health programs in Hoopeston at our outpatient facility. 5. Increase medication assisted therapies availability using Carle Health's Mobile Health Clinic in Vermilion County. 6. Continue to support Mental Health First Aid Trainings by supporting the Vermilion County Mental Health Board, while extending virtual opportunities to the community through Carle Community Health Initiatives. 7. Work to coordinate outreach and efforts to co-hire NPPs with local partners in Vermilion County. 8. Provide donations and in-kind support to community and school-based programs that improve access to mental health programming. Evaluation of Prior Impact: In response to the identified health need, Carle Hoopeston Regional Health Center took the following actions: - While the X Waiver is no longer technically an application requirement under the State of Illinois, Carle Hoopeston Regional Health Center continues to provide significant addiction medication recovery options for the Vermilion County population. - In 2023, Carle Hoopeston Regional Health Regional Health Center maintained a psychiatry residency program, working to respond to this critical need. - Carle Hoopeston Regional Health Center, in collaboration with the Carle Health system, established a mobile health/behavioral health mobile unit specifically focused on Vermilion County, beginning in 2023, and expanding into 2024. - Carle is supporting a funding increase in staff at Crosspoint Human Services, a local behavioral health provider, with funds won in an Illinois HFS grant. - Carle Hoopeston Regional Health Center, in partnership with the Carle Health system, provided Progressive Ag Safety Days in 2023, where patients and community members can learn about farm and rural living safety. - Carle Hoopeston Regional Health Center, in partnership with the Carle Health System Center for Rural and Farm Safety, wrote and distributed through Vermilion County Farm Bureaus Wellness Works articles every month in 2023, providing updates and information on farm safety and rural community behavioral health safety. - CHRHC completed 2 ECHO OUD cohorts to address rural MOUD desserts. - CHRHC finalized details for Mobile Unit design and assembly, with delivery in 2024. - Conducted training / education for Georgetown - Ridge Farm school district staff development day. - CHRHC distributed Narcan throughout the county in partnership with public health, and undertook work to promote drug take back day activities with local partners. - CHRHC facilitated Vermilion County ROSC (Recovery Oriented System of Care) development and formation in 2023. - In 2023, CHRHC hired behavioral health outreach staff dedicated to Vermilion County. Violence: Description of Priority Area: National data shows that gun violence has been a chronic issue over the past decade and that some cities have seen recent surges in shootings. There is evidence of the harmful effects of violence on child development, the longterm health of affected populations, and the economic development of entire communities. Over the last several years, the number of violent crimes, especially gunrelated, have increased in Vermilion County. Respondents of the community health survey of 2022 identified Violence as a priority in Vermilion County. In most recent data, there were 20 firearm related deaths per 100,000 people; this is significantly higher than the Illinois and national average of 13 and has increased in recent years. Implementation Plan - Anticipated Impact & Plan to Evaluate: Carle Hoopeston Regional Health Center, in partnership with the Carle Health system, will pursue these initiatives to reduce substance violence in the community: 1. Continue screening at points of entry into Carle systems in Vermilion County for signals of abuse, neglect, gun safety, and more violence related indicators to identify and act proactively on signals of violent households and make linkages to supportive community services. 2. Investigate and advocate for seniors experiencing physical, social isolation, or financial abuse through partnership with Carle Health CRIS Healthy Aging Center. 3. Provide financial support to organizations who mission and programming addresses violence and focuses on keeping children active in healthy, organized, and supervised activities. 4. Document and track violence in workplace settings to better inform the community about violent instances at healthcare facilities, and how to better protect those who provide critical care. 5. Continue to provide in-kind support from Carle Health leadership to participate in the Vermilion County Violence Coalition. Evaluation of Prior Impact In response to the identified health need, Carle Hoopeston Regional Health Center took the following actions: -Ensured routine and thorough screenings at points of entry for signals of abuse, neglect, gun safety, and violence. -Through partnership with the CRIS Center for Health Aging, Carle Hoopeston Regional Health Center investigated and advocated for seniors experiencing physical, social isolation, or financial abuse. -Carle Hoopeston Regional health Center provided $3,750 to organizations address violence in communities, including the Survivor Resource Center and DARE. Income/Poverty: Description of Priority Area: According to recent Census data, over 18% percent of Vermilion County residents live in poverty, and 13% of Vermilion County residents are expected to experience food insecurity. Research has shown people living in poverty can face greater barriers accessing medical care, less likely to have health insurance, have less access to healthy foods, which contribute to higher rates of obesity and chronic disease. Poor health can limit one's ability to work, reduce economic opportunities, inhibit educational attainment, and lead to medical debt and bankruptcy. Residents identified income/poverty as a high area of concern as did community stakeholders who described their focus on educational advancement and increased awareness of community resources that offer assistance. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - Carle Hoopeston Regional Health Center (CONTINUED). Implementation Plan - Anticipated Impact & Plan to Evaluate: Carle Hoopeston Regional Health Center. In partnership with the Carle Health system, will pursue these initiatives to address income disparities and poverty in the community: 1. Offer healthcare career/job fairs for high school students in Vermilion County. 2. Establish mentoring programs between Carle staff and students at Carle Hoopeston Regional Health Center, Carle at the Riverfront, and other Carle entities in Vermilion County. 3. Commit to the finalization of the Carle at the Riverfront project, while increasing natural economic development opportunities - opportunities for jobs, and a safe place in Vermilion County to receive education and care. 4. Offer financial literacy assistance education and tax assistance for seniors through partnership with Carle Health CRIS Healthy Aging Center. 5. Evaluate expansion of the Population Health care model in Vermilion County based on the successes in the Champaign County region. 6. Continue to provide leadership time in-kind on the Income/Poverty workgroup through StepUp Vermilion County. 7. Assist seniors in remaining independent and relieving stresses associated with budgeting on a limited income through the Money Management Program through partnership with Carle Health CRIS Healthy Aging Center. 8. Offer counseling to connect seniors with services including Senior Health Insurance Program (SHIP), Medicare, Medicaid, Medicare Savings Program (MSP), Low Income Subsidy (LIS), Housing, Phones, Funding for various services, Benefit Access Applications (license plate discounts, free bus pass), Senior Farmers' Market Nutrition Program (SFMNP), VITA-TCE certified tax assistance, Alliance for information and referral system (AIRS) certified referrals through partnership with Carle Health CRIS Healthy Aging Center. 9. Continue the commitment of Carle Hoopeston Regional Health Center's leadership's involvement on community boards and commissions which focus on addressing issues of income/poverty, and racial and social determinants of health. 10. Continue Carle Hoopeston Regional Health Center's financial commitment to school districts in Vermilion County- Parent Teacher Organizations (PTO), response-to intervention programs (RTI) - direct intervention programs working with children, and programs that focus on income and poverty disparities in families. 11. Carle Hoopeston Regional Health Center will continue to ensure care is available for all that need through its System Financial Assistance program by working diligently in Medicaid enrollment assistance, Social Work focused on Vermilion County and entire Hoopeston region. 12. Carle Hoopeston Regional Health Center will address food insecurity, will work on establishing community access to healthy food access, and work towards healthy foods rx. 13. Expand prescription for nutrition program and food access through Carle's Mobile Health Clinic. Evaluation of Prior Impact In response to the identified health need, Carle Hoopeston Regional Health Center took the following actions: -CHRHC hosted multiple healthcare-focused career/job fair in Vermilion County in 2023. It was well attended by teachers and students in Vermilion County. This will be an annual event. -Carle Hoopeston Regional Health Center continued to work on establishing mentoring programs with local school districts. This was not completed in 2023, but work underway. -Carle Health completed and began moving into the Carle at the Riverfront project, a significant investment in downtown Danville, in Vermilion County. This commitment to economic development and community impact has had a visible halo effect in downtown and the surrounding communities in Vermilion County. Healthy Behaviors: Description of Priority Area: Like many communities in the United States, obesity and obesity related illnesses continue to be a concern in Vermilion County. Obesity is associated with poorer mental health outcomes, reduced quality of life, and the leading cause of death in the U.S. and worldwide, through contributing to heart disease, stroke, diabetes and some types of cancer. According to the most recent County Health Rankings for Vermilion County, 38% of adults in Vermilion County are obese, higher than the Illinois average of 34%. In the 2022 CHNA survey, respondents indicated that being overweight was the second most important health issue and was rated as the most prevalently diagnosed health condition. Research strongly suggests that obesity is a significant problem facing youth and adults nationally, in Illinois, and within Vermilion County. A healthy lifestyle, comprised of regular physical activity and balanced diet, has been shown to increase physical, mental and emotional well-being. In Vermilion County, 31% of adults are subject to physical inactivity, while access to healthy exercise opportunities sit at 68%, lower than both Illinois and the US. A healthy lifestyle, comprised of a proper diet, has been shown to increase physical, mental, and emotional well-being. Consequently, nutrition and diet are critical to preventative care. Over two-thirds (69%) of residents report no consumption or low consumption (1-2 servings per day) of fruits and vegetables per day. Implementation Plan - Anticipated Impact & Plan to Evaluate: Carle Hoopeston Regional Health Center will pursue these initiatives to increase healthy behaviors, and reduce obesity: 1. Encourage providers to give out nutrition Rx and physical activity Rx. 2. Provide secure and healthy food options through Congregate Meal Program and Meals on Wheels through partnership with Carle Health CRIS Healthy Aging Center. 3. Provide comprehensive assessments providing homecare aides, emergency home response services, automated medication dispense as well as referrals to other CRIS services through the Care Coordination Unit through partnership with Carle Health CRIS Healthy Aging Center. 4. Provide Wellness Works articles related to health at all Farm Bureaus on a monthly basis through Carle Health Rural Health and Farm Safety. 5. Offer education on critical farm and rural safety by providing Progressive Ag Safety Days within Vermilion County through Carle Health Rural Health and Farm Safety. 6. Inform Vermilion County of significant health priorities and awareness efforts through bulletin inserts in faith communities through Carle Health Faith Community Health. 7. Continue to distribute food boxes to families in need under the Carle Community Health Initiative. 8. Increase awareness of overall health and wellness through Carle and Health Alliance health-based social media platforms. 9. Donations to community and school-based programs that encourage physical activity and nutritional education. Evaluation of Prior Impact: In response to the identified health need, Carle Hoopeston Regional Health Center took the following actions: -Carle Hoopeston Regional Health Center worked to develop plans for a Demonstration Kitchen, where patients and community residents can observe lessons and learn how to cook healthy meals using fresh, healthy ingredients. The Demonstration Kitchen will be completed in 2024. -Purposeful design by Carle Hoopeston Regional Health Center and Carle Health in the Carle and the Riverfront project was a walkway on campus, where community members can exercise and walk in a safe and well-lit area. -Carle Hoopeston Regional Health Center supported the build out of a community garden in 2023, providing access to nutritious foods and an opportunity to learn about growing food for patients and the community. Carle is exploring whether or not the community garden will yield enough produce to help support the Mobile Market, but will continue to support the community with healthy food access either way. NEEDS CARLE IS NOT ADDRESSING: While there were a number of additional needs identified by the data and input from community leaders, Carle does not have the resources to adequately address all of them. The issues that will not be addressed in this implementation plan were prioritized as such because the needs were not as significant; they are not central to the hospital's mission; and Carle has determined it does not have the ability to make a measurable impact in those areas. Carle will not focus on addressing community health challenges related to cancer, dental health, language barriers, and STIs outside of our regular and constant efforts to provide top clinical care to those we serve. 8 CARLE DANVILLE ON FAIRCHILD 311 W FAIRCHILD ST DANVILLE IL 61832 RURAL HEALTH CLINIC CHARLOTTE ANN RUSSELL MEDICAL CENTER 801 E ORANGE ST HOOPESTON IL 60942 RURAL HEALTH CLINIC CARLE WATSEKA 845 S 4TH ST WATSEKA IL 60970 RURAL HEALTH CLINIC CARLE MATTOON ON HURST 2512 HURST DRIVE MATTOON IL 61938 RURAL HEALTH CLINIC CARLE ROSSVILLE 619 N CHICAGO ST ROSSVILLE IL 60963 RURAL HEALTH CLINIC CARLE MILFORD 322 N CHICAGO ST MILFORD IL 60953 RURAL HEALTH CLINIC CARLE CISSNA PARK 141 W GARFIELD AVE CISSNA PARK IL 60924 RURAL HEALTH CLINIC CARLE TUSCOLA 301 E SOUTHLINE RD TUSCOLA IL 61953 RURAL HEALTH CLINIC Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFITS REPORT AS A CRITICAL ACCESS HOSPITAL, CARLE HOOPESTON REGIONAL HEALTH CENTER IS NOT RESPONSIBLE FOR FILING A STATE COMMUNITY BENEFIT REPORT TO THE ILLINOIS ATTORNEY GENERAL. Schedule H, Part I, Line 3 FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA PATIENTS MAY REQUEST AND COMPLETE A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME, INCLUDING BEFORE CARE IS RECEIVED. PATIENTS ARE INFORMED ABOUT FINANCIAL ASSISTANCE ON MULTIPLE OCCASIONS THROUGHOUT THE COLLECTION PROCESS. IN ADDITION TO PATIENTS COMPLETING APPLICATIONS FOR OUR FINANCIAL ASSISTANCE PROGRAM, WE HAVE ROBUST PRESUMPTIVE ELIGIBILITY PROCESSES IN PLACE. WE HAVE PARTNERED WITH EXPERIAN INFORMATION SOLUTIONS, INC. TO HELP US IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON KEY FINANCIAL INDICATORS. THESE PATIENTS MAY BE APPROVED WITHOUT EVER COMPLETING AN APPLICATION OR EXPRESSING A NEED FOR FINANCIAL ASSISTANCE. IN ADDITION, WE PRESUME ELIGIBILITY FOR PATIENTS WHO ARE VERIFIED HOMELESS, DECEASED WITH NO ESTATE, MENTALLY INCAPACITATED, ELIGIBLE FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) OR WOMEN, INFANTS, AND CHILDREN NUTRITION PROGRAM (WIC), TOWNSHIP ASSISTANCE, LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM OR COVERED BY ILLINOIS MEDICAID. Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE HTTPS://CARLE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE HTTPS://DEV-CMS.CARLE.ORG/GETMEDIA/ADCADB9A-2903-478C-A4A7-06BCF9DB10BC/358-0123-CFAPAPPLICATION.PDF Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE HTTPS://CARLE.ORG/GETMEDIA/F7608F63-CB1C-4EB5-8F0B-02F00EAFEC74/X0873-0223-CFAP-PLAINLANGUAGE-SUMMARY.PDF Schedule H, Part I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE SEE NARRATIVE FOR SCHEDULE H, PART III, LINE 2. Schedule H, Part I, Line 7 OTHER COMMUNITY BENEFITS CASH AND IN-KIND DONATIONS CARLE HOOPESTON REGIONAL HEALTH CENTER CONTRIBUTED OVER $23,000 TO CHARITABLE ORGANIZATIONS IN THE COMMUNITY VIA CASH AND IN-KIND DONATIONS, INCLUDING PROGRAMS AIMED TO HELP YOUTH, HEALTH IMPROVEMENT, HEALTH EDUCATION AND HEALTH PROFESSIONS EDUCATION IN 2023. A SIGNIFICANT PORTION OF CHRHC'S CASH DONATIONS, OVER $10,000 - WENT TOWARDS HEALTH IMPROVEMENT IN 2023. THE LARGEST OF THIS CATEGORY, $5,000 WAS DONATED TO THE HOOPESTON MULTI AGENCY TO ENHANCE THE MULTITUDE OF IMPORTANT COMMUNITY BENEFIT SERVICES THEY OFFER. THE ORGANIZATION ADDRESSES NEEDS FOR DISABLED AND ELDERLY PATIENTS, INCLUDING RIDES THROUGHOUT HOOPESTON AND DANVILLE TO HELP MAINTAIN THEIR HEALTH AND LIFESTYLE, AND ASSISTING CLIENTS IN COORDINATING CARE APPOINTMENTS AND FINDING RESOURCES. Schedule H, Part II Community Building Activities COMMUNITY-BUILDING ACTIVITIES: CHRHC'S SUPPORT OF COMMUNITY-BUILDING ACTIVITIES IS AN IMPORTANT PART OF CONTRIBUTING TO THE ECONOMIC VIABILITY OF THE COMMUNITY. A SIGNIFICANT PORTION OF THESE ACTIVITIES IS FOCUSED ON COMMUNITY SUPPORT AND ECONOMIC DEVELOPMENT, INCLUDING CASH, IN-KIND DONATIONS AND BUDGETED EXPENDITURES FOR THE CITY, BUSINESS ASSOCIATIONS AND OTHER PROGRAMS IN HOOPESTON, TOTALING OVER $5,000 IN 2023. WHILE NOT PAID FOR BY CHRHC BUT BY THE CARLE FOUNDATION, CARLE EMPLOYEES WERE ALSO ACTIVE ON COMMUNITY BOARDS AND COMMISSIONS IN 2023 IN THE CHRHC SERVICE AREA, BRINGING LEADERSHIP TO THE COMMUNITIES, INCLUDING: ROTARY CLUBS, VERMILION ADVANTAGE, AND SPEAKING ON COMMUNITY PANELS. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount TO COMPUTE AND CONVERT FINANCIAL ASSISTANCE, UNREIMBURSED MEDICAID, MEANS-TESTED PROGRAMS, AND BAD DEBT CHARGES TO COST; A CONSISTENT GAAP (GENERALLY ACCEPTED ACCOUNTING PRINCIPLES) BASED COST-TO-CHARGE RATIO WAS USED ACROSS ALL PAYERS. ALTHOUGH THE METHODOLOGY WAS SIMILAR TO WORKSHEET #2, FOR SIMPLICITY PURPOSES CERTAIN IMMATERIAL VALUES WERE OMITTED. OTHER COMMUNITY BENEFITS COSTS WERE REPORTED AT THE ACTUAL EXPENSE INCURRED. PATIENT RECEIVABLE PAYMENTS AND RELATED DISCOUNTS WERE RECORDED AT ACTUAL AMOUNTS AT THE TIME OF PAYMENT RECEIPT. A SEPARATE GAAP-BASED PROVISION FOR ESTIMATED BAD DEBTS AND DISCOUNTS WAS RECOGNIZED FOR ACCOUNTS IN PROCESS AND PENDING ADJUDICATION AND PAYMENT OCCUR. ACCOUNTS DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE WERE PROCESSED IMMEDIATELY FOR FINANCIAL ASSISTANCE DISCOUNT WITH NO COLLECTION EFFORT. FOR ACCOUNTS WITH INSUFFICIENT INFORMATION AND DOCUMENTATIONTO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY, THE HOSPITAL CONSULTED WITH A VARIETY OF ALTERNATIVE SOURCES TO HELP DETERMINE AN INDIVIDUAL'S FINANCIAL MEANS (OR LACK OF MEANS) TO PAY. BASED ON RELATED TRENDS, THE HOSPITAL FURTHER DEVLOPED A GENERAL ESTIMATE OF FINANCIAL ASSISTANCE WHICH CONTINUED TO RESIDE WITHIN BAD DEBTS. This narrative also pertains to Schedule H, Part I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology CARLE HOOPESTON REGIONAL HEALTH CENTER USES 50% AS A GENERAL ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0. PLEASE SEE SCHEDULE H, PART III, LINE 2 METHODOLOGY USED TO ESTIMATE BAD DEBT FOR 990 REPORTING PURPOSES. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE NUMERATOR (TOTAL EXPENSE) AND DENOMINATOR (TOTAL GROSS CHARGES) OF THE SIMPLE RATIO OF PATIENT CARE COST TO CHARGES IS ADJUSTED BY ELIMINATING NON-PATIENT CARE THAT GENERATES OTHER REVENUE, BAD DEBT EXPENSE, MEDICAID, AND OTHER PROVIDER TAXES AND THE TOTAL COST OF COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS. ALSO, ANY GROSS PATIENT CHARGES FOR PROGRAMS NOT RELYING ON THE RATIO ARE ELIMINATED FROM BOTH THE NUMERATOR AND DENOMINATOR OF THE RATIO. THESE ADJUSTMENTS ARE INTENDED TO ELIMINATE ANY POTENTIAL FOR DOUBLE COUNTING OF COMMUNITY BENEFIT EXPENSES. THE RESULTANT RATIO ALIGNS WITH SCHEDULE H REQUIREMENTS. ILLINOIS LAW DEFINES GOVERNMENTAL-SPONSORED INDIGENT HEALTH CARE AS THE UNREIMBURSED COST OF MEDICARE, MEDICAID, AND OTHER FEDERAL, STATE, OR LOCAL INDIGENT CARE PROGRAMS. WHEN THERE IS A SHORTFALL, WE DO BELIEVE THIS IS A COMMUNITY BENEFIT BECAUSE, AS A HOSPITAL, WE ARE STEPPING UP TO CARRY THE BURDEN OF THE GOVERNMENT, ASSURING CARE TO SENIORS, AND THOSE LESS FORTUNATE DEMOGRAPHICS THAT HAVE EXPERIENCED INCREASING COSTS OVER THE PAST DECADE WHILE LIVING ON FIXED INCOMES. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance EFFECTIVE JANUARY 1, 2016, CARLE COMBINED THE CARLE COMMUNITY CARE DISCOUNT PROGRAM WITH THE CARLE HOOPESTON REGIONAL HEALTH CENTER CHARITY PROGRAM TO MAKE ONE PROGRAM: THE CARLE FINANCIAL ASSISTANCE PROGRAM (CFAP). CFAP PROVIDES DISCOUNTED OR FREE CARE TO THOSE WHO NEED IT WITHIN THE CARLE FOUNDATION, INCLUDING CARLE HOOPESTON REGIONAL HEALTH CENTER. NOT ONLY DOES THIS RESULT IN A MORE TIMELY APPLICATION PROCESS, BUT MOST IMPORTANTLY, IT MEANS PATIENTS RECEIVE THE SAME DISCOUNT AT THE HOOPESTON HOSPITAL AND CLINICS IF THEY MIGHT NEED AN ADDITIONAL LEVEL OF SPECIALTY OR HOSPTIAL CARE. WITH THIS PROGRAM, CARLE HOOPESTON REGIONAL HEALTH CENTER HAS A ROBUST PRESUMPTIVE ELIGIBILITY PROCESS. WE PRESUME ELIGIBILITY FOR VERIFIED HOMELESS, DECEASED WITH NO ESTATE, MENTAL INCAPACITATION, RECIPIENTS OF WIC (WOMEN, INFANTS AND CHILDREN NUTRITION PROGRAM), SNAP (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM), LIHEAP (LOW INCOME HOME ENERGY ASSISTANCE PROGRAM), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM, RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICE, FRANCES NELSON HEALTH CENTER (PROMISE HEALTHCARE FQHC) DISCOUNT REFERRALS, MEDICAID TITLE XIX, XXI, AND IN-NETWORK MEDICAID MANAGED CARE PLANS. IN ADDITION, WE UTILIZE A VENDOR, EXPERIAN INFORMATION SOLUTIONS, INC., TO PROACTIVELY IDENTIFY PATIENTS WHO MAY BE PRESUMPTIVELY QUALIFIED FOR ASSISTANCE - NOT ONLY FOR PUBLIC PROGRAMS LIKE MEDICAID, BUT ALSO BASED ON A NUMBER OF KEY FINANCIAL INDICATORS, INCLUDING CREDIT HISTORY, DEMOGRAPHICS, AND GROSS INCOME. IDENTIFIED PATIENTS MAY BE PRESUMED ELIGIBLE AND AUTOMATICALLY ENROLLED IN THE PROGRAM, OR THEY MAY BE CONTACTED AND ENCOURAGED TO APPLY FOR ASSISTANCE. PATIENTS WHO ARE NOT DEEMED PRESUMPTIVELY ELIGIBLE WOULD NEED TO REQUEST AND COMPLETE AN APPLICATION. IF THE PATIENT DOES NOT REQUEST OR COMPLETE AND RETURN THE APPLICATION, THEN THE BALANCE IS DEEMED THEIR RESPONSIBILITY TO PAY. FOR PATIENTS THAT DO NOT QUALIFY FOR CFAP, AND WHO MAY BE UNINSURED OR UNDERINSURED, CARLE HOOPESTON REGIONAL HEALTH CENTER HAS OTHER DISCOUNT OPTIONS AVAILABLE, SUCH AS PROMPT PAY, ILLINOIS UNINSURED DISCOUNT, AND CAPPED DISCOUNT - WHERE A PATIENT'S OUT-OF-POCKET MEDICAL EXPENSES ARE LIMITED TO 40% OF THEIR ANNUAL GROSS INCOME IF THEY EARN AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL. ONCE ALL APPLICABLE DISCOUNTS HAVE BEEN APPLIED, WE MAKE EVERY ATTEMPT TO WORK WITH THE PATIENT AND SET UP PAYMENT ARRANGEMENTS ON THE REMAINING BALANCE DUE. THE CURRENT MINIMUM IS 5% OF THE TOTAL BALANCE DUE OR $25.00 A MONTH. IF THEY CANNOT MEET THESE GUIDELINES, OUR IN-HOUSE BILLING STAFF MEMBERS WORK WITH THEM TO SET UP A TEMPORARY, SHORT-TERM PAYMENT ARRANGEMENT UNTIL THEY CAN MAKE THE MINIMUM PAYMENT. IF THEY ARE UNABLE TO MAKE PAYMENT ON THE BALANCE DUE, THEN THE BALANCE MAY BE LISTED WITH AN OUTSIDE COLLECTION AGENCY. WHEN THE ACCOUNT IS STILL IN-HOUSE, THE MINIMUM NOTIFICATION IS MONTHLY ITEMIZED STATEMENTS. IF A PATIENT DOES NOT RESPOND, THE ACCOUNT IS GIVEN A FINAL NOTICE, EITHER BY LETTER OR PHONE, AND SENT TO AN OUTSIDE COLLECTION AGENCY. CARLE HOOPESTON REGIONAL HEALTH CENTER WILL NOT FILE COLLECTION SUIT LIENS ON A PRIMARY RESIDENCE, NOR DO WE AUTHORIZE AN AGENCY TO DO SO-CALLED "BODY ATTACHMENTS." THE AGENCIES ARE AWARE OF OUR CFAP AND HAVE BEEN ADVISED TO REFER THE PATIENTS BACK TO CARLE HOOPESTON REGIONAL HEALTH CENTER IF THEY DEEM THE PATIENT IS UNABLE TO PAY. BILLING STAFF WILL THEN MAKE ONE MORE ATTEMPT TO WORK WITH THE PATIENT TO SEE IF HELP IS AVAILABLE. IF STAFF DETERMINES THAT THE PATIENT MIGHT QUALIFY, WE SEND THE PATIENT A CFAP APPLICATION AND INSTRUCT THE AGENCY TO PUT A HOLD ON THE ACCOUNT; THE AVERAGE HOLD IS 60 DAYS. IF THE PATIENT IS THEN APPROVED FOR DISCOUNTS AT 100% FOR FINANCIAL ASSISTANCE, THE BALANCE IS ADJUSTED AND THE ACCOUNT IS CLOSED WITH THE AGENCY. IF THE PATIENT IS APPROVED FOR LESS THAN 100%, THE ADJUSTMENTS ARE REPORTED TO THE AGENCY AND THE AGENCY WILL BEGIN COLLECTION EFFORTS ON ANY REMAINING BALANCE. Schedule H, Part V, Section B, Line 16a FAP website - Carle Hoopeston Regional Health Center: Line 16a URL: SEE SCHEDULE H, PART VI; Schedule H, Part V, Section B, Line 16b FAP Application website - Carle Hoopeston Regional Health Center: Line 16b URL: SEE SCHEDULE H, PART VI; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Carle Hoopeston Regional Health Center: Line 16c URL: SEE SCHEDULE H, PART VI; Schedule H, Part VI, Line 2 Needs assessment Carle primarily addresses healthcare needs in our community by being a part of the aforementioned CHNA in partnership with Vermilion County Public Health Department, OSF Healthcare, and United Way of Vermilion County. However, Carle is acutely aware of the need for Access to Care, making it a mainstay of our community benefit efforts. We have a strong financial assistance program based on a philosophy of doing the right thing for the community and patients, balanced by a careful stewardship of the community's resources. While Access to Care was not selected as a priority for the 2022 CHNA conducted in conjunction with community partners, critical access to care will continue to be a priority for Carle Hoopeston Regional Health Center. As a tax-exempt organization, Carle Hoopeston Regional Health Center provides care to patients regardless of their ability to pay for that care or source of payment. We also recognize that some patients need help paying their bills. Carle's Financial Assistance Program provides discounts or free care to those who need it. Carle's generous Financial Assistance Program, consistently and diligently applied, has resulted in our ability to reach many people over the years. In addition to charity care, Carle supports a wide range of programs and services to increase community capacity, health care work force expansion, and social services that provide complementary healthcare-related services. Carle Hoopeston Regional Health Center has, and will continue to, pursue these initiatives to improve access to care in partnership with the Carle Health system: 1. Offer a charity care program and communicate the availability of that program. 2. Recruit more providers into the Carle system, thereby expanding access/capacity. 3. Support local community clinics to ensure added local capacity for health care. 4. Donate to existing community health programs. 5. Participate in population health initiatives that actively manage the health of members. 6. Promote prescription affordability as a 340B provider. 7. Enhance access-related initiatives that will improve patient access and ability to interface more efficiently for needed services - Patient Contact Center, Scheduling Center, Prescription Refill request process, virtual visits and more. 8. Continue to provide outreach care access and education through the Carle Community Health Initiative's Faith Community Health and Rural Health and Farm Safety services. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Our practice is to look at each patient's financial status in relation to our Carle Financial Assistance Program and the criteria of the Uninsured Patient Discount Act, and to provide the patient with the deepest discount available. By expanding the presumptive eligibility screening processes and determining the financial status of patients up-front, we have been able to pinpoint those needing assistance early in the process, minimizing bad debt and optimizing our ability to help. Staff is also diligent in following up with patients during hospitalization and after discharge if there's any reason to believe the patient could benefit from financial assistance, and we auto-qualify certain patient populations for Carle Financial Assistance Program, such as the homeless, WIC, SNAP (Supplemental Nutrition Assistance Program), Medicaid, Low Income Home Energy Assistance Program (LIHEAP), and Township Assistance recipients. Communicating that Financial Assistance is Available CARLE HOOPESTON REGIONAL HEALTH CENTER has made a concerted, continuous effort to be sure that people have access to information that will help them with their medical bills. These include: -Advertising Carle Financial Assistance Program; continued presence in appropriate community publications; and on-site via displays throughout the hospital and clinics -Simplified application form, including a version in Spanish, that contains information regarding the Carle Financial Assistance Program -Publication of a Plain Language Summary and all other financial assistance-related information on https://carle.org/patients-visitors/financial-assistance -Information about the Carle Financial Assistance Program on all statements, collection letters and Hospital admission packets -Carle Financial Assistance Program information and applications at all registration points, Hospital main lobby and carle.org -Meetings with local legislators to help them assist constituents with healthcare needs, including financial assistance Schedule H, Part VI, Line 4 Community information The primary service area of Carle Hoopeston Regional Health Center is defined as the geographical boundary of Vermilion County, Illinois. While some residents of surrounding counties utilize CHRHC's services, our most recent CHNA targeted Vermilion County residents, who make up the majority of CHRHC patients. There are 4 other hospitals also serving the community: Gibson Area Hospital, OSF Sacred Heart Medical Center, Iroquois Memorial Hospital, and Riverside Medical Center. Pockets of extreme poverty exist throughout this region, with rates highest around the city of Danville. The programs within our community benefit plan generally have impact upon all the targeted communities, with certain programs directed at specific populations. Vermilion County's population as of 2022 is 72,337, predominantly white (81.8%). The percentage of individuals living in poverty is 19.7%, with 6.5% of the population under 65 not having health insurance. Persons living in poverty per capita is 19.7%, and 6.5% of the population under 65 years of age are without health insurance. Schedule H, Part VI, Line 5 Promotion of community health Carle Hoopeston Regional Health Center has an open medical staff and is governed by an 11-member community board that serves on a volunteer basis, with 7 voting members and 4 non-voting staff members. Surplus funds are reinvested into the organization for technology replacement and advancement, clinical service expansion and quality improvement. Funds are also invested into our communities to meet identified health needs which contribute to the overall well-being of the residents of the communities we serve. Schedule H, Part VI, Line 6 Affiliated health care system Carle Hoopeston Regional Health Center is a Critical Access Hospital committed to improving quality of life in northern Vermilion County and the surrounding area. CHRHC integrated with The Carle Foundation in 2012 to provide more access to primary and specialty care. Though CHRHC falls under the umbrella of The Carle Foundation, it maintains a separate board of directors and leadership. While CHRHC's CHNA and community benefit reporting is separate from Carle Foundation Hospital, it follows the same guidelines and principles as Carle. CHRHC trustees are involved in the CHNA and implementation plan, and serve on human services agency boards and committees to provide support to help address identified community needs in Vermilion County. true CITY OF DANVIILLE 17 W MAIN ST DANVILLE IL 61832 376002207 GOVERNMENT 8000 PROGRAM SUPPORT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. ANY CHARITABLE ORGANIZATION WISHING TO REQUEST FUNDS IS ASKED TO SUBMIT THEIR REQUEST IN WRITING. EMAILED REQUESTS ARE ACCEPTABLE. THE REQUEST MUST INCLUDE A DESCRIPTION OF THE PURPOSE OF THE CONTRIBUTION AND OTHER RELEVANT INFORMATION SUCH AS REQUESTORS NAME, AMOUNT OF THE REQUEST, ETC. THE REQUESTS ARE REVIEWED, EVALUATED, AND ADMINISTERED BY THE MARKETING AND COMMUNICATIONS (PUBLIC RELATIONS) DEPARTMENT, SEEKING ADDITIONAL INFORMATION FROM THE REQUESTOR, AS NEEDED, AND INPUT FROM ANY APPROPRIATE CARLE ADMINISTRATOR OR DIRECTOR. A SET OF ESTABLISHED GUIDELINES DRIVE THESE DECISIONS WHILE MOST ARE MADE TO IMPROVE HEALTHCARE/ACCESS TO HEALTHCARE OR ARE IN LINE WITH OUR ROLE AS A CORPORATE CITIZEN. ASSESSED NEED IS A COMMON CRITERIA. IN THE CASE OF MOST DONATIONS OF $5,000 OR MORE, SUCH AS TO COLLEGES AND UNIVERSITIES OR COMMUNITY CLINICS, WRITTEN AGREEMENTS ARE IN PLACE AND WE HAVE REGULAR CONTACT WITH THOSE ORGANIZATIONS, OFTENTIMES THROUGH A CARLE CONTACT PERSON TO ASSURE THAT THE DONATIONS ARE BEING USED AS AGREED UPON. THE RECORDS ARE EITHER MAINTAINED IN ADMINISTRATION OR PUBLIC RELATIONS. true true false false false false false true false Sally Salmons MD Vice Chair 0 446923 0 46250 0 79234 0 50708 0 22171 0 645286 0 0 Allison Slocum Trustee & VP, Corporate Integrity Officer 0 207299 0 19867 0 61178 0 24151 0 99 0 312594 0 0 Elizabeth Angelo DNP RN-BC Officer - President, Carle Health - East Region // Chief Nursing Officer 0 540222 0 75108 0 106683 0 64797 0 31123 0 817933 0 0 Dennis Hesch Officer - EVP, Chief Finance & Strategy Officer 0 1104200 0 262608 0 29187 0 346286 0 20603 0 1762884 0 0 Napoleon Knight MD MBA Officer - EVP, Chief Medical Officer 0 775491 0 136231 0 29153 0 103114 0 12345 0 1056334 0 0 Matthew Kolb JD MHA Officer - President, Carle Health Regions // EVP, Chief Operating Officer 0 1092613 0 219047 0 255672 0 335494 0 27811 0 1930637 0 226485 James C Leonard MD Officer - President & CEO 0 1690975 0 443047 0 3555979 0 16500 0 20385 0 5726886 0 3526792 Kenneth Aronson MD Former - Key Employee 0 548487 0 100157 0 26237 0 16500 0 19905 0 711286 0 0 Lesly Whitlow Former - Key Employee 0 304743 0 30345 0 50451 0 35084 0 11411 0 432034 0 0 Charles Dennis MD Former - Key Employee 0 255906 0 24327 0 3407 0 12918 0 22096 0 318654 0 0 Laurence Fallon JD Former - Key Employee 0 738955 0 158380 0 29109 0 210158 0 24203 0 1160805 0 0 Blair Rowitz MD Former - Key Employee 0 625579 0 57491 0 21437 0 6600 0 30879 0 741986 0 0 Ikechukwu Uzoaru MD Former - Key Employee 0 676300 0 59500 0 21920 0 6600 0 21170 0 785490 0 0 Douglas Morton MD Former - Key Employee 0 699727 0 22920 0 3437 0 6600 0 18940 0 751624 0 0 Kayla Banks PhD Interim Chancellor, Methodist College 0 293170 0 46911 0 76212 0 36618 0 30131 0 483042 0 31882 David Chan MD Associate Chief Medical Director, Acute Care & Children's Services 0 490936 0 63580 0 25987 0 6600 0 18940 0 606043 0 0 Nicholas Crompton VP, Construction & Facility Services 0 291871 0 30843 0 41658 0 37180 0 30879 0 432431 0 0 Jason Hirschi VP, Primary Care 0 190372 0 13101 0 12725 0 12109 0 27579 0 255886 0 0 Timothy Meneely DO Medical Director, Carle at the Riverfront 0 361329 0 50973 0 35019 0 84023 0 18940 0 550284 0 0 Caleb Miller SVP, Surgical Services & Ambulatory Care 0 427754 0 63119 0 163127 0 96647 0 28252 0 778899 0 80698 Lauren Schmid MBA EVP, Chief Human Resources Officer 0 674332 0 113339 0 158040 0 182309 0 27331 0 1155351 0 128983 Luke Sullivan VP, Specialty Care Services 0 323093 0 34247 0 88421 0 39848 0 30866 0 516475 0 31285 Heather Tucker Hospital Administrator 200018 0 14380 0 8194 0 4115 0 28354 0 255061 0 0 0 Kayla Blundy Nurse Practitioner 236182 0 4846 0 941 0 4588 0 879 0 247436 0 0 0 Angela Rome Quality Outcomes Coordinator 143916 0 11870 0 39635 0 2863 0 30489 0 228773 0 0 0 Russia Vega Nurse Practitioner 183012 0 5379 0 3265 0 3583 0 24775 0 220014 0 0 0 Allan Vega Nurse Practitioner 173252 0 4864 0 646 0 3404 0 0 0 182166 0 0 0 Contessa Wilson Pharmacist 195512 0 0 0 1002 0 0 0 19540 0 216054 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE HOOPESTON REGIONAL HEALTH CENTER, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: -THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. -THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. -THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. -THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY-SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE. Schedule J, Part I, Line 4a Severance or change-of-control payment IN 2023, SEVERANCE PAYMENTS WERE PAID TO ANGELA ROME ($20,000). Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE 2023 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CHRHC, THAT ARE LISTED IN THE 990 PART VII INCLUDE SALLY SALMONS, MD, ALLISON SLOCUM, DENNIS HESCH, MATTHEW KOLB, JD, MHA, ELIZABETH ANGELO, DNP, RN-BC, NAPOLEON KNIGHT, MD, MBA, LAUREN SCHMID, MBA, NICHOLAS CROMPTON, CALEB MILLER, KAYLA BANKS, PHD, LESLY WHITLOW, LAURENCE FALLON, JD AND LUKE SULLIVAN. IN 2023, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO JAMES C. LEONARD, MD ($3,526,792), MATTHEW KOLB, JD, MHA ($226,485), LAUREN SCHMID, MBA ($128,983), CALEB MILLER ($80,698), LUKE SULLIVAN ($31,285) AND KAYLA BANKS, PHD ($31,882). Schedule J, Part I, Line 7 Non-fixed payments PART OF THE CEO'S COMPENSATION INCLUDES AN INCENTIVE COMPONENT WHICH IS DESIGNED TO ENCOURAGE AND PROMOTE THE ACHIEVEMENT OF CERTAIN QUALITY, OPERATIONAL, AND EFFICIENCY IMPROVEMENTS. ALTHOUGH THIS INCENTIVE COMPONENT IS BASED ON THE ORGANIZATION MEETING CERTAIN MINIMUM FINANCIAL THRESHOLDS, ALL PAYMENTS MUST BE APPROVED BY THE BOARD OF DIRECTORS PRIOR TO ANY INCENTIVE PAYOUT. HEATHER MOORE FAMILY MEMBER OF KEY TRUSTEE 140689 EMPLOYMENT false EMA NICHOLLS FAMILY MEMBER OF TRUSTEE 140399 EMPLOYMENT false KIMBERLY HOUMES FAMILY MEMBER OF TRUSTEE 103404 EMPLOYMENT false Schedule L, Part IV Family Relationships HEATHER MOORE IS AN EMPLOYEE OF CARLE HOOPESTON REGIONAL HEALTH CENTER AND HAS A FAMILY RELATIONSHIP WITH KARLA COON (BOARD CHAIR). KIMBERLY HOUMES IS AN EMPLOYEE OF CARLE HOOPESTON REGIONAL HEALTH CENTER AND HAS A FAMILY RELATIONSHIP WITH KARLA COON (BOARD CHAIR). EMA NICHOLLS IS AN EMPLOYEE OF CARLE HOOPESTON REGIONAL HEALTH CENTER AND HAS A FAMILY RELATIONSHIP WITH WILLIAM NICHOLLS (SECRETARY AND TREASURER OF BOARD). Form 990, Part III, Line 1 ORGANIZATION'S MISSION MISSION STATEMENT SECTION 1. GENERAL PURPOSES. THE CORPORATION IS ORGANIZED AND SHALL BE EXCLUSIVELY OPERATED AS A NOT-FOR-PROFIT CORPORATION FOR CHARITABLE, BENEVOLENT, SCIENTIFIC AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISIONS OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW (THE "CODE"). AND, IN FURTHERANCE OF SUCH CHARITABLE PURPOSES, THE CORPORATION SHALL ENGAGE IN THE ACTIVITIES DESCRIBED IN SECTION 2 OF THIS STATEMENT. SECTION 2. SPECIFIC PURPOSES. THE CORPORATION'S PURPOSES SHALL INCLUDE, BUT NOT BE LIMITED TO, THE FOLLOWING: (A) TO PROVIDE AND TO ASSIST IN PROVIDING FACILITIES FOR THE RENDERING OF HEALTH CARE SERVICES ON AN INPATIENT OR OTHER BASIS THROUGH THE OPERATION OF A CRITICAL ACCESS HOSPITAL AND RURAL HEALTH CLINICS, AND OTHER CLINICAL SERVICES THROUGH ALL OTHER APPROPRIATE MEANS; AND (B) TO TRAIN AND TO PROVIDE CONTINUING EDUCATION FOR PERSONS ENGAGED IN PROVIDING HEALTH CARE RELATED SERVICES, INCLUDING BUT NOT LIMITED TO, PHYSICIANS, DENTISTS, NURSES AND LABORATORY TECHNICIANS; PROVIDED, HOWEVER, THAT THE CORPORATION SHALL NOT OWN OR OPERATE A VOCATIONAL OR POST-SECONDARY EDUCATIONAL INSTITUTION; (C) TO PROVIDE A WIDE RANGE OF MEDICALLY RELATED SERVICES TO HOME BOUND INDIVIDUALS; AND (D) TO ENGAGE IN ANY LAWFUL ACTIVITIES WITHIN THE PURPOSES FOR WHICH A CORPORATION MAY BE ORGANIZED UNDER THE NOT-FOR-PROFIT CORPORATION ACT OF ILLINOIS (THE "ACT"), AS IT MAY BE AMENDED FROM TIME TO TIME, WHICH ARE IN FURTHERANCE OF, OR IN SUPPORT OF, THE CHARITABLE PURPOSES OF THE ORGANIZATIONS DESCRIBED IN ARTICLE I OF CARLE HOOPESTON REGIONAL HEALTH CENTER'S BYLAWS. Form 990, Part VI, Line 15 15A & 15B - Process to establish compensation of top management official CARLE HOOPESTON REGIONAL HEALTH CENTER DOES NOT COMPENSATE ITS OFFICERS. EMPLOYEE COMPENSATION FOR THESE INDIVIDUALS IS COMPENSATED BY THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE HOOPESTON REGIONAL HEALTH CENTER, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: -THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. -THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. -THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. -THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY-SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons JAMES C. LEONARD, MD (OFFICER), MATTHEW KOLB, JD, MHA (OFFICER), NAPOLEON KNIGHT, MD, MBA (OFFICER), ELIZABETH ANGELO, DNP, RN-BC (OFFICER), SALLY SALMONS, MD (BOARD VICE CHAIR), BLAIR ROWITZ, MD (FORMER), AND LAURENCE FALLON, JD (FORMER) - Business relationship, JAMES C. LEONARD, MD (OFFICER) AND NAPOLEON KNIGHT, MD, MBA (OFFICER) - Business relationship, JAMES C. LEONARD, MD (OFFICER), DENNIS HESCH (OFFICER), AND LAUREN SCHMID, MBA (KEY EMPLOYEE) - Business relationship, DENNIS HESCH (OFFICER) AND CALEB MILLER (TRUSTEE & KEY EMPLOYEE) - Business relationship, DENNIS HESCH (OFFICER), MATTHEW KOLB, JD, MHA (OFFICER), AND NICHOLAS CROMPTON (KEY EMPLOYEE) - Business relationship Form 990, Part VI, Line 4 Significant changes to organizational documents DURING 2023, THE CARLE FOUNDATION D/B/A THE CARLE HEALTH SYSTEM AND PARENT ORGANIZATION OF THE CARLE FOUNDATION HOSPITAL, FORMED THREE SUBSIDIARY REGIONAL GOVERNING ENTITIES KNOWN AS CARLE HEALTH - EAST REGION, CARLE HEALTH - CENTRAL REGION, AND CARLE HEALTH - SOUTH REGION. EACH REGIONAL ENTITY BECAME THE SOLE MEMBER OF THE HOSPITALS WITHIN THE ORGANIZATION BASED ON THE GEOGRAPHICAL REGIONS. THE GOVERNING DOCUMENTS OF HOOPESTON COMMUNITY MEMORIAL HOSPITAL ARE TO BE AMENDED TO LIST THE SOLE MEMBER AS CARLE HEALTH - EAST REGION. Form 990, Part VI, Line 6 Classes of members or stockholders CARLE HOOPESTON REGIONAL HEALTH CENTER HAS ONE MEMBER, WHICH IS CARLE HEALTH - EAST REGION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body CARLE HOOPESTON REGIONAL HEALTH CENTER'S SOLE MEMBER, CARLE HEALTH - EAST REGION, ACTING THROUGH ITS BOARD OF TRUSTEES, HAS THE EXCLUSIVE POWER TO ELECT AND REMOVE MEMBERS OF THE BOARD OF TRUSTEES FOR THE CORPORATION IN ADDITION TO FILLING VACANCIES. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders CARLE HOOPESTON REGIONAL HEALTH CENTER'S BOARD OF TRUSTEES MUST HAVE THE APPROVAL OF ITS SOLE MEMBER, CARLE HEALTH - EAST REGION, THROUGH ITS BOARD OF TRUSTEES, WHEN VOTING ON MATTERS INCLUDING THE AMENDING OF THE BY-LAWS; AMENDMENTS TO THE ARTICLES OF INCORPORATION; AUTHORIZING ANY NON-BUDGETED EXPENDITURE IN EXCESS OF $50,000 (THE EXCESS OF ANY PROPOSED EXPENDITURE OVER THE PREVIOUSLY APPROVED BUDGETED AMOUNT SHALL BE DEEMED A NON-BUDGETED EXPENDITURE); TO ADOPT ANY NEW OR ANY CHANGES TO EXISTING LONG TERM OR MASTER INSTITUTIONAL PLANS OF THE CORPORATION; TO ORGANIZE OR ACQUIRE, OR TO AUTHORIZE OR APPROVE THE ORGANIZATION'S ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; THE AUTHORIZATION TO ENTER INTO ANY CONTRACT OR ENGAGE IN ANY TRANSACTION OR ACTIVITY WHICH REQUIRES APPLICATION TO THE ILLINOIS HEALTH FACILITIES PLANNING BOARD FOR A PERMIT OR CERTIFICATE OF NEED AND FOR RECOMMENDING THE CEO OF THE CORPORATION TO THE HOOPESTON BOARD OF TRUSTEES. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 WAS PREPARED BY STAFF AND AN EXTERNAL TAX ADVISOR AND REVIEWED BY MANAGEMENT. PRIOR TO FILING THIS FORM 990, A FULL AND COMPLETE COPY WAS PROVIDED TO THE GOVERNING BODY. AT THEIR DISCRETION, THE GOVERNING MEMBERS HAVE THE OPPORTUNITY TO CONTACT MANAGEMENT OR DISCUSS AND ADDRESS CONCERNS AT SUBSEQUENT BOARD MEETINGS. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION'S ESTABLISHED CONFLICT OF INTEREST POLICIES REQUIRE ANNUAL DISCLOSURE OF ACTUAL AND POTENTIAL CONFLICTS OF INTEREST FOR OFFICERS, DIRECTORS, TRUSTEES, MEMBERS OF BOARD COMMITTEES, ADMINISTRATIVE AND MANAGERIAL EMPLOYEES AS WELL AS ALL EMPLOYEES OF THE PURCHASING DEPARTMENT. IF CIRCUMSTANCES CHANGE DURING THE COURSE OF A YEAR, INTERIM DISCLOSURE IS ALSO REQUIRED OF THE SAME INDIVIDUALS. THE DISCLOSURES OF EMPLOYEES ARE REVIEWED INITIALLY BY THE COMPLIANCE DEPARTMENT AND ANY IDENTIFIED CONFLICTS ARE REFERRED TO, AND ADDRESSED BY, THE ORGANIZATION'S INTERNAL LEGAL COUNSEL AND/OR CORPORATE INTEGRITY OFFICER. THE DISCLOSURES OF TRUSTEES AND MEMBERS OF BOARD COMMITTEES ARE REVIEWED BY THE CHAIR OF THE BOARD. THE ENTIRE BOARD, ABSENT THE SUBJECT TRUSTEE OR COMMITTEE MEMBER DETERMINES WHETHER A CONFLICT EXISTS. TRUSTEES AND/OR BOARD COMMITTEE MEMBERS WITH IDENTIFIED CONFLICTS ARE REQUIRED TO RECUSE THEMSELVES FROM DELIBERATING AND VOTING ON MATTERS THAT MAY PRESENT A CONFLICT. THE ORGANIZATION ALSO MAINTAINS PURCHASING POLICIES REQUIRING COUNTER SIGNATURES TO FURTHER MINIMIZE THE RISK ASSOCIATED WITH ACTUAL AND/OR POTENTIAL CONFLICTS OF INTEREST. Form 990, Part VI, Line 19 Required documents available to the public THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE HOOPESTON REGIONAL HEALTH CENTER, PUBLISHES THROUGH WWW.DACBOND.COM AND HTTPS://EMMA.MSRB.ORG/ ITS QUARTERLY UNAUDITED FINANCIAL STATEMENTS, A MANAGEMENT'S DISCUSSION & ANALYSIS TO ACCOMPANY THE FINANCIAL STATEMENTS, AND AN ANNUAL REPORT OF CERTAIN OPERATING AND FINANCIAL INFORMATION. ADDITIONALLY, OFFICIAL STATEMENTS FOR OUTSTANDING MUNICIPAL BOND ISSUES FOR WHICH THE CARLE FOUNDATION IS OBLIGATED ARE AVAILABLE AT THIS WEBSITE. THESE DOCUMENTS INCLUDE EXTENSIVE INFORMATION ABOUT THE ORGANIZATION'S HEALTH CARE DELIVERY SYSTEM MODEL, RECENT HIGHLIGHTS/ACCOMPLISHMENTS, GOVERNANCE AND ADMINISTRATION, STRATEGIC PLAN, FACILITIES, CLINICAL PROGRAMS, MEDICAL STAFF, SERVICE AREA, COMPETITIVE ENVIRONMENT, DEMOGRAPHIC DATA, UTILIZATION STATISTICS, SUMMARY FINANCIAL INFORMATION, ACADEMIC AFFILIATIONS AND EDUCATIONAL PROGRAMS, MEDICAL RESEARCH, ACCREDITATIONS, AND ITS EMPLOYEES. THIS INFORMATION IS AVAILABLE AT NO CHARGE TO THOSE WHO REGISTER AT THE WWW.DACBOND.COM WEBSITE. IN ADDITION, THE FORM 990S OF THE ORGANIZATION'S FILING ENTITIES ARE AVAILABLE THROUGH DACBOND. QUARTERLY FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST DELIVERED TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE ALSO AVAILABLE UPON REQUEST TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES. Form 990, Part VII, Section A COLUMN B THE AVERAGE ESTIMATED HOURS PER WEEK LISTED FOR THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS ARE BASED ON A STANDARD 40 HOUR WEEK. MEMBERS MAY FREQUENTLY DEVOTE MORE THAN 40 HOURS OF SERVICE TO THE ENTIRE ORGANIZATION DURING AN AVERAGE WEEK. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All other revenue - Total Revenue: 9280, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 9280; Form 990, Part XI, Line 9 Other changes in net assets or fund balances INTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS - 427241; PERMANENTLY RESTRICTED ASSETS - 83735; TEMPORARILY RESTRICTED ASSETS - 6391; Form 990, Part XII, Line 2c Change of oversight process or selection process FORM 990 PART XII, LINES 2A, B, C AND PART IV, LINES 12A & 12B THE FINANCIAL STATEMENTS FOR HOOPESTON COMMUNITY MEMORIAL HOSPITAL WERE REVIEWED ON A CONSOLIDATED BASIS UNDER THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE CARLE FOUNDATION HAS AN AUDIT COMMITTEE CONSISTING OF MEMBERS OF THE GOVERNING BOARD AND THE CHIEF FINANCIAL OFFICER WHO TOGETHER ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE REVIEW AND AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT OR AUDITOR. THE CARLE FOUNDATION 611 W PARK STREET URBANA IL 61801 370673465 Parent/Inv Mgnt IL 501(c)(3) 3 NA false THE CARLE DEVELOPMENT FOUNDATION 611 W PARK STREET URBANA IL 61801 371159978 Fundraising IL 501(c)(3) TCF true CARLE COMMUNITY HEALTH CORPORATION 611 W PARK STREET URBANA IL 61801 364458371 FNDN Mission IL 501(c)(3) 3 TCDF true CARLE HEALTH CARE INCORPORATED 611 W PARK STREET URBANA IL 61801 371140016 Various Medical Services IL 501(c)(3) TCF true CARLE WEST PHYSICIAN GROUP INC 611 W PARK STREET URBANA IL 61801 850703768 Physician Services IL 501(c)(3) CHCI true CRIS HEALTHY AGING 611 W PARK STREET URBANA IL 61801 370948852 Senior Citizen Services IL 501(c)(3) CHCI true CARLE RETIREMENT CENTERS INC 611 W PARK STREET URBANA IL 61801 371160033 Retirement Living IL 501(c)(3) TCF true CARLE HEALTH - EAST REGION 611 W PARK STREET URBANA IL 61801 990582680 Governance/Oversight IL 501(c)(3) 10 TCF true THE CARLE FOUNDATION HOSPITAL 611 W PARK STREET URBANA IL 61801 371119538 Hospital Services IL 501(c)(3) 10 CHER true CARLE HEALTH - CENTRAL REGION 611 W PARK STREET URBANA IL 61801 990548510 Governance/Oversight IL 501(c)(3) 10 TCF true CARLE BROMENN MEDICAL CENTER 611 W PARK STREET URBANA IL 61801 850682363 Hospital Services IL 501(c)(3) 7 CHCR true CARLE EUREKA HOSPITAL 611 W PARK STREET URBANA IL 61801 850688306 Hospital Services IL 501(c)(3) 7 CHCR true CARLE HEALTH - SOUTH REGION 611 W PARK STREET URBANA IL 61801 990614340 Governance/Oversight IL 501(c)(3) 7 TCF true RICHLAND MEMORIAL HOSPITAL INC 611 W PARK STREET URBANA IL 61801 371363001 Hospital Services IL 501(c)(3) 7 CHSR true CARLE HEALTH - WEST REGION 611 W PARK STREET URBANA IL 61801 371111135 Governance/Oversight IL 501(c)(3) 10 TCF true METHODIST MEDICAL CENTER FOUNDATION 611 W PARK STREET URBANA IL 61801 510186460 Fundraising IL 501(c)(3) CHWR true THE METHODIST MEDICAL CENTER OF ILLINOIS 611 W PARK STREET URBANA IL 61801 370661223 Hospital Services IL 501(c)(3) 3 CHWR true THE METHODIST MEDICAL CENTER OF ILLINOIS SELF INSURANCE TRUST AGREEMENT 611 W PARK STREET URBANA IL 61801 376181831 Self Insurance IL 501(c)(3) 7 MMCI true METHODIST SERVICES INC 1900 SPRING ROAD STE 300 OAK BROOK IL 605231480 371111134 Property Holding Co. IL 501(c)(3) 7 CHWR true PARK COURT LIMITED 611 W PARK STREET URBANA IL 61801 371178386 Property Holding Co. IL 501(c)(3) 3 CHWR true PEKIN MEMORIAL HOSPITAL 611 W PARK STREET URBANA IL 61801 370692351 Hospital Services IL 501(c)(3) 3 CHWR true PROCTOR HEALTH SYSTEMS 611 W PARK STREET URBANA IL 61801 364147437 Physician Services IL 501(c)(3) 3 CHWR true PROCTOR HOSPITAL 611 W PARK STREET URBANA IL 61801 370681540 Hospital Services IL 501(c)(3) 7 CHWR true HULT CENTER FOR HEALTHY LIVING INC 611 W PARK STREET URBANA IL 61801 363510390 Wellness Services IL 501(c)(3) 7 PH true TRILLIUM PLACE 611 W PARK STREET URBANA IL 61801 834051901 Behavioral Health Services IL 501(c)(3) CHWR true HUMAN SERVICE CENTER 611 W PARK STREET URBANA IL 61801 371004882 Behavioral Health Services IL 501(c)(3) 3 TP true TAZWOOD MENTAL HEALTH CENTER INC 611 W PARK STREET URBANA IL 61801 371278969 Behavioral Health Services IL 501(c)(3) 3 TP true PRAIRIE VIEW VILLAS NO 1 611 W PARK STREET URBANA IL 61801 261755679 Housing Services IL 501(c)(3) TMHC true PEKIN MEMORIAL HOSPITAL FOUNDATION 611 W PARK STREET URBANA IL 61801 371200267 Fundraising IL 501(c)(3) 10 CHWR true CHAMPAIGN SURGICENTER LLC 611 W PARK STREET URBANA IL 61801 201915925 Surgical Center IL CHCI N/A FIELDS SOUTH LLC 611 W PARK STREET URBANA IL 61801 823187698 Property & Facility Management IL TCF N/A THE CENTER FOR ORTHOPEDIC MEDICINE LLC SURGERY CENTER 2502B E EMPIRE ST BLOOMINGTON IL 61704 371356453 Outpatient Orthopedic Services IL TCF N/A THE CENTER FOR ORTHOPEDIC MEDICINE LLC RECOVERY CARE CENTER 2502B E EMPIRE ST BLOOMINGTON IA 61704 270934895 Outpatient Orthopedic Services IL TCF N/A REHABILITATION THERAPY SERVICES LLC 416 ST MARKS CT 110 PEORIA IL 61603 810584193 Rehabilitation Therapy IL MMCI N/A MOUPH LLC 5409 N KNOXVILLE AVE PEORIA IL 61614 921791534 Outpatient Orthopedic Services IL PH N/A HEALTH SYSTEMS INSURANCE LIMITED Governors Sq 2nd Floor Bldg 3 23 Lime Tree Bay GRAND CAYMAN CJ KY11102 980638449 Insurance CJ TCF C Corporation true CARLE RISK MANAGEMENT COMPANY 611 W PARK STREET URBANA IL 61801 371217973 Risk Management IL CFH C Corporation true CHA HOLDING INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 471854275 Holding Co. IL TCF C Corporation true CARLE HOLDING COMPANY INC 611 W PARK STREET URBANA IL 61801 371188284 Holding Co. IL CHA Holding C Corporation true HEALTH ALLIANCE MEDICAL PLANS INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 371260731 Health Coverage IL Carle Holding Co C Corporation true HEALTH ALLIANCE CONNECT INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 464796891 Health Care Coordination IL CHA Holding C Corporation true HEALTH ALLIANCE NORTHWEST HOLDING 820 N CHELAN AVE WENATCHEE WA 61801 461717578 Holding Co. WA CHA Holding C Corporation true HEALTH ALLIANCE NORTHWEST HEALTH PLAN 820 N CHELAN AVE WENATCHEE WA 61801 461966323 Health Coverage WA HANWH C Corporation true HEALTH ALLIANCE MIDWEST INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 371354502 Health Coverage IL HAMPI C Corporation true CARLE VENTURES INC 611 W PARK STREET URBANA IL 61801 371313150 Health Care Partnerships IL TCF C Corporation true CARLE HEALTH PHYSICIAN PARTNERS INC 611 W PARK STREET URBANA IL 61801 850718392 Physician Services IL TCF C Corporation true FIRSTCAROLINACARE INSURANCE COMPANY 42 MEMORIAL DR PINEHURST NC 28374 331160597 Insurance IL CHA Holding C Corporation true HEALTH PLUS INC 611 W PARK STREET URBANA IL 61801 371295532 Contracting IL CHWR C Corporation true PEKIN PROHEALTH INC 611 W PARK STREET URBANA IL 61801 371117052 Clinical Operations IL CHWR C Corporation true PROVIDER RESOURCE MANAGEMENT INC 611 W PARK STREET URBANA IL 61801 371223550 Physician Services IL CHWR C Corporation true METHODIST HEALTH VENTURES INC 611 W PARK STREET URBANA IL 61801 371140939 Holding Co. 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