2021-11-15T16:56:57-06:00 2020-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE 4000 INDIANAPOLIS IN 46204 990 2020-04-29 850682363 Carle BroMenn Medical Center % DENNIS HESCH EXEC VP & CFO CARL 2173833311 611 W Park St Urbana IL 61801 DENNIS HESCH EXEC VP & CFO 2173836702 2021-11-15 true DENNIS HESCH 999009999 JENNIFER D RHODERICK P00395735 3176817000 2021-11-10 3 2020 2022-09-23 18:48:47Z X DENNIS HESCH EXEC VP CFO 611 W Park St Urbana IL 61801 108794100 false X WWW.CARLE.ORG X 2020 IL CARLE BROMENN MEDICAL CENTER'S MISSION IS TO BE THE TRUSTED PARTNER IN ALL HEALTHCARE DECISIONS AND IMPROVE HEALTH BY PROVIDING HIGHLY ACCESSIBLE, WORLD-CLASS CARE AND SERVICE. 6 5 1416 0 2554762 0 0 21440479 0 83575216 0 900 0 3777505 0 108794100 0 71065 0 0 0 44691150 0 0 0 0 44018964 0 88781179 0 20012921 0 29415464 0 10491491 0 18923973 X CARLE BROMENN MEDICAL CENTER'S MISSION IS TO BE THE TRUSTED PARTNER IN ALL HEALTHCARE DECISIONS AND IMPROVE HEALTH BY PROVIDING HIGHLY ACCESSIBLE, WORLD-CLASS CARE AND SERVICE. false false 75362997 71065 84791206 CARLE BROMENN MEDICAL CENTER ("CBMC") IS A TAX-EXEMPT ILLINOIS NOT-FOR-PROFIT CORPORATION ESTABLISHED FOR THE PURPOSE OF OPERATING A HOSPITAL AND CONDUCTING PATIENT CARE RELATED ACTIVITIES. THE HEALTHCARE LEADER IN MCLEAN COUNTY, ILLINOIS, CBMC PROVIDES WORLD-CLASS CARE IN NEUROLOGY, CARDIOLOGY, ORTHOPEDICS, OBSTETRICS, BEHAVORIAL HEALTH SERVICES, AND MORE. CBMC IS ALSO A TEACHING FACILITY OFFERING RESIDENCY PROGRAMS IN NEUROSURGERY, NEUROLOGY, FAMILY MEDICINE, AND CLINICAL PASTORAL EDUCATION. CBMC IS A 221 BED HOSPITAL LOCATED AT 1304 FRANKLIN AVENUE, NORMAL, IL PROVIDING A RANGE OF ANCILLARY AND SUPPORT SERVICES. CBMC IS ACCREDITED BY DNV GL HEALTHCARE AND HAS ACHIEVED MAGNET DESIGNATION, THE NATION'S HIGHEST DESIGNATION FOR NURSING CARE. CBMC MAINTAINS ACCREDITATIONS AS A LEVEL II TRAUMA CENTER, CHEST PAIN CENTER, PRIMARY STROKE CENTER AND LEVEL II PERINATAL CENTER, AND IS IPDH EMERGENCY DEPARTMENT APPROVED FOR PEDIATRICS. CBMC CONTINUES A NEARLY 125-YEAR HISTORY OF PROVIDING CHARITABLE, NOT-FOR-PROFIT HOSPITAL CARE FOR BLOOMINGTON-NORMAL, AND THEIR SURROUNDING COMMUNITY. THIS HISTORY BEGAN WITH DEACONESS HOSPITAL, WHICH WAS FORMED IN 1896 AND WHICH LATER CHANGED ITS NAME TO BROKAW HOSPITAL, AND THEN TO BROMENN MEDICAL CENTER AFTER A MERGER WITH MENNONITE HEALTH CARE ASSOCIATION. IN 2010, THE HOSPITAL AND ITS SISTER HOSPITAL, EUREKA HOSPITAL, MERGED INTO ADVOCATE HEALTH AND HOSPITAL CORPORATION (ADVOCATE) AND WAS OPERATED AS A DIVISION OF ADVOCATE, UNTIL JULY 1, 2020 WHEN ACQUIRED BY CARLE HEALTH. FOR THE SIX MONTHS ENDING DECEMBER 31, 2020, CBMC HAD APPROXIMATELY 66,565 INPATIENT AND OUTPATIENT VISITS WITH APPROXIMATELY 12,320 EMERGENCY DEPARTMENT VISITS AND 674 BIRTHS. 75362997 true true false true false false false false false false false false false true true true false true false false false false false false false false true true true false true false false false false false false false false true false false false false true true true false false true 56 0 true 1416 true true true false false false false false false false false false false false X 6 5 true false false false true true true true true false false true true true true true true false false false IL X X DENNIS HESCH EXEC VP CFO 2173833311 611 W PARK ST Urbana IL 61801 X James C Leonard MD Ex-Officio, President & CEO 1.0 39.0 X 0 4774129 512006 Dennis Hesch Exec VP & CFO 2.0 38.0 X 0 1470712 354224 Matthew Kolb Exec VP & COO 5.0 35.0 X 0 975723 292435 Charles Dennis MD Exec VP, Chief Medical Officer 1.0 39.0 X 0 778734 118194 Lauren Schmid Exec VP, Chief HR Officer 1.0 39.0 X 0 561506 148044 Uretz Oliphant MD Director 1.0 39.0 X 0 472248 20781 Linda Fred VP, Pharmacy Services 1.0 39.0 X 0 255713 40113 Colleen Kannaday Service Area President 26.0 14.0 X 247066 0 43043 James Nevin Jr MD Assoc Chief Medical Officer 38.0 2.0 X 194745 0 26506 Todd Kettering Dir Medical Education 40.0 0.0 X 141671 0 23205 John Hesse VP, Business Development 40.0 0.0 X 100058 0 16328 Jon Stewart Director 1.0 6.0 X 0 30000 0 Karl Appelquist Chair of Board 1.0 6.0 X X 0 0 0 Paul Tucker PhD Vice Chair of Board 1.0 6.0 X X 0 0 0 Mark Czys Director 0.3 5.0 X 0 0 0 Guy Hall Director 1.0 5.0 X 0 0 0 683540 9318765 1594879 6 false true false NONE 0 21436583 3896 0 21384884 21440479 PATIENT SERVICE REVENUE 621110 83575216 83575216 83575216 0 0 0 6753 6753 0 6753 6753 900 900 900 900 0 0 0 0 0 0 0 0 0 MANAGEMENT FEE REVENUE 900099 2206321 234137 1972184 PHARMACY INCOME 446110 497277 497277 THRIFT SHOP INCOME 453310 268624 268624 798530 713229 85301 3770752 108794100 84791206 2554762 7653 71065 71065 0 0 0 517767 517767 0 35791629 28629642 7161987 1805338 1416193 389145 4005475 3132075 873400 2570941 2106243 464698 0 30000 30000 0 15326 15326 0 0 3526726 3250065 276661 50093 67 50026 5536180 4807810 728370 1121277 929647 191630 0 1457471 754816 702655 27136 19725 7411 0 28077 23627 4450 0 0 0 125 125 PATIENT CARE SUPPLIES 17039055 17039055 INTERNAL MANAGEMENT FEES 8287207 7179170 1108037 OTHER TAXES 3886518 2869621 1016897 OTHER PURCHASED SERVICES 2975418 2589270 386148 38355 27014 11341 88781179 75362997 13418182 0 0 58077 0 0 0 0 0 11876784 0 0 0 0 0 102249 0 3712757 0 1024856 0 0 0 0 0 0 0 0 0 0 0 12640741 0 29415464 0 10426630 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64861 0 10491491 X 0 18923973 0 0 0 18923973 0 29415464 X 20012921 -1088948 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 15326 15326 false SCHEDULE C, PART IV $15,326 - PORTION OF MEMBERSHIP DUES, INCLUDING FOR ILLINOIS HOSPITAL ASSOCIATION, ATTRIBUTABLE TO LOBBYING. BLUE CROSS PPO RECEIVABLE 12640741 12640741 0 ACCOUNTS PAYABLE - MEDICARE 64861 64861 X SCHEDULE D, PART X, LINE 2 FIN48 ASC740 FOOTNOTE THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION THERESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENTS RECOGNITION OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED OR RECORDED AS A LIABILITY AS OF DECEMBER 31, 2020 AND 2019. true true X true X true X true true false true true 394465 394465 0.00450 10248299 8523110 1725189 0.01980 10642764 8523110 2119654 0.02430 1278237 1278237 0.01470 646376 90002 556374 0.00640 3633971 3633971 0.04180 118401 118401 0.00140 5676985 90002 5586983 0.06430 16319749 8613112 7706637 0.08860 18339 18339 0.00020 3868 3868 2225 2225 90635 90635 0.00100 115067 115067 0.00120 true 1856973 928487 20794469 24705346 -3910877 X true true 1 1 CARLE BROMENN MEDICAL CENTER 1304 FRANKLIN AVENUE NORMAL IL 61761 SEE PART V, SECTION C 0006189 X X X CARLE BROMENN MEDICAL CENTER 1 false true true X X X X X X X X X 19 true true true true X HTTPS://CARLE.ORG/CHNA true 20 true HTTPS://CARLE.ORG/CHNA false true X 200. 400. true true X X X X true X See Part V, Section C X See Part V, Section C X See Part V, Section C X X X X X X true X false X X X X true X false false SCHEDULE H, SECTION A, LINE 1 https://carle.org/locations/carle-bromenn-medical-center COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 2) EFFECTIVE JULY 1, 2020, THE FOUNDATION COMPLETED AN ASSET PURCHASE TRANSACTION WITH ADVOCATEAURORA HEALTH COMPRISING ESSENTIALLY ALL OF THE ASSETS OF BROMENN MEDICAL CENTER. CARLE BROMENN MEDICAL CENTER IS A NEWLY FORMED ENTITY WITH A NEW HOSPITAL LICENSE. FOR TRANSPARENCY, THE HOSPITAL IS PROVIDING INFORMATION ON THE CHNA CONDUCTED UNDER THE PRIOR LEGAL ENTITY AND HOSPITAL LICENSE. COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 5) ADVOCATE BROMENN MEDICAL CENTER (CARLE BROMENN MEDICAL CENTER AS OF JULY 1, 2020), CHESTNUT HEALTH SYSTEMS (A FEDERALLY QUALIFIED HEALTH CENTER), THE MCLEAN COUNTY HEALTH DEPARTMENT AND OSF ST. JOSEPH MEDICAL CENTER COLLABORATED WITH REPRESENTATIVES FROM 39 OTHER ORGANIZATIONS ON THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL TO CONDUCT A JOINT 2019 MCLEAN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ADOPT A JOINT 2020-2022 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). PARTICIPANTS INCLUDED A BROAD CROSS-SECTOR OF REPRESENTATIVES FROM 39 ORGANIZATIONS INCLUDING HEALTHCARE, COUNTY AND CITY GOVERNMENT, PUBLIC HEALTH, SOCIAL SERVICES, HOUSING, EDUCATION, FAITH AND OTHERS. ELEVEN OF THESE ORGANIZATIONS ARE SOCIAL SERVICES ORGANIZATIONS REPRESENTING THE UNDERSERVED, INCLUDING THE BABY FOLD, BLOOMINGTON NORMAL GIRLS AND BOYS CLUB, CHILDREN'S HOME AND AID, EAST CENTRAL ILLINOIS AREA AGENCY ON AGING, HEARTLAND HEAD START, HOME SWEET HOME MINISTRIES (HOMELESS), MARCFIRST SPICE, MCLEAN COUNTY CENTER FOR HUMAN SERVICES, MID CENTRAL COMMUNITY ACTION, PROJECT OZ (YOUTH) AND UNITED WAY OF MCLEAN COUNTY. THERE WERE ALSO REPRESENTATIVES FROM TWO HEALTH CARE CLINICS-CHESTNUT HEALTH SYSTEMS AND THE COMMUNITY HEALTH CARE CLINIC-SERVING LOW-INCOME AND UNDERSERVED RESIDENTS OF MCLEAN COUNTY. CONDUCTING A JOINT CHNA IS POSSIBLE AS ALL FOUR ENTITIES DEFINE THEIR SERVICE AREA AS MCLEAN COUNTY. THE PROCESS OF COLLECTING AND ANALYZING DATA AND PRIORITIZING SIGNIFICANT NEEDS WAS OVERSEEN BY AN EXECUTIVE STEERING COMMITTEE OF THE COUNCIL COMPRISED OF ONE REPRESENTATIVE FROM BOTH HOSPITALS, CHESTNUT HEALTH SYSTEMS AND THE MCLEAN COUNTY HEALTH DEPARTMENT. IN THE FALL/WINTER OF 2018-2019, THE COMMITTEE ANALYZED DATA FROM A VARIETY OF SOURCES, INCLUDING EXISTING SECONDARY DATA SOURCES AND PRIMARY DATA FROM A SURVEY ADMINISTERED TO MCLEAN COUNTY RESIDENTS IN JULY-SEPTEMBER 2018. OF THE 675 RESIDENTS THAT RESPONDED, 102 WERE FROM THE LOW-INCOME POPULATION. THE EXECUTIVE STEERING COMMITTEE IDENTIFIED THE SIGNIFICANT HEALTH NEEDS TO PRESENT TO THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL FOR PRIORITIZATION BY UTILIZING THE FOLLOWING CRITERIA: SIZE OF ISSUE, RATES WORSE THAN OTHER COUNTIES IN ILLINOIS OR THE STATE RATE; DISPARITIES BY RACE/ETHNICITY, AGE, GENDER OR ZIP CODE; AND DOES NOT MEET THE HEALTHY PEOPLE 2020 TARGET. THE SIX SIGNIFICANT HEALTH NEEDS IDENTIFIED BY THE EXECUTIVE STEERING COMMITTEE FOR PRIORITIZATION BY THE COUNCIL WERE ACCESS TO CARE; BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE); HEALTHY EATING AND ACTIVE LIVING (EXERCISE, NUTRITION, OBESITY, FOOD ACCESS/INSECURITY); HEART DISEASE; ORAL HEALTH; AND RESPIRATORY DISEASE. THE EXECUTIVE STEERING COMMITTEE FACILITATED THREE MEETINGS OF THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL FROM JANUARY THROUGH FEBRUARY 2019. THE PURPOSE OF THE MEETINGS WAS TO REVIEW OUTCOMES FROM THE MCLEAN COUNTY 2017-2019 CHIP, TO PRESENT DATA FOR THE SIX SIGNIFICANT HEALTH NEEDS IDENTIFIED BY THE EXECUTIVE STEERING COMMITTEE AND TO PRIORITIZE THE NEEDS, USING THE HANLON METHOD, IN ORDER TO SELECT THE THREE SIGNIFICANT HEALTH NEEDS FOR THE 2019 MCLEAN COUNTY CHNA AND THE 2020-2022 MCLEAN COUNTY CHIP. THE ADVOCATE BROMENN MEDICAL CENTER - EUREKA HOSPITAL GOVERNING COUNCIL (CARLE BROMENN MEDICAL CENTER -EUREKA HOSPITAL GOVERNING COUNCIL AS OF JULY 1, 2020) APPROVED THE 2019 MCLEAN COUNTY CHNA REPORT ON JULY 23, 2019, FOLLOWED BY APPROVAL OF THE 2020-2022 MCLEAN COUNTY CHIP ON JANUARY 28, 2020. THE MCLEAN COUNTY 2019 CHNA WAS POSTED IN AUGUST 2019 AND INCLUDED A MECHANISM FOR THE COMMUNITY TO PROVIDE FEEDBACK EITHER BY A FORM OR VIA EMAIL. POSTING OF THE MCLEAN COUNTY 2020-2022 CHIP OCCURRED IN FEBRUARY 2020. AS OF DECEMBER 31, 2020, THERE WAS NO ADDITIONAL FEEDBACK FROM THE COMMUNITY RELATED TO THE 2019 MCLEAN COUNTY CHNA, THE 2020-2022 MCLEAN COUNTY CHIP, OR THE PREVIOUS 2016 MCLEAN COUNTY CHNA OR THE 2017-2019 MCLEAN COUNTY CHIP. COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 6A) OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER, BLOOMINGTON, ILLINOIS COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 6B) CHESTNUT HEALTH SYSTEMS, CHESTNUT FAMILY HEALTH CENTER, BLOOMINGTON, ILLINOIS, AND MCLEAN COUNTY HEALTH DEPARTMENT, BLOOMINGTON, ILLINOIS COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 7A) https://carle.org/chna COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 7B) MCLEAN COUNTY HEALTH DEPARTMENT: http://health.mcleancountyil.gov OSF ST JOSEPH MEDICAL CENTER: http://www.osfhealthcare.org/st-joseph/ CHESTNUT HEALTH SYSTEMS: https://www.chestnutfamilyhealth.org/about-us/data-reports/ COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 7D) AN OVERVIEW OF THE PROCESS AND RESULTS OF THE 2019 MCLEAN COUNTY CHNA WERE GIVEN TO THE JOHN M. SCOTT HEALTH COMMISSION, CITY OF BLOOMINGTON PLANNING COMMISSION, MCLEAN COUNTY BOARD OF HEALTH, CHESTNUT HEALTH SYSTEMS BOARD OF DIRECTORS, ADVOCATE BROMENN DELEGATE CHURCH ASSOCIATION (CARLE BROMENN AND EUREKA DELEGATE CHURCH ASSOCIATION AS OF JULY 1, 2020), ADVOCATE BROMENN-EUREKA GOVERNING COUNCIL (CARLE BROMENN-EUREKA GOVERNING COUNCIL AS OF JULY 1, 2020); OSF HEALTHCARE SYSTEMS BOARD OF DIRECTORS AND ADVOCATE BROMENN NURSING LEADERSHIP. COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 11) 2017-2019 CHNA THE 2020-2022 MCLEAN COUNTY CHIP IS A JOINT PLAN FOR THE ENTIRE COUNTY AND CONSISTS OF INTERVENTIONS AND RESOURCES TO BE PROVIDED BY THE HOSPITALS, HEALTH DEPARTMENT, FAMILY HEALTH CENTER AND NUMEROUS SOCIAL SERVICE OR OTHER COMMUNITY ORGANIZATIONS. PRIORITY ACTION TEAMS MET DURING 2019 AND INTO 2020 TO COORDINATE EFFORTS. ADVOCATE BROMENN TRANSITION CARLE HEALTH ACQUIRED ADVOCATE BROMENN MEDICAL CENTER ON JULY 1, 2020. THE IMPLEMENTATION PLAN EFFORTS FOR EACH HEALTH NEED BELOW REFERS TO THE TIME OF JULY 1 - DECEMBER 31, 2020, WHEN CARLE BROMENN MEDICAL CENTER WAS A PART OF CARLE HEALTH. COVID-19 ON MARCH 9, 2020, GOVERNOR JB PRITZKER DECLARED ALL COUNTIES IN THE STATE OF ILLINOIS AS A DISASTER AREA IN RESPONSE TO THE OUTBREAK OF COVID-19. A STAY-AT-HOME ORDER WAS ISSUED ON MARCH 21, 2020 AND EXTENDED ON APRIL 30, 2020. ALTHOUGH EFFORTS WERE MADE TO CONTINUE WITH AS MANY IMPLEMENTATION PLAN INTERVENTIONS AS POSSIBLE IN 2020, COVID-19 AFFECTED THE IMPLEMENTATION STRATEGIES AND INTERVENTIONS OUTLINED IN THE 2020-2022 MCLEAN COUNTY CHIP. HEALTH NEEDS SELECTED ACCESS TO CARE WAS SELECTED AS A SIGNIFICANT HEALTH NEED TO ADDRESS GIVEN THERE ARE SIGNIFICANT GEOGRAPHIC AND RACIAL/ETHNIC DISPARITIES IN MCLEAN COUNTY THAT MAY BE RELATED TO ACCESS TO CARE, AND IMPROVING ACCESS IN CERTAIN AREAS AND FOR CERTAIN POPULATIONS CAN HAVE A WIDESPREAD IMPACT ON A VARIETY OF HEALTH OUTCOMES RANGING FROM ORAL HEALTH TO RESPIRATORY DISEASE. HIGHLIGHTS FOR STEPS TAKEN FROM JULY 1 - DECEMBER 31, 2020, AS A PART OF THE 2020-2022 MCLEAN COUNTY CHIP TO ADDRESS ACCESS TO CARE ARE AS FOLLOWS: CARLE BROMENN MEDICAL CENTER AND OSF ST. JOSEPH MEDICAL CENTER COLLABORATED WITH THE COMMUNITY HEALTH CARE CLINIC FOR COORDINATING APPROPRIATE ACCESS TO COMPREHENSIVE CARE (CAATCH). CAATCH IS AN EMERGENCY ROOM NAVIGATION PROGRAM FOR NAVIGATORS AND/OR CARE COORDINATORS TO ENGAGE THOSE WITHOUT A PRIMARY CARE HOME. FROM JULY 1 - DECEMBER 31, 2020, THERE WERE 137 CAATCH REFERRALS. OUTCOMES FOR 2020 INCLUDE 353 PATIENTS SERVED, A ZERO PERCENT 30-DAY HOSPITAL READMISSION RATE FOR CAATCH PATIENTS, AN 80% REDUCTION IN EMERGENCY DEPARTMENT VISITS POST INVOLVEMENT IN CAATCH AND A $2,119,500 YEARLY ESTIMATED COST SAVINGS. CARLE BROMENN MEDICAL CENTER CONTINUED LEADING THE MONTHLY LGBTQ+ ADVISORY COUNCIL MEETINGS, WHICH BEGAN IN DECEMBER 2019. THE COUNCIL FOSTERS INCREASED ACCESS TO CARE BY GIVING A VOICE TO THE LGBTQ+ COMMUNITY AND ALLIES TO PROVIDE SENSITIVE AND RESPECTFUL CARE. THE HOSPITAL ALSO PAID FOR THREE ADVISORY COUNCIL MEMBERS FROM THE COMMUNITY TO ATTEND THE VIRTUAL MIDWEST LGBTQ+ HEALTH SYMPOSIUM. THE COMMUNITY HEALTH DIRECTOR AND COORDINATOR OF CHURCH RELATIONS FOR CARLE BROMENN MEDICAL CENTER ALSO PARTICIPATED IN THE SYMPOSIUM. IN SEPTEMBER 2020, CARLE HEALTH EXPANDED A DIVERSITY, EQUITY, AND INCLUSION EFFORT BY FORMING FOUR SUBCOMMITTEES COMPRISED OF EMPLOYEES FOR THE VARIOUS CARLE HEALTH LOCATIONS. THE COMMUNITY HEALTH DIRECTOR FOR CARLE BROMENN MEDICAL CENTER WAS A MEMBER OF THE CULTURALLY COMPETENT CARE AND COMMUNITY ENGAGEMENT SUBCOMMITTEE. CARLE BROMENN MEDICAL CENTER CONTINUES TO OFFER TELEPSYCHIATRY CONSULTS TO INCREASE ACCESS TO MENTAL HEALTH SERVICES FOR PATIENTS. FROM JULY 1 - DECEMBER 31, 2020, THERE WERE 528 HOURS OF TELEPSYCHIATRY CONSULTS. IN 2020, APPROXIMATELY 75% OF THE 4,351 VISITS AT THE CARLE BROMENN FAMILY HEALTH CLINIC WERE PROVIDED VIRTUALLY. A MAJORITY OF THE VISITS OCCURRED AFTER THE PANDEMIC BEGAN AND THE CLINIC SWITCHED TO OFFERING VIRTUAL VISITS TO MAINTAIN ACCESS TO CARE FOR PATIENTS. IN OCTOBER 2020, CARLE BROMENN MEDICAL CENTER OPENED A $4.8 MILLION NEWLY RENOVATED SPACE FOR INPATIENT BEHAVIORAL HEALTH. THE HOSPITAL CONTRIBUTED $4.35 MILLION TOWARDS THE RENOVATION WITH THE REST COMING FROM PRIVATE AND CORPORATE DONATIONS. WITH THE NEW SPACE CONFIGURATION, CAPACITY IN THE MENTAL HEALTH AREA INCREASED FROM 13 TO 19 BEDS. THE HOSPITAL IS ACTIVELY RECRUITING PSYCHIATRISTS AND WHEN SUCCESSFUL, WILL UTILIZE THE ADDITIONAL BEDS. THIS WILL INCREASE ACCESS TO SERVICES FOR THE COMMUNITY AS CARLE BROMENN MEDICAL CENTER HAS THE ONLY INPATIENT MENTAL HEALTH UNIT IN MCLEAN COUNTY. THE ADDICTION RECOVERY SERVICE LINE PROVIDES INPATIENT MEDICAL DETOX AS WELL AS OUTPATIENT LEVELS OF TREATMENT. THE OUTPATIENT LEVELS AVAILABLE INCLUDE IN PERSON PARTIAL HOSPITALIZATION, INTENSIVE OUTPATIENT AND CONTINUING CARE SERVICES. ADDITIONALLY, AN ONSITE PSYCHIATRIST AND ADDICTIONOLOGIST PROVIDE CONSULTATION TO THE MEDICAL TEAM FOR INPATIENT DUAL TREATMENT NEEDS. WITH INCREASED VISITOR RESTRICTIONS DUE TO COVID-19 IN 2020, CARLE BROMENN MEDICAL CENTER INITIATED THE USE OF IPADS FOR VIRTUAL VISITS WITH LOVED ONES OF DYING PATIENTS. THE 2020-2022 MCLEAN COUNTY CHIP WAS POSTED IN FEBRUARY 2020. INTERVENTIONS FOR ACCESS TO CARE OUTLINED IN THE PLAN CAN BE VIEWED AT: https://carle.org/chna BEHAVIORAL HEALTH WAS SELECTED AS A SIGNIFICANT HEALTH NEED TO ADDRESS GIVEN THERE ARE NUMEROUS HEALTH DISPARITIES IN BLOOMINGTON ZIP CODE 61701 FOR BOTH MENTAL HEALTH AND SUBSTANCE ABUSE. THERE HAS ALSO BEEN A GREAT DEAL OF PUBLIC SUPPORT AND MOMENTUM BEHIND MENTAL HEALTH AND THE COUNTY IS WELL SITUATED TO CONTINUE TO COLLABORATE ON MENTAL HEALTH DUE TO THE ON-GOING EFFORTS OF NUMEROUS ORGANIZATIONS AND THE MCLEAN COUNTY GOVERNMENT. MENTAL HEALTH HAD ALSO BEEN SELECTED AS A SIGNIFICANT HEALTH NEED FOR THE 2016 MCLEAN COUNTY CHNA GIVING FURTHER MOMENTUM TO THE EFFORTS OF IMPROVING MENTAL HEALTH FOR COUNTY RESIDENTS. HIGHLIGHTS FOR STEPS TAKEN FROM JULY 1 - DECEMBER 31, 2020, AS A PART OF THE 2020-2022 MCLEAN COUNTY CHIP TO ADDRESS BEHAVIORAL HEALTH ARE AS FOLLOWS: THE COMMUNITY HEALTH DIRECTOR FOR CARLE BROMENN MEDICAL CENTER FACILITATED THREE VIRTUAL MEETINGS WITH THE MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN BEHAVIORAL HEALTH PRIORITY ACTION TEAM. APPROXIMATELY THIRTY KEY BEHAVIORAL HEALTH STAKEHOLDERS PARTICIPATED IN EACH OF THE MEETINGS CENTERED ON CREATING A SYSTEM APPROACH TO BEHAVIORAL HEALTH IN MCLEAN COUNTY, ACHIEVING THE GOALS OUTLINED IN THE 2020 - 2022 MCLEAN COUNTY CHIP AND SHARING RESOURCES TO INCREASE COLLABORATION. THE ASSISTANT CLINICAL MANAGER OF MENTAL HEALTH SERVICES FOR CARLE BROMENN MEDICAL CENTER SERVED ON THE MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN BEHAVIORAL HEALTH PRIORITY ACTION TEAM. THE HOSPITAL CONTINUES TO HAVE THE ONLY INPATIENT MENTAL HEALTH UNIT AND THE ONLY HOSPITAL-BASED SUBSTANCE USE PROGRAM IN MCLEAN COUNTY, WHICH ADDRESSES BOTH THE BEHAVIORAL HEALTH AND ACCESS TO CARE SIGNIFICANT HEALTH NEEDS. THE INPATIENT MENTAL HEALTH UNIT AND THE ADDICTION AND RECOVERY UNIT PROVIDE (THE NEWLY REMODELED BEHAVIORAL HEALTH UNIT IS DESCRIBED ABOVE UNDER ACCESS TO CARE) CRITICAL SERVICES TO THOSE ADULTS NEEDING INPATIENT PSYCHIATRIC OR ADDICTION AND RECOVERY SERVICES. THE INPATIENT MENTAL HEALTH UNIT OPERATED AT A LOSS OF $ 1,001,567 AND THE ADDICTION AND RECOVERY UNIT OPERATED AT A LOSS $477,799 FROM JULY 1 - DECEMBER 31, 2020. THE COORDINATOR OF BEHAVIORAL HEALTH, CARLE BROMENN MEDICAL CENTER CHEMICAL DEPENDENCY, SERVED ON THE MCLEAN COUNTY RECOVERY ORIENTED SYSTEM OF CARE COUNCIL. AS A RESULT OF A PARTNERSHIP BETWEEN CARLE WEST PHYSICIAN GROUP (CWPG) BEHAVIORAL HEALTH, TRI-COUNTY SPECIAL EDUCATION ASSOCIATION AND ILLINOIS STATE UNIVERSITY'S PSYCHOLOGICAL SERVICES CENTER, DOCTORAL PSYCHOLOGY INTERNS PROVIDED FOUR DAYS OF INTEGRATED BEHAVIORAL HEALTH SERVICES ACROSS THREE CWPG SETTINGS-CARLE BROMENN OUTPATIENT CENTER - PEDIATRICS, EL PASO FAMILY PRACTICE AND EUREKA FAMILY PRACTICE. SERVICES BEGAN ON OCTOBER 5, 2020. FORTY-THREE PEOPLE WERE SEEN FOR 105 UNIQUE SESSIONS. INTERVENTIONS FOR BEHAVIORAL HEALTH OUTLINED IN THE 2020-2022 MCLEAN COUNTY CHIP CAN BE VIEWED AT: https://carle.org/chna HEALTHY EATING/ACTIVE LIVING WAS SELECTED AS A SIGNIFICANT HEALTH NEED TO BE ADDRESSED GIVEN THAT BY FOCUSING ON HEALTHY EATING/ACTIVE LIVING, MANY OTHER HEALTH OUTCOMES RELATED TO HEART DISEASE, CANCER, AND DIABETES, MAY ALSO BE POSITIVELY IMPACTED. IT WAS ALSO SELECTED BECAUSE OBESITY IS A WIDESPREAD ISSUE AFFECTING SO MANY PEOPLE AND IT DOES NOT DISCRIMINATE. FOOD INSECURITY AND FOOD ACCESS ARE ALSO AREAS NEEDING IMPROVEMENT IN MCLEAN COUNTY. HIGHLIGHTS FOR STEPS TAKEN FROM JULY 1 - DECEMBER 31, 2020, AS A PART OF THE 2020-2022 MCLEAN COUNTY CHIP, TO ADDRESS HEALTHY EATING/ACTIVE LIVING ARE AS FOLLOWS: THE PARTNERSHIP FOR HEALTH PILOT PROGRAM, WHICH BEGAN IN APRIL 2017, CONTINUED IN 2020. THE PROGRAM IS A PRIVATE-PUBLIC PARTNERSHIP TO IMPROVE THE HEALTH AND FITNESS OF PEOPLE WITH DEVELOPMENTAL AND INTELLECTUAL DISABILITIES AND THEIR SUPPORT WORKERS. PARTNERS INCLUDE CARLE HEALTH AND FITNESS CENTER, MARCFIRST, CARLE BROMENN MEDICAL CENTER, CARLE CENTER FOR PHILANTHROPY, THE MCLEAN COUNTY HEALTH DEPARTMENT AND THE MCLEAN COUNTY BOARD FOR THE CARE AND TREATMENT OF PERSONS WITH A DEVELOPMENTAL DISABILITY (377 BOARD). FROM JULY 1 - DECEMBER 31, 2020, FIFTY-ONE PEOPLE PARTICIPATED IN THE PROGRAM. WITH THE ONSET OF COVID-19, SERVICES WERE CONTINUED VIRTUA 6 MEDICAL OFFICE CENTER 1 1302 FRANKLIN AVE NORMAL IL 61704 RURAL HEALTH CLINIC CARLE BROMENN OUTPATIENT CENTER 3024 E EMPIRE ST NORMAL IL 61704 RURAL HEALTH CLINIC MEDICAL OFFICE CENTER 2 1300 FRANKLIN AVE NORMAL IL 61761 RURAL HEALTH CLINIC ADULT DAY CARE AND ENT CLINIC 207 LANDMARK DRIVE NORMAL IL 61704 RURAL HEALTH CLINIC COMMUNITY HEALTH CARE CLINIC 900 FRANKLIN AVE NORMAL IL 61761 RURAL HEALTH CLINIC CARLE EL PASO CLINIC 385 S ORANGE ST EL PASO IL 61738 RURAL HEALTH CLINIC 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 CARLE'S FINANCIAL ASSISTANCE PROGRAM, ROBUST PRESUMPTIVE ELIGIBILITY PROCESSES ARE IN PLACE. CARLE HAS PARTNERED WITH EXPERIAN INFORMATION SOLUTIONS, INC. TO HELP 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, CARLE PRESUMES 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 BE RECORDED WITHIN BAD DEBTS. COMMUNITY BUILDING ACTIVITIES (PART VI AND PART II) ALTHOUGH COMMUNITY-BUILDING ITEMS ARE NOT COUNTED AS COMMUNITY BENEFIT, THIS SUPPORT IS AN IMPORTANT ASPECT OF CONTRIBUTING TO THE ECONOMIC VIABILITY OF THE COMMUNITY. IN TOTAL, CARLE BROMENN MEDICAL CENTER CONTRIBUTED MORE THAN $24,000 IN COMMUNITY BUILDING ACTIVITIES FROM JULY 1 -DECEMBER 31, 2020. THE CONTRIBUTIONS ARE OUTLINED BELOW. ECONOMIC DEVELOPMENT: A PORTION OF CARLE BROMENN MEDICAL CENTER'S COMMUNITY-BUILDING ACTIVITIES FOCUSED ON ECONOMIC DEVELOPMENT CASH DONATIONS AND IN-KIND DONATIONS. THE HOSPITAL GAVE THE BLOOMINGTON-NORMAL ECONOMIC DEVELOPMENT COUNCIL A $15,000 CASH DONATION IN OCTOBER 2020. LEADERSHIP ALSO PROVIDED IN-KIND SUPPORT BY SERVING ON BOARDS FOR THE MCLEAN COUNTY CHAMBER OF COMMERCE AND THE BLOOMINGTON-NORMAL ECONOMIC DEVELOPMENT COUNCIL. DISASTER READINESS: CARLE BROMENN MEDICAL CENTER, LIKE MANY OTHER HEALTH ORGANIZATIONS ACROSS THE COUNTRY, FOCUSED EFFORTS AND RESOURCES TO SERVE ITS COMMUNITY AGAINST THE COVID-19 PANDEMIC. WHILE IT IS CHALLENGING TO EQUATE THE NUMEROUS HOURS LEADERS AND STAFF SPENT PREPARING, COMMUNICATING ABOUT AND TREATING COVID-19, CARLE HEALTH CONSERVATIVELY REPORTED ONLY A VERY SMALL NUMBER OF PUBLIC INFORMATION ITEMS- IN WHICH CARLE BROMENN MEDICAL CENTER STAFF WORKED TO EDUCATE THE COMMUNITY ON COVID-19, WITH NO EXPECTATION OF ANY BUSINESS IN RETURN. WORKFORCE DEVELOPMENT: A MEMBER OF CARLE BROMENN MEDICAL CENTER'S EXECUTIVE LEADERSHIP TEAM SERVED ON UNITED WAY'S WORKFORCE DEVELOPMENT COALITION FROM JULY 1 - DECEMBER 31, 2020. THE COALITION DEVELOPED WORKFORCE 180, WHICH IS A COMMUNITY SOLUTION THAT BRINGS TRUSTED COMMUNITY LEADERS, EMPLOYERS AND SOCIAL SERVICES TOGETHER TO MAP OUT A CAREER PATHWAY FOR YOUNG ADULTS FOR SUSTAINED EMPLOYMENT AND INCOME. BAD DEBT, MEDICARE, & COLLECTION PRACTICES (PART III, LINE 3) CARLE BROMENN MEDICAL CENTER 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 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, MANAGEMENT BELIEVES THIS IS A COMMUNITY BENEFIT BECAUSE, AS A HOSPITAL, CARLE IS STEPPING UP TO CARRY THE BURDEN OF THE GOVERNMENT, ASSURING CARE TO SENIORS, AND THOSE WITHIN LESS FORTUNATE DEMOGRAPHICS THAT HAVE EXPERIENCED INCREASING COSTS OVER THE PAST DECADE WHILE LIVING ON FIXED INCOMES. COLLECTION PRACTICES (PART III, LINE 9B) THE CARLE FINANCIAL ASSISTANCE PROGRAM (CFAP) PROVIDES DISCOUNTED OR FREE CARE TO THOSE WHO NEED IT WITHIN THE CARLE HEALTH SYSTEM, INCLUDING CARLE BROMENN MEDICAL CENTER. NOT ONLY DOES THIS RESULT IN A MORE TIMELY APPLICATION PROCESS, BUT MOST IMPORTANTLY, IT MEANS PATIENTS RECEIVE THE SAME DISCOUNT AT THE HOSPITAL AND CLINICS IF THEY MIGHT NEED AN ADDITIONAL SPECIALTY OR HIGHER ACUITY HOSPITAL CARE AT THE CARLE FOUNDATION HOSPITAL IN URBANA, ILLINOIS. WITH THIS PROGRAM, CARLE BROMENN MEDICAL CENTER HAS A ROBUST PRESUMPTIVE ELIGIBILITY PROCESS. CARLE PRESUMES 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, FEDERALLY QUALIFIED HEALTH CLINIC (FQHC) DISCOUNT REFERRALS, MEDICAID TITLE XIX, XXI, AND IN-NETWORK MEDICAID MANAGED CARE PLANS. IN ADDITION, CARLE UTILIZES 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 THAT INDIVIDUAL'S RESPONSIBILITY TO PAY. FOR PATIENTS WHO DO NOT QUALIFY FOR CARLE FINANCIAL ASSISTANCE AND WHO MAY BE UNINSURED OR UNDERINSURED, CARLE BROMENN MEDICAL CENTER HAS OTHER DISCOUNT OPTIONS AVAILABLE, SUCH AS PROMPT PAY, ILLINOIS UNINSURED DISCOUNT, AND CAPPED DISCOUNT - WHERE PATIENTS' 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, MANAGEMENT MAKES EVERY ATTEMPT TO WORK WITH PATIENTS AND SET UP PAYMENT ARRANGEMENTS ON THE REMAINING BALANCES 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 PAYMENTS ON THE BALANCE DUE, THEN THAT BALANCE MAY BE LISTED WITH AN OUTSIDE COLLECTION AGENCY. WHEN THE ACCOUNT IS STILL IN-HOUSE, THE MINIMUM NOTIFICATION IS MONTHLY ITEMIZED STATEMENTS. IF A PATIENT DOES NOT RESPOND, THE ACCOUNT IS GIVEN A FINAL NOTICE, EITHER BY LETTER OR PHONE, AND SENT TO AN OUTSIDE COLLECTION AGENCY. CARLE BROMENN MEDICAL CENTER WILL NOT FILE COLLECTION SUIT LIENS ON A PRIMARY RESIDENCE, NOR DOES CARLE AUTHORIZE AN AGENCY TO USE SO-CALLED "BODY ATTACHMENTS." THE CONTRACTED AGENCIES ARE AWARE OF OUR CFAP AND HAVE BEEN ADVISED TO REFER THE PATIENTS BACK TO CARLE IF THEY DEEM THE PATIENT IS UNABLE TO PAY. BILLING STAFF WILL THEN MAKE ONE MORE ATTEMPT TO WORK WITH THE PATIENT TO DETERMINE IF HELP IS AVAILABLE. IF STAFF DETERMINES THE PATIENT MIGHT QUALIFY, CARLE SENDS THE PATIENT A CFAP APPLICATION AND INSTRUCTS THE AGENCY TO PUT A HOLD ON THE ACCOUNT; THE AVERAGE HOLD IS 60 DAYS. IF THE PATIENT IS THEN APPROVED FOR DISCOUNTS AT 100% FOR FINANCIAL ASSISTANCE, THE BALANCE IS ADJUSTED AND THE ACCOUNT IS CLOSED WITH THE AGENCY. IF THE PATIENT IS APPROVED FOR LESS THAN 100%, THE ADJUSTMENTS ARE REPORTED TO THE AGENCY AND THE AGENCY WILL BEGIN COLLECTION EFFORTS ON ANY REMAINING BALANCE. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT CARLE BROMENN MEDICAL CENTER USES 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 CARLE'S FOCUS NEEDEDS TO BE PLACED IN THE FUTURE. THE CHNA INCLUDES DISCUSSIONS WITH COMMUNITY LEADERS, INCLUDING HUMAN SERVICE AGENCY ADMINISTRATORS, PUBLIC HEALTH REPRESENTATIVES AND HOSPITAL LEADERSHIP. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION FOR ELIGIBILITY FOR ASSISTANCE THE PRACTICE OF CARLE BROMENN MEDICAL CENTER IS TO REVIEW EACH PATIENT'S FINANCIAL STATUS IN RELATION TO CARLE'S FINANCIAL ASSISTANCE PROGRAM AND THE CRITERIA OF THE UNINSURED PATIENT DISCOUNT ACT, AND TO PROVIDE THE PATIENT WITH THE DEEPEST ELIGIBLE DISCOUNT. BY EXPANDING THE PRESUMPTIVE ELIGIBILITY SCREENING PROCESSES AND DETERMINING THE FINANCIAL STATUS OF PATIENTS UP-FRONT, CARLE HAS BEEN ABLE TO PINPOINT THOSE NEEDING ASSISTANCE EARLY IN THE PROCESS, MINIMIZING BAD DEBT AND OPTIMIZING THE 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 CARLE AUTO-QUALIFIES CERTAIN PATIENT POPULATIONS FOR CARLE'S 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. CARLE BROMENN MEDICAL CENTER HAS MADE A CONCERTED, CONTINUOUS EFFORT TO BE SURE PEOPLE HAVE ACCESS TO INFORMATION THAT WILL HELP THEM WITH THEIR MEDICAL BILLS. THESE EFFORTS 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 - MEETINGS WITH LOCAL LEGISLATORS TO HELP THEM ASSIST CONSTITUENTS WITH HEALTHCARE NEEDS, INCLUDING FINANCIAL ASSISTANCE SCHEDULE H, PART VI, LINE 4 DESCRIPTION OF THE COMMUNITY/POPULATION THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL DEFINED THE COMMUNITY AS MCLEAN COUNTY, THE PRIMARY SERVICE AREA FOR ADVOCATE BROMENN, THE MCLEAN COUNTY HEALTH DEPARTMENT, OSF ST. JOSEPH MEDICAL CENTER AND CHESTNUT FAMILY HEALTH CENTER. THIS AREA INCLUDES THE FOLLOWING CITIES AND TOWNS: ANCHOR, ARROWSMITH, BELLFLOWER, BLOOMINGTON, CARLOCK, CHENOA, COLFAX, COOKSVILLE, DANVERS, DOWNS, ELLSWORTH, GRIDLEY, HEYWORTH, HUDSON, LE ROY, LEXINGTON, MCLEAN, MERNA, NORMAL, SAYBROOK, STANFORD AND TOWANDA. THE THEN TOTAL POPULATION OF MCLEAN COUNTY WAS 172,052 WITH BLOOMINGTON HAVING THE LARGEST POPULATION IN THE COUNTY WITH 78,368 AND NORMAL THE SECOND LARGEST POPULATION WITH 54,534. THE POPULATION IN MCLEAN COUNTY INCREASED BY 1.46 PERCENT FROM 2010 TO 2019 (CONDUENT HEALTHY COMMUNITIES INSTITUTE, 2019). SOCIAL DETERMINANTS OF HEALTH (SDOH) THE SOCIONEEDS INDEX IS A CONDUENT HEALTHY COMMUNITIES INSTITUTE TOOL THAT IS A MEASURE OF SOCIOECONOMIC NEED, WHICH IS CORRELATED WITH POOR HEALTH OUTCOMES. THE INDEX IS CALCULATED FROM SIX INDICATORS, ONE EACH FROM THE FOLLOWING TOPICS: POVERTY, INCOME, UNEMPLOYMENT, OCCUPATION, EDUCATION AND LANGUAGE. THE INDICATORS ARE WEIGHTED TO MAXIMIZE THE CORRELATION OF THE INDEX WITH PREMATURE DEATH RATES AND PREVENTABLE HOSPITALIZATION RATES. ALL ZIP CODES, COUNTIES AND COUNTY EQUIVALENTS IN THE U.S. ARE GIVEN AN INDEX VALUE FROM ZERO (LOW NEED) TO 100 (HIGH NEED). TO HELP IDENTIFY THE AREAS OF HIGHEST NEED WITHIN A DEFINED GEOGRAPHIC AREA, THE SELECTED ZIP CODES ARE RANKED FROM 1 (LOW NEED) TO 5 (HIGH NEED) BASED ON THEIR INDEX VALUE. THESE VALUES ARE SORTED FROM LOW TO HIGH AND DIVIDED INTO FIVE RANKS USING NATURAL BREAKS. MCLEAN COUNTY HAS SEVERAL COMMUNITIES THAT HAVE GREATER SOCIOECONOMIC NEEDS COMPARED TO OTHER COMMUNITIES IN THE COUNTY. ONE ZIP CODE WITH A RANKING OF 5, BLOOMINGTON 61701, AND EIGHT ZIP CODES WITH A RANKING OF 4, REPRESENT THE AREAS WITH THE HIGHEST SOCIOECONOMIC NEED IN MCLEAN COUNTY. THE EIGHT COMMUNITIES WITH A RANKING OF 4 ARE NORMAL, COLFAX, FUNKS GROVE/MCLEAN, SAYBROOK, STANFORD, BELLFLOWER AND COOKSVILLE. DEMOGRAPHICS THE MEDIAN AGE IN MCLEAN COUNTY IS 33.7 YEARS OF AGE, WHICH IS LESS THAN THE MEDIAN AGE IN ILLINOIS AT 38.5. TWENTY-TWO PERCENT OF PERSONS IN MCLEAN COUNTY ARE LESS THAN 18 YEARS OF AGE AND 24 PERCENT ARE 45 TO 64 YEARS OF AGE. THIRTEEN PERCENT OF PERSONS ARE OVER THE AGE OF 65. FORTY-NINE PERCENT OF THE POPULATION IN MCLEAN COUNTY IS MALE AND 51 PERCENT IS FEMALE. THE RACE/ETHNICITY OF THE COUNTY'S POPULATION IS 81.7 PERCENT WHITE, 7.7 PERCENT BLACK OR AFRICAN AMERICAN, 5.8 PERCENT ASIAN, 5.1 PERCENT HISPANIC OR LATINO, 0.25 PERCENT AMERICAN INDIAN AND ALASKA NATIVE, AND .05 PERCENT NATIVE HAWAIIAN OR PACIFIC ISLANDER. THERE ARE 66,336 HOUSEHOLDS IN MCLEAN COUNTY. THE AVERAGE HOUSEHOLD SIZE IS 2.43. APPROXIMATELY 25 PERCENT OF THE HOUSEHOLDS IN MCLEAN COUNTY ARE SINGLE PARENT HOUSEHOLDS COMPARED TO 32.4 PERCENT FOR ILLINOIS (CONDUENT HEALTHY COMMUNITIES INSTITUTE, 2019). THE MEDIAN HOUSEHOLD INCOME FOR MCLEAN COUNTY IS $67,065. THIS IS HIGHER THAN THE MEDIAN HOUSEHOLD INCOME FOR ILLINOIS OF $66,487. IN MCLEAN COUNTY, THE PERCENT OF PEOPLE LIVING BELOW THE FEDERAL POVERTY LINE (FPL) IS 14.5 PERCENT. WITHIN MCLEAN COUNTY, THE MEDIAN HOUSEHOLD INCOME VARIES WITH NATIVE HAWAIIAN/PACIFIC ISLANDERS HAVING THE HIGHEST MEDIAN HOUSEHOLD INCOME OF $114,583 AND BLACKS/AFRICAN AMERICANS HAVING THE LOWEST AT $34,463. HOWEVER, NATIVE HAWAIIAN/PACIFIC ISLANDERS REPRESENT ONLY .05 PERCENT OF THE POPULATION IN MCLEAN COUNTY. THEREFORE, SMALL CHANGES CAN GREATLY AFFECT THE DATA. THE PERCENTAGE OF THE CIVILIAN LABOR FORCE AGES 16 YEARS AND OVER THAT IS UNEMPLOYED IN MCLEAN COUNTY IS 3.73 PERCENT, LOWER THAN ILLINOIS AT 6.7 PERCENT. THE THREE COMMON INDUSTRIES OF EMPLOYMENT ARE THE FINANCIAL OR INSURANCE INDUSTRY AT 18.2 PERCENT, EDUCATIONAL SERVICES AT 13.9 PERCENT AND HEALTHCARE AT 13.1 PERCENT. AS FAR AS LEVEL OF EDUCATION, NINETY-SIX PERCENT OF THE POPULATION AGES 25 AND OVER IN MCLEAN COUNTY POSSESSES A HIGH SCHOOL DIPLOMA OR HIGHER AND 44.7 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER. THE STATE PERCENTAGE FOR A BACHELOR'S DEGREE OR HIGHER IS 33.4 PERCENT. ILLINOIS STATE UNIVERSITY, ILLINOIS WESLEYAN UNIVERSITY, HEARTLAND COMMUNITY COLLEGE AND LINCOLN COLLEGE ARE ALL LOCATED IN MCLEAN COUNTY. THE FOUR-YEAR HIGH SCHOOL GRADUATION RATE FOR MCLEAN COUNTY IS 88.1 PERCENT. THIS IS HIGHER THAN THE GRADUATION RATE FOR ILLINOIS OF 85.6 PERCENT. ONE-HUNDRED-AND-ONE PERCENT OF RESPONDENTS OF THE 2018 MCLEAN COUNTY COMMUNITY HEALTH SURVEY REPORTED HAVING EITHER PRIVATE INSURANCE, MEDICARE OR MEDICAID, WHILE TEN PERCENT REPORTED NOT HAVING ANY INSURANCE. THIS PERCENTAGE IS GREATER THAN 100 PERCENT BECAUSE RESPONDENTS COULD CHOOSE MORE THAN ONE ANSWER. THE INDEX OF MEDICAL UNDERSERVICE (IMU) SCORE FOR THE MCLEAN COUNTY SERVICE AREA IS 49.2. THE LOWEST SCORE (HIGHEST NEED) IS 0; THE HIGHEST SCORE (LOWEST NEED) IS 100. TO QUALIFY FOR DESIGNATION, THE IMU SCORE MUST BE LESS THAN OR EQUAL TO 62.0. THIS SCORE APPLIES TO THE MEDICALLY UNDERSERVED AREA (MUA) OR MEDICALLY UNDERSERVED POPULATIONS (MUP) AS A WHOLE, AND NOT TO INDIVIDUAL PORTIONS OF IT. HEALTHCARE RESOURCES IN THE DEFINED COMMUNITY MCLEAN COUNTY HAS TWO HOSPITALS, CARLE BROMENN MEDICAL CENTER LOCATED IN NORMAL AND OSF ST. JOSEPH MEDICAL CENTER LOCATED IN BLOOMINGTON. THERE IS ALSO A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), THE CHESTNUT FAMILY HEALTH CENTER, LOCATED IN BLOOMINGTON. IN ADDITION, THERE ARE THREE COMMUNITY CLINICS. THE COMMUNITY HEALTH CARE CLINIC AND THE COMMUNITY CANCER CENTER ARE BOTH LOCATED IN NORMAL, AND MCLEAN COUNTY CENTER FOR HUMAN SERVICES IS LOCATED IN BLOOMINGTON. TWO ADDITIONAL HEALTH CARE RESOURCES IN MCLEAN COUNTY ARE THE CLINIC WITHIN THE MCLEAN COUNTY HEALTH DEPARTMENT AND A CRISIS STABILIZATION UNIT, WHICH IS A PART OF CHESTNUT HEALTH SYSTEMS. IN THE 2019 COUNTY HEALTH RANKINGS, MCLEAN COUNTY RANKED 2ND OUT OF 102 ILLINOIS COUNTIES FOR CLINICAL CARE, WHICH COMPARES 7 INDICATORS: PERCENT UNINSURED; RATIO OF PRIMARY CARE PHYSICIANS, DENTISTS, AND MENTAL HEALTH PROVIDERS TO THE POPULATION; PREVENTABLE HOSPITAL STAYS; PERCENT COMPLETING MAMMOGRAM SCREENINGS; AND PERCENT OF FLU VACCINATIONS. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH CARLE BROMENN MEDICAL CENTER'S DEDICATION TO PROMOTING THE HEALTH OF THE COMMUNITY IS EXEMPLIFIED IN NUMEROUS WAYS. THE CARLE BROMENN MEDICAL CENTER AND EUREKA HOSPITAL GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SEVENTY-ONE PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES. A VAST MAJORITY OF THE HOSPITAL'S EXECUTIVE AND LEADERSHIP TEAM SERVES ON MULTIPLE COMMUNITY BOARDS THAT HELP EITHER DIRECTLY OR INDIRECTLY IMPROVE THE HEALTH OF THE COMMUNITY, SUCH AS THE COMMUNITY HEALTH CARE CLINIC, MCLEAN COUNTY CHAMBER OF COMMERCE, MCLEAN COUNTY COMPACT, MULTICULTURAL LEADERSHIP, FAITH IN ACTION, UNITED WAY'S WORKFORCE DEVELOPMENT COALITION, HABITAT FOR HUMANITY, MCLEAN COUNTY INTERFAITH ALLIANCE, NOT IN OUR TOWN, ECONOMIC DEVELOPMENT COUNCIL, RECOVERY COURT AND PROMISE COUNCIL. IN ADDITION, CARLE BROMENN MEDICAL CENTER'S PRESIDENT IS INVOLVED IN MANY OTHER BOARDS IMPACTING THE COMMUNITY, SUCH AS THE COMMERCE BANK ADVISORY BOARD, ILLINOIS WESLEYAN UNIVERSITY BOARD AND THE PANDEMIC ADVISORY COUNCIL. AS BRIEFLY MENTIONED EARLIER, THE COMMUNITY HEALTH CARE CLINIC ALSO CONTRIBUTES TO THE HEALTH OF THE COMMUNITY AND FURTHERS THE MEDICAL CENTER'S CHARITABLE, TAX-EXEMPT STATUS. IN 1993, CARLE BROMENN MEDICAL CENTER (BROMENN MEDICAL CENTER AT THE TIME) COLLABORATED WITH OSF ST. JOSEPH MEDICAL CENTER TO OPEN THE CLINIC. THE CLINIC PROVIDES SERVICES TO THE MEDICALLY UNDERSERVED POPULATION OF MCLEAN COUNTY TO ENSURE ALL POPULATIONS IN THE COMMUNITY HAVE ACCESS TO HEALTHCARE. EMERGENCY ROOM VISITS, DIAGNOSTIC TESTING AND MEDICAL CENTER SERVICES ARE PROVIDED FREE-OF-CHARGE BY CARLE BROMENN MEDICAL CENTER AND OSF ST. JOSEPH MEDICAL CENTER. FROM JULY 1 - DECEMBER 31, 2020, THE COMMUNITY HEALTH CARE CLINIC SAW 949 UNIQUE PATIENTS, PROVIDED 1,808 PATIENT VISITS AND PRESCRIBED OVER 13,521 PRESCRIPTION MEDICATIONS AT NO CHARGE TO UNINSURED INDIVIDUALS. DURING THE SAME PERIOD, THE CHCC SAW 154 DENTAL PATIENTS FOR 681 VISITS. THE CLINIC IS IN A BUILDING OWNED BY CARLE BROMENN MEDICAL CENTER FOR WHICH THE HOSPITAL PAID $53,067 FOR UPKEEP AND MAINTENANCE OF THE FACILITY FROM JULY 1 - DECEMBER 31, 2020. IN ADDITION TO THE ABOVE, CARLE BROMENN MEDICAL CENTER OFFERS SEVERAL SERVICES TO PATIENTS AND THE COMMUNITY WHICH OPERATE AT A LOSS TO THE HOSPITAL. A SAMPLING OF THESE SERVICES IS OUTLINED BELOW. CARLE BROMENN MEDICAL CENTER SERVES AS AN EMERGENCY MEDICAL SERVICES (EMS) RESOURCE FOR MCLEAN COUNTY EDUCATION AND TRAINING, PROVIDING THIS BENEFIT TO THE COMMUNITY AT A COST OF $61,446 FROM JULY 1 - DECEMBER 31, 2020. CARLE BROMENN MEDICAL CENTER IS AN AMERICAN HEART ASSOCIATION (AHA) TRAINING CENTER. THE AMERICAN HEART ASSOCIATION (AHA) TRAINING CENTER OFFERS FRIENDS & FAMILY CPR/AED, BLS (BASIC LIFE SUPPORT), HEARTSAVER FIRST AID/CPR/AED, ADVANCED CARDIAC LIFE SUPPORT (ACLS) AND PEDIATRIC ADVANCED LIFE SUPPORT (PALS, TO STAFF, AS WELL AS THE COMMUNITY. FROM JULY 1 - DECEMBER 31, 2020, 2,597 INDIVIDUALS WERE TRAINED THROUGH THE TRAINING CENTER AT A COST OF $21,086 TO THE MEDICAL CENTER. CARLE BROMENN MEDICAL CENTER PROVIDES STAFF AND COMMUNITY MEMBERS ACCESS TO THE A.E. LIVINGSTON HEALTH SERVICES LIBRARY AT NO COST. THE LIBRARY WAS MAINTAINED AT A COST OF $17,568 TO THE MEDICAL CENTER FROM JULY 1 - DECEMBER 31, 2020. CARLE BROMENN MEDICAL CENTER'S ACUTE REHAB SERVICES TREATS PATIENTS WHO REQUIRE INPATIENT REHABILITATION SERVICES RESULTING FROM A VARIETY OF CONDITIONS INCLUDING STROKE, TRAUMATIC AND NON-TRAUMATIC BRAIN AND SPINAL CORD INJURY, NEUROLOGICAL DISORDERS, HIP FRACTURE, AMPUTATION, BURNS, ARTHRITIS, JOINT REPLACEMENT AND OTHER CONDITIONS. THE GOAL OF TREATMENT, PROVIDED BY THE CARE TEAMS, IS TO HELP INDIVIDUALS REGAIN THEIR INDEPENDENCE AND REACH THEIR REHABILITATION GOALS. DEPENDING ON THE CUSTOMIZED CARE PLAN, A CARE TEAM MAY INCLUDE NURSES, PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS, SPEECH THERAPISTS, SOCIAL WORKERS/CASE MANAGERS AND DIETITIANS. CARLE BROMENN MEDICAL CENTER OPERATED ACUTE REHAB SERVICES FROM JULY 1 - DECEMBER 31 AT A LOSS OF $1,259,272. OTHER SERVICES OFFERED BY THE MEDICAL CENTER THAT BENEFIT THE HEALTH OF THE COMMUNITY INCLUDE CLINICAL PASTORAL EDUCATION PROGRAMS AND BEING A TEACHING HOSPITAL FOR BOTH FAMILY PRACTICE, NEUROLOGY AND NEUROSURGERY RESIDENTS. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM IN JULY 2020, CARLE BROMENN MEDICAL CENTER BECAME PART OF THE CARLE HEALTH SYSTEM. THOUGH CARLE BROMENN MEDICAL CENTER IS UNDER THE UMBRELLA OF THE CARLE FOUNDATION STRUCTURE, IT MAINTAINS A SEPARATE BOARD OF STET AND SENIOR LEADERSHIP. WHILE CARLE BROMENN MEDICAL CENTER'S CHNA AND COMMUNITY BENEFIT REPORTING IS SEPARATE FROM OTHER HOSPITALS IN THE HEALTH SYSTEM, IT FOLLOWS THE SAME GUIDELINES AND PRINCIPLES AS OTHER CARLE ENTITIES. CARLE BROMENN MEDICAL CENTER'S STAFF IS INVOLVED IN THE CHNA AND IMPLEMENTATION PLAN, AND SERVES ON HUMAN SERVICES AGENCY BOARDS AND COMMITTEES TO PROVIDE SUPPORT TO HELP ADDRESS IDENTIFIED LOCAL COMMUNITY NEEDS. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT ILLINOIS true REDBIRDS SPORTS PROPERTY PO Box 843038 Kansas City MO 641843038 470911648 501(c)(3) 9625 ILLINOIS STATE SPONSORSHIP 2020-2021 CHILDREN'S DISCOVERY MUSEUM 11 Uptown Circle Normal IL 61761 371288369 501(c)(3) 20000 HEALTHY ME! MEDICAL EXHIBIT ILLINOIS STATE UNIVERSITY 501(c)(3) 25000 BROMENN ENDOWED PROFESSORSHIP IN NURSING PLEDGE BLOOMINGTON-NORMAL ECONOMIC DEVELOPMENT COU 501(C)(3) 15000 PROGRAM SUPPORT 4 false true false false false false false true false James C Leonard MD Ex-Officio, President & CEO 0 1419366 0 486297 0 2868466 0 512006 0 0 0 5286135 0 2824169 Dennis Hesch Exec VP & CFO 0 885848 0 286489 0 298375 0 335530 0 18694 0 1824936 0 272173 Matthew Kolb Exec VP & COO 0 760841 0 138991 0 75891 0 266294 0 26141 0 1268158 0 52128 Charles Dennis MD Exec VP, Chief Medical Officer 0 626645 0 139197 0 12892 0 96404 0 21790 0 896928 0 2881 Lauren Schmid Exec VP, Chief HR Officer 0 405864 0 86659 0 68983 0 123893 0 24151 0 709550 0 45789 Uretz Oliphant MD Director 0 430327 0 1000 0 40921 0 17196 0 3585 0 493029 0 0 Linda Fred VP, Pharmacy Services 0 226834 0 26490 0 2389 0 20701 0 19412 0 295826 0 0 Colleen Kannaday Service Area President 245132 0 75 0 1859 0 30691 0 12352 0 290109 0 0 0 James Nevin Jr MD Assoc Chief Medical Officer 181721 0 0 0 13024 0 22644 0 3862 0 221251 0 0 0 Todd Kettering Dir Medical Education 140765 0 0 0 906 0 10283 0 12922 0 164876 0 0 0 SCHEDULE J, PART I, QUESTION 3 THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT COMPANY OF CARLE BROMENN MEDICAL CENTER, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: *THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. *THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. *THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. *THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY-SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE. SCHEDULE J, PART I, QUESTION 4B THE 2020 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE BROMENN MEDICAL CENTER, THAT ARE LISTED IN THE 990 PART VII INCLUDE CHARLES DENNIS, MD, DENNIS HESCH, JOHN HESSE, COLLEEN KANNADAY, MATTHEW KOLB, JAMES LEONARD, MD , JAMES NEVIM, JR., MD, AND LAUREN SCHMIDT. IN 2020, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO CHARLES DENNIS, MD ($2,881), DENNIS HESCH ($272,173), MATTHEW KOLB ($52,128), JAMES LEONARD, MD ($2,824,169), AND LAUREN SCHMIDT ($45,789). SCHEDULE J, PART I, QUESTION 7 PART OF THE CEO'S COMPENSATION INCLUDES AN INCENTIVE COMPONENT WHICH IS DESIGNED TO ENCOURAGE AND PROMOTE THE ACHIEVEMENT OF CERTAIN QUALITY, OPERATIONAL, AND EFFICIENCY IMPROVEMENTS. ALTHOUGH THIS INCENTIVE COMPONENT IS BASED ON THE ORGANIZATION MEETING CERTAIN MINIMUM FINANCIAL THRESHOLDS, ALL PAYMENTS MUST BE APPROVED BY THE BOARD OF DIRECTORS PRIOR TO ANY INCENTIVE PAYOUT. X SEE ATTACHED 3 21384884 FMV 0 false true false SCHEDULE M, PART I, LINE 25 THE AMOUNT IN COLUMN B IS THE NUMBER OF CONTRIBUTIONS NONCASH CONTRIBUTIONS FROM THE CARLE FOUNDATION INCLUDED PATIENT AND NON-PATIENT SUPPLIES, MAINTENANCE SUPPLIES, AND EQUIPMENT. NONCASH CONTRIBUTIONS FROM THE CARLE DEVELOPMENT FOUNDATION INCUDED A PATIENT SENSORY GYM AND COMMUNITY HEALTH/FITNESS EDUCATION PROGRAM SUPPORT. FORM 990, PART VI, QUESTION 2 GUY HALL (DIRECTOR), JON STEWART (DIRECTOR), KARL APPELQUIST (CHAIR OF BOARD), MARK CZYS (DIRECTOR), PAUL TUCKER, PHD (VICE CHAIR OF BOARD), AND URETZ OLIPHANT, MD (DIRECTOR) HAD BUSINESS RELATIONSHIPS. DENNIS HESCH (OFFICER) AND JON STEWART (DIRECTOR) HAD A BUSINESS RELATIONSHIP. JAMES LEONARD, MD (OFFICER), DENNIS HESCH (OFFICER), AND MATTHEW KOLB (OFFICER) HAD BUSINESS RELATIONSHIPS. JAMES LEONARD, MD (OFFICER), CHARLES DENNIS, MD (OFFICER), AND MATTHEW KOLB (OFFICER) HAD BUSINESS RELATIONSHIPS. FORM 990, PART VI, QUESTION 6 CARLE BROMENN MEDICAL CENTER HAS ONE MEMBER WHICH IS THE PARENT COMPANY, THE CARLE FOUNDATION. FORM 990, PART VI, QUESTION 7A CARLE BROMENN MEDICAL CENTER'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 CARLE BROMENN MEDICAL CENTER MUST HAVE THE APPROVAL OF ITS SOLE MEMBER, THE CARLE FOUNDATION, THROUGH ITS BOARD OF TRUSTEES, WHEN VOTING ON MATTERS INCLUDING THE AMENDING OF GOVERNING DOCUMENTS; RECOMMENDING THE PRESIDENT TO THE BOARD; APPROVING ANY ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGETS; APPROVING PAYMENT TO THE MEMBERS OF THE BROMENN BOARD OF DIRECTORS FOR THEIR EXPENSES OR COMPENSATION FOR SERVICES; APPROVING ANY NEW, LONG-TERM OR MASTER INSTITUTIONAL PLAN OR CHANGES TO SUCH PLANS; APPROVING THE ADDITION OF ANY NEW MEMBER AND ANY DISSOLUTION, MERGER, CONSOLIDATION, OR SALE OR OTHER DISPOSITION OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR ANY DISPOSITION OF REAL PROPERTY OR RELOCATION OF THE HOSPITAL AND/OR CLINIC; APPROVING ANY ORGANIZATION OR ACQUISITION OF A SUBSIDIARY OR AFFILIATE; APPROVING ANY INITIATIVE REQUIRING CERTIFICATE OF NEED (CON) APPROVAL; APPROVING ANY PLEDGE OF ALL OR ANY PART OF THE CORPORATION'S ASSETS AS SECURITY FOR A DEBT, LIABILITY OR OTHER OBLIGATION; APPROVING ANY LOAN TO OR FOR THE CORPORATION OR ANY OTHER INDEBTEDNESS; AND APPROVING NON-BUDGETED EXPENDITURES OR SALE EXCEEDING THE PRESIDENT'S AUTHORIZED SPENDING AUTHORITY. 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 ORGANIZATION'S ESTABLISHED CONFLICT OF INTEREST POLICIES REQUIRE ANNUAL DISCLOSURE OF ACTUAL AND POTENTIAL CONFLICTS OF INTEREST FOR OFFICERS, DIRECTORS, TRUSTEES, MEMBERS OF BOARD COMMITTEES, ADMINISTRATIVE AND MANAGERIAL EMPLOYEES AS WELL AS ALL EMPLOYEES OF THE PURCHASING DEPARTMENT. IF CIRCUMSTANCES CHANGE DURING THE COURSE OF A YEAR, INTERIM DISCLOSURE IS ALSO REQUIRED OF THE SAME INDIVIDUALS. THE DISCLOSURES OF EMPLOYEES ARE REVIEWED INITIALLY BY THE 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, QUESTION 15B THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE BROMENN MEDICAL CENTER, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: *THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. *THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. *THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. *THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY-SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE. FORM 990, PART VI, QUESTIONS 18 & 19 THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE BROMENN MEDICAL CENTER, PUBLISHES THROUGH www.dacbond.com AND https://emma.msrb.org/ ITS QUARTERLY UNAUDITED FINANCIAL STATEMENTS, ANNUAL AUDITED 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.COM. 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 CARLE BROMENN MEDICAL CENTER SETTLED VARIOUS INTERCOMPANY RECEIVABLE/PAYABLE BALANCES THROUGH EQUAL OFFSETTING EQUITY TRANSFERS IN THE AMOUNT OF $1,088,948. 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. FORM 990, PART XII, LINES 2A, B, C AND PART IV, LINES 12,12A THE FINANCIAL STATEMENTS FOR CARLE BROMENN MEDICAL CENTER 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. 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