2020-11-16T13:20:05-06:00 2019-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2019-01-01 363637465 HOOPESTON COMMUNITY MEMORIAL HOSPITAL % DENNIS HESCH EXEC VP & CFO HOOP 2172835531 701 E Orange Street Hoopeston IL 60942 DENNIS HESCH EVP/CFO 2173833311 2020-11-16 true JENNIFER RHODERICK P00395735 3176817000 69.136.161.74 35057220203215000038 2020-11-16 P 8A643FFA55DAADCC2D7DB737B1A92A286D034D88 34163F381DEDE5EE0CABDD6E8F3BD042227F3C04 2019 2021-01-29 14:40:06Z CARLE HOOPESTON REGIONAL HEALTH CTR DENNIS HESCH EVP CFO 611 W PARK ST URBANA IL 61801 67342557 false X www.carle.org/hoopeston X 1956 IL 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. 7 5 375 0 19468 -2744 0 3125 61656378 66731104 15002 21410 447547 574795 62118927 67330434 53576 47830 0 0 21344570 24142696 0 0 0 40862481 44383448 62260627 68573974 -141700 -1243540 28723603 28873260 31905887 33335183 -3182284 -4461923 X 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 false false 63870236 47830 67052388 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. 63870236 true false false true false false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false true false false false false false false true true true false false true 19 0 true 375 true true true false false false false false false false false false false false X 7 5 true false false false true true true true true false false true true true true true true false false false IL X X DENNIS HESCH EXEC VP CFO 2173833311 611 W PARK ST Urbana IL 61801 X DENNIS HESCH EXEC VP & CFO 1.0 39.0 X 0 1293567 288860 LAURENCE FALLON Key Employee - Former 1.0 39.0 X 0 948548 230518 Napoleon Knight MD MED DIR, REGIONAL ED 2.0 38.0 X 0 940077 31753 CHARLES DENNIS MD Key Employee - Former 1.0 39.0 X 0 677106 99150 BLAIR ROWITZ MD ASSOC CMO - SURGICAL SERVICES 1.0 39.0 X 0 712168 43544 LYNETTE BARNES COO-CFH & SVP-FACILITIES 2.0 38.0 X 0 585085 118683 ANDY ARWARI MD ACMO-REGIONAL HEALTH 0.2 39.8 X 0 582601 48616 DOUGLAS MORTON MD MED DIR-RADIOLOGY 2.0 38.0 X 0 593901 31007 PAMELA BIGLER SVP-NURSING & CNO 5.0 35.0 X 0 489994 108710 IKECHUKWU UZOARU MD MED DIR-LAB 2.0 38.0 X 0 556223 41060 LAUREN SCHMID EXEC VP, CHIEF HR OFFICER 2.0 38.0 X 0 430309 98880 HARRY BROCKUS EX-OFFICIO, CEO 2.0 38.0 X 0 400330 99514 DANIEL CHASE MD HIGHLY COMP EMP-FORMER 40.0 0.0 X 0 447602 45249 SALLY SALMONS MD TRUSTEE & MEDICAL DIRECTOR 8.0 32.0 X 0 405652 77564 CALEB MILLER SVP-SURGICAL & DIAG SVCS 1.0 39.0 X 0 375903 100840 CORTNEY JONEIKIS ROS HIGHLY COMP EMP-FORMER 40.0 0.0 X 0 345641 35226 WILLIAM MCCARTHY MD HIGHLY COMP EMP-FORMER 40.0 0.0 X 0 329396 28703 ALBERT TANLIM MD HIGHLY COMP EMP-FORMER 40.0 0.0 X 0 312493 44596 LETHA KRAMER TRUSTEE & VP-RISK 2.0 38.0 X 0 282462 70058 HEATHER TUCKER Hospital Administrator 40.0 0.0 X 162802 0 37103 DEBRA O BRIEN PHYSICIAN ASSISTANT 40.0 0.0 X 158769 0 30008 LARRY WHITAKER JR PHYSICIAN ASSISTANT 40.0 0.0 X 146914 0 36147 LARRY GERDOM PHYSICIAN ASSISTANT 40.0 0.0 X 154946 0 27182 Robert McConkey PT Op Lead - Therapy 40.0 0.0 X 139337 0 23876 RUSS LEIGH CHAIR OF BOARD 1.0 1.0 X X 0 0 0 LYNN GALLOWAY VICE CHAIR OF BOARD 0.5 0.0 X X 0 0 0 KARLA COON SEC/TREAS OF BOARD 1.0 0.0 X X 0 0 0 HENRY HORNBECK TRUSTEE(Thru 1/2019) 1.0 0.0 X 0 0 0 ALICE JACOBS TRUSTEE 2.0 1.0 X 0 0 0 William Nicholls Trustee (START 06/19) 1.0 0.0 X 0 0 0 762768 10709058 1796847 33 true true false HOOPESTON EMERGENCY MEDICINE SPECIA PO BOX 5977 CAROL STREAM IL 601975977 STAFFING 1637656 PHILIPS MEDICAL SYSTEMS DBA PHILIPS HEALTHCARE PO BOX 1003 ATLANTA GA 303840355 EQUIPMENT MAINT 354050 SENTRY DATA SYSTEMS INC PO BOX 505353 ST LOUIS MO 631505353 SOFTWARE 209412 DMS IMAGING INC DBA DMS HEALTH TECH PO BOX 670747 DALLAS TX 752670747 IMAGING SERVICES 192978 SENTRY ROOFING INC 3245 WEST US HIGHWAY 136 COVINGTON IN 47932 CONSTRUCTION 186783 10 3125 3125 NET PATIENT SERVICES 622110 66730167 66730167 RENT FROM RELATED ORGS 532000 937 937 66731104 15410 15410 0 0 19384 12123 7261 0 7261 7261 6000 6000 6000 6000 0 0 0 0 0 0 0 0 0 MEDICAID EMR INCENTIVE 622110 178500 178500 COFFEE SHOP 722212 34531 34531 PERPETUAL TRUST INCOME 900099 172780 172780 181723 142784 19468 19471 567534 67330434 67052388 19468 255453 47830 47830 0 0 0 0 0 0 0 0 0 0 469112 469112 0 0 18489586 17255686 1233900 0 1032954 957927 75027 0 2803110 2630123 172987 0 1347934 1233926 114008 0 0 0 0 0 0 0 0 0 0 0 0 0 4857 0 4857 0 0 0 0 0 0 0 1731806 1587656 144150 0 28494 653 27841 0 1468693 1230021 238672 0 393903 372978 20925 0 0 0 0 0 2554046 1891967 662079 0 116426 94444 21982 0 0 0 0 0 51587 41264 10323 0 244103 244103 0 0 0 0 0 0 1979973 1447891 532082 0 203023 192701 10322 0 INTERNAL PURCHASED SVCS 2334274 1971676 362598 0 INTERNAL MANAGEMENT FEES 12715578 11864856 850722 0 PATIENT CARE SUPPLIES 4990695 4966016 24679 0 OTHER PURCHASED SERVICES 13973502 13966190 7312 0 1592488 1403216 189272 68573974 63870236 4703738 0 10120 10047 0 0 6265016 6342312 0 0 0 0 0 0 0 0 0 0 169383 157529 27057925 13805616 13604488 13252309 0 0 0 0 0 0 4444690 4444690 4229906 4666373 28723603 28873260 2384819 2315335 0 0 0 0 0 0 0 0 0 0 5590857 5246215 0 0 23930211 25773633 31905887 33335183 X -6856411 -8099952 3674127 3638029 -3182284 -4461923 28723603 28873260 X -1243540 -36099 X X false true X true false X false false false false false false false false true 4857 4857 false PART II-B, LINE 1I 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 110211 110211 11953090 4850478 7102612 1735646 1592660 142986 11785783 6769591 5016192 1473195 592887 880308 13252309 DEVL LIMITED ASSETS 33242 HRHC FCS ESCROW 571189 LONG TERM INVESTMENTS 3604787 NET RIGHT-OF-USE ASSETS 457155 4666373 0 ACCOUNTS PAYABLE - MEDICARE 4967355 DUE TO BLUE CROSS 848121 HRHC / FNDN NOTES PAYABLE 2910366 ASSET RETIREMENT OBLIGATION 123132 INTERCOMPANY PAYABLES 16151761 OPERATING & FINANCE LEASE LIABILITY 465036 MISC LIABILITIES 307862 25773633 X SCHEDULE D, PART X, LINE 2 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. true true X true X true X true true false true true 2550691 2550691 0.03700 14492842 12806960 1685882 0.02460 17043533 12806960 4236573 0.06160 217277 217277 0.00320 32876 32876 0.00050 250153 250153 0.00370 17293686 12806960 4486726 0.06530 22930 22930 22930 22930 true 1258481 629241 13911650 16796757 -2885107 X true true 1 1 Hoopeston Community Memorial Hospital 701 E Orange St Hoopeston IL 609421801 WWW.CARLE.ORG/HOOPESTON 0004200 X X X X HOOPESTON COMMUNITY MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 18 true true true true X CARLE.ORG/CHNA X true 18 true CARLE.ORG/CHNA false true X 200. 400. X true true X X true X SEE SUPPLEMENTAL INFORMATION X SEE SUPPLEMENTAL INFORMATION X SEE SUPPLEMENTAL INFORMATION X X X X X X true X false X X X X true X false false 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. 8 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 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. true HOOPESTON AREA COMMUNITY UNIT SCHL DIST #11 615 EAST ORANGE ST HOOPESTON IL 60942 362774495 501(c)(3) 10000 CUSD #11 ALL-WEATHER TRACK 1 Form 990, Schedule I, Part 1, Question 2 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. false true false false false false false true false SALLY SALMONS MD TRUSTEE & MEDICAL DIRECTOR 0 350208 0 48601 0 6843 0 62826 0 14738 0 483216 0 0 LETHA KRAMER TRUSTEE & VP-RISK 0 234316 0 33248 0 14898 0 49151 0 20907 0 352520 0 12123 HARRY BROCKUS EX-OFFICIO, CEO 0 306805 0 39773 0 53752 0 77284 0 22230 0 499844 0 44733 DENNIS HESCH EXEC VP & CFO 0 817104 0 188433 0 288030 0 273284 0 15576 0 1582427 0 262322 LAURENCE FALLON Key Employee - Former 0 586747 0 145606 0 216195 0 208671 0 21847 0 1179066 0 187071 BLAIR ROWITZ MD ASSOC CMO - SURGICAL SERVICES 0 651656 0 38025 0 22487 0 22542 0 21002 0 755712 0 0 DOUGLAS MORTON MD MED DIR-RADIOLOGY 0 584639 0 0 0 9262 0 22542 0 8465 0 624908 0 0 IKECHUKWU UZOARU MD MED DIR-LAB 0 528567 0 0 0 27656 0 22542 0 18518 0 597283 0 0 LYNETTE BARNES COO-CFH & SVP-FACILITIES 0 346208 0 72337 0 166540 0 112772 0 5911 0 703768 0 127249 PAMELA BIGLER SVP-NURSING & CNO 0 314121 0 66150 0 109723 0 101470 0 7240 0 598704 0 76662 CHARLES DENNIS MD Key Employee - Former 0 562415 0 89059 0 25632 0 79334 0 19816 0 776256 0 0 LAUREN SCHMID EXEC VP, CHIEF HR OFFICER 0 322593 0 40818 0 66898 0 76250 0 22630 0 529189 0 44771 CALEB MILLER SVP-SURGICAL & DIAG SVCS 0 261283 0 51283 0 63337 0 74476 0 26364 0 476743 0 31645 LARRY GERDOM PHYSICIAN ASSISTANT 150586 0 500 0 3860 0 0 0 0 0 154946 0 0 0 LARRY WHITAKER JR PHYSICIAN ASSISTANT 145930 0 500 0 484 0 11084 0 25063 0 183061 0 0 0 DEBRA O BRIEN PHYSICIAN ASSISTANT 156695 0 0 0 2074 0 12074 0 17934 0 188777 0 0 0 HEATHER TUCKER Hospital Administrator 146766 0 13094 0 2942 0 12256 0 24847 0 199905 0 0 0 ANDY ARWARI MD ACMO-REGIONAL HEALTH 0 544198 0 25060 0 13343 0 22542 0 26074 0 631217 0 0 DANIEL CHASE MD HIGHLY COMP EMP-FORMER 0 445170 0 0 0 2432 0 22542 0 22707 0 492851 0 0 WILLIAM MCCARTHY MD HIGHLY COMP EMP-FORMER 0 298963 0 0 0 30433 0 22542 0 6161 0 358099 0 0 ALBERT TANLIM MD HIGHLY COMP EMP-FORMER 0 309831 0 0 0 2662 0 22542 0 22054 0 357089 0 0 CORTNEY JONEIKIS ROSSER MD HIGHLY COMP EMP-FORMER 0 344964 0 0 0 677 0 22542 0 12684 0 380867 0 0 Napoleon Knight MD MED DIR, REGIONAL ED 0 492766 0 0 0 447311 0 22542 0 9211 0 971830 0 30132 Robert McConkey PT Op Lead - Therapy 131624 0 519 0 7194 0 9947 0 13929 0 163213 0 0 0 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. EMA NICHOLLS FAMILY MEMBER OF TRUSTEE 117533 EMPLOYMENT false BRADLEY CRISTY JR FAMILY MEMBER OF OFFICER 38927 EMPLOYMENT false HEATHER MOORE FAMILY MEMBER OF OFFICER 142972 EMPLOYMENT false KIMBERLY HOUMES FAMILY MEMBER OF OFFICER 107394 EMPLOYMENT false RACHEL MILLER FAMILY MEMBER OF KEY EMPLOYEE 62287 EMPLOYMENT false RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION 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. 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. 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 true CARLE HEALTH CARE INCORPORATED 611 W PARK ST URBANA IL 61801 371140016 VAR MED SVCS IL 501(C)(3) 10 TCF true THE CARLE DEVELOPMENT FOUNDATION 611 W PARK ST URBANA IL 61801 371159978 FUNDRAISING IL 501(C)(3) 7 TCF true CARLE COMMUNITY HEALTH CORPORATION 611 W PARK ST URBANA IL 61801 364458371 FNDN MISSION IL 501(C)(3) 12a, Type I TCDF true RICHLAND MEMORIAL HOSPITAL INC 800 EAST LOCUST STREET OLNEY IL 62450 371363001 HOSPITAL SVCS IL 501(C)(3) 3 TCF true CARLE RETIREMENT CENTERS INC 611 W PARK ST URBANA IL 618012595 371160033 RETIREMENT IL 501(C)(3) 10 TCF true CHAMPAIGN SURGICENTER LLC 611 W PARK ST URBANA IL 618012595 201915925 SURGICAL CTR IL NA N/A HEALTH SYSTEMS INSURANCE LIMITED GOVERNORS SQ 2ND FL BLDG 3 grand cayman CJ ky1-1102 INSURANCE CJ NA C CORP true CARLE RISK MANAGEMENT COMPANY 611 W PARK ST URBANA IL 618012595 371217973 RISK MANAGEMENT IL NA C CORP true EVALIDATA INC 611 W PARK ST URBANA IL 618012595 462022658 PHYS CREDENTIALS IL NA C CORP true CHA HOLDING INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 471854275 HOLDING COMPANY IL NA C CORP true CARLE HOLDING COMPANY INC 611 W PARK ST URBANA IL 618012595 371188284 HOLDING COMPANY IL NA C CORP true HEALTH ALLIANCE MEDICAL PLANS INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 371260731 HEALTH COVERAGE IL NA C CORP true HEALTH ALLIANCE CONNECT INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 464796891 HEALTH CARE COORD IL NA C CORP true HEALTH ALLIANCE NORTHWEST HOLDING 820 N CHELAN AVE WENATCHEE WA 98801 461717578 HOLDING COMPANY WA NA C CORP true HEALTH ALLIANCE NORTHWEST HEALTH PLAN 820 N CHELAN AVE WENATCHEE WA 98801 461966323 HEALTH COVERAGE WA NA C CORP true HEALTH ALLIANCE MIDWEST INC 3310 SOUTH FIELDS CHAMPAIGN IL 61822 371354502 HEALTH COVERAGE IL NA C CORP true true false false false false false false false false true true true false false true false true true HEALTH ALLIANCE MEDICAL PLANS INC l 5038379 BOOK VALUE HEALTH ALLIANCE CONNECT INC l 3716013 BOOK VALUE CARLE HEALTH CARE INCORPORATED m 13016792 BOOK VALUE THE CARLE FOUNDATION HOSPITAL m 759470 BOOK VALUE HEALTH SYSTEMS INSURANCE LIMITED m 88290 BOOK VALUE THE CARLE FOUNDATION HOSPITAL p 90730 BOOK VALUE THE CARLE FOUNDATION HOSPITAL s 724788 BOOK VALUE