HOOPESTON COMMUNITY MEMORIAL HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: HOOPESTON COMMUNITY MEMORIAL HOSPITAL (EIN 36-3637465)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-16
IRS object ID: 202033219349311448
Schema version: 2019v5.1
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	2020-11-16T13:20:05-06:00	ReturnTs
Tax Period End	2019-12-31	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 SUITE 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	2019-01-01	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	2020-11-16	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JENNIFER RHODERICK	PreparerPersonNm
PTIN	P00395735	PTIN
Phone	3176817000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	69.136.161.74	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	35057220203215000038	FederalOriginalSubmissionId
Federal Original Submission Id	2020-11-16	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	8A643FFA55DAADCC2D7DB737B1A92A286D034D88	AtSubmissionCreationDeviceId
At Submission Filing Device Id	34163F381DEDE5EE0CABDD6E8F3BD042227F3C04	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	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	$67,342,557	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	375	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$19,468	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$2,744	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$3,125	CYContributionsGrantsAmt
PY Program Service Revenue	$61,656,378	PYProgramServiceRevenueAmt
CY Program Service Revenue	$66,731,104	CYProgramServiceRevenueAmt
PY Investment Income	$15,002	PYInvestmentIncomeAmt
CY Investment Income	$21,410	CYInvestmentIncomeAmt
PY Other Revenue	$447,547	PYOtherRevenueAmt
CY Other Revenue	$574,795	CYOtherRevenueAmt
PY Total Revenue	$62,118,927	PYTotalRevenueAmt
CY Total Revenue	$67,330,434	CYTotalRevenueAmt
PY Grants And Similar Paid	$53,576	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$47,830	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$21,344,570	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$24,142,696	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$40,862,481	PYOtherExpensesAmt
CY Other Expenses	$44,383,448	CYOtherExpensesAmt
PY Total Expenses	$62,260,627	PYTotalExpensesAmt
CY Total Expenses	$68,573,974	CYTotalExpensesAmt
PY Revenues Less Expenses	-$141,700	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,243,540	CYRevenuesLessExpensesAmt
Total Assets BOY	$28,723,603	TotalAssetsBOYAmt
Total Assets EOY	$28,873,260	TotalAssetsEOYAmt
Total Liabilities BOY	$31,905,887	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$33,335,183	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$3,182,284	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$4,461,923	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	$63,870,236	ExpenseAmt
Grant	$47,830	GrantAmt
Revenue	$67,052,388	RevenueAmt
Desc	PART III, LINE 4A 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	$63,870,236	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	19	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	375	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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

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
DENNIS HESCH
EXEC VP & CFO	1.0	39.0	Yes (X)	$0	$1,293,567	$288,860
LAURENCE FALLON
Key Employee - Former	1.0	39.0		$0	$948,548	$230,518	Yes (X)
Napoleon Knight MD
MED DIR, REGIONAL ED	2.0	38.0		$0	$940,077	$31,753		Yes (X)
CHARLES DENNIS MD
Key Employee - Former	1.0	39.0		$0	$677,106	$99,150	Yes (X)
BLAIR ROWITZ MD
ASSOC CMO - SURGICAL SERVICES	1.0	39.0		$0	$712,168	$43,544		Yes (X)
LYNETTE BARNES
COO-CFH & SVP-FACILITIES	2.0	38.0		$0	$585,085	$118,683		Yes (X)
ANDY ARWARI MD
ACMO-REGIONAL HEALTH	0.2	39.8		$0	$582,601	$48,616		Yes (X)
DOUGLAS MORTON MD
MED DIR-RADIOLOGY	2.0	38.0		$0	$593,901	$31,007		Yes (X)
PAMELA BIGLER
SVP-NURSING & CNO	5.0	35.0		$0	$489,994	$108,710		Yes (X)
IKECHUKWU UZOARU MD
MED DIR-LAB	2.0	38.0		$0	$556,223	$41,060		Yes (X)
LAUREN SCHMID
EXEC VP, CHIEF HR OFFICER	2.0	38.0		$0	$430,309	$98,880		Yes (X)
HARRY BROCKUS
EX-OFFICIO, CEO	2.0	38.0	Yes (X)	$0	$400,330	$99,514
DANIEL CHASE MD
HIGHLY COMP EMP-FORMER	40.0	0.0		$0	$447,602	$45,249	Yes (X)
SALLY SALMONS MD
TRUSTEE & MEDICAL DIRECTOR	8.0	32.0		$0	$405,652	$77,564			Yes (X)
CALEB MILLER
SVP-SURGICAL & DIAG SVCS	1.0	39.0		$0	$375,903	$100,840		Yes (X)
CORTNEY JONEIKIS ROS
HIGHLY COMP EMP-FORMER	40.0	0.0		$0	$345,641	$35,226	Yes (X)
WILLIAM MCCARTHY MD
HIGHLY COMP EMP-FORMER	40.0	0.0		$0	$329,396	$28,703	Yes (X)
ALBERT TANLIM MD
HIGHLY COMP EMP-FORMER	40.0	0.0		$0	$312,493	$44,596	Yes (X)
LETHA KRAMER
TRUSTEE & VP-RISK	2.0	38.0		$0	$282,462	$70,058			Yes (X)
HEATHER TUCKER
Hospital Administrator	40.0	0.0		$162,802	$0	$37,103				Yes (X)
DEBRA O BRIEN
PHYSICIAN ASSISTANT	40.0	0.0		$158,769	$0	$30,008				Yes (X)
LARRY WHITAKER JR
PHYSICIAN ASSISTANT	40.0	0.0		$146,914	$0	$36,147				Yes (X)
LARRY GERDOM
PHYSICIAN ASSISTANT	40.0	0.0		$154,946	$0	$27,182				Yes (X)
Robert McConkey
PT Op Lead - Therapy	40.0	0.0		$139,337	$0	$23,876				Yes (X)
RUSS LEIGH
CHAIR OF BOARD	1.0	1.0	Yes (X)	$0	$0	$0			Yes (X)
LYNN GALLOWAY
VICE CHAIR OF BOARD	0.5	0.0	Yes (X)	$0	$0	$0			Yes (X)
KARLA COON
SEC/TREAS OF BOARD	1.0	0.0	Yes (X)	$0	$0	$0			Yes (X)
HENRY HORNBECK
TRUSTEE(Thru 1/2019)	1.0	0.0		$0	$0	$0			Yes (X)
ALICE JACOBS
TRUSTEE	2.0	1.0		$0	$0	$0			Yes (X)
William Nicholls
Trustee (START 06/19)	1.0	0.0		$0	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$762,768	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$10,709,058	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,796,847	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	33	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	$1,637,656
PHILIPS MEDICAL SYSTEMS
DBA PHILIPS HEALTHCARE PO BOX 1003	ATLANTA	GA	303840355	EQUIPMENT MAINT	$354,050
SENTRY DATA SYSTEMS INC
PO BOX 505353	ST LOUIS	MO	631505353	SOFTWARE	$209,412
DMS IMAGING INC
DBA DMS HEALTH TECH PO BOX 670747	DALLAS	TX	752670747	IMAGING SERVICES	$192,978
SENTRY ROOFING INC
3245 WEST US HIGHWAY 136	COVINGTON	IN	47932	CONSTRUCTION	$186,783

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	10	CntrctRcvdGreaterThan100KCnt
Government Grants	$3,125	GovernmentGrantsAmt
Total Contributions	$3,125	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICES	622110	$66,730,167	$66,730,167
RENT FROM RELATED ORGS	532000	$937	$937

Field	Value	IRS element (for citing)
Total Program Service Revenue	$66,731,104	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,410	TotalRevenueColumnAmt
Exclusion	$15,410	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	$19,384	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$12,123	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$7,261	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,261	TotalRevenueColumnAmt
Exclusion	$7,261	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$6,000	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$6,000	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,000	TotalRevenueColumnAmt
Exclusion	$6,000	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	$178,500	$178,500
COFFEE SHOP	722212	$34,531		$34,531
PERPETUAL TRUST INCOME	900099	$172,780		$172,780

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$181,723	TotalRevenueColumnAmt
Related Or Exempt Func Income	$142,784	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$19,468	UnrelatedBusinessRevenueAmt
Exclusion	$19,471	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$567,534	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$67,330,434	TotalRevenueColumnAmt
Related Or Exempt Func Income	$67,052,388	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$19,468	UnrelatedBusinessRevenueAmt
Exclusion	$255,453	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$47,830	TotalAmt
Program Services	$47,830	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$469,112	TotalAmt
Program Services	$469,112	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$18,489,586	TotalAmt
Program Services	$17,255,686	ProgramServicesAmt
Management And General	$1,233,900	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,032,954	TotalAmt
Program Services	$957,927	ProgramServicesAmt
Management And General	$75,027	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,803,110	TotalAmt
Program Services	$2,630,123	ProgramServicesAmt
Management And General	$172,987	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,347,934	TotalAmt
Program Services	$1,233,926	ProgramServicesAmt
Management And General	$114,008	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$4,857	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$4,857	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,731,806	TotalAmt
Program Services	$1,587,656	ProgramServicesAmt
Management And General	$144,150	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$28,494	TotalAmt
Program Services	$653	ProgramServicesAmt
Management And General	$27,841	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,468,693	TotalAmt
Program Services	$1,230,021	ProgramServicesAmt
Management And General	$238,672	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$393,903	TotalAmt
Program Services	$372,978	ProgramServicesAmt
Management And General	$20,925	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,554,046	TotalAmt
Program Services	$1,891,967	ProgramServicesAmt
Management And General	$662,079	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$116,426	TotalAmt
Program Services	$94,444	ProgramServicesAmt
Management And General	$21,982	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$51,587	TotalAmt
Program Services	$41,264	ProgramServicesAmt
Management And General	$10,323	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$244,103	TotalAmt
Program Services	$244,103	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,979,973	TotalAmt
Program Services	$1,447,891	ProgramServicesAmt
Management And General	$532,082	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$203,023	TotalAmt
Program Services	$192,701	ProgramServicesAmt
Management And General	$10,322	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
INTERNAL PURCHASED SVCS	$2,334,274	$1,971,676	$362,598	$0
INTERNAL MANAGEMENT FEES	$12,715,578	$11,864,856	$850,722	$0
PATIENT CARE SUPPLIES	$4,990,695	$4,966,016	$24,679	$0
OTHER PURCHASED SERVICES	$13,973,502	$13,966,190	$7,312	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,592,488	TotalAmt
Program Services	$1,403,216	ProgramServicesAmt
Management And General	$189,272	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$68,573,974	TotalAmt
Program Services	$63,870,236	ProgramServicesAmt
Management And General	$4,703,738	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,120	BOYAmt
EOY	$10,047	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	$6,265,016	BOYAmt
EOY	$6,342,312	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$169,383	BOYAmt
EOY	$157,529	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$27,057,925	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$13,805,616	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$13,604,488	BOYAmt
EOY	$13,252,309	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	$4,229,906	BOYAmt
EOY	$4,666,373	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$28,723,603	BOYAmt
EOY	$28,873,260	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,384,819	BOYAmt
EOY	$2,315,335	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	$0	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	$5,590,857	BOYAmt
EOY	$5,246,215	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	$23,930,211	BOYAmt
EOY	$25,773,633	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$31,905,887	BOYAmt
EOY	$33,335,183	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	-$6,856,411	BOYAmt
EOY	-$8,099,952	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,674,127	BOYAmt
EOY	$3,638,029	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$3,182,284	BOYAmt
EOY	-$4,461,923	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$28,723,603	BOYAmt
EOY	$28,873,260	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$1,243,540	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$36,099	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	$4,857	OtherActivitiesAmt
Total Lobbying Expenditures	$4,857	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 $4,676 - PORTION OF ILLINOIS HOSPITAL ASSOCIATION (IHA) DUES ATTRIBUTABLE TO LOBBYING $181- 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	$11,953,090	OtherCostOrOtherBasisAmt
Depreciation	$4,850,478	DepreciationAmt
Book Value	$7,102,612	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,735,646	OtherCostOrOtherBasisAmt
Depreciation	$1,592,660	DepreciationAmt
Book Value	$142,986	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,785,783	OtherCostOrOtherBasisAmt
Depreciation	$6,769,591	DepreciationAmt
Book Value	$5,016,192	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,473,195	OtherCostOrOtherBasisAmt
Depreciation	$592,887	DepreciationAmt
Book Value	$880,308	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$13,252,309	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DEVL LIMITED ASSETS	$33,242
HRHC FCS ESCROW	$571,189
LONG TERM INVESTMENTS	$3,604,787
NET RIGHT-OF-USE ASSETS	$457,155

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$4,666,373	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
ACCOUNTS PAYABLE - MEDICARE	$4,967,355
DUE TO BLUE CROSS	$848,121
HRHC / FNDN NOTES PAYABLE	$2,910,366
ASSET RETIREMENT OBLIGATION	$123,132
INTERCOMPANY PAYABLES	$16,151,761
OPERATING & FINANCE LEASE LIABILITY	$465,036
MISC LIABILITIES	$307,862

Field	Value	IRS element (for citing)
Total Liability	$25,773,633	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 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, 2019 AND 2018.	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	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,550,691	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,550,691	NetCommunityBenefitExpnsAmt
Total Expense	0.03700	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,492,842	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,806,960	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,685,882	NetCommunityBenefitExpnsAmt
Total Expense	0.02460	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,043,533	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,806,960	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,236,573	NetCommunityBenefitExpnsAmt
Total Expense	0.06160	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$217,277	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$217,277	NetCommunityBenefitExpnsAmt
Total Expense	0.00320	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,876	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$32,876	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$250,153	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$250,153	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,293,686	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,806,960	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,486,726	NetCommunityBenefitExpnsAmt
Total Expense	0.06530	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,930	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$22,930	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,930	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$22,930	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,258,481	BadDebtExpenseAmt
Bad Debt Expense Attributable	$629,241	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$13,911,650	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$16,796,757	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,885,107	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
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 Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
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 (10 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. COLLECTIVELY, THESE PARTNERS PLAYED A ROLE IN REPRESENTING THE MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS IN VERMILION COUNTY. THOSE COMMUNITY PARTNERS INCLUDE HCMH, THE CARLE FOUNDATION HOSPITAL, OSF HEALTHCARE SACRED HEART MEDICAL CENTER (FORMERLY PRESENCE UNITED SAMARITANS MEDICAL CENTER), VERMILION VOUNTY HEALTH DISTRICT, UNITED WAY OF DANVILLE AREA, VERMILION COUNTY BOARD, CRIS HEALTHY AGING CENTER, AUNT MARTHA'S HEALTH CENTER (FQHC), BIG BROTHERS BIG SISTERS, HOUSING AUTHORITY OF THE CITY OF DANVILLE, DANVILLE COMMERCIAL NEWS, DANVILLE AREA COMMUNITY COLLEGE, CHILD CARE RESOURCE SERVICE (CCRS), FAITH IN ACTION, VA ILLIANA, DANVILLE FAMILY YMCA, DANVILLE SCHOOL DISTRICT 118, VERMILION COUNTY REGIONAL OFFICE OF EDUCATION, HOOPESTON COMMUNITY UNIT SCHOOL DISTRICT 11, UNIVERSITY OF ILLINOIS EXTENSION, VERMILION ADVANTAGE, EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY, I SING THE BODY ELECTRIC, WDNL-WDAN-WRHK. VERMILION COUNTY EMERGENCY MANAGEMENT AGENCY, VERMILION COUNTY MENTAL HEALTH BOARD, HOOPESTON MULTI AGENCY, AND SURVIVOR RESOURCE CENTER (FORMERLY VERMILION COUNTY RAPE CRISIS CENTER). 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)	CARLE FOUNDATION HOSPITAL, OSF HEALTHCARE SACRED HEART MEDICAL CENTER (FORMERLY PRESENCE UNITED SAMARITANS MEDICAL CENTER)
COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 6B)	UNITED WAY, VERMILION COUNTY HEALTH DEPARTMENT, I SING THE BODY ELECTRIC
COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 11)	HOOPESTON COMMUNITY MEMORIAL HOSPITAL CONTINUES ITS WORK TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY THROUGH SERVICE TO ITS PATIENTS, INCLUDING EMPHASIS ON ACCESS TO HEALTH SERVICES AND OTHER SPECIALTIES AND SERVICES THE HOSPITAL OR CARLE HEALTH SYSTEM PROVIDES. THE CARLE FOUNDATION IS DILIGENTLY WORKING TO IMPROVING ACCESS AND SERVICES THROUGHOUT THE EAST CENTRAL ILLINOIS REGION, NOT JUST FOR THIS GEOGRAPHIC AREA. MANY OF THE OTHER CONCERNS ARE ALSO ADDRESSED THROUGH SERVICES PROVIDED FOR CARLE PATIENTS, BUT THESE AREAS ARE NOT THE PRIMARY EMPHASIS OF THE COMMUNITY BENEFIT IMPLEMENTATION PLAN WHICH TARGETS MORE SPECIFIC LOW-INCOME POPULATIONS IN VERMILION COUNTY.
HOW HCMH IS ADDRESSING SIGNIFICANT HEALTH NEEDS	THROUGH THESE EFFORTS, HOOPESTON COMMUNITY MEMORIAL HOSPITAL 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.
PRIORITY #1: TEEN PREGNANCY	HCMH 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, HOOPESTON COMMUNITY MEMORIAL HOSPITAL WORKED TO ADDRESS THIS SIGNIFICANT NEED BY IMPLEMENTING A NUMBER OF SAFE-SEX AND SEXUALLY TRANSMITTED DISEASE (STD) PREVENTION PROGRAMS IN THE REGION, AND THROUGH APPROPRIATE TESTING, TREATMENT AND CARE IN OUTPATIENT FACILITIES. THESE PROGRAMS CONTINUED IN 2019, WITH EVERY-OTHER-YEAR AGREEMENTS WITH HOOPESTON AREA HIGH SCHOOL AND MILFORD HIGH SCHOOL. BOTH SCHOOLS USED THIS PROGRAM IN 2015 AND AGAIN IN 2017. IN 2019, A QUALITY NURSE SPECIALIST ON HCMH STAFF CONTINUES TO WORK CLOSELY WITH THE LOCAL PUBLIC HEALTH DEPARTMENT TO TRACK TRENDS IN TEEN PREGNANCY AND STDS IN OUR REGION, AND SUPPORTS EDUCATIONAL PROGRAMS THROUGH THE PUBLIC HEALTH DEPARTMENT. HCMH CONTINUES TO PROMOTE WOMEN'S HEALTH SERVICES, ENCOURAGING YOUNG WOMEN TO RECEIVE THE APPROPRIATE CARE, WHICH THEY CAN RECEIVE FROM OBSTETRICS AND GYNECOLOGY PROVIDERS AT CARLE IN DANVILLE, AS WELL AS TWICE EACH MONTH IN 2019 AT THE OUTPATIENT FACILITY IN HOOPESTON. IN AN EFFORT TO HELP YOUNG MOTHERS IN NEED, HCMH CONTINUES TO PROVIDE "NECESSITY KITS" FOR ALL MOTHERS OR BABIES WHO VISIT THE EMERGENCY DEPARTMENT AND WOULD NOT BE ABLE TO PURCHASE THE SUPPLIES FOR THEMSELVES. THE KIT INCLUDES A PEDIATRIC INFORMATION BOOKLET, THERMOMETER, BASIC FIRST AID SUPPLIES, TEETHING TOYS, BOTTLES AND OTHER ESSENTIAL PRODUCTS TO HELP YOUNG MOTHERS THROUGH THEIR CHILD'S FIRST YEARS. SUPPLIES WERE BOUGHT THROUGH A GRANT FROM ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK, AND EMERGENCY DEPARTMENT NURSES USED THEIR WORK TIME TO PUT TOGETHER THE KITS. IN 2018, HCMH ALSO ENTERED INTO A PARTNERSHIP WITH THE LOCAL VERMILION COUNTY HEALTH DEPARTMENT TO PROVIDE A SPACE FOR THEIR WOMEN'S INFANTS CHILDREN (WIC) PROGRAM TO MEET WEEKLY WITH YOUNG MOTHERS FROM NORTHERN VERMILION COUNTY. THIS SPACE IS PROVIDED FREE TO THE HEALTH DEPARTMENT. IN 2019, THIS PARTNERSHIP GREW TO TWICE A WEEK OFFERING THESE SERVICES TO THE COMMUNITY. AS PART OF HCMH'S COMMITMENT TO ENSURING THAT STRIDES ARE MADE IN THESE AREAS, EMPLOYEES FROM THE HEALTH SYSTEM PARTICIPATE IN SEVERAL COUNTY-WIDE WORKGROUPS THAT WERE ESTABLISHED AS PART OF THE JOINT CHNA. ONE OF THESE WORKGROUPS WAS ESTABLISHED TO ADDRESS TEEN PREGNANCY RATES IN VERMILION COUNTY. THE GROUP'S MAIN GOAL IS TO INCREASE AWARENESS AMONG TEENS BY PARTICIPATING IN LOCAL EVENTS, HEALTH FAIRS AND PUBLIC EDUCATION OPPORTUNITIES.
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: TO IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES, HCMH AGAIN PARTNERED WITH IROQUOIS MENTAL HEALTH IN 2019 TO OFFER COUNSELING AT HOOPESTON'S OUTPATIENT CLINIC FOR HCMH PATIENTS. THIS PARTNERSHIP OFFERS ADDITIONAL HOURS AT THE HOOPESTON OUTPATIENT CLINIC, WHICH HELPS ADDRESS THE LACK OF MENTAL HEALTH ACCESS IN THE REGION. IN ADDITION, THE CARLE HEALTH SYSTEM RECOGNIZES THE NEED FOR MORE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES THROUGHOUT THE SERVICE AREA, AND CONTINUES TO RECRUIT PSYCHIATRY PROVIDERS FOR CLINICAL LOCATIONS IN DANVILLE. CARLE FOUNDATION HOSPITAL STARTED A PSYCHOLOGY RESIDENCY PROGRAM IN 2017, WHICH PROVIDES ADDITIONAL TRAINING FOR MENTAL HEALTH PROFESSIONALS, AND ALSO OFFERS AN EMPLOYEE ASSISTANCE PROGRAM WHICH PROVIDES SERVICE FOR SUBSTANCE AND ALCOHOL ABUSE FOR EMPLOYEES ACROSS THE SYSTEM, INCLUDING OUR IROQUOIS AND NORTHERN VERMILION LOCATIONS. IN 2019, HCMH ALSO PROVIDES IN-KIND SUPPORT TO THE VERMILION COUNTY SHERIFF'S DEPARTMENT FOR ITS DRUG ABUSE RESISTANCE EDUCATION (DARE) PROGRAM. THE LOCAL DARE PROGRAM EDUCATES GRADE SCHOOL CHILDREN ACROSS THE COUNTY ON THE EFFECTS OF SUBSTANCE ABUSE AND EFFECT STRATEGIES TO ESCAPE SITUATIONS WITH DRUGS OR ALCOHOL.
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: WITH THE CONNECTION TO MANY HEALTH PROBLEMS, INCLUDING HEART DISEASE, STROKE AND DIABETES, HOOPESTON COMMUNITY MEMORIAL HOSPITAL WORKS TO EDUCATE PATIENTS AND THE COMMUNITY ABOUT RESOURCES AVAILABLE TO COMBAT OBESITY AND RELATED CONCERNS; IN 2019, THERE WERE NUTRITION COUNSELORS AND DIETETIC COUNSELORS AVAILABLE FOR CONSULTATIONS FOR PATIENTS IN THE HRHC SERVICE AREA - AND CONTINUE TO SUPPORT ACTIVITIES AIMED AT IMPROVING THE HEALTH OF CHILDREN AND ADULTS THROUGHOUT THE COMMUNITY. THIS INCLUDES FUNDING INITIATIVES HOOPESTON GRADE SCHOOLS' JUMP ROPE FOR HEART PROGRAMS, FELLOWSHIP OF CHRISTIAN ATHLETES, HOOPESTON HEAD START AND MORE. HCMH IS SUPPORTING HEALTHY VERMILION COUNTY IN SEVERAL EDUCATIONAL AND OUTREACH EFFORTS. BY PARTNERING WITH THIS WORKGROUP TO PRODUCE QUALITY INFORMATIONAL MATERIALS ON HEALTHY FOODS, AND PROVIDING IN-KIND SUPPORT TO AGENCIES HELPING WITH FOOD INSECURITY, HCMH INTENDS TO POSITIVELY IMPACT CHILDREN'S VIEW OF HEALTHY FOODS. CONTINUING INTO 2017, THE GROUP'S CAMPAIGN CALLED "RETHINK YOUR DRINK" IS AIMED AT EDUCATING PEOPLE ABOUT THE HIDDEN CALORIE AND SUGAR CONTENT OF MANY POPULAR DRINKS AND ENCOURAGING HEALTHIER OPTIONS. THIS CAMPAIGN CONTINUES THROUGH SOCIAL MEDIA, SIGNAGE AT AREA SCHOOLS AND PRESENCE IN LOCAL HEALTH FAIRS, AND HCMH OFFERS IN-KIND SUPPORT BY FUNDING MANY OF THE PRINTING COSTS. THIS WORK CONTINUED IN 2019, AND AS WELL AS HCMH SUPPORT FOR LOCAL FOOD PANTRIES, ENSURING THOSE IN NEED HAVE ACCESS TO HEALTHY FOOD OPTIONS AND RESOURCES.
PRIORITY #4: MENTAL HEALTH	HCMH CONTINUES TO ADDRESS MENTAL HEALTH BY IDENTIFYING RESOURCES, REDUCING STIGMA AND INVESTING IN COMMUNITY PROGRAMS. EVALUATION OF PRIOR IMPACT: WHILE MENTAL HEALTH WAS NOT CHOSEN AS A PRIORITY IN THE PREVIOUS VERMILION COUNTY NEEDS ASSESSMENT, THE GOALS TO REDUCE SUBSTANCE ABUSE MIRROR MANY OF THE GOALS THAT ADDRESS BEHAVIORAL HEALTH, IN GENERAL. TO IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES, HCMH AGAIN PARTNERED WITH IROQUOIS MENTAL HEALTH IN 2019 TO OFFER COUNSELING AT HOOPESTON'S OUTPATIENT CLINIC FOR HCMH PATIENTS. THIS PARTNERSHIP OFFERS ADDITIONAL HOURS AT THE HOOPESTON OUTPATIENT CLINIC, WHICH HELPS ADDRESS THE LACK OF MENTAL HEALTH ACCESS IN THE REGION. IN ADDITION, THE CARLE HEALTH SYSTEM RECOGNIZES THE NEED FOR MORE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES THROUGHOUT THE SERVICE AREA, AND CONTINUES TO RECRUIT PSYCHIATRY PROVIDERS FOR CLINICAL LOCATIONS IN DANVILLE. CARLE FOUNDATION HOSPITAL STARTED A PSYCHOLOGY RESIDENCY PROGRAM IN 2017, WHICH PROVIDES ADDITIONAL TRAINING FOR MENTAL HEALTH PROFESSIONALS, AND ALSO OFFERS AN EMPLOYEE ASSISTANCE PROGRAM WHICH PROVIDES SERVICE FOR SUBSTANCE AND ALCOHOL ABUSE FOR EMPLOYEES ACROSS THE SYSTEM, INCLUDING OUR IROQUOIS AND NORTHERN VERMILION LOCATIONS. HCMH HAS ALSO COMMITTED TO A PARTNERSHIP WITH THE LOCAL HOOPESTON AREA SCHOOL DISTRICT. THERE ARE PLANS IN PLACE TO RECRUIT A LICENSED CLINICAL SOCIAL WORKER THAT WILL PROVIDE CARE EXCLUSIVELY IN THE SCHOOL DISTRICT, ENGAGING FAMILIES TO WORK TOGETHER TO ACHIEVE BETTER MENTAL HEALTH AND LOWER INSTANCES OF SUBSTANCE ABUSE AND BEHAVIORAL HEALTH ISSUES. IN 2019, THIS JOB LISTING REMAINS OPEN, AS HCMH CONTINUES TO SEARCH FOR A QUALIFIED CANDIDATE. THE CHALLENGE OF ADDRESSING BEHAVIORAL HEALTH AS IN OTHER PARTS OF THE UNITED STATES, BEHAVIORAL HEALTH SERVICES, IN ALL FORMS, IS A GROWING NEED IN MANY COMMUNITIES IN EAST-CENTRAL ILLINOIS. THE CHALLENGES OF MANAGING BEHAVIORAL HEALTH SERVICES ARE WELL-DOCUMENTED, INCLUDING POOR REIMBURSEMENT, A LIMITED POOL OF PROVIDERS, AND PENT-UP DEMAND AND COMPLICATIONS FROM YEARS OF FOREGONE TREATMENT. THESE CHALLENGES RESULT IN SIGNIFICANT INEFFICIENCIES IN THE BROADER HEALTH SYSTEM. BEHAVIORAL HEALTH PRESENTS, AND EVEN DEMANDS, AN OPPORTUNITY TO POOL RESOURCES AND EXPERTISE TO ADDRESS THE NEED. THIS IS DONE THROUGH COLLABORATION OF PROVIDERS, INCLUDING CARLE, ITS RURAL ALLIANCE PARTNERS AND OTHER ORGANIZATIONS, PAYORS, SUCH AS HEALTH ALLIANCE, AND OTHER POTENTIAL STAKEHOLDERS. THE CARLE BEHAVIORAL HEALTH PLANNING GROUP HAS DEVELOPED AREAS OF FOCUS SUCH AS COMMUNITY PARTNERSHIPS TO CREATE HIGH-PERFORMING NETWORKS OF CARE ACROSS MULTIPLE ORGANIZATIONS, ADDRESSING NEEDS OF PATIENTS ADMITTED TO CARLE, CARE DELIVERY MODELS AND UNDERSTANDING COST OF CARE.
OTHER COMMUNITY NEEDS/SCHOOL-BASED EDUCATION	- IN 2019, HCMH STAFF MAINTAINED A PRESENCE IN THE LOCAL SCHOOL SYSTEM, PROVIDING HEAD LICE CHECKS, HANDWASHING EDUCATION, AND VISION AND HEARING TESTING FOR SCHOOLS IN THE REGION. - THE HOSPITAL PROVIDED FULL-TIME ATHLETIC TRAINERS IN 2019 TO SCHOOLS IN HOOPESTON, CISSNA PARK AND MILFORD. SERVICE IS PROVIDED TO ALL STUDENT ATHLETES, REGARDLESS OF WHERE THEY RECEIVE CARE, AND IS FREE OF CHARGE TO THE SCHOOL DISTRICTS. - IN 2019, HCMH CONTINUED TO FUND THE DELTA DENTAL OF ILLINOIS' LAND OF SMILES PROGRAM IN VERMILION COUNTY WITH A $3,000 ANNUAL DONATION. THIS PROGRAM TEACHES CHILDREN IN THE COMMUNITY HOW TO TAKE CARE OF THEIR TEETH BY DEMONSTRATING PROPER BRUSHING AND FLOSSING TECHNIQUES, REVIEWING GOOD AND BAD FOODS FOR TEETH AND WHY IT IS IMPORTANT TO VISIT THE DENTIST REGULARLY. PRE- AND POST-TESTING ILLUSTRATES THAT CHILDREN IMPROVE THEIR KNOWLEDGE OF THE IMPORTANCE OF DENTAL CARE BOTH AT HOME AND AT THE DENTIST AFTER PARTICIPATING IN THE SESSION. OVER FIVE YEARS, THIS SUPPORT HAS HELPED LAND OF SMILES REACH NEARLY 2,400 CHILDREN IN ELEVEN SCHOOLS IN FOUR COUNTIES. CASH AND IN-KIND DONATIONS HOOPESTON COMMUNITY MEMORIAL HOSPITAL CONTRIBUTED NEARLY $33,000 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. A SIGNIFICANT PORTION OF HCMH'S CASH DONATIONS - OVER $16,000 - 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. HCMH 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. HCMH 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. NEEDS THAT HCMH IS NOT ADDRESSING WHILE THERE ARE A NUMBER OF ADDITIONAL CONCERNS IDENTIFIED BY THE DATA THAT ARE NOT MEETING STATE AND NATIONAL BENCHMARKS, INCLUDING SMOKING RATES, DIABETES, MOTOR VEHICLE CRASH DEATHS AND VIOLENCE, HCMH WILL NOT FOCUS ON ADDRESSING THOSE CHALLENGES AT THIS TIME. THE HOSPITAL AND IMPLEMENTATION COMMITTEE DETERMINED THESE ISSUES ARE LOWER PRIORITY BECAUSE THE NEEDS ARE NOT AS SIGNIFICANT; THEY ARE NOT CENTRAL TO THE HOSPITAL'S MISSION; AND HCMH DOES NOT HAVE THE ABILITY TO MAKE A MEASURABLE IMPACT IN THOSE AREAS, MANY REQUIRING IMPLEMENTATION FROM THE GROUND-UP.

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
1490 East Walnut Street Ste C	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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, SUPPLEMENTAL INFORMATION	SCHEDULE H, PART VI 1 - REQUIRED DESCRIPTIONS 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. HCMH SPENT $31,898 ON COMMUNITY BUILDING ACTIVITIES FOR THE CURRENT YEAR. WHILE NOT PAID FOR BY HCMH BUT BY THE CARLE FOUNDATION, CARLE EMPLOYEES WERE ACTIVE ON COMMUNITY BOARDS AND COMMISSIONS IN 2019 IN THE HCMH SERVICE AREA, BRINGING LEADERSHIP TO THE COMMUNITIES, INCLUDING: ROTARY CLUBS, SHOES FOR LITTLE SOULS, AND SPEAKING ON COMMUNITY PANELS. BAD DEBT, MEDICARE, & COLLECTION PRACTICES (PART III, LINE 3) HCMH USES 50% AS A GENERAL ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. BAD DEBT FOOTNOTE (PART III, LINE 4) THE FOOTNOTES PERTAINING TO BAD DEBT EXPENSE CAN BE FOUND ON PAGE 28 OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENTS.
EXPLANATION OF MEDICARE COST REPORT COSTING METHODOLOGY (PART III, LINE 8)	THE NUMERATOR (TOTAL EXPENSE) AND DENOMINATOR (TOTAL GROSS CHARGES) OF THE SIMPLE RATIO OF PATIENT CARE COST TO CHARGES IS ADJUSTED BY ELIMINATING NON-PATIENT CARE THAT GENERATES OTHER REVENUE, BAD DEBT EXPENSE, MEDICAID AND OTHER PROVIDER TAXES AND THE TOTAL COST OF COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS. ALSO, ANY GROSS PATIENT CHARGES FOR PROGRAMS NOT RELYING ON THE RATIO ARE ELIMINATED FROM BOTH THE NUMERATOR AND DENOMINATOR OF THE RATIO. THESE ADJUSTMENTS ARE INTENDED TO ELIMINATE ANY POTENTIAL FOR DOUBLE COUNTING OF COMMUNITY BENEFIT EXPENSES. THE RESULTANT RATIO ALIGNS WITH SCHEDULE H REQUIREMENTS. ILLINOIS LAW DEFINES GOVERNMENTAL-SPONSORED INDIGENT HEALTH CARE AS THE UNREIMBURSED COST OF MEDICARE, MEDICAID AND OTHER FEDERAL, STATE OR LOCAL INDIGENT CARE PROGRAMS. WHEN THERE IS A SHORTFALL, WE DO BELIEVE THIS IS A COMMUNITY BENEFIT BECAUSE, AS A HOSPITAL, WE ARE STEPPING UP TO CARRY THE BURDEN OF THE GOVERNMENT, ASSURING CARE TO SENIORS, AND THOSE LESS FORTUNATE DEMOGRAPHICS THAT HAVE EXPERIENCED INCREASING COSTS OVER THE PAST DECADE WHILE LIVING ON FIXED INCOMES.
COLLECTION PRACTICES (PART III, LINE 9B)	EFFECTIVE 1/1/16, 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 MEAN 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 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 CARLE FINANCIAL ASSISTANCE PROGRAM AND ARE TRAINED TO INFORM PATIENTS OF OUR PROGRAM AND TO SEND APPLICATIONS, WHEN APPLICABLE. THEY HAVE BEEN INSTRUCTED TO INFORM AN HCMH STAFF MEMBER IF THEY DEEM THE PATIENT IS UNABLE TO PAY. HCMH STAFF WILL THEN MAKE ONE MORE ATTEMPT TO WORK WITH THE PATIENT TO SEE IF HELP IS NEEDED. IF STAFF DETERMINES THAT THE PATIENT MIGHT QUALIFY, WE WILL ATTEMPT TO ENROLL THEM THROUGH OUR PRESUMPTIVE ELIGIBILITY TOOLS OR, IF ADDITIONAL INFORMATION IS NEEDED, WE WILL SEND THE PATIENT A CFAP APPLICATION. WE WILL THEN 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	HOOPESTON COMMUNITY MEMORIAL HOSPITAL 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 HOOPESTON COMMUNITY MEMORIAL HOSPITAL LEADERSHIP. 3 - PATIENT EDUCATION FOR ELIGIBILITY FOR ASSISTANCE OUR PRACTICE IS TO LOOK AT EACH PATIENT'S FINANCIAL STATUS IN RELATION TO OUR CARLE FINANCIAL ASSISTANCE PROGRAM (CFAP) 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. HOOPESTON COMMUNITY MEMORIAL HOSPITAL HAS MADE A CONCERTED, CONTINUOUS EFFORT TO BE SURE THAT PEOPLE HAVE ACCESS TO INFORMATION THAT WILL HELP THEM WITH THEIR MEDICAL BILLS. THESE INCLUDE: - ADVERTISING 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/FINANCIALASSISTANCE - INFORMATION ABOUT THE CARLE FINANCIAL ASSISTANCE PROGRAM ON ALL STATEMENTS, COLLECTION LETTERS AND HOSPITAL ADMISSION PACKETS - CARLE FINANCIAL ASSISTANCE PROGRAM INFORMATION AND APPLICATIONS AT ALL REGISTRATION POINTS, HOSPITAL MAIN LOBBY AND CARLE.ORG - MEETINGS WITH LOCAL LEGISLATORS TO HELP THEM ASSIST CONSTITUENTS WITH HEALTHCARE NEEDS, INCLUDING FINANCIAL ASSISTANCE. 4 - COMMUNITY INFORMATION THE PRIMARY SERVICE AREA OF HOOPESTON COMMUNITY MEMORIAL HOSPITAL IS DEFINED AS THE GEOGRAPHICAL BOUNDARY OF VERMILION COUNTY, ILLINOIS. WHILE SOME RESIDENTS OF SURROUNDING COUNTIES UTILIZE HCMH'S SERVICES, OUR MOST RECENT CHNA TARGETED VERMILION COUNTY RESIDENTS, WHO MAKE UP THE MAJORITY OF HCMH 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. IN 2019, VERMILION COUNTY HAD A POPULATION OF 75,758, BUT THE POPULATION CONTINUES TO DROP. THERE WAS A 9.72% DECREASE IN TOTAL POPULATION FROM 2000-2019 (2019 POPULATION BASED ON ESTIMATE). POVERTY RATES FOR BOTH ADULTS AND CHILDREN REMAIN VERY HIGH IN VERMILION COUNTY, WITH ALMOST 20% OF ADULTS AND 30% OF CHILDREN LIVING IN POVERTY IN VERMILION COUNTY IN 2019. MEDIAN HOUSEHOLD INCOME IN 2019 WAS $45,384 IN VERMILION COUNTY, STILL BELOW THE MEDIAN INCOME OF $57,444 (US CENSUS 2014 ). ONLY 31.72% OF FAMILIES IN VERMILION COUNTY REPORT A HOUSEHOLD INCOME OF $75,000 OR GREATER COMPARED TO 47.28% OF ILLINOIS FAMILIES. VERMILION COUNTY HAS ALSO SEEN A SLIGHT INCREASE IN BOTH THE HISPANIC AND BLACK POPULATION SINCE 2010. VERMILION COUNTY HAS A HIGHER PERCENTAGE OF PERSONS WITH DISABILITIES THAN ILLINOIS AND THE UNITED STATES THE UNEMPLOYMENT RATE IN VERMILION COUNTY HAS REMAINED ABOVE THE UNEMPLOYMENT RATE FOR THE STATE OF ILLINOIS SINCE 2010. HOWEVER, UNEMPLOYMENT IN VERMILION COUNTY PEAKED IN 2010 AT 13.5 AND HAS STEADILY GONE DOWN SINCE, BUT STILL IS HIGHER THAN MOST OF THE NEIGHBORING COUNTIES. IN RECENT DATA, THE RATIO OF THE POPULATION IN VERMILION COUNTY TO HEALTHCARE PROVIDERS WAS 2,210:1. THIS HAS INCREASED FROM 2015. WE CONTINUE TO BE FAR ABOVE THE STATE OF ILLINOIS AND US TOP PERFORMERS. IN 2019, WE IDENTIFIED THAT PERCENTAGE OF VERMILION COUNTY'S INSURED POPULATION RECEIVING MEDICAID IN VERMILION COUNTY IS MUCH HIGHER THAN THAT OF THE STATE OF ILLINOIS AND THE UNITED STATES, AT 29.63%. THERE ARE A HANDFUL OF OTHER HEALTHCARE PROVIDERS IN VERMILION COUNTY: PRIVATE-PRACTICE OFFICES, AS WELL AS TEAMS OF PHYSICIANS AT CARLE CLINIC, CHRISTIE CLINIC, AND CHARLOTTE ANNE RUSSELL MEDICAL CLINIC IN HOOPESTON, PROVIDE EXPERT SERVICES AND PERSONALIZED CARE UNIQUELY AVAILABLE IN A SMALLER COMMUNITY. OSF HEALTHCARE SACRED HEART MEDICAL CENTER INCLUDES A WOMEN'S HEALTH CENTER AND AN AWARD-WINNING CANCER CENTER. WITHIN 30 MINUTES, YOU WILL ALSO FIND A LEVEL 1 TRAUMA CENTER AT CARLE FOUNDATION HOSPITAL. THE COMMUNITY IS ALSO HOME TO THE VETERANS AFFAIRS ILLIANA HEALTH CARE SYSTEM. WHILE VERMILION COUNTY HAS SEEN SOME IMPROVEMENT IN THE EDUCATION ATTAINMENT, WE ARE FAR BELOW THE STATE OF ILLINOIS AND NATIONAL AVERAGES - THE NUMBER OF ADULTS 25 AND OLDER WITH LESS THAN A HIGH SCHOOL DIPLOMA OR EQUIVALENT WENT DOWN 1.4% IN MOST RECENT DATA. IN 2019, ABOUT 16.35% OF VERMILION COUNTY HOUSEHOLDS RECEIVE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS, AND 61.9% OF CHILDREN QUALIFY TO RECEIVE FREE OR REDUCED LUNCHES AT SCHOOL. 5 - PROMOTION OF COMMUNITY HEALTH HOOPESTON COMMUNITY MEMORIAL HOSPITAL 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.HOOPESTON COMMUNITY MEMORIAL HOSPITAL 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 HOOPESTON COMMUNITY MEMORIAL HOSPITAL IS A CRITICAL ACCESS HOSPITAL COMMITTED TO IMPROVING QUALITY OF LIFE IN NORTHERN VERMILION COUNTY AND THE SURROUNDING AREA. HCMH INTEGRATED WITH THE CARLE FOUNDATION IN 2012 TO PROVIDE MORE ACCESS TO PRIMARY AND SPECIALTY CARE. THOUGH HCMH FALLS UNDER THE UMBRELLA OF THE CARLE FOUNDATION, IT MAINTAINS A SEPARATE BOARD OF DIRECTORS AND SENIOR LEADERSHIP. WHILE HCMH'S CHNA AND COMMUNITY BENEFIT REPORTING IS SEPARATE FROM CARLE FOUNDATION HOSPITAL, IT FOLLOWS THE SAME GUIDELINES AND PRINCIPLES AS CARLE. HCMH 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 N/A - 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)
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 (24 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
SALLY SALMONS MD
TRUSTEE & MEDICAL DIRECTOR	$0	$350,208	$0	$48,601	$0	$6,843	$0	$62,826	$0	$14,738	$0	$483,216	$0	$0
LETHA KRAMER
TRUSTEE & VP-RISK	$0	$234,316	$0	$33,248	$0	$14,898	$0	$49,151	$0	$20,907	$0	$352,520	$0	$12,123
HARRY BROCKUS
EX-OFFICIO, CEO	$0	$306,805	$0	$39,773	$0	$53,752	$0	$77,284	$0	$22,230	$0	$499,844	$0	$44,733
DENNIS HESCH
EXEC VP & CFO	$0	$817,104	$0	$188,433	$0	$288,030	$0	$273,284	$0	$15,576	$0	$1,582,427	$0	$262,322
LAURENCE FALLON
Key Employee - Former	$0	$586,747	$0	$145,606	$0	$216,195	$0	$208,671	$0	$21,847	$0	$1,179,066	$0	$187,071
BLAIR ROWITZ MD
ASSOC CMO - SURGICAL SERVICES	$0	$651,656	$0	$38,025	$0	$22,487	$0	$22,542	$0	$21,002	$0	$755,712	$0	$0
DOUGLAS MORTON MD
MED DIR-RADIOLOGY	$0	$584,639	$0	$0	$0	$9,262	$0	$22,542	$0	$8,465	$0	$624,908	$0	$0
IKECHUKWU UZOARU MD
MED DIR-LAB	$0	$528,567	$0	$0	$0	$27,656	$0	$22,542	$0	$18,518	$0	$597,283	$0	$0
LYNETTE BARNES
COO-CFH & SVP-FACILITIES	$0	$346,208	$0	$72,337	$0	$166,540	$0	$112,772	$0	$5,911	$0	$703,768	$0	$127,249
PAMELA BIGLER
SVP-NURSING & CNO	$0	$314,121	$0	$66,150	$0	$109,723	$0	$101,470	$0	$7,240	$0	$598,704	$0	$76,662
CHARLES DENNIS MD
Key Employee - Former	$0	$562,415	$0	$89,059	$0	$25,632	$0	$79,334	$0	$19,816	$0	$776,256	$0	$0
LAUREN SCHMID
EXEC VP, CHIEF HR OFFICER	$0	$322,593	$0	$40,818	$0	$66,898	$0	$76,250	$0	$22,630	$0	$529,189	$0	$44,771
CALEB MILLER
SVP-SURGICAL & DIAG SVCS	$0	$261,283	$0	$51,283	$0	$63,337	$0	$74,476	$0	$26,364	$0	$476,743	$0	$31,645
LARRY GERDOM
PHYSICIAN ASSISTANT	$150,586	$0	$500	$0	$3,860	$0	$0	$0	$0	$0	$154,946	$0	$0	$0
LARRY WHITAKER JR
PHYSICIAN ASSISTANT	$145,930	$0	$500	$0	$484	$0	$11,084	$0	$25,063	$0	$183,061	$0	$0	$0
DEBRA O BRIEN
PHYSICIAN ASSISTANT	$156,695	$0	$0	$0	$2,074	$0	$12,074	$0	$17,934	$0	$188,777	$0	$0	$0
HEATHER TUCKER
Hospital Administrator	$146,766	$0	$13,094	$0	$2,942	$0	$12,256	$0	$24,847	$0	$199,905	$0	$0	$0
ANDY ARWARI MD
ACMO-REGIONAL HEALTH	$0	$544,198	$0	$25,060	$0	$13,343	$0	$22,542	$0	$26,074	$0	$631,217	$0	$0
DANIEL CHASE MD
HIGHLY COMP EMP-FORMER	$0	$445,170	$0	$0	$0	$2,432	$0	$22,542	$0	$22,707	$0	$492,851	$0	$0
WILLIAM MCCARTHY MD
HIGHLY COMP EMP-FORMER	$0	$298,963	$0	$0	$0	$30,433	$0	$22,542	$0	$6,161	$0	$358,099	$0	$0
ALBERT TANLIM MD
HIGHLY COMP EMP-FORMER	$0	$309,831	$0	$0	$0	$2,662	$0	$22,542	$0	$22,054	$0	$357,089	$0	$0
CORTNEY JONEIKIS ROSSER MD
HIGHLY COMP EMP-FORMER	$0	$344,964	$0	$0	$0	$677	$0	$22,542	$0	$12,684	$0	$380,867	$0	$0
Napoleon Knight MD
MED DIR, REGIONAL ED	$0	$492,766	$0	$0	$0	$447,311	$0	$22,542	$0	$9,211	$0	$971,830	$0	$30,132
Robert McConkey
PT Op Lead - Therapy	$131,624	$0	$519	$0	$7,194	$0	$9,947	$0	$13,929	$0	$163,213	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SUPPLEMENTAL COMPENSATION INFORMATION	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 2019 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 LYNETTE BARNES, PAMELA BIGLER, HARRY BROCKUS, LAURENCE FALLON, DENNIS HESCH, LEATHA KRAMER, CALEB MILLER, NAPOLEON KNIGHT, MD, CHARLES DENNIS, MD, SALLY SALMONS, MD AND LAUREN SCHMID. IN 2019, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO LYNETTE BARNES ($127,249), PAMELA BIGLER ($76,662), HARRY BROCKUS ($44,733), LAURENCE FALLON ($187,071), DENNIS HESCH ($262,322), CALEB MILLER ($31,645), LETHA KRAMER ($12,123), NAPOLEON KNIGHT, MD ($30,132) AND LAUREN SCHMID ($44,771).
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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
EMA NICHOLLS
FAMILY MEMBER OF TRUSTEE	$117,533	EMPLOYMENT	false
BRADLEY CRISTY JR
FAMILY MEMBER OF OFFICER	$38,927	EMPLOYMENT	false
HEATHER MOORE
FAMILY MEMBER OF OFFICER	$142,972	EMPLOYMENT	false
KIMBERLY HOUMES
FAMILY MEMBER OF OFFICER	$107,394	EMPLOYMENT	false
RACHEL MILLER
FAMILY MEMBER OF KEY EMPLOYEE	$62,287	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. KIMBERLY HOUMES IS AN EMPLOYEE OF HCMH AND HAS A FAMILY RELATIONSHIP WITH KARLA COON WHO SERVES AS THE SECRETARY/TREASURER OF THE BOARD FOR THE HOSPITAL. HEATHER MOORE IS AN EMPLOYEE OF HCMH AND HAS A FAMILY RELATIONSHIP WITH KARLA COON WHO SERVES AS THE SECRETARY/TREASURER OF THE BOARD FOR THE HOSPITAL. 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) AND LETHA KRAMER (TRUSTEE) HAD A BUSINESS RELATIONSHIP.
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 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, 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	PERMANANTLY RESTRICTED ASSETS DECREASED AS A RESULT OF A CHANGE IN VALUE OF THE BENEFICIAL INTEREST IN A PERPETUAL TRUST OF $35,726. TEMPORARILY RESTRICTED ASSETS DECREASED BY $373 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 (7 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	61801	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	618012595	371160033	RETIREMENT	IL	501(C)(3)	10	TCF	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 CTR	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 (10 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

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	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HEALTH ALLIANCE MEDICAL PLANS INC
l	$5,038,379	BOOK VALUE
HEALTH ALLIANCE CONNECT INC
l	$3,716,013	BOOK VALUE
CARLE HEALTH CARE INCORPORATED
m	$13,016,792	BOOK VALUE
THE CARLE FOUNDATION HOSPITAL
m	$759,470	BOOK VALUE
HEALTH SYSTEMS INSURANCE LIMITED
m	$88,290	BOOK VALUE
THE CARLE FOUNDATION HOSPITAL
p	$90,730	BOOK VALUE
THE CARLE FOUNDATION HOSPITAL
s	$724,788	BOOK VALUE