HOOPESTON COMMUNITY MEMORIAL HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HOOPESTON COMMUNITY MEMORIAL HOSPITAL (EIN 36-3637465)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202203199349322780
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-15T15:25:23-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 4000AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363637465EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOOPESTON COMMUNITY MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% DENNIS HESCH EXEC VP & CFOInCareOfNm
Business Name ControlHOOPBusinessNameControlTxt
Phone2172835531PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 E Orange StreetAddressLine1Txt
CityHoopestonCityNm
State AbbreviationILStateAbbreviationCd
ZIP60942ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDENNIS HESCHPersonNm
Person TitleEVP/CFOPersonTitleTxt
Phone2173833311PhoneNum
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDENNISPersonFirstNm
Person LastHESCHPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJENNIFER RHODERICKPreparerPersonNm
PTINP00395735PTIN
Phone3176817000PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CARLE HOOPESTON REGIONAL HEALTH CTRBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDENNIS HESCH EVP CFOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1611 W PARK STAddressLine1Txt
CityURBANACityNm
State AbbreviationILStateAbbreviationCd
ZIP61801ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$74,298,062GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.carle.org/hoopestonWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1956FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTO 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.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee387TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,020,904PYContributionsGrantsAmt
CY Contributions Grants$2,261,066CYContributionsGrantsAmt
PY Program Service Revenue$61,660,391PYProgramServiceRevenueAmt
CY Program Service Revenue$71,709,235CYProgramServiceRevenueAmt
PY Investment Income$7,964PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$360,711PYOtherRevenueAmt
CY Other Revenue$304,953CYOtherRevenueAmt
PY Total Revenue$66,049,970PYTotalRevenueAmt
CY Total Revenue$74,275,254CYTotalRevenueAmt
PY Grants And Similar Paid$31,588PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$37,933CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$25,294,065PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$38,445,252CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$43,957,558PYOtherExpensesAmt
CY Other Expenses$32,933,042CYOtherExpensesAmt
PY Total Expenses$69,283,211PYTotalExpensesAmt
CY Total Expenses$71,416,227CYTotalExpensesAmt
PY Revenues Less Expenses-$3,233,241PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,859,027CYRevenuesLessExpensesAmt
Total Assets BOY$27,899,266TotalAssetsBOYAmt
Total Assets EOY$27,922,413TotalAssetsEOYAmt
Total Liabilities BOY$17,792,714TotalLiabilitiesBOYAmt
Total Liabilities EOY$18,296,530TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,106,552NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,625,883NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMISSION 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 HEALTHMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$66,438,263ExpenseAmt
Grant$37,933GrantAmt
Revenue$71,811,607RevenueAmt
DescHOOPESTON COMMUNITY MEMORIAL HOSPITAL (HCMH), A 24 BED CRITICAL ACCESS HOSPITAL LOCATED IN HOOPESTON, IL SERVES HOOPESTON, VERMILION COUNTY AND THE SURROUNDING AREA. HCMH EMPLOYS MORE THAN 300 STAFF MEMBERS AND 40 PROVIDERS. HCMH IS COMMITTED TO PROVIDING QUALITY, DEPENDABLE HEALTH SERVICES. HCMH 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. HCMH PROVIDES ACCESS TO PRIMARY CARE WITH CLINICS IN HOOPESTON, ROSSVILLE, MILFORD, CISSNA PARK, DANVILLE, WATSEKA, TUSCOLA AND MATTOON, IL. HCMH HAS BEEN DEDICATED TO CARING FOR THOSE IN THE AREA FOR OVER 60 YEARS.Desc
Total Program Service Expenses$66,438,263TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document22IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee387EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDENNIS HESCH EXEC VP CFOPersonNm
Phone2173833311PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1611 W PARK STAddressLine1Txt
CityUrbanaCityNm
State AbbreviationILStateAbbreviationCd
ZIP61801ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndKey EmployeeKeyEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
James C Leonard MD
Ex-Officio, President & CEO1.039.0Yes (X)$0$2,558,835$641,658
Dennis Hesch
Exec VP & CFO1.039.0Yes (X)$0$1,566,892$375,816
Matthew Kolb
Exec VP & COO1.039.0Yes (X)$0$1,159,563$337,604
Laurence Fallon
Key Employee - Former0.040.0$0$1,071,364$254,970Yes (X)
Napoleon Knight MD
Key Employee - Former0.00.0$0$1,220,489$27,167Yes (X)
Lynette Barnes
President - Carle Foundation H1.039.0$0$941,174$125,996Yes (X)
Charles Dennis MD
Key Employee - Former1.039.0$0$919,813$127,085Yes (X)
Harry Brockus
Ex-Officio, CEO (Thru 7/2020)0.00.0$0$695,134$207,122Yes (X)
Lauren Schmid
Exec VP, Chief HR Officer1.039.0$0$657,819$185,334Yes (X)
Pamela Bigler
Key Employee-Former0.00.0$0$727,332$114,315Yes (X)
Blair Rowitz MD
Key Employee - Former0.00.0$0$750,419$46,102Yes (X)
Douglas Morton MD
Key Employee - Former0.00.0$0$625,925$26,875Yes (X)
Kenneth Aronson MD
Med Dir - Diagnostic Services1.039.0$0$568,392$36,812Yes (X)
Caleb Miller
SVP-Surgical & Diag Svcs1.039.0$0$479,170$124,069Yes (X)
Sally Salmons MD
Trustee & Assoc CMO6.034.0$0$491,634$81,599Yes (X)
Ikechukwu Uzoaru MD
Key Employee - Former0.00.0$0$516,602$35,769Yes (X)
Elizabeth Angelo
Sr. VP Chief Nursing Officer1.039.0$0$439,444$88,874Yes (X)
David Chan MD
Associate CMO1.039.0$0$483,950$33,564Yes (X)
Kayla Banks
VP, CFH Diagnostic, Women & Ch1.039.0$0$321,580$80,429Yes (X)
Heather Tucker
Hospital Administrator40.00.0$184,600$0$42,286Yes (X)
Debra O'Brien
Physician Assistant40.00.0$162,821$0$30,384Yes (X)
Larry Whitaker Jr
Physician Assistant40.00.0$153,937$0$36,933Yes (X)
Robert McConkey
PT Op Lead - Therapy Hoopeston40.00.0$154,228$0$36,264Yes (X)
Larry Gerdom
Physician Assistant40.00.0$161,856$0$28,300Yes (X)
Kimberly Longfellow
HRHC-Dir Hospital Nursing40.00.0$147,192$0$36,839Yes (X)
Allison Slocum
Trustee/Dir Compliance & Med1.039.0$0$166,859$12,489Yes (X)
Russ Leigh
Chair of Board1.00.0Yes (X)$0$0$0Yes (X)
Lynn Galloway
Vice Chair of Board1.00.0Yes (X)$0$0$0Yes (X)
William Nicholls
Trustee1.00.0$0$0$0Yes (X)
David Bell
Trustee1.00.0$0$0$0Yes (X)
Karla Coon
Trustee1.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$964,634TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$16,195,531TotReportableCompRltdOrgAmt
Total Other Compensation$3,162,166TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K42IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HOOPESTON EMERGENCY MEDICINE SPECIA
PO BOX 5977 DEPT 20 3056CAROL STREAMIL601975977STAFFING$1,689,800
WEATHERBY LOCUMS
PO BOX 972633DALLASTX753972633Physician Staffing$596,923
DMS IMAGING INC
DBA DMS HEALTH TECH PO BOX 670747DALLASTX752670747IMAGING SERVICES$191,188
CROSS CONSTRUCTION INC
3615 North Countryview RoadURBANAIL61802CONSTRUCTION$169,295
OLYMPIC CONSTRUCTION LLC
907 FairviewURBANAIL61801CONSTRUCTION$134,952
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Related Organizations$90RelatedOrganizationsAmt
Government Grants$2,260,976GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Total Contributions$2,261,066TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICESDesc
Business622110BusinessCd
Total Revenue Column$71,709,235TotalRevenueColumnAmt
Related Or Exempt Func Income$71,709,235RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$71,709,235TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$19,345RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$22,808RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$3,463RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$3,463TotalRevenueColumnAmt
Exclusion-$3,463ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
MEDICAID EMR INCENTIVE622110$102,000$102,000$0$0
COFFEE SHOP722212$27,252$0$0$27,252
PERPETUAL TRUST INCOME900099$171,880$0$0$171,880

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,284TotalRevenueColumnAmt
Related Or Exempt Func Income$372RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$6,912ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$308,416OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$74,275,254TotalRevenueColumnAmt
Related Or Exempt Func Income$71,811,607RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$202,581ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$37,933TotalAmt
Program Services$37,933ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$238,446TotalAmt
Program Services$238,446ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$444,453TotalAmt
Program Services$444,453ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$30,803,176TotalAmt
Program Services$28,615,834ProgramServicesAmt
Management And General$2,187,342ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,622,017TotalAmt
Program Services$1,580,720ProgramServicesAmt
Management And General$41,297ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,407,044TotalAmt
Program Services$3,233,644ProgramServicesAmt
Management And General$173,400ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,930,116TotalAmt
Program Services$1,781,591ProgramServicesAmt
Management And General$148,525ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$8,152TotalAmt
Program Services$0ProgramServicesAmt
Management And General$8,152ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,592,596TotalAmt
Program Services$2,550,360ProgramServicesAmt
Management And General$42,236ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,038TotalAmt
Program Services$300ProgramServicesAmt
Management And General$2,738ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,396,584TotalAmt
Program Services$1,238,043ProgramServicesAmt
Management And General$158,541ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$612,201TotalAmt
Program Services$596,490ProgramServicesAmt
Management And General$15,711ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,647,361TotalAmt
Program Services$1,987,211ProgramServicesAmt
Management And General$660,150ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$94,428TotalAmt
Program Services$81,964ProgramServicesAmt
Management And General$12,464ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$21,828TotalAmt
Program Services$21,828ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$173,302TotalAmt
Program Services$173,302ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,513,517TotalAmt
Program Services$1,034,350ProgramServicesAmt
Management And General$479,167ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$175,025TotalAmt
Program Services$159,875ProgramServicesAmt
Management And General$15,150ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
INTERNAL PURCHASED SVCS$2,254,301$2,246,201$8,100$0
INTERNAL MANAGEMENT FEES$12,888,382$12,222,061$666,321$0
PATIENT CARE SUPPLIES$4,840,094$4,840,094$0$0
OTHER PURCHASED SERVICES$1,947,647$1,748,366$199,281$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,764,586TotalAmt
Program Services$1,605,197ProgramServicesAmt
Management And General$159,389ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$71,416,227TotalAmt
Program Services$66,438,263ProgramServicesAmt
Management And General$4,977,964ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,126BOYAmt
EOY$7,930EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,043,851BOYAmt
EOY$7,949,600EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$326,169BOYAmt
EOY$129,374EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$28,159,884LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$17,058,323LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,121,141BOYAmt
EOY$11,101,561EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$4,444,690BOYAmt
EOY$4,444,690EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,955,289BOYAmt
EOY$4,289,258EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$27,899,266BOYAmt
EOY$27,922,413EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,153,110BOYAmt
EOY$3,957,099EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,251,601BOYAmt
EOY$2,124,220EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,308,810BOYAmt
EOY$3,903,834EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,079,193BOYAmt
EOY$8,311,377EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,792,714BOYAmt
EOY$18,296,530EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,360,336BOYAmt
EOY$5,872,384EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,746,216BOYAmt
EOY$3,753,499EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,106,552BOYAmt
EOY$9,625,883EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,899,266BOYAmt
EOY$27,922,413EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,859,027ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$3,339,696OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$8,152OtherActivitiesAmt
Total Lobbying Expenditures$8,152TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1IFormAndLineReferenceDesc
Explanation$8,152- PORTION OF MISCELLANEOUS HEALTH CARE ORGANIZATION DUES ATTRIBUTABLE TO LOBBYINGExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$160,212OtherCostOrOtherBasisAmt
Book Value$160,212BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$12,079,514OtherCostOrOtherBasisAmt
Depreciation$6,203,409DepreciationAmt
Book Value$5,876,105BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,737,515OtherCostOrOtherBasisAmt
Depreciation$1,731,227DepreciationAmt
Book Value$6,288BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$12,596,949OtherCostOrOtherBasisAmt
Depreciation$8,353,492DepreciationAmt
Book Value$4,243,457BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,585,694OtherCostOrOtherBasisAmt
Depreciation$770,195DepreciationAmt
Book Value$815,499BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,101,561TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DEVL LIMITED ASSETS$35,715
LONG TERM INVESTMENTS$3,717,784
NET RIGHT-OF-USE ASSETS$535,759
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,289,258TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
ACCOUNTS PAYABLE - MEDICARE$4,236,824
DUE TO BLUE CROSS$847,380
HRHC / FNDN NOTES PAYABLE$2,513,118
ASSET RETIREMENT OBLIGATION$134,408
OPERATING & FINANCE LEASE LIAB$544,090
MISC LIABILITIES$35,557
FieldValueIRS element (for citing)
Total Liability$8,311,377TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationFIN 48 (ASC740) FOOTNOTE THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION THERESHOLD 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, 2021 AND 2020.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,913,168TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,913,168NetCommunityBenefitExpnsAmt
Total Expense0.02680TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,289,464TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,855,543DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,433,921NetCommunityBenefitExpnsAmt
Total Expense0.04810TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,202,632TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,855,543DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,347,089NetCommunityBenefitExpnsAmt
Total Expense0.07490TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,038TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,038NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,285TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,285NetCommunityBenefitExpnsAmt
Total Expense0.00500TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$44,323TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$44,323NetCommunityBenefitExpnsAmt
Total Expense0.00510TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,246,955TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,855,543DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,391,412NetCommunityBenefitExpnsAmt
Total Expense0.08000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,584TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,584NetCommunityBenefitExpnsAmt

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$128TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$128NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,712TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,712NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,045,278BadDebtExpenseAmt
Bad Debt Expense Attributable$522,639BadDebtExpenseAttributableAmt
Reimbursed By Medicare$12,859,695ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$16,013,506CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,153,811MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Hoopeston Community Memorial HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 E Orange StAddressLine1Txt
CityHoopestonCityNm
State AbbreviationILStateAbbreviationCd
ZIP609421801ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.CARLE.ORG/HOOPESTONWebsiteAddressTxt
State License0004200StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HOOPESTON COMMUNITY MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE PART V, SECTION COtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SUPPLEMENTAL INFORMATIONFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SUPPLEMENTAL INFORMATIONFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SUPPLEMENTAL INFORMATIONFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 5)THE 2021-2023 VERMILION COUNTY COMMUNITY HEALTH PLAN WAS ACCOMPLISHED WITH DIRECT CONTRIBUTION FROM THE VERMILION COUNTY HEALTH DEPARTMENT, THE EXECUTIVE COMMITTEE- MADE UP OF REPRESENTATIVES FROM HOOPESTON COMMUNITY MEMORIAL HOSPITAL (HCMH), THE CARLE FOUNDATION HOSPITAL, CHAMPAIGN-URBANA PUBLIC HEALTH DISTRICT (CUPHD), OSF HEALTHCARE SACRED HEART MEDICAL CENTER, VERMILION COUNTY HEALTH DEPARTMENT, AND UNITED WAY OF CHAMPAIGN AND VERMILION COUNTIES, THE REGIONAL COMMUNITY HEALTH PLAN COORDINATOR, AND A VARIETY OF AGENCIES AND ORGANIZATIONS FROM ACROSS VERMILION COUNTY. IN ADDITION, WE RECEIVED DIRECT INPUT FROM OVER 1,100 COUNTY RESIDENTS VIA A COMMUNITY SURVEY. DEVELOPMENT OF THIS PLAN WAS TRULY A COLLABORATIVE EFFORT WORKING WITH OUR COMMUNITY PARTNERS, OUR LOCAL SCHOOLS OF NURSING, OUR LOCAL AND STATE GOVERNMENT REPRESENTATIVES, AND INPUT FROM OUR COUNTY RESIDENTS. THE EXECUTIVE COMMITTEE USED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) MODEL. THIS COMMUNITY-BASED MODEL NECESSITATES COMMUNITY ENGAGEMENT AT ALL LEVELS TO CONDUCT THE VERMILION COUNTY COMMUNITY HEALTH ASSESSMENT. DEVELOPED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), MAPP IS A COMMUNITY-WIDE STRATEGIC PLANNING PROCESS FOR IMPROVING COMMUNITY HEALTH. RESEARCH SHOWS THAT ALIGNED EFFORTS WORKING TOWARDS A SHARED GOAL ARE MORE EFFECTIVE IN ADDRESSING COMPLEX, SOCIAL ISSUES THAN ISOLATED EFFORTS WORKING INDEPENDENTLY TOWARDS THE SAME ISSUE. MAPP IS NOT AN AGENCY-FOCUSED ASSESSMENT FRAMEWORK; RATHER, IT IS AN INTERACTIVE PROCESS THAT CAN IMPROVE THE EFFICIENCY, EFFECTIVENESS, AND PERFORMANCE OF OUR LOCAL PUBLIC HEALTH SYSTEM. USING THE MAPP PROCESS, WE HAVE ASSESSED THE CURRENT HEALTH STATUS OF THE COMMUNITY, IDENTIFIED NEEDS, AND CREATED A COMPREHENSIVE PLAN TO IMPROVE OUR COMMUNITY'S HEALTH BY ACQUIRING INPUT FROM RESIDENTS AND COMMUNITY STAKEHOLDERS. SUCH INPUT AND PARTICIPATION WAS PROVIDED BY ORGANIZATIONS SUCH AS: UNIVERSITY OF ILLINOIS EXTENSION, ECI-CAA, UNITED WAY OF DANVILLE AREA, VETERAN'S AFFAIRS, CRIS HEALTH AGING CENTER, HOUSING AUTHORITY OF THE CITY OF DANVILLE, STEP UP, VA ILLIANA, WOMEN'S CARE CLINIC, IGROW, VERMILION COUNTY REGIONAL OFFICE OF EDUCATION, DISTRICT 118, HOOPESTON CUSD #11, AUNT MARTHA'S ROSECRANCE, AND MORE. BASED UPON THE COMMUNITY HEALTH NEEDS ASSESSMENT USING BOTH QUANTITATIVE AND QUALITATIVE RESEARCH, CARLE HOOPESTON REGIONAL HEALTH CENTER PRIORITIZED THE SIGNIFICANT COMMUNITY HEALTH NEEDS OF VERMILION COUNTY CONSIDERING SEVERAL CRITERIA INCLUDING: ALIGNMENT WITH THE HOSPITAL'S MISSION, EXISTING PROGRAMS, THE ABILITY TO MAKE AN IMPACT WITHIN A REASONABLE TIME FRAME, THE FINANCIAL AND HUMAN RESOURCES REQUIRED, AND WHETHER THERE WOULD BE A MEASURABLE OUTCOME TO GAUGE IMPROVEMENT. THE FOLLOWING THREE HEALTH AREAS WERE SELECTED AS THE TOP PRIORITIES: BEHAVIORAL HEALTH: INCREASE CAPACITY AND ACCESS TO CARE, SUPPORT MENTAL HEALTH FIRST AID TRAININGS, PROMOTE EDUCATION AND TRAINING ON MENTAL AND BEHAVIORAL HEALTH TO REDUCE STIGMA, PROVIDE TARGETED PREVENTION PROGRAMS. VIOLENCE: PROMOTE COMMUNITY-POLICE RELATIONS, REDUCE COMMUNITY VIOLENCE THROUGH PARTNERSHIP, AND ESTABLISH VIOLENCE INTERRUPTION PROGRAM. INCOME/POVERTY: PROMOTE POST GRADUATE PATHS TO HIGH SCHOOL STUDENTS, INCREASE AWARENESS OF ASSISTANCE PROGRAMS, DECREASE FOOD INSECURITY
COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 6A)THE CARLE FOUNDATION HOSPITAL AND OSF HEALTHCARE SACRED HEART MEDICAL CENTER
COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 6B)UNITED WAY AND VERMILION COUNTY HEALTH DEPARTMENT
COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 7A)HTTPS://CARLE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 7B)HTTPS://WWW.OSFHEALTHCARE.ORG/MEDIA/FILER_PUBLIC/35/63/3563D8A1-F049-44F2- 9173-7B0C79767B46/VERMILIONCOUNTY-2020-IPLAN.PDF
COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 10)HTTPS://CARLE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 11)HEALTH NEEDS SELECTED BEHAVIORAL HEALTH 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 THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT, AS WELL AS THE PREVIOUS, THE FOLLOWING WERE IDENTIFIED AS KEYS TO ADDRESSING MENTAL HEALTH: INCREASING TRAINING AND EDUCATION REGARDING MENTAL HEALTH RESOURCES AND INFORMATION, REDUCING THE SUICIDE RATE IN VERMILION COUNTY, INCREASING THE PROPORTION OF CHILDREN AND ADULTS WHO RECEIVE NEEDED MENTAL HEALTH CARE AND CONSULTATION, AND INCREASING THE NUMBER OF PROVIDERS, URGENT CARE, AND EMERGENCY DEPARTMENTS THAT CONDUCT STRESS OR MENTAL HEALTH SCREENINGS FOR PATIENTS, AMONG OTHERS. IN RESPONSE, CARLE HOOPESTON REGIONAL HEALTH CENTER TOOK THE FOLLOWING ACTIONS: - INCREASED THE NUMBER OF BEHAVIORAL HEALTH PROVIDERS IN THE REGION BY PARTNERING WITH THE CARLE HEALTH SYSTEM BY 17 NET PROVIDERS FROM 2018 TO 2021. - ESTABLISHED, IN PARTNERSHIP WITH THE CARLE HEALTH SYSTEM, THE CARLE REGIONAL SUBSTANCE USE DISORDER LEADERSHIP CENTER (CARLE RLC), WHOSE FOCUS WILL BE ON BUILDING PROVIDER CAPACITY, EXPANDING TREATMENT SERVICES FOR PEOPLE LIVING WITH OPIOID AND STIMULANT USE DISORDERS, AND EXPANDING THE USE OF RECOVERY SUPPORT SERVICES WITHIN EACH REGION, INCLUDING THE VERMILION COUNTY REGION, INCLUDING INTERVENTIONS FOR CO-OCCURING MEDICAL/MENTAL ILLNESS. - PROVIDED TRAINING TO 12 BEHAVIORAL HEALTH RESIDENTS FROM 2018-2021, INCLUDES THE AREAS OF INPATIENT AND OUTPATIENT PSYCHIATRY, ADDICTIONS, GERIATRICS, CHILD, FORENSICS, EMERGENCY AND ADMINISTRATIVE PSYCHIATRY. - IMPROVED ACCESS TO SUBSTANCE USE DISORDER SERVICES BY PROVIDING ASSESSMENT AND CONSULTATION SERVICES ON THE MOBILE UNIT OPERATED BY CARLE COMMUNITY HEALTH INITIATIVES. - CARLE COMMUNITY HEALTH INITIATIVES IMPLEMENTED ACES SCREENING AND TRAUMA-INFORMED CARE DELIVERY APPROACHES. - PROVIDED, IN PARTNERSHIP WITH THE CARLE HEALTH SYSTEM, A TRAIN THE TRAINER PROGRAM FOR CARLE AND REGIONAL PARTNER EMPLOYEES TO TEACH MENTAL HEALTH FIRST AID TRAINING- HOSTING OVER 20 CLASSES REGIONALLY IN 2020 AND 2021. CARLE HOOPESTON HAD THE OPPORTUNITY TO TRAIN HEALTHCARE PROFESSIONALS, FARMERS, EMPLOYERS, CLERGY MEMBERS, FIRST RESPONDERS AND MANY OTHER COMMUNITY MEMBERS. BEHAVIORAL HEALTH NEEDS 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 MENTAL HEALTH PROVIDERS HAS IMPROVED DRASTICALLY OVER THE PAST SIX YEARS, MOVING FROM 4,234:1 IN 2011 TO 320:1 IN 2021. ACCORDING TO THE MOST RECENT SUICIDE DATA AVAILABLE FROM COUNTY HEALTH RANKINGS, THE VERMILION COUNTY SUICIDE RATE IN 2021 WAS 18 PER 100,000 WHICH IS HIGHER THAN THE STATE OF ILLINOIS RATE OF 11 AND THE NATIONAL RATE OF 11. CARLE HOOPESTON REGIONAL HEALTH CENTER AND CARLE HEALTH HAVE CONTRIBUTED TO THE INCREASE OF MENTAL HEALTH PROVIDERS PER 100,000 SINCE THE LAST COMMUNITY HEALTH NEEDS ASSESSMENT. THERE IS STILL WORK TO BE DONE BY CARLE HOOPESTON REGIONAL HEALTH CENTER IN DECREASING THE NUMBER OF SUICIDES IN VERMILION COUNTY. CARLE HOOPESTON REGIONAL HEALTH CENTER'S ACTIONS AND FINANCIAL COMMITMENTS HAVE SUPPORTED IMPROVED ACCESS TO CARE FOR BEHAVIORAL HEALTH IN VERMILION COUNTY. VIOLENCE 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. PROVIDE FINANCIAL SUPPORT TO ORGANIZATIONS WHO MISSION AND PROGRAMMING ADDRESSES VIOLENCE AND FOCUSES ON KEEPING CHILDREN ACTIVE IN HEALTHY, ORGANIZED, AND SUPERVISED ACTIVITIES. 3. 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. 4. CONTINUE TO PROVIDE IN-KIND SUPPORT FROM CARLE HEALTH LEADERSHIP TO PARTICIPATE IN THE VERMILION COUNTY VIOLENCE COALITION. EVALUATION OF PRIOR IMPACT: IN THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT, AS WITH THE PREVIOUS ASSESSMENT, THE FOLLOWING WERE IDENTIFIED AS KEYS TO ADDRESSING VIOLENCE IN CHAMPAIGN COUNTY: PROMOTE POLICE--COMMUNITY RELATIONS, INCREASE COMMUNITY ENGAGEMENT, AND REDUCE COMMUNITY VIOLENCE THROUGH PARTNERING WITH LOCAL INITIATIVES. THE MAJORITY OF THE GOALS IN THE CHNA INVOLVED LAW ENFORCEMENT AND CORRECTIONAL SYSTEM ENTITIES; THEREFORE, CARLE DID NOT PROVIDE DIRECT INTERVENTIONS IN THESE AREAS. HOWEVER, THERE ARE A NUMBER OF PROJECTS AND INITIATIVES CARLE SUPPORTS THAT ARE INTENDED TO REDUCE THE RATE OF VIOLENCE AND SUPPORT VICTIMS OF VIOLENCE. IN RESPONSE, CARLE HOOPESTON REGIONAL HEALTH CENTER TOOK THE FOLLOWING ACTIONS: - SCREENED 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. - COMMITTED TO, IN PARTNERSHIP WITH THE CARLE HEALTH SYSTEM, A SEXUAL ASSAULT NURSE EXAMINERS (SANE)/INTERPERSONAL VIOLENCE PROGRAM, TRAINING 19 NURSES TO ASSIST 24/7 WITH SEXUAL ASSAULT PATIENTS, WHO ASSISTED WITH ALMOST 400 TOTAL CASES, INCLUDING ALMOST 100 PEDIATRIC SEXUAL ASSAULT PATIENTS IN 2020 AND 2021 ALONE. - COMMITTED TO, IN PARTNERSHIP WITH THE CARLE HEALTH SYSTEM, A 24/7 CHILD ABUSE SAFETY TEAM (CAST), WHICH SERVED 235 CHILDREN TO IDENTIFY SUSPECTED ABUSE, ENSURE PROPER INVESTIGATION AND TESTING, AND COMMUNICATE WITH STATE AND LOCAL AGENCIES IN 2020 AND 2021. - COMMITTED TO VIOLENCE PREVENTION 'RISK WATCH' CURRICULUM PROGRAM IN COMMUNITY SCHOOLS, REACHING OVER 17,000 STUDENTS IN TOPIC AREA OF VIOLENCE PREVENTION SUCH AS CHOKING, STRANGULATION SUFFOCATION, AND POISONING FROM 2017-2019, SPENDING 120 HOURS IN COMMUNITY CLASSROOMS. CARLE STAFF RECORDED VIDEOS TO BE USED VIRTUALLY IN 2020 AND 2021 TO ENSURE THE EDUCATION WAS PROVIDED DESPITE THE COVID-19 PANDEMIC. - COMMITTED TO RAPE ADVOCACY, COUNSELING, AND EDUCATION SERVICES (RACES) RADKIDS PROGRAM, PROVIDING OVER 100 HOURS OF SUPPORT FROM 2017-2019 TO THE NATIONAL, FIVE DAY COURSE EMPOWERING CHILDREN WITH REAL LIFE TRAINING TO PROTECT THEMSELVES FROM DANGER, INCLUDING INAPPROPRIATE TOUCHING, WHEN TO TELL AN ADULT IF HARMED, AND HOW TO DIAL 911 IN EMERGENCY OR VIOLENT SITUATIONS, AS WELL AS HOW TO PHYSICALLY DEFEND THEMSELVES. CARLE FOUNDATION HOSPITAL CONTINUE TO SUPPORT THE WORK OF RACES IN 2020 AND 2021, THOUGH THE RADKIDS PROGRAM WAS PUT ON HOLD IN 2020 AND 2021 DUE TO COVID-19 CONCERNS. CARLE WILL CONTINUE TO SUPPORT ONCE AGAIN SAFE TO DO SO. - CONTRIBUTED IN-KIND LEADERSHIP STAFF TIME TO THE VERMILION COUNTY VIOLENCE COALITION. - PROVIDED $2,500 DIRECTLY TO SURVIVOR RESOURCE CENTER TO SUPPORT THEIR RAPE CRISIS SERVICES IN VERMILION COUNTY VERMILION COUNTY CRIME RATE HAS INCREASED OVER RECENT YEARS, AND REMAINS HIGHER COMPARED TO THE STATE OF ILLINOIS AND SURROUNDING COUNTIES. AS STATED BY THE 2021 COUNTY HEALTH RANKINGS THE VIOLENT CRIME RATE (THE NUMBER OF REPORTED VIOLENT CRIME OFFENSES PER 100,000 POPULATIONS) IS 705 WHICH IS SIGNIFICANTLY HIGHER THAN THE STATE OF ILLINOIS RATE OF 403. ACCORDING TO COMMUNITY HEALTH RANKINGS THERE WERE 17 GUN RELATED DEATHS IN VERMILION COUNTY, 18 SUICIDES AND 10 HOMICIDES IN 2021. WHILE VERMILION COUNTY'S CRIME RATE REMAINS HIGHER COMPARED TO THE STATE OF ILLINOIS, CARLE HOOPESTON REGIONAL HEALTH CENTER'S COMMITMENT TO PROGRAMMING AND FUNDING SUPPORT FOR ORGANIZATIONS AND COMMUNITY EVENTS THAT TARGET REDUCING VIOLENCE HAS CONTRIBUTED TO THE OVERALL D
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Facility8FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Carle Danville on Fairchild
311 W FairchildDanvilleIL61832Rural Health Clinic
Carle Mattoon on Hurst
2512 Hurst DriveMattoonIL61938Rural Health Clinic
Charlotte Ann Russell Medical Center
801 E Orange StHoopestonIL60942Rural Health Clinic
Carle Tuscola
301 E Southline RdTuscolaIL61953Rural Health Clinic
Carle Watseka
845 S 4TH STWatsekaIL60970Rural Health Clinic
Carle Rossville
619 N Chicago StRossvilleIL60963Rural Health Clinic
Carle Milford
322 N Chicago StMilfordIL60953Rural Health Clinic
Carle Cissna Park
141 W Garfield AveCissna ParkIL60924Rural Health Clinic

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART VI1 - REQUIRED DESCRIPTIONS FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA (PART I, LINE 3C) 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.
OTHER COMMUNITY BENEFITS (PART 1, LINE 7)CASH AND IN-KIND DONATIONS CARLE HOOPESTON REGIONAL HEALTH CENTER CONTRIBUTED OVER $26,000 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 2021. A SIGNIFICANT PORTION OF HCMH'S CASH DONATIONS - OVER $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. CHRHC CONTRIBUTED OVER $13,000 TO YOUTH FOCUSED PROGRAMMING IN THE COMMUNITY, INCLUDING SCHOLARSHIP FUNDS FOR HOOPESTON AREA FFA ALUMNI, WATSEKA FFA ALUMNI, ARMSTRONG FFA ALUMNI, AND SUPPORT OF PTO PROGRAMS FOR THE BISMARK HENNING COMMUNITY. CHRHC ALSO SUPPORTS SEVERAL STATEWIDE AND NATIONWIDE ORGANIZATIONS WITH REGIONAL CHAPTERS, INCLUDING THE LION'S CLUB OF HOOPESTON, KNOWN FOR THEIR HUMANITARIAN EFFORTS ON BEHALF OF THE DEAF AND BLIND AND FOR PROVIDING EYEGLASSES FOR UNDERPRIVILEGED CHILDREN. OTHER LOCAL CHAPTERS INCLUDE HOOPESTON ROTARY CLUB, AND THE SPECIAL OLYMPICS OF ILLINOIS. EACH OF THESE ORGANIZATIONS HAS A MISSION AIMED TO IMPROVE HEALTH, ACTIVITY AND WELLBEING OF OUR YOUTH.
EXPLANATION OF COSTING METHODOLOGY (PART I, LINE 7 AND PART III, LINE 2)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. THE ESTIMATED PORTION WAS BASED ON HISTORICAL TRENDS AND ADJUSTED TO ACTUAL WHEN 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 DOCUMENTATION TO 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 DEVELOPED A GENERAL ESTIMATE OF FINANCIAL ASSISTANCE WHICH CONTINUED TO RESIDE WITHIN BAD DEBTS.
COMMUNITY BUILDING ACTIVITIES (PART II AND PART VI)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 $3,000 IN 2021. WHILE NOT PAID FOR BY CHRHC BUT BY THE CARLE FOUNDATION, CARLE EMPLOYEES WERE ALSO ACTIVE ON COMMUNITY BOARDS AND COMMISSIONS IN 2021 IN THE CHRHC SERVICE AREA, BRINGING LEADERSHIP TO THE COMMUNITIES, INCLUDING: ROTARY CLUBS, VERMILION ADVANTAGE, AND SPEAKING ON COMMUNITY PANELS.
BAD DEBT, MEDICARE, & COLLECTION PRACTICES (PART III, LINE 3)HCMH USES 50% AS A GENERAL ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
BAD DEBT FOOTNOTE (PART III, LINE 4)THE FOOTNOTES PERTAINING TO BAD DEBT EXPENSE CAN BE FOUND ON PAGE 28 OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENTS.
EXPLANATION OF MEDICARE COST REPORT COSTING METHODOLOGY (PART III, LINE 8)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.
COLLECTION PRACTICES (PART III, LINE 9B)EFFECTIVE 1/1/2016, CARLE COMBINED THE CARLE COMMUNITY CARE DISCOUNT PROGRAM WITH THE HCMH 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 HCMH. 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 HOSPITAL CARE AT THE CARLE FOUNDATION HOSPITAL IN URBANA. WITH THIS PROGRAM, HCMH 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, HCMH 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. HCMH WILL NOT FILE COLLECTION SUIT LIENS ON A PRIMARY RESIDENCE, NOR DO WE AUTHORIZE AN AGENCY TO USE SO-CALLED "BODY ATTACHMENTS." THE AGENCIES ARE AWARE OF OUR CFAP AND HAVE BEEN ADVISED TO REFER THE PATIENTS BACK TO HCMH 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.
NEEDS ASSESSMENTCARLE 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 2021-2023 CHNA, IT WILL CONTINUE TO BE A PRIORITY FOR CARLE. AS A TAX-EXEMPT ORGANIZATION, CARLE HOOPESTON REGIONAL HEALTH CENTER PROVIDES CARE TO PATIENTS REGARDLESS OF THE ABILITY TO PAY. CARLE'S GENEROUS FINANCIAL ASSISTANCE PROGRAM HAS RESULTED IN OUR ABILITY TO REACH MANY PEOPLE OVER THE YEARS. TO ENSURE WE ARE ADDRESSING THE NEEDS OF THE COMMUNITY, THE FINANCE AND QUALITY COMMITTEES OF THE CARLE BOARD OF TRUSTEES REVIEW AND EVALUATE CHARITY CARE FIGURES ANNUALLY. WE DO NOT LIMIT THE AMOUNT OF FINANCIAL ASSISTANCE WE PROVIDE, AT THIS TIME. OTHER WAYS TO HELP IMPROVE ACCESS TO CARE: 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: 1. OFFER A CHARITY CARE PROGRAM 2. COMMUNICATE THE AVAILABILITY OF THE CHARITY CARE PROGRAM 3. RECRUIT MORE PROVIDERS INTO THE CARLE SYSTEM, THEREBY EXPANDING ACCESS/CAPACITY 4. SUPPORT LOCAL COMMUNITY CLINICS TO ENSURE ADDED LOCAL CAPACITY FOR HEALTH CARE 5. SUPPORT UNITED WAY AND OTHER AREA AGENCIES TO IMPROVE AVAILABILITY OF HEALTH SERVICES 6. DONATE TO EXISTING COMMUNITY HEALTH PROGRAMS 7. PARTICIPATE IN POPULATION HEALTH INITIATIVES THAT ACTIVELY MANAGE THE HEALTH OF MEMBERS 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, PRESCRIPTION REFILL REQUEST PROCESS, E-VISITS, VIRTUAL VISITS AND MORE
PATIENT EDUCATION FOR ELIGIBILITY FOR ASSISTANCEOUR 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 HOOPESTON COMMUNITY MEMORIAL 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 LOBBY AND CARLE.ORG - MEETINGS WITH LOCAL LEGISLATORS TO HELP THEM ASSIST CONSTITUENTS WITH HEALTHCARE NEEDS, INCLUDING FINANCIAL ASSISTANCE
COMMUNITY INFORMATIONTHE 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 CONTINUES TO DROP. THERE WAS A 9.72% DECREASE IN TOTAL POPULATION FROM 2000-2019 (2019 POPULATION BASED ON ESTIMATE). AS OF 2018, THE ESTIMATED DISTRIBUTION OF POPULATION IN AGE, OVER A 1-YEAR PERIOD, IN VERMILION COUNTY VARIES A SLIGHTLY WITH ILLINOIS AND NATIONAL TRENDS. OUR POPULATION OF 65 AND OLDER AND 18 AND YOUNGER IS HIGHER. AS OF 2018, THE MEDIAN AGE FOR VERMILION COUNTY WAS 40.3 (ACS 5-YEAR ESTIMATE 2018). THE MAJORITY OF VERMILION COUNTY'S POPULATION IS WHITE (82.2%), FOLLOWED BY BLACK/AFRICAN AMERICAN (14%). THE HISPANIC POPULATION IN VERMILION COUNTY IS 5.2%, AN INCREASE SINCE 2010, WHICH WAS 4.2%.
PROMOTION OF COMMUNITY HEALTHCARLE 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.
AFFILIATED HEALTH CARE SYSTEMCARLE 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.
STATE FILING OF COMMUNITY BENEFIT REPORTAS A CRITICAL ACCESS HOSPITAL, HCMH IS NOT REQUIRED TO FILE A STATE COMMUNITY BENEFIT REPORT.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1CISSNA PARK COMMUNITY UNIT SCHOOL #6BusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1511 NORTH 2ND STREETAddressLine1Txt
CityCISSNA PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60924ZIPCd
FieldValueIRS element (for citing)
Recipient EIN376003275RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$7,500CashGrantAmt
Purpose Of GrantP.I.L.O.T PROGRAM SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990, Schedule I, Part 1, Question 2FormAndLineReferenceDesc
ExplanationDESCRIPTION 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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
James C Leonard MD
Ex-Officio, President & CEO$0$1,484,721$0$505,818$0$568,296$0$621,615$0$20,043$0$3,200,493$0$524,075
Dennis Hesch
Exec VP & CFO$0$928,295$0$275,474$0$363,123$0$357,272$0$18,544$0$1,942,708$0$329,498
Matthew Kolb
Exec VP & COO$0$868,994$0$197,972$0$92,597$0$311,540$0$26,064$0$1,497,167$0$68,733
Laurence Fallon
Key Employee - Former$0$643,001$0$161,741$0$266,622$0$237,130$0$17,840$0$1,326,334$0$233,014
Lynette Barnes
President - Carle Foundation H$0$363,135$0$76,039$0$502,000$0$118,687$0$7,309$0$1,067,170$0$458,681
Napoleon Knight MD
Key Employee - Former$0$948,854$0$2,200$0$269,435$0$23,244$0$3,923$0$1,247,656$0$234,523
Harry Brockus
Ex-Officio, CEO (Thru 7/2020)$0$66,896$0$49,009$0$579,229$0$199,406$0$7,716$0$902,256$0$243,978
Pamela Bigler
Key Employee-Former$0$330,649$0$69,541$0$327,142$0$106,815$0$7,500$0$841,647$0$292,821
Charles Dennis MD
Key Employee - Former$0$687,108$0$158,913$0$73,792$0$109,379$0$17,706$0$1,046,898$0$59,622
Lauren Schmid
Exec VP, Chief HR Officer$0$468,482$0$107,632$0$81,705$0$161,242$0$24,092$0$843,153$0$58,248
Blair Rowitz MD
Key Employee - Former$0$692,485$0$35,100$0$22,834$0$23,244$0$22,858$0$796,521$0$0
Caleb Miller
SVP-Surgical & Diag Svcs$0$300,857$0$63,708$0$114,605$0$97,314$0$26,755$0$603,239$0$65,092
Douglas Morton MD
Key Employee - Former$0$610,513$0$0$0$15,412$0$23,244$0$3,631$0$652,800$0$0
Kenneth Aronson MD
Med Dir - Diagnostic Services$0$488,249$0$35,100$0$45,043$0$23,244$0$13,568$0$605,204$0$0
Ikechukwu Uzoaru MD
Key Employee - Former$0$489,004$0$100$0$27,498$0$23,244$0$12,525$0$552,371$0$0
Elizabeth Angelo
Sr. VP Chief Nursing Officer$0$328,034$0$65,100$0$46,310$0$64,405$0$24,469$0$528,318$0$23,573
Sally Salmons MD
Trustee & Assoc CMO$0$367,823$0$54,828$0$68,983$0$65,944$0$15,655$0$573,233$0$36,484
David Chan MD
Associate CMO$0$410,365$0$31,200$0$42,385$0$23,244$0$10,320$0$517,514$0$0
Kayla Banks
VP, CFH Diagnostic, Women & Ch$0$248,437$0$36,082$0$37,061$0$52,414$0$28,015$0$402,009$0$31,323
Heather Tucker
Hospital Administrator$162,134$0$16,075$0$6,391$0$13,678$0$28,608$0$226,886$0$0$0
Debra O'Brien
Physician Assistant$154,019$0$6,592$0$2,210$0$12,214$0$18,170$0$193,205$0$0$0
Larry Whitaker Jr
Physician Assistant$146,102$0$7,514$0$321$0$11,491$0$25,442$0$190,870$0$0$0
Robert McConkey
PT Op Lead - Therapy Hoopeston$145,584$0$500$0$8,144$0$11,174$0$25,090$0$190,492$0$0$0
Larry Gerdom
Physician Assistant$150,226$0$7,514$0$4,116$0$11,956$0$16,344$0$190,156$0$0$0
Kimberly Longfellow
HRHC-Dir Hospital Nursing$130,509$0$12,467$0$4,216$0$10,741$0$26,098$0$184,031$0$0$0
Allison Slocum
Trustee/Dir Compliance & Med$0$152,478$0$13,880$0$501$0$12,116$0$373$0$179,348$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, QUESTION 3THE 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
SCHEDULE J, PART I, QUESTION 4AIN 2021, SEVERANCE PAYMENTS WERE PAID TO HARRY BROCKUS ($262,065).
SCHEDULE J, PART I, QUESTION 4BTHE 2021 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 ELIZABETH ANGELO, KAYLA BANKS, LYNETTE BARNES, PAMELA BIGLER, HARRY BROCKUS, CHARLES DENNIS, MD, LAURENCE FALLON, DENNIS HESCH, MATTHEW KOLB, LETHA KRAMER, JAMES C LEONARD, MD, CALEB MILLER, SALLY SALMONS, MD, AND LAUREN SCHMID. IN 2021, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO ELIZABETH ANGELO ($23,573), KAYLA BANKS ($31,323), LYNETTE BARNES ($458,681), PAMELA BIGLER ($292,821), HARRY BROCKUS ($243,978), CHARLES DENNIS, MD ($59,622), LAURENCE FALLON ($233,014), DENNIS HESCH ($329,498), NAPOLEON KNIGHT, MD ($234,523), MATTHEW KOLB ($68,733), LETHA KRAMER ($34,135), JAMES C LEONARD, MD ($524,075), CALEB MILLER ($65,092), SALLY SALMONS, MD ($36,484), AND LAUREN SCHMID ($58,248).
SCHEDULE J, PART I, QUESTION 7PART OF THE OVERALL EMPLOYEE'S COMPENSATION PROGRAM INCLUDES AN INCENTIVE COMPONENT THAT COVERS MOST EMPLOYEES AND 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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
HEATHER MOORE
FAMILY MEMBER OF KEY EMPLOYEE$157,442EMPLOYMENTfalse
BRADLEY CRISTY JR
FAMILY MEMBER OF OFFICER$44,635EMPLOYMENTfalse
EMA NICHOLLS
FAMILY MEMBER OF TRUSTEE$125,917EMPLOYMENTfalse
KIMBERLY HOUMES
FAMILY MEMBER OF TRUSTEE$116,459EMPLOYMENTfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceRELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATIONFormAndLineReferenceDesc
ExplanationRELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION BRADLEY D CRISTY, JR IS AN EMPLOYEE OF HCMH AND HAD A FAMILY RELATIONSHIP WITH HARRY BROCKUS (FORMER OFFICER). HEATHER MOORE IS AN EMPLOYEE OF HCMH AND HAD A FAMILY RELATIONSHIP WITH KARLA COON (TRUSTEE). EMA NICHOLLS IS AN EMPLOYEE OF HCMH AND HAD A FAMILY RELATIONSHIP WITH WILLIAM NICHOLLS (TRUSTEE). KIMBERLY HOUMES IS AN EMPLOYEE OF HCMH AND HAD A FAMILY RELATIONSHIP WITH KARLA COON (TRUSTEE).ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, QUESTION 2JAMES C. LEONARD, MD (OFFICER), LAUREN SCHMID (KEY EMPLOYEE), AND DENNIS HESCH (OFFICER) HAD BUSINESS RELATIONSHIPS. BLAIR ROWITZ, MD (FORMER), CHARLES DENNIS, MD (OFFICER), ELIZABETH ANGELO (KEY EMPLOYEE), JAMES C. LEONARD, MD (OFFICER), LAWRENCE FALLON (FORMER), MATTHEW KOLB (OFFICER), AND SALLY SALMONS, MD (KEY EMPLOYEE) HAD A BUSINESS RELATIONSHIP. CHARLES DENNIS, MD (OFFICER), ALLISON SLOCUM (TRUSTEE), HEATHER TUCKER (KEY EMPLOYEE), LETHA KRAMER (FORMER), AND MATTHEW KOLB (OFFICER) HAD A BUSINESS RELATIONSHIP.
FORM 990, PART VI, QUESTION 6HCMH HAS ONE MEMBER WHICH IS THE PARENT COMPANY, THE CARLE FOUNDATION.
FORM 990, PART VI, QUESTION 7AHCMH'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.
FORM 990, PART VI, QUESTION 7BHCMH'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.
FORM 990, PART VI, QUESTION 11BTHE 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, QUESTION 12CTHE 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, QUESTIONS 15A & 15BTHE 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.
FORM 990, PART VI, QUESTIONS 18 & 19THE 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 & 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 BTHE 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 XI, LINE 9HOOPESTON COMMUNITY MEMORIAL HOSPITAL SETTLED VARIOUS INTERCOMPANY RECEIVABLE/PAYABLE BALANCES THROUGH EQUAL OFFSETTING EQUITY TRANSFERS IN THE AMOUNT OF $(3,346,979). THESE INTERCOMPANY RECEIVABLE/PAYABLE BALANCES RESULT FROM THE NORMAL COURSE OF OPERATIONS AND WERE PRIMARILY ATTRIBUTABLE TO CENTRALIZED CASH MANAGEMENT AND DISBURSEMENT ACTIVITIES. THESE INTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS HELPED PROVIDE SUPPLEMENTAL FUNDING FOR CERTAIN RELATED ORGANIZATIONS TO FURTHER THEIR EXEMPT PURPOSE. PERMANANTLY RESTRICTED ASSETS INCREASED AS A RESULT OF A CHANGE IN VALUE OF THE BENEFICIAL INTEREST IN A PERPETUAL TRUST OF $1,677. TEMPORARILY RESTRICTED ASSETS INCREASED BY $5,606 RESULTING FROM CHANGES IN THE POLAND TRUST ACCOUNT WHICH IS A TEMPORARILY RESTRICTED FUND USED TO PROVIDE TUITION ASSITANCE FOR NURSING STUDENTS
FORM 990, PART XII, LINES 2A, B, C AND PART IV, LINES 12A & 12BTHE 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
THE CARLE FOUNDATION
611 W PARK STURBANAIL61801370673465PARENT/INVMGTIL501(C)(3)12c, III-FINAfalse
THE CARLE FOUNDATION HOSPITAL
611 W PARK STURBANAIL61801371119538HOSPITAL SVCSIL501(C)(3)3TCFYes (true)
CARLE HEALTH CARE INCORPORATED
611 W PARK STURBANAIL61801371140016VAR MED SVCSIL501(C)(3)10TCFYes (true)
THE CARLE DEVELOPMENT FOUNDATION
611 W PARK STURBANAIL61801371159978FUNDRAISINGIL501(C)(3)7TCFYes (true)
CARLE COMMUNITY HEALTH CORPORATION
611 W PARK STURBANAIL61801364458371FNDN MISSIONIL501(C)(3)12a, Type ITCDFYes (true)
RICHLAND MEMORIAL HOSPITAL INC
800 EAST LOCUST STREETOLNEYIL62450371363001HOSPITAL SVCSIL501(C)(3)3TCFYes (true)
CARLE RETIREMENT CENTERS INC
611 W PARK STURBANAIL61801371160033RETIREMENTIL501(C)(3)10TCFYes (true)
CARLE BROMENN MEDICAL CENTER
611 W Park StURBANAIL61801850682363HOSPITAL SVCSIL501c(3)3TCFYes (true)
CARLE EUREKA HOSPITAL
611 W Park StURBANAIL61801850688306HOSPITAL SVCSIL501c(3)3TCFYes (true)
CARLE CANCER INSTITUTE NORMAL LLC
407 E VERNON AVENORMALIL61761371363717CANCER TRMTIL501c(3)12a, Type ITCFYes (true)
CARLE WEST PHYSICIAN GROUP INC
611 W PARK STURBANAIL61801850703768PHYS SERVICESIL501c(3)10CHCIYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CHAMPAIGN SURGICTRBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1611 W PARK STAddressLine1Txt
CityURBANACityNm
State AbbreviationILStateAbbreviationCd
ZIP618012595ZIPCd
FieldValueIRS element (for citing)
EIN201915925EIN
Primary ActivitiesSURGICAL CENTPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCd
HEALTH SYSTEMS INSURANCE LIMITED
GOVERNORS SQ 2ND FL BLDG 3grand caymanCJky1-1102INSURANCECJNAC CORPYes (true)
CARLE RISK MANAGEMENT COMPANY
RISK MANAGEMENAC CORPYes (true)611 W PARK STURBANAIL618012595371217973IL
EVALIDATA INC
PHYS CREDENTINAC CORPYes (true)611 W PARK STURBANAIL618012595462022658IL
CHA HOLDING INC
HOLDING COMPANAC CORPYes (true)3310 SOUTH FIELDS DRCHAMPAIGNIL61822471854275IL
CARLE HOLDING COMPANY INC
HOLDING COMPANAC CORPYes (true)611 W PARK STURBANAIL618012595371188284IL
HEALTH ALLIANCE MEDICAL PLANS INC
HEALTH COVERANAC CORPYes (true)3310 SOUTH FIELDS DRCHAMPAIGNIL61822371260731IL
HEALTH ALLIANCE CONNECT INC
HEALTH CARE CNAC CORPYes (true)3310 SOUTH FIELDS DRCHAMPAIGNIL61822464796891IL
HEALTH ALLIANCE NORTHWEST HOLDING
HOLDING COMPANAC CORPYes (true)820 N CHELAN AVEWENATCHEEWA98801461717578WA
HEALTH ALLIANCE NORTHWEST HEALTH PLAN
HEALTH COVERANAC CORPYes (true)820 N CHELAN AVEWENATCHEEWA98801461966323WA
HEALTH ALLIANCE-MIDWEST INC
HEALTH COVERANAC CORPYes (true)3310 SOUTH FIELDSCHAMPAIGNIL61822371354502IL
CARLE VENTURES INC
HEALTH CARE PTCFC CorpYes (true)611 W PARK STURBANAIL618012595371313150IL
CARLE HEALTH PHYSICIAN PARTNERS INC
PHYSICIAN SVCTCFC CorpYes (true)611 W PARK STURBANAIL618012595850718392IL
FIRST CAROLINA CARE INSURANCE COMPANY
InsuranceCHA HoldingC CorpYes (true)42 Memorial DrivePinehurstNC28374331160597IL
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HEALTH ALLIANCE MEDICAL PLANS INC
L$5,815,720BOOK VALUE
HEALTH ALLIANCE CONNECT INC
L$5,015,740BOOK VALUE
THE CARLE FOUNDATION HOSPITAL
L$57,480BOOK VALUE
CARLE HEALTH CARE INCORPORATED
M$1,005,725BOOK VALUE
HEALTH SYSTEMS INSURANCE LIMITED
M$76,270BOOK VALUE
THE CARLE FOUNDATION HOSPITAL
P$1,125,108BOOK VALUE
THE CARLE FOUNDATION HOSPITAL
S$1,048,511BOOK VALUE

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