2024-11-15T14:07:12+00:00 2023-12-31 346565596 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE INDIANAPOLIS IN 462045100 990 2023-01-01 850688306 Carle Eureka Hospital CARL 2173833311 611 W PARK STREET URBANA IL 61801 DENNIS HESCH EXEC VP & CFO 2173833311 2024-11-15 true true Jennifer D Rhoderick P00395735 3176817000 2024-11-13 2023 2024-10-15 13:58:12Z X DENNIS HESCH EXEC VP & CFO 611 W PARK STREET URBANA IL 61801 28509642 false X www.carle.org X 2020 IL 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. 13 10 182 13 0 0 983807 56709 24222205 28210630 5320 0 44123 242303 25255455 28509642 18990 3800 0 0 15404362 16164218 0 0 10289670 10568339 25713022 26736357 -457567 1773285 5858322 6746150 1814900 4098585 4043422 2647565 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. false false 23512275 3800 28452933 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. 23512275 true true false true false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 13 0 true 182 true false false false false false false false false false false false false X 13 10 true false true false true true true true true false false true true true true true true false false false IL X X DENNIS HESCH EXEC VP & CFO 2173833311 611 W PARK STREET URBANA IL 61801 Andrea Kane MD Secretary/Treasurer BEG 04/01/2023 1.0 39.0 X X 0 503856 34429 Mark Czys Vice Chair THRU 03/31/2023 1.0 6.5 X X 0 0 0 Paul Tucker PhD Chair THRU 03/31/2023 1.0 6.0 X X 0 0 0 Ron Greene Vice Chair BEG 04/01/2023 1.0 2.0 X X 0 0 0 Sue Strayer MD Chair BEG 04/01/2023 1.0 2.0 X X 0 0 0 Uretz Oliphant MD Secretary/Treasurer THRU 03/31/2023 1.0 39.0 X X 0 589881 35685 Aja Lystila MD Physician//Trustee THRU 03/31/2023 1.0 39.0 X 0 406916 34166 Brandon Bressner Trustee BEG 04/01/2023 1.0 2.0 X 0 0 0 Christopher Hughes MD Physician//Trustee BEG 04/01/2023 38.0 2.0 X 0 442537 34166 Jeffrey Hoschek MD Trustee BEG 04/01/2023 1.0 2.0 X 0 0 0 Jennifer Vance Trustee BEG 04/01/2023 1.0 2.0 X 0 0 0 Jerome Oakey Physician//Trustee 1.0 39.0 X 0 1199482 35350 Judy Neubrander EdD FNP-BC Trustee BEG 04/01/2023 1.0 2.0 X 0 0 0 Karl Appelquist Trustee THRU 03/31/2023 1.0 4.3 X 0 0 0 Kathy Yoder DNP Trustee BEG 04/01/2023 1.0 2.0 X 0 0 0 Michael Devocelle Trustee THRU 03/31/2023 1.0 5.5 X 0 0 0 Nancy Scott Trustee BEG 04/01/2023 1.0 2.0 X 0 0 0 Robert Bruha MD Trustee BEG 04/01/2023 1.0 2.0 X 0 0 0 Vasudha Gadhiraju Trustee BEG 04/01/2023 1.0 2.0 X 0 0 0 Colleen Kannaday Officer - President, Carle Health - Central Region 15.0 25.0 X 0 815721 35766 Dennis Hesch Officer - EVP, Chief Finance & Strategy Officer 1.0 39.0 X 0 1395995 366889 James C Leonard MD Officer - President & CEO 0.5 39.5 X 0 5690001 36885 Matthew Kolb JD MHA Officer - President, Carle Health Regions // EVP, Chief Operating Officer 1.0 39.0 X 0 1567332 363305 Napoleon Knight MD MBA Officer - EVP, Chief Medical Officer 1.0 39.0 X 0 940875 115459 Amanda Smith VP, BroMenn & Eureka Ambulatory Care 4.0 36.0 X 0 251312 21754 Anna Laible Hospital Administrator 40.0 0.0 X 242677 0 14670 Aron Klein VP, Purchasing & Supply Chain 4.0 36.0 X 0 349838 33813 Caleb Miller SVP, Surgical Services & Ambulatory Care 1.0 39.0 X 0 653999 124899 John Wieland MD Associate Chief Medical Officer, BroMenn & Eureka 2.0 38.0 X 0 653588 33314 Lauren Schmid MBA EVP, Chief Human Resources Officer 1.0 39.0 X 0 945711 209640 Laurie Round VP, Chief Nursing Officer - BroMenn & Eureka 4.0 36.0 X 0 335869 27741 Nicholas Crompton VP, Construction & Facility Services 1.0 39.0 X 0 364372 68059 Brandon Ahlers Manager, EH Anesthesiology 40.0 0.0 X 370576 0 35087 Jason Roach Physician Assistant 40.0 0.0 X 166348 0 33822 Kellie Dewitt Physician Assistant 40.0 0.0 X 159079 0 30341 Samantha Leverton Nurse Practitioner 40.0 0.0 X 163745 0 15890 Scott Farquhar Registered Nurse - EH ED 40.0 0.0 X 222949 0 34374 Charles Dennis MD Former - Officer 0.0 20.0 X 0 283640 35014 1325374 17390925 1810518 27 true true false SHARED MEDICAL SERVICES 209 LIMESTONE PASS COTTAGE GROVE WI 53527 MEDICAL IMAGING SERVICES 134418 QUEST DIAGNOSTICS PO BOX 775460 CHICAGO IL 606775460 MEDICAL LABORATORY SERVICES 129632 2 9727 38982 8000 56709 PATIENT SERVICE REVENUE 622110 28210630 28210630 0 0 0 0 28210630 0 0 0 0 Food Service 722310 6371 6371 Interest on Billed Accounts 561440 2080 2080 Continuing Education 611710 589 589 233263 233263 0 0 242303 28509642 28452933 0 0 3800 3800 0 0 242909 242909 13437366 12562288 875078 332870 314710 18160 1264517 1167035 97482 886556 844825 41731 7585 7585 1459025 1413726 45299 0 932 932 338899 195251 143648 205775 170355 35420 1195944 679606 516338 52923 44474 8449 11144 10695 449 684 684 474192 445255 28937 74132 1491 72641 INTERNAL MANAGEMENT FEES 4458068 3239047 1219021 PATIENT CARE SUPPLIES 1781545 1781545 Provider Assessment Tax & Other Taxes 475100 362770 112330 Non-Physician Recruitment 26375 26375 6016 5434 582 0 26736357 23512275 3224082 0 853821 867881 2631740 3772313 0 0 0 0 112093 115302 65568 63009 3276114 1540605 2045930 1735509 0 0 149170 192136 5858322 6746150 1245620 1546654 234559 11722 0 0 334721 2540209 1814900 4098585 X 4043422 2647565 4043422 2647565 5858322 6746150 X 1773285 -3169142 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 7585 7585 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY $7,585 - Portion of MEMBERSHIP dues, INCLUDING DUES PAID TO ILLINOIS HOSPITAL ASSOCIATION, attributable to lobbying. 3132106 1492882 1639224 144008 47723 96285 1735509 ACCOUNTS PAYABLE - MEDICARE 2540209 2540209 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION threshold AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENTS RECOGNITION OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED OR RECORDED AS A LIABILITY AS OF DECEMBER 31, 2022 AND 2021. true true X true X true X true true false false 171150 0 171150 0.0064 4076687 2729392 1347295 0.0504 0 0.0 0 0 4247837 2729392 1518445 0.0568 353096 268061 85035 0.0032 30581 0 30581 0.0011 0 0.0 0 0.0 6899 0 6899 0.0003 0 0 390576 268061 122515 0.0046 0 0 4638413 2997453 1640960 0.0614 0 0.0 481 481 0.0000 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1336 1336 0.0000 0 0 1817 0 1817 0.0001 true 790843 395422 15220177 15699064 -478887 X true true 1 1 CARLE EUREKA HOSPITAL 101 S MAJOR ST EUREKA IL 61530 https://carle.org/locations/carle-eureka-hospital 0006171 X X X X CARLE EUREKA HOSPITAL 1 false false true X X X X X X X X X 22 true true true true X https://carle.org/about-us/community-health-needs-assessments X https://healthyhoi.wildapricot.org/page-1075415 X true 23 true https://carle.org/about-us/community-health-needs-assessments false true X 200.0 400.0 X true true X X X X true X SEE SCHEDULE H, PART VI X SEE SCHEDULE H, PART VI X SEE SCHEDULE H, PART VI X X X X X X true X false X X X X true X false false 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. 2 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 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 false true false false false false false true false Andrea Kane MD Secretary/Treasurer BEG 04/01/2023 0 392245 0 108552 0 3059 0 6600 0 27829 0 538285 0 0 Uretz Oliphant MD Secretary/Treasurer THRU 03/31/2023 0 563944 0 0 0 25937 0 16500 0 19185 0 625566 0 0 Christopher Hughes MD Physician//Trustee BEG 04/01/2023 0 361900 0 64656 0 15981 0 6600 0 27566 0 476703 0 13526 Aja Lystila MD Physician//Trustee THRU 03/31/2023 0 336287 0 67393 0 3236 0 6600 0 27566 0 441082 0 0 Jerome Oakey Physician//Trustee 0 946563 0 228206 0 24713 0 6600 0 28750 0 1234832 0 0 Dennis Hesch Officer - EVP, Chief Finance & Strategy Officer 0 1104200 0 262608 0 29187 0 346286 0 20603 0 1762884 0 0 Colleen Kannaday Officer - President, Carle Health - Central Region 0 623587 0 164842 0 27292 0 6600 0 29166 0 851487 0 0 Napoleon Knight MD MBA Officer - EVP, Chief Medical Officer 0 775491 0 136231 0 29153 0 103114 0 12345 0 1056334 0 0 Matthew Kolb JD MHA Officer - President, Carle Health Regions // EVP, Chief Operating Officer 0 1092613 0 219047 0 255672 0 335494 0 27811 0 1930637 0 226485 James C Leonard MD Officer - President & CEO 0 1690975 0 443047 0 3555979 0 16500 0 20385 0 5726886 0 3526792 Charles Dennis MD Former - Officer 0 255906 0 24327 0 3407 0 12918 0 22096 0 318654 0 0 Nicholas Crompton VP, Construction & Facility Services 0 291871 0 30843 0 41658 0 37180 0 30879 0 432431 0 0 Aron Klein VP, Purchasing & Supply Chain 0 315897 0 31675 0 2266 0 6482 0 27331 0 383651 0 0 Anna Laible Hospital Administrator 215016 0 22059 0 5602 0 4355 0 10315 0 257347 0 0 0 Caleb Miller SVP, Surgical Services & Ambulatory Care 0 427753 0 63119 0 163127 0 96647 0 28252 0 778898 0 80698 Laurie Round VP, Chief Nursing Officer - BroMenn & Eureka 0 282248 0 29189 0 24432 0 5570 0 22171 0 363610 0 0 Lauren Schmid MBA EVP, Chief Human Resources Officer 0 674332 0 113339 0 158040 0 182309 0 27331 0 1155351 0 128983 Amanda Smith VP, BroMenn & Eureka Ambulatory Care 0 225328 0 24276 0 1708 0 4890 0 16864 0 273066 0 0 John Wieland MD Associate Chief Medical Officer, BroMenn & Eureka 0 564563 0 64312 0 24713 0 6600 0 26714 0 686902 0 0 Brandon Ahlers Manager, EH Anesthesiology 347377 0 11389 0 11810 0 6600 0 28487 0 405663 0 0 0 Kellie Dewitt Physician Assistant 152892 0 5351 0 836 0 3010 0 27331 0 189420 0 0 0 Scott Farquhar Registered Nurse - EH ED 222010 0 400 0 539 0 3848 0 30526 0 257323 0 0 0 Samantha Leverton Nurse Practitioner 157752 0 5204 0 789 0 3075 0 12815 0 179635 0 0 0 Jason Roach Physician Assistant 160066 0 5517 0 765 0 3179 0 30643 0 200170 0 0 0 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. 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. CARLE BROMENN MEDICAL CENTER 611 W PARK STREET URBANA IL 61801 850682363 Hospital Services IL 501(c)(3) 3 CHCR true CARLE COMMUNITY HEALTH CORPORATION 611 W PARK STREET URBANA IL 61801 364458371 FNDN Mission IL 501(c)(3) Type I TCDF true CARLE HEALTH - CENTRAL REGION 611 W PARK STREET URBANA IL 61801 990548510 Governance/Oversight IL 501(c)(3) Type III-FI TCF true CARLE HEALTH - EAST REGION 611 W PARK STREET URBANA IL 61801 990582680 Governance/Oversight IL 501(c)(3) Type III-FI TCF true CARLE HEALTH - SOUTH REGION 611 W PARK STREET URBANA IL 61801 990614340 Governance/Oversight IL 501(c)(3) Type III-FI TCF true CARLE HEALTH - WEST REGION 611 W PARK STREET URBANA IL 61801 371111135 Governance/Oversight IL 501(c)(3) Type III-FI TCF true CARLE HEALTH CARE INCORPORATED 611 W PARK STREET URBANA IL 61801 371140016 Various Medical Services IL 501(c)(3) 10 TCF true CARLE RETIREMENT CENTERS INC 611 W PARK STREET URBANA IL 61801 371160033 Retirement Living IL 501(c)(3) 10 TCF true CARLE WEST PHYSICIAN GROUP INC 611 W PARK STREET URBANA IL 61801 850703768 Physician Services IL 501(c)(3) 10 CHCI true CRIS HEALTHY AGING 611 W PARK STREET URBANA IL 61801 370948852 Senior Citizen Services IL 501(c)(3) 7 CHCI true HOOPESTON COMMUNITY MEMORIAL HOSPITAL 611 W PARK STREET URBANA IL 61801 363637465 Hospital Services IL 501(c)(3) 3 CHER true HULT CENTER FOR HEALTHY LIVING INC 611 W PARK STREET URBANA IL 61801 363510390 Wellness Services IL 501(c)(3) 7 PH true HUMAN SERVICE CENTER 611 W PARK STREET URBANA IL 61801 371004882 Behavioral Health Services IL 501(c)(3) 7 TP true METHODIST MEDICAL CENTER FOUNDATION 611 W PARK STREET URBANA IL 61801 510186460 Fundraising IL 501(c)(3) 7 CHWR true METHODIST SERVICES INC 611 W PARK STREET URBANA IL 61801 371111134 Property Holding Co. IL 501(c)(3) 10 CHWR true PARK COURT LIMITED 611 W PARK STREET URBANA IL 61801 371178386 Property Holding Co. IL 501(c)(3) Type II CHWR true PEKIN MEMORIAL HOSPITAL 611 W PARK STREET URBANA IL 61801 370692351 Hospital Services IL 501(c)(3) 3 CHWR true PEKIN MEMORIAL HOSPITAL FOUNDATION 611 W PARK STREET URBANA IL 61801 371200267 Fundraising IL 501(c)(3) 7 CHWR true PRAIRIE VIEW VILLAS NO 1 1900 SPRING ROAD STE 300 OAK BROOK IL 605231480 261755679 Housing Services IL 501(c)(3) 7 TMHC true PROCTOR HEALTH SYSTEMS 611 W PARK STREET URBANA IL 61801 364147437 Physician Services IL 501(c)(3) 3 CHWR true PROCTOR HOSPITAL 611 W PARK STREET URBANA IL 61801 370681540 Hospital Services IL 501(c)(3) 3 CHWR true RICHLAND MEMORIAL HOSPITAL INC 611 W PARK STREET URBANA IL 61801 371363001 Hospital Services IL 501(c)(3) 3 CHSR true TAZWOOD MENTAL HEALTH CENTER INC 611 W PARK STREET URBANA IL 61801 371278969 Behavioral Health Services IL 501(c)(3) 7 TP true THE CARLE DEVELOPMENT FOUNDATION 611 W PARK STREET URBANA IL 61801 371159978 Fundraising IL 501(c)(3) 7 TCF 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 true THE METHODIST MEDICAL CENTER OF ILLINOIS 611 W PARK STREET URBANA IL 61801 370661223 Hospital Services IL 501(c)(3) 3 CHWR 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 true TRILLIUM PLACE 611 W PARK STREET URBANA IL 61801 834051901 Behavioral Health Services IL 501(c)(3) 10 CHWR true 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 BELCREST SERVICES LTD 611 W PARK STREET URBANA IL 61801 371196307 Medical Services IL NA C Corporation true CARLE HEALTH JUNCTION MEDICAL LLC 611 W PARK STREET URBANA IL 61801 814609769 Care Coordination IL NA C Corporation true CARLE HEALTH PHYSICIAN PARTNERS INC 611 W PARK STREET URBANA IL 61801 850718392 Physician Services IL NA C Corporation true CARLE HOLDING COMPANY INC 611 W PARK STREET URBANA IL 61801 371188284 Holding Co. IL NA C Corporation true CARLE RESEARCH PRODUCTS INC 611 W PARK STREET URBANA IL 61801 999999999 Medical Research - INACTIVE IL NA C Corporation true CARLE RISK MANAGEMENT COMPANY 611 W PARK STREET URBANA IL 61801 371217973 Risk Management IL NA C Corporation true CARLE VENTURES INC 611 W PARK STREET URBANA IL 61801 371313150 Health Care Partnerships IL NA C Corporation true CHA HOLDING INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 471854275 Holding Co. IL NA C Corporation true FIRSTCAROLINACARE INSURANCE COMPANY 42 MEMORIAL DR PINEHURST NC 28374 331160597 Insurance IL NA C Corporation true HEALTH ALLIANCE CONNECT INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 464796891 Health Care Coordination IL NA C Corporation true HEALTH ALLIANCE MEDICAL PLANS INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 371260731 Health Coverage IL NA C Corporation true HEALTH ALLIANCE MIDWEST INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 371354502 Health Coverage IL NA C Corporation true HEALTH ALLIANCE NORTHWEST HEALTH PLAN 820 N CHELAN AVE WENATCHEE WA 98801 461966323 Health Coverage WA NA C Corporation true HEALTH ALLIANCE NORTHWEST HOLDING 820 N CHELAN AVE WENATCHEE WA 98801 461717578 Holding Co. WA NA C Corporation true HEALTH PLUS INC 611 W PARK STREET URBANA IL 61801 371295532 Contracting IL NA C Corporation true HEALTH SYSTEMS INSURANCE LIMITED Governors Square 2nd Floor Bldg 3 23 Lime Tree Bay Ave Grand Cayman CJ KY11102 980638449 Insurance CJ NA C Corporation true METHODIST HEALTH VENTURES INC 611 W PARK STREET URBANA IL 61801 371140939 Holding Co. IL NA C Corporation true OPTIMUM HEALTH SOLUTIONS INC 611 W PARK STREET URBANA IL 61801 205430137 Care Coordination - INACTIVE IL NA C Corporation true PEKIN PROHEALTH INC 611 W PARK STREET URBANA IL 61801 371117052 Clinical Operations IL NA C Corporation true PROVIDER RESOURCE MANAGEMENT INC 611 W PARK STREET URBANA IL 61801 371223550 Physician Services IL NA C Corporation true false false true false false false false false false false true false true false false true true true true Carle BroMenn Medical Center M 179686 Book Carle West Physician Group Inc M 410828 Book The Carle Foundation Hospital S 66143 Book HEALTH SYSTEMS INSURANCE LIMITED M 62843 Book THE METHODIST MEDICAL CENTER OF ILLINOIS R 53237 Book