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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-05T16:05:59-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE 4000 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363637465 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOOPESTON COMMUNITY MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % DENNIS HESCH EXEC VP & CFO | InCareOfNm |
| Business Name Control | HOOP | BusinessNameControlTxt |
| Phone | 2172835531 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 E Orange Street | AddressLine1Txt |
| City | Hoopeston | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60942 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DENNIS HESCH | PersonNm |
| Person Title | EVP/CFO | PersonTitleTxt |
| Phone | 2173833311 | PhoneNum |
| Signature | 2021-11-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DENNIS | PersonFirstNm |
| Person Last | HESCH | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JENNIFER RHODERICK | PreparerPersonNm |
| PTIN | P00395735 | PTIN |
| Phone | 3176817000 | PhoneNum |
| Preparation | 2021-11-04 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARLE HOOPESTON REGIONAL HEALTH CTR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DENNIS HESCH EVP CFO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W PARK ST | AddressLine1Txt |
| City | URBANA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $66,071,957 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.carle.org/hoopeston | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1956 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE QUALITY HEALTH CARE AND OTHER MEDICALLY RELATED SERVICES AND EDUCATION TO THE COMMUNITY THROUGH THE OPERATION OF A CRITICAL ACCESS HOSPITAL AND RURAL HEALTH CLINICS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 353 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $9,520 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,125 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,020,904 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $66,731,104 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $61,660,391 | CYProgramServiceRevenueAmt |
| PY Investment Income | $21,410 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,964 | CYInvestmentIncomeAmt |
| PY Other Revenue | $574,795 | PYOtherRevenueAmt |
| CY Other Revenue | $360,711 | CYOtherRevenueAmt |
| PY Total Revenue | $67,330,434 | PYTotalRevenueAmt |
| CY Total Revenue | $66,049,970 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $47,830 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $31,588 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $24,142,696 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $25,294,065 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $44,383,448 | PYOtherExpensesAmt |
| CY Other Expenses | $43,957,558 | CYOtherExpensesAmt |
| PY Total Expenses | $68,573,974 | PYTotalExpensesAmt |
| CY Total Expenses | $69,283,211 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,243,540 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,233,241 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $28,873,260 | TotalAssetsBOYAmt |
| Total Assets EOY | $27,899,266 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $33,335,183 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $17,792,714 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$4,461,923 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,106,552 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MISSION STATEMENT SECTION 1. GENERAL PURPOSES. THE CORPORATION IS ORGANIZED AND SHALL BE EXCLUSIVELY OPERATED AS A NOT-FOR-PROFIT CORPORATION FOR CHARITABLE, BENEVOLENT, SCIENTIFIC AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISIONS OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW (THE "CODE"). AND, IN FURTHERANCE OF SUCH CHARITABLE PURPOSES, THE CORPORATION SHALL ENGAGE IN THE ACTIVITIES DESCRIBED IN SECTION 2 OF THIS STATEMENT. SECTION 2. SPECIFIC PURPOSES. THE CORPORATION'S PURPOSES SHALL INCLUDE, BUT NOT BE LIMITED TO, THE FOLLOWING: (A) TO PROVIDE AND TO ASSIST IN PROVIDING FACILITIES FOR THE RENDERING OF HEALTH CARE SERVICES ON AN INPATIENT OR OTHER BASIS THROUGH THE OPERATION OF A CRITICAL ACCESS HOSPITAL AND RURAL HEALTH CLINICS, AND OTHER CLINICAL SERVICES THROUGH ALL OTHER APPROPRIATE MEANS; AND (B) TO TRAIN AND TO PROVIDE CONTINUING EDUCATION FOR PERSONS ENGAGED IN PROVIDING HEALTH | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $65,468,028 | ExpenseAmt |
| Grant | $31,588 | GrantAmt |
| Revenue | $61,796,780 | RevenueAmt |
| Desc | HOOPESTON 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 | $65,468,028 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 20 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 353 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DENNIS HESCH EXEC VP CFO | PersonNm |
| Phone | 2173833311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W PARK ST | AddressLine1Txt |
| City | Urbana | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61801 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Key EmployeeKeyEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| James C Leonard MD | ||||||||||
| Ex-Officio, President & CEO | 1.0 | 39.0 | Yes (X) | $0 | $4,774,129 | $512,006 | ||||
| Dennis Hesch | ||||||||||
| Exec VP & CFO | 1.0 | 39.0 | Yes (X) | $0 | $1,470,712 | $354,224 | ||||
| Matthew Kolb | ||||||||||
| Exec VP & COO | 1.0 | 39.0 | Yes (X) | $0 | $975,723 | $292,435 | ||||
| Laurence Fallon | ||||||||||
| Key Employee - Former | 1.0 | 39.0 | $0 | $989,186 | $232,142 | Yes (X) | ||||
| Napoleon Knight MD | ||||||||||
| Med Dir - Regional ED | 2.0 | 0.0 | $0 | $926,667 | $33,460 | Yes (X) | ||||
| Charles Dennis MD | ||||||||||
| Key Employee - Former | 1.0 | 39.0 | $0 | $778,734 | $118,194 | Yes (X) | ||||
| Lynette Barnes | ||||||||||
| Pres - Carle Fnd Hosp | 1.0 | 39.0 | $0 | $752,816 | $123,312 | Yes (X) | ||||
| Blair Rowitz MD | ||||||||||
| Assoc CMO - Surgical Services | 1.0 | 39.0 | $0 | $685,826 | $45,730 | Yes (X) | ||||
| Lauren Schmid | ||||||||||
| Exec VP, Chief HR Officer | 1.0 | 39.0 | $0 | $561,506 | $148,044 | Yes (X) | ||||
| Douglas Morton MD | ||||||||||
| Med Dir-Radiology | 1.0 | 40.0 | $0 | $659,564 | $32,743 | Yes (X) | ||||
| Ikechukwu Uzoaru MD | ||||||||||
| Med Dir-Lab | 1.0 | 40.0 | $0 | $574,466 | $40,936 | Yes (X) | ||||
| Pamela Bigler | ||||||||||
| Key Employee-Former | 1.0 | 39.0 | $0 | $499,861 | $112,609 | Yes (X) | ||||
| David Chan MD | ||||||||||
| Associate CMO | 1.0 | 39.0 | $0 | $509,513 | $33,759 | Yes (X) | ||||
| Caleb Miller | ||||||||||
| SVP-Surgical & Diag Svcs | 1.0 | 39.0 | $0 | $424,157 | $115,149 | Yes (X) | ||||
| Harry Brockus | ||||||||||
| Ex-Officio, CEO (Thru 7/2020) | 1.0 | 39.0 | Yes (X) | $0 | $423,935 | $110,230 | ||||
| Sally Salmons MD | ||||||||||
| Trustee & Assoc CMO | 6.0 | 34.0 | $0 | $434,280 | $80,286 | Yes (X) | ||||
| Elizabeth Angelo | ||||||||||
| Sr. VP Chief Nursing Officer | 2.0 | 38.0 | $0 | $365,104 | $85,615 | Yes (X) | ||||
| Andy Arwari MD | ||||||||||
| ACMO-Reg Health (until 5/20) | 1.0 | 39.0 | $0 | $318,373 | $16,598 | Yes (X) | ||||
| Heather Tucker | ||||||||||
| Hospital Administrator | 40.0 | 0.0 | $172,830 | $0 | $43,943 | Yes (X) | ||||
| Debra O'Brien | ||||||||||
| Physician Assistant | 40.0 | 0.0 | $172,807 | $0 | $32,166 | Yes (X) | ||||
| Larry Whitaker Jr | ||||||||||
| Physician Assistant | 40.0 | 0.0 | $152,866 | $0 | $36,906 | Yes (X) | ||||
| Kimberly J Longfellow | ||||||||||
| HRHC-Dir Hospital Nursing | 40.0 | 0.0 | $149,303 | $0 | $37,296 | Yes (X) | ||||
| Larry Gerdom | ||||||||||
| Physician Assistant | 40.0 | 0.0 | $156,672 | $0 | $28,139 | Yes (X) | ||||
| Robin Blew | ||||||||||
| APN-Danville Conv Care | 40.0 | 0.0 | $143,727 | $0 | $14,250 | Yes (X) | ||||
| Allison Slocum | ||||||||||
| Dir of Compliance & Med Staff | 1.0 | 39.0 | $0 | $146,278 | $11,027 | Yes (X) | ||||
| Lynn Galloway | ||||||||||
| Vice Chair of Board | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Russ Leigh | ||||||||||
| Chair of Board | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Alice Jacobs PhD | ||||||||||
| Trustee | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| William Nicholls | ||||||||||
| Trustee | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| David Bell | ||||||||||
| Trustee | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $948,205 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $16,270,830 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,691,199 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 40 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HOOPESTON EMERGENCY MEDICINE SPECIA | |||||
| PO BOX 5977 | CAROL STREAM | IL | 601975977 | STAFFING | $1,527,729 |
| SENTRY DATA SYSTEMS INC | |||||
| PO BOX 505353 | ST LOUIS | MO | 631505353 | SOFTWARE | $465,000 |
| DMS IMAGING INC | |||||
| DBA DMS HEALTH TECH PO BOX 670747 | DALLAS | TX | 752670747 | IMAGING SERVICES | $227,161 |
| DAVIS HOUK MECHANICAL INC | |||||
| PO BOX 17022 | URBANA | IL | 61803 | MECHANICAL SERVICES | $210,584 |
| RELIABLE PLUMBING HEATING CO | |||||
| PO BOX 8098 | CHAMPAIGN | IL | 618268098 | MECHANICAL SERVICES | $208,909 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,020,904 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Total Contributions | $4,020,904 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICES | 622110 | $61,659,197 | $61,659,197 |
| RENT FROM RELATED ORGS | 532000 | $1,194 | $1,194 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $61,660,391 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,789 | TotalRevenueColumnAmt |
| Exclusion | $7,789 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $19,222 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $21,987 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$2,765 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,765 | TotalRevenueColumnAmt |
| Exclusion | -$2,765 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $175 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $175 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $175 | TotalRevenueColumnAmt |
| Exclusion | $175 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| MEDICAID EMR INCENTIVE | 622110 | $42,500 | $42,500 | |
| COFFEE SHOP | 722212 | $27,650 | $27,650 | |
| PERPETUAL TRUST INCOME | 900099 | $166,480 | $166,480 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $126,846 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $93,889 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $9,520 | UnrelatedBusinessRevenueAmt |
| Exclusion | $23,437 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $363,476 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $66,049,970 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $61,796,780 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $9,520 | UnrelatedBusinessRevenueAmt |
| Exclusion | $222,766 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,588 | TotalAmt |
| Program Services | $31,588 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $714,310 | TotalAmt |
| Program Services | $714,310 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,201,097 | TotalAmt |
| Program Services | $18,160,981 | ProgramServicesAmt |
| Management And General | $1,040,116 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,086,859 | TotalAmt |
| Program Services | $1,026,132 | ProgramServicesAmt |
| Management And General | $60,727 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,907,892 | TotalAmt |
| Program Services | $2,749,357 | ProgramServicesAmt |
| Management And General | $158,535 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,383,907 | TotalAmt |
| Program Services | $1,287,496 | ProgramServicesAmt |
| Management And General | $96,411 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,500 | TotalAmt |
| Management And General | $1,500 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,032 | TotalAmt |
| Management And General | $5,032 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,790,893 | TotalAmt |
| Program Services | $1,748,949 | ProgramServicesAmt |
| Management And General | $41,944 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,214 | TotalAmt |
| Program Services | $50 | ProgramServicesAmt |
| Management And General | $16,164 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,504,984 | TotalAmt |
| Program Services | $1,369,117 | ProgramServicesAmt |
| Management And General | $135,867 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $706,459 | TotalAmt |
| Program Services | $698,190 | ProgramServicesAmt |
| Management And General | $8,269 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,571,482 | TotalAmt |
| Program Services | $1,966,913 | ProgramServicesAmt |
| Management And General | $604,569 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,716 | TotalAmt |
| Program Services | $88,087 | ProgramServicesAmt |
| Management And General | $7,629 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,220 | TotalAmt |
| Program Services | $25,498 | ProgramServicesAmt |
| Management And General | $8,722 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,036 | TotalAmt |
| Program Services | $219,036 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,739,189 | TotalAmt |
| Program Services | $1,239,064 | ProgramServicesAmt |
| Management And General | $500,125 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,481 | TotalAmt |
| Program Services | $165,778 | ProgramServicesAmt |
| Management And General | $12,703 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,613,295 | TotalAmt |
| Program Services | $1,441,085 | ProgramServicesAmt |
| Management And General | $172,210 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,283,211 | TotalAmt |
| Program Services | $65,468,028 | ProgramServicesAmt |
| Management And General | $3,815,183 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,047 | BOYAmt |
| EOY | $8,126 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,342,312 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $7,043,851 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,529 | BOYAmt |
| EOY | $326,169 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $27,665,947 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,544,806 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,252,309 | BOYAmt |
| EOY | $12,121,141 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,444,690 | BOYAmt |
| EOY | $4,444,690 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,666,373 | BOYAmt |
| EOY | $3,955,289 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,873,260 | BOYAmt |
| EOY | $27,899,266 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,315,335 | BOYAmt |
| EOY | $3,153,110 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,251,601 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,246,215 | BOYAmt |
| EOY | $4,308,810 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,773,633 | BOYAmt |
| EOY | $8,079,193 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,335,183 | BOYAmt |
| EOY | $17,792,714 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$8,099,952 | BOYAmt |
| EOY | $6,360,336 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,638,029 | BOYAmt |
| EOY | $3,746,216 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,461,923 | BOYAmt |
| EOY | $10,106,552 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,873,260 | BOYAmt |
| EOY | $27,899,266 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$3,233,241 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $17,801,716 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $5,032 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,032 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1I | FormAndLineReferenceDesc |
| Explanation | OTHER 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 LOBBYING | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $110,211 | OtherCostOrOtherBasisAmt |
| Book Value | $110,211 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,005,058 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,551,760 | DepreciationAmt |
| Book Value | $6,453,298 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,737,515 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,728,770 | DepreciationAmt |
| Book Value | $8,745 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,252,806 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,581,492 | DepreciationAmt |
| Book Value | $4,671,314 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,560,357 | OtherCostOrOtherBasisAmt |
| Depreciation | $682,784 | DepreciationAmt |
| Book Value | $877,573 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,121,141 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEVL LIMITED ASSETS | $30,109 |
| LONG TERM INVESTMENTS | $3,716,107 |
| NET RIGHT-OF-USE ASSETS | $209,073 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,955,289 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,079,193 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | FIN 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,265,681 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,265,681 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03330 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,644,621 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,405,493 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,239,128 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03290 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,910,302 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,405,493 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,504,809 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06620 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,446 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,446 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,893 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,893 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,339 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $30,339 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,940,641 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,405,493 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,535,148 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06660 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $761 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $761 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,479 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,479 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,240 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,240 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,194,080 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $597,040 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $12,109,582 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $15,761,798 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,652,216 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hoopeston Community Memorial Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 E Orange St | AddressLine1Txt |
| City | Hoopeston | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 609421801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.CARLE.ORG/HOOPESTON | WebsiteAddressTxt |
| State License | 0004200 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOOPESTON COMMUNITY MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | CARLE.ORG/CHNA | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE PART V, SECTION C | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | CARLE.ORG/CHNA | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE SUPPLEMENTAL INFORMATION | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE SUPPLEMENTAL INFORMATION | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE SUPPLEMENTAL INFORMATION | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 BENEFITS | CASH 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Carle Danville on Fairchild | ||||
| 311 W Fairchild | Danville | IL | 61832 | Rural Health Clinic |
| Carle Mattoon on Hurst | ||||
| 2512 Hurst Drive | Mattoon | IL | 61938 | Rural Health Clinic |
| Charlotte Ann Russell Medical Center | ||||
| 801 E Orange St | Hoopeston | IL | 60942 | Rural Health Clinic |
| Carle Tuscola | ||||
| 301 E Southline Rd | Tuscola | IL | 61953 | Rural Health Clinic |
| Carle Watseka | ||||
| 845 S 4TH ST | Watseka | IL | 60970 | Rural Health Clinic |
| Carle Rossville | ||||
| 619 N Chicago St | Rossville | IL | 60963 | Rural Health Clinic |
| Carle Milford | ||||
| 322 N Chicago St | Milford | IL | 60953 | Rural Health Clinic |
| Carle Cissna Park | ||||
| 141 W Garfield Ave | Cissna Park | IL | 60924 | Rural Health Clinic |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART VI | 1 - 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 ASSESSMENT | HCMH 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOOPESTON AREA COMMUNITY UNIT SCHL DIST #11 | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 EAST ORANGE ST | AddressLine1Txt |
| City | HOOPESTON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60942 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 362774495 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $10,000 | CashGrantAmt |
| Purpose Of Grant | CUSD #11 ALL-WEATHER TRACK | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form 990, Schedule I, Part 1, Question 2 | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS ANY CHARITABLE ORGANIZATION WISHING TO REQUEST FUNDS IS ASKED TO SUBMIT THEIR REQUEST IN WRITING. EMAILED REQUESTS ARE ACCEPTABLE. THE REQUEST MUST INCLUDE A DESCRIPTION OF THE PURPOSE OF THE CONTRIBUTION AND OTHER RELEVANT INFORMATION SUCH AS REQUESTORS NAME, AMOUNT OF THE REQUEST, ETC. THE REQUESTS ARE REVIEWED, EVALUATED, AND ADMINISTERED BY THE MARKETING AND COMMUNICATIONS (PUBLIC RELATIONS) DEPARTMENT, SEEKING ADDITIONAL INFORMATION FROM THE REQUESTOR, AS NEEDED, AND INPUT FROM ANY APPROPRIATE CARLE ADMINISTRATOR OR DIRECTOR. A SET OF ESTABLISHED GUIDELINES DRIVE THESE DECISIONS WHILE MOST ARE MADE TO IMPROVE HEALTHCARE/ACCESS TO HEALTHCARE OR ARE IN LINE WITH OUR ROLE AS A CORPORATE CITIZEN. ASSESSED NEED IS A COMMON CRITERIA. IN THE CASE OF MOST DONATIONS OF $5,000 OR MORE, SUCH AS TO COLLEGES AND UNIVERSITIES OR COMMUNITY CLINICS, WRITTEN AGREEMENTS ARE IN PLACE AND WE HAVE REGULAR CONTACT WITH THOSE ORGANIZATIONS, OFTENTIMES THROUGH A CARLE CONTACT PERSON TO ASSURE THAT THE DONATIONS ARE BEING USED AS AGREED UPON. THE RECORDS ARE EITHER MAINTAINED IN ADMINISTRATION OR PUBLIC RELATIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, QUESTION 3 | THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT COMPANY OF HCMH, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: *THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. *THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. *THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. *THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY-SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE. |
| SCHEDULE J, PART I, QUESTION 4B | THE 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 7 | PART 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 DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| EMA NICHOLLS | |||
| FAMILY MEMBER OF TRUSTEE | $119,008 | EMPLOYMENT | false |
| RACHEL MILLER | |||
| FAMILY MEMBER OF KEY EMPLOYEE | $85,691 | EMPLOYMENT | false |
| BRADLEY CRISTY JR | |||
| FAMILY MEMBER OF OFFICER | $40,500 | EMPLOYMENT | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION | FormAndLineReferenceDesc |
| Explanation | BRADLEY 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, QUESTION 2 | HARRY 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 6 | HCMH HAS ONE MEMBER WHICH IS THE PARENT COMPANY, THE CARLE FOUNDATION. |
| FORM 990, PART VI, QUESTION 7A | HCMH'S SOLE MEMBER, THE CARLE FOUNDATION, ACTING THROUGH ITS BOARD OF TRUSTEES, HAS THE EXCLUSIVE POWER TO ELECT AND REMOVE MEMBERS OF THE BOARD OF TRUSTEES FOR THE CORPORATION IN ADDITION TO FILLING VACANCIES. |
| FORM 990, PART VI, QUESTION 7B | HCMH'S BOARD OF TRUSTEES MUST HAVE THE APPROVAL OF ITS SOLE MEMBER, THE CARLE FOUNDATION, THROUGH ITS BOARD OF TRUSTEES, WHEN VOTING ON MATTERS INCLUDING THE AMENDING OF THE BY-LAWS; AMENDMENTS TO THE ARTICLES OF INCORPORATION; AUTHORIZING ANY NON-BUDGETED EXPENDITURE IN EXCESS OF $50,000 (THE EXCESS OF ANY PROPOSED EXPENDITURE OVER THE PREVIOUSLY APPROVED BUDGETED AMOUNT SHALL BE DEEMED A NON-BUDGETED EXPENDITURE); TO ADOPT ANY NEW OR ANY CHANGES TO EXISTING LONG TERM OR MASTER INSTITUTIONAL PLANS OF THE CORPORATION; TO ORGANIZE OR ACQUIRE, OR TO AUTHORIZE OR APPROVE THE ORGANIZATION'S ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; THE AUTHORIZATION TO ENTER INTO ANY CONTRACT OR ENGAGE IN ANY TRANSACTION OR ACTIVITY WHICH REQUIRES APPLICATION TO THE ILLINOIS HEALTH FACILITIES PLANNING BOARD FOR A PERMIT OR CERTIFICATE OF NEED AND FOR RECOMMENDING THE CEO OF THE CORPORATION TO THE HOOPESTON BOARD OF TRUSTEES. |
| FORM 990, PART VI, QUESTION 11B | THE FORM 990 WAS PREPARED BY STAFF AND AN EXTERNAL TAX ADVISOR AND REVIEWED BY MANAGEMENT. PRIOR TO FILING THIS FORM 990, A FULL AND COMPLETE COPY WAS PROVIDED TO THE GOVERNING BODY. AT THEIR DISCRETION, THE GOVERNING MEMBERS HAVE THE OPPORTUNITY TO CONTACT MANAGEMENT OR DISCUSS AND ADDRESS CONCERNS AT SUBSEQUENT BOARD MEETINGS. |
| FORM 990, PART VI, QUESTION 12C | THE 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 & 15B | THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT COMPANY OF HCMH, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: *THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. *THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. *THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. *THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY-SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE. |
| FORM 990, PART VI, QUESTIONS 18 & 19 | THE CARLE FOUNDATION, THE SOLE MEMBER OF HCMH, PUBLISHES THROUGH WWW.DACBOND.COM AND https://emma.msrb.org/, ITS QUARTERLY UNAUDITED FINANCIAL STATEMENTS, A MANAGEMENT'S DISCUSSION & ANALYSIS TO ACCOMPANY THE FINANCIAL STATEMENTS, AND AN ANNUAL REPORT OF CERTAIN OPERATING AND FINANCIAL INFORMATION. ADDITIONALLY, OFFICIAL STATEMENTS FOR OUTSTANDING MUNICIPAL BOND ISSUES FOR WHICH THE CARLE FOUNDATION IS OBLIGATED ARE AVAILABLE AT THIS WEBSITE. THESE DOCUMENTS INCLUDE EXTENSIVE INFORMATION ABOUT THE ORGANIZATION'S HEALTH CARE DELIVERY SYSTEM MODEL, RECENT HIGHLIGHTS/ACCOMPLISHMENTS, GOVERNANCE AND ADMINISTRATION, STRATEGIC PLAN, FACILITIES, CLINICAL PROGRAMS, MEDICAL STAFF, SERVICE AREA, COMPETITIVE ENVIRONMENT, DEMOGRAPHIC DATA, UTILIZATION STATISTICS, SUMMARY FINANCIAL INFORMATION, ACADEMIC AFFILIATIONS AND EDUCATIONAL PROGRAMS, MEDICAL RESEARCH, ACCREDITATIONS, AND ITS EMPLOYEES. THIS INFORMATION IS AVAILABLE AT NO CHARGE TO THOSE WHO REGISTER AT THE WWW.DACBOND.COM WEBSITE. IN ADDITION, THE FORM 990S OF THE ORGANIZATION'S FILING ENTITIES ARE AVAILABLE THROUGH DACBOND. QUARTERLY FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST DELIVERED TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE ALSO AVAILABLE UPON REQUEST TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES. |
| FORM 990, PART VII, SECTION A, COLUMN B | THE AVERAGE ESTIMATED HOURS PER WEEK LISTED FOR THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS ARE BASED ON A STANDARD 40 HOUR WEEK. MEMBERS MAY FREQUENTLY DEVOTE MORE THAN 40 HOURS OF SERVICE TO THE ENTIRE ORGANIZATION DURING AN AVERAGE WEEK. |
| FORM 990, PART XI, LINE 9 | HOOPESTON 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 & 12B | THE FINANCIAL STATEMENTS FOR HCMH WERE REVIEWED ON A CONSOLIDATED BASIS UNDER THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE CARLE FOUNDATION HAS AN AUDIT COMMITTEE CONSISTING OF MEMBERS OF THE GOVERNING BOARD AND THE CHIEF FINANCIAL OFFICER WHO TOGETHER ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE REVIEW AND AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT OR AUDITOR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| THE CARLE FOUNDATION | ||||||||||
| 611 W PARK ST | URBANA | IL | 618012595 | 370673465 | PARENT/INVMGT | IL | 501(C)(3) | 12c, III-FI | NA | false |
| THE CARLE FOUNDATION HOSPITAL | ||||||||||
| 611 W PARK ST | URBANA | IL | 61801 | 371119538 | HOSPITAL SVCS | IL | 501(C)(3) | 3 | TCF | Yes (true) |
| CARLE HEALTH CARE INCORPORATED | ||||||||||
| 611 W PARK ST | URBANA | IL | 61801 | 371140016 | VAR MED SVCS | IL | 501(C)(3) | 10 | TCF | Yes (true) |
| THE CARLE DEVELOPMENT FOUNDATION | ||||||||||
| 611 W PARK ST | URBANA | IL | 61801 | 371159978 | FUNDRAISING | IL | 501(C)(3) | 7 | TCF | Yes (true) |
| CARLE COMMUNITY HEALTH CORPORATION | ||||||||||
| 611 W PARK ST | URBANA | IL | 61801 | 364458371 | FNDN MISSION | IL | 501(C)(3) | 12a, Type I | TCDF | Yes (true) |
| RICHLAND MEMORIAL HOSPITAL INC | ||||||||||
| 800 EAST LOCUST STREET | OLNEY | IL | 62450 | 371363001 | HOSPITAL SVCS | IL | 501(C)(3) | 3 | TCF | Yes (true) |
| CARLE RETIREMENT CENTERS INC | ||||||||||
| 611 W PARK ST | URBANA | IL | 61801 | 371160033 | RETIREMENT | IL | 501(C)(3) | 10 | TCF | Yes (true) |
| CARLE BROMENN MEDICAL CENTER | ||||||||||
| 611 W Park St | URBANA | IL | 61801 | 850682363 | HOSPITAL SVCS | IL | 501c(3) | 3 | TCF | Yes (true) |
| CARLE EUREKA HOSPITAL | ||||||||||
| 611 W Park St | URBANA | IL | 61801 | 850688306 | HOSPITAL SVCS | IL | 501c(3) | 3 | TCF | Yes (true) |
| CARLE CANCER INSTITUTE NORMAL LLC | ||||||||||
| 407 E VERNON AVE | NORMAL | IL | 61761 | 371363717 | CANCER TRMT | IL | 501c(3) | 12a, Type I | TCF | Yes (true) |
| COMMUNITY CANCER CENTER FOUNDATION | ||||||||||
| 407 E VERNON AVE | NORMAL | IL | 61761 | 364425147 | Fundraising | IL | 501c(3) | 7 | CCC LLC | Yes (true) |
| CARLE WEST PHYSICIAN GROUP INC | ||||||||||
| 611 W PARK ST | URBANA | IL | 618012595 | 850703768 | PHYS SERVICES | IL | 501c(3) | 10 | CHCI | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHAMPAIGN SURGICENTER LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W PARK ST | AddressLine1Txt |
| City | URBANA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 618012595 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201915925 | EIN |
| Primary Activities | SURGICAL CENTER | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | N/A | PredominantIncomeTypeTxt |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTH SYSTEMS INSURANCE LIMITED | ||||||||||||||
| GOVERNORS SQ 2ND FL BLDG 3 | grand cayman | CJ | ky1-1102 | INSURANCE | CJ | NA | C CORP | Yes (true) | ||||||
| CARLE RISK MANAGEMENT COMPANY | ||||||||||||||
| RISK MANAGEMENT | NA | C CORP | Yes (true) | 611 W PARK ST | URBANA | IL | 618012595 | 371217973 | IL | |||||
| EVALIDATA INC | ||||||||||||||
| PHYS CREDENTIALS | NA | C CORP | Yes (true) | 611 W PARK ST | URBANA | IL | 618012595 | 462022658 | IL | |||||
| CHA HOLDING INC | ||||||||||||||
| HOLDING COMPANY | NA | C CORP | Yes (true) | 3310 SOUTH FIELDS DR | CHAMPAIGN | IL | 61822 | 471854275 | IL | |||||
| CARLE HOLDING COMPANY INC | ||||||||||||||
| HOLDING COMPANY | NA | C CORP | Yes (true) | 611 W PARK ST | URBANA | IL | 618012595 | 371188284 | IL | |||||
| HEALTH ALLIANCE MEDICAL PLANS INC | ||||||||||||||
| HEALTH COVERAGE | NA | C CORP | Yes (true) | 3310 SOUTH FIELDS DR | CHAMPAIGN | IL | 61822 | 371260731 | IL | |||||
| HEALTH ALLIANCE CONNECT INC | ||||||||||||||
| HEALTH CARE COORD | NA | C CORP | Yes (true) | 3310 SOUTH FIELDS DR | CHAMPAIGN | IL | 61822 | 464796891 | IL | |||||
| HEALTH ALLIANCE NORTHWEST HOLDING | ||||||||||||||
| HOLDING COMPANY | NA | C CORP | Yes (true) | 820 N CHELAN AVE | WENATCHEE | WA | 98801 | 461717578 | WA | |||||
| HEALTH ALLIANCE NORTHWEST HEALTH PLAN | ||||||||||||||
| HEALTH COVERAGE | NA | C CORP | Yes (true) | 820 N CHELAN AVE | WENATCHEE | WA | 98801 | 461966323 | WA | |||||
| HEALTH ALLIANCE-MIDWEST INC | ||||||||||||||
| HEALTH COVERAGE | NA | C CORP | Yes (true) | 3310 SOUTH FIELDS | CHAMPAIGN | IL | 61822 | 371354502 | IL | |||||
| CARLE VENTURES INC | ||||||||||||||
| HEALTH CARE PSHIP | TCF | C Corp | Yes (true) | 611 W PARK ST | URBANA | IL | 618012595 | 371313150 | IL | |||||
| CARLE HEALTH PHYSICIAN PARTNERS INC | ||||||||||||||
| PHYSICIAN SVCS | TCF | C Corp | Yes (true) | 611 W PARK ST | URBANA | IL | 618012595 | 850718392 | IL | |||||
| FIRST CAROLINA CARE INSURANCE COMPANY | ||||||||||||||
| Insurance | CHA Holding | C Corp | Yes (true) | 42 Memorial Drive | Pinehurst | NC | 28374 | 331160597 | IL | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HEALTH ALLIANCE MEDICAL PLANS INC | ||
| a | $1,194 | BOOK VALUE |
| HEALTH ALLIANCE CONNECT INC | ||
| l | $4,201,257 | BOOK VALUE |
| HEALTH ALLIANCE MEDICAL PLANS INC | ||
| l | $5,581,311 | BOOK VALUE |
| CARLE HEALTH CARE INCORPORATED | ||
| m | $12,242,645 | BOOK VALUE |
| THE CARLE FOUNDATION HOSPITAL | ||
| m | $1,044,531 | BOOK VALUE |
| HEALTH SYSTEMS INSURANCE LIMITED | ||
| m | $59,098 | BOOK VALUE |
| THE CARLE FOUNDATION HOSPITAL | ||
| p | $75,960 | BOOK VALUE |
| THE CARLE FOUNDATION HOSPITAL | ||
| s | $882,800 | BOOK VALUE |
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