2016-11-14T17:48:18-06:00 2015-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2015-01-01 371119538 The Carle Foundation Hospital % DENNIS P HESCH EXEC VP & C CARL 2173833311 611 WEST PARK URBANA IL 61801 DENNIS HESCH EXEC VP & CFO 2173833311 2016-11-14 true JENNIFER D RHODERICK P00395735 3176817000 2015 2017-02-10 21:41:12Z Dennis Hesch EXec VP CFO 611 W Park St Urbana IL 61801 763657497 false X www.carle.org X 1982 IL SEE SCHEDULE O 7 4 3822 1834 1301386 5412037 5767114 691191235 744239726 195035 95866 4164534 4422453 700962841 754525159 2321503 2390015 0 0 195260688 203514559 0 0 0 350027875 384890552 547610066 590795126 153352775 163730033 461332351 447932530 99456615 103750987 361875736 344181543 X 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"). 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 COMPREHENSIVE HEALTH CARE SERVICES ON AN INPATIENT, OUTPATIENT OR OTHER BASIS THROUGH THE OPERATION OF ONE OR MORE HOSPITALS AND AMBULATORY SURGERY CENTERS, RECOVERY CENTERS AND CLINICS, BY PROVIDING SERVICES TO PROVIDERS OF HEALTH CARE SERVICES, AND THROUGH ALL OTHER APPROPRIATE MEANS; (B) TO TRAIN AND TO PR false false 549345313 783207 747452167 SERVING PEOPLE THROUGH HIGH QUALITY MEDICAL CARE THE CARLE FOUNDATION HOSPITAL IS AN ILLINOIS NOT-FOR-PROFIT CORPORATION ESTABLISHED FOR THE PURPOSE OF OPERATING THE CARLE FOUNDATION'S 393-LICENSED BED HOSPITAL AND RELATED FACILITIES AND, CONDUCTING PATIENT CARE RELATED ACTIVITIES OF THE FOUNDATION. THE HOSPITAL, A LEVEL ONE TRAUMA CENTER, OFFERS A FULL RANGE OF INPATIENT AND OUTPATIENT DIAGNOSTIC AND THERAPEUTIC SERVICES FOR MEDICAL, SURGICAL, OBSTETRICAL AND GYNECOLOGICAL PATIENTS. THE HOSPITAL PROVIDES VARIOUS ANCILLARY SUPPORT SERVICES TO BOTH INPATIENTS AND OUTPATIENTS SUCH AS AUTOPSY, BLOOD BANK, EMERGENCY SERVICES, RESPIRATORY THERAPY, OPERATING ROOM, OCCUPATIONAL THERAPY, PASTORAL COUNSELING, SOCIAL SERVICES, PHARMACY AND PHYSICAL THERAPY. THE CARLE FOUNDATION HOSPITAL'S MISSION IS TO SERVE PEOPLE THROUGH HIGH QUALITY CARE, MEDICAL RESEARCH AND EDUCATION. WE MAKE SURE THOSE WHO NEED CARE, GET CARE, WHETHER OR NOT THEY CAN PAY. THROUGH OUR COMMUNITY CARE DISCOUNT PROGRAM FOR HOSPITAL SERVICES AND OUR PARTNERSHIPS WITH AREA HEALTH AGENCIES, ACCESS TO DENTAL, VISION AND GENERAL HEALTHCARE HAS BEEN IMPROVED FOR THOSE WHO ARE STRUGGLING FINANCIALLY. AS THE SECOND TENET IN OUR MISSION, RESEARCH GIVES US TOMORROW'S ANSWERS, TODAY. IN COLLABORATION WITH THE UNIVERSITY OF ILLINOIS SCIENTISTS AND THE CARLE PHYSICIAN GROUP PHYSICIANS, WE ARE TURNING THE LATEST MEDICAL KNOWLEDGE INTO PRACTICAL APPLICATIONS FOR THE BEDSIDE. WE ARE NOW CONDUCTING MORE THAN 150 ACTIVE AND PENDING STUDIES RELATING TO CANCER, GASTRO-INTESTINAL DISEASE, CARDIOVASCULAR DISEASE AND MORE. EDUCATIONAL PROGRAMS FOR BOTH OUR PROFESSIONALS AND THE COMMUNITY ENSURE EVERYONE IS BETTER PREPARED. FOR THE COMMUNITY, WE OFFER A MYRIAD OF OPPORTUNITIES LIKE BABYSITTING CERTIFICATION AND NEW DAD COURSES, ALONG WITH FREE CPR AND FIRST AID CLASSES. FOR OUR PROFESSIONALS, WE HAVE CONTINUING EDUCATION COURSES, THREE LEVELS OF MANAGEMENT TRAINING CLASSES AND COURSES FOR PHYSICIAN LEADERS. THE CARLE FOUNDATION HOSPITAL'S CONTINUED SUCCESS IS ROOTED IN OUR ABILITY TO ADAPT TO A CHANGING HEALTHCARE ENVIRONMENT, PLAN DILIGENTLY FOR OUR FUTURE AND MAINTAIN A COMMITMENT TO OUR PATIENTS AND COMMUNITY. NOT-FOR-PROFIT HOSPITALS HAVE A LONG STANDING PRACTICE OF PROVIDING SUPPORT, DONATIONS AND SERVICES TO THEIR COMMUNITIES. THIS STEMS NOT FROM ECONOMIC OPPORTUNITY, BUT RATHER FROM A RESPONSIBILITY TO ADDRESS AND IMPROVE THE HEALTH OF ALL THE PEOPLE THEY SERVE. AT THE CARLE FOUNDATION HOSPITAL, WE ALSO BELIEVE THAT WE HAVE AN OBLIGATION TO GENEROUSLY GIVE BACK TO OUR COMMUNITY IN EXCHANGE FOR OUR TAX EXEMPTION. ALL OF THESE FACTORS LEAD TO THE CARLE FOUNDATION HOSPITAL BEING A CHAMPION OF ACCESS TO HEALTHCARE AND A PILLAR OF COMMUNITY SUPPORT. COMMUNITY BENEFIT PROGRAMS ARE BASED ON ASSESSED NEEDS AND DESIGNED TO IMPROVE THE HEALTH OF THOSE WHO LIVE AND WORK IN OUR AREA, WITH A FOCUS ON SERVING THOSE LESS FORTUNATE. AREAS OF COMMUNITY BENEFIT INCLUDE: HOSPITAL SERVICES THAT OPERATE AT A LOSS, CASH AND IN-KIND DONATIONS, TRANSLATIONAL RESEARCH, COMMUNITY EDUCATION, COMMUNITY-BUILDING ACTIVITIES AND WORKFORCE DEVELOPMENT. THE CARLE FOUNDATION HOSPITAL STRIVES TO ELIMINATE BARRIERS THAT KEEP AREA RESIDENTS FROM RECEIVING THE CARE THEY NEED. THE CARLE FOUNDATION HOSPITAL'S COMMUNITY CARE DISCOUNT PROGRAM IS ONE OF THE MOST GENEROUS FINANCIAL ASSISTANCE DISCOUNT PROGRAMS IN THE COUNTRY. WE WANT TO MAKE SURE THAT THE PEOPLE WHO QUALIFY KNOW ABOUT THEIR OPTIONS. OUR ADVERTISING THROUGHOUT THE REGION IS TARGETED TO REACH PEOPLE WHO QUALIFY SO THEY ARE AWARE FINANCIAL ASSISTANCE IS AVAILABLE. AS A NOT-FOR-PROFIT HOSPITAL, IT IS OUR OBLIGATION TO REACH OUT TO THOSE WHO CANNOT AFFORD HEALTHCARE. 19144160 THE CARLE COMMUNITY CARE DISCOUNT PROGRAM (FINANCIAL ASSISTANCE) AS A TAX-EXEMPT ORGANIZATION, CARLE PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THAT CARE OR SOURCE OF PAYMENT. WE ALSO RECOGNIZE THAT SOME PATIENTS NEED HELP TO PAY THEIR BILLS. THE CARLE FOUNDATION HOSPITAL'S COMMUNITY CARE DISCOUNT PROGRAM (FINANCIAL ASSISTANCE) PROVIDES DISCOUNTS OR FREE CARE TO THOSE WHO NEED IT. OUR COMMUNITY CARE DISCOUNT PROGRAM IS CONTINUALLY EVALUATED AND MANAGED AS NEEDED TO MEET THE NEEDS OF OUR COMMUNITY. EVALUATION INVOLVES INPUT FROM ADMINISTRATIVE LEADERS, PATIENT ACCOUNTS STAFF, LOCAL CONSUMER ADVOCACY GROUPS, AND PATIENTS. FOR THE TWELVE MONTHS ENDED DECEMBER 31, 2015 (CY15), FINANCIAL ASSISTANCE TOTALED $19,144,160 AND SERVED 25,756 PEOPLE. 4994161 1606808 RESEARCH AND EDUCATION INITIATIVES the CARLE FOUNDATION HOSPITAL HAS AN ACTIVE RESEARCH PROGRAM THAT BRINGS ADVANCED CLINICAL TRIALS TO OUR REGION, HELPS IMPROVE CLINICAL CARE AND DISCOVERs NEW SOLUTIONS TO HEALTH CHALLENGES. AT THE END OF 2015, MORE THAN 200 STUDIES WERE UNDERWAY. CARLE WORKS WITH INDUSTRY SPONSORS, FEDERAL AGENCIES, FOUNDATIONS AND START-UP COMPANIES ON A VARIETY OF CLINICAL TOPICS INCLUDING CANCER, NEUROSCIENCES, DIGESTIVE HEALTH, MATERNAL CHILD HEALTH, HEART AND VASCULAR DISEASE, SPORTS MEDICINE, OPHTHALMOLOGY AND HEARING DISORDERS. 2015 WAS A MOMENTOUS YEAR WHERE CARLE FINALIZED AGREEMENTS WITH UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN (uiuc) TO DEVELOP A NEW COLLEGE OF MEDICINE FOCUSED AT THE INTERSECTION OF MEDICINE AND ENGINEERING WITH A STRONG RESEARCH MISSION. BECAUSE OF THIS PARTNERSHIP, NEW COLLABORATIONS STARTED. IN ADDITION, CARLE HIRED A NEW VICE PRESIDENT FOR RESEARCH. RESEARCH HIGHLIGHTS INCLUDE: - NEUROSCIENCES: NEUROLOGIST GRAHAM HUESMANN, MD, PHD, AND NEUROSURGEON WILLIAM OLIVERO, MD COLLABORATED WITH Uiuc SCIENTISTS TO EVALUATE MAGNETIC RESONANCE IMAGING ELASTOGRAPHY FOR PLANNING EPILEPSY AND BRAIN TUMOR SURGERY. RESULTS ARE PROMISING AND HAVE BEEN SUBMITTED TO A MAJOR PEER REVIEWED JOURNAL FOR PUBLICATION. - KEN ARONSON, MD LAUNCHED A PATIENT RESEARCH REGISTRY FOR MILD TRAUMATIC BRAIN INJURY TO PROVIDE LONG TERM STUDY ON COGNITION AND NEUROLOGICAL FUNCTION. THIS IS A LITTLE STUDIED AREA. - OPHTHALMOLOGY: LEANNE LABRIOLA, OD AND UIuc PROFESSOR DIPANJAN PAN SUBMITTED A PATENT APPLICATION FOR A DEVICE THEY CO-DEVELOPED TO DETECT PENETRATING EYE INJURIES. - SEPSIS: ICU PHYSICIAN KAREN WHITE, MD AND UIuc PROFESSOR RASHID BASHIR ARE DEVELOPING A BEDSIDE DEVICE FOR EARLY DETECTION OF SEPSIS. PRELIMINARY FINDINGS SUGGEST THE ABILITY TO DETECT A TREND TOWARD SEPSIS EARLIER THAN THE STANDARD. CANCER CONTINUES TO BE ONE OF OUR MOST ACTIVE AREAS OF RESEARCH. IN 2015, CARLE AND uiuc PARTNERED TO FUND THREE GRADUATES STUDENTS. PROJECTS INCLUDED THE BENEFITS OF EXERCISE ON COGNITION OF SURVIVORS, IDENTIFICATION OF NEW BIOMARKERS AND THERAPEUTIC TARGETS AND DEVELOPING A RAPID SCREENING FOR PERSONALIZED SELECTION OF CANCER THERAPIES. 573683684 true true 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 true false false false false true true true false false true 166 0 true 3822 true true true false false false false false false false false false X 7 4 true false false false true true true true true false false true true true true true true false false false IL X X DENNIS P HESCH EXEC VP C 2173833311 611 W PARK ST URBANA IL 61801 X Donna Greene Immediate Past Chair 0.5 2.45 X 0 0 0 Guy Hall Chair of Board 1.5 4.7 X X 0 0 0 Kenneth Aronson MD SECRETARY OF BOARD 5.0 35.0 X X 0 380166 34580 Phillip Blankenburg Trustee (Thru September 2015) 0.2 2.2 X 0 0 0 J Michael Martin Trustee 0.75 3.25 X 0 23000 0 Paul Tender MD Trustee & Physician 1.0 39.0 X 0 427218 34782 Brenda Timmons Vice Chair of Board 0.5 3.2 X X 0 0 0 Karl Appelquist Trustee 1.0 1.2 X 0 0 0 Matthew Gibb MD Exec VP & CMO 18.4 21.6 X 0 725406 199371 James C Leonard MD Ex-Officio, President & CEO 5.0 35.0 X 0 2019291 460012 John Snyder Exec VP & COO 5.0 35.0 X 0 1191997 276330 Dennis Hesch Exec VP & CFO 12.0 28.0 X 0 995505 243060 Laurence Fallon Exec VP-Legal Affairs & HR 11.0 29.0 X 0 750214 192695 Pamela Bigler SVP-Nursing & CNO 15.0 25.0 X 0 451350 98106 Lynette Barnes SVP-Hosp Ops & HVI 32.0 8.0 X 0 461945 96110 JULIANNA SELLETT VP-DIAGNOSTIC & TRANS'L CARE 30.0 10.0 X 0 238880 78386 DAWN WALDEN VP-REVENUE CYCLE OPS 16.0 24.0 X 0 337844 87848 Blair Rowitz MD Med Dir- Surgical Services 20.0 20.0 X 0 782027 40571 Malec Mokraoui MD Med Dir- HVI 20.0 20.0 X 0 645493 36954 Andy Arwari MD Med Dir- Hospital Medicine 40.0 0.0 X 0 520444 41494 Matthew Kolb VP-Neuro & HVI 20.0 20.0 X 0 236817 57768 Caleb Miller VP-Surgical Services 30.0 10.0 X 0 206602 56707 LINDA FRED INPT PHARM DIRECTOR 20.0 20.0 X 200491 0 39218 JOEL LOVE PHYSICIST 40.0 0.0 X 189387 0 38766 KHANDAKER ISLAM PHYSICIST 40.0 0.0 X 169831 0 34247 VIJAY BAVDA PHARMACIST-INPT RX 35.8 4.2 X 167379 0 34844 Matthew Pike Pharmacist-Inpt Rx 40.0 0.0 X 161317 0 34134 Cora E Musial Phd MD Sec/Treas of Board - Former 0.0 40.0 X 0 277328 23685 R Bruce Wellman MD EX-OFFICIO, CEO OF CPG-FORMER 30.0 10.0 X 0 671645 24185 Joseph Barkmeier MD Key Employee - Former 0.0 40.0 X 0 360789 87922 STEPHANIE BEEVER Key Employee - Former 5.0 35.0 X 0 487657 117449 KIM JOHNSTON Key Employee - Former 30.0 10.0 X 0 324924 72101 888405 12516542 2541325 100 true true false FOCUSONE SOLUTIONS LLC PO BOX 3037 OMAHA NE 681030037 STAFFING 3447228 MAYO COLLABORATIVE SERVICES INC PO BOX 9146 MINNEAPOLIS MN 55480 LABORATORY SERVICES 2716728 GE HEALTHCARE INC PO BOX 640200 PITTSBURGH PA 152640200 EQUIPMENT MAINT 1962221 PHILLIPS ELECTRONICS NORTH AMERICA PO BOX 100355 ATLANTA GA 303840355 EQUIPMENT MAINT 1567919 SIEMENS MEDICAL SOLUTIONS HEALTH SE DEPARTMENT CH 14195 PALATINE IL 600554195 EQUIPMENT MAINT 1496065 45 4107738 1659376 0 595970 5767114 NET PATIENT CARE 621110 741444280 741444280 NET PATIENT CARE - ASC 621110 2795446 2795446 744239726 2849 2849 0 0 8006659 4812150 0 3194509 3194509 3194509 653203 560186 93017 93017 91374 1643 0 0 616055 3760002 -3143947 -3143947 INTERNAL MANAGEMENT FEES 900099 2846680 2846680 CLINICAL TRIALS/REF LAB REIMBURSEMENTS 611430 1159450 0 1159450 CAOS TUITION 900099 196466 196466 169295 169295 4371891 754525159 747452167 1301386 4492 2390015 2390015 0 0 0 0 115485 115485 160079877 157148723 2931154 8197024 8032838 164186 23450876 23064459 386417 11671297 11459092 212205 0 0 0 7549 7332 217 0 0 15888865 15331631 557234 133899 132083 1816 15456790 14303125 1153665 12144820 11683427 461393 0 36479227 34430661 2048566 1051366 1035086 16280 0 685403 574216 111187 85007 36867 48140 0 16600179 15583218 1016961 1828545 1639939 188606 PATIENT CARE SUPPLIES 132591210 130820480 1770730 INTERNAL MANAGEMENT FEES 119476341 115321998 4154343 OTHER PURCHASED SERVICES 17324943 16026545 1298398 UNRELATED BUSINESS INCOME TAX 2549 0 2549 15133859 14546464 587395 590795126 573683684 17111442 0 21318 40282 0 0 0 175992 106068304 112335698 0 0 0 0 0 0 9423748 9216146 4705852 5745848 155411580 79482573 74215826 75929007 0 0 0 0 0 0 0 0 266897303 244489557 461332351 447932530 19837614 19797319 0 0 0 463245 0 0 0 0 0 0 0 0 0 0 79619001 83490423 99456615 103750987 X 361875736 344181543 0 0 0 0 361875736 344181543 461332351 447932530 X 163730033 -181424226 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 7549 7549 false SCHED C, PART II-B, LINE (I) DESCRIPTION OF OTHER LOBBYING ACTIVITIES $2,900 - PORTION OF AMERICAN MEDICAL GROUP ASSOC (AMGA) DUES ATRIBUTED TO LOBBYING $986 - PORTION OF ILLINOIS HOMECARE & HOSPICE COUNCIL (IHHC) DUES ATTRIBUTED TO LOBBYING. $3,663 - PORTION OF DUES PAID TO MISCELLANEOUS HEALTH CARE ORGANIZATIONS ATTRIBUTED TO LOBBYING. 204609 70278 134331 2686863 1883962 802901 146449216 76468624 69980592 6070892 1059709 5011183 75929007 INTER-COMPANY RECEIVABLE 239773919 OTHER RECEIVABLES 4715638 244489557 0 ESTIMATED THIRD PARTY SETTLEMENTS 50784454 COMPENSATION AND PAID LEAVE ACCRUAL 29962656 ESTIMATED LIABILITY SELF INSURED LO 2407107 INCOME TAX PAYABLE 269147 SALES TAX PAYABLE 63677 ACCOUNTS RECEIVABLE CREDIT BALANCES 3382 83490423 X FIN 48 (ASC740) FOOTNOTE THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD 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, 2015 AND 2014. true true X true X 400. true X true true true false true true 19144160 19144160 0.03240 107574937 109551357 126719097 109551357 19144160 0.03240 434535 434535 0.00070 10770960 26240 10744720 0.01820 9616471 9616471 0.01630 6969087 1974926 4994161 0.00850 2099723 2099723 0.00360 29890776 2001166 27889610 0.04730 156609873 111552523 47033770 0.07970 38328 38328 26149 26149 432 432 1210 1210 4067 4067 82185 82185 11629 11629 164000 164000 true -1598384 0 134772597 140973909 -6201312 X true true 1 1 THE CARLE FOUNDATION HOSPITAL 611 W Park St Urbana IL 61801 carle.org 0003798 X X X X X THE CARLE FOUNDATION HOSPITAL 1 false false true X X X X X X X X X 14 true true true true X carle.org/chna X true 14 true carle.org/chna false false true X 400. 400. X X X X true true X X X true X carle.org X CARLE.ORG X X X X X false X false X X X X true X false false SCHEDULE H, PART V SUPPLEMENTAL INFORMATION COMMUNITY HEALTH NEEDS ASSESSMENT COMMUNITY INPUT (PART V, SECT B, LINE 5) USING THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) MODEL, A COMMUNITY-BASED MODEL THAT NECESSITATES COMMUNITY ENGAGEMENT AT ALL LEVELS, WE ASSESSED THE CURRENT HEALTH STATUS OF THE COMMUNITY, IDENTIFIED NEEDS, AND CREATED A COMPREHENSIVE COMMUNITY HEALTH IMPROVEMENT PLAN TO IMPROVE OUR COMMUNITY'S HEALTH BY ACQUIRING INPUT FROM COMMUNITY PARTNERS, PLANNERS, ELECTED OFFICIALS, AND RESIDENTS. OVER 60 INDIVIDUALS REPRESENTING MORE THAN 30 DIFFERENT AGENCIES ACROSS CHAMPAIGN COUNTY CONTRIBUTED TO THIS PROCESS; FURTHER, WE SURVEYED OVER 1,000 COMMUNITY RESIDENTS THROUGH SURVEYS, FOCUS GROUPS, AND COMMUNITY MEETINGS. THE MAPP PROCESS IS COMPOSED OF FOUR ASSESSMENTS. AFTER PERFORMING THESE, OVER 50 COMMUNITY LEADERS MET TO REVIEW THE RESULTS, SET A VISION, AND IDENTIFY PRIORITIES AND GOALS FOR THE UPCOMING YEARS. JENNY TUMBA, AVICENNA COMMUNITY HEALTH CENTER; BHARAT GOPAL, MD, EVA PALMER, SUSAN RUWE AND MIKE BILLIMACK, the CARLE FOUNDATION HOSPITAL; DEB BUSEY, CHAMPAIGN COUNTY ADMINISTRATOR; AL KURTZ, CHAMPAIGN COUNTY BOARD CHAIR; KARLY COMBEST, CHAMPAIGN COUNTY CHAMBER OF COMMERCE; DUANE NORTHRUP, CHAMPAIGN COUNTY CORONER; CLAUDIA LENNHOFF, CHAMPAIGN COUNTY HEALTHCARE CONSUMERS; ASHLEE MCLAUGHLIN, CHAMPAIGN COUNTY REGIONAL PLANNING COMMISSION; GABRIEL LEWIS AND RITA MOROCOIMA-BLACK, CHAMPAIGN COUNTY REGIONAL PLANNING COMMISSION; LT. JOHN HOCKING, CHAMPAIGN FIRE DEPARTMENT; JAMEEL JONES CHAMPAIGN PARK DISTRICT; CHIEF ANTHONY COBB, CHAMPAIGN POLICE DEPARTMENT; MARGEE POOLE, CHAMPAIGN UNIT 4 SCHOOL DISTRICT; AMY ROBERTS, AWAIS VAID, BRANDON MELINE, CANDI CRAUSE, DEB FRUITT, JAMIE PERRY, JEFF KEMP-RINDERLE, JULIE PRYDE, NICKI HILLIER AND PAT ROBINSON, CHAMPAIGN URBANA PUBLIC HEALTH DISTRICT; JEAN SMITH, CHRISTIE CLINIC; LT. TODD HITT, CITY OF CHAMPAIGN FIRE DEPARTMENT; LIBBY TYLER, CITY OF URBANA COMMUNITY DEVELOPMENT SERVICES; CHIEF PATRICK CONNOLLY, CITY Of URBANA; SHEILA FERGUSON, COMMUNITY ELEMENTS; CYNTHIA HOYLE, Champaign/urbana MASS TRANSIT DISTRICT 5; MEGAN BERRY, champaign urbana public health district (cuphd)-INFECTIOUS DISEASE; ANNIE CLAY, CHARLES MORTON, TAMMY RUFF AND TONYA CRAWLEY, HOUSING AUTHORITY OF CHAMPAIGN COUNTY; VALERIE MCWILLIAMS, LAND OF LINCOLN legal assistance foundation; MAUREEN MALEE AND ROBERT PALINKAS, MCKINLEY HEALTH CENTER; DIANE ZELL, NATIONAL ALLIANCE ON MENTAL ILLNESS; BONITA BURGESS, CARMEN ZYCH AND JUNE BIRCH, PARKLAND COLLEGE; LINDA TAUBER-OLSEN, PRESENCE COVENANT CENTER FOR HEALTHY LIVING; JACOB OZIER, JOLENE BOWEN AND SHERI ERVIN, PRESENCE COVENANT MEDICAL CENTER; NANCY GREENWALT, PROMISE HEALTHCARE; NICOLE BRIDGES, PROSPERITY GARDENS INC.; JONATHAN MANUEL, SOIL AND WATER CONSERVATION DISTRICT; SUE GREY, UNITED WAY OF CHAMPAIGN COUNTY; BILL BROWN, JACK HERRMANN, JANET KROENCKE, KRISTA JONES, MARGARET HELMS, PETER MULHALL, SHERRIE FAULKNER, YVETTE JOHNSON-WALKER AND HILLARY KLONOFF-COHEN, UNIVERSITY OF ILLINOIs; IAN BROOKS, UNIVERSITY OF ILLINOIS NCSA; TODD SHORT, UNIVERSITY OF ILLINOIS POLICE; SCOTT HAYS, UNIVERSITY OF ILLINOIS-Center for Prevention Research and Development; NATALIE KENNY MARQUEZ, URBANA MARKET AT THE SQUARE; CORKY EMBERSON, URBANA PARK DISTRICT; SANDY MARTIN, URBANA SCHOOL DISTRICT 116. OTHER HOSPITAL FACILITIES (PART V, SECT B, LINE 6A) PRESENCE COVENANT MEDICAL CENTER OTHER ORGANIZATIONS (PART V, SECT B, LINE 6B) CHAMPAIGN URBANA PUBLIC HEALTH DISTRICT, CHAMPAIGN COUNTY REGIONAL PLANNING COMMISSION, AND UNITED WAY OF CHAMPAIGN COUNTY SIGNIFICANT HEALTH NEEDS (PART V, SECT B, LINE 11) THE CARLE FOUNDATION HOSPITAL HAS IDENTIFIED THE FOLLOWING HEALTH AREAS AS SIGNIFICANT NEEDS: 1.) ACCESS TO CARE 2.) BEHAVIORAL HEALTH 3.) OBESITY 4.) VIOLENCE PLEASE SEE PART VI, LINE 2 FOR A DESCRIPTION AS TO HOW THE CARLE FOUNDATION HOSPITAL IS ADDRESSING THESE SIGNIFICANT NEEDS. WHILE THERE WERE A NUMBER OF ADDITIONAL NEEDS IDENTIFIED BY THE DATA AND INPUT FROM COMMUNITY LEADERS, CARLE DOES NOT HAVE THE RESOURCES TO ADDRESS ALL OF THEM. THE ISSUES THAT WILL NOT BE ADDRESSED IN THIS IMPLEMENTATION PLAN ARE LOWER PRIORITY BECAUSE THE NEED WAS NOT AS SIGNIFICANT; THEY ARE NOT CENTRAL TO THE HOSPITAL'S MISSION; AND CARLE HAS DETERMINED IT DOES NOT HAVE THE ABILITY TO MAKE A MEASURABLE IMPACT IN THOSE AREAS. CARLE WILL NOT FOCUS THIS COMMUNITY BENEFIT IMPLEMENTATION PLAN ON ADDRESSING COMMUNITY HEALTH CHALLENGES RELATED TO ECONOMIC ISSUES, POVERTY, TRANSPORTATION INFRASTRUCTURE, LAW ENFORCEMENT ISSUES, AND LEGAL/POLITICAL ISSUES. ALTHOUGH THERE WILL BE SOME RESOURCES DEDICATED, CARLE WILL HAVE LIMITED FOCUS ON VIOLENCE AND BEHAVIORAL HEALTH DUE TO MISALIGNMENT WITH ITS CORE MISSION AND/OR LIMITED ABILITY TO MAKE A MEASUREABLE IMPACT. CHARGES TO FAP-ELIGIBLE INDIVIDUALS (PART V, SECT B, LINE 22D) THE CARLE FOUNDATION HOSPITAL ESTABLISHES A STANDARDIZED FEE SCHEDULE USING A NATIONAL DATABASE OF FEE INFORMATION, WHICH BLENDS THE RELATIVE VALUE OF A SERVICE WITH STATISTICAL PROFILING OF ACTUAL CHARGE DATA SPECIFIC TO THIS REGION. THIS IS THE SAME METHODOLOGY USED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) TO SET MEDICARE FEES. THIS ALLOWS US TO ESTABLISH A FAIR FEE THAT REPRESENTS THE COST OF DELIVERING THE SERVICES. CHARGES FOR PAtients WHO APPLY AND ARE IDENTIFIED AS QUALIFIED FOR FINANCIAL ASSISTANCE ARE DISCOUNTED BASED UPON THEIR DISCOUNT LEVEL. DISCOUNTS FOR THE CARLE FOUNDATION HOSPITAL'S COMMUNITY CARE DISCOUNT PROGRAM ARE APPLIED AT 25%, 50%, 75% OR 100% BASED UPON THE APPLICANT'S FEDERAL POVERTY LEVEL AT THE TIME OF APPLICATION AND APPROVAL. 3 Carle Therapy Services 810 W Anthony Dr Urbana IL 61801 Physical and Occupational Therapy CARLE SURGICENTER - DANVILLE 2300 NORTH VERMILION ST DANVILLE IL 61832 Outpatient Surgery CARLE SURGICENTER - CHAMPAIGN 1702 SOUTH MATTIS AVE CHAPAIGN IL 61822 OUTPATIENT SURGERY 1. REQUIRED DESCRIPTIONS EXPLANATION OF COSTING METHODOLOGY (PART I, LINE 7 AND PART III, LINE 2 & 8) 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 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 INDIVIDUALS 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. PART I, Line 7g none of the amount included on line 7g is for subsidized physician offices. COMMUNITY BUILDING EXPLANATION (PART II) ALTHOUGH COMMUNITY BUILDING ITEMS ARE NOT COUNTED AS COMMUNITY BENEFIT, THIS SUPPORT IS AN IMPORTANT ASPECT OF CONTRIBUTING TO THE ECONOMIC VIABILITY OF THE COMMUNITY. In TOTAL, CARLE CONTRIBUTED NEARLY $500,000, with additional contributions from the shared services cost center of the Carle Foundation, which covers facilities. The Carle Foundation Hospital alone contributed $164,000 to this effort. ECONOMIC DEVELOPMENT (PART II) ANOTHER LARGE PORTION OF The Carle Foundation Hospital's COMMUNITY-BUILDING ACTIVITIES ($38,328) FOCUSED ON ECONOMIC DEVELOPMENT, INCLUDING CASH, IN-KIND DONATIONS AND BUDGETED EXPENDITURES FOR THE CITY, BUSINESS ASSOCIATIONS AND OTHER PROGRAMS IN CHAMPAIGN COUNTY. IN ADDITION TO THE MORE THAN $30,000 IN CASH DONATIONS, LEADERSHIP PROVIDED IN-KIND SUPPORT BY SERVING ON BOARDS FOR THE CHAMPAIGN COUNTY CHAMBER OF COMMERCE AND THE ECONOMIC DEVELOPMENT CORPORATION. COMMUNITY SUPPORT / EMERGENCY MANAGEMENT (shared services; grant funds) (PART II) EMERGENCY MANAGEMENT CONTINUED TO BE A PRIORITY OF The CARLE FOUNDATION HOSPITAL. INITIATIVES IN THIS AREA INCLUDE TRAINING THE FACILITY AND COMMUNITY LEADERSHIP IN PLANNING COMMUNITY-WIDE RESPONSES TO VARIOUS SCENARIOS AND STATE-LEVEL LEADERSHIP FOR THE 21-COUNTY REGIONAL HOSPITAL COORDINATING CENTER REGION. OUR FOCUS IS TO PREPARE OUR HOSPITAL AND SURROUNDING REGIONAL HOSPITALS TO BE READY TO RESPOND TO ANY NATURAL DISASTER, PANDEMIC OR ACT OF TERRORISM. CARLE ALSO BEGAN PREPARATIONS TO ADDRESS EBOLA VIRUS NEEDS AND HAS CONTINUED THIS WORK IN COLLABORATION WITH LOCAL, COUNTY, STATE AND FEDERAL AGENCIES. IN ADDITION, CARLE CONTINUED PREPARATIONS TO TREAT ANY PERSON WHO MIGHT BE CARRYING THE EBOLA VIRUS OR ANY OTHER HIGHLY CONTAGIOUS DISEASE. IN 2015, CARLE BUILT A TWO-PERSON ISOLATION SUITE TO HOUSE EBOLA PATIENTS AWAY FROM THE GENERAL HOSPITAL POPULATION. A DEDICATED EBOLA CARE TEAM TRAINED AND DRILLED FOR POTENTIAL EBOLA SCENARIOS SEVERAL TIMES THROUGHOUT THE YEAR. CARLE IS CURRENTLY AN IDPH-DESIGNATED EBOLA ASSESSMENT CENTER WITH PLANS TO BECOME THE STATES DOWNSTATE EBOLA TREATMENT CENTER. MORE THAN $4,000 IN IN-KIND SERVICES WAS DEVOTED TO EBOLA VIRUS TRAINING AND PREPARATION. PREVIOUSLY, CARLE HAD DIRECTLY RECEIVED AN office of the assistant secretary for preparedness and response (ASPR) GRANT TO PUT TOWARDS REGIONAL PROJECTS FOR EMERGENCY MANAGEMENT WITHIN THE COMMUNITY. AS OF 2015, THOSE EXTRA FUNDS ARE NOW CONSIDERED rEGIONAL COALITION FUNDS, AND ARE OVERSEEN BY THE EMERGENCY MANAGEMENT DIRECTOR FOR USE IN THE REGION. IN 2015, CARLE OVERSAW THE ALLOCATION OF MORE THAN $172,000 OF GRANT FUNDS TO COMMUNITY BENEFIT PROGRAMMING IN THE REGION, INCLUDING: - $83,378: LAB EQUIPMENT FOR AN INFECTIOUS DISEASE SUITE INTENDED TO SERVE AS AN EBOLA TREATMENT CENTER ONCE APPROVED - $50,272 TO HOSPITALS IN THE REGION, INCLUDING PORTABLE TOILETS, TABLES, AND CHAIRS FOR TEMPORARY MEDICAL TREATMENT CENTERs; ACTIVE SHOOTER TRAINING; N-95 MASKS TO REPLACE THOSE THAT WERE EXPIRED; STARCOM RADIO BATTERIES; AND WEBSITE/FACEBOOK DEVELOPMENT FOR HOSPITAL EMERGENCY MANAGEMENT - $14,255: EVACUATION CHAIRS, USED IN HOSPITAL EVACUATIONS AT BOTH PARIS, il AND SHELBYVILLE, il HOSPITALS - $11,805: HAM RADIO REPEATERS TO STRENGTHEN COMMUNICATIONS IN FORD AND COLES COUNTIES in illinois - $8,150 to CHAMPAIGN COUNTY, il, INCLUDING SUPPLIES FOR THE CHAMPAIGN COUNTY CORONERS FATALITY MANAGEMENT TRAILER AND AN ACCOUNTABILITY AND TRACKING SYSTEM to be USEd DURING DISASTERS by THE CHAMPAIGN COUNTY Emergency management agency - $4,819: DISASTER TRAILER TO THE HOOPESTON, IL emergency management agency, AVAILABLE FOR REGIONAL USE IF NEEDED, AS WELL AS AN automated external defibrillator FOR THE HOOPESTON POLICE DEPARTMENT CARLE ALSO PROVIDED THE COMMUNITY AND REGION WITH MORE THAN $5,700 OF IN-KIND SERVICES FOR EMERGENCY MANAGEMENT IN 2015, OVER AND ABOVE WHAT WAS REQUIRED. PART III, SECTION A, LINE 3 THE CARLE FOUNDATION HOSPITAL USES 50% AS A GENERAL ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. IN THE CURRENT YEAR, NO BAD DEBT WAS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIATION'S FINANCIAL ASSISTANCE POLICY. PART III, SECTION A, LINE 4 ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR ESTIMATED CONTRACTUAL ADJUSTMENTS AND AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE hospital ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS. THE hospital RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE ESTABLISHED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. 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 DESIGNED TO ELIMINATE ANY POTENTIAL FOR DOUBLE COUNTING OF COMMUNITY BENEFIT EXPENSES. THE RESULTANT RATIO ALIGNS WITH SCHEDULE H REQUIREMENTS. AS AN ILLINOIS-BASED HOSPITAL, WE ARE REQUIRED BY THE COMMUNITY BENEFIT ACT OF 2003 TO REPORT TO THE OFFICE OF THE ATTORNEY GENERAL COMMUNITY BENEFITS PROVIDED. FOR THAT REPORT, ILLINOIS LAW DEFINES GOVERNMENT-SPONSORED INDIGENT HEALTH CARE AS THE UNREIMBURSED COST OF MEDICARE, MEDICAID AND OTHER FEDERAL, STATE OR LOCAL INDIGENT CARE PROGRAMS. TO REDUCE PUBLIC CONFUSION CAUSED BY VARIATIONS IN OUR REPORTS, FOR CONSISTENCY, WE HAVE PREVIOUSLY INCLUDED A MEDICARE SHORTFALL IN ALL OF OUR COMMUNITY BENEFIT RELATED REPORTS. IN 2015 THE UNPAID COSTS OF MEDICARE WERE $1,390,070. WHEN THERE IS A SHORTFALL, WE 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, WHERE 10.8% ARE 65 YEARS OF AGE AND OLDER IN CHAMPAIGN COUNTY ALONE. ACCORDING TO FAMILY SERVICE OF CHAMPAIGN COUNTY, THOSE 85 AND OLDER THE FASTEST GROWING DEMOGRAPHIC IN THE COUNTY HAVE EXPERIENCED INCREASING COSTS OVER THE PAST DECADE WHILE LIVING ON FIXED INCOMES DETERMINED 20 YEARS AGO. DEBT COLLECTION PRACTICES (PART III, LINE 9B) PATIENTS ARE INFORMED ABOUT THE COMMUNITY CARE DISCOUNT PROGRAM (CCDP) ON MULTIPLE OCCASIONS. IT IS THE RESPONSIBILITY OF THE PATIENT TO REQUEST AND COMPLETE AN APPLICATION. IF A PATIENT DOES NOT REQUEST OR COMPLETE AND RETURN THE APPLICATION, THEN THE BALANCE IS DEEMED THEIR RESPONSIBILITY TO PAY. WE PRESUME ELIGIBILITY FOR VERIFIED HOMELESS, DECEASED WITH NO ESTATE, MENTAL INCAPACITATION, 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 Federally qualified health center) DISCOUNT REFERRAL, AND MEDICAID TITLE XIX. 2. NEEDS ASSESSMENT (PART VI, LINE 2) THE CARLE FOUNDATION HOSPITAL USED EXISTING DATA, INFORMAL DISCUSSIONS, AND A COMPREHENSIVE QUALITATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) USING THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) MODEL, A COMMUNITY-BASED MODEL THAT NECESSITATES COMMUNITY ENGAGEMENT AT ALL LEVELS. WE ASSESSED THE CURRENT HEALTH STATUS OF THE COMMUNITY, IDENTIFIED NEEDS, AND CREATED A COMPREHENSIVE COMMUNITY HEALTH IMPROVEMENT PLAN BY ACQUIRING INPUT FROM COMMUNITY PARTNERS, PLANNERS, ELECTED OFFICIALS AND RESIDENTS. OVER 60 INDIVIDUALS REPRESENTING MORE THAN 30 AGENCIES ACROSS CHAMPAIGN COUNTY CONTRIBUTED TO THIS PROCESS; FURTHER, WE SURVEYED OVER 1,000 RESIDENTS THROUGH SURVEYS, FOCUS GROUPS AND COMMUNITY MEETINGS. WHILE THERE WERE A NUMBER OF ADDITIONAL NEEDS IDENTIFIED BY DATA AND INPUT FROM COMMUNITY LEADERS, THE FOLLOWING FOUR HEALTH AREAS WERE SELECTED AS TOP PRIORITIES: 1. ACCESS TO CARE 2. BEHAVIORAL HEALTH 3. OBESITY 4. VIOLENCE IN 2015, OUR COMMUNITY BENEFIT PLAN REFLECTED THE SECOND YEAR OF A THREE-YEAR PLAN AND PRIMARILY ADDRESSED NEEDS IDENTIFIED IN THE CHAMPAIGN-URBANA AREA. IT ALSO INCLUDED COMMUNITY BUILDING ACTIVITIES, AS WELL AS RESEARCH AND EDUCATION INITIATIVES-ALL OF WHICH ARE REVIEWED AND CONFIRMED THROUGH THE ANNUAL BUDGETING PROCESS. 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE (Part VI, Line 3) CARLE IS ACUTELY AWARE OF THE NEED FOR ACCESS TO CARE, MAKING THAT A MAINSTAY OF OUR COMMUNITY BENEFIT EFFORTS, WITH A STRONG financial assistance PROGRAM BASED ON A PHILOSOPHY OF DOING THE RIGHT THING FOR THE COMMUNITY AND PATIENTS AND BALANCED BY A CAREFUL STEWARDSHIP OF THE COMMUNITY'S RESOURCES. BY 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 provide assistance. 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 ASSITANCE. THE CARLE FOUNDATION HOSPITAL HAS MADE A CONCERTED, CONTINUOUS EFFORT TO BE SURE THAT PEOPLE HAVE ACCESS TO INFORMATION THAT WILL HELP THEM WITH THEIR MEDICAL BILLS. THIS INCLUDES: - PROMOTION TO EDUCATE THE COMMUNITY AND THOSE WHO MIGHT NEED CARLES COMMUNITY CARE DISCOUNT PROGRAM VIA APPROPRIATE COMMUNITY PUBLICATIONS, AND ON-SITE VIA DISPLAYS THROUGHOUT THE HOSPITAL AND CLINICS - SIMPLIFIED APPLICATION FORM, INCLUDING A VERSION IN SPANISH - INFORMATION ABOUT THE COMMUNITY CARE PROGRAM ON ALL STATEMENTS, COLLECTION LETTERS AND HOSPITAL ADMISSION PACKETS, AND BILLING ENVELOPES - COMMUNITY CARE INFORMATION AND APPLICATIONS AT ALL REGISTRATION POINTS, HOSPITAL MAIN LOBBY AND CARLE.ORG - STAFF AT FRANCES NELSON HEALTH CENTER OPERATED BY PROMISE HEALTHCARE, THE LOCAL FQHC, AND COMMUNITY FREE CLINICS EQUIPPED WITH A SUPPLY OF APPLICATIONS AND KNOWLEDGE TO ASSIST THEIR PATIENTS IN COMPLETING THEM - MEETINGS WITH LOCAL LEGISLATORS TO HELP THEM ASSIST CONSTITUENTS WITH HEALTHCARE NEEDS, INCLUDING FINANCIAL ASSISTANCE - EXPANSIVE PRESUMPTIVE QUALIFICATION LIST - SCREENING PATIENTS FOR KEY FINANCIAL INDICATORS TO PRESUME ELIGIBILITY OR CONTACT ABOUT ASSISTANCE PROGRAMS 4. COMMUNITY INFORMATION (Part VI, Line 4) Carle's service area is generally defined as east central Illinois, including all or parts of more than 25 counties in east central Illinois and western Indiana. For the Community Benefit Implementation plan, research and remedies are directed towards community health issues identified in our primary service area, with the focus on Champaign County, il. Our reach extends into 14 adjoining, rural Illinois counties. These areas comprise nearly 50% of the Carle service area's population of approximately 1.3 million residents. Pockets of extreme poverty exist throughout this region. The programs within our community benefit plan generally have impact upon all the targeted communities, with certain programs directed at specific populations. The Carle Foundation Hospital serves as the region's only Level I Trauma Center and Level III Neonatal Intensive Care Unit. As provider of the region's perinatal services, Carle provides care to patients who live throughout the geographic area extending from Kankakee, il in the north to the southern-most tip of Illinois, and spanning from as far west as Decatur, il and east into western Indiana. For the purposes of our Community Care Discount Program, coverage encompasses this entire region - 40 counties in Illinois and Indiana. 5. PROMOTION OF COMMUNITY HEALTH (Part VI, Line 5) the CARLE FOUNDATION HOSPITAL HAS AN OPEN MEDICAL STAFF AND IS GOVERNED BY A COMMUNITY BOARD. SURPLUS FUNDS ARE REINVESTED INTO THE ORGANIZATION FOR TECHNOLOGY REPLACEMENT AND ADVANCEMENT, BUILDING RENOVATION OR CONSTRUCTION, CLINICAL SERVICE EXPANSION AND QUALITY IMPROVEMENT. SURPLUS 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. BECAUSE THE NEEDS ARE GREAT AND VARIED AND IT WOULD BE UNREASONABLE TO ADDRESS EACH AND EVERY IDENTIFIED NEED, WE SET PRIORITIES AND USE OUR RESOURCES TO FOCUS PRIMARILY ON IDENTIFIED NEEDS WITHIN THE COMMUNITY BENEFIT PRIORITIES SET. MANY OF THESE NEEDS ARE ADDRESSED THROUGH PARTNERSHIPS AND COLLABORATIVE EFFORTS. OUR PROGRESS IS SHOWN BELOW. ACCESS TO CARE FINANCIAL AND LEADERSHIP SUPPORT OF COMMUNITY PROGRAMS HAS BEEN CENTRAL TO PROVIDING ACCESS TO PRIMARY, DENTAL, PREVENTIVE AND MENTAL HEALTH SERVICES. CARLE HAS SOUGHT WAYS TO INITIATE AND EXPAND HEALTHCARE SERVICES FOR THE UNDERINSURED AND UNINSURED BY WORKING COLLABORATIVELY WITH COMMUNITY ORGANIZATIONS AND LEADERS. IN THE 2014-16 COMMUNITY HEALTH NEEDS ASSESSMENT, ACCESS TO CARE WAS THE TOP PRIORITY IDENTIFIED, AND AS PART OF CARLES PLAN TO IMPROVE ACCESS, THE ORGANIZATION IS RECRUITING HEALTHCARE PROVIDERS AND ALSO SUPPORTS COMMUNITY CLINICS. COMMUNITY CLINIC SUPPORT PROMISE HEALTHCARE AT FRANCES NELSON HEALTH CENTER $446,723 CARLE CONTINUED TO SUPPORT PROMISE HEALTHCARE AT FRANCES NELSON HEALTH CENTER (FNHC), A FEDERALLY QUALIFIED HEALTH CENTER, THROUGH FUNDING, LEADERSHIP SUPPORT, PATIENT CARE SERVICES, SUPPLIES AND MORE. IN 2005, CARLE PURCHASED A BUILDING AND RENOVATED FOR A TOTAL INVESTMENT OF $1.2 MILLION, CHARGING $1 RENT FOR THE FIRST THREE YEARS OF OCCUPANCY AND HAS SINCE PROVIDED SUPPORT FOR FACILITIES, LEADERSHIP AND CLINICAL SERVICES. IN 2015, THIS INCLUDED: - $418,928 IN CONTRIBUTIONS TO UNITED WAY OF CHAMPAIGN COUNTY, DESIGNATED FOR PROMISE HEALTHCARE TO ENHANCE SERVICES AND ACCESS TO CARE - CARLES ALL ABOUT BABY STAFF PROVIDES WEEKLY MEDICAL RESIDENT TRAINING AND PATIENT PRENATAL EDUCATION AT AN IN-KIND COST OF $20,006 - AN ADDITIONAL $7,789 FOR SUPPLIES, MEDICATION, BOARD INVOLVEMENT AND OTHER NEEDS - FRANCES NELSON HEALTH CENTER IS A RESIDENCY SITE FOR THE CARLE FAMILY MEDICINE RESIDENCY PROGRAM AND RESIDENTS PROVIDE CARE AS PART OF THEIR EDUCATION ALTHOUGH THE RESIDENTS TIME IS NOT REPORTED AS A COMMUNITY BENEFIT. CARLE HAS HAD A LONG COMMITMENT TO IMPROVING ACCESS TO THIS FACILITY. CHAMPAIGN COUNTY CHRISTIAN HEALTH CENTER $3,492 CARLE HELPS THE CHAMPAIGN COUNTY CHRISTIAN HEALTH CENTER FREE CLINIC FULFILL ITS MISSION TO PROVIDE QUALITY, HOLISTIC CARE AT NO COST TO AS MANY PEOPLE AS POSSIBLE. THE CLINIC PROVIDES PRIMARY CARE, DENTAL AND MENTAL HEALTH SERVICES. A NUMBER OF THE VOLUNTEER MEDICAL STAFF IS CARLE PHYSICIANS, NURSES AND TECHNICIANS WHO HAVE PERSONALLY CHOSEN TO SERVE THEIR COMMUNITY THROUGH THE CHAMPAIGN COUNTY CHRISTIAN HEALTH CENTER, AND WE ALSO PROVIDE IN-KIND BOARD SUPPORT. SINCE THIS CLINICS INCEPTION IN 2003, CARLE HAS PROVIDED MORE THAN $450,000 in support. ACCESS TO CARE THROUGH SUBSIDIZED SERVICES AT CARLE OVER THE YEARS, MULTIPLE CARLE INITIATIVES HAVE PROVIDED ADDITIONAL ACCESS TO CARE. BECAUSE THESE SERVICES CONTINUE TO MEET AN ENORMOUS NEED, THE PROGRAMS HAVE BEEN MAINTAINED, THOUGH SEVERAL OPERATE AT A LOSS. SOME OF THESE SUBSIDIZED SERVICES INCLUDE: COMMUNITY PARISH NURSE PROGRAM CARLE HAS ONE OF THE LARGEST PARISH NURSE GROUPS IN THE NATION, WITH 500 NURSES FROM 235 CONGREGATIONS IN 33 COUNTIES IN FOUR STATES. THE PROGRAM TRAINS NURSES FROM LOCAL CHURCHES TO EDUCATE CONGREGANTS AND ADVOCATE FOR THEIR HEALTHCARE INTERESTS. IN 2015, 10 RNS COMPLETED TRAINING, LOGGING MORE THAN 9,000 HOURS OF SERVICE TO THEIR CONGREGATIONS. THE GROUP ALSO DISTRIBUTED MORE THAN 1,000 VIALs OF LIFE KITS IN 2015; MORE THAN 22,000 TO DATE. CARLE BREASTFEEDING CLINIC CERTIFIED LACTATION SPECIALISTS HAVE HELPED THOUSANDS OF WOMEN SUCCESSFULLY BREASTFEED SINCE 1997. THIS SERVICE IS FREE AND AVAILABLE TO ANY NURSING MOTHER, REGARDLESS OF WHERE SHE RECEIVES CARE. LOCATED AT the CARLE FOUNDATION HOSPITAL AND CLINICS IN CHAMPAIGN AND URBANA, THE SERVICE INCLUDES 24/7 SUPPORT WHERE BREASTFEEDING MOTHERS CAN CALL AND SPEAK TO A NURSE. IN 2015, STAFF RESPONDED TO 6,637 CALLS FOR ASSISTANCE, AND HAD 10,187 INPATIENT VISITS, 1,301 OUTPATIENT VISITS TO THE IN-HOSPITAL CLINIC, AND 4,673 VISITS TO THE TWO CARLE REGIONAL OUTPATIENT FACILITIES. DURING THIS TIME, THE BREASTFEEDING CLINIC ALSO MADE SIGNIFICANT PROGRESS TOWARD ACHIEVING A BABY-FRIENDLY HOSPITAL DESIGNATION, WHICH THEY HOPE TO ACCOMPLISH IN 2017. LANGUAGE ASSISTANCE SERVICES A ROBUST LANGUAGE ASSISTANCE PROGRAM IS PROVIDED FOR PATIENTS WHO HAVE LIMITED ENGLISH PROFICIENCY OR WHO ARE HEARING IMPAIRED, AT BOTH THE HOSPITAL AND CLINIC LOCATIONS. Funded BY THE CARLE HEALTH SYSTEM AND WITHIN A SHARED SERVICES COST CENTER, THIS TOTAL expenditure OF $247,328 IN 2015 IS NOT INCLUDED IN the CARLE FOUNDATION HOSPITALS COMMUNITY BENEFIT REPORTING. EFFORTS TO ADDRESS ACCESS TO CARE IN THE REGION CARLE CONTINUED TO PROVIDE BOARD LEADERSHIP AND SUPPORT TO ADDRESS ACCESS TO CARE IN THE REGION. WITHIN COLES COUNTY, THAT INCLUDES THE FOLLOWING: - PHYSICIAN LEADERSHIP ON THE COLES COMMUNITY HEALTH CENTER FQHC BOARD OF GOVERNORS - PRESENCE ON THE REGIONAL HEALTHCARE COALITION, A GROUP PROVIDING RESOURCES FOR EMERGENCY SERVICES TO ADDRESS PUBLIC HEALTH RISKS AND INCIDENTS (PAID BY HOOPESTON REGIONAL HEALTH CENTER) - PHYSICIAN SUPPORT ON THE COLES COMMUNITY HEALTH COUNCIL THAT STARTED IN LATE 2014 WHEN EBOLA FIRST BECAME A PUBLIC HEALTH CONCERN PRESCRIPTION AFFORDABILITY AS A 340B PROVIDER, CARLE HAS CONTRACTED WITH CERTAIN AREA RETAIL PHARMACIES TO OFFER DISCOUNTED PRESCRIPTIONS FOR SELF-PAY PATIENTS. THOSE UNINSURED PATIENTS PURCHASING PRESCRIPTIONS OUT-OF-POCKET FROM A CONTRACTED 340B PHARMACY WILL RECEIVE DISCOUNTS THAT MAKE PRESCRIPTIONS MORE AFFORDABLE. IN ITS SECOND YEAR, THE PROGRAM SAW 9,313 PRESCRIPTIONS FILLED AT A TOTAL OUT-OF-POCKET SAVINGS OF $2,214,622 OVER THE USUAL AND CUSTOMARY RETAIL PRICE. NOT ONLY DOES THE PROGRAM LESSEN THE FINANCIAL BURDEN ON UNINSURED PATIENTS WITH REALIZED PRESCRIPTION DISCOUNTS, IT IMPROVES HEALTH OUTCOMES BY IMPROVING PATIENT COMPLIANCE WITH PHARMACEUTICAL THERAPY DUE TO IMPROVED AFFORDABILITY OF MEDICATIONS, AND HAS THE POTENTIAL TO REDUCE UNNECESSARY READMISSIONS AND/OR UNNECESSARY SPECIALTY VISITS DUE TO IMPROVED PATIENT COMPLIANCE WITH PRESCRIBED DRUG REGIMENS. PHYSICIAN AND ADVANCED PRACTICE PROVIDERS (APP) RECRUITMENT CARLE CONTINUES TO ACTIVELY RECRUIT NEW PRIMARY CARE PROVIDERS (PHYSICIANS AND APPS) TO INCREASE AVAILABLE CAPACITY FOR EXISTING PATIENTS AND NEW PATIENTS. CARLE HIRED 65 PHYSICIANS IN 2015 AND HAS PLANS TO RECRUIT 24 PRIMARY CARE AND 48 SPECIALTY PHYSICIANS IN 2016. OTHER ACCESS IMPROVEMENTS THE CARLE EMERGENCY DEPARTMENT CONTINUED TO SEE INCREASING VOLUMES IN 2015. CARLE CONVENIENT CARE EXPERIENCED INCREASED VOLUMES AS WELL. TOGETHER, THIS HELPS UNDERSCORE THE COMMUNITYS DEMAND FOR MORE ACCESS, WHICH IN PART DRIVES THE OVERALL RECRUITMENT PLAN. AS PART OF OUR RESPONSE TO THIS DEMAND, CARLE BEGAN TO OFFER E-VISITS THROUGH ITS PATIENT WEB PORTAL FOR SIMPLE MEDICAL CONDITIONS. THIS SERVICE ALLOWS FOR REMOTE VISITS VIA DIGITAL CHANNELS THAT ARE LESS EXPENSIVE AND MORE CONVENIENT. CARLE IS ALSO BEGINNING VIRTUAL VISITS AND TAKING STEPS TO REDESIGN THE CARE PROCESS IN WHICH TEAM-BASED CARE AND MEDICAL HOME MODELS WILL HELP INCREASE ACCESS AND EFFICIENCY OF CARE DELIVERY. BEHAVIORAL HEALTH CARLE IS WORKING TO ADDRESS BEHAVIORAL HEALTH ISSUES BY EXPANDING ITS CAPACITY AND SUPPORTING COMMUNITY PROGRAMS AND SERVICES TO IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES. CARLE FOUNDATION HOSPITAL WILL PURSUE THESE ADDITIONAL INITIATIVES TO IMPROVE BEHAVIORAL HEALTH OUTCOMES: 1. RECRUIT BEHAVIORAL HEALTH PROVIDERS TO ADD CAPACITY WITHIN THE COMMUNITY 2. SUPPORT COMMUNITY BEHAVIORAL/MENTAL HEALTH SERVICES THROUGH DONATIONS 3. SUPPORT EDUCATIONAL AND TRAINING PROGRAMS OF LOCAL PROVIDERS 4. SUPPORT DISCUSSIONS WITH LOCAL BEHAVIORAL HEALTH PROVIDERS ABOUT EXPANDING COMMUNITY ACCESS TO THEIR SERVICES 5. ESTABLISH AN INTERNAL BEHAVIORAL HEALTH WORKGROUP TO ADDRESS NEEDS AND ACTIONS FOR MANAGING PATIENTS FROM ACROSS THE CARLE SYSTEMS THAT HAVE BEHAVIORAL HEALTH NEEDS 6. SUPPORT A NEW UNIVERSITY OF ILLINOIS PSYCHIATRY RESIDENCY PROGRAM THAT WAS APPROVED IN 2015. THIS PROGRAM WILL HELP TRAIN MORE PROVIDERS AND POSSIBLY LEAD TO GRADUATES STAYING IN THE LOCAL AREA. MEASURES OF SUCCESS: - INCREASE NUMBER OF CARLE BEHAVIORAL HEALTH PROVIDERS - DONATION SUPPORT TO COMMUNITY ELEMENTS - CASH DONATIONS - USE OF SPACE - DONATION TO CHAMPAIGN COUNTY MENTAL HEALTH BOARD - COMMUNITY TRAINING PROGRAM SUPPORT - FINANCIAL SUPPORT OF COMMUNITY JAIL/ER DIVERSION PROJECT - IN COLES COUNTY, MAINTAIN A PRESENCE ON THE BOARD FOR LIFELINKS, A MENTAL HEALTH SERVICES 6. AFFILIATED HEALTH CARE SYSTEM (Part VI, Line 6) THE carle foundation HOSPITAL AND ITS ASSOCIATED BUSINESS UNITS UNDER THE CARLE FOUNDATION UMBRELLA ALL (EXCEPT FOR HOOPESTON COMMUNITY MEMORIAL HOSPITAL, WHICH HAS ITS OWN SPECIFIC COMMUNITY BENEFIT PLAN) PARTICIPATE IN CARRYING OUT THE SAME ANNUAL COMMUNITY BENEFIT PLAN, PARTICIPATING IN PROGRAMS THAT FIT THEIR SPECIFIC MISSIONS. 7. STATE FILING OF COMMUNITY BENEFIT REPORT (PART VI, LINE 7) IL true University of Illinois 505 S MATHEWS AVE URBANA IL 61801 376000511 501(c)(3) 1319308 Scholarships & Sponsorships United Way of Champaign County 404 W CHURCH ST CHAMPAIGN IL 61820 370662519 501(c)(3) 516746 Campaign Parkland College Foundation 2400 West Bradley Ave Champaign IL 61821 370892090 501(c)(3) 260000 Scholarships & Sponsorships PRAIRIE CENTER HEALTH SYSTEMS INC 718 KILLARNEY ST URBANA IL 61801 370917137 501(c)(3) 81300 VIVITROL DRUG COURT PROJECT THE KIRBY FOUNDATION 1000 MEDICAL CENTER DR Monticello IL 61856 061836473 501(c)(3) 27500 OPERATIONS AND FACILITIES CHAMPAIGN COUNTY CHAMBER OF COMMERCE 303 W KIRBY AVE Champaign IL 61820 371269310 501(c)(6) 12900 ANNUAL CONTRIBUTION Vermilion County Advantage 28 W North St Danville IL 61832 370238000 501(c)(6) 8250 Membership, program support DON MOYER BOYS & GIRLS CLUB 201 EAST PARK ST Urbana IL 61801 370906638 501(c)(3) 7500 BOYS AND GIRLS PROGRAM SUPPORT BETH'S PLACE PO BOX 462 TUSCOLA IL 61953 371345315 501(c)(3) 5987 PROGRAM SUPPORT-FY16 CAMPAIGN DAILY BREAD SOUP KITCHEN 124 W WHITE ST Champaign IL 61824 371200848 501(c)(3) 5700 CAPITAL CAMPAIGN/PROG SUPPORT CHAMPAIGN COUNTY CASA 154 C LINCOLN SQUARE URBANA IL 61801 371325204 501(c)(3) 5200 PROGRAM SUPPORT 9 2 FORM 990, SCHEDULE I 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 PUBLIC RELATIONS DIRECTOR, 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. RECORDS ARE MAINTAINED EITHER IN ADMINISTRATION OR PUBLIC RELATIONS. false true false false false false false true false Kenneth Aronson MD SECRETARY OF BOARD 0 333363 0 23946 0 22857 0 21480 0 13100 0 414746 0 0 Matthew Gibb MD Exec VP & CMO 0 574847 0 141405 0 9154 0 196109 0 3262 0 924777 0 0 Paul Tender MD Trustee & Physician 0 423209 0 0 0 4009 0 21480 0 13302 0 462000 0 0 Cora E Musial Phd MD Sec/Treas of Board - Former 0 261227 0 0 0 16101 0 21480 0 2205 0 301013 0 0 James C Leonard MD Ex-Officio, President & CEO 0 1170106 0 388671 0 460514 0 452857 0 7155 0 2479303 0 424300 R Bruce Wellman MD EX-OFFICIO, CEO OF CPG-FORMER 0 300488 0 10948 0 360209 0 21480 0 2705 0 695830 0 325679 John Snyder Exec VP & COO 0 723420 0 179389 0 289188 0 258574 0 17756 0 1468327 0 258109 Dennis Hesch Exec VP & CFO 0 621077 0 149692 0 224736 0 220069 0 22991 0 1238565 0 193630 Laurence Fallon Exec VP-Legal Affairs & HR 0 501989 0 119936 0 128289 0 170362 0 22333 0 942909 0 122184 Joseph Barkmeier MD Key Employee - Former 0 260805 0 58459 0 41525 0 75984 0 11938 0 448711 0 34418 Pamela Bigler SVP-Nursing & CNO 0 287295 0 62215 0 101840 0 91925 0 6181 0 549456 0 75805 Lynette Barnes SVP-Hosp Ops & HVI 0 299378 0 63406 0 99161 0 96110 0 0 0 558055 0 72395 STEPHANIE BEEVER Key Employee - Former 0 317759 0 71570 0 98328 0 98142 0 19307 0 605106 0 71158 KIM JOHNSTON Key Employee - Former 0 208139 0 39212 0 77573 0 61384 0 10717 0 397025 0 63506 JULIANNA SELLETT VP-DIAGNOSTIC & TRANS'L CARE 0 185264 0 30471 0 23145 0 54721 0 23665 0 317266 0 0 DAWN WALDEN VP-REVENUE CYCLE OPS 0 243437 0 38002 0 56405 0 68809 0 19039 0 425692 0 49810 LINDA FRED INPT PHARM DIRECTOR 178504 0 20539 0 1448 0 16171 0 23047 0 239709 0 0 0 JOEL LOVE PHYSICIST 187564 0 500 0 1323 0 15220 0 23546 0 228153 0 0 0 KHANDAKER ISLAM PHYSICIST 168795 0 500 0 536 0 13248 0 20999 0 204078 0 0 0 VIJAY BAVDA PHARMACIST-INPT RX 160802 0 523 0 6054 0 12979 0 21865 0 202223 0 0 0 Blair Rowitz MD Med Dir- Surgical Services 0 745940 0 32637 0 3450 0 21480 0 19091 0 822598 0 0 Malec Mokraoui MD Med Dir- HVI 0 602221 0 34008 0 9264 0 21480 0 15474 0 682447 0 0 Andy Arwari MD Med Dir- Hospital Medicine 0 493643 0 18213 0 8588 0 21480 0 20014 0 561938 0 0 Matthew Kolb VP-Neuro & HVI 0 214586 0 15231 0 7000 0 35469 0 22299 0 294585 0 0 Caleb Miller VP-Surgical Services 0 175483 0 18099 0 13020 0 44956 0 11751 0 263309 0 0 Matthew Pike Pharmacist-Inpt Rx 160581 0 517 0 219 0 12556 0 21578 0 195451 0 0 0 SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, QUESTION 3 THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT COMPANY OF THE CARLE FOUNDATION HOSPITAL, 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 COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. *THE COMPENSATION COMMITTEE USES 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 REPORTS DIRECTLY TO THE COMPENSATION COMMITTEE. FORM 990, SCHEDULE J, PART I, QUESTION 4B THE 2015 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF THE CARLE FOUNDATION HOSPITAL, THAT ARE LISTED IN THE 990 PART VII INCLUDE JAMES LEONARD, MD, JOHN SNYDER, DENNIS HESCH, MATTHEW GIBB, MD, LAURENCE FALLON, LYNETTE BARNES, PAMELA BIGLER, DAWN WALDEN, JULIANNA SELLETT, MATTHEW KOLB, CALEB MILLER, STEPHANIE BEEVER, JOSEPH BARKMEIER, MD, AND KIM JOHNSTON. THE 2015 PAYMENTS FROM THE 457(F) PLAN WERE MADE TO JAMES LEONARD, MD ($424,300), JOHN SNYDER ($258,109), DENNIS HESCH ($193,630), LAURENCE FALLON ($122,184), LYNETTE BARNES ($72,395), PAMELA BIGLER ($75,805), DAWN WALDEN ($49,810), R. BRUCE WELLMAN, MD ($325,679), STEPHANIE BEEVER ($71,158), JOSEPH BARKMEIER, MD ($34,418), AND KIM JOHNSTON ($63,506). FORM 990, SCHEDULE J, PART I, QUESTION 7 PART OF THE OVERALL EMPLOYEE'S COMPENSATION PROGRAM INCLUDES AN INCENTIVE COMPONENT THAT COVERS MOST EMPLOYEES AND IS DESIGNED TO ENCOURAGE AND PROMOTE THE ACHIEVEMENT OF CERTAIN QUALITY, OPERATIONAL, AND EFFICIENCY IMPROVEMENTS. ALTHOUGH THIS INCENTIVE COMPONENT IS BASED ON THE ORGANIZATION MEETING CERTAIN MINIMUM FINANCIAL THRESHOLDS, ALL PAYMENTS MUST BE APPROVED BY THE BOARD OF DIRECTORS PRIOR TO ANY INCENTIVE PAYOUT. SUZANNE RODAWIG FAMILY MEMBER OF TRUSTEE 37230 EMPLOYMENT false JEANETTE GIBB FAMILY MEMBER OF OFFICER 78255 EMPLOYMENT false RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION FORM 990, SCHEDULE L, PART IV, COLUMN D SUZANNE RODAWIG IS AN EMPLOYEE OF THE CARLE FOUNDATION HOSPITAL AND has a family relationship with J. MICHAEL MARTIN WHO SERVES AS A TRUSTEE OF THE HOSPITAL. JEANETTE GIBB IS AN EMPLOYEE OF THE CARLE FOUNDATION HOSPITAL AND HAS A FAMILY RELATIONSHIP WITH MATTHEW GIBB WHO SERVES AS AN OFFICER OF THE HOSPITAL. X SEE PART II 584 595970 FMV false true false SCHEDULE M, PART I, COLUMN B COLUMN B IS THE NUMBER OF CONTRIBUTIONS. SCHEDULE M, PART I, LINE 25 REFRESHMENTS FOR SUPPORT GROUPS AND NOURISHMENT STATIONS, MAGAZINES, FACILITY RENTAL FEE, LANDSCAPING FOR OUTDOOR GARDEN SPACES, MEDICAL EQUIPMENT: Blood pressure MONITORS AND SCALES FOR HEART PATIENTS, POSITIONING AIDS FOR NICU, VECTRA IMAGING SYSTEM AND A TREADMILL FOR tHERAPY. BOOKS FOR PreSCRIPTION TO READ PROGRAMS, PIANO TUNING, VISION SCREENING SYSTEMS, LYMPHEDEMA EARLY DETECTION DEVICE, NICU WEBCAMS, EPINEPHRINE CABINETS, DIABETES BACKPACKS, SPEAKER EXPENSES/FOOD/MARKETING FOR COMMUNITY DIABETES EDUCATION EVENT. THE CARLE DEVELOPMENT FOUNDATION IS THE SOURCE OF ALL THESE CONTRIBUTIONS AND HAS A POLICY THAT MANDATES REVIEW OF ANY NON-STANDARD CONTRIBUTION. FORM 990, SUPPLEMENTAL INFORMATION FORM 990, PART I, LINE I THE CARLE FOUNDATION HOSPITAL'S MISSION IS TO SERVE PEOPLE THROUGH HIGH QUALITY CARE, MEDICAL RESEARCH, AND EDUCATION. HEALTH CARE SERVICES ARE PROVIDED TO INDIVIDUALS IN THE COMMUNITY REGARDLESS OF ABILITY TO PAY. FORM 990, PART VI, QUESTION 2 JAMES C. LEONARD, MD (EX-OFFICIO), PAUL TENDER, MD (TRUSTEE), MATTHEW GIBB, MD (OFFICER), JOHN SNYDER (OFFICER), PAM BIGLER (KEY EMPLOYEE) AND ANDY AWARI, MD (KEY EMPLOYEE) HAD A BUSINESS RELATIONSHIP. GUY HALL (CHAIR OF BOARD), DONNA GREENE (IMMEDIATE PAST CHAIR), J. MICHAEL MARTIN (TRUSTEE), KENNETH ARONSON, MD (TRUSTEE), PAUL TENDER, MD (TRUSTEE), JAMES C. LEONARD, MD (EX-OFFICIO), BRENDA TIMMONS (VICE CHAIR OF BOARD) AND KARL APPELQUIST (TRUSTEE) HAD A BUSINESS RELATIONSHIP. J. MICHAEL MARTIN (TRUSTEE), JAMES C. LEONARD, MD (EX-OFFICIO), MATTHEW GIBB, MD (OFFICER) AND JOHN SNYDER (OFFICER) HAD A BUSINESS RELATIONSHIP. JAMES C. LEONARD, MD (EX-OFFICIO), JOHN SNYDER (OFFICER), DENNIS HESCH (OFFICER) AND JOSEPH BARKMEIER, MD (FORMER KEY EMPLOYEE) HAD A BUSINESS RELATIONSHIP. GUY HALL (CHAIR OF BOARD), DONNA GREENE (IMMEDIATE PAST CHAIR), J. MICHAEL MARTIN (TRUSTEE), KENNETH ARONSON, MD (TRUSTEE), PAUL TENDER, MD (TRUSTEE), JAMES C. LEONARD, MD (EX-OFFICIO), BRENDA TIMMONS (VICE CHAIR OF BOARD), PHILLIP BLANKENBURG (IMMEDIATE PAST CHAIR) AND KARL APPELQUIST (TRUSTEE) HAD A BUSINESS RELATIONSHIP. FORM 990, PART VI, QUESTION 6 & 7A THE CARLE FOUNDATION HOSPITAL'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 THE CARLE FOUNDATION HOSPITAL'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 THE CORPORATION; AUTHORIZING ANY NON-BUDGETED EXPENDITURE IN EXCESS OF $100,000 (THE EXCESS OF ANY PROPOSED EXPENDITURE OVER THE PREVIOUSLY APPROVED BUDGETED AMOUNT SHALL BE DEEMED A NON-BUDGETED EXPENDITURE); TO ORGANIZE OR ACQUIRE, OR TO AUTHORIZE OR APPROVE THE ORGANIZATION'S ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; TO PLEDGE ALL OR ANY PART OF THE CORPORATION'S ASSETS AS SECURITY FOR A DEBT; AND 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. 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 BY POSTING TO THE ORGANIZATION'S DIRECTOR COMMUNICATION PORTAL. ALSO BEFORE FILING, EACH TRUSTEE RECEIVED NOTIFICATION THAT THE FORM 990 WAS POSTED AND AVAILABLE FOR REVIEW AT HIS/HER DISCRETION, EACH TRUSTEE HAS 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 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 CARLE FOUNDATION HOSPITAL DOES NOT COMPENSATE ITS OFFICERS AND KEY EMPLOYEES. EMPLOYEE COMPENSATION FOR THESE INDIVIDUALS IS PAID BY THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, PARENT ORGANZATION OF THE CARLE FOUNDATION HOSPITAL, 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 COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. *THE COMPENSATION COMMITTEE USES 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 REPORTS DIRECTLY TO THE COMPENSATION COMMITTEE. FORM 990, PART VI, QUESTIONS 18 & 19 THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF THE CARLE FOUNDATION HOSPITAL, PUBLISHES THROUGH WWW.DACBOND.COM ITS QUARTERLY UNAUDITED FINANCIAL STATEMENTS, ANNUAL AUDITED FINANCIAL STATEMENTS, A MANAGEMENT'S DISCUSSION & ANALYSIS TO ACCOMPANY THE FINANCIAL STATEMENTS, AND AN ANNUAL REPORT OF CERTAIN OPERATING AND FINANCIAL INFORMATION. ADDITIONALLY, OFFICIAL STATEMENTS FOR OUTSTANDING MUNICIPAL BOND ISSUES FOR WHICH THE CARLE FOUNDATION IS OBLIGATED ARE AVAILABLE AT THIS WEBSITE. THESE DOCUMENTS INCLUDE EXTENSIVE INFORMATION ABOUT THE ORGANIZATION'S HEALTH CARE DELIVERY SYSTEM MODEL, RECENT HIGHLIGHTS/ACCOMPLISHMENTS, GOVERNANCE AND ADMINISTRATION, STRATEGIC PLAN, FACILITIES, CLINICAL PROGRAMS, MEDICAL STAFF, SERVICE AREA, COMPETITIVE ENVIRONMENT, DEMOGRAPHIC DATA, UTILIZATION STATISTICS, SUMMARY FINANCIAL INFORMATION, ACADEMIC AFFILIATIONS AND EDUCATIONAL PROGRAMS, MEDICAL RESEARCH, ACCREDITATIONS, AND ITS EMPLOYEES. THIS INFORMATION IS AVAILABLE AT NO CHARGE TO THOSE WHO REGISTER AT THE WWW.DACBOND.COM WEBSITE. IN ADDITION, THE FORM 990S OF THE ORGANIZATION'S FILING ENTITIES ARE AVAILABLE THROUGH DACBOND.COM. A COMMUNITY BENEFIT REPORT IS ALSO PUBLISHED AND DISTRIBUTED ANNUALLY TO THE COMMUNITY. QUARTERLY FINANCIAL STATEMENTS ARE 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. 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 THE CARLE FOUNDATION HOSPITAL SETTLED VARIOUS INTERCOMPANY RECEIVABLE/PAYABLE BALANCES THROUGH EQUAL OFFSETTING EQUITY TRANSFERS. THE INTERCOMPANY RECEIVABLE/PAYABLE BALANCE RESULTED FROM THE NORMAL COURSE OF OPERATIONS AND WERE PRIMARILY ATTRIBUTABLE TO CENTRALIZED CASH MANAGEMENT AND DISBURSEMENT ACTIVITIES. THESE INTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS HELPED PROVIDE SUPPLEMENTAL FUNDING FOR CERTAIN RELATED ORGANIZATIONS TO FURTHER THEIR EXEMPT PURPOSES. EQUITY TRANSFERS (TO)/FROM AFFILIATES - (181,391,000) ROUNDING - 374 Reversal of contributions - (33,600) ------------- NET OTHER CHANGES IN NET ASSETS OR FUND BALANCES - (181,424,226) ============= FORM 990, PART XII, LINES 2A, B, C AND PART IV, LINES 12,12A THE FINANCIAL STATEMENTS FOR THE CARLE FOUNDATION HOSPITAL 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 618012595 370673465 PARENT/INVMGT IL 501(c)(3) 11C III-FI NA false The Carle Development Foundation 611 W Park St Urbana IL 618012595 371159978 Fundraising IL 501(c)(3) 7 TCF true Carle Health Care Incorporated 611 W Park St Urbana IL 618012595 371140016 Var MED Svcs IL 501(c)(3) 9 TCF true Carle Retirement Centers Inc 611 W Park St Urbana IL 618012595 371160033 RTRMT LIVING IL 501(c)(3) 9 TCF true Carle Community Health Corporation 611 W Park St Urbana IL 618012595 364458371 FDN MISSION IL 501(c)(3) 11a Type I TCDF true HOOPESTON COMMUNITY MEMORIAL HOSPITAL 701 E ORANGE STREET HOOPESTON IL 609421801 363637465 HOSPITAL SERV IL 501(c)(3) 3 TCF true Health Systems Insurance Limited Governors Sq 2nd FL Bldg 3 Grand Cayman CJ KY1-1102 Insurance CJ na C Corp true Carle Holding Company Inc 611 W Park St Urbana IL 618012595 371188284 Holding CoMPANY IL na C Corp true eValiData Inc 611 W Park St Urbana IL 618012595 462022658 PHYS CREDENTIALS IL TCFH C Corp 342644 36673 1.00000 true Carle Risk Managment Company 611 W Park St Urbana IL 618012595 371217973 Risk ManagemeNT IL TCFH C Corp 1371396 175747 1.00000 true Health Alliance Connect Inc 301 S Vine St Urbana IL 61801 464796891 HeaLth care coORD IL na C Corp true Health Alliance Medical Plans Inc 301 S VINE ST URBANA IL 61801 371260731 HEALTH COVERAGE IL na C CORP true CHA HOLDING INC 301 S VINE ST URBANA IL 618012295 471854275 HOLDING COMPANY IL NA C CORP true HEALTH ALLIANCE NORTHWEST HOLDING INC 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 301 S VINE ST URBANA IL 61801 371354502 HEALTH COVERAGE IL NA C CORP true false false true false false false false false false false true true true false false true true true true Carle Community Health Corporation C 2618160 Accrual Carle Health Care Incorportated l 2012539 Accrual Carle Development Foundation C 1397824 Accrual Carle Health Care Incorporated M 9768130 Accrual Health Alliance Medical Plans Inc l 132353011 Accrual Carle Health Care Incorporated R 1316874 Accrual Health Alliance Connect Inc l 46978053 Accrual Carle Health Care Incorporated P 372270 Accrual Health Systems Insurance Limited M 2251402 Accrual HOOPESTON COMMUNITY MEMORIAL HOSPITAL L 472541 ACCRUAL HOOPESTON COMMUNITY MEMORIAL HOSPITAL M 54721 ACCRUAL HOOPESTON COMMUNITY MEMORIAL HOSPITAL R 2132501 ACCRUAL Schedule R, Supplemental Information SCHEDULE R, PART II CARLE HEALTH CARE INCORPORATED PRIMARY ACTIVITY: EMERGENCY TRANSPORT, DAY CARE, PHYSICIAN SERVICES.