HOOPESTON COMMUNITY MEMORIAL HOSPITAL: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- HOOPESTON COMMUNITY MEMORIAL HOSPITAL (EIN 36-3637465)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-14
- IRS object ID
- 201443189349305409
- Schema version
- 2013v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-14T13:09:44-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 4000 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363637465 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hoopeston Community Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % DENNIS HESCH EXEC VP & CFO | InCareOfNm |
| Business Name Control | HOOP | BusinessNameControlTxt |
| Phone | 2172835531 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 E Orange Street | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Hoopeston | City |
| State | IL | State |
| ZIP Code | 60942 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DENNIS P HESCH | PersonNm |
| Person Title | EXEC VP & CFO | PersonTitleTxt |
| Signature | 2014-11-13 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JENNIFER RHODERICK | PreparerPersonNm |
| PTIN | P00395735 | PTIN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARLE HOOPESTON REGIONAL HEALTH CTR | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DENNIS HESCH EXEC VP CFO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W PARK ST | AddressLine1 |
| City | URBANA | City |
| State | IL | State |
| ZIP Code | 61801 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $26,778,844 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.carle.org/hoopeston | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1956 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE QUALITY HEALTH CARE AND OTHER MEDICALLY RELATED SERVICES AND EDUCATION TO THE COMMUNITY THROUGH THE OPERATION OF A CRITICAL ACCESS HOSPITAL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 232 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $24,792 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $2,910 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $954 | PYContributionsGrantsAmt |
| CY Contributions Grants | $38,867 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,377,136 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $25,964,439 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,113 | PYInvestmentIncomeAmt |
| CY Investment Income | $18,422 | CYInvestmentIncomeAmt |
| PY Other Revenue | $76,941 | PYOtherRevenueAmt |
| CY Other Revenue | $602,558 | CYOtherRevenueAmt |
| PY Total Revenue | $5,462,144 | PYTotalRevenueAmt |
| CY Total Revenue | $26,624,286 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $19,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $33,528 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,802,683 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,873,555 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,447,884 | PYOtherExpensesAmt |
| CY Other Expenses | $16,126,714 | CYOtherExpensesAmt |
| PY Total Expenses | $6,269,567 | PYTotalExpensesAmt |
| CY Total Expenses | $29,033,797 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$807,423 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,409,511 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $33,293,949 | TotalAssetsBOYAmt |
| Total Assets EOY | $34,747,313 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $27,494,128 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $31,271,627 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,799,821 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,475,686 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MISSION STATEMENT SECTION 1. GENERAL PURPOSES. THE CORPORATION IS ORGANIZED AND SHALL BE EXCLUSIVELY OPERATED AS A NOT-FOR-PROFIT CORPORATION FOR CHARITABLE, BENEVOLENT, SCIENTIFIC AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISIONS OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW (THE "CODE"). AND, IN FURTHERANCE OF SUCH CHARITABLE PURPOSES, THE CORPORATION SHALL ENGAGE IN THE ACTIVITIES DESCRIBED IN SECTION 2 OF THIS STATEMENT. SECTION 2. SPECIFIC PURPOSES. THE CORPORATION'S PURPOSES SHALL INCLUDE, BUT NOT BE LIMITED TO, THE FOLLOWING: (A) TO PROVIDE AND TO ASSIST IN PROVIDING FACILITIES FOR THE RENDERING OF HEALTH CARE SERVICES ON AN INPATIENT OR OTHER BASIS THROUGH THE OPERATION OF A CRITICAL ACCESS HOSPITAL AND RURAL HEALTH CLINICS, AND OTHER CLINICAL SERVICES THROUGH ALL OTHER APPROPRIATE MEANS; AND (B) TO TRAIN AND TO PROVIDE CONTINUING EDUCATION FOR PERSONS ENGAGED IN PROVIDING HEALTH | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $23,611,674 | ExpenseAmt |
| Grant | $33,528 | GrantAmt |
| Revenue | $25,971,168 | RevenueAmt |
| Desc | Hoopeston Community Memorial Hospital (HCMH), a 25 bed Critical Access Hospital located in Hoopeston, IL serves Hoopeston, Vermilion County and the surrounding area. HCMH employs more than 200 staff members with 22 physicians and advanced practice 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 which opened in 2012. HCMH provides access to primary care with clinics in Hoopeston, Rossville, Milford, Cissna Park, Danville, and Watseka, IL. HCMH has been dedicated to caring for those in the area for over 50 years. | Desc |
| Total Program Service Expenses | $23,611,674 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 34 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 232 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DENNIS HESCH EXEC VP CFO | PersonNm |
| Phone | 2173833311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 WEST PARK ST | AddressLine1 |
| City | URBANA | City |
| State | IL | State |
| ZIP Code | 61801 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Russ Leigh | |||||||||
| Chairman of Board | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Lynn Galloway | |||||||||
| Secretary/Treasurer of Board | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Ed Layden Jr | |||||||||
| Trustee | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Karla Coon | |||||||||
| Trustee | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Henry Hornbeck | |||||||||
| Trustee | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Joseph Barkmeier MD | |||||||||
| Trustee | 1.0 | 39.0 | Yes (X) | $0 | $494,117 | $117,808 | |||
| Letha Kramer | |||||||||
| Trustee | 0.4 | 39.6 | Yes (X) | $0 | $139,329 | $19,148 | |||
| Harry Brockus | |||||||||
| Ex-Officio Board, CEO | 40.0 | 0.0 | Yes (X) | $173,951 | $0 | $39,058 | |||
| Dennis Hesch | |||||||||
| Exec VP & CFO | 1.0 | 39.0 | Yes (X) | $0 | $686,195 | $183,568 | |||
| Laurence Fallon | |||||||||
| SVP-Legal Affairs & HR | 1.0 | 39.0 | $0 | $565,126 | $146,298 | Yes (X) | |||
| Jay Colbert DO DPM | |||||||||
| Ex-Officio Brd,CMO & Physician | 40.0 | 0.0 | $330,891 | $0 | $19,342 | Yes (X) | |||
| Daniel Chase MD | |||||||||
| Physician | 40.0 | 0.0 | $364,375 | $0 | $20,075 | Yes (X) | |||
| William McCarthy MD | |||||||||
| Physician | 40.0 | 0.0 | $240,498 | $0 | $2,313 | Yes (X) | |||
| Albert Tanlim MD | |||||||||
| Physician | 40.0 | 0.0 | $208,296 | $0 | $20,862 | Yes (X) | |||
| Teresita Torres MD | |||||||||
| Physician | 40.0 | 0.0 | $186,403 | $0 | $145,923 | Yes (X) | |||
| Dennis Price PA-C | |||||||||
| Physician Assistant | 40.0 | 0.0 | $159,043 | $0 | $6,809 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,663,457 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,884,767 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $721,204 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HOOPESTON EMERGENCY MEDICINE SPECIA | |||||
| 6948 WINDSOR AVE | BERWYN | IL | 60402 | PHYSICIAN STAFFING | $901,848 |
| DMS IMAGING INC | |||||
| 26273 NETWORK PL | CHICAGO | IL | 606731262 | IMAGING SERVICES | $184,851 |
| MED ONE CAPITAL FUNDING ILLINOIS LP | |||||
| PO BOX 271128 | SALT LAKE CITY | UT | 84127 | MEDICAL EQUIP LEASIN | $158,553 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $0 | FundraisingAmt |
| Government Grants | $30,677 | GovernmentGrantsAmt |
| All Other Contributions | $8,190 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $38,867 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Services | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $25,964,439 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,964,439 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $25,964,439 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,422 | TotalRevenueColumnAmt |
| Exclusion | $18,422 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $81,373 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $154,558 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$73,185 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$73,185 | TotalRevenueColumnAmt |
| Exclusion | -$73,185 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Catering | 722320 | $91,835 | $0 | $24,792 | $67,043 |
| INTEREST ON PAYOR ACCOUNTS | 900099 | $115,810 | $0 | $0 | $115,810 |
| Perpetual Trust Interest | 900099 | $421,262 | $0 | $0 | $421,262 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $46,836 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,729 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $40,107 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $675,743 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,624,286 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,971,168 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $24,792 | UnrelatedBusinessRevenueAmt |
| Exclusion | $589,459 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,528 | TotalAmt |
| Program Services | $33,528 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $585,398 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $585,398 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,276 | TotalAmt |
| Program Services | $101,276 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,745,471 | TotalAmt |
| Program Services | $9,136,299 | ProgramServicesAmt |
| Management And General | $609,172 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,314 | TotalAmt |
| Program Services | $95,560 | ProgramServicesAmt |
| Management And General | $4,754 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,572,087 | TotalAmt |
| Program Services | $1,416,419 | ProgramServicesAmt |
| Management And General | $155,668 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $769,009 | TotalAmt |
| Program Services | $682,283 | ProgramServicesAmt |
| Management And General | $86,726 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,528 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $19,528 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,127 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $23,127 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,554 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $22,554 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,285,148 | TotalAmt |
| Program Services | $1,898,496 | ProgramServicesAmt |
| Management And General | $386,652 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,393 | TotalAmt |
| Program Services | $4,889 | ProgramServicesAmt |
| Management And General | $143,504 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,857,903 | TotalAmt |
| Program Services | $1,407,471 | ProgramServicesAmt |
| Management And General | $450,432 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $487,936 | TotalAmt |
| Program Services | $56,207 | ProgramServicesAmt |
| Management And General | $431,729 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $462,768 | TotalAmt |
| Program Services | $331,246 | ProgramServicesAmt |
| Management And General | $131,522 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,335 | TotalAmt |
| Program Services | $76,282 | ProgramServicesAmt |
| Management And General | $29,053 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,533 | TotalAmt |
| Program Services | $40,516 | ProgramServicesAmt |
| Management And General | $3,017 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $431,471 | TotalAmt |
| Program Services | $367,212 | ProgramServicesAmt |
| Management And General | $64,259 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,582,899 | TotalAmt |
| Program Services | $933,919 | ProgramServicesAmt |
| Management And General | $648,980 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $523,567 | TotalAmt |
| Program Services | $472,966 | ProgramServicesAmt |
| Management And General | $50,601 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| OTHER TAXES | $600,576 | $598,898 | $1,678 | $0 |
| INTERNAL PURCH SERVICES | $1,187,098 | $1,126,515 | $60,583 | $0 |
| PATIENT CARE SUPPLIES | $2,312,756 | $2,312,756 | ||
| INTERNAL MANAGEMENT FEES | $3,548,225 | $2,310,029 | $1,238,196 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $483,897 | TotalAmt |
| Program Services | $208,907 | ProgramServicesAmt |
| Management And General | $274,990 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,033,797 | TotalAmt |
| Program Services | $23,611,674 | ProgramServicesAmt |
| Management And General | $5,422,123 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,682,596 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170,720 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,685,337 | BOYAmt |
| EOY | $6,994,575 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $275,266 | BOYAmt |
| EOY | $158,421 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,274,137 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,022,027 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,228,466 | BOYAmt |
| EOY | $16,252,110 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,744,690 | BOYAmt |
| EOY | $4,444,690 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,189,470 | BOYAmt |
| EOY | $4,214,921 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,293,949 | BOYAmt |
| EOY | $34,747,313 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,987,870 | BOYAmt |
| EOY | $1,384,904 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,206,032 | BOYAmt |
| EOY | $11,362,003 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,300,226 | BOYAmt |
| EOY | $18,524,720 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,494,128 | BOYAmt |
| EOY | $31,271,627 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,236,064 | BOYAmt |
| EOY | -$97,543 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,563,757 | BOYAmt |
| EOY | $3,573,229 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,799,821 | BOYAmt |
| EOY | $3,475,686 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,293,949 | BOYAmt |
| EOY | $34,747,313 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,409,511 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $12,344 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $63,560 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $9,472 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Media Advertisements | $0 | MediaAdvertisementsAmt |
| Mailings Members | false | MailingsMembersInd |
| Mailings Members | $0 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Publications Or Broadcast | $0 | PublicationsOrBroadcastAmt |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $0 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Direct Contact Legislators | $0 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Rallies Demonstrations | $0 | RalliesDemonstrationsAmt |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $22,554 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $22,554 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1I | FormAndLineReferenceDesc |
| Explanation | other activities $6,429 - PORTION OF AMERICAN HOSPITAL ASSOCIATION (AHA) DUES ATTRIBUTABLE TO LOBBYING $15,969 - PORTION OF ILLINOIS HOSPITAL ASSOCIATION (IHA) DUES ATTRIBUTABLE TO LOBBYING $156 - PORTION OF MISCELLANEOUS HEALTH CARE ORGANIZATION DUES ATTRIBUTABLE TO LOBBYING | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $97,500 | OtherCostOrOtherBasisAmt |
| Book Value | $97,500 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,220,514 | OtherCostOrOtherBasisAmt |
| Depreciation | $739,458 | DepreciationAmt |
| Book Value | $9,481,056 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,226 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,132 | DepreciationAmt |
| Book Value | $23,094 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,830,916 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,194,304 | DepreciationAmt |
| Book Value | $5,636,612 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,099,981 | OtherCostOrOtherBasisAmt |
| Depreciation | $86,133 | DepreciationAmt |
| Book Value | $1,013,848 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $16,252,110 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| CONSTRUCTION FUNDS SHORT TERM | $539,211 |
| DEVL LIMITED ASSETS | $57,175 |
| BENEFICIARY INTEREST IN TRUST | $3,573,229 |
| BOND FINANCE CHARGES 2011 | $45,306 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,214,921 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| THIRD PARTY SETTLEMENTS | $252,661 |
| INTERCOMPANY PAYABLES | $18,127,709 |
| ASSET RETIREMENT OBLIGATION | $144,350 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $18,524,720 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 | FormAndLineReferenceDesc |
| Explanation | FIN 48 (ASC740) FOOTNOTE THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION 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, 2013 AND 2012. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 125. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $830,525 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $830,525 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02870 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,005,751 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,333,936 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $671,815 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02320 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,836,276 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,333,936 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,502,340 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05190 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $270,380 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $270,380 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00930 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,826 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $23,826 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $294,206 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $294,206 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01010 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,130,482 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,333,936 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,796,546 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06200 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,796 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,796 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,884 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,884 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $976 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $976 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,656 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $19,656 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,048,045 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $524,023 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $7,412,429 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $9,808,868 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,396,439 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hoopeston Community Memorial Hospital | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 E Orange St | AddressLine1 |
| City | Hoopeston | City |
| State | IL | State |
| ZIP Code | 609421801 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.carle.org/hoopeston | WebsiteAddressTxt |
| State License | 0004200 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hoopeston Community Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | see part vi | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 125. | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE H, PART V SUPPLEMENTAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 1J) A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED IN 2013 TO COVER PROGRAMS for 2014-2016. SURVEYS AND ASSESSMENTS WERE DISCUSSED AT THE ANNUAL STRATEGIC PLANNING SESSION WITH THE COMMUNITY BOARD OF DIRECTORS. SUBSEQUENTLY, THE 2014-16 CHNA AND IMPLEMENTATION PLAN WAS APPROVED BY THE BOARD IN DECEMBER 2013. COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SEC B, LINE 3) THE CHNA INCLUDED DISCUSSIONS WITH COMMUNITY LEADERS, INCLUDING HUMAN SERVICE AGENCY ADMINISTRATORS, PUBLIC HEALTH REPRESENTATIVES AND HOOPESTON COMMUNITY MEMORIAL HOSPITAL LEADERSHIP. AN 11-MEMBER COMMUNITY BOARD SERVES ON A VOLUNTEER BASIS, CONSISTING OF 7 VOTING MEMBERS AND 4 NON-VOTING STAFF MEMBERS. COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SEC B, LINE 5a) URL FOR CHNA: http://www.carle.org/About/ServingOurCommunity/Community-Health-Needs-Asse ssment.aspx COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SEC B, LINE 7) While there were a number of additional needs identified by the data and input from community leaders, as a Critical Access Hospital, Hoopeston Community Memorial Hospital (HCMH) 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 hospitals mission; and HCMH has determined it does not have the ability to make a measurable impact in those areas. HCMH will not focus the Community Benefit Implementation Plan on addressing community health challenges related to Disabilities; Exercise, Nutrition and Weight; Immunization and Infectious Diseases; Maternal, Fetal and Infant Health; Mental Health; Older Adults and Aging; Respiratory Diseases or Substance Abuse. HCMH will continue its work to improve the overall health of the community through service to its patients and that will include emphasis on Access to Health Services, Heart Disease and Stroke and the other specialties and services the hospital or Carle health system provides. The Carle Foundation, parent organization for HCMH, 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. FINANCIAL ASSISTANCE POLICY (PART V, SEC B, LINE 14) SIGNS ARE POSTED AROUND THE HOSPITAL AND IN ALL AREAS OF PATIENT REGISTRATION. PATIENTS CAN DISCUSS A DIFFICULTY OR NEED WITH REGISTRATION STAFF TO DETERMINE IF THEY MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE, AND STAFF WILL THEN ASSIST THEM IN THE APPROPRIATE APPLICATION PROCESS. IT WILL LATER BE DETERMINED IF THEY ARE ELIGIBLE FOR STATE MEDICAID OR IF THEY QUALIFY FOR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. WHILE HOOPESTON COMMUNITY MEMORIAL HOSPITAL'S FINANCIAL ASSISTANCE POLICY WAS HEAVILY PROMOTED USING THE MEANS LISTED, THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN ITS ENTIRETY ON THE ORGANIZATION'S WEBSITE AND UPON REQUEST. PART V, SECT B, LINE 20D The amounts charged to all patients for emergency or other medically necessary care are consistent with Hoopeston Community Memorial Hospital's standard fee schedule. Patients that qualify under the organization's Financial Assistance Policy (FAP) were charged at a rate commensurate with their eligible discount as is stated in the FAP. necessary care are consistent with Hoopeston Community Memorial Hospital's standard fee schedule. Patients that qualify under the organization's Financial Assistance Policy (FAP) were charged at a rate commensurate with their eligible discount as is stated in the FAP. | ExplanationTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| Hoopeston Ambulance Services | ||||
| 413 E Main | Hoopeston | IL | 60942 | Ambulance Services |
| Rossville Medical Center | ||||
| 619 N Chicago St | Rossville | IL | 60963 | Medical Clinic |
| Roberts Clinic | ||||
| 845 S 4th St | Watseka | IL | 60970 | Medical Clinic |
| Milford Clinic | ||||
| 322 Chicago St | Milford | IL | 60953 | Medical Clinic |
| Cissna Park Medical Clinic | ||||
| 141 W Garfield Ave | Cissna Park | IL | 60924 | Medical Clinic |
| Charlotte Ann Russell | ||||
| 801 E Orange St | Hoopeston | IL | 60942 | Medical Clinic |
| DANVILLE ON FAIRCHILD | ||||
| 311 W FAIRCHILD | DANVILLE | IL | 61832 | MEDICAL CLINIC |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H SUPPLEMENTAL INFORMATION | SCHEDULE H, PART VI 1 - REQUIRED Descriptions INCOME BASED CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE (PART I, QUESTION 3C) THERE ARE THREE WAYS A PATIENT MAY BE DEEMED TO HAVE FINANCIAL NEED: (I) BY A DETERMINATION THAT THE PATIENT'S INCOME IS BELOW CERTAIN FEDERAL POVERTY GUIDELINES AND THE PATIENT HAS LIMITED ASSETS THAT, IF LIQUID, WOULD LIFT HIM OR HER ABOVE SUCH FEDERAL POVERTY GUIDELINES ("INCOME" INCLUDES SALARIES, LEGAL JUDGMENTS, UNEMPLOYMENT COMPENSATION, SOCIAL SECURITY INCOME, ALIMONY, DIVIDENDS, AND INTEREST CHECKS; "ASSETS" INCLUDE SAVINGS, CERTIFICATES OF DEPOSIT, INDIVIDUAL RETIREMENT ACCOUNTS AND PROPERTY OTHER THAN A PATIENT'S PRIMARY RESIDENCE); (II) BY A DETERMINATION THAT THE PATIENT HAS EXPERIENCED A MEDICAL HARDSHIP; AND (III) BY A DETERMINATION THAT AN ALTERNATE HOSPITAL HAS MADE FINANCIAL ASSISTANCE AVAILABLE TO THE PATIENT, ALL AS FURTHER DESCRIBED BELOW. 1. FINANCIAL HARDSHIP: IF A PATIENT'S INCOME AND ASSETS ARE BELOW 300% OF THE FEDERAL POVERTY GUIDELINES, THE PATIENT WILL RECEIVE SOME FORM OF FINANCIAL ASSISTANCE FOR FACILITY SERVICES; IF A PATIENT'S INCOME AND ASSETS ARE BELOW 200% OF THE FEDERAL POVERTY GUIDELINES, THE PATIENT WILL RECEIVE SOME FORM OF FINANCIAL ASSISTANCE FOR CLINIC PROFESSIONAL SERVICES. THE FINANCIAL ASSISTANCE FOR COVERED SERVICES MAY BE EITHER A COMPLETE WAIVER OF ALL PATIENT RESPONSIBILITY OR A DISCOUNT OR REDUCED PATIENT OBLIGATION RELATING TO SUCH COVERED SERVICES, DEPENDING ON THE EXACT LEVEL OF THE PATIENT'S INCOME. (A) IN GENERAL. IF A PATIENT'S INCOME FALLS BELOW 125% OF THE FEDERAL POVERTY GUIDELINES AND THE PATIENT DOES NOT HAVE ASSETS THAT, IF LIQUID, WOULD LIFT THE PATIENT ABOVE 125% OF THE FEDERAL POVERTY GUIDELINES, THE PATIENT WILL HAVE NO FINANCIAL RESPONSIBILITY FOR THE COVERED SERVICES. THIS MEANS THAT FEES FOR THE FACILITY SERVICES AND CLINIC PROFESSIONAL SERVICES DESCRIBED IN SECTION II.A OF THE FINANCIAL ASSISTANCE POLICY, AND THE COPAYMENT AND DEDUCTIBLE AMOUNTS FOR SUCH SERVICES, ARE COMPLETELY WAIVED. (B)FACILITY SERVICES. IF A PATIENT'S INCOME FALLS BETWEEN 126% AND LESS THAN 300% OF THE FEDERAL POVERTY GUIDELINES AND THE PATIENT DOES NOT HAVE ASSETS THAT, IF LIQUID, WOULD LIFT THE PATIENT TO AT LEAST 300% OF THE FEDERAL POVERTY GUIDELINES, THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE FOR FACILITY SERVICES DESCRIBED IN SECTION II.A. OF THE FINANCIAL ASSISTANCE POLICY IN THE FORM OF A DISCOUNT ON CHARGES TO 135% OF HCMH'S COSTS FOR THE FACILITY SERVICES EXCEEDING $300 IN ANY ONE INPATIENT ADMISSION OR OUTPATIENT SERVICE, AS DETERMINED BY HCMH IN ACCORDANCE WITH APPLICABLE LAW, AS SET FORTH ON EXHIBIT 1 OF THE FINANCIAL ASSISTANCE POLICY. (C) CLINIC PROFESSIONAL SERVICES. IF A PATIENT'S INCOME FALLS BETWEEN 126% AND LESS THAN 200% OF THE FEDERAL POVERTY GUIDELINES AND THE PATIENT DOES NOT HAVE ASSETS THAT, IF LIQUID, WOULD LIFT THE PATIENT TO AT LEAST 200% OF THE FEDERAL POVERTY GUIDELINES, THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE FOR CLINIC PROFESSIONAL SERVICES DESCRIBED IN SECTION II.A. OF THE FINANCIAL ASSISTANCE POLICY IN THE FORM OF A 50% DISCOUNT ON CHARGES FOR SUCH SERVICES, AS SET FORTH ON EXHIBIT 1. THIS MEANS THAT 50% OF THE FEES FOR THE CLINIC PROFESSIONAL SERVICES DESCRIBED IN SECTION II.A, AND THE COPAYMENT AND DEDUCTIBLE AMOUNTS FOR SUCH SERVICES, ARE WAIVED. 2. MEDICAL HARDSHIP: HCMH ALSO WILL CONSIDER FINANCIAL ASSISTANCE FOR COVERED SERVICES WHERE A PATIENT'S MEDICAL BILLS FOR SERVICES RENDERED AT THE HOSPITAL OR THE CLINIC ARE OF SUCH AN AMOUNT THAT PAYMENT THREATENS THE PATIENT'S FINANCIAL SURVIVAL. SUCH FINANCIAL ASSISTANCE MAY BE IN ADDITION TO FINANCIAL ASSISTANCE FOR FINANCIAL HARDSHIP, AND SHALL BE DETERMINED BASED ON AN INDIVIDUAL ASSESSMENT OF A PATIENT'S FINANCIAL RESOURCES AND THE SIZE OF THE PATIENT'S BILL FOR SERVICES RENDERED AT THE HOSPITAL AND THE CLINIC. 3. RECIPROCITY. IF A PATIENT IS NOT ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON FINANCIAL HARDSHIP OR MEDICAL HARDSHIP, BUT THE PATIENT HAS BEEN PROVIDED FINANCIAL ASSISTANCE BY AN ALTERNATE HOSPITAL LOCATED WITHIN 30 MILES OF HOSPITAL, THE HOSPITAL WILL PROVIDE THE PATIENT WITH FINANCIAL ASSISTANCE FOR FACILITY SERVICES DESCRIBED IN SECTION II.A. OF THE FINANCIAL ASSISTANCE POLICY TO THE SAME EXTENT AS SUCH OTHER HOSPITAL, PROVIDED HOWEVER, THAT THE PATIENT MUST PROVIDE HOSPITAL WITH WRITTEN PROOF OF THE NATURE AND AMOUNT OF FINANCIAL ASSISTANCE PROVIDED BY SUCH OTHER HOSPITAL THAT IS ACCEPTABLE TO HCMH, IN ITS SOLE DISCRETION. 4. DOCUMENTATION. TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE FOR COVERED SERVICES, THE PATIENT WILL BE REQUIRED TO COMPLETE THE PATIENT FINANCIAL WORKSHEET. HCMH WILL ASSIST PATIENTS WITH THIS FORM AS REQUESTED BY THE PATIENT. 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 BENEFITS COSTS WERE REPORTED AT THE ACTUAL EXPENSE INCURRED. PATIENT'S RECEIVABLE PAYMENTS WERE RECORDED AT TIME OF RECEIPT AND RELATED DISCOUNTS WERE ALSO 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 IN FUTURE PERIODS WHEN THE ACCOUNT'S ADJUDICATION AND PAYMENT OCCUR. ACCOUNTS DETERMINED TO BE 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 II) ECONOMIC DEVELOPMENT THE HOOPESTON ECONOMIC DEVELOPMENT COMMITTEE HELD FOUR MEETINGS PER MONTH TO DISCUSS A NUMBER OF ISSUES THAT IMPACT THE COMMUNITY'S HEALTH AND SAFETY. TWO MEMBERS OF HCMH LEADERSHIP AND STAFF ATTENDED MEETINGS, AMOUNTING TO 48 HOURS TOTAL, OR $2,796 OF IN-KIND SUPPORT IN 2013. COMMUNITY SUPPORT A PORTION OF HCMH'S COMMUNITY-BUILDING ACTIVITIES ($4,192) FOCUSED ON COMMUNITY SUPPORT, INCLUDING CASH, IN-KIND DONATIONS AND BUDGETED EXPENDITURES FOR THE CITY, BUSINESS ASSOCIATIONS AND OTHER PROGRAMS IN HOOPESTON. ALTHOUGH THESE ITEMS WERE NOT COUNTED AS COMMUNITY BENEFIT, THIS SUPPORT IS AN IMPORTANT PART OF CONTRIBUTING TO THE ECONOMIC VIABILITY OF THE COMMUNITY. THE ADDITIONAL FUNDS CAPTURED AS COMMUNITY SUPPORT ($11,692) WERE FOR DISASTER READINESS - THOSE HOURS AND STAFF TIME SPENT ABOVE AND BEYOND NORMAL REQUIREMENTS FOR A HOSPITAL. AT HCMH, EMERGENCY PREPAREDNESS WAS A PRIORITY, WITH ONE STAFF MEMBER SERVING AS THE DISASTER PREPAREDNESS COORDINATOR. THIS INDIVIDUAL SAT ON THE HOOPESTON EMERGENCY MANAGEMENT AGENCY AS A REPRESENTATIVE OF CARLE HOOPESTON, ATTENDED DISASTER MEETINGS, AND PARTICIPATED IN DRILLS. SHE ALSO CONTINUED TO PARTICIPATE IN REGULAR DISCUSSIONS WITH THE REGION, INCLUDING THE CARLE EMERGENCY MANAGEMENT COMMITTEE, WORKING TOGETHER AND STANDING READY IF THE NEED OCCURS. OTHER NEARLY $1,000 OF HCMH'S COMMUNITY-BUILDING ACTIVITIES WAS TIME DEVELOPING THE 2014-16 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THOUGH THE PRIORITIZED NEEDS AND IMPLEMENTATION PLAN DO NOT TAKE EFFECT UNTIL 2014, THIS CHNA WAS REQUIRED TO BE COMPLETED IN 2013. THIS INCLUDES STAFF TIME TO COMPLETE THE CHNA, BOTH BY LEADERSHIP AND BY COMMUNICATIONS STAFF, WITH 22 HOURS ON RESEARCH, DISCUSSIONS WITH COMMUNITY LEADERS, PRIORITIZATION, REVIEWING DOCUMENTATION AND FINAL PLANS. BAD DEBT, MEDICARE, & COLLECTION PRACTICES (PART III, LINE 3) HOOPESTON COMMUNITY MEMORIAL HOSPITAL (HCMH) USES 50% AS A GENERAL ESTIMATE OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. BAD DEBT FOOTNOTE (PART III, LINE 4) THE FOOTNOTE PERTAINING TO BAD DEBT EXPENSE CAN BE FOUND ON PAGE 27 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 |
| 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 | HOOPESTON COMMUNITY MEMORIAL HOSPITAL IS ACUTELY AWARE OF THE NEED FOR ACCESS TO CARE AND AS A RESULT, OFFERS A STRONG FINANCIAL ASSISTANCE PROGRAM THAT IS BASED IN 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 FINANCIAL 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. THIS INCLUDES: - A SIMPLIFIED APPLICATION FORM THAT CLEARLY EXPLAINS PATIENT RIGHTS AND HCMH'S EXPECTATIONS. - INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM ON ALL BILLING STATEMENTS, COLLECTION LETTERS AND HOSPITAL ADMISSION PACKETS. - INFORMATION AND APPLICATION FORMS READILY AVAILABLE AT WWW.CARLE.ORG/HOOPESTON. - FINANCIAL ASSISTANCE APPLICATION FORMS AND BROCHURES AVAILABLE AT ALL INPATIENT AND OUTPATIENT REGISTRATION POINTS, AS WELL AS IN THE HOSPITAL'S MAIN LOBBY. - MEETING WITH OUR OWN STAFF TO KEEP THEM INFORMED ABOUT THE PROGRAM AND WHAT BENEFITS ARE AVAILABLE TO PATIENTS. - FINANCIAL ASSISTANCE REPRESENTATIVES AVAILABLE AT VARIOUS COMMUNITY FORUMS. |
| 4 - COMMUNITY INFORMATION | TARGETED POPULATIONS INCLUDE THE UNINSURED AND UNDERINSURED, AND CHILDREN AT RISK-FROM CONCEPTION THROUGH CHILDHOOD. FOR THE CURRENT PLAN, RESEARCH AND REMEDIES ARE DIRECTED TOWARDS COMMUNITY HEALTH ISSUES IDENTIFIED IN VERMILION COUNTY. POCKETS OF EXTREME POVERTY EXIST THROUGHOUT THIS REGION AND THE PROGRAMS WITHIN OUR COMMUNITY BENEFIT PLAN GENERALLY HAVE AN IMPACT UPON ALL OF THESE TARGETED COMMUNITIES, WITH CERTAIN PROGRAMS DIRECTED AT SPECIFIC POPULATIONS. |
| 5 - PROMOTION OF COMMUNITY HEALTH | HOOPESTON COMMUNITY MEMORIAL 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, 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. CASH AND IN-KIND DONATIONS MORE THAN $20,000 WAS GIVEN TO CHARITABLE ORGANIZATIONS IN THE COMMUNITY VIA CASH AND IN-KIND DONATIONS, INCLUDING PROGRAMS AIMED TO HELP YOUTH, HEALTH IMPROVEMENT AND HEALTH EDUCATION, WITH AN ADDITIONAL $7,000 FOR COMMUNITY BUILDING AND ECONOMIC DEVELOPMENT SUPPORT. TO MAKE USE OF SPACE THAT HCMH NO LONGER NEEDED, A BUILDING WAS DONATED TO DANVILLE AREA COMMUNITY COLLEGE (DACC), COMPLETELY FREE OF CHARGE, TO MAKE A HIGHER-EDUCATION FACILITY IN HOOPESTON. HCMH ALSO PAID FOR RENOVATIONS AND ASBESTOS ABATEMENT TO THE FACILITY. THIS RENOVATED BUILDING NOW OCCUPIES STUDENTS YEAR-ROUND, AND OFFERS BOTH CREDITED AND NON-CREDITED COURSES. SCHOOL-BASED EDUCATION HCMH STAFF MAINTAINED A PRESENCE IN THE LOCAL SCHOOL SYSTEM, PROVIDING HEAD LICE CHECKS, VISION AND HEARING TESTING FOR SCHOOLS IN THE REGION. THE HOSPITAL ALSO PROVIDED FULL-TIME ATHLETIC TRAINERS 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. ADDITIONALLY, AT THE REQUEST OF THE HOOPESTON HIGH SCHOOL PRINCIPAL, STAFF BEGAN PREPARING STD AND SAFE SEX CURRICULUM INTENDED FOR HIGH SCHOOL STUDENTS. THOUGH NO PRESENTATIONS WERE GIVEN IN 2013, CURRICULUM WAS DEVELOPED AND ALSO OFFERED TO OTHER AREA HIGH SCHOOLS. PROGRAMS FOCUSED ON TEEN PREGNANCY AND STD PREVENTION TARGETING A SIGNIFICANT NEED IN THE COMMUNITY, AS SHOWN BY HCMH'S 2014-16 CHNA, AND THE INTENT IS FOR THIS CURRICULUM to BE UTILIZED GOING FORWARD TO ADDRESS THIS GROWING PROBLEM. DISASTER READINESS EMERGENCY PREPAREDNESS WAS A PRIORITY, WITH ONE STAFF MEMBER SERVING AS THE DISASTER PREPAREDNESS COORDINATOR. THIS INDIVIDUAL SAT ON THE HOOPESTON EMERGENCY MANAGEMENT AGENCY AS A REPRESENTATIVE OF CARLE HOOPESTON, ATTENDED DISASTER MEETINGS, AND PARTICIPATED IN DRILLS. SHE ALSO CONTINUED TO PARTICIPATE IN REGULAR DISCUSSIONS WITH THE REGION, INCLUDING THE CARLE EMERGENCY MANAGEMENT COMMITTEE, WORKING TOGETHER AND STANDING READY IF THE NEED OCCURS. 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. |
| 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, and conducted its own Community Health Needs Assessment and implementation plan in 2013. While HCMHs CHNA and community benefit reporting is separate from The Carle Foundation Hospital, it follows the same guidelines and principles as Carle. HCMH staff are 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 childrens health, teen and adolescent health, oral health, cancer and diabetes. |
| 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | NOT APPLICABLE DUE TO CRITICAL ACCESS HOSPITAL UNDER 100 BEDS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF HOOPESTON | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 W MAIN ST | AddressLine1 |
| City | HOOPESTON | City |
| State | IL | State |
| ZIP Code | 609421507 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 376002234 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $10,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Valuation Method Used | cash | ValuationMethodUsedDesc |
| Purpose Of Grant | Sponsorship | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form 990, Schedule I | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS ANY CHARITABLE ORGANIZATION WISHING TO REQUEST FUNDS IS ASKED TO SUBMIT THEIR REQUEST IN WRITING. EMAIL 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 AND EVALUATED TO CONFIRM THE REQUESTED FUNDS FURTHER THE EXEMPT PURPOSE OF HOOPESTON COMMUNITY MEMORIAL HOSPITAL. MOST DONATIONS 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. REQUESTS UNDER $25,000 ARE APPROVED AND ADMINISTED BY THE CEO. IN THE CASE OF MOST DONATIONS OF $5,000 OR MORE, SUCH AS TO COLLEGES OR CHARITABLE ORGANIZATIONS IN THE COMMUNITY, WRITTEN AGREEMENTS ARE IN PLACE AND WE HAVE REGULAR, CASUAL CONTACT WITH THOSE ORGANIZATIONS, OFTEn TIMES THROUGH A HOOPESTON COMMUNITY MEMORIAL HOSPITAL CONTACT PERSON TO ASSURE THAT THE DONATIONS ARE BEING USED AS AGREED UPON. RECORDS ARE MAINTAINED IN ADMINISTRATION. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Joseph Barkmeier MD | ||||||||||||||
| Trustee | $0 | $441,547 | $0 | $43,515 | $0 | $9,055 | $0 | $108,200 | $0 | $9,608 | $0 | $611,925 | $0 | $0 |
| Letha Kramer | ||||||||||||||
| Trustee | $0 | $128,328 | $0 | $10,722 | $0 | $279 | $0 | $10,477 | $0 | $8,671 | $0 | $158,477 | $0 | $0 |
| Harry Brockus | ||||||||||||||
| Ex-Officio Board, CEO | $169,812 | $0 | $0 | $0 | $4,139 | $0 | $18,805 | $0 | $20,253 | $0 | $213,009 | $0 | $0 | $0 |
| Dennis Hesch | ||||||||||||||
| Exec VP & CFO | $0 | $468,947 | $0 | $116,351 | $0 | $100,897 | $0 | $161,988 | $0 | $21,580 | $0 | $869,763 | $0 | $70,558 |
| Laurence Fallon | ||||||||||||||
| SVP-Legal Affairs & HR | $0 | $399,625 | $0 | $71,040 | $0 | $94,461 | $0 | $125,343 | $0 | $20,955 | $0 | $711,424 | $0 | $82,833 |
| Jay Colbert DO DPM | ||||||||||||||
| Ex-Officio Brd,CMO & Physician | $328,190 | $0 | $0 | $0 | $2,701 | $0 | $0 | $0 | $19,342 | $0 | $350,233 | $0 | $0 | $0 |
| Daniel Chase MD | ||||||||||||||
| Physician | $361,926 | $0 | $0 | $0 | $2,449 | $0 | $0 | $0 | $20,075 | $0 | $384,450 | $0 | $0 | $0 |
| William McCarthy MD | ||||||||||||||
| Physician | $226,085 | $0 | $0 | $0 | $14,413 | $0 | $1,000 | $0 | $1,313 | $0 | $242,811 | $0 | $0 | $0 |
| Albert Tanlim MD | ||||||||||||||
| Physician | $206,358 | $0 | $0 | $0 | $1,938 | $0 | $1,000 | $0 | $19,862 | $0 | $229,158 | $0 | $0 | $0 |
| Teresita Torres MD | ||||||||||||||
| Physician | $123,925 | $0 | $0 | $0 | $62,478 | $0 | $143,172 | $0 | $2,751 | $0 | $332,326 | $0 | $0 | $0 |
| Dennis Price PA-C | ||||||||||||||
| Physician Assistant | $157,386 | $0 | $0 | $0 | $1,657 | $0 | $1,000 | $0 | $5,809 | $0 | $165,852 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SUPPLEMENTAL COMPENSATION INFORMATION | FormAndLineReferenceDesc |
| Explanation | SCHEDULE J, PART I, QUESTION 3 THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT COMPANY OF HOOPESTON COMMUNITY MEMORIAL 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. SCHEDULE J, PART I, QUESTION 4A TERESITA TORRES RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $57,828. SCHEDULE J, PART I, QUESTION 4B PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF HOOPESTON COMMUNITY MEMORIAL HOSPITAL, THAT ARE LISTED IN THE 990 PART VII INCLUDE JOSEPH BARKMEIER, MD, HARRY BROCKUS, DENNIS HESCH, AND LAURENCE FALLON. IN 2013, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO DENNIS HESCH ($70,558), AND LAURENCE FALLON ($82,833). 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. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| ELIZABETH SILVER | |||
| FAMILY MEMB OF BOARD CHR | $51,624 | EMPLOYMENT | false |
| SHAUN GILLINS | |||
| FAMILY MEMB OF BOARD CHR | $49,653 | EMPLOYMENT | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | form 990, supplemental information | FormAndLineReferenceDesc |
| Explanation | FORM 990, PART VI, QUESTION 6 HOOPESTON COMMUNITY MEMORIAL HOSPITAL HAS ONE MEMBER WHICH IS THE PARENT COMPANY, THE CARLE FOUNDATION. FORM 990, PART VI, QUESTION 7A HOOPESTON COMMUNITY MEMORIAL 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 HOOPESTON COMMUNITY MEMORIAL 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 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 VOTING ON MATTERS RELATED TO THEIR CONFLICTS. THE ORGANIZATION ALSO MAINTAINS PURCHASING POLICIES REQUIRING COUNTER SIGNATURES TO FURTHER MINIMIZE THE RISK ASSOCIATED WITH CONFLICTS OF INTEREST. FORM 990, PART VI, QUESTIONS 15A & 15B THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT COMPANY OF HOOPESTON COMMUNITY MEMORIAL 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 OF THE CARLE FOUNDATION, 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 SOLE MEMBER OF HOOPESTON COMMUNITY MEMORIAL 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. 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. 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, 8 $63,560 REVERSAL OF PRIOR YEAR LEGAL FEE ACCRUAL. FORM 990, PART XI, LINE 9 THE OTHER CHANGE IN NET ASSETS IS AN INCREASE IN PERMANANTLY RESTRICTED ASSETS FOR THE CHANGE IN VALUE OF THE BENEFICIAL INTEREST IN A PERPETUAL TRUST $9,472. FORM 990, PART XII, LINES 2A, B, C AND PART IV, LINES 12A & 12B THE FINANCIAL STATEMENTS FOR HOOPESTON COMMUNITY MEMORIAL HOSPITAL WERE REVIEWED ON A CONSOLIDATED BASIS UNDER THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE CARLE FOUNDATION DOES HAVE 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. | ExplanationTxt |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| THE CARLE FOUNDATION HOSPITAL | ||||||||||
| 611 W PARK ST | URBANA | IL | 618012595 | 371119538 | HOSPITAL SERV | IL | 501(c)(3) | 3 | TCF | Yes (true) |
| THE CARLE FOUNDATION | ||||||||||
| 611 W PARK ST | URBANA | IL | 618012595 | 370673465 | PARENT/INVmgt | IL | 501(c)(3) | 11b TYPE II | NA | false |
| CARLE HEALTH CARE INCORPORATED | ||||||||||
| 611 W PARK ST | URBANA | IL | 618012595 | 371140016 | VAR SVCS | IL | 501(c)(3) | 9 | TCF | Yes (true) |
| CARLE RETIREMENT CENTERS INC | ||||||||||
| 611 W PARK ST | URBANA | IL | 618012595 | 371160033 | RTRMT LIVING | IL | 501(C)(3) | 9 | TCF | Yes (true) |
| THE CARLE DEVELOPMENT FOUNDATION | ||||||||||
| 611 W PARK ST | URBANA | IL | 618012595 | 371159978 | FUNDRAISING | IL | 501(c)(3) | 7 | TCF | Yes (true) |
| CARLE COMMUNITY HEALTH CORPORATION | ||||||||||
| 611 W PARK ST | URBANA | IL | 618012595 | 364458371 | FDN MISSION | IL | 501(c)(3) | 11a TYPE I | TCDF | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHAMPAIGN SURGICENTER LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W PARK ST | AddressLine1 |
| City | URBANA | City |
| State | IL | State |
| ZIP Code | 618012595 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201915925 | EIN |
| Primary Activities | SURGICAL CENTER | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | CountryForeignAddress/Country | Postal CodeForeignAddress/PostalCode | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTH SYSTEMS INSURANCE LIMITED | ||||||||||||||
| GOVERNORS SQ 2ND FL BLDG 3 | GRAND CAYMAN | CJ | KY1-1102 | INSURANCE | CJ | TCF | C Corp | Yes (true) | ||||||
| CARLE HOLDING COMPANY INC | ||||||||||||||
| HOLDING COMPANY | TCF | C Corp | Yes (true) | 611 W PARK ST | URBANA | IL | 618012595 | 371188284 | IL | |||||
| CARLE RISK MANAGEMENT COMPANY | ||||||||||||||
| RISK MANAGEMENT | CFH | C Corp | Yes (true) | 611 W PARK ST | URBANA | IL | 618012595 | 371217973 | IL | |||||
| EVALIDATA INC | ||||||||||||||
| PHYS CREDENTIAL | CFH | C Corp | Yes (true) | 611 W PARK ST | URBANA | IL | 618012595 | 462022658 | IL | |||||
| HEALTH ALLIANCE CONNECT INC | ||||||||||||||
| HEALTH CARE COORD | TCF | C Corp | Yes (true) | 301 S VINE ST | URBANA | IL | 61801 | 464796891 | IL | |||||
| HEALTH ALLIANCE MEDICAL PLANS INC | ||||||||||||||
| HEALTH COVERAGE | CHC | C CORP | Yes (true) | 301 S VINE ST | URBANA | IL | 61801 | 371260731 | IL | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (true) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Carle Health Care Incorporated | ||
| h | $311,988 | Book Value |
| Health Alliance Medical Plans Inc | ||
| l | $3,547,122 | Book Value |
| Carle Health Care Incorporated | ||
| m | $713,433 | Book Value |
| The Carle Foundation Hospital | ||
| m | $127,169 | Book Value |
| Carle Health Care Incorporated | ||
| p | $414,331 | Book value |
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