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        <FAPAvailableOnWebsiteURLTxt>SEE SCHEDULE H, PART VI</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE SCHEDULE H, PART VI</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE SCHEDULE H, PART VI</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - HOOPESTON COMMUNITY MEMORIAL HOSPITAL. 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. 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 THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT WAS APPROVED AND ADOPTED BY THE BOARD OF TRUSTEEES ON OCTOBER 27, 2022. THE 2023-2025 COMMUNITY BENEFIT IMPLEMENTATION PLAN WAS ADOPTED AND APPROVED BY THE BOARD OF TRUSTEES ON OCTOBER 27, 2022.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - HOOPESTON COMMUNITY MEMORIAL HOSPITAL. THE CARLE FOUNDATION HOSPITAL AND OSF HEALTHCARE SACRED HEART MEDICAL CENTER</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - HOOPESTON COMMUNITY MEMORIAL HOSPITAL. UNITED WAY OF DANVILLE AREA, VERMILION COUNTY MENTAL HEALTH BOARD, AND VERMILION COUNTY PUBLIC HEALTH DEPARTMENT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - HOOPESTON COMMUNITY MEMORIAL HOSPITAL. HEALTH NEEDS SELECTED 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 2022 WAS 270:1. THIS NUMBER IS BETTER THAN THE STATE OF ILLINOIS NATIONAL RATIO OF 340:1. THE NUMBER OF SUICIDES IN VERMILION COUNTY HAS INCREASED EVERY YEAR FOR THE PAST FOUR YEARS IN VERMILION COUNTY, WITH 19 IN 2022, 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 &amp; 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. * CARLE HOOPESTON REGIONAL HEALTH CENTER HIRED AND SUPPORTED NEW LCSW IN BOTH THE END OF 2021, AND THEN AGAIN IN 2022. * IN 2022, CARLE HOOPESTON REGIONAL HEALTH CENTER STARTED A PSYCHIATRY RESIDENCY PROGRAM AND HAS HIRED TWO NEW PSYCHIATRISTS. * CARLE HOOPESTON REGIONAL HEALTH CENTER, IN COLLABORATION WITH THE CARLE HEALTH SYSTEM, WILL BE ESTABLISHING A MOBILE HEALTH/BEHAVIORAL HEALTH MOBILE UNIT SPECIFICALLY FOCUSED ON VERMILION COUNTY, WHICH WILL BE DELIVERED IN EARLY 2024. * CARLE IS SUPPORTING A FUNDING INCREASE IN STAFF AT CROSSPOINT HUMAN SERVICES, A LOCAL BEHAVIORAL HEALTH PROVIDER, WITH FUNDS WON IN AN ILLINOIS GRANT. * CARLE HOOPESTON REGIONAL HEALTH CENTER CONTINUES TO POST FOR AND RECRUIT A MENTAL HEALTH NURSE PRACTITIONER, WHICH WILL PROVIDE CARE TO THE COMMUNITY. * CARLE HOOPESTON REGIONAL HEALTH CENTER, IN PARTNERSHIP WITH THE CARLE HEALTH SYSTEM, PROVIDED ONE PROGRESSIVE AG SAFETY DAY IN 2022, WHERE PATIENTS AND COMMUNITY MEMBERS LEARNED 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 2022, PROVIDING UPDATES AND INFORMATION ON FARM SAFETY AND RURAL COMMUNITY BEHAVIORAL HEALTH SAFETY. 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 LONG-TERM HEALTH OF AFFECTED POPULATIONS, AND THE ECONOMIC DEVELOPMENT OF ENTIRE COMMUNITIES. OVER THE LAST SEVERAL YEARS, THE NUMBER OF VIOLENT CRIMES, ESPECIALLY GUN-RELATED, 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 17 FIREARM RELATED DEATHS PER 100,000 PEOPLE; THIS IS SIGNIFICANTLY HIGHER THAN THE ILLINOIS AND NATIONAL AVERAGE OF 12. IMPLEMENTATION PLAN - ANTICIPATED IMPACT &amp; 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 WHOSE 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 CARLE HEALTH CRIS CENTER FOR HEALTHY AGING, CARLE HOOPESTON REGIONAL HEALTH CENTER INVESTIGATED AND ADVOCATED FOR SENIORS EXPERIENCING PHYSICAL, SOCIAL ISOLATION, OR FINANCIAL ABUSE. * CARLE HOOPESTON REGIONAL HEALTH CENTER PROVIDED $3,500 TO ORGANIZATIONS ADDRESSING VIOLENCE IN COMMUNITIES, INCLUDING THE SURVIVOR RESOURCE CENTER AND DARE. INCOME/POVERTY: DESCRIPTION OF PRIORITY AREA: ACCORDING TO RECENT CENSUS DATA, OVER 18% 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. IMPLEMENTATION PLAN - ANTICIPATED IMPACT &amp; PLAN TO EVALUATE:</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 2 - HOOPESTON COMMUNITY MEMORIAL HOSPITAL (CONTINUED). 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 THE 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 STEP-UP 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 THE ENTIRE HOOPESTON REGION. 12. CARLE HOOPESTON REGIONAL HEALTH CENTER WILL ADDRESS FOOD INSECURITY, WILL WORK ON ESTABLISHING COMMUNITY ACCESS TO HEALTHY ACCESS, AND WORK TOWARDS HEALTHY FOODS RX. 13. EXPAND PRESCRIPTIONS FOR NUTRITION PROGRAMS 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: * HOSTED A HEALTHCARE-FOCUSED CAREER/JOB FAIR IN VERMILION COUNTY. 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 2022, BUT WORK IS 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 IS 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 33%. 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 A BALANCED DIET, HAS BEEN SHOWN TO INCREASE PHYSICAL, MENTAL, AND EMOTIONAL WELL-BEING. IN VERMILION COUNTY, 28% OF ADULTS ARE SUBJECT TO PHYSICAL INACTIVITY, WHILE ACCESS TO HEALTHY EXERCISE OPPORTUNITIES SITS AT 69%, WHICH IS LOWER THAN BOTH ILLINOIS AND THE U.S. 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 &amp; 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 AT 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 INSTITUTED A COMMUNITY GARDEN IN 2022, 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. * CARLE HOOPESTON REGIONAL HEALTH CENTER IS EVALUATING IF THERE ARE OPPORTUNITIES TO PARTNER WITH LOCAL GYMS FOR DISCOUNTED MEMBERSHIPS FOR EMPLOYEES, WHO ARE MEMBERS OF THE COMMUNITY AND ACCESS TO REDUCED COST EXERCISE COULD BE BENEFICIAL. 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 STI'S OUTSIDE OF OUR REGULAR AND CONSTANT EFFORTS TO PROVIDE TOP CLINICAL CARE TO THOSE WE SERVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>8</FacilityNum>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CARLE DANVILLE ON FAIRCHILD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>311 W FAIRCHILD</AddressLine1Txt>
            <CityNm>DANVILLE</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>61832</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>CHARLOTTE ANN RUSSELL MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>801 E ORANGE ST</AddressLine1Txt>
            <CityNm>HOOPESTON</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60942</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CARLE WATSEKA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>845 S 4TH ST</AddressLine1Txt>
            <CityNm>WATSEKA</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60970</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CARLE MATTOON ON HURST</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2512 HURST DRIVE</AddressLine1Txt>
            <CityNm>MATTOON</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>61938</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CARLE ROSSVILLE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>619 N CHICAGO ST</AddressLine1Txt>
            <CityNm>ROSSVILLE</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60963</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CARLE MILFORD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>322 N CHICAGO ST</AddressLine1Txt>
            <CityNm>MILFORD</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60953</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CARLE CISSNA PARK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>141 W GARFIELD AVE</AddressLine1Txt>
            <CityNm>CISSNA PARK</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60924</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CARLE TUSCOLA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>301 E SOUTHLINE RD</AddressLine1Txt>
            <CityNm>TUSCOLA</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>61953</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 OTHER COMMUNITY BENEFITS</FormAndLineReferenceDesc>
        <ExplanationTxt>CASH AND IN-KIND DONATIONS CARLE HOOPESTON REGIONAL HEALTH CENTER CONTRIBUTED OVER $21,000 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 2022. A SIGNIFICANT PORTION OF CARLE HOOPESTON REGIONAL HEALTH CENTER'S CASH DONATIONS, $13,000, WENT TOWARDS HEALTH IMPROVEMENT. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFITS REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3 FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://CARLE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://DEV-CMS.CARLE.ORG/GETMEDIA/ADCADB9A-2903-478C-A4A7-06BCF9DB10BC/358-0123-CFAPAPPLICATION.PDF</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://CARLE.ORG/GETMEDIA/F7608F63-CB1C-4EB5-8F0B-02F00EAFEC74/X0873-0223-CFAP-PLAINLANGUAGE-SUMMARY.PDF</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>See narrative for Schedule H, Part III, Line 2</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY-BUILDING ACTIVITIES CARLE HOOPESTONG REGIONAL HEALTH CENTER'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 ALMOST $2,000 IN 2022. WHILE NOT PAID FOR BY CARLE HOOPESTON REGIONAL HEALTH CENTER BUT BY THE CARLE FOUNDATION, CARLE EMPLOYEES WERE ALSO ACTIVE ON COMMUNITY BOARDS AND COMMISSIONS IN 2022 IN THE CARLE HOOPESTON REGIONAL HEALTH CENTER SERVICE AREA, BRINGING LEADERSHIP TO THE COMMUNITIES, INCLUDING: ROTARY CLUBS, VERMILION ADVANTAGE, AND SPEAKING ON COMMUNITY PANELS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOOTNOTES PERTAINING TO BAD DEBT EXPENSE CAN BE FOUND ON PAGE 28 OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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 AT THE CARLE FOUNDATION HOSPITAL IN URBANA. 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 APPLYFOR 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- HOOPESTON COMMUNITY MEMORIAL HOSPITAL: Line 16a URL: SEE SCHEDULE H, PART VI;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- HOOPESTON COMMUNITY MEMORIAL HOSPITAL: Line 16b URL: SEE SCHEDULE H, PART VI;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- HOOPESTON COMMUNITY MEMORIAL HOSPITAL: Line 16c URL: SEE SCHEDULE H, PART VI;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>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. Support United Way and other area agencies to improve availability of health services. 5. Donate to existing community health programs. 6. Participate in population health initiatives that actively manage the health of members. 7. Support students in health care fields; GME programs to grow number of future physicians. 8. Promote prescription affordability as a 340B provider. 9. 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. 10. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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 IS 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, MEDICAID, LIHEAP, AND TOWNSHIP ASSISTANCE RECIPIENTS. COMMUNICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE CARLE FOUNDATION HOSPITAL 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 CARLE.ORG/FINANCIALASSISTANCE * 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 LOBBIES, AND CARLE.ORG * STAFF AT FRANCES NELSON HEALTH CENTER OPERATED BY PROMISE HEALTHCARE, THE LOCAL FQHC, AND COMMUNITY FREE CLINICS EQUIPPED WITH A SUPPLY OF APPLICATIONS AND KNOWLEDGE TO ASSIST THEIR PATIENTS IN COMPLETING THEM * MEETINGS WITH LOCAL LEGISLATORS TO HELP THEM ASSIST CONSTITUENTS WITH HEALTHCARE NEEDS, INCLUDING FINANCIAL ASSISTANCE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>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. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>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 senior 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 staff is 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 northern Vermilion County, including teen pregnancy, alcohol and substance abuse, and obesity.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <AddressLine1Txt>301 West Main Street</AddressLine1Txt>
          <CityNm>Hoopeston</CityNm>
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          <BusinessNameLine1Txt>Hoopeston Area High School</BusinessNameLine1Txt>
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          <AddressLine1Txt>615 E Orange Street</AddressLine1Txt>
          <CityNm>Hoopeston</CityNm>
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          <BusinessNameLine1Txt>Hoopeston Multi Services Agency Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>206 S 1st Avenue</AddressLine1Txt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS 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.</ExplanationTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>43265</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Robert McConkey</BusinessNameLine1Txt>
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        <TitleTxt>PT Op Lead - Therapy Hoopeston</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3436</BonusFilingOrganizationAmount>
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        <BaseCompensationFilingOrgAmt>153692</BaseCompensationFilingOrgAmt>
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          <BusinessNameLine1Txt>Laurence Fallon</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Blair Rowitz MD</BusinessNameLine1Txt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Douglas Morton MD</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Former - Key Employee</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Ikechukwu Uzoaru MD</BusinessNameLine1Txt>
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        <TitleTxt>Former - Key Employee</TitleTxt>
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          <BusinessNameLine1Txt>Charles Dennis MD</BusinessNameLine1Txt>
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        <TitleTxt>Former - Key Employee</TitleTxt>
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          <BusinessNameLine1Txt>Pamela Bigler</BusinessNameLine1Txt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Harry Brockus</BusinessNameLine1Txt>
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        <TitleTxt>Former - Officer</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT COMPANY OF HCMH, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2022, SEVERANCE PAYMENTS WERE PAID TO HARRY BROCKUS ($162,492).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 2022 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF HCMH, THAT ARE LISTED IN THE 990 PART VII INCLUDE SALLY SALMONS, MD, ALLISON SLOCUM, DENNIS HESCH, MATTHEW KOLB, JAMES LEONARD, MD, ELIZABETH ANGELO, NAPOLEON KNIGHT, MD, LAUREN SCHMID, NICHOLAS CROMPTON, CALEB MILLER, KAYLA BANKS, LESLY WHITLOW, PAMELA BIGLER, LAURENCE FALLON AND LYNETTE BARNES. IN 2022, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO SALLY SALMONS, MD ($8), MATTHEW KOLB ($155,067), JAMES LEONARD, MD ($497), NAPOLEON KNIGHT, MD ($5,621), LAUREN SCHMID ($95,210), CALEB MILLER ($80,918), KAYLA BANKS ($31,900), PAMELA BIGLER ($240,254), AND LYNETTE BARNES ($43,265).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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          <BusinessName>
            <BusinessNameLine1Txt>HEATHER MOORE</BusinessNameLine1Txt>
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        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>150831</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>KIMBERLY HOUMES</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>118837</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>Bradley D Cristy Jr</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBR OF FORM OFF</RelationshipDescriptionTxt>
        <TransactionAmt>56904</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule L, Part IV Family Relationships</FormAndLineReferenceDesc>
        <ExplanationTxt>HEATHER MOORE IS AN EMPLOYEE OF HOOPESTON COMMUNITY MEMORIAL HOSPITAL AND HAS A FAMILY RELATIONSHIP WITH KARLA COON (BOARD CHAIR). KIMBERLY HOUMES IS AN EMPLOYEE OF HOOPESTON COMMUNITY MEMORIAL HOSPITAL AND HAS A FAMILY RELATIONSHIP WITH KARLA COON (BOARD CHAIR). EMA NICHOLLS IS AN EMPLOYEE OF HOOPESTON COMMUNITY MEMORIAL HOSPITAL AND HAS A FAMILY RELATIONSHIP WITH WILLIAM NICHOLLS (SECRETARY AND TREASURER OF BOARD). BRADLEY D CRISTY, JR IS AN EMPLOYEE OF HCMH AND HAD A FAMILY RELATIONSHIP WITH HARRY BROCKUS (FORMER OFFICER).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="22016089" softwareVersionNum="2022v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 1 ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>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 HOOPESTON COMMUNITY MEMORIAL HOSPITAL'S BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT COMPANY OF HCMH, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>SALLY SALMONS, MD (VICE CHAIR OF BOARD), MATTHEW KOLB (OFFICER), JAMES LEONARD, MD (OFFICER), ELIZABETH ANGELO (OFFICER), NAPOLEON KNIGHT, MD (OFFICER), CHARLES DENNIS, MD (FORMER), LAURENCE FALLON (FORMER), AND BLAIR ROWITZ, MD (FORMER) - Business relationship, ALLISON SLOCUM (TRUSTEE), MATTHEW KOLB (OFFICER), HEATHER TUCKER (KEY EMPLOYEE), CHARLES DENNIS, MD (FORMER), AND LETHA KRAMER (FORMER) - Business relationship, DENNIS HESCH (OFFICER), JAMES LEONARD, MD (OFFICER), NAPOLEON KNIGHT, MD (OFFICER), AND CHARLES DENNIS, MD (FORMER) - Business relationship, DENNIS HESCH (OFFICER), JAMES LEONARD, MD (OFFICER), AND CHARLES DENNIS, MD (FORMER) - Business relationship, DENNIS HESCH (OFFICER), JAMES LEONARD, MD (OFFICER), AND LAUREN SCHMID (KEY EMPLOYEE) - Business relationship</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>HCMH HAS ONE MEMBER WHICH IS THE PARENT COMPANY, THE CARLE FOUNDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>HCMH'S SOLE MEMBER, THE CARLE FOUNDATION, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>HCMH'S BOARD OF TRUSTEES MUST HAVE THE APPROVAL OF ITS SOLE MEMBER, THE CARLE FOUNDATION, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CARLE FOUNDATION, THE SOLE MEMBER OF HCMH, PUBLISHES THROUGH WWW.DACBOND.COM AND HTTPS://EMMA.MSRB.ORG/ ITS QUARTERLY UNAUDITED FINANCIAL STATEMENTS, A MANAGEMENT'S DISCUSSION &amp; 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>INTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS - 4269387; PERMANENTLY RESTRICTED ASSETS - 126516; TEMPORARILY RESTRICTED ASSETS - -6274;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c Change of oversight process or selection process</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 PART XII, QUESTIONS 2A, B, C AND PART IV, QUESTION 12 THE FINANCIAL STATEMENTS FOR HCMH 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="22016089" softwareVersionNum="2022v5.0">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE CARLE FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>611 W PARK ST</AddressLine1Txt>
          <CityNm>URBANA</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>618012595</ZIPCd>
        </USAddress>
        <EIN>370673465</EIN>
        <PrimaryActivitiesTxt>Parent/Inv Mgnt</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE CARLE FOUNDATION HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>611 W PARK ST</AddressLine1Txt>
          <CityNm>URBANA</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>618012595</ZIPCd>
        </USAddress>
        <EIN>371119538</EIN>
        <PrimaryActivitiesTxt>Hospital Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TCF</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CARLE HEALTH CARE INCORPORATED</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>611 W PARK ST</AddressLine1Txt>
          <CityNm>URBANA</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>618012595</ZIPCd>
        </USAddress>
        <EIN>371140016</EIN>
        <PrimaryActivitiesTxt>Various Med Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TCF</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CARLE DEVELOPMENT FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>611 W PARK ST</AddressLine1Txt>
          <CityNm>URBANA</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>618012595</ZIPCd>
        </USAddress>
        <EIN>371159978</EIN>
        <PrimaryActivitiesTxt>Fundraising</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TCF</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CARLE COMMUNITY HEALTH CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>611 W PARK ST</AddressLine1Txt>
          <CityNm>URBANA</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>618012595</ZIPCd>
        </USAddress>
        <EIN>364458371</EIN>
        <PrimaryActivitiesTxt>FNDN mission</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TCDF</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RICHLAND MEMORIAL HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>800 EAST LOCUST STREET</AddressLine1Txt>
          <CityNm>OLNEY</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62450</ZIPCd>
        </USAddress>
        <EIN>371363001</EIN>
        <PrimaryActivitiesTxt>Hospital Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TCF</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CARLE RETIREMENT CENTERS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>611 W PARK ST</AddressLine1Txt>
          <CityNm>URBANA</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>618012595</ZIPCd>
        </USAddress>
        <EIN>371160033</EIN>
        <PrimaryActivitiesTxt>Retirement Living</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TCF</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CARLE BROMENN MEDICAL CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>611 W PARK ST</AddressLine1Txt>
          <CityNm>URBANA</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>618012595</ZIPCd>
        </USAddress>
        <EIN>850682363</EIN>
        <PrimaryActivitiesTxt>Hospital Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TCF</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CARLE EUREKA HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>611 W PARK ST</AddressLine1Txt>
          <CityNm>URBANA</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>618012595</ZIPCd>
        </USAddress>
        <EIN>850688306</EIN>
        <PrimaryActivitiesTxt>Hospital Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TCF</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CARLE CANCER INSTITUTE NORMAL LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>407 E VERNON AVE</AddressLine1Txt>
          <CityNm>NORMAL</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>61761</ZIPCd>
        </USAddress>
        <EIN>371363717</EIN>
        <PrimaryActivitiesTxt>Cancer Treatment</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TCF</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CARLE WEST PHYSICIAN GROUP INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>611 W PARK ST</AddressLine1Txt>
          <CityNm>URBANA</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>618012595</ZIPCd>
        </USAddress>
        <EIN>850703768</EIN>
        <PrimaryActivitiesTxt>Physician Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CHCI</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
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        <DisregardedEntityName>
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</Return>
