CARLE EUREKA HOSPITAL: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- CARLE EUREKA HOSPITAL (EIN 85-0688306)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-15
- IRS object ID
- 202423209349319422
- Schema version
- 2023v5.1
- 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 J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-15T14:07:12+00:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 462045100 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850688306 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carle Eureka Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CARL | BusinessNameControlTxt |
| Phone | 2173833311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W PARK STREET | AddressLine1Txt |
| City | URBANA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DENNIS HESCH | PersonNm |
| Person Title | EXEC VP & CFO | PersonTitleTxt |
| Phone | 2173833311 | PhoneNum |
| Signature | 2024-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jennifer D Rhoderick | PreparerPersonNm |
| PTIN | P00395735 | PTIN |
| Phone | 3176817000 | PhoneNum |
| Preparation | 2024-11-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENNIS HESCH EXEC VP & CFO | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W PARK STREET | AddressLine1Txt |
| City | URBANA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $28,509,642 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.carle.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2020 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | Carle Eureka Hospital's mission is to be the trusted partner in all healthcare decisions and improve health by providing highly accessible, world-class care and service. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 182 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $983,807 | PYContributionsGrantsAmt |
| CY Contributions Grants | $56,709 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $24,222,205 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $28,210,630 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,320 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $44,123 | PYOtherRevenueAmt |
| CY Other Revenue | $242,303 | CYOtherRevenueAmt |
| PY Total Revenue | $25,255,455 | PYTotalRevenueAmt |
| CY Total Revenue | $28,509,642 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $18,990 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,800 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $15,404,362 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $16,164,218 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,289,670 | PYOtherExpensesAmt |
| CY Other Expenses | $10,568,339 | CYOtherExpensesAmt |
| PY Total Expenses | $25,713,022 | PYTotalExpensesAmt |
| CY Total Expenses | $26,736,357 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$457,567 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,773,285 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,858,322 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,746,150 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,814,900 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,098,585 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,043,422 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,647,565 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CARLE EUREKA HOSPITAL'S MISSION IS TO BE THE TRUSTED PARTNER IN ALL HEALTHCARE DECISIONS AND IMPROVE HEALTH BY PROVIDING HIGHLY ACCESSIBLE, WORLD-CLASS CARE AND SERVICE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $23,512,275 | ExpenseAmt |
| Grant | $3,800 | GrantAmt |
| Revenue | $28,452,933 | RevenueAmt |
| Desc | CARLE EUREKA HOSPITAL ("CEH") IS A TAX-EXEMPT ILLINOIS NOT-FOR-PROFIT CORPORATION ESTABLISHED FOR THE PURPOSE OF OPERATING A HOSPITAL AND CONDUCTING PATIENT CARE RELATED ACTIVITIES. CEH HAS SERVED AND CARED FOR THE PEOPLE OF CENTRAL ILLINOIS FOR NEARLY 120 YEARS. A 25-BED FACILITY LOCATED IN EUREKA, IL, WE'VE SET NEW STANDARDS FOR WHAT A RURAL HOSPITAL CAN ACHIEVE. WITH MANY AWARDS FOR QUALITY AND PATIENT SATISFACTION, OUR SKILLED STAFF PROVIDES EMERGENCY CARE, INPATIENT AND OUTPATIENT SURGERIES, REHABILITATION, ADVANCED RADIOLOGY AND MORE. THE HOSPITAL IS FULLY ACCREDITED DNV GL HEALTHCARE (Det Norske Veritas Germanischer Lloyd) AND IS AN ACUTE STROKE READY HOSPITAL. CEH CONTINUES A CENTURY-LONG TRADITION OF PROVIDING CHARITABLE, NOT-FOR-PROFIT HOSPITAL CARE FOR EUREKA AND ITS SURROUNDING COMMUNITY. THE HISTORY BEGAN IN 1914 WHEN A LOCAL PHYSICIAN PURCHASED A HOUSE AND CONVERTED IT INTO THE ORIGINAL EUREKA HOSPITAL. IN 1978, EUREKA HOSPITAL WAS PURCHASED BY MENNONITE HEALTH CARE ASSOCIATION ("MENNONITE"). MENNONITE LATER MERGED WITH ANOTHER LOCAL HEALTHCARE ORGANIZATION THAT OPERATED BROKAW HOSPITAL IN BLOOMINGTON. IN 2010, EUREKA HOSPITAL MERGED INTO ADVOCATE HEALTH AND HOSPITAL CORPORATION (ADVOCATE). FROM THAT TIME, THE HOSPITAL WAS KNOWN AS ADVOCATE EUREKA HOSPITAL AND WAS OPERATED AS A DIVISION OF ADVOCATE, UNTIL JULY 1, 2020 WHEN IT WAS PURCHASED BY CARLE HEALTH. FOR 2023, CEH HAD APPROXIMATELY 47,267 INPATIENT AND OUTPATIENT VISITS, APPROXIMATELY 3,949 EMERGENCY DEPARTMENT VISITS, AND 1,952 CONVENIENT CARE VISITS. | Desc |
| Total Program Service Expenses | $23,512,275 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | 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 | false | 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 | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 13 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 182 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENNIS HESCH EXEC VP & CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2173833311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W PARK STREET | AddressLine1Txt |
| City | URBANA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61801 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (38 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Andrea Kane MD | ||||||||||
| Secretary/Treasurer BEG 04/01/2023 | 1.0 | 39.0 | Yes (X) | Yes (X) | $0 | $503,856 | $34,429 | |||
| Mark Czys | ||||||||||
| Vice Chair THRU 03/31/2023 | 1.0 | 6.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Paul Tucker PhD | ||||||||||
| Chair THRU 03/31/2023 | 1.0 | 6.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Ron Greene | ||||||||||
| Vice Chair BEG 04/01/2023 | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Sue Strayer MD | ||||||||||
| Chair BEG 04/01/2023 | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Uretz Oliphant MD | ||||||||||
| Secretary/Treasurer THRU 03/31/2023 | 1.0 | 39.0 | Yes (X) | Yes (X) | $0 | $589,881 | $35,685 | |||
| Aja Lystila MD | ||||||||||
| Physician//Trustee THRU 03/31/2023 | 1.0 | 39.0 | Yes (X) | $0 | $406,916 | $34,166 | ||||
| Brandon Bressner | ||||||||||
| Trustee BEG 04/01/2023 | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Christopher Hughes MD | ||||||||||
| Physician//Trustee BEG 04/01/2023 | 38.0 | 2.0 | Yes (X) | $0 | $442,537 | $34,166 | ||||
| Jeffrey Hoschek MD | ||||||||||
| Trustee BEG 04/01/2023 | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Jennifer Vance | ||||||||||
| Trustee BEG 04/01/2023 | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Jerome Oakey | ||||||||||
| Physician//Trustee | 1.0 | 39.0 | Yes (X) | $0 | $1,199,482 | $35,350 | ||||
| Judy Neubrander EdD FNP-BC | ||||||||||
| Trustee BEG 04/01/2023 | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Karl Appelquist | ||||||||||
| Trustee THRU 03/31/2023 | 1.0 | 4.3 | Yes (X) | $0 | $0 | $0 | ||||
| Kathy Yoder DNP | ||||||||||
| Trustee BEG 04/01/2023 | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Michael Devocelle | ||||||||||
| Trustee THRU 03/31/2023 | 1.0 | 5.5 | Yes (X) | $0 | $0 | $0 | ||||
| Nancy Scott | ||||||||||
| Trustee BEG 04/01/2023 | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Robert Bruha MD | ||||||||||
| Trustee BEG 04/01/2023 | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Vasudha Gadhiraju | ||||||||||
| Trustee BEG 04/01/2023 | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Colleen Kannaday | ||||||||||
| Officer - President, Carle Health - Central Region | 15.0 | 25.0 | Yes (X) | $0 | $815,721 | $35,766 | ||||
| Dennis Hesch | ||||||||||
| Officer - EVP, Chief Finance & Strategy Officer | 1.0 | 39.0 | Yes (X) | $0 | $1,395,995 | $366,889 | ||||
| James C Leonard MD | ||||||||||
| Officer - President & CEO | 0.5 | 39.5 | Yes (X) | $0 | $5,690,001 | $36,885 | ||||
| Matthew Kolb JD MHA | ||||||||||
| Officer - President, Carle Health Regions // EVP, Chief Operating Officer | 1.0 | 39.0 | Yes (X) | $0 | $1,567,332 | $363,305 | ||||
| Napoleon Knight MD MBA | ||||||||||
| Officer - EVP, Chief Medical Officer | 1.0 | 39.0 | Yes (X) | $0 | $940,875 | $115,459 | ||||
| Amanda Smith | ||||||||||
| VP, BroMenn & Eureka Ambulatory Care | 4.0 | 36.0 | $0 | $251,312 | $21,754 | Yes (X) | ||||
| Anna Laible | ||||||||||
| Hospital Administrator | 40.0 | 0.0 | $242,677 | $0 | $14,670 | Yes (X) | ||||
| Aron Klein | ||||||||||
| VP, Purchasing & Supply Chain | 4.0 | 36.0 | $0 | $349,838 | $33,813 | Yes (X) | ||||
| Caleb Miller | ||||||||||
| SVP, Surgical Services & Ambulatory Care | 1.0 | 39.0 | $0 | $653,999 | $124,899 | Yes (X) | ||||
| John Wieland MD | ||||||||||
| Associate Chief Medical Officer, BroMenn & Eureka | 2.0 | 38.0 | $0 | $653,588 | $33,314 | Yes (X) | ||||
| Lauren Schmid MBA | ||||||||||
| EVP, Chief Human Resources Officer | 1.0 | 39.0 | $0 | $945,711 | $209,640 | Yes (X) | ||||
| Laurie Round | ||||||||||
| VP, Chief Nursing Officer - BroMenn & Eureka | 4.0 | 36.0 | $0 | $335,869 | $27,741 | Yes (X) | ||||
| Nicholas Crompton | ||||||||||
| VP, Construction & Facility Services | 1.0 | 39.0 | $0 | $364,372 | $68,059 | Yes (X) | ||||
| Brandon Ahlers | ||||||||||
| Manager, EH Anesthesiology | 40.0 | 0.0 | $370,576 | $0 | $35,087 | Yes (X) | ||||
| Jason Roach | ||||||||||
| Physician Assistant | 40.0 | 0.0 | $166,348 | $0 | $33,822 | Yes (X) | ||||
| Kellie Dewitt | ||||||||||
| Physician Assistant | 40.0 | 0.0 | $159,079 | $0 | $30,341 | Yes (X) | ||||
| Samantha Leverton | ||||||||||
| Nurse Practitioner | 40.0 | 0.0 | $163,745 | $0 | $15,890 | Yes (X) | ||||
| Scott Farquhar | ||||||||||
| Registered Nurse - EH ED | 40.0 | 0.0 | $222,949 | $0 | $34,374 | Yes (X) | ||||
| Charles Dennis MD | ||||||||||
| Former - Officer | 0.0 | 20.0 | $0 | $283,640 | $35,014 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,325,374 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $17,390,925 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,810,518 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 27 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SHARED MEDICAL SERVICES | |||||
| 209 LIMESTONE PASS | COTTAGE GROVE | WI | 53527 | MEDICAL IMAGING SERVICES | $134,418 |
| QUEST DIAGNOSTICS | |||||
| PO BOX 775460 | CHICAGO | IL | 606775460 | MEDICAL LABORATORY SERVICES | $129,632 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $9,727 | RelatedOrganizationsAmt |
| Government Grants | $38,982 | GovernmentGrantsAmt |
| All Other Contributions | $8,000 | AllOtherContributionsAmt |
| Total Contributions | $56,709 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $28,210,630 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,210,630 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $28,210,630 | TotalProgramServiceRevenueAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Food Service | 722310 | $6,371 | $6,371 |
| Interest on Billed Accounts | 561440 | $2,080 | $2,080 |
| Continuing Education | 611710 | $589 | $589 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $233,263 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $233,263 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $242,303 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,509,642 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,452,933 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,800 | TotalAmt |
| Program Services | $3,800 | 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 | $242,909 | TotalAmt |
| Program Services | $242,909 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,437,366 | TotalAmt |
| Program Services | $12,562,288 | ProgramServicesAmt |
| Management And General | $875,078 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $332,870 | TotalAmt |
| Program Services | $314,710 | ProgramServicesAmt |
| Management And General | $18,160 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,264,517 | TotalAmt |
| Program Services | $1,167,035 | ProgramServicesAmt |
| Management And General | $97,482 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $886,556 | TotalAmt |
| Program Services | $844,825 | ProgramServicesAmt |
| Management And General | $41,731 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,585 | TotalAmt |
| Management And General | $7,585 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,459,025 | TotalAmt |
| Program Services | $1,413,726 | ProgramServicesAmt |
| Management And General | $45,299 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $932 | TotalAmt |
| Management And General | $932 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $338,899 | TotalAmt |
| Program Services | $195,251 | ProgramServicesAmt |
| Management And General | $143,648 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,775 | TotalAmt |
| Program Services | $170,355 | ProgramServicesAmt |
| Management And General | $35,420 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,195,944 | TotalAmt |
| Program Services | $679,606 | ProgramServicesAmt |
| Management And General | $516,338 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,923 | TotalAmt |
| Program Services | $44,474 | ProgramServicesAmt |
| Management And General | $8,449 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,144 | TotalAmt |
| Program Services | $10,695 | ProgramServicesAmt |
| Management And General | $449 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $684 | TotalAmt |
| Program Services | $684 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $474,192 | TotalAmt |
| Program Services | $445,255 | ProgramServicesAmt |
| Management And General | $28,937 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,132 | TotalAmt |
| Program Services | $1,491 | ProgramServicesAmt |
| Management And General | $72,641 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| INTERNAL MANAGEMENT FEES | $4,458,068 | $3,239,047 | $1,219,021 |
| PATIENT CARE SUPPLIES | $1,781,545 | $1,781,545 | |
| Provider Assessment Tax & Other Taxes | $475,100 | $362,770 | $112,330 |
| Non-Physician Recruitment | $26,375 | $26,375 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,016 | TotalAmt |
| Program Services | $5,434 | ProgramServicesAmt |
| Management And General | $582 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,736,357 | TotalAmt |
| Program Services | $23,512,275 | ProgramServicesAmt |
| Management And General | $3,224,082 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $853,821 | BOYAmt |
| EOY | $867,881 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,631,740 | BOYAmt |
| EOY | $3,772,313 | 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 |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,093 | BOYAmt |
| EOY | $115,302 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,568 | BOYAmt |
| EOY | $63,009 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,276,114 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,540,605 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,045,930 | BOYAmt |
| EOY | $1,735,509 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,170 | BOYAmt |
| EOY | $192,136 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,858,322 | BOYAmt |
| EOY | $6,746,150 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,245,620 | BOYAmt |
| EOY | $1,546,654 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $234,559 | BOYAmt |
| EOY | $11,722 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $334,721 | BOYAmt |
| EOY | $2,540,209 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,814,900 | BOYAmt |
| EOY | $4,098,585 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,043,422 | BOYAmt |
| EOY | $2,647,565 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,043,422 | BOYAmt |
| EOY | $2,647,565 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,858,322 | BOYAmt |
| EOY | $6,746,150 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,773,285 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$3,169,142 | 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 | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
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) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $7,585 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $7,585 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | $7,585 - Portion of MEMBERSHIP dues, INCLUDING DUES PAID TO ILLINOIS HOSPITAL ASSOCIATION, attributable to lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,132,106 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,492,882 | DepreciationAmt |
| Book Value | $1,639,224 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $144,008 | OtherCostOrOtherBasisAmt |
| Depreciation | $47,723 | DepreciationAmt |
| Book Value | $96,285 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,735,509 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ACCOUNTS PAYABLE - MEDICARE | Desc |
| Amt | $2,540,209 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,540,209 | 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 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | 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, 2022 AND 2021. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $171,150 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $171,150 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0064 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,076,687 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,729,392 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,347,295 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0504 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $4,247,837 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,729,392 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,518,445 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0568 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $353,096 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $268,061 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $85,035 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0032 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,581 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,581 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0011 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,899 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,899 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0003 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $390,576 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $268,061 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $122,515 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0046 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $4,638,413 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,997,453 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,640,960 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0614 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $481 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $481 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,336 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,336 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $1,817 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,817 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $790,843 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $395,422 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $15,220,177 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $15,699,064 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$478,887 | 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 | CARLE EUREKA HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 S MAJOR ST | AddressLine1Txt |
| City | EUREKA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61530 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https://carle.org/locations/carle-eureka-hospital | WebsiteAddressTxt |
| State License | 0006171 | 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 | CARLE EUREKA HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://carle.org/about-us/community-health-needs-assessments | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | https://healthyhoi.wildapricot.org/page-1075415 | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://carle.org/about-us/community-health-needs-assessments | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE SCHEDULE H, PART VI | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE SCHEDULE H, PART VI | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE SCHEDULE H, PART VI | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3E | THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - CARLE EUREKA HOSPITAL. Carle Eureka Hospital participated in the Tri-County Community Health Needs Assessment (CHNA), a collaborative undertaking spearheaded by the Partnership for a Healthy Community (PFHC). The PFHC is a multi-sector community partnership working to improve population health in Woodford, Peoria and Tazewell County. An ad hoc committee within the PFHC facilitated the Tri-County PFHC CHNA. Members of the PFHC ad hoc CHNA collaborative team included Carle Eureka Hospital, OSF St. Francis Medical Center, Methodist Medical Center of Illinois, Pekin Memorial Hospital, Proctor Hospital, Hopedale Medical Complex, Woodford County Health Department, Peoria City/County Health Department, Tazewell County Health Department, Heart of Illinois United Way, Heartland Health Services and Bradley University. The goal of the PFHC ad hoc CHNA collaborative was to highlight the health needs of residents in the Tri-County region and effectively utilize resources and establish partnerships from the three counties to improve the health of the communities. The community health director for Carle BroMenn Medical Center and Carle Eureka Hospital serves as the vice-chair/president of the PFHC board and is a member of the PFHC ad hoc CHNA collaborative team. Like other members of the PFHC, Carle Eureka Hospital used the Tri-County PFHC CHNA to prepare its 2022 CHNA report with a focus on Woodford County. For the 2022 CHNA, Carle Eureka Hospital participated in the priority setting process with the PFHC ad hoc CHNA collaborative. Three significant health needs were selected during the process by key community stakeholders at the May 24, 2022, prioritization meeting. Representatives from all three counties were in attendance. Participants included a broad cross-sector of representatives from organizations including healthcare, public health, social services, judiciary, policy, education, law enforcement, transportation, housing and economic development. The PFHC's 2022 CHNA was conducted using a mixed methodological approach. The main source of primary data came from the 2021 Tri-County Community Health Survey that was administered in the summer of 2021 to examine perceptions of community health issues, unhealthy behaviors, issues with quality of life, healthy behaviors and access to healthcare. Woodford County results indicated that 372 residents responded to the survey with 33 being from the at-risk population. The PFHC ad hoc CHNA collaborative team also examined data from a variety of secondary sources. At the May 24, 2022 PFHC prioritization meeting, the following criteria were considered by the PFHC ad hoc CHNA collaborative team, in conjunction with numerous community stakeholders: (1) magnitude of the issues, based on the percentage of the population impacted by the issue); (2) severity of the issues in terms of their relationship with morbidities and mortalities.; (3) potential impact through collaboration. Using a modified version of the Hanlon Method, the collaborative team and community stakeholders identified three significant health needs and considered them equal priorities: -Healthy Eating/Active Living: defined as active living, healthy eating and access to food and food insecurity -Mental Health: defined as depression, anxiety and suicide -Obesity: defined as overweight and obesity Following this selection for the PFHC CHNA, the CHNA team from Carle Eureka Hospital analyzed additional data for Woodford County and took into consideration available resources to determine how the hospital can make the most impact. On November 15, 2022, The Carle BroMenn Medical Center and Carle Eureka Hospital Governing Council reviewed and approved/adopted the Carle Eureka Hospital 2022 CHNA report and significant health needs followed by approval/adoption of the Carle Eureka Hospital Community Health Implementation Strategy Plan on March 8, 2023. The 2022 Carle Eureka Hospital CHNA was posted on the Carle Health webpage in November 2022 and contained an email for the community to provide feedback on the CHNA. Posting of the implementation strategy occurred in April 2023. As of December 31, 2023, there had been no feedback from the community on the 2022 CHNA, the 2023 - 2025 Carle Eureka Hospital Community Health Implementation Strategy Plan or the previous 2019 CHNA and its accompanying 2020-2022 implementation plan. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - CARLE EUREKA HOSPITAL. OSF HEALTHCARE SAINT FRANCIS MEDICAL CENTER, PEORIA, ILLINOIS PROCTOR HOSPITAL, PEORIA, ILLINOIS HOPEDALE MEDICAL COMPLEX, HOPEDALE, ILLINOIS PEKIN MEMORIAL HOSPITAL, PEKIN, ILLINOIS |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - CARLE EUREKA HOSPITAL. WOODFORD COUNTY HEALTH DEPARTMENT PEORIA CITY/COUNTY HEALTH DEPARTMENT TAZEWELL COUNTY HEALTH DEPARTMENT HEART OF ILLINOIS UNITED WAY HEARTLAND HEALTH SERVICES, PEORIA, ILLINOIS BRADLEY UNIVERSITY, PEORIA, ILLINOIS |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - CARLE EUREKA HOSPITAL. 2022 CHNA and 2023 - 2025 implementation plan Health Needs Selected In looking at the three PFHC CHNA priorities, Carle Eureka Hospital selected mental health as a priority. Additionally, the Carle Eureka Hospital team reviewed all six of the PFHC Tri-County CHNA health priorities (1) access to care, 2) cancer, 3) mental health, 4) substance use, 5) obesity and 6) healthy eating/active living and determined that access to care would be its second health priority. As a critical access hospital with limited resources, the Carle Eureka Hospital CHNA team felt that it could make a greater impact on improving the health of the community by focusing on access to care as a health priority. Access to care is a critical issue in rural counties and the hospital continually strives to improve the availability of health services to Woodford County residents. Mental Health From the three significant health needs selected by the PFHC ad hoc CHNA collaborative team, Carle Eureka Hospital's CHNA team selected mental health as a significant health need for Woodford County for several reasons. First, Woodford County residents that participated in the 2021 Tri-County Community Health Survey perceived mental health as the most important health issue in the community and 13 percent of Woodford County survey respondents reported that they did not have access to counseling in the last year when they needed it. Secondly, mental health was selected because the age-adjusted death rate due to suicide in Woodford County is in the worst 50th - 75th percentile range (yellow indicator) compared to other counties in the United States and does not meet the Healthy People 2030 target. Third, Carle Eureka Hospital's CHNA team selected mental health as a significant health need because some of the high Health Equity Needs ZIP codes - specifically Eureka ZIP code 61530, Washburn ZIP code 61570, Minonk ZIP code 61760 and Lowpoint ZIP code 61545 - had higher values than the county value and in comparison to other ZIP codes in Illinois for some of the age-adjusted emergency room and hospitalization rates; mental health, pediatric mental health and/or suicide and self-inflicted injury. Finally, the team selected mental health to maintain continuity in what has already been accomplished. Mental health was a health priority or significant health need for the 2013, 2016 and 2019 Carle Eureka Hospital CHNAs and significant strides towards increasing community members' knowledge of mental health issues and decreasing stigma related to mental health have been made. It is clear from community input and current data that continued efforts are needed to reduce the stigma associated with mental health and give further momentum to the efforts of improving mental health for county residents. Highlights for steps taken from January 1 - December 31, 2023 as a part of the 2023 - 2025 Carle Eureka Hospital Community Health Implementation Strategy Plan to address mental health are listed below. -The Community Health Director for Carle BroMenn Medical Center and Carle Eureka Hospital (Central Region) served on the Partnership for a Healthy Community Board and Mental Health Priority Action Team in 2023. - The Carle Eureka Hospital Mental Health First Aid (MHFA) instructor served as the lead for the Partnership for a Healthy Community (PFHC) Tri-County MHFA Cadre/Collaborative and has assisted other counties in teaching numerous MHFA courses in their communities. - In 2023, the PFHC Tri-County MHFA Cadre, led by Carle Eureka Hospital, held 35 MHFA trainings ,16 trainings for adults, 16 trainings for youth and three population specific (EMS and higher education) trainings, for 502 community members. - In 2023, the Carle Eureka Hospital MHFA Instructor taught 12 of the PFHC Tri-County MHFA classes for approximately 250 community members. - In 2023, the PFHC Tri-County MHFA Cadre added for new members to the cadre and began a newsletter that contains updates from the MHFA National Council and cadre specific information. - On February 9, 2023, the Carle Eureka Hospital MHFA Instructor held a virtual presentation for the Blue Star Mom's Group regarding the military MHFA class and how the full class would benefit them as a family member as well as their soldier. There were approximately 60 moms in attendance throughout the state of Illinois. - In 2023, the Carle Eureka Hospital MHFA Instructor became certified to teach public safety/corrections and rural MHFA along with adapting present curriculum notes to those specialized communities. |
| Schedule H, Part V, Section B, Line 11 Facility , 2 | Facility , 2 - CARLE EUREKA HOSPITAL (CONTINUED). Access to Care Carle Eureka Hospital's CHNA team selected access to care as its second significant health need. The Carle Eureka Hospital CHNA team analyzed additional data for Woodford County and took into consideration available resources and the health needs, as brought forth by the PFHC ad hoc CHNA team, where the hospital could make the most impact. Carle Eureka Hospital's CHNA team selected access to care, one of the six PFHC health needs presented to community stakeholders at the prioritization meeting. As a critical access hospital with limited resources, the CHNA team felt that it could make the greatest impact on improving the health of the community by selecting access to care as the second health need alongside mental health. Access to care is a critical issue in rural counties and the hospital continually strives to improve the availability of health services to Woodford County residents. According to the 2021 Tri-County Community Health Survey, Woodford County residents perceived access to care as the second most important health need that impacts well-being. Eleven percent of Woodford County respondents reported that they were unable to access care in the past year when they needed it. In regard to screenings, the percentage of women aged 50 - 74 in Woodford County who have had a mammogram in the last two years does not meet the Healthy People 2030 target and Benson ZIP code 61516 and Minonk ZIP code 61760 are in the worst 25th percentile range (red indicator) compared to other ZIP codes in Illinois. The lowest percentages for cervical cancer screenings for ages 21 - 64 years occur in Washburn ZIP code 61570 and Lowpoint ZIP code 61545 which is in the worst 50th - 75th percentile range (yellow indicator) compared to other ZIP codes in Illinois. The percentage of individuals in Woodford County aged 50 - 75 years who have had either a fecal occult blood test in the past year, a sigmoidoscopy in the past five years AND a fecal occult blood test in the past three years, or a colonoscopy exam in the past ten years does not meet the Healthy People 2030 target. Better access to care could improve all of these statistics. Highlights for steps taken from January 1 - December 31, 2023 as a part of the 2023 - 2025 Carle Eureka Hospital Community Health Implementation Strategy Plan to address access to care are listed below. - In 2023, seven providers and one primary care physician were added to the medical staff at Carle Eureka Hospital. - As one of the eight hospitals in the Carle Health system, Carle Eureka Hospital contributed to the following system efforts in 2023: A. Carle Health submitted an application for the Healthcare Equality Index (HEI) in October 2023. HEI is the national LGBTQ+ benchmarking tool that evaluates healthcare facilities' policies and practices related to the equity and inclusion of their LGBTQ+ patients, visitors and employees. As a part of this the application process, leaders at each Carle Health hospital completed a three-hour executive briefing session on LGBTQ+ inclusive healthcare. B. In 2023, 99.5% of Carle BroMenn Medical Center and Carle Eureka Hospital staff completed health equity training. C. In 2023, 101 Carle BroMenn Medical Center/Carle Eureka Hospital leaders participated in inclusive leadership trainings accumulating 411 hours of education. D. In 2023, there were two key electronic medical record (EMR) enhancements to better capture accurate and inclusive REAL (race, ethnicity, language) and SOGI (sexual orientation and gender identity) data from patients. E. In 2023, Carle Health removed the race-based eGFR equation from clinical testing. F. In October 2023, Carle Health began screening for the social determinants of health (SDOH) in the inpatient setting. G. Carle Health employees participated in twice monthly multi-cultural DEI forums for a total of 1,000 hours. H. In 2023, Carle Health hosted five Health Equity Grand Round sessions with a total of 969 participants. Sessions were available to community members for continuing education credits. - In 2023, Carle Health continued with the interventions below to increase access to care. a. Offered a charity care program and communicated the availability of that program. b. Participated in population health initiatives that actively manage the health of insurance members. c. Supported students in healthcare fields; Student nurses, APN's and/or Graduate Medical Education programs to grow number of future providers. d. Promoted prescription affordability as a 340B provider. e. Offered on-line scheduling, eCheck-in, communication with clinic staff and access to results through Carle My Chart. Interventions for the significant health needs outlined in the 2023-2025 Carle Eureka Hospital Community Health Implementation Strategy Plan can be viewed at: https://carle.org/about-us/community-health-needs-assessments Health Needs Not Selected Although Carle Eureka Hospital has focused many of its community health efforts on mental health and access to care, it also supports the PFHC's efforts related to obesity and healthy eating when possible. As mentioned above, a Carle Health leader is a member of the PFHC Board that supports the three Tri-County health priorities. On November 15, 2022, The Carle BroMenn Medical Center and Carle Eureka Hospital Governing Council (name changed to Carle Central Region Board in 2023) reviewed and approved/adopted the Carle Eureka Hospital 2022 CHNA report and significant health needs followed by approval/adoption of the Carle Eureka Hospital Community Health Implementation Strategy Plan on March 8, 2023. The 2022 Carle Eureka Hospital CHNA was posted on the Carle Health webpage in November 2022 and contained an email for the community to provide feedback on the CHNA. Posting of the implementation strategy occurred in April 2023. As of December 31, 2023 there had been no feedback from the community on the 2022 CHNA, the 2023 - 2025 Carle Eureka Hospital Community Health Implementation Strategy Plan or the previous 2019 CHNA and its accompanying 2020-2022 implementation plan. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| CARLE EUREKA POB | ||||
| 105 S MAJOR ST | EUREKA | IL | 61530 | RURAL HEALTH CLINIC |
| CARLE EL PASO | ||||
| 385 S ORANGE ST | EL PASO | IL | 61738 | RURAL HEALTH CLINIC |
Supplemental Information Detail SupplementalInformationDetail (20 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3 FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA | PATIENTS MAY REQUEST AND COMPLETE A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME, INCLUDING BEFORE CARE IS RECEIVED. PATIENTS ARE INFORMED ABOUT FINANCIAL ASSISTANCE ON MULTIPLE OCCASIONS THROUGHOUT THE COLLECTION PROCESS. IN ADDITION TO PATIENTS COMPLETING APPLICATIONS FOR OUR FINANCIAL ASSISTANCE PROGRAM, WE HAVE ROBUST PRESUMPTIVE ELIGIBILITY PROCESSES IN PLACE. WE HAVE PARTNERED WITH EXPERIAN INFORMATION SOLUTIONS, INC. TO HELP US IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON KEY FINANCIAL INDICATORS. THESE PATIENTS MAY BE APPROVED WITHOUT EVER COMPLETING AN APPLICATION OR EXPRESSING A NEED FOR FINANCIAL ASSISTANCE. IN ADDITION, WE PRESUME ELIGIBILITY FOR PATIENTS WHO ARE VERIFIED HOMELESS, DECEASED WITH NO ESTATE, MENTALLY INCAPACITATED, ELIGIBLE FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) OR WOMEN, INFANTS, AND CHILDREN NUTRITION PROGRAM (WIC), TOWNSHIP ASSISTANCE, LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM OR COVERED BY ILLINOIS MEDICAID. |
| Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE | HTTPS://CARLE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE |
| Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE | HTTPS://DEV-CMS.CARLE.ORG/GETMEDIA/ADCADB9A-2903-478C-A4A7-06BCF9DB10BC/358-0123-CFAPAPPLICATION.PDF |
| Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE | HTTPS://CARLE.ORG/GETMEDIA/F7608F63-CB1C-4EB5-8F0B-02F00EAFEC74/X0873-0223-CFAP-PLAINLANGUAGE-SUMMARY.PDF |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | SEE NARRATIVE FOR SCHEDULE H, PART III, LINE 2 |
| Schedule H, Part II Community Building Activities | A team member from Carle Eureka Hospital regularly attends the Eureka Business Association (EBA) meetings as a representative of the hospital. Business updates related to the hospital are shared as well as community events such as blood drives held at the hospital for the community. Information about open positions is also shared. The Carle Eureka Hospital representative also participates in the annual Experience Eureka Event where community members buy tickets for $5 to visit several businesses around town to learn about the business and pick up a free goodie. Information about Carle Eureka Hospital's services and providers is also available at the event. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | TO COMPUTE AND CONVERT FINANCIAL ASSISTANCE, UNREIMBURSED MEDICAID, MEANS-TESTED PROGRAMS AND BAD DEBT CHARGES TO COST; A CONSISTENT GAAP (GENERALLY ACCEPTED ACCOUNTING PRINCIPLES) BASED COST-TO-CHARGE RATIO WAS USED ACROSS ALL PAYERS. ALTHOUGH THE METHODOLOGY WAS SIMILAR TO WORKSHEET #2, FOR SIMPLICITY PURPOSES CERTAIN IMMATERIAL VALUES WERE OMITTED. OTHER COMMUNITY BENEFITS COSTS WERE REPORTED AT THE ACTUAL EXPENSE INCURRED. PATIENT RECEIVABLE PAYMENTS AND RELATED DISCOUNTS WERE RECORDED AT ACTUAL AMOUNTS AT THE TIME OF PAYMENT RECEIPT. A SEPARATE GAAP BASED PROVISION FOR ESTIMATED BAD DEBTS AND DISCOUNTS WAS RECOGNIZED FOR ACCOUNTS IN PROCESS AND PENDING ADJUDICATION AND PAYMENT. THE ESTIMATED PORTION WAS BASED ON HISTORICAL TRENDS AND ADJUSTED TO ACTUAL WHEN ADJUDICATION AND PAYMENT OCCUR. ACCOUNTS DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE WERE PROCESSED IMMEDIATELY FOR FINANCIAL ASSISTANCE DISCOUNT WITH NO COLLECTION EFFORT. FOR ACCOUNTS WITH INSUFFICIENT INFORMATION AND DOCUMENTATION TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY, THE HOSPITAL CONSULTED WITH A VARIETY OF ALTERNATIVE SOURCES TO HELP DETERMINE AN INDIVIDUAL'S FINANCIAL MEANS (OR LACK OF MEANS) TO PAY. BASED ON RELATED TRENDS, THE HOSPITAL FURTHER DEVELOPED A GENERAL ESTIMATE OF FINANCIAL ASSISTANCE WHICH CONTINUED TO RESIDE WITHIN BAD DEBTS. This narrative also pertains to Schedule H, Part I, Line 7 - Explanation of costing methodology used for calculating Line 7 Table |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | CARLE EUREKA HOSPITAL USES 50% AS A GENERAL ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0. PLEASE SEE SCHEDULE H, PART III, LINE 2 METHODOLOGY USED TO ESTIMATE BAD DEBT FOR 990 REPORTING PURPOSES. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | THE NUMERATOR (TOTAL EXPENSE) AND DENOMINATOR (TOTAL GROSS CHARGES) OF THE SIMPLE RATIO OF PATIENT CARE COST TO CHARGES IS ADJUSTED BY ELIMINATING NON-PATIENT CARE THAT GENERATES OTHER REVENUE, BAD DEBT EXPENSE, MEDICAID AND OTHER PROVIDER TAXES AND THE TOTAL COST OF COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS. ALSO, ANY GROSS PATIENT CHARGES FOR PROGRAMS NOT RELYING ON THE RATIO ARE ELIMINATED FROM BOTH THE NUMERATOR AND DENOMINATOR OF THE RATIO. THESE ADJUSTMENTS ARE INTENDED TO ELIMINATE ANY POTENTIAL FOR DOUBLE COUNTING OF COMMUNITY BENEFIT EXPENSES. THE RESULTANT RATIO ALIGNS WITH SCHEDULE H REQUIREMENTS. ILLINOIS LAW DEFINES GOVERNMENTAL-SPONSORED INDIGENT HEALTH CARE AS THE UNREIMBURSED COST OF MEDICARE, MEDICAID AND OTHER FEDERAL, STATE OR LOCAL INDIGENT CARE PROGRAMS. WHEN THERE IS A SHORTFALL, WE DO BELIEVE THIS IS A COMMUNITY BENEFIT BECAUSE, AS A HOSPITAL, WE ARE STEPPING UP TO CARRY THE BURDEN OF THE GOVERNMENT, ASSURING CARE TO SENIORS, AND THOSE LESS FORTUNATE DEMOGRAPHICS THAT HAVE EXPERIENCED INCREASING COSTS OVER THE PAST DECADE WHILE LIVING ON FIXED INCOMES. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | THE CARLE FINANCIAL ASSISTANCE PROGRAM (CFAP) PROVIDES DISCOUNTED OR FREE CARE TO THOSE WHO NEED IT WITHIN THE CARLE HEALTH SYSTEM, INCLUDING CARLE EUREKA HOSPITAL. NOT ONLY DOES THIS RESULT IN A MORE TIMELY APPLICATION PROCESS, BUT MOST IMPORTANTLY, IT MEANS PATIENTS RECEIVE THE SAME DISCOUNT AT THE HOSPITAL AND CLINICS IF THEY MIGHT NEED AN ADDITIONAL LEVEL OF SPECIALTY OR HOSPITAL CARE. WITH THIS PROGRAM, CARLE EUREKA HOSPITAL HAS A ROBUST PRESUMPTIVE ELIGIBILITY PROCESS. WE PRESUME ELIGIBILITY FOR VERIFIED HOMELESS, DECEASED WITH NO ESTATE, MENTAL INCAPACITATION, RECIPIENTS OF WIC (WOMEN, INFANTS AND CHILDREN NUTRITION PROGRAM), SNAP (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM), LIHEAP (LOW INCOME HOME ENERGY ASSISTANCE PROGRAM), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM, RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICE, FEDERALLY QUALIFIED HEALTH CLINIC (FQHC) DISCOUNT REFERRALS, MEDICAID TITLE XIX, XXI, AND IN-NETWORK MEDICAID MANAGED CARE PLANS. IN ADDITION, WE UTILIZE A VENDOR, EXPERIAN INFORMATION SOLUTIONS, INC., TO PROACTIVELY IDENTIFY PATIENTS WHO MAY BE PRESUMPTIVELY-QUALIFIED FOR ASSISTANCE - NOT ONLY FOR PUBLIC PROGRAMS LIKE MEDICAID, BUT ALSO BASED ON A NUMBER OF KEY FINANCIAL INDICATORS, INCLUDING CREDIT HISTORY, DEMOGRAPHICS AND GROSS INCOME. IDENTIFIED PATIENTS MAY BE PRESUMED ELIGIBLE AND AUTOMATICALLY ENROLLED IN THE PROGRAM, OR THEY MAY BE CONTACTED AND ENCOURAGED TO APPLY FOR ASSISTANCE. PATIENTS WHO ARE NOT DEEMED PRESUMPTIVELY ELIGIBLE WOULD NEED TO REQUEST AND COMPLETE AN APPLICATION. IF THE PATIENT DOES NOT REQUEST OR COMPLETE AND RETURN THE APPLICATION, THEN THE BALANCE IS DEEMED THEIR RESPONSIBILITY TO PAY. FOR PATIENTS THAT DO NOT QUALIFY FOR CARLE FINANCIAL ASSISTANCE AND WHO MAY BE UNINSURED OR UNDERINSURED, CARLE EUREKA HOSPITAL HAS OTHER DISCOUNT OPTIONS AVAILABLE, SUCH AS PROMPT PAY, ILLINOIS UNINSURED DISCOUNT, AND CAPPED DISCOUNT - WHERE A PATIENT'S OUT-OF-POCKET MEDICAL EXPENSES ARE LIMITED TO 40% OF THEIR ANNUAL GROSS INCOME IF THEY EARN AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL. ONCE ALL APPLICABLE DISCOUNTS HAVE BEEN APPLIED, WE MAKE EVERY ATTEMPT TO WORK WITH THE PATIENT AND SET UP PAYMENT ARRANGEMENTS ON THE REMAINING BALANCE DUE. THE CURRENT MINIMUM IS 5% OF THE TOTAL BALANCE DUE OR $25.00 A MONTH. IF THEY CANNOT MEET THESE GUIDELINES, OUR IN-HOUSE BILLING STAFF MEMBERS WORK WITH THEM TO SET UP A TEMPORARY/SHORT TERM PAYMENT ARRANGEMENT UNTIL THEY CAN MAKE THE MINIMUM PAYMENT. IF THEY ARE UNABLE TO MAKE PAYMENT ON THE BALANCE DUE, THEN THE BALANCE MAY BE LISTED WITH AN OUTSIDE COLLECTION AGENCY. WHEN THE ACCOUNT IS STILL IN-HOUSE, THE MINIMUM NOTIFICATION IS MONTHLY ITEMIZED STATEMENTS. IF A PATIENT DOES NOT RESPOND, THE ACCOUNT IS GIVEN A FINAL NOTICE, EITHER BY LETTER OR PHONE, AND SENT TO AN OUTSIDE COLLECTION AGENCY. CARLE EUREKA HOSPITAL WILL NOT FILE COLLECTION SUIT LIENS ON A PRIMARY RESIDENCE, NOR DO WE AUTHORIZE AN AGENCY TO USE SO-CALLED "BODY ATTACHMENTS." THE AGENCIES ARE AWARE OF OUR CFAP AND HAVE BEEN ADVISED TO REFER THE PATIENTS BACK TO CARLE IF THEY DEEM THE PATIENT IS UNABLE TO PAY. BILLING STAFF WILL THEN MAKE ONE MORE ATTEMPT TO WORK WITH THE PATIENT TO SEE IF HELP IS AVAILABLE. IF STAFF DETERMINES THAT THE PATIENT MIGHT QUALIFY, WE SEND THE PATIENT A CFAP APPLICATION AND INSTRUCT THE AGENCY TO PUT A HOLD ON THE ACCOUNT; THE AVERAGE HOLD IS 60 DAYS. IF THE PATIENT IS THEN APPROVED FOR DISCOUNTS AT 100% FOR FINANCIAL ASSISTANCE, THE BALANCE IS ADJUSTED AND THE ACCOUNT IS CLOSED WITH THE AGENCY. IF THE PATIENT IS APPROVED FOR LESS THAN 100%, THE ADJUSTMENTS ARE REPORTED TO THE AGENCY AND THE AGENCY WILL BEGIN COLLECTION EFFORTS ON ANY REMAINING BALANCE. |
| Schedule H, Part V, Section B, Line 16a FAP website | - CARLE EUREKA HOSPITAL: Line 16a URL: SEE SCHEDULE H, PART VI; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - CARLE EUREKA HOSPITAL: Line 16b URL: SEE SCHEDULE H, PART VI; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - CARLE EUREKA HOSPITAL: Line 16c URL: SEE SCHEDULE H, PART VI; |
| Schedule H, Part VI, Line 2 Needs assessment | Carle Eureka Hospital primarily assesses healthcare needs in the community by being a part of the aforementioned PFHC Tri-County collaborative CHNA in partnership with health departments and hospitals in Peoria, Tazewell and Woodford County. However, Carle Eureka Hospital is acutely aware of the need for access to care, especially in rural counties like Woodford County, making it a mainstay of our community benefit efforts. We have a strong financial assistance program based on a philosophy of doing the right thing for the community and patients, balanced by a careful stewardship of the community's resources. As a tax-exempt organization, Carle Eureka Hospital provides care to patients regardless of their ability to pay. Carle Health's generous financial assistance program has resulted in our ability to reach many people over the years. To ensure we are addressing the needs of the community, the finance and quality committees of Carle Health's board of trustees reviews and evaluates charity care figures annually. We do not limit the amount of financial assistance we provide at this time. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | Carle Eureka Hospital's practice is to look at each patient's financial status in relation to the Carle Financial Assistance Program and the criteria of the Uninsured Patient Discount Act and to provide the patient with the deepest discount available. By expanding the presumptive eligibility screening processes and determining the financial status of patients up-front, Carle Health has been able to pinpoint those needing assistance early in the process, minimizing bad debt and optimizing our ability to help. Staff is also diligent in following up with patients during hospitalization and after discharge if there's any reason to believe the patient could benefit from financial assistance, and we auto-qualify certain patient populations for Carle Financial Assistance Program, such as the homeless, WIC, SNAP (Supplemental Nutrition Assistance Program), Medicaid, Low Income Home Energy Assistance Program (LIHEAP), and Township Assistance recipients. Communicating that Financial Assistance is Available Carle Health has made a concerted, continuous effort to be sure that people have access to information that will help them with their medical bills. These include: -Advertising Carle Financial Assistance Program using print, billboards and web; continued presence in appropriate community publications; and on-site via displays throughout the hospital and clinics -Simplified application form, including a version in Spanish, that contains information regarding the Carle Financial Assistance Program -Publication of a Plain Language Summary and all other financial assistance-related information on carle.org/patients-visitors/financial-assistance -Information about the Carle Financial Assistance Program on all statements, collection letters and hospital admission packets -Carle Financial Assistance Program information and applications at all registration points, hospital main lobby and carle.org -Meetings with local legislators to help them assist constituents with healthcare needs, including financial assistance |
| Schedule H, Part VI, Line 4 Community information | COMMUNITY DEFINITION FOR THE PURPOSE OF THE 2022 CARLE EUREKA HOSPITAL CHNA, "COMMUNITY" IS DEFINED AS WOODFORD COUNTY, ILLINOIS. CARLE EUREKA HOSPITAL IS THE ONLY HOSPITAL IN WOODFORD COUNTY, WHICH IS LOCATED IN RURAL CENTRAL ILLINOIS. ALTHOUGH THE HOSPITAL PARTICIPATED IN THE 2022 TRI-COUNTY COLLABORATIVE, LED BY THE PARTNERSHIP FOR A HEALTHY COMMUNITY FOR WOODFORD, PEORIA AND TAZEWELL COUNTY, FOR THE PURPOSE OF THE 2022 CARLE EUREKA HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT, THE COMMUNITY IS DEFINED AS WOODFORD COUNTY. THE FOLLOWING TOWNS ARE IN WOODFORD COUNTY: BAY VIEW GARDENS, BENSON, CONGERVILLE, EL PASO, EUREKA, GERMANTOWN HILLS, GOODFIELD, KAPPA, LOWPOINT, METAMORA, MINONK, PANOLA, ROANOKE, SECOR, SPRING BAY AND WASHBURN. COUNTY HEALTH RANKING WOODFORD COUNTY RANKS NINTH OUT OF 102 COUNTIES IN ILLINOIS. THE LOWER THE RANKING, THE BETTER THE HEALTH OUTCOMES IN THE COUNTY (COUNTY HEALTH RANKINGS, 2022). POPULATION WOODFORD COUNTY CONSISTS OF A TOTAL POPULATION OF 38,584 (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2022). METAMORA AND GERMANTOWN HILLS - ZIP CODE 61548, HAS THE LARGEST POPULATION IN THE COUNTY WITH 12,548 RESIDENTS. THE POPULATION IN WOODFORD COUNTY DECREASED BY 0.21 PERCENT FROM 2010 TO 2022 (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2022). SOCIAL DETERMINANTS OF HEALTH: HEALTH EQUITY INDEX THE HEALTH EQUITY INDEX (FORMERLY CALLED THE SOCIONEEDS INDEX) IS A CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TOOL THAT MEASURES SOCIOECONOMIC NEED, WHICH IS CORRELATED WITH POOR HEALTH OUTCOMES. THE INDEX IS PART OF THE CONDUENT'S SOCIONEEDS INDEX SUITE, WHICH PROVIDES ANALYTICS AROUND SOCIAL DETERMINANTS OF HEALTH TO ADVANCE EQUITABLE OUTCOMES FOR A RANGE OF TOPICS. CONDUENT HCI'S HEALTH EQUITY INDEX CONSIDERS VALIDATED INDICATORS RELATED TO INCOME, EMPLOYMENT, EDUCATION, AND HOUSEHOLD ENVIRONMENT TO IDENTIFY AREAS AT HIGHEST RISK FOR EXPERIENCING HEALTH INEQUITIES. THE INDICATORS ARE WEIGHTED TO MAXIMIZE THE CORRELATION OF THE INDEX WITH PREMATURE DEATH RATES AND PREVENTABLE HOSPITALIZATION RATES. ALL ZIP CODES, COUNTIES, AND COUNTY EQUIVALENTS IN THE UNITED STATES ARE GIVEN AN INDEX VALUE FROM 0 (LOW NEED) TO 100 (HIGH NEED). TO HELP IDENTIFY THE AREAS OF HIGHEST NEED WITHIN A DEFINED GEOGRAPHIC AREA, THE SELECTED ZIP CODES ARE RANKED FROM 1 (LOW NEED) TO 5 (HIGH NEED) BASED ON THEIR INDEX VALUE. THESE VALUES ARE SORTED FROM LOW TO HIGH AND DIVIDED INTO FIVE RANKS USING NATURAL BREAKS. THESE RANKS ARE USED TO COLOR THE MAP AND CHART FOR THE HEALTH EQUITY INDEX, WITH DARKER COLORING ASSOCIATED WITH HIGHER RELATIVE NEED. WOODFORD COUNTY HAS SEVERAL COMMUNITIES THAT HAVE A GREATER RISK OF EXPERIENCING HEALTH INEQUITIES OR HAVE A HIGHER RELATIVE NEED COMPARED TO OTHER COMMUNITIES IN THE COUNTY. WOODFORD COUNTY HAS TWO ZIP CODES WITH A RANKING OF 5 AND THREE ZIP CODES WITH A RANKING OF 4, WHICH REPRESENT THE AREAS WITH THE HIGHEST RELATIVE NEED IN WOODFORD COUNTY. DEMOGRAPHICS THE MEDIAN AGE IN WOODFORD COUNTY IS 41.0 YEARS WHICH IS HIGHER THAN THE MEDIAN AGE FOR ILLINOIS OF 39.2 YEARS. THE PERCENT OF THE POPULATION IN WOODFORD COUNTY THAT IS MALE IS 50 PERCENT WHILE 50 PERCENT IS FEMALE (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2022). THE POPULATION BY RACE FOR WOODFORD COUNTY IS 96.15 PERCENT WHITE, 0.75 PERCENT BLACK OR AFRICAN AMERICAN, 0.84 PERCENT ASIAN, 0.26 PERCENT AMERICAN INDIAN AND ALASKA NATIVE AND 0.05 PERCENT NATIVE HAWAIIAN OR PACIFIC ISLANDER (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2022). THE AVERAGE HOUSEHOLD SIZE IN WOODFORD COUNTY IS 2.60 PERSONS WITH 14,461 RESIDENTS LIVING AS A PART OF A HOUSEHOLD. THE PERCENTAGE OF SINGLE PARENT HOUSEHOLDS IN WOODFORD COUNTY IS 22.2 PERCENT. THIS IS IN THE WORST 50TH - 75TH PERCENTILE RANGE (YELLOW INDICATOR) IN COMPARISON TO OTHER COUNTIES IN ILLINOIS, IS NOT STATISTICALLY DIFFERENT FROM THE PRIOR VALUE OF 21 PERCENT AND IS TRENDING FAVORABLY IN A STATISTICALLY SIGNIFICANT DIRECTION (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY 5 YEAR, 2016 - 2020). THE MEDIAN HOUSEHOLD INCOME IN WOODFORD COUNTY IS $83,856, WHICH IS HIGHER THAN THE ILLINOIS MEDIAN HOUSEHOLD INCOME OF $76,001 (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2022). THE PERCENT OF PEOPLE LIVING BELOW THE POVERTY LEVEL IN WOODFORD COUNTY IS 5.9 PERCENT (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2016 - 2020). THIS IS IN THE BEST 0 - 50TH PERCENTILE (GREEN INDICATOR) COMPARED TO OTHER COUNTIES IN ILLINOIS, IS LOWER THAN THE ILLINOIS VALUE (12.0 PERCENT) AND IS TRENDING FAVORABLY IN A STATISTICALLY SIGNIFICANT DIRECTION. THE PERCENTAGE OF THE CIVILIAN LABOR FORCE OVER THE AGE OF 16 THAT IS UNEMPLOYED IN WOODFORD COUNTY IS 3.7 PERCENT, LOWER THAN ILLINOIS AT 5.8 PERCENT. THE THREE MOST COMMON INDUSTRIES OF EMPLOYMENT ARE MANUFACTURING AT 16.2 PERCENT, HEALTHCARE AT 13.5 PERCENT AND EDUCATIONAL SERVICES AT 10.4 PERCENT (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2022). NINETY-FIVE PERCENT OF THE POPULATION OVER THE AGE OF 25 IN WOODFORD COUNTY POSSESS A HIGH SCHOOL DIPLOMA OR HIGHER AND 21.7 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2022). EUREKA COLLEGE, A SMALL LIBERAL ARTS COLLEGE, LOCATED IN WOODFORD COUNTY. THE PERCENTAGE OF RESIDENTS WITH A BACHELOR'S DEGREE OR HIGHER IS 33.8 PERCENT. THIS IS IN THE BEST 0 - 50TH PERCENTILE RANGE (GREEN INDICATOR) COMPARED TO OTHER COUNTIES IN ILLINOIS (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY 5 YEAR, 2016 - 2020). NINETY-FOUR PERCENT OF STUDENTS IN WOODFORD COUNTY GRADUATE HIGH SCHOOL WITHIN FOUR YEARS OF THEIR FIRST ENROLLMENT IN NINTH GRADE (CONDUENT HEALTHY COMMUNITIES INSTITUTE, COUNTY HEALTH RANKINGS, 2017 - 2018). THIS IS IN THE BEST 0 - 50TH PERCENTILE RANGE (GREEN INDICATOR) WHEN COMPARED TO OTHER COUNTIES IN ILLINOIS, HIGHER THAN THE ILLINOIS VALUE (85.4 PERCENT), TRENDING FAVORABLY IN A STATISTICALLY SIGNIFICANT DIRECTION AND MEETS THE HEALTHY PEOPLE 2030 TARGET OF 90.7 PERCENT. HEALTH CARE COVERAGE ACCORDING TO THE 2021 TRI-COUNTY COMMUNITY HEALTH SURVEY, 62 PERCENT OF WOODFORD COUNTY SURVEY RESPONDENTS REPORTED HAVING PRIVATE INSURANCE, FOLLOWED BY SEVEN PERCENT HAVING MEDICAID AND 26 PERCENT HAVING MEDICARE. FIVE PERCENT OF SURVEY RESPONDENTS REPORTED NOT HAVING INSURANCE. THIS IS AN INCREASE OF TWO PERCENT IN COMPARISON TO THE 2018 TRI-COUNTY COMMUNITY HEALTH SURVEY. HEALTH CARE RESOURCES IN THE DEFINED COMMUNITY THE HEALTH CARE RESOURCES IN WOODFORD COUNTY ARE LISTED BELOW. NAME OF FACILITY/TYPE OF FACILITY CARLE EUREKA HOSPITAL, CRITICAL ACCESS HOSPITAL WOODFORD COUNTY HEALTH DEPARTMENT, HEALTH CLINIC HEARTLINE AND HEART HOUSE, COMMUNITY ORGANIZATION |
| Schedule H, Part VI, Line 5 Promotion of community health | Carle Eureka Hospital's dedication to promoting the health of the community is exemplified in numerous ways. The Carle Central Region Board is comprised of local community leaders and physicians. Board members support hospital leadership in their pursuit of the hospital's goals, represent the community's interest to the hospital and serve as ambassadors in the community. Sixty-four percent of the current board members represent the community. In addition, the organization extends medical staff privileges to all qualified physicians in its community for some or all of its departments and specialties. Carle Eureka Hospital is a 25-bed facility that has served and cared for the people of Woodford County and the surrounding area since 1901. Carle Eureka Hospital is the only hospital in Woodford County and is a critical access hospital as certified by the Centers for Medicare and Medicaid Services. By functioning in this capacity, the hospital plays a vital role in serving the health needs of a primarily rural area. Community residents benefit from having access to care close to home as provided by a dedicated group of primary care and specialty physicians. Carle Eureka Hospital holds many clinics to increase access to care by specialists. The clinics held include podiatry, cardiology, oncology, surgery, urology, pulmonology, gastroenterology, mental health, orthopedics, pain management and dermatology. If the patient's condition requires a higher level of care, Carle Eureka Hospital is available to stabilize the condition and seamlessly transition the patient to another facility. A cherished community institution, Carle Eureka Hospital has set new standards for what a rural hospital can accomplish. While patients appreciate the small-town touch of one-on-one care, they also know that it is backed by services and technology typically unavailable at a small hospital. Emergency care, inpatient and outpatient surgeries, rehabilitation and advanced radiology are only a few of the services offered. These services are provided by a skilled and caring staff that has won numerous awards for patient satisfaction. In addition to being a critical access hospital, Carle Eureka Hospital helped to promote the health of the community and increased rural access to care in the following ways: -Members of the hospital's executive or leadership team provided in-kind support by serving on multiple community boards or committees that help either directly or indirectly improve the health of the community, such as the Woodford County Board of Health, Eureka Business Association, Woodford County Emergency Management Services, Regional Healthcare Coordination, Maple Lawn Homes (retirement community), and the Rotary Club. -Carle Eureka Hospital sponsored the following events for community members in 2023: A-27th Annual Race With Your Heart B-Snyder Village Summer Events C-Eureka Kayak Race, Run with Reagan D-Goodfield Community Club E-The Wall That Heals F-Red Devil Racers |
| Schedule H, Part VI, Line 6 Affiliated health care system | IN JULY 2020, CARLE EUREKA HOSPITAL BECAME PART OF THE CARLE HEALTH SYSTEM. THOUGH CARLE EUREKA HOSPITAL FALLS UNDER THE UMBRELLA OF THE CARLE FOUNDATION, ITS SOLE MEMBER IS CARLE HEALTH - CENTRAL REGION, WHOSE BOARD OF DIRECTORS AND SENIOR LEADERSHIP PROVIDES GOVERNANCE OVERSIGHT TO CARLE EUREKA HOSPITAL. WHILE CARLE EUREKA HOSPITAL'S CHNA AND COMMUNITY BENEFIT REPORTING IS SEPARATE FROM OTHER HOSPITALS IN THE HEALTH SYSTEM, IT FOLLOWS THE SAME GUIDELINES AND PRINCIPLES AS OTHER CARLE ENTITIES. CARLE EUREKA HOSPITAL'S STAFF IS INVOLVED IN THE CHNA AND IMPLEMENTATION PLAN AND SERVE ON HUMAN SERVICES AGENCY BOARDS AND COMMITTEES TO PROVIDE SUPPORT TO HELP ADDRESS IDENTIFIED LOCAL COMMUNITY NEEDS. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | IL |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Andrea Kane MD | ||||||||||||||
| Secretary/Treasurer BEG 04/01/2023 | $0 | $392,245 | $0 | $108,552 | $0 | $3,059 | $0 | $6,600 | $0 | $27,829 | $0 | $538,285 | $0 | $0 |
| Uretz Oliphant MD | ||||||||||||||
| Secretary/Treasurer THRU 03/31/2023 | $0 | $563,944 | $0 | $0 | $0 | $25,937 | $0 | $16,500 | $0 | $19,185 | $0 | $625,566 | $0 | $0 |
| Christopher Hughes MD | ||||||||||||||
| Physician//Trustee BEG 04/01/2023 | $0 | $361,900 | $0 | $64,656 | $0 | $15,981 | $0 | $6,600 | $0 | $27,566 | $0 | $476,703 | $0 | $13,526 |
| Aja Lystila MD | ||||||||||||||
| Physician//Trustee THRU 03/31/2023 | $0 | $336,287 | $0 | $67,393 | $0 | $3,236 | $0 | $6,600 | $0 | $27,566 | $0 | $441,082 | $0 | $0 |
| Jerome Oakey | ||||||||||||||
| Physician//Trustee | $0 | $946,563 | $0 | $228,206 | $0 | $24,713 | $0 | $6,600 | $0 | $28,750 | $0 | $1,234,832 | $0 | $0 |
| Dennis Hesch | ||||||||||||||
| Officer - EVP, Chief Finance & Strategy Officer | $0 | $1,104,200 | $0 | $262,608 | $0 | $29,187 | $0 | $346,286 | $0 | $20,603 | $0 | $1,762,884 | $0 | $0 |
| Colleen Kannaday | ||||||||||||||
| Officer - President, Carle Health - Central Region | $0 | $623,587 | $0 | $164,842 | $0 | $27,292 | $0 | $6,600 | $0 | $29,166 | $0 | $851,487 | $0 | $0 |
| Napoleon Knight MD MBA | ||||||||||||||
| Officer - EVP, Chief Medical Officer | $0 | $775,491 | $0 | $136,231 | $0 | $29,153 | $0 | $103,114 | $0 | $12,345 | $0 | $1,056,334 | $0 | $0 |
| Matthew Kolb JD MHA | ||||||||||||||
| Officer - President, Carle Health Regions // EVP, Chief Operating Officer | $0 | $1,092,613 | $0 | $219,047 | $0 | $255,672 | $0 | $335,494 | $0 | $27,811 | $0 | $1,930,637 | $0 | $226,485 |
| James C Leonard MD | ||||||||||||||
| Officer - President & CEO | $0 | $1,690,975 | $0 | $443,047 | $0 | $3,555,979 | $0 | $16,500 | $0 | $20,385 | $0 | $5,726,886 | $0 | $3,526,792 |
| Charles Dennis MD | ||||||||||||||
| Former - Officer | $0 | $255,906 | $0 | $24,327 | $0 | $3,407 | $0 | $12,918 | $0 | $22,096 | $0 | $318,654 | $0 | $0 |
| Nicholas Crompton | ||||||||||||||
| VP, Construction & Facility Services | $0 | $291,871 | $0 | $30,843 | $0 | $41,658 | $0 | $37,180 | $0 | $30,879 | $0 | $432,431 | $0 | $0 |
| Aron Klein | ||||||||||||||
| VP, Purchasing & Supply Chain | $0 | $315,897 | $0 | $31,675 | $0 | $2,266 | $0 | $6,482 | $0 | $27,331 | $0 | $383,651 | $0 | $0 |
| Anna Laible | ||||||||||||||
| Hospital Administrator | $215,016 | $0 | $22,059 | $0 | $5,602 | $0 | $4,355 | $0 | $10,315 | $0 | $257,347 | $0 | $0 | $0 |
| Caleb Miller | ||||||||||||||
| SVP, Surgical Services & Ambulatory Care | $0 | $427,753 | $0 | $63,119 | $0 | $163,127 | $0 | $96,647 | $0 | $28,252 | $0 | $778,898 | $0 | $80,698 |
| Laurie Round | ||||||||||||||
| VP, Chief Nursing Officer - BroMenn & Eureka | $0 | $282,248 | $0 | $29,189 | $0 | $24,432 | $0 | $5,570 | $0 | $22,171 | $0 | $363,610 | $0 | $0 |
| Lauren Schmid MBA | ||||||||||||||
| EVP, Chief Human Resources Officer | $0 | $674,332 | $0 | $113,339 | $0 | $158,040 | $0 | $182,309 | $0 | $27,331 | $0 | $1,155,351 | $0 | $128,983 |
| Amanda Smith | ||||||||||||||
| VP, BroMenn & Eureka Ambulatory Care | $0 | $225,328 | $0 | $24,276 | $0 | $1,708 | $0 | $4,890 | $0 | $16,864 | $0 | $273,066 | $0 | $0 |
| John Wieland MD | ||||||||||||||
| Associate Chief Medical Officer, BroMenn & Eureka | $0 | $564,563 | $0 | $64,312 | $0 | $24,713 | $0 | $6,600 | $0 | $26,714 | $0 | $686,902 | $0 | $0 |
| Brandon Ahlers | ||||||||||||||
| Manager, EH Anesthesiology | $347,377 | $0 | $11,389 | $0 | $11,810 | $0 | $6,600 | $0 | $28,487 | $0 | $405,663 | $0 | $0 | $0 |
| Kellie Dewitt | ||||||||||||||
| Physician Assistant | $152,892 | $0 | $5,351 | $0 | $836 | $0 | $3,010 | $0 | $27,331 | $0 | $189,420 | $0 | $0 | $0 |
| Scott Farquhar | ||||||||||||||
| Registered Nurse - EH ED | $222,010 | $0 | $400 | $0 | $539 | $0 | $3,848 | $0 | $30,526 | $0 | $257,323 | $0 | $0 | $0 |
| Samantha Leverton | ||||||||||||||
| Nurse Practitioner | $157,752 | $0 | $5,204 | $0 | $789 | $0 | $3,075 | $0 | $12,815 | $0 | $179,635 | $0 | $0 | $0 |
| Jason Roach | ||||||||||||||
| Physician Assistant | $160,066 | $0 | $5,517 | $0 | $765 | $0 | $3,179 | $0 | $30,643 | $0 | $200,170 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT COMPANY OF CARLE EUREKA 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 ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. -THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | THE 2023 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE EUREKA HOSPITAL, THAT ARE LISTED IN THE 990 PART VII INCLUDE DENNIS HESCH, COLLEEN KANNADAY, MATTHEW KOLB, JD, MHA, JAMES C. LEONARD, MD, LAURIE ROUND, LAUREN SCHMID, MBA, NAPOLEON KNIGHT, MD, MBA, ARON KLEIN, NICHOLAS CROMPTON, CALEB MILLER, AND CHRISTOPHER HUGHES, MD. IN 2023, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO MATTHEW KOLB, JD, MHA ($226,485), JAMES C. LEONARD, MD ($3,526,792), LAUREN SCHMID, MBA ($128,983), CALEB MILLER ($80,698) AND CHRISTOPHER HUGHES, MD ($13,526). |
| Schedule J, Part I, Line 7 Non-fixed payments | PART OF THE OVERALL EMPLOYEE'S COMPENSATION PROGRAM INCLUDES AN INCENTIVE COMPONENT THAT COVERS MOST EMPLOYEES AND IS DESIGNED TO ENCOURAGE AND PROMOTE THE ACHIEVEMENT OF CERTAIN QUALITY, OPERATIONAL, AND EFFICIENCY IMPROVEMENTS. ALTHOUGH THIS INCENTIVE COMPONENT IS BASED ON THE ORGANIZATION MEETING CERTAIN MINIMUM FINANCIAL THRESHOLDS, ALL PAYMENTS MUST BE APPROVED BY THE BOARD OF DIRECTORS PRIOR TO ANY INCENTIVE PAYOUT. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 15 15A & 15B - PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL | CARLE EUREKA HOSPITAL DOES NOT COMPENSATE ITS OFFICERS. EMPLOYEE COMPENSATION FOR THESE INDIVIDUALS IS COMPENSATED BY THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE EUREKA 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 ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. -THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE. |
| Form 990, Part VI, Line 2 Family/business relationships amongst interested persons | JAMES C. LEONARD, MD (OFFICER), MATTHEW KOLB, JD, MHA (OFFICER), AND NAPOLEON KNIGHT, MD, MBA (OFFICER) - Business relationship, JAMES C. LEONARD, MD (OFFICER), AJA LYSTILA, MD (TRUSTEE), MARK CZYS (BOARD VICE CHAIR), MICHAEL DEVOCELLE (TRUSTEE), PAUL TUCKER, PHD (BOARD CHAIR), AND URETZ OLIPHANT, MD (BOARD SECRETARY/TREASURER) - Business relationship, JAMES C. LEONARD, MD (OFFICER), AJA LYSTILA, MD (TRUSTEE), KARL APPELQUIST (TRUSTEE), MARK CZYS (BOARD VICE CHAIR), MICHAEL DEVOCELLE (TRUSTEE), PAUL TUCKER, PHD (BOARD CHAIR), AND URETZ OLIPHANT, MD (BOARD SECRETARY/TREASURER) - Business relationship, JAMES C. LEONARD, MD (OFFICER) AND NAPOLEON KNIGHT, MD, MBA (OFFICER) - Business relationship, JAMES C. LEONARD, MD (OFFICER), DENNIS HESCH (OFFICER), LAUREN SCHMID, MBA (KEY EMPLOYEE), AND AJA LYSTILA, MD (TRUSTEE) - Business relationship, DENNIS HESCH (OFFICER), MARK CZYS (BOARD VICE CHAIR), MICHAEL DEVOCELLE (TRUSTEE), AND PAUL TUCKER, PHD (BOARD CHAIR) - Business relationship, JAMES C. LEONARD, MD (OFFICER), NAPOLEON KNIGHT, MD, MBA (OFFICER), MARK CZYS (BOARD VICE CHAIR), AND PAUL TUCKER, PHD (BOARD CHAIR) - Business relationship, DENNIS HESCH (OFFICER) AND CALEB MILLER (KEY EMPLOYEE) - Business relationship, DENNIS HESCH (OFFICER), MATTHEW KOLB, JD, MHA (OFFICER), AND NICHOLAS CROMPTON (KEY EMPLOYEE) - Business relationship, COLLEEN KANNADAY (OFFICER), JEROME OAKEY, MD (TRUSTEE), JOHN WIELAND, MD (KEY EMPLOYEE), ARON KLEIN (KEY EMPLOYEE), AND CHARLES DENNIS, MD (FORMER) - Business relationship |
| Form 990, Part VI, Line 4 Significant changes to organizational documents | DURING 2023, THE CARLE FOUNDATION D/B/A THE CARLE HEALTH SYSTEM AND PARENT ORGANIZATION OF THE CARLE FOUNDATION HOSPITAL, FORMED THREE SUBSIDIARY REGIONAL GOVERNING ENTITIES KNOWN AS CARLE HEALTH - EAST REGION, CARLE HEALTH - CENTRAL REGION, AND CARLE HEALTH - SOUTH REGION. EACH REGIONAL ENTITY BECAME THE SOLE MEMBER OF THE HOSPITALS WITHIN THE ORGANIZATION BASED ON THE GEOGRAPHICAL REGIONS. THE GOVERNING DOCUMENTS OF CARLE EUREKA HOSPITAL ARE TO BE AMENDED TO LIST THE SOLE MEMBER AS CARLE HEALTH - CENTRAL REGION. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | CARLE EUREKA HOSPITAL HAS ONE MEMBER WHICH IS CARLE HEALTH - CENTRAL REGION. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | CARLE EUREKA HOSPITAL'S SOLE MEMBER, CARLE HEALTH - CENTRAL REGION, 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, Line 7b Decisions requiring approval by members or stockholders | CARLE EUREKA HOSPITAL MUST HAVE THE APPROVAL OF ITS SOLE MEMBER, CARLE HEALTH - CENTRAL REGION, THROUGH ITS BOARD OF TRUSTEES, WHEN VOTING ON MATTERS INCLUDING THE AMENDING OF GOVERNING DOCUMENTS; RECOMMENDING THE PRESIDENT TO THE BOARD; APPROVING ANY ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGETS; APPROVING PAYMENT TO THE MEMBERS OF THE BROMENN BOARD OF DIRECTORS FOR THEIR EXPENSES OR COMPENSATION FOR SERVICES; APPROVING ANY NEW, LONG-TERM OR MASTER INSTITUTIONAL PLAN OR CHANGES TO SUCH PLANS; APPROVING THE ADDITION OF ANY NEW MEMBER AND ANY DISSOLUTION, MERGER, CONSOLIDATION, OR SALE OR OTHER DISPOSITION OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR ANY DISPOSITION OF REAL PROPERTY OR RELOCATION OF THE HOSPITAL AND/OR CLINIC; APPROVING ANY ORGANIZATION OR ACQUISITION OF A SUBSIDIARY OR AFFILIATE; APPROVING ANY INITIATIVE REQUIRING CERTIFICATE OF NEED (CON) APPROVAL; APPROVING ANY PLEDGE OF ALL OR ANY PART OF THE CORPORATION'S ASSETS AS SECURITY FOR A DEBT, LIABILITY OR OTHER OBLIGATION; APPROVING ANY LOAN TO OR FOR THE CORPORATION OR ANY OTHER INDEBTEDNESS; AND APPROVING NON-BUDGETED EXPENDITURES OR SALE EXCEEDING THE PRESIDENT'S AUTHORIZED SPENDING AUTHORITY. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | 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, Line 12c Conflict of interest policy | 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 COMPLIANCE DEPARTMENT AND ANY IDENTIFIED CONFLICTS ARE REFERRED TO, AND ADDRESSED BY, THE ORGANIZATION'S INTERNAL LEGAL COUNSEL AND/OR CORPORATE INTEGRITY OFFICER. THE DISCLOSURES OF TRUSTEES AND MEMBERS OF BOARD COMMITTEES ARE REVIEWED BY THE CHAIR OF THE BOARD. THE ENTIRE BOARD, ABSENT THE SUBJECT TRUSTEE OR COMMITTEE MEMBER DETERMINES WHETHER A CONFLICT EXISTS. TRUSTEES AND/OR BOARD COMMITTEE MEMBERS WITH IDENTIFIED CONFLICTS ARE REQUIRED TO RECUSE THEMSELVES FROM DELIBERATING AND VOTING ON MATTERS THAT MAY PRESENT A CONFLICT. THE ORGANIZATION ALSO MAINTAINS PURCHASING POLICIES REQUIRING COUNTER SIGNATURES TO FURTHER MINIMIZE THE RISK ASSOCIATED WITH ACTUAL AND/OR POTENTIAL CONFLICTS OF INTEREST. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE EUREKA HOSPITAL, PUBLISHES THROUGH WWW.DACBOND.COM AND https://emma.msrb.org/ ITS QUARTERLY UNAUDITED FINANCIAL STATEMENTS, ANNUAL AUDITED FINANCIAL STATEMENTS, A MANAGEMENT'S DISCUSSION & ANALYSIS TO ACCOMPANY THE FINANCIAL STATEMENTS, AND AN ANNUAL REPORT OF CERTAIN OPERATING AND FINANCIAL INFORMATION. ADDITIONALLY, OFFICIAL STATEMENTS FOR OUTSTANDING MUNICIPAL BOND ISSUES FOR WHICH THE CARLE FOUNDATION IS OBLIGATED ARE AVAILABLE AT THIS WEBSITE. THESE DOCUMENTS INCLUDE EXTENSIVE INFORMATION ABOUT THE ORGANIZATION'S HEALTH CARE DELIVERY SYSTEM MODEL, RECENT HIGHLIGHTS/ACCOMPLISHMENTS, GOVERNANCE AND ADMINISTRATION, STRATEGIC PLAN, FACILITIES, CLINICAL PROGRAMS, MEDICAL STAFF, SERVICE AREA, COMPETITIVE ENVIRONMENT, DEMOGRAPHIC DATA, UTILIZATION STATISTICS, SUMMARY FINANCIAL INFORMATION, ACADEMIC AFFILIATIONS AND EDUCATIONAL PROGRAMS, MEDICAL RESEARCH, ACCREDITATIONS, AND ITS EMPLOYEES. THIS INFORMATION IS AVAILABLE AT NO CHARGE TO THOSE WHO REGISTER AT THE WWW.DACBOND.COM WEBSITE. IN ADDITION, THE FORM 990S OF THE ORGANIZATION'S FILING ENTITIES ARE AVAILABLE THROUGH DACBOND.COM. 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 VIII, Line 11d Other Miscellaneous Revenue | ALL OTHER REVENUE - Total Revenue: 233263, Related or Exempt Function Revenue: 233263, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | INTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS - -3169142; |
| Form 990, Part XII, Line 2c Change of oversight process or selection process | FORM 990 PART XII, QUESTION 2A, B, C AND PART IV, QUESTION 12 THE FINANCIAL STATEMENTS FOR CARLE EUREKA HOSPITAL WERE REVIEWED ON A CONSOLIDATED BASIS UNDER THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE CARLE FOUNDATION HAS AN AUDIT COMMITTEE CONSISTING OF MEMBERS OF THE GOVERNING BOARD AND THE CHIEF FINANCIAL OFFICER WHO TOGETHER ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE REVIEW AND AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT OR AUDITOR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CARLE BROMENN MEDICAL CENTER | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 850682363 | Hospital Services | IL | 501(c)(3) | 3 | CHCR | Yes (true) |
| CARLE COMMUNITY HEALTH CORPORATION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 364458371 | FNDN Mission | IL | 501(c)(3) | Type I | TCDF | Yes (true) |
| CARLE HEALTH - CENTRAL REGION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 990548510 | Governance/Oversight | IL | 501(c)(3) | Type III-FI | TCF | Yes (true) |
| CARLE HEALTH - EAST REGION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 990582680 | Governance/Oversight | IL | 501(c)(3) | Type III-FI | TCF | Yes (true) |
| CARLE HEALTH - SOUTH REGION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 990614340 | Governance/Oversight | IL | 501(c)(3) | Type III-FI | TCF | Yes (true) |
| CARLE HEALTH - WEST REGION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371111135 | Governance/Oversight | IL | 501(c)(3) | Type III-FI | TCF | Yes (true) |
| CARLE HEALTH CARE INCORPORATED | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371140016 | Various Medical Services | IL | 501(c)(3) | 10 | TCF | Yes (true) |
| CARLE RETIREMENT CENTERS INC | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371160033 | Retirement Living | IL | 501(c)(3) | 10 | TCF | Yes (true) |
| CARLE WEST PHYSICIAN GROUP INC | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 850703768 | Physician Services | IL | 501(c)(3) | 10 | CHCI | Yes (true) |
| CRIS HEALTHY AGING | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 370948852 | Senior Citizen Services | IL | 501(c)(3) | 7 | CHCI | Yes (true) |
| HOOPESTON COMMUNITY MEMORIAL HOSPITAL | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 363637465 | Hospital Services | IL | 501(c)(3) | 3 | CHER | Yes (true) |
| HULT CENTER FOR HEALTHY LIVING INC | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 363510390 | Wellness Services | IL | 501(c)(3) | 7 | PH | Yes (true) |
| HUMAN SERVICE CENTER | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371004882 | Behavioral Health Services | IL | 501(c)(3) | 7 | TP | Yes (true) |
| METHODIST MEDICAL CENTER FOUNDATION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 510186460 | Fundraising | IL | 501(c)(3) | 7 | CHWR | Yes (true) |
| METHODIST SERVICES INC | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371111134 | Property Holding Co. | IL | 501(c)(3) | 10 | CHWR | Yes (true) |
| PARK COURT LIMITED | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371178386 | Property Holding Co. | IL | 501(c)(3) | Type II | CHWR | Yes (true) |
| PEKIN MEMORIAL HOSPITAL | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 370692351 | Hospital Services | IL | 501(c)(3) | 3 | CHWR | Yes (true) |
| PEKIN MEMORIAL HOSPITAL FOUNDATION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371200267 | Fundraising | IL | 501(c)(3) | 7 | CHWR | Yes (true) |
| PRAIRIE VIEW VILLAS NO 1 | ||||||||||
| 1900 SPRING ROAD STE 300 | OAK BROOK | IL | 605231480 | 261755679 | Housing Services | IL | 501(c)(3) | 7 | TMHC | Yes (true) |
| PROCTOR HEALTH SYSTEMS | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 364147437 | Physician Services | IL | 501(c)(3) | 3 | CHWR | Yes (true) |
| PROCTOR HOSPITAL | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 370681540 | Hospital Services | IL | 501(c)(3) | 3 | CHWR | Yes (true) |
| RICHLAND MEMORIAL HOSPITAL INC | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371363001 | Hospital Services | IL | 501(c)(3) | 3 | CHSR | Yes (true) |
| TAZWOOD MENTAL HEALTH CENTER INC | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371278969 | Behavioral Health Services | IL | 501(c)(3) | 7 | TP | Yes (true) |
| THE CARLE DEVELOPMENT FOUNDATION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371159978 | Fundraising | IL | 501(c)(3) | 7 | TCF | Yes (true) |
| THE CARLE FOUNDATION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 370673465 | Parent/Inv Mgmt | IL | 501(c)(3) | Type III-FI | NA | false |
| THE CARLE FOUNDATION HOSPITAL | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371119538 | Hospital Services | IL | 501(c)(3) | 3 | CHER | Yes (true) |
| THE METHODIST MEDICAL CENTER OF ILLINOIS | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 370661223 | Hospital Services | IL | 501(c)(3) | 3 | CHWR | Yes (true) |
| THE METHODIST MEDICAL CENTER OF ILLINOIS SELF INSURANCE TRUST AGREEMENT | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 376181831 | Self Insurance | IL | 501(c)(3) | Type I | MMCI | Yes (true) |
| TRILLIUM PLACE | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 834051901 | Behavioral Health Services | IL | 501(c)(3) | 10 | CHWR | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|
| CHAMPAIGN SURGICENTER LLC | ||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 201915925 | Surgical Center | IL | NA | N/A |
| FIELDS SOUTH LLC | ||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 823187698 | Property & Facility Management | IL | NA | N/A |
| MOUPH LLC | ||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 921791534 | Outpatient Orthopedic Services | IL | NA | N/A |
| REHABILITATION THERAPY SERVICES LLC | ||||||||
| 416 ST MARKS CT 110 | PEORIA | IA | 61603 | 810584193 | Rehabilitation Therapy | IL | NA | N/A |
| THE CENTER FOR ORTHOPEDIC MEDICINE LLC RECOVERY CARE CENTER | ||||||||
| 2502B E EMPIRE ST | BLOOMINGTON | IL | 61704 | 270934895 | Outpatient Orthopedic Services | IL | NA | N/A |
| THE CENTER FOR ORTHOPEDIC MEDICINE LLC SURGERY CENTER | ||||||||
| 2502B E EMPIRE ST | BLOOMINGTON | IL | 61704 | 371356453 | Outpatient Orthopedic Services | IL | NA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (20 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | Address Line2ForeignAddress/AddressLine2Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BELCREST SERVICES LTD | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371196307 | Medical Services | IL | NA | C Corporation | Yes (true) | ||||||
| CARLE HEALTH JUNCTION MEDICAL LLC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 814609769 | Care Coordination | IL | NA | C Corporation | Yes (true) | ||||||
| CARLE HEALTH PHYSICIAN PARTNERS INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 850718392 | Physician Services | IL | NA | C Corporation | Yes (true) | ||||||
| CARLE HOLDING COMPANY INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371188284 | Holding Co. | IL | NA | C Corporation | Yes (true) | ||||||
| CARLE RESEARCH PRODUCTS INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 999999999 | Medical Research - INACTIVE | IL | NA | C Corporation | Yes (true) | ||||||
| CARLE RISK MANAGEMENT COMPANY | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371217973 | Risk Management | IL | NA | C Corporation | Yes (true) | ||||||
| CARLE VENTURES INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371313150 | Health Care Partnerships | IL | NA | C Corporation | Yes (true) | ||||||
| CHA HOLDING INC | |||||||||||||||
| 3310 SOUTH FIELDS DR | CHAMPAIGN | IL | 61822 | 471854275 | Holding Co. | IL | NA | C Corporation | Yes (true) | ||||||
| FIRSTCAROLINACARE INSURANCE COMPANY | |||||||||||||||
| 42 MEMORIAL DR | PINEHURST | NC | 28374 | 331160597 | Insurance | IL | NA | C Corporation | Yes (true) | ||||||
| HEALTH ALLIANCE CONNECT INC | |||||||||||||||
| 3310 SOUTH FIELDS DR | CHAMPAIGN | IL | 61822 | 464796891 | Health Care Coordination | IL | NA | C Corporation | Yes (true) | ||||||
| HEALTH ALLIANCE MEDICAL PLANS INC | |||||||||||||||
| 3310 SOUTH FIELDS DR | CHAMPAIGN | IL | 61822 | 371260731 | Health Coverage | IL | NA | C Corporation | Yes (true) | ||||||
| HEALTH ALLIANCE MIDWEST INC | |||||||||||||||
| 3310 SOUTH FIELDS DR | CHAMPAIGN | IL | 61822 | 371354502 | Health Coverage | IL | NA | C Corporation | Yes (true) | ||||||
| HEALTH ALLIANCE NORTHWEST HEALTH PLAN | |||||||||||||||
| 820 N CHELAN AVE | WENATCHEE | WA | 98801 | 461966323 | Health Coverage | WA | NA | C Corporation | Yes (true) | ||||||
| HEALTH ALLIANCE NORTHWEST HOLDING | |||||||||||||||
| 820 N CHELAN AVE | WENATCHEE | WA | 98801 | 461717578 | Holding Co. | WA | NA | C Corporation | Yes (true) | ||||||
| HEALTH PLUS INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371295532 | Contracting | IL | NA | C Corporation | Yes (true) | ||||||
| HEALTH SYSTEMS INSURANCE LIMITED | |||||||||||||||
| 980638449 | Insurance | NA | C Corporation | Yes (true) | Governors Square 2nd Floor Bldg 3 | 23 Lime Tree Bay Ave | Grand Cayman | CJ | KY11102 | CJ | |||||
| METHODIST HEALTH VENTURES INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371140939 | Holding Co. | IL | NA | C Corporation | Yes (true) | ||||||
| OPTIMUM HEALTH SOLUTIONS INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 205430137 | Care Coordination - INACTIVE | IL | NA | C Corporation | Yes (true) | ||||||
| PEKIN PROHEALTH INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371117052 | Clinical Operations | IL | NA | C Corporation | Yes (true) | ||||||
| PROVIDER RESOURCE MANAGEMENT INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371223550 | Physician Services | IL | NA | C Corporation | Yes (true) | ||||||
| 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 | Yes (true) | 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 | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | 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 | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Carle BroMenn Medical Center | ||
| M | $179,686 | Book |
| Carle West Physician Group Inc | ||
| M | $410,828 | Book |
| The Carle Foundation Hospital | ||
| S | $66,143 | Book |
| HEALTH SYSTEMS INSURANCE LIMITED | ||
| M | $62,843 | Book |
| THE METHODIST MEDICAL CENTER OF ILLINOIS | ||
| R | $53,237 | Book |