HOOPESTON COMMUNITY MEMORIAL HOSPITAL: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
HOOPESTON COMMUNITY MEMORIAL HOSPITAL (EIN 36-3637465)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-05
IRS object ID
202113099349304451
Schema version
2020v4.1
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)
Return2021-11-05T16:05:59-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

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 4000AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

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
Signature2021-11-05SignatureDt
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
Preparation2021-11-04PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
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$66,071,957GrossReceiptsAmt
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 Independent5VotingMembersIndependentCnt
Total Employee353TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$9,520TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,125PYContributionsGrantsAmt
CY Contributions Grants$4,020,904CYContributionsGrantsAmt
PY Program Service Revenue$66,731,104PYProgramServiceRevenueAmt
CY Program Service Revenue$61,660,391CYProgramServiceRevenueAmt
PY Investment Income$21,410PYInvestmentIncomeAmt
CY Investment Income$7,964CYInvestmentIncomeAmt
PY Other Revenue$574,795PYOtherRevenueAmt
CY Other Revenue$360,711CYOtherRevenueAmt
PY Total Revenue$67,330,434PYTotalRevenueAmt
CY Total Revenue$66,049,970CYTotalRevenueAmt
PY Grants And Similar Paid$47,830PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$31,588CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$24,142,696PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$25,294,065CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$44,383,448PYOtherExpensesAmt
CY Other Expenses$43,957,558CYOtherExpensesAmt
PY Total Expenses$68,573,974PYTotalExpensesAmt
CY Total Expenses$69,283,211CYTotalExpensesAmt
PY Revenues Less Expenses-$1,243,540PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,233,241CYRevenuesLessExpensesAmt
Total Assets BOY$28,873,260TotalAssetsBOYAmt
Total Assets EOY$27,899,266TotalAssetsEOYAmt
Total Liabilities BOY$33,335,183TotalLiabilitiesBOYAmt
Total Liabilities EOY$17,792,714TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$4,461,923NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,106,552NetAssetsOrFundBalancesEOYAmt
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$65,468,028ExpenseAmt
Grant$31,588GrantAmt
Revenue$61,796,780RevenueAmt
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 75 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$65,468,028TotalProgramServiceExpensesAmt
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 Document20IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee353EmployeeCnt
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 Member5IndependentVotingMemberCnt
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

Form990 Part VII Section A Form990PartVIISectionAGrp (30 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$4,774,129$512,006
Dennis Hesch
Exec VP & CFO1.039.0Yes (X)$0$1,470,712$354,224
Matthew Kolb
Exec VP & COO1.039.0Yes (X)$0$975,723$292,435
Laurence Fallon
Key Employee - Former1.039.0$0$989,186$232,142Yes (X)
Napoleon Knight MD
Med Dir - Regional ED2.00.0$0$926,667$33,460Yes (X)
Charles Dennis MD
Key Employee - Former1.039.0$0$778,734$118,194Yes (X)
Lynette Barnes
Pres - Carle Fnd Hosp1.039.0$0$752,816$123,312Yes (X)
Blair Rowitz MD
Assoc CMO - Surgical Services1.039.0$0$685,826$45,730Yes (X)
Lauren Schmid
Exec VP, Chief HR Officer1.039.0$0$561,506$148,044Yes (X)
Douglas Morton MD
Med Dir-Radiology1.040.0$0$659,564$32,743Yes (X)
Ikechukwu Uzoaru MD
Med Dir-Lab1.040.0$0$574,466$40,936Yes (X)
Pamela Bigler
Key Employee-Former1.039.0$0$499,861$112,609Yes (X)
David Chan MD
Associate CMO1.039.0$0$509,513$33,759Yes (X)
Caleb Miller
SVP-Surgical & Diag Svcs1.039.0$0$424,157$115,149Yes (X)
Harry Brockus
Ex-Officio, CEO (Thru 7/2020)1.039.0Yes (X)$0$423,935$110,230
Sally Salmons MD
Trustee & Assoc CMO6.034.0$0$434,280$80,286Yes (X)
Elizabeth Angelo
Sr. VP Chief Nursing Officer2.038.0$0$365,104$85,615Yes (X)
Andy Arwari MD
ACMO-Reg Health (until 5/20)1.039.0$0$318,373$16,598Yes (X)
Heather Tucker
Hospital Administrator40.00.0$172,830$0$43,943Yes (X)
Debra O'Brien
Physician Assistant40.00.0$172,807$0$32,166Yes (X)
Larry Whitaker Jr
Physician Assistant40.00.0$152,866$0$36,906Yes (X)
Kimberly J Longfellow
HRHC-Dir Hospital Nursing40.00.0$149,303$0$37,296Yes (X)
Larry Gerdom
Physician Assistant40.00.0$156,672$0$28,139Yes (X)
Robin Blew
APN-Danville Conv Care40.00.0$143,727$0$14,250Yes (X)
Allison Slocum
Dir of Compliance & Med Staff1.039.0$0$146,278$11,027Yes (X)
Lynn Galloway
Vice Chair of Board0.50.0Yes (X)$0$0$0Yes (X)
Russ Leigh
Chair of Board1.00.0Yes (X)$0$0$0Yes (X)
Alice Jacobs PhD
Trustee1.00.0$0$0$0Yes (X)
William Nicholls
Trustee1.00.0$0$0$0Yes (X)
David Bell
Trustee1.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$948,205TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$16,270,830TotReportableCompRltdOrgAmt
Total Other Compensation$2,691,199TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K40IndivRcvdGreaterThan100KCnt
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 5977CAROL STREAMIL601975977STAFFING$1,527,729
SENTRY DATA SYSTEMS INC
PO BOX 505353ST LOUISMO631505353SOFTWARE$465,000
DMS IMAGING INC
DBA DMS HEALTH TECH PO BOX 670747DALLASTX752670747IMAGING SERVICES$227,161
DAVIS HOUK MECHANICAL INC
PO BOX 17022URBANAIL61803MECHANICAL SERVICES$210,584
RELIABLE PLUMBING HEATING CO
PO BOX 8098CHAMPAIGNIL618268098MECHANICAL SERVICES$208,909
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$4,020,904GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Total Contributions$4,020,904TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICES622110$61,659,197$61,659,197
RENT FROM RELATED ORGS532000$1,194$1,194
FieldValueIRS element (for citing)
Total Program Service Revenue$61,660,391TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,789TotalRevenueColumnAmt
Exclusion$7,789ExclusionAmt

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$19,222RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$21,987RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$2,765RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,765TotalRevenueColumnAmt
Exclusion-$2,765ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$175OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$175OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$175TotalRevenueColumnAmt
Exclusion$175ExclusionAmt
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 IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
MEDICAID EMR INCENTIVE622110$42,500$42,500
COFFEE SHOP722212$27,650$27,650
PERPETUAL TRUST INCOME900099$166,480$166,480

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$126,846TotalRevenueColumnAmt
Related Or Exempt Func Income$93,889RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$9,520UnrelatedBusinessRevenueAmt
Exclusion$23,437ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$363,476OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$66,049,970TotalRevenueColumnAmt
Related Or Exempt Func Income$61,796,780RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$9,520UnrelatedBusinessRevenueAmt
Exclusion$222,766ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$31,588TotalAmt
Program Services$31,588ProgramServicesAmt

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$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$714,310TotalAmt
Program Services$714,310ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$19,201,097TotalAmt
Program Services$18,160,981ProgramServicesAmt
Management And General$1,040,116ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,086,859TotalAmt
Program Services$1,026,132ProgramServicesAmt
Management And General$60,727ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,907,892TotalAmt
Program Services$2,749,357ProgramServicesAmt
Management And General$158,535ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,383,907TotalAmt
Program Services$1,287,496ProgramServicesAmt
Management And General$96,411ManagementAndGeneralAmt

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$1,500TotalAmt
Management And General$1,500ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$5,032TotalAmt
Management And General$5,032ManagementAndGeneralAmt

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$1,790,893TotalAmt
Program Services$1,748,949ProgramServicesAmt
Management And General$41,944ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$16,214TotalAmt
Program Services$50ProgramServicesAmt
Management And General$16,164ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,504,984TotalAmt
Program Services$1,369,117ProgramServicesAmt
Management And General$135,867ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$706,459TotalAmt
Program Services$698,190ProgramServicesAmt
Management And General$8,269ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,571,482TotalAmt
Program Services$1,966,913ProgramServicesAmt
Management And General$604,569ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$95,716TotalAmt
Program Services$88,087ProgramServicesAmt
Management And General$7,629ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$34,220TotalAmt
Program Services$25,498ProgramServicesAmt
Management And General$8,722ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$219,036TotalAmt
Program Services$219,036ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,739,189TotalAmt
Program Services$1,239,064ProgramServicesAmt
Management And General$500,125ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$178,481TotalAmt
Program Services$165,778ProgramServicesAmt
Management And General$12,703ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
INTERNAL PURCHASED SVCS$2,098,850$1,977,659$121,191
INTERNAL MANAGEMENT FEES$13,037,559$12,255,111$782,448
PATIENT CARE SUPPLIES$4,880,405$4,848,609$31,796
OTHER PURCHASED SERVICES$13,464,243$13,455,018$9,225

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,613,295TotalAmt
Program Services$1,441,085ProgramServicesAmt
Management And General$172,210ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$69,283,211TotalAmt
Program Services$65,468,028ProgramServicesAmt
Management And General$3,815,183ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$10,047BOYAmt
EOY$8,126EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,342,312BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$7,043,851EOYAmt

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$157,529BOYAmt
EOY$326,169EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$27,665,947LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$15,544,806LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$13,252,309BOYAmt
EOY$12,121,141EOYAmt

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$4,666,373BOYAmt
EOY$3,955,289EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$28,873,260BOYAmt
EOY$27,899,266EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,315,335BOYAmt
EOY$3,153,110EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,251,601EOYAmt

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$5,246,215BOYAmt
EOY$4,308,810EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$25,773,633BOYAmt
EOY$8,079,193EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$33,335,183BOYAmt
EOY$17,792,714EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$8,099,952BOYAmt
EOY$6,360,336EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,638,029BOYAmt
EOY$3,746,216EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$4,461,923BOYAmt
EOY$10,106,552EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$28,873,260BOYAmt
EOY$27,899,266EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$3,233,241ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$17,801,716OtherChangesInNetAssetsAmt
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 RequiredfalseFederalGrantAuditRequiredInd

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$5,032OtherActivitiesAmt
Total Lobbying Expenditures$5,032TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1IFormAndLineReferenceDesc
ExplanationOTHER ACTIVITIES $2,098 - PORTION OF COLLEGE OF AMERICAN PATHOLOGISTS ILLINOIS HOSPITAL ASSOCIATION (IHA) DUES ATTRIBUTABLE TO LOBBYING $2,934 - 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)
Other Cost Or Other Basis$110,211OtherCostOrOtherBasisAmt
Book Value$110,211BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,005,058OtherCostOrOtherBasisAmt
Depreciation$5,551,760DepreciationAmt
Book Value$6,453,298BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,737,515OtherCostOrOtherBasisAmt
Depreciation$1,728,770DepreciationAmt
Book Value$8,745BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,252,806OtherCostOrOtherBasisAmt
Depreciation$7,581,492DepreciationAmt
Book Value$4,671,314BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,560,357OtherCostOrOtherBasisAmt
Depreciation$682,784DepreciationAmt
Book Value$877,573BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$12,121,141TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DEVL LIMITED ASSETS$30,109
LONG TERM INVESTMENTS$3,716,107
NET RIGHT-OF-USE ASSETS$209,073
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,955,289TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
ACCOUNTS PAYABLE - MEDICARE$4,317,096
DUE TO BLUE CROSS$558,366
HRHC / FNDN NOTES PAYABLE$2,717,684
ASSET RETIREMENT OBLIGATION$129,376
OPERATING & FINANCE LEASE LIABILITY$216,169
MISC LIABILITIES$140,502
FieldValueIRS element (for citing)
Total Liability$8,079,193TotalLiabilityAmt
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 DESCRIBES 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, 2020 AND 2019.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$2,265,681TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,265,681NetCommunityBenefitExpnsAmt
Total Expense0.03330TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,644,621TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,405,493DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,239,128NetCommunityBenefitExpnsAmt
Total Expense0.03290TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,910,302TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,405,493DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,504,809NetCommunityBenefitExpnsAmt
Total Expense0.06620TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,446TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,446NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,893TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$20,893NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,339TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$30,339NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,940,641TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,405,493DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,535,148NetCommunityBenefitExpnsAmt
Total Expense0.06660TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$761TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$761NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,479TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$16,479NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,240TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$17,240NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,194,080BadDebtExpenseAmt
Bad Debt Expense Attributable$597,040BadDebtExpenseAttributableAmt
Reimbursed By Medicare$12,109,582ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$15,761,798CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,652,216MedicareSurplusOrShortfallAmt

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 Conducted18CHNAConductedYr
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 URLCARLE.ORG/CHNAOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE PART V, SECTION COtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLCARLE.ORG/CHNAStrategyWebsiteURLTxt
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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 5)THROUGHOUT 2017, THE CHAMPAIGN-VERMILION COUNTY REGIONAL EXECUTIVE COMMITTEE, CONSISTING OF REPRESENTATIVES FROM HOOPESTON COMMUNITY MEMORIAL HOSPITAL (HCMH), CARLE FOUNDATION HOSPITAL, CHAMPAIGN-URBANA PUBLIC HEALTH DISTRICT (CUPHD), OSF HEALTHCARE (FORMERLY PRESENCE COVENANT AND UNITED SAMARITANS MEDICAL CENTER), VERMILION COUNTY HEALTH DEPARTMENT, AND UNITED WAY OF CHAMPAIGN AND VERMILION COUNTIES, STARTED RESEARCH TO CONDUCT AN UPDATED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN VERMILION COUNTY IN PREPARATION FOR THE 2017-2022 ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEEDS (IPLAN). DEVELOPMENT OF THIS PLAN WAS A COLLABORATIVE EFFORT, WORKING WITH COMMUNITY PARTNERS, REGIONAL SCHOOLS OF NURSING, LOCAL AND STATE GOVERNMENT REPRESENTATIVES, AND INPUT FROM COUNTY RESIDENTS. MORE THAN 50 COMMUNITY LEADERS FROM A VARIETY OF AGENCIES AND ORGANIZATIONS, AS WELL AS MORE THAN 1,500 COUNTY RESIDENTS, CONTRIBUTED TO THE ASSESSMENT VIA BOTH IN-PERSON MEETINGS AND SURVEYS. AFTER ASSESSING THE CURRENT HEALTH STATUS OF THE COMMUNITY AND IDENTIFIED NEEDS, THE REGIONAL EXECUTIVE COMMITTEE CREATED A COMPREHENSIVE PLAN TO IMPROVE OUR COMMUNITY'S HEALTH. BASED UPON THE COMMUNITY HEALTH NEEDS ASSESSMENT USING BOTH QUANTITATIVE AND QUALITATIVE RESEARCH, HCMH 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 FOUR HEALTH AREAS WERE SELECTED AS THE TOP PRIORITIES: 1. TEEN PREGNANCY 2. SUBSTANCE AND ALCOHOL ABUSE 3. OBESITY 4. MENTAL HEALTH HCMH'S COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT IMPLEMENTATION PLAN WERE BOTH ADOPTED AND APPROVED BY HCMH'S BOARD OF TRUSTEES ON OCTOBER 25, 2018.
COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 6A)THE CARLE FOUNDATION HOSPITAL AND OSF HEALTHCARE SACRED HEART MEDICAL CENTER (FORMERLY PRESENCE UNITED SAMARITANS MEDICAL CENTER)
COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 6B)UNITED WAY, I SING THE BODY ELECTRIC, VERMILION COUNTY HEALTH DEPARTMENT
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 11)HEALTH NEEDS SELECTED THROUGH THESE EFFORTS, CARLE HOOPESTON REGIONAL HEALTH CENTER INTENDS TO HELP IMPROVE THE OVERALL HEALTH OF THE COMMUNITY BY ADDRESSING THE MOST SIGNIFICANT NEEDS FACING THE POPULATION, WITH EMPHASIS ON THOSE IN GREATEST NEED. 1. TEEN PREGNANCY 2. SUBSTANCE AND ALCOHOL ABUSE 3. OBESITY 4. MENTAL HEALTH PRIORITY #1: TEEN PREGNANCY CHRHC CONTINUES TO ADDRESS TEEN PREGNANCY THROUGH INCREASING PARENT INVOLVEMENT AND EXTRACURRICULAR ACTIVITIES, PROMOTING SEXUAL EDUCATION AND COMMUNITY PROGRAMS, AND TARGETING MALE TEENS / MALE INVOLVEMENT TO REDUCE THE TEEN PREGNANCY RATE. EVALUATION OF PRIOR IMPACT: TEEN AND ADOLESCENT HEALTH HAS BEEN A CONCERN IN VERMILION COUNTY FOR MANY YEARS. IN THE PREVIOUS IMPLEMENTATION PLAN, THE FOLLOWING WERE IDENTIFIED AS KEYS TO ADDRESSING TEEN PREGNANCY: REDUCING THE PREGNANCY RATE AMONG ADOLESCENT FEMALES, INCREASE THE PROPORTION OF ADOLESCENTS AGED 17 YEARS AND YOUNGER WHO HAVE NEVER HAD SEXUAL INTERCOURSE, INCREASE THE USE OF CONDOMS IN SEXUALLY ACTIVE TEENS, AND DEVELOP AND IMPLEMENT A CURRICULUM BASED PROGRAM FOR SCHOOLS TO ADDRESS HEALTH CHOICES IN SEXUAL ACTIVITY AND CONTRACEPTIVE USE, AMONG OTHERS. IN RESPONSE, CARLE HOOPESTON REGIONAL HEALTH CENTER TOOK THE FOLLOWING ACTIONS: 1. CREATED AND IMPLEMENTED A SAFE-SEX AND SEXUALLY TRANSMITTED DISEASE (STD) PREVENTION PROGRAM THAT WAS MADE AVAILABLE TO 15 JUNIOR HIGH SCHOOLS IN VERMILION COUNTY AND THE SURROUNDING AREA. 2. PROVIDED OVER 50 HOURS OF STAFF TIME OF A QUALITY NURSE SPECIALIST TO WORK CLOSELY WITH THE LOCAL PUBLIC HEALTH DEPARTMENT TO TRACK TRENDS IN TEEN PREGNANCY AND STDS IN THE REGION. 3. SUPPORTED EDUCATIONAL PROGRAMS THROUGH THE HEALTH DEPARTMENT. 4. PROMOTED WOMEN'S HEALTH SERVICES TWICE A MONTH EVERY YEAR BETWEEN 2018 AND 2020. 5. PROVIDED APPROXIMATELY 75 NECESSITY KITS FOR ALL MOTHERS OR BABIES WHO VISIT THE EMERGENCY ROOM WHO COULD NOT AFFORD BASIC SUPPLIES. 6. PARTNERED WITH THE VERMILION COUNTY HEALTH DEPARTMENT TO PROVIDE A SPACE FOR THEIR WOMEN'S INFANTS CHILDREN'S (WIC) PROGRAM TO MEET WEEKLY BETWEEN 2018 AND 2020. 7. PARTICIPATED IN COUNTY-WIDE WORKGROUPS TO ADDRESS TEEN PREGNANCY IN 2018 AND 2020. 8. FUNDED $5,000 DOLLARS TO AGENCIES WHOSE MISSION AND PROGRAMMING FOCUSES ON ADDRESSING TEEN PREGNANCY BETWEEN 2018 AND 2020. TEEN AND ADOLESCENT HEALTH HAS BEEN A CONCERN IN VERMILION COUNTY FOR MANY YEARS. TEEN BIRTH IS OF CONCERN FOR THE HEALTH OUTCOMES OF BOTH THE MOTHER AND THE CHILD. PREGNANCY AND DELIVERY CAN BE HARMFUL TO TEENAGERS' HEALTH, AS WELL AS SOCIAL AND EDUCATIONAL DEVELOPMENT. BABIES BORN TO TEEN MOTHERS ARE MORE LIKELY TO BE BORN PRETERM AND/OR LOW BIRTH WEIGHT. RESPONSIBLE SEXUAL BEHAVIOR IS ONE OF THE TEN LEADING HEALTH INDICATORS OF HEALTHY PEOPLE 2020. RESPONSIBLE SEXUAL BEHAVIOR REDUCES UNINTENDED PREGNANCIES, THUS, REDUCING THE NUMBER OF BIRTHS TO ADOLESCENT FEMALES. ACCORDING TO ILLINOIS DEPARTMENT OF PUBLIC HEALTH AND CDC DATA, THE TEEN BIRTH RATE IN VERMILION COUNTY IS 1.9%, WHICH IS HIGHER THAN THE ILLINOIS RATE OF 1.1% BUT LOWER THAN THE NATIONAL AVERAGE OF 2.8%. ACCORDING TO IDPH DATA, TEEN BIRTHS IN VERMILION COUNTY HAVE DECREASED GREATLY SINCE 2008. BY SUPPORTING EDUCATION PROGRAMS AND EFFORTS, PROVIDING CRITICAL CARE TO MOTHERS AND BABIES, AND BY IMPLEMENTING SAFE SEX AND STD PREVENTION COURSES, CARLE HOOPESTON REGIONAL HEALTH CENTER HAS MADE AN IMPACT IN THE LOWERING OF THIS RATE OVER THE PAST TEN YEARS. PRIORITY #2: SUBSTANCE AND ALCOHOL ABUSE HCMH CONTINUES TO ADDRESS ALCOHOL AND SUBSTANCE ABUSE BY PLANNING AND IMPLEMENTING STRATEGIES THAT PREVENT AND REDUCE SUBSTANCE USE AND ITS ASSOCIATED CONSEQUENCES AMONG YOUTH AND ADULTS THROUGH COMMUNITY AND COUNTYWIDE COLLABORATIVE EFFORTS. EVALUATION OF PRIOR IMPACT: THE FOLLOWING WERE IDENTIFIED AS KEYS TO ADDRESSING ALCOHOL & SUBSTANCE ABUSE: DECREASING THE PROPORTION OF ADOLESCENTS NEVER USING SUBSTANCES OR ALCOHOL, INCREASING THE PROPORTION OF ADOLESCENTS WHO PERCEIVE A GREAT RISK ASSOCIATED WITH CONSUMING GREAT AMOUNTS OF ALCOHOL AND DRUGS, DECREASING THE PROPORTION OF ADOLESCENTS WHO REPORT THAT THEY HAVE RODE WITH A DRIVER WHO HAD BEEN DRINKING, DECREASING THE PERCENTAGE OF ADULTS IN VERMILION COUNTY WHO REPORT EXCESSIVE, BINGE, OR HEAVY DRINKING, AND DRUG USE, AMONG OTHERS. IN RESPONSE, CARLE HOOPESTON REGIONAL HEALTH CENTER TOOK THE FOLLOWING ACTIONS THROUGHOUT 2018-2020: . PARTNERED WITH IROQUOIS MENTAL HEALTH TO OFFER COUNSELING AT CARLE HOOPESTON'S OUTPATIENT CLINICS. . PROVIDED $1,000 PER YEAR TO THE VERMILION COUNTY SHERIFF'S OFFICE FOR THEIR DRUG ABUSE RESISTANCE EDUCATION (DARE) PROGRAM- EDUCATING GRADE SCHOOL CHILDREN ACROSS THE COUNTY ON THE EFFECTS OF SUBSTANCE ABUSE AND EFFECT STRATEGIES TO ESCAPE SITUATIONS WITH DRUGS OR ALCOHOL. . ACTIVELY WORKED TO RECRUIT PSYCHIATRY PROVIDERS FOR CLINICAL LOCATIONS IN DANVILLE AND VERMILION COUNTY. . PARTNERED WITH THE CARLE HEALTH SYSTEM AND CARLE FOUNDATION HOSPITAL TO PROVIDE ADDITIONAL TRAINING FOR MENTAL HEALTH PROFESSIONALS, AND OFFERED AN EMPLOYEE ASSISTANCE PROGRAM WHICH PROVIDES SERVICES FOR SUBSTANCE AND ALCOHOL ABUSE FOR EMPLOYEES IN VERMILION COUNTY AND ACROSS THE SYSTEM. DRINKING ALCOHOL HAS IMMEDIATE PHYSIOLOGICAL EFFECTS ON ALL TISSUES OF THE BODY, INCLUDING THOSE IN THE BRAIN. ALCOHOL IS A DEPRESSANT THAT IMPAIRS VISION, COORDINATION, REACTION TIME, JUDGMENT, AND DECISION-MAKING, WHICH MAY IN TURN LEAD TO HARMFUL BEHAVIORS. ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION, EXCESSIVE ALCOHOL USE, EITHER IN THE FORM OF HEAVY DRINKING OR BINGE DRINKING CAN LEAD TO INCREASED RISK OF HEALTH PROBLEMS, SUCH AS LIVER DISEASE AND UNINTENTIONAL INJURIES. ALCOHOL ABUSE IS ALSO ASSOCIATED WITH A VARIETY OF OTHER NEGATIVE OUTCOMES, INCLUDING EMPLOYMENT PROBLEMS, LEGAL DIFFICULTIES, FINANCIAL LOSS, FAMILY DISPUTES, AND OTHER INTERPERSONAL ISSUES. DRUG OVERDOSE DEATHS ARE THE LEADING CAUSE OF INJURY DEATH IN THE UNITED STATES, WITH OVER 100 DRUG OVERDOSE DEATHS OCCURRING EVERY DAY. ACCORDING TO RESEARCH BY THE NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM, ADOLESCENTS WHO BEGIN DRINKING AT A YOUNG AGE ARE MORE LIKELY TO DEVELOP ALCOHOL DEPENDENCE THAN THOSE WHO BEGIN DRINKING AT AGE 21. PATTERNS FORMED DURING ADOLESCENCE PLAY A CRITICAL ROLE IN HEALTH THROUGHOUT ADULTHOOD. ALCOHOL USE ALSO IMPAIRS JUDGMENT AND CAN LEAD TO OTHER HIGH-RISK BEHAVIORS SUCH AS DRUNK DRIVING AND IRRESPONSIBLE SEXUAL ACTIVITY. ADDITIONALLY, ACCORDING TO DATA FROM THE CENTER FOR PREVENTION RESEARCH AND DEVELOPMENT, ILLINOIS YOUTH SURVEY- 38% OF 12TH GRADE STUDENTS IN VERMILION COUNTY REPORTED DRINKING ALCOHOL DURING THE 30 DAYS PRIOR TO THE SURVEY- WHICH IS SLIGHTLY LOWER THAN THE ILLINOIS RATE OF 40%. THIS HAS DECREASED FROM 49% IN 2008, BUT HAS STAYED STEADY SINCE 2014. ACCORDING TO COUNTY HEALTH RANKINGS, 19.7% OF ADULTS IN VERMILION COUNTY REPORT EXCESSIVE DRINKING IN THE MOST RECENT DATA AVAILABLE, WHICH IS LOWER THAN THE STATE OF ILLINOIS AND NATIONAL RATES. THIS FIGURE INCREASED SLIGHTLY OVER THE PAST 5 YEARS, WITH 18% IN 2015, AND 19 IN 2017. VERMILION COUNTY RANKS HIGHLY IN DEATH RATES DUE TO DRUG OVERDOSES, AT 28.2 DEATHS PER 100,000, ACCORDING TO COUNTY HEALTH RANKINGS. THIS HAS INCREASED SINCE 2014, WHERE DRUG OVERDOSES REPRESENTED 22.8 DEATHS PER 100,000. WHILE CARLE HOOPESTON REGIONAL HEALTH CENTER HAS WORKED DILIGENTLY TO PROVIDE EDUCATION, AND PROVIDE ACCESS TO CARE FOR THOSE IMPACTED BY DRUGS AND ALCOHOL, THERE IS STILL WORK TO BE DONE IN VERMILION COUNTY IN THIS MATTER. PRIORITY #3: OBESITY HCMH CONTINUES TO ADDRESS OBESITY BY IMPROVING ACCESS TO HEALTHY FOOD OPTIONS, SUPPORTING LOCAL PRODUCE AND GARDEN SHARES, PROMOTING PHYSICAL ACTIVITY OPPORTUNITIES, AND ADVOCATING FOR COMMUNITY PROGRAMS. EVALUATION OF PRIOR IMPACT: THE FOLLOWING WERE IDENTIFIED AS KEYS TO ADDRESSING OBESITY: INCREASING THE PROPORTION OF ADOLESCENTS AND ADULTS WHO REPORT BEING A HEALTHY WEIGHT, INCREASING THE PROPORTION OF ADOLESCENTS AND ADULTS WHO REPORT ENGAGING IN AT LEAST 60 MINUTES OF PHYSICAL ACTIVITY 5 OR MORE DAYS A WEEK, INCREASING THE PROPORTION OF ADOLESCENTS AND ADULTS WHO REPORTING EATING 2 OR MORE SERVINGS OF FRUIT AND/OR VEGETABLES A DAY, DECREASING THE PROPORTION OF ADOLESCENTS AND ADULTS WHO REPORT DRINKING ONE OR MORE SUGARY DRINKS PER DAY, AMONG OTHERS. IN RESPONSE, CARLE HOOPESTON REGIONAL HEALTH CENTER TOOK THE FOLLOWING ACTIONS THROUGHOUT 2018-2020: . PROVIDED NUTRITION COUNSELORS AND DIETETIC COUNSELORS FOR CONSULTATIONS FOR PATIENTS IN VERMILION COUNTY AND THE SURROUNDING AREAS. . PROVIDED BARIATRIC SURGERY CONSULTATIONS VIA TELEHEALTH FOR PATIENTS IN VERMILION COUNTY AND THE SURROUNDING AREAS. . FUNDED OVER $7,500 IN SUPPORT FOR ORGANIZATIONS MISSION AND PROGRAMMING FOCUSED ON HEALTHY PHYSICAL ACTIVITY FOR CHILDREN IN VERMILION COUNTY, INCLUDING HOOPESTON GRADE SCHOOL'S JUMP ROPE FOR HEART, FELLOWSHIP OF CHRISTIAN ATHLETES, HOOPESTON HEAD START, AND MORE. . PROVIDED IN-KIND SUPPORT TO HEALTHY VERMILION COUNTY, IN THEIR EFFORTS TO EDUCATE VERMILION COUNTY RESIDENTS ON H
OTHER COMMUNITY BENEFITSCASH AND IN-KIND DONATIONS CARLE HOOPESTON REGIONAL HEALTH CENTER CONTRIBUTED OVER $16,000 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 2020. A SIGNIFICANT PORTION OF HCMH'S CASH DONATIONS - OVER $12,000 - 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 $1,000 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. 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 $16,000 IN 2020. WHILE NOT PAID FOR BY CHRHC BUT BY THE CARLE FOUNDATION, CARLE EMPLOYEES WERE ALSO ACTIVE ON COMMUNITY BOARDS AND COMMISSIONS IN 2020 IN THE CHRHC SERVICE AREA, BRINGING LEADERSHIP TO THE COMMUNITIES, INCLUDING: ROTARY CLUBS, SHOES FOR LITTLE SOULS, AND SPEAKING ON COMMUNITY PANELS.
FieldValueIRS element (for citing)
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 (3 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. 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 VI AND PART II) HCMH'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 $16,000 IN 2020. HCMH LEADERSHIP CONTINUED TO SIT ON A BOARD OF DIRECTORS FOR THE PRESERVATION OF THE HISTORIC LORRAINE THEATER IN HOOPESTON, AMOUNTING TO MORE THAN $1,200 IN SUPPORT TO THE COMMUNITY. - LEADERSHIP AND STAFF AT BOTH THE MATTOON-CHARLESTON AND TUSCOLA BRANCHES, RURAL FACILITIES OPERATED BY HCMH, PARTICIPATED IN TWO COMMITTEES: THE CHARLESTON CHAMBER OF COMMERCE, AMOUNTING TO MORE THAN $2,200 IN IN-KIND SUPPORT IN COLES COUNTY, AND THE PLANNING COMMITTEE FOR THE ATWOOD APPLE DUMPLING 5K, AMOUNTING TO MORE THAN $500 IN SUPPORT FOR THE TUSCOLA COMMUNITY. - THE HOSPITAL CEO SERVED IN A NUMBER OF BOARD AND COMMITTEE ROLES THAT WERE DEDICATED TO THE IMPROVEMENT OF HOOPESTON, INCLUDING HOOPESTON COMMUNITY ALLIANCE, VERMILION ADVANTAGE, HOOPESTON ECONOMIC DEVELOPMENT AND HOOPESTON RETIREMENT VILLAGE FOUNDATION. HOWEVER, BECAUSE OF REALLOCATION OF ALL ADMINISTRATORS' SALARIES, HE IS NOW PAID BY THE CARLE FOUNDATION AND THOSE HOURS ARE NO LONGER PAID BY HCMH (INCLUDED HERE AS SUPPLEMENTAL INFORMATION ONLY). - ADDITIONAL COMMUNITY BUILDING FUNDS ($263) WERE FOR DISASTER READINESS WITH HOURS AND STAFF TIME SPENT ABOVE AND BEYOND NORMAL REQUIREMENTS FOR A HOSPITAL. AT HCMH, EMERGENCY PREPAREDNESS IS A PRIORITY, WITH ONE STAFF MEMBER SERVING AS THE DISASTER PREPAREDNESS COORDINATOR. THIS INDIVIDUAL SAT ON THE HOOPESTON EMERGENCY MANAGEMENT AGENCY AS A REPRESENTATIVE OF HCMH, ATTENDED DISASTER MEETINGS, AND PARTICIPATED IN DRILLS. SHE ALSO CONTINUED TO PARTICIPATE IN REGULAR DISCUSSIONS WITH THE REGION, INCLUDING THE CARLE EMERGENCY MANAGEMENT COMMITTEE, WORKING TOGETHER TO PREPARE AND STANDING READY IF THE NEED OCCURS. 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.
2 - NEEDS ASSESSMENTHCMH USED EXISTING DATA, INFORMAL DISCUSSIONS, AND A COMPREHENSIVE QUALITATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO DETERMINE IF EXISTING PROGRAMS ARE ON TRACK; WHAT NEEDS TO BE ADDED, DELETED OR ENHANCED; AND WHERE OUR FOCUS NEEDED TO BE PLACED IN THE FUTURE. THE CHNA INCLUDED DISCUSSIONS WITH COMMUNITY LEADERS, INCLUDING HUMAN SERVICE AGENCY ADMINISTRATORS, PUBLIC HEALTH REPRESENTATIVES AND HCMH LEADERSHIP. 3 - PATIENT EDUCATION FOR ELIGIBILITY FOR ASSISTANCE THE PRACTICE OF HCMH IS TO REVIEW 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. HCMH 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 THE CARLE FINANCIAL ASSISTANCE PROGRAM, USING PRINT, BILLBOARDS AND WEB; 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/BILLING/FINANCIAL-ASSISTANCE - INFORMATION ABOUT THE CARLE FINANCIAL ASSISTANCE PROGRAM ON ALL STATEMENTS, COLLECTION LETTERS AND HOSPITAL ADMISSION PACKETS - CARLE FINANCIAL ASSISTANCE PROGRAM INFORMATION AND APPLICATIONS AT ALL REGISTRATION POINTS, HOSPITAL MAIN LOBBY AND CARLE.ORG - STAFF AT FRANCES NELSON HEALTH CENTER OPERATED BY PROMISE HEALTHCARE, THE LOCAL FQHC, AND COMMUNITY FREE CLINICS EQUIPPED WITH A SUPPLY OF APPLICATIONS AND KNOWLEDGE TO ASSIST THEIR PATIENTS IN COMPLETING THEM - MEETINGS WITH LOCAL LEGISLATORS TO HELP THEM ASSIST CONSTITUENTS WITH HEALTHCARE NEEDS, INCLUDING FINANCIAL ASSISTANCE 4 - COMMUNITY INFORMATION THE PRIMARY SERVICE AREA OF CARLE HOOPESTON REGIONAL HEALTH CENTER IS DEFINED AS THE GEOGRAPHICAL BOUNDARY OF VERMILION COUNTY, ILLINOIS. WHILE SOME RESIDENTS OF SURROUNDING COUNTIES UTILIZE CHRHC'S SERVICES, OUR MOST RECENT CHNA TARGETED VERMILION COUNTY RESIDENTS, WHO MAKE UP THE MAJORITY OF CHRHC PATIENTS. COMMUNITY BENEFIT REPORTING FOR HCMH ALSO INCLUDES OUTPATIENT FACILITIES IN CISSNA PARK, HOOPESTON, MILFORD, ROSSVILLE, WATSEKA, DANVILLE ON FAIRCHILD, MATTOON ON HURST AND TUSCOLA. 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. 5 - PROMOTION OF COMMUNITY HEALTH HCMH 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. 6 - AFFILIATED HEALTH CARE SYSTEM HCMH 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. 7 - STATE FILING OF COMMUNITY BENEFIT REPORT AS 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 Line1HOOPESTON AREA COMMUNITY UNIT SCHL DIST #11BusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1615 EAST ORANGE STAddressLine1Txt
CityHOOPESTONCityNm
State AbbreviationILStateAbbreviationCd
ZIP60942ZIPCd
FieldValueIRS element (for citing)
Recipient EIN362774495RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$10,000CashGrantAmt
Purpose Of GrantCUSD #11 ALL-WEATHER TRACKPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

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)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
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 (25 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$1,419,366$0$486,297$0$2,868,466$0$512,006$0$0$0$5,286,135$0$2,824,169
Dennis Hesch
Exec VP & CFO$0$885,848$0$286,489$0$298,375$0$335,530$0$18,694$0$1,824,936$0$272,173
Laurence Fallon
Key Employee - Former$0$613,897$0$154,736$0$220,553$0$209,855$0$22,287$0$1,221,328$0$190,924
Matthew Kolb
Exec VP & COO$0$760,841$0$138,991$0$75,891$0$266,294$0$26,141$0$1,268,158$0$52,128
Napoleon Knight MD
Med Dir - Regional ED$0$491,989$0$1,250$0$433,428$0$22,896$0$10,564$0$960,127$0$0
Charles Dennis MD
Key Employee - Former$0$626,645$0$139,197$0$12,892$0$96,404$0$21,790$0$896,928$0$2,881
Lynette Barnes
Pres - Carle Fnd Hosp$0$353,652$0$74,181$0$324,983$0$115,700$0$7,612$0$876,128$0$288,991
Blair Rowitz MD
Assoc CMO - Surgical Services$0$622,577$0$40,865$0$22,384$0$22,896$0$22,834$0$731,556$0$0
Douglas Morton MD
Med Dir-Radiology$0$649,515$0$1,100$0$8,949$0$22,896$0$9,847$0$692,307$0$0
Ikechukwu Uzoaru MD
Med Dir-Lab$0$546,017$0$1,000$0$27,449$0$22,896$0$18,040$0$615,402$0$0
Lauren Schmid
Exec VP, Chief HR Officer$0$405,864$0$86,659$0$68,983$0$123,893$0$24,151$0$709,550$0$45,789
David Chan MD
Associate CMO$0$427,970$0$53,580$0$27,963$0$22,896$0$10,863$0$543,272$0$0
Pamela Bigler
Key Employee-Former$0$321,255$0$67,841$0$110,765$0$104,115$0$8,494$0$612,470$0$76,749
Sally Salmons MD
Trustee & Assoc CMO$0$358,708$0$53,491$0$22,081$0$64,554$0$15,732$0$514,566$0$14,923
Caleb Miller
SVP-Surgical & Diag Svcs$0$301,975$0$58,486$0$63,696$0$88,901$0$26,248$0$539,306$0$43,743
Harry Brockus
Ex-Officio, CEO (Thru 7/2020)$0$321,561$0$46,717$0$55,657$0$87,567$0$22,663$0$534,165$0$45,046
Elizabeth Angelo
Sr. VP Chief Nursing Officer$0$297,022$0$44,177$0$23,905$0$57,549$0$28,066$0$450,719$0$0
Andy Arwari MD
ACMO-Reg Health (until 5/20)$0$267,963$0$40,136$0$10,274$0$5,700$0$10,898$0$334,971$0$0
Heather Tucker
Hospital Administrator$154,450$0$15,262$0$3,118$0$13,087$0$30,856$0$216,773$0$0$0
Debra O'Brien
Physician Assistant$164,051$0$6,592$0$2,164$0$13,264$0$18,902$0$204,973$0$0$0
Larry Gerdom
Physician Assistant$144,944$0$7,609$0$4,119$0$11,589$0$16,550$0$184,811$0$0$0
Larry Whitaker Jr
Physician Assistant$144,653$0$7,710$0$503$0$11,465$0$25,441$0$189,772$0$0$0
Kimberly J Longfellow
HRHC-Dir Hospital Nursing$133,270$0$11,925$0$4,108$0$11,040$0$26,256$0$186,599$0$0$0
Allison Slocum
Dir of Compliance & Med Staff$0$138,297$0$7,694$0$287$0$10,385$0$642$0$157,305$0$0
Robin Blew
APN-Danville Conv Care$137,397$0$5,393$0$937$0$10,352$0$3,898$0$157,977$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 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 4BTHE 2020 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, LYNETTE BARNES, PAMELA BIGLER, HARRY BROCKUS, CHARLES DENNIS, MD, LAURENCE FALLON, DENNIS HESCH, MATTHEW KOLB, JAMES C LEONARD, MD, CALEB MILLER, SALLY SALMONS, MD, AND LAUREN SCHMID. IN 2020, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO LYNETTE BARNES ($288,991), PAMELA BIGLER ($76,749), HARRY BROCKUS ($45,046), CHARLES DENNIS, MD ($2,881), LAURENCE FALLON ($190,924), DENNIS HESCH ($272,173), MATTHEW KOLB ($52,128), JAMES C LEONARD, MD ($2,824,169), CALEB MILLER ($43,743), SALLY SALMONS, MD ($14,923), AND LAUREN SCHMID ($45,789).
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 (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
EMA NICHOLLS
FAMILY MEMBER OF TRUSTEE$119,008EMPLOYMENTfalse
RACHEL MILLER
FAMILY MEMBER OF KEY EMPLOYEE$85,691EMPLOYMENTfalse
BRADLEY CRISTY JR
FAMILY MEMBER OF OFFICER$40,500EMPLOYMENTfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceRELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATIONFormAndLineReferenceDesc
ExplanationBRADLEY D CRISTY, JR IS AN EMPLOYEE OF HCMH AND HAS A FAMILY RELATIONSHIP WITH HARRY BROCKUS WHO SERVES AS CEO OF THE HOSPITAL'S BOARD OF DIRECTORS. RACHEL MILLER IS AN EMPLOYEE OF HCMH AND HAS A FAMILY RELATIONSHIP WITH CALEB MILLER WHO SERVES AS A KEY EMPLOYEE FOR THE HOSPITAL. EMA NICHOLLS IS AN EMPLOYEE OF HCMH AND HAS A FAMILY RELATIONSHIP WITH WILLIAM NICHOLLS WHO SERVES AS A TRUSTEE FOR THE HOSPITAL.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, QUESTION 2HARRY BROCKUS (OFFICER), CHARLES DENNIS, MD (FORMER), AND MATTHEW KOLB (OFFICER) HAD A BUSINESS RELATIONSHIP. JAMES C LEONARD, MD (OFFICER), DENNIS HESCH (OFFICER), AND MATTHEW KOLB (OFFICER) HAD A BUSINESS RELATIONSHIP. BLAIR ROWITZ, MD (KEY EMPLOYEE), CHARLES DENNIS, MD (FORMER), ELIZABETH ANGELO (KEY EMPLOYEE), JAMES C LEONARD, MD (OFFICER), MATTHEW KOLB (OFFICER), AND SALLY SALMONS, MD (OFFICER) HAD BUSINESS RELATIONSHIPS.
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 ORGANIZATIONT'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 HUMAN RESOURCES 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 $17,693,529. 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 $111,320. TEMPORARILY RESTRICTED ASSETS DECREASED BY $3,133 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 (12 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 STURBANAIL618012595370673465PARENT/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)
COMMUNITY CANCER CENTER FOUNDATION
407 E VERNON AVENORMALIL61761364425147FundraisingIL501c(3)7CCC LLCYes (true)
CARLE WEST PHYSICIAN GROUP INC
611 W PARK STURBANAIL618012595850703768PHYS SERVICESIL501c(3)10CHCIYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CHAMPAIGN SURGICENTER LLCBusinessNameLine1Txt

US Address USAddress

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeTypeTxt

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 MANAGEMENTNAC CORPYes (true)611 W PARK STURBANAIL618012595371217973IL
EVALIDATA INC
PHYS CREDENTIALSNAC CORPYes (true)611 W PARK STURBANAIL618012595462022658IL
CHA HOLDING INC
HOLDING COMPANYNAC CORPYes (true)3310 SOUTH FIELDS DRCHAMPAIGNIL61822471854275IL
CARLE HOLDING COMPANY INC
HOLDING COMPANYNAC CORPYes (true)611 W PARK STURBANAIL618012595371188284IL
HEALTH ALLIANCE MEDICAL PLANS INC
HEALTH COVERAGENAC CORPYes (true)3310 SOUTH FIELDS DRCHAMPAIGNIL61822371260731IL
HEALTH ALLIANCE CONNECT INC
HEALTH CARE COORDNAC CORPYes (true)3310 SOUTH FIELDS DRCHAMPAIGNIL61822464796891IL
HEALTH ALLIANCE NORTHWEST HOLDING
HOLDING COMPANYNAC CORPYes (true)820 N CHELAN AVEWENATCHEEWA98801461717578WA
HEALTH ALLIANCE NORTHWEST HEALTH PLAN
HEALTH COVERAGENAC CORPYes (true)820 N CHELAN AVEWENATCHEEWA98801461966323WA
HEALTH ALLIANCE-MIDWEST INC
HEALTH COVERAGENAC CORPYes (true)3310 SOUTH FIELDSCHAMPAIGNIL61822371354502IL
CARLE VENTURES INC
HEALTH CARE PSHIPTCFC CorpYes (true)611 W PARK STURBANAIL618012595371313150IL
CARLE HEALTH PHYSICIAN PARTNERS INC
PHYSICIAN SVCSTCFC 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 RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
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 (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HEALTH ALLIANCE MEDICAL PLANS INC
a$1,194BOOK VALUE
HEALTH ALLIANCE CONNECT INC
l$4,201,257BOOK VALUE
HEALTH ALLIANCE MEDICAL PLANS INC
l$5,581,311BOOK VALUE
CARLE HEALTH CARE INCORPORATED
m$12,242,645BOOK VALUE
THE CARLE FOUNDATION HOSPITAL
m$1,044,531BOOK VALUE
HEALTH SYSTEMS INSURANCE LIMITED
m$59,098BOOK VALUE
THE CARLE FOUNDATION HOSPITAL
p$75,960BOOK VALUE
THE CARLE FOUNDATION HOSPITAL
s$882,800BOOK VALUE

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