2019-11-15T16:29:23-06:00 2018-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2018-01-01 371119538 THE CARLE FOUNDATION HOSPITAL % DENNIS P HESCH EXEC VP & C CARL 2173836702 611 WEST PARK URBANA IL 61801 DENNIS HESCH Exec VP & CFO 2173833311 2019-11-15 true JENNIFER D RHODERICK P00395735 3176817000 164.57.159.254 35057220193195000023 2019-11-15 P 6DFBA33F1DAEE8CAFFEB9AC40683ECF49AA6169A 42D26865FF540D3EA6F803EEB3CCA5BB79F92251 2018 2020-03-31 21:24:44Z DENNIS HESCH 611 WEST PARK URBANA IL 61801 973707745 false X www.carle.org X 1982 IL SEE SCHEDULE O 6 4 4322 1176 -1587482 0 6414794 6430140 905886876 944164396 168813 94960 3794082 3776413 916264565 954465909 2308003 2353443 0 0 228102984 245392364 0 0 0 439304749 492035036 669715736 739780843 246548829 214685066 444994903 446283408 132946856 152002750 312048047 294280658 X THE CARLE FOUNDATION HOSPITAL'S MISSION IS TO SERVE PEOPLE THROUGH HIGH QUALITY CARE, MEDICAL RESEARCH, AND EDUCATION. HEALTH CARE SERVICES ARE PROVIDED TO INDIVIDUALS IN THE COMMUNITY REGARDLESS OF ABILITY TO PAY. false false 676941722 2353443 949620273 SERVING PEOPLE THROUGH HIGH QUALITY MEDICAL CARE, THE CARLE FOUNDATION HOSPITAL IS AN ILLINOIS NOT-FOR-PROFIT CORPORATION ESTABLISHED FOR THE PURPOSE OF OPERATING THE CARLE FOUNDATION'S 413-LICENSED BED HOSPITAL AND RELATED FACILITIES AND, CONDUCTING PATIENT CARE RELATED ACTIVITIES OF THE FOUNDATION. THE HOSPITAL, A LEVEL ONE TRAUMA CENTER, OFFERS A FULL RANGE OF INPATIENT AND OUTPATIENT DIAGNOSTIC AND THERAPEUTIC SERVICES FOR MEDICAL, SURGICAL, OBSTETRICAL AND GYNECOLOGICAL PATIENTS. THE HOSPITAL PROVIDES VARIOUS ANCILLARY SUPPORT SERVICES TO BOTH INPATIENTS AND OUTPATIENTS SUCH AS AUTOPSY, BLOOD BANK, EMERGENCY SERVICES, RESPIRATORY THERAPY, OPERATING ROOM, OCCUPATIONAL THERAPY, PASTORAL COUNSELING, SOCIAL SERVICES, PHARMACY AND PHYSICAL THERAPY. THE CARLE FOUNDATION HOSPITAL'S MISSION IS TO SERVE PEOPLE THROUGH HIGH QUALITY CARE, MEDICAL RESEARCH AND EDUCATION. WE MAKE SURE THOSE WHO NEED CARE, GET CARE, WHETHER OR NOT THEY CAN PAY. THROUGH OUR COMMUNITY CARE DISCOUNT PROGRAM FOR HOSPITAL SERVICES AND OUR PARTNERSHIPS WITH AREA HEALTH AGENCIES, ACCESS TO DENTAL, VISION AND GENERAL HEALTHCARE HAS BEEN IMPROVED FOR THOSE WHO ARE STRUGGLING FINANCIALLY. AS THE SECOND TENET IN OUR MISSION, RESEARCH GIVES US TOMORROW'S ANSWERS, TODAY. IN COLLABORATION WITH THE UNIVERSITY OF ILLINOIS SCIENTISTS AND THE CARLE PHYSICIAN GROUP PHYSICIANS, WE ARE TURNING THE LATEST MEDICAL KNOWLEDGE INTO PRACTICAL APPLICATIONS FOR THE BEDSIDE. WE ARE NOW CONDUCTING MORE THAN 300 ACTIVE STUDIES RELATING TO CANCER, GASTRO-INTESTINAL DISEASE, CARDIOVASCULAR DISEASE AND MORE. IN ADDITION, THERE WERE 46 PEER-REVIEWED RESEARCH PUBLICATIONS FROM CARLE CLINICIANS. EDUCATIONAL PROGRAMS FOR BOTH OUR PROFESSIONALS AND THE COMMUNITY ENSURE EVERYONE IS BETTER PREPARED. FOR THE COMMUNITY, WE OFFER A MYRIAD OF OPPORTUNITIES LIKE BABYSITTING CERTIFICATION AND NEW DAD COURSES, ALONG WITH FREE CPR AND FIRST AID CLASSES. FOR OUR PROFESSIONALS, WE HAVE CONTINUING EDUCATION COURSES, THREE LEVELS OF MANAGEMENT TRAINING CLASSES AND COURSES FOR PHYSICIAN LEADERS. THE CARLE FOUNDATION HOSPITAL'S CONTINUED SUCCESS IS ROOTED IN OUR ABILITY TO ADAPT TO A CHANGING HEALTHCARE ENVIRONMENT, PLAN DILIGENTLY FOR OUR FUTURE AND MAINTAIN A COMMITMENT TO OUR PATIENTS AND COMMUNITY. NOT-FOR-PROFIT HOSPITALS HAVE A LONG STANDING PRACTICE OF PROVIDING SUPPORT, DONATIONS AND SERVICES TO THEIR COMMUNITIES. THIS STEMS NOT FROM ECONOMIC OPPORTUNITY, BUT RATHER FROM A RESPONSIBILITY TO ADDRESS AND IMPROVE THE HEALTH OF ALL THE PEOPLE THEY SERVE. AT THE CARLE FOUNDATION HOSPITAL, WE ALSO BELIEVE THAT WE HAVE AN OBLIGATION TO GENEROUSLY GIVE BACK TO OUR COMMUNITY IN EXCHANGE FOR OUR TAX EXEMPTION. ALL OF THESE FACTORS LEAD TO THE CARLE FOUNDATION HOSPITAL BEING A CHAMPION OF ACCESS TO HEALTHCARE AND A PILLAR OF COMMUNITY SUPPORT. COMMUNITY BENEFIT PROGRAMS ARE BASED ON ASSESSED NEEDS AND DESIGNED TO IMPROVE THE HEALTH OF THOSE WHO LIVE AND WORK IN OUR AREA, WITH A FOCUS ON SERVING THOSE LESS FORTUNATE. AREAS OF COMMUNITY BENEFIT INCLUDE: HOSPITAL SERVICES THAT OPERATE AT A LOSS, CASH AND IN-KIND DONATIONS, TRANSLATIONAL RESEARCH, COMMUNITY EDUCATION, COMMUNITY-BUILDING ACTIVITIES AND WORKFORCE DEVELOPMENT. THE CARLE FOUNDATION HOSPITAL STRIVES TO ELIMINATE BARRIERS THAT KEEP AREA RESIDENTS FROM RECEIVING THE CARE THEY NEED. THE CARLE FOUNDATION HOSPITAL'S COMMUNITY CARE DISCOUNT PROGRAM IS ONE OF THE MOST GENEROUS FINANCIAL ASSISTANCE DISCOUNT PROGRAMS IN THE COUNTRY. WE WANT TO MAKE SURE THAT THE PEOPLE WHO QUALIFY KNOW ABOUT THEIR OPTIONS. OUR ADVERTISING THROUGHOUT THE REGION IS TARGETED TO REACH PEOPLE WHO QUALIFY SO THEY ARE AWARE FINANCIAL ASSISTANCE IS AVAILABLE. AS A NOT-FOR-PROFIT HOSPITAL, IT IS OUR OBLIGATION TO REACH OUT TO THOSE WHO CANNOT AFFORD HEALTHCARE. 21170138 THE CARLE COMMUNITY CARE DISCOUNT PROGRAM (FINANCIAL ASSISTANCE): AS A TAX-EXEMPT ORGANIZATION, THE CARLE FOUNDATION HOSPITAL PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THAT CARE OR SOURCE OF PAYMENT. WE ALSO RECOGNIZE THAT SOME PATIENTS NEED HELP TO PAY THEIR BILLS. THE CARLE FOUNDATION HOSPITAL'S COMMUNITY CARE DISCOUNT PROGRAM (FINANCIAL ASSISTANCE) PROVIDES DISCOUNTS OR FREE CARE TO THOSE WHO NEED IT. OUR COMMUNITY CARE DISCOUNT PROGRAM IS CONTINUALLY EVALUATED AND MANAGED AS NEEDED TO MEET THE NEEDS OF OUR COMMUNITY. EVALUATION INVOLVES INPUT FROM ADMINISTRATIVE LEADERS, PATIENT ACCOUNTS STAFF, LOCAL CONSUMER ADVOCACY GROUPS, AND PATIENTS. FOR THE TWELVE MONTHS ENDED DECEMBER 31, 2018 (CY18), FINANCIAL ASSISTANCE TOTALED $21,170,138 AND SERVED 25,849 PEOPLE. 21161118 RESEARCH AND EDUCATION INITIATIVES: RESEARCH: THE CARLE FOUNDATION HOSPITAL'S RESEARCH PROGRAM CONTINUES TO EXPAND TO SERVE THE NEEDS OF THE COMMUNITY AND ADVANCE THE TRANSLATION OF NEW DISCOVERIES INTO CLINICAL SOLUTIONS. CARLE WORKS WITH INDUSTRY SPONSORS, FEDERAL AGENCIES, FOUNDATIONS AND START-UPS IN A VARIETY OF CLINICAL AREAS, INCLUDING CANCER, NEUROSCIENCES, DIGESTIVE HEALTH, MATERNAL-CHILD HEALTH, HEART AND VASCULAR, SPORTS MEDICINE, OPHTHALMOLOGY AND HEARING. OUR PATIENTS CONTINUE TO ENGAGE IN MEDICAL RESEARCH AT A SIGNIFICANT LEVEL TO HELP BRING NEW THERAPIES TO THE REGION. CARLE CANCER CENTER CONTINUES TO PARTICIPATE IN SEVERAL HIGH-PRIORITY STUDIES FOR THE NATIONAL CANCER INSTITUTE, INCLUDING DCP-001 WHICH USES A CLINICAL TRIAL SCREENING TOOL TO UNDERSTAND WHY PATIENTS DO NOT PARTICIPATE IN CLINICAL TRIALS AND HELP RESEARCHERS DESIGN FUTURE STUDIES. ANOTHER, THE TMIST CLINICAL TRIAL, COMPARES THE LONG-TERM RISKS AND BENEFITS OF 2D VERSUS 3D MAMMOGRAPHY. CARLE IS ONE OF THE TOP PARTICIPATING SITES FOR THIS STUDY WITH THE SECOND-HIGHEST NUMBER OF PATIENT VOLUNTEERS IN THE COUNTRY. CARLE CANCER CENTER ALSO PARTNERED WITH DEACONESS CLINIC TO EXPAND ACCESS TO NOVEL CLINICAL TRIALS AND THERAPIES IN AN UNDERSERVED RURAL AREA OF SOUTHEASTERN ILLINOIS AND INDIANA. CARLE HAS BEEN WORKING WITH THE UNIVERSITY OF ILLINOIS (U OF I) ON A JOINT PROJECT TO DEVELOP EARLY DIAGNOSTIC DEVICES FOR SEPSIS. THE WORK INVOLVES ANALYSIS OF A PATIENT'S CLINICAL DATA, ALONG WITH A NOVEL BIOMARKER PANEL, IN AN INNOVATIVE POINT-OF-CARE ANALYSIS DEVICE. RESEARCH FINDINGS WERE PUBLISHED IN TWO NATURE COMMUNICATIONS PUBLICATIONS IN FALL 2017 AND DEMONSTRATED A SIGNIFICANT IMPROVEMENT IN IDENTIFICATION OF SERIOUS SEPSIS. STUDIES VALIDATING THESE FINDINGS IN PATIENTS ARE UNDERWAY. CARLE CONTINUES TO PROMOTE STRONG INVESTIGATOR INITIATED CLINICAL RESEARCH. IN 2018, CARLE EXPANDED THE CARLE CLINICAL RESEARCH PROGRAM, A RESEARCH AWARD PROGRAM DESIGNED TO STIMULATE INNOVATIONS IN CLINICAL CARE. THE FOLLOWING PROJECTS WERE AWARDED IN 2018: 1. HEART AND VASCULAR INSTITUTE: "EX VIVO ANALYSIS AND CHARACTERIZATION OF ARTERIAL AND VENOUS THROMBUS COMPOSITION" 2. CARLE AUDITORY-ORAL SCHOOL: "TELE-INTERVENTION BASED ACADEMIC SUPPORT FOR KIDS WITH HEARING LOSS (TASK-HL)" 3. OPHTHALMOLOGY: "POINT OF CARE DIAGNOSTICS FOR RETINAL DISORDERS AND THERAPY MONITORING" BY YEAR'S END, THERE WERE MORE THAN 300 ACTIVE STUDIES AND 55 PEER-REVIEWED RESEARCH PUBLICATIONS FROM CARLE CLINICIANS. EDUCATION: THROUGH A VARIETY OF ACTIVITIES INCLUDING SIGNIFICANT DONATIONS, SCHOLARSHIP PROGRAMS, AND PHYSICIAN, NURSE AND ALLIED-HEALTH EDUCATION, MORE THAN $16 MILLION WAS INVESTED IN PROGRAMS THAT ADDRESS COMMUNITY-WIDE WORKFORCE AND EDUCATION ISSUES, STRENGTHENING THE TRAINING AND AVAILABILITY OF PROFESSIONALS TO CARE FOR OUR COMMUNITIES' HEALTHCARE NEEDS NOW AND IN THE FUTURE. IN 2018, THE MOST SIGNIFICANT CONTRIBUTIONS WENT TOWARDS: - GRADUATE MEDICAL EDUCATION MAINTAINS FIVE MEDICAL RESIDENCY PROGRAMS - FAMILY MEDICINE, GENERAL SURGERY, INTERNAL MEDICINE, ORAL AND MAXILLOFACIAL SURGERY, AND PSYCHIATRY. EFFECTIVE JULY 1, 2018, THE CARLE FOUNDATION HOSPITAL TOOK INSTITUTIONAL SPONSORSHIP OF THE TWO PROGRAMS FORMALLY WITH THE UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE; INTERNAL MEDICINE AND PSYCHIATRY. DURING ACADEMIC YEAR 2018-2019, THERE WERE 82 RESIDENTS UNDER THE CARLE UMBRELLA. - CONTINUING MEDICAL EDUCATION STRIVES TO PROVIDE QUALITY AND WORLD-CLASS, EVIDENCE-BASED MEDICAL EDUCATION TO HEALTHCARE PROFESSIONALS BOTH LOCALLY AND REGIONALLY. AS AN INTERPROFESSIONAL CE PROVIDER, CARLE IS AN APPROVED PROVIDER OF CONTINUING EDUCATION CREDIT FOR 16 DIFFERENT DISCIPLINES. IN 2018, MORE THAN 20 MULTI-DISCIPLINARY SEMINARS, OPEN TO LOCAL, REGIONAL AND NATIONAL HEALTHCARE PROFESSIONALS, WERE PROVIDED IN ADDITION TO CONTINUING EDUCATION OPPORTUNITIES IN MULTIPLE DISCIPLINES THROUGHOUT THE CARLE FOUNDATION HOSPITAL. INCLUDED IN OVERALL CARLE HEALTH SYSTEM FIGURES AND NOT SPECIFIC TO THE HOSPITAL, CARLE CONTINUED SUPPORT OF THE CARLE ILLINOIS COLLEGE OF MEDICINE, THE WORLD'S FIRST ENGINEERING-BASED COLLEGE OF MEDICINE. IN 2018, CARLE WELCOMED 32 CARLE ILLINOIS COLLEGE OF MEDICINE STUDENTS, WHO WILL CONTINUE TO THRIVE IN A RICH CLINICAL RESEARCH ENVIRONMENT THAT SUPPORTS STUDENT INNOVATIONS TO IMPROVE PATIENT CARE. LOOKING FORWARD, CARLE'S FOCUS FOR THE COLLEGE IS ON FACULTY AND PHYSICIAN RECRUITMENT TO MAXIMIZE OPPORTUNITIES FOR NEW RESEARCH IN OUR KEY PILLAR AREAS. OVERALL, CARLE PLEDGED TO DONATE $100 MILLION TO THE COLLEGE OVER 10 YEARS, A $10 MILLION GIFT FROM THE CARLE FOUNDATION EVERY YEAR. 719272978 true true false true false false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false true false true false false false false true true true false false true 155 0 true 4322 true true true false false false false false false false false false false false X 6 4 true false false false true true true true true false false true true true true true true false false false IL X X DENNIS P HESCH EXEC VP C 2173833311 611 W PARK ST URBANA IL 61801 X KARL APPELQUIST CHAIR OF BOARD 0.2 4.4 X X 0 0 0 PAUL TUCKER VICE CHAIR OF BOARD 0.5 3.0 X X 0 0 0 ANDY ARWARI MD SECRETARY & PHYSICIAN 20.0 20.0 X X 0 570104 48279 GUY HALL Immediate Past Chair 1.5 4.75 X 0 0 0 JON STEWART TRUSTEE 0.2 1.2 X 0 30000 0 URETZ OLIPHANT MD TRUSTEE & PHYSICIAN 0.5 39.5 X 0 616929 19906 BRENDA TIMMONS CHAIR OF BOARD-2017/2018 0.2 0.4 X X 0 0 0 KENNETH ARONSON MD SECRETARY OF BOARD-2017/2018 39.6 0.4 X X 0 439615 34370 JAMES C LEONARD MD EX-OFFICIO, PRESIDENT & CEO 5.0 35.0 X 0 2266607 505656 JOHN SNYDER EXEC VP & COO 5.0 35.0 X 0 1550531 353891 DENNIS HESCH EXEC VP & CFO 12.0 28.0 X 0 1179965 275128 MATTHEW GIBB MD EXEC VP & CMO 18.4 21.6 X 0 1054241 217755 LYNETTE BARNES COO-CFH, SVP-FACILITIES 30.0 10.0 X 0 539679 107775 LAURENCE FALLON EXEC VP-LEGAL AFFAIRS & HR 5.0 35.0 X 0 895620 210398 BLAIR ROWITZ MD MED DIR- SURGICAL SERVICES 38.0 2.0 X 0 751788 43193 MALEC MOKRAOUI MD MED DIR- HVI THRU 10/1/18 20.0 20.0 X 0 741330 34693 PAMELA BIGLER SVP-NURSING & CNO 15.0 25.0 X 0 475516 103852 DAWN WALDEN VP-REVENUE CYCLE OPS 15.0 25.0 X 0 370638 92711 MATTHEW KOLB SVP-Spec Care &Regional Health 20.0 20.0 X 0 368000 99344 LAUREN SCHMID Exec VP, Chief HR Officer 10.0 30.0 X 0 361216 83607 SALLY SALMONS MD VP-ASSOC CMO HOSP MED 20.0 20.0 X 0 359991 73055 CALEB MILLER SVP-Surgical & Diag Svcs 7.0 33.0 X 0 322369 86332 ISSAM MOUSSA MD MED DIR-HVI 20.0 20.0 X 0 162339 4403 LINDA FRED INPT PHARM DIRECTOR 30.0 10.0 X 218729 0 40950 JOEL LOVE PHYSICIST 40.0 0.0 X 205741 0 42173 ALLEN RINEHART DIR-ED & INPT SVCS 40.0 0.0 X 183266 0 32008 KHANDAKER ISLAM PHYSICIST 40.0 0.0 X 182779 0 37477 MATTHEW PIKE PHARMACIST-INPT RX 40.0 0.0 X 181346 0 38035 R BRUCE WELLMAN MD EX-OFFICIO, CEO OF CPG-FORMER 8.0 12.0 X 0 253938 22300 STEPHANIE BEEVER KEY EMPLOYEE - FORMER 6.0 34.0 X 0 721100 177724 JULIANNA SELLETT Key Employee-Former 40.0 0.0 X 0 292908 85053 JOSEPH BARKMEIER MD KEY EMPLOYEE - FORMER 0.0 1.0 X 0 154256 0 971861 14478680 2870068 171 true true false SHC SERVICES INC PO BOX 677896 DALLAS TX 752677896 Staffing 8923124 GE MEDICAL SYS INFORMATION TECH IN 5517 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 EQUIP MAINTENANCE 4668637 MAYO COLLABORATIVE SERVICES INC PO BOX 9146 MINNEAPOLIS MN 55480 LAB SERVICES 3187161 AVANT HEALTHCARE PROFESSIONALS LLC PO BOX 744554 ATLANTA GA 303744554 Staffing 2733914 OLYMPUS AMERICA INC PO BOX 120600 DALLAS TX 753120600 IT AND MAINTENANCE 1701389 91 4390302 2039838 0 814999 6430140 NET PATIENT CARE 621110 941286550 941286550 NET PATIENT CARE - ASC 621110 2877846 2877846 944164396 5323 5323 0 0 8901492 3903951 0 4997541 4997541 4997541 755580 665943 89637 89637 91982 -2345 0 0 0 0 0 0 7726116 14671942 -6945826 -6945826 INTERNAL MANAGEMENT FEES 900099 4350499 4350499 CLINICAL TRIALS/REF LAB REIMBURSEMENTS 611430 658413 403922 254491 CAOS TUITION 900099 214826 214826 500960 486630 14330 5724698 954465909 949620273 -1587482 2978 2353443 2353443 0 0 0 0 0 0 0 0 0 0 48449 48449 0 0 192408863 189561293 2847570 0 10487893 10322842 165051 0 28441894 28029394 412500 0 14005265 13791613 213652 0 0 0 0 0 36255 36255 0 0 0 0 0 0 3112 0 3112 0 0 0 0 0 0 26279596 25586363 693233 47169 45294 1875 0 18914090 17074324 1839766 0 18018323 17333592 684731 0 0 0 0 0 37503934 34686786 2817148 0 983161 956002 27159 0 0 0 0 0 589061 534337 54724 0 9946 1381 8565 0 0 0 0 0 18198089 17221114 976975 0 5247432 4963331 284101 0 PATIENT CARE SUPPLIES 170279585 168395275 1884310 INTERNAL MANAGEMENT FEES 146904290 142093223 4811067 OTHER PURCHASED SERVICES 25617842 24352467 1265375 TAXES 20875789 20299826 575963 2527362 1586374 940988 739780843 719272978 20507865 0 22766 16777 0 0 0 0 97312185 99623494 0 0 0 0 0 0 7721763 8753311 7709536 8233156 200292488 123182913 72098812 77109575 0 0 0 0 0 0 0 0 260129841 252547095 444994903 446283408 72520063 74457985 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60426793 77544765 132946856 152002750 X 312048047 294280658 0 0 0 0 312048047 294280658 444994903 446283408 X 214685066 0 0 0 0 -232452455 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 3112 3112 false SCHED C, PART II-B, LINE 1(I) DESCRIPTION OF OTHER LOBBYING ACTIVITIES $2,193 - PORTION OF ILLINOIS HOMECARE & HOSPICE COUNCIL (IHHC) DUES ATTRIBUTED TO LOBBYING. $919 - PORTION OF DUES PAID TO MISCELLANEOUS HEALTH CARE ORGANIZATIONS ATTRIBUTED TO LOBBYING. 0 0 231716 112631 119085 1428639 1079960 348679 194645408 120709061 73936347 3986725 1281261 2705464 77109575 INTERCOMPANY RECEIVABLES 241320617 OTHER RECEIVABLES 11226478 252547095 0 ESTIMATED 3RD PARTY PAYOR SETT 71885543 ESTIMATED LIABILITY FOR SELF I 2389720 OTHER LIABILITIES 3269502 77544765 X FIN 48(ASC740) Footnote THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENTS RECOGNITION OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED OR RECORDED AS A LIABILITY AS OF DECEMBER 31, 2018 AND 2017. true true X true X 400. true X true true true false true true 21170138 21170138 0.02860 123935512 114500739 9434773 0.01280 145105650 114500739 30604911 0.04140 3445783 371528 3074255 0.00420 16593460 85982 16507478 0.02230 13645647 39616 13606031 0.01840 4653640 4653640 0.00630 1744167 5930 1738237 0.00230 40082697 503056 39579641 0.05350 185188347 115003795 70184552 0.09490 44219 44219 53115 53115 48669 48669 28315 28315 174318 174318 true 5811998 2905999 169695491 172784287 -3088796 X true true 1 1 THE CARLE FOUNDATION HOSPITAL 611 W PARK ST URBANA IL 61801 carle.org 0003798 X X X X X THE CARLE FOUNDATION HOSPITAL 1 false false true X X X X X X X X X 17 true true true true X carle.org/chna X See Part V X true 18 true carle.org/chna false true X 200. 400. X true true X X X X true X see part v, section c X see part v, section c X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V SUPPLEMENTAL INFORMATION COMMUNITY HEALTH NEEDS ASSESSMENT COMMUNITY INPUT (PART V, SECTION B, LINE 5) Using the Mobilizing for Action through Planning and Partnership (MAPP) model, a community-based model that necessitates community engagement at all levels, Carle and the Regional Executive Committee, consisting of Champaign-Urbana Public Health District (CUPHD), OSF Heart of Mary Medical Center (formerly Presence Covenant Medical Center) and United Way of Champaign County, assessed the current health status of the community, identified needs and created a comprehensive community health improvement plan to improve our community's health by acquiring input from community partners, planners, elected officials and residents. Carle once again paid $20,000 for a portion of the salary for the Regional Community Health Plan Coordinator, a position housed at CUPHD. This person is responsible for coordinating implementation efforts across the community for the Community Health Needs Assessment. The MAPP process is composed of four assessments: 1) the Community Health Status Assessment, evaluating basic demographics and health-related statistics of Champaign County residents; 2) Community Themes and Strengths Assessment, surveying 748 community residents through focus groups and community meetings; 3) Local Public Health System Assessment, including 84 community leaders from more than 50 community agencies; and 4) Forces of Change Assessment, identifying factors that may have impacted the community's health. After performing these assessments, community leaders met to review the results of the survey and community health data, set a vision and identify priorities and goals for the upcoming years. The following three health areas were selected as the top priorities: 1. Obesity 2. Behavioral Health 3. Violence Each of the community partners involved in the assessment plays a role in representing the medically underserved, low-income or minority populations in Champaign County. Those community partners are: Champaign County; Champaign County Board; Champaign County Head Start; Champaign County Health Care Consumers; Champaign County Mental Health Board; Champaign County Sheriff's Office; Champaign Park District; Champaign Police Department; Champaign-Urbana Public Health District; Christie Clinic; City of Champaign Neighborhood Services; City of Urbana; University of Illinois College of Medicine; Community Gardens at Lierman; Champaign County Board of Health; Court Appointed Special Advocates for Children; CRIS Healthy Aging; Crisis Nursery; C-U at Home; C-U Mass Transit District; Cunningham Children's Home; Dental Society; Developmental Services Center; Faith in Action; Family Resiliency Center; Family Service Center; Greater Community AIDS Project; Habitat for Humanity; Health Alliance; Healthy Champaign County; Land of Lincoln; McKinley Health Center; Midwest Center for Investigative Reporting; National Alliance on Mental Illness; OSF Heart of Mary Medical Center (formerly Presence Covenant Medical Center); Parkland College; Prairie Center; Promise Healthcare; Prosperity Garden; Regional Planning Commission; Rosecrance; United Way of Champaign County; University of Illinois; University of Illinois Extension Office; University of Illinois Police; University of Illinois Schools of Earth, Society, and Environment; Urbana Adult Education; Urbana City Council; Urbana Neighborhood Connections Center; Urbana Park District; Urbana School District 116; and Wells Fargo. COMMUNITY ASSESSMENT RAN MARCH THROUGH SEPTEMBER 2017. THE FIRST COMMUNITY HEALTH MEETING IN JULY HAD 84 IN ATTENDANCE, AND THE SECOND MEETING IN SEPTEMBER, WHEN PRIORITIES WERE ESTABLISHED, HAD 64 IN ATTENDANCE. THE PLAN WAS ADOPTED AND APPROVED BY THE CARLE FOUNDATION BOARD OF TRUSTEES ON DECEMBER 8, 2017. THE 2017-2019 COMMUNITY BENEFIT IMPLEMENTATION PLAN WAS ADOPTED AND APPROVED BY THE BOARD OF TRUSTEES ON MARCH 9, 2018. OTHER HOSPITAL FACILITIES (PART V, SECTION B, LINE 6A) OSF HEART OF MARY MEDICAL CENTER (FORMERLY PRESENCE COVENANT MEDICAL CENTER) OTHER ORGANIZATIONS (PART V, SECTION B, LINE 6B) CHAMPAIGN-URBANA PUBLIC HEALTH DISTRICT AND UNITED WAY OF CHAMPAIGN COUNTY OTHER WEBSITE (PART V, SECTION B, LINE 7B) HTTP://WWW.C-UPHD.ORG/DOCUMENTS/ADMIN/COMMUNITY-HEALTH-IMPROVEMENT-PLAN-CO MMUNITY-FRIENDLY-PIECE-2018-2020.PDF SIGNIFICANT HEALTH NEEDS (PART V, SECTION B, LINE 11) PRIORITY #1: OBESITY / Nutrition, environment, and physical activity The Carle Foundation Hospital will pursue these initiatives to reduce obesity levels: 1. Encourage providers to give out nutrition Rx and physical activity Rx 2. Expand the current PlayRx program to include qualifying children from Carle 3. Use Carle BMI patient data to track childhood BMI data in Champaign County 4. Donations to community and school-based programs that encourage physical activity and nutritional education Evaluation of Prior Impact: Obesity has been a priority health issue in the current and previous Community Health Needs Assessments. Carle continues to support activities aimed at improving the health of the community and addressing obesity. Urbana Kickapoo Rail Trail Expansion: Working in partnership with Urbana Park District and Champaign County Regional Planning Commission, Carle provided $25,081.81 as 20% of a grant match to the Kickapoo Rail Trail Extension Planning Study in 2018. The Kickapoo Rail Trail is a multi-recreational trail covering old railroad tracks from Urbana to nearby St. Joseph, with plans to eventually head 24 miles east to Danville. The primary purpose of these discussions around extension is to provide a safe, convenient and functional off-street transportation facility connecting Kickapoo Rail Trail users to east Urbana neighborhoods and employers. Girls on the Run: Supported Girls on the Run (GOTR) East Central Illinois and GOTR of Champaign County, an international program with a mission to help young women become physically stronger and build their self-esteem. - GOTR East Central Illinois served 205 girls 71% who were new to the program. Their seven-county territory includes 15 host sites, 1,730 5K attendees, 59 volunteer coaches, nearly 1,000 community members spectating. They provided more than $4,200 in financial assistance to members. - GOTR of Champaign County increased to 12 GOTR sites throughout Champaign and Ford counties, serving 226 girls. Their fall 5K was the largest one to date with 510 registered runners, including girls, coaches and volunteers. Provided funding of community events that promote physical activity, including various walks and races; amounting to more than $15,000 in financial support, not counting the Urbana Kickapoo Rail Trail Grant Match. PRIORITY #2: BEHAVIORAL HEALTH / Access, prevention, substance abuse, and resources The Carle Foundation Hospital will pursue these initiatives to increase access to behavioral health services: 1. Explore viability of increasing primary care physicians' comfort level in prescribing psychotropic prescriptions 2. Recruit behavioral health providers to add capacity within the community 3. Support community behavioral/mental health services through donations 4. Support educational and training programs of local providers 5. Carle Primary Care has implemented many opioid management best practices since 2015; however, there are opportunities to formalize and optimize the program in order to improve overall provider compliance with best practices and to expand the program to other practice specialties across Carle. In 2018, Carle formalized and enhanced the current opioid management program in order to: a) Allow for automated actionable reporting that indicates overall program performance and individual provider compliance with best practice; b) Develop a program expansion roadmap; c) Expand the program beyond primary care. Evaluation of Prior Impact: Behavioral Health has been a priority health issue in the current and previous Community Health Needs Assessments. Carle continues to support activities aimed at improving access to behavioral health care services. Seeds of Wellness: The Seeds of Wellness project was initiated in August 2018 to address increasing suicide by farmers, with a focus on the rural and veteran populations. In collaboration with staff from executive leadership, human resources, behavioral health and communications, the primary function of the project is to educate the communities we serve about behavioral health awareness, including ways to identify and assist those showing symptoms of behavioral health issues; and to address the stigma around seeking behavioral health services. Moving forward in 2019, plans include implementing a Mental Health First Aid (MHFA) program at Carle and training Carle, Health Alliance and rural partners in administering MHFA training in the region. Psychiatry Residency: Psychiatric residents treat patients under supervision from attending psychiatrists and medical school faculty at three partnering hospitals Carle, OSF (formerly Presence) and VA in Danville. Training includes the areas of inpatient and outpatient psychiatry, addictions, geriatrics, child, forensics, emergency and administrative psychiatry. This training program will graduate psychiatrists who will be more likely to settle and practice in the area, which has historically been difficult to recruit to. We added four additional residents in 2018, and plan to initiate a full-time psychiatry residency clinic July 1, 2019, with the expectation of four new residents joining the program each year. Preventing Drug Overdose with Narcan: Carle partners with the Champaign County Sheriffs Office to equip officers with Narcan, or naloxone, a drug that stops respiratory failure caused by opioids. In a rural region, its critical to get Narcan in the hands of both law enforcement and EMS to save lives and stop an overdose as it is happening. In 2018, there were seventeen heroin overdoses in Champaign County under the jurisdiction of the Champaign Co. Sheriffs Office; two of which were fatal. Thirteen lives were saved after emergency responders administered Narcan: four times by Champaign County Sheriffs Office, six times by Emergency Medical Services, and three times by citizens. Carle continues to support the program by providing the medication to local law enforcement, providing training opportunities via Carle Regional EMS, and providing in-kind support and program development. Other Impact: - Provided funding to community agencies and events that promote awareness of Behavioral Health education, including opioid awareness events; amounting to $2,750 in Behavioral Health funding - Increased Behavioral Health providers with two net new providers in 2018. Anticipate addition of more than seven providers in 2019. PRIORITY #3: VIOLENCE / Gun violence, domestic violence, child abuse and neglect The majority of the goals in the CHNA involve law enforcement and correctional system entities; therefore, Carle will not provide direct interventions in these areas. However, there are a number of projects and initiatives Carle supports that are intended to reduce the rate of violence and support victims of violence. The Carle Foundation Hospital will pursue these initiatives to reduce the levels of violence: 1. Sexual Assault Nurse Examiners (SANE) / Interpersonal Violence Program 2. Child Abuse Safety Team (CAST) 3. Risk Watch 4. Playing It Safe safety fair for kids and families 5. Donation support to community agencies Evaluation of Prior Impact: Violence has been a priority health issue in the current and previous Community Health Needs Assessments. Carle continues to support activities aimed at reducing levels of violence in the community. SANE/Interpersonal Violence Program: This program focuses on reducing interpersonal violence through community education and the development and training of a staff of Sexual Assault Nurse Examiners (SANE) and others who treat sexual assault and abuse survivors. In 2018, Carle had nine nurses total working with sexual assault patients two internationally board-certified, five state-certified and two in clinical training who assisted with 124 total cases, including 47 pediatric sexual assault patients. Carle is known as a resource and leader throughout the local community and the state in treating victims of assault. Notable 2018 accomplishments include: - Provided clinical and classroom education to rape advocates, University of Illinois and Parkland College nursing students, and Parkland College paramedic students (100 hours) - Taught radKIDS curriculum to two classes of elementary-aged children (100 hours) - Organized and hosted a two-day seminar on sexual assault in March 2018, with time spent preparing to host a one-day seminar on child abuse and domestic violence in March 2019 (100 hours) - Participated in: Illinois Hospital Association / Attorney Generals project to increase SANEs throughout Illinois (100 hours); Community multidisciplinary team to follow up on pediatric abuse cases (36 hours); University of Illinois Rape Awareness and Prevention Committee (24 hours); General committee and sub-committee member with the Illinois Coalition Against Sexual Assault (ICASA) to revise and impact new legislation in sexual assault law (12 hours). Child Abuse Safety Team (CAST): The Child Abuse Safety Team (CAST) is a program ded 3 CARLE THERAPY SERVICES 610 W ANTHONY DR URBANA IL 61801 PHYSICAL AND OCCUPATIONAL THERAPY CARLE SURGICENTER - DANVILLE 2300 NORTH VERMILLION ST DANVILLE IL 61832 OUTPATIENT SURGERY CARLE SURGICENTER- CHAMPAIGN 1702 SOUTH MATTIS AVE CHAMPAIGN IL 61822 OUTPATIENT SURGERY SCHEDULE H, PART I LINE 7 EXPLANATION OF COSTING METHODOLOGY 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 OCCURED. 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 CARLE FOUNDATION 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 CARLE FOUNDATION HOSPITAL FURTHER DEVELOPED A GENERAL ESTIMATE OF FINANCIAL ASSISTANCE WHICH CONTINUED TO RESIDE WITHIN BAD DEBTS. SCHEDULE H, PART II Although community building items are not counted as community benefit, this support is an important aspect of contributing to the economic viability of the community. Total, Carle Foundation Hospital contributed more than $170,000 in community building activities in 2018. ECONOMIC DEVELOPMENT Cash and In-kind: A large portion of Carles community-building activities focused on economic development, including cash, in-kind donations and budgeted expenditures for the city, business associations and other programs in Champaign County. In addition to the more than $44,000 in cash donations, leadership provided in-kind support by serving on boards for Champaign County Chamber of Commerce, Champaign County Economic Development Corporation, Visit Champaign County and more. Though not included in this report since our leadership is paid by a separate cost center outside of The Carle Foundation Hospital, in-kind support outside of the cash donations totaled more than $80,000. COMMUNITY SUPPORT Disaster Readiness/Emergency Management (Grant Funds): Emergency Management continued to be a priority of The Carle Foundation Hospital, and initiatives in this area include training the facility and the community, leadership in planning community-wide responses to various scenarios, and state-level leadership for the 21-county Regional Hospital Coordinating Center region (Region 6). Our focus is to prepare our hospital and surrounding regional hospitals to be ready to respond to any natural disaster, pandemic or act of terrorism. In 2018, Carle provided Stop the Bleed training and kits containing what bystanders would need, including gauze and tourniquets, to help save lives in the critical moments after a mass shooting or other incident where people often die from unstaunched bleeding. The Stop the Bleed initiative started in 2016 by the American College of Surgeons Committee on Trauma, and Carles trauma team brought the initiative to Carle. Last year the Region 6 Trauma Committee trained 981 responders, distributed an additional 44 Stop the Bleed kits, and managed grant funds of more than $27,000 for this initiative. The training will continue until all Region 6 public schools have been trained with subsequent kit distribution. The Carle Foundation Hospital remains the only Ebola Treatment Center in Illinois outside of the Chicago area. In a world with increased travel and changing weather patterns, diseases once isolated in remote regions, now can expand rapidly. The movement of these diseases can lead to global outbreaks. Carle has made the commitment to be prepared to care for and treat highly infectious disease (HID) patients as the need arises. The HID unit includes a two-person isolation suite designed to be able to manage a full spectrum of highly infectious diseases ranging from hemorrhagic fevers to respiratory diseases to measles away from the general hospital population. Previously, Carle directly received a federal grant from the U.S. Department of Health and Human Services Assistant Secretary for Preparedness and Response (ASPR) to put towards regional projects for emergency management within the community. For the past four years, those extra funds have been considered "regional coalition funds,are overseen by the Emergency Management Director for use in the region. Those include, but arent limited to, community benefit programming in the region: $27,699 for aforementioned bleeding control kits; $11,976 to provide a First Receiver Decontamination course to four regional hospitals; and $10,335 for evacuation devices for 15 regional hospitals. Total in-kind support by the Emergency Management Director and Specialist was more than $55,000 worth of support for these above-and-beyond emergency management duties. WORKFORCE DEVELOPMENT Job Shadowing: A large amount of community building efforts more than $48,000 were from health care mentoring programs and job shadowing. Carles job shadowing program, run by the Volunteer Services department, helps address community-wide workforce concerns by allowing students and colleagues a chance to further their health care careers. A total of 388 people shadowed various staff at both The Carle Foundation Hospital and Carle Physician Group in 2018. The hospital alone accounted for 1,268 hours as community benefit, which is a conservative calculation of 20-50% of the total number of hours spent with a supervisor. Though still a significant benefit, this estimate is low since the reporting structure changed for this process in 2018. Carle Job Readiness and Learning Program (JRLP): In its second year, the Carle Job Readiness and Learning Program provides employment and workforce training to under- and unemployed individuals in the community. Individuals selected for the program are hired from day one and embark on an eight-week paid training program designed to equip them with the necessary skills to maintain successful employment and build self-sustainability. The program is funded by an $11,986 grant from the Carle Center for Philanthropy and is not included in The Carle Foundation Hospital figures. Organizers expect the impact to be far-reaching, creating opportunities for advancing innovative workforce training and development in our community. Ultimately, the program will create opportunities for these individuals to break out of the cycle of poverty. SCHEDULE H, PART III, SECTION A, LINE 3 THE CARLE FOUNDATION HOSPITAL USES 50% AS A GENERAL ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. SCHEDULE H, PART III, SECTION A, LINE 4 THE FOOTNOTE PERTAINING TO BAD DEBT EXPENSE CAN BE FOUND ON PAGE 27 OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENTS. PART III, SECTION B, LINE 8 THE NUMERATOR (TOTAL EXPENSE) AND DENOMINATOR (TOTAL GROSS CHARGES) OF THE SIMPLE RATIO OF PATIENT CARE COST TO CHARGES IS ADJUSTED BY ELIMINATING NON-PATIENT CARE THAT GENERATES OTHER REVENUE, BAD DEBT EXPENSE, MEDICAID AND OTHER PROVIDER TAXES AND THE TOTAL COST OF COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS. ALSO, ANY GROSS PATIENT CHARGES FOR PROGRAMS NOT RELYING ON THE RATIO ARE ELIMINATED FROM BOTH THE NUMERATOR AND DENOMINATOR OF THE RATIO. THESE ADJUSTMENTS ARE INTENDED TO ELIMINATE ANY POTENTIAL FOR DOUBLE COUNTING OF COMMUNITY BENEFIT EXPENSES. THE RESULTANT RATIO ALIGNS WITH SCHEDULE H REQUIREMENTS. AS AN ILLINOIS-BASED HOSPITAL, THE CARLE FOUNDATION HOSPITAL IS REQUIRED BY THE COMMUNITY BENEFIT ACT OF 2003 TO REPORT TO THE OFFICE OF THE ATTORNEY GENERAL COMMUNITY BENEFITS PROVIDED. FOR THAT REPORT, ILLINOIS LAW DEFINES GOVERNMENT-SPONSORED INDIGENT HEALTH CARE AS THE UNREIMBURSED COST OF MEDICARE, MEDICAID AND OTHER FEDERAL, STATE OR LOCAL INDIGENT CARE PROGRAMS. TO REDUCE PUBLIC CONFUSION CAUSED BY VARIATIONS IN OUR REPORTS, FOR CONSISTENCY, WE HAVE PREVIOUSLY INCLUDED A MEDICARE SHORTFALL IN ALL OF OUR COMMUNITY BENEFIT RELATED REPORTS. WHEN THERE IS A SHORTFALL, WE DO BELIEVE THIS IS A COMMUNITY BENEFIT BECAUSE, AS A HOSPITAL, THE CARLE FOUNDATION HOSPITAL IS AUGMENTING THESE GOVERNMENT FUNDING SHORTFALLS, ASSURING CARE TO SENIORS, WHERE 10.8% ARE 65 YEARS OF AGE AND OLDER IN CHAMPAIGN COUNTY ALONE. ACCORDING TO FAMILY SERVICE OF CHAMPAIGN COUNTY, THOSE 85 AND OLDER, THE FASTEST GROWING DEMOGRAPHIC IN THE COUNTY, HAVE EXPERIENCED INCREASING COSTS OVER THE PAST DECADE WHILE LIVING ON FIXED INCOMES DETERMINED 20 YEARS AGO. SCHEDULE H, PART III, LINE 9B Carle has a robust presumptive eligibility process. We presume eligibility for verified homeless, deceased with no estate, mental incapacitation, recipients of WIC (Women, Infants and Children Nutrition Program), SNAP (Supplemental Nutrition Assistance Program), LIHEAP (Low Income Home Energy Assistance Program), Illinois Free Lunch and Breakfast Program, receipt of grant assistance for medical service, Frances Nelson Health Center (Promise Healthcare FQHC) discount referrals, Medicaid Title XIX, XXI, and In-Network Medicaid Managed Care plans. In addition, we utilize a vendor, Experian Information Solutions, Inc., to proactively identify patients who may be presumptively-qualified for assistance not only for public programs like Medicaid, but also based on a number of key financial indicators, including credit history, demographics and gross income. Identified patients may be presumed eligible and automatically enrolled in the program, or they may be contacted and encouraged to apply for assistance. Patients who are not deemed presumptively-eligible would need to request and complete an application. If the patient does not request or complete and return the application, then the balance is deemed their responsibility to pay. For patients that do not qualify for The Carle Financial Assistance Program (CFAP), and who may be uninsured or underinsured, Carle has other discount options available, such as Prompt Pay, Illinois Uninsured Discount, and Capped Discount where a patients 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 will not file collection suit liens on a primary residence, nor do we authorize an agency to use so-called "body attachments." The agencies are aware of our Carle Financial Assistance Program and are trained to inform patients of our program and to send applications, when applicable. They have been instructed to inform a Carle staff member if they deem the patient is unable to pay. Carle staff will then make one more attempt to work with the patient to see if help is needed. If Carle determines that the patient might qualify, we will attempt to enroll them through our Presumptive Eligibility tools or, if additional information is needed, we will send the patient a CFAP application. We will then instruct the agency to put a hold on the account; the average hold is 60 days. If the patient is then approved for discounts at 100% for financial assistance, the balance is adjusted and the account is closed with the agency. If the patient is approved for less than 100%, the adjustments are reported to the agency and the agency will begin collection efforts on any remaining balance. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT Carle primarily assesses healthcare needs in our community by being a part of the aforementioned CHNA in partnership with Champaign Urbana Public Health District, OSF HealthCare (formerly Presence Health) and United Way of Champaign County. However, Carle is acutely aware of the need for Access to Care, 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 communitys resources. While Access to Care was not selected as a priority for the 2017-2019 CHNA, it will continue to be a priority for Carle. As a tax-exempt organization, The Carle Foundation Hospital provides care to patients regardless of their ability to pay. Carles 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 the Carle Board of Trustees review and evaluate charity care figures annually. We do not limit the amount of financial assistance we provide, at this time. Representatives from Public Relations, Patient Financial Services, Registration, Case Management and Insurance Contracting departments continued to meet with the local Community Coalition of the Champaign County Health Care Consumers four times in 2018 including representation from the Land of Lincoln Legal Assistance Foundation. We value this regular opportunity for community dialogue, which was initiated more than a decade ago. We also continued meeting on a regular basis with representatives of the local free clinics and FQHC to discuss operational issues. This dialogue is an effective channel for learning more about their patients experience in obtaining free and discounted care. Other ways to help improve Access to Care: In addition to charity care, Carle supports a wide range of programs and services to increase community capacity, health care work force expansion, and social services that provide complementary healthcare-related services. The Carle Foundation Hospital has, and will continue to, pursue these initiatives to improve access to care: 1. Offer a charity care program 2. Communicate the availability of the charity care program 3. Recruit more providers into the Carle system, thereby expanding access/capacity 4. Support local community clinics to ensure added local capacity for health care 5. Support Promise Health Care to ensure capacity for dental care and primary care 6. Support United Way and other area agencies to improve availability of health services 7. Donate to existing community health and dental programs 8. Participate in population health initiatives that actively manage the health of members 9. Support of ECHO/CAOS hearing programs to expand access to these services 10. Support Parkland students in health care fields; GME programs to grow number of future physicians 11. Promote prescription affordability as a 340B provider 12. Enhance access-related initiatives that will improve patient access and ability to interface more efficiently for needed services Patient Contact Center, Prescription Refill request process, e-visits, virtual visits and more 13. Continue access to care through subsidized services, including the Community Parish Nurse Program, Breastfeeding Clinic and Language Assistance Services SCHEDULE H, PART VI, LINE 3 Our practice is to look at each patients financial status in relation to our 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, we have been able to pinpoint those needing assistance early in the process, minimizing bad debt and optimizing our ability to help. Staff is also diligent in following up with patients during hospitalization and after discharge if theres 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 The Carle Foundation Hospital has made a concerted, continuous effort to be sure that people have access to information that will help them with their medical bills. These include: - Advertising The Carle Financial Assistance Program using print, billboards and web; continued presence in appropriate community publications; and on-site via displays throughout the hospital and clinics - Simplified application form, including a version in Spanish, that contains information regarding the Carle Financial Assistance Program - Publication of a Plain Language Summary and all other financial assistance-related information on Carle.org/FinancialAssistance - Information about the Carle Financial Assistance Program on all statements, collection letters and Hospital admission packets - Carle Financial Assistance Program information and applications at all registration points, Hospital main lobby and carle.org - Staff at Frances Nelson Health Center operated by Promise Healthcare, the local FQHC, and community free clinics equipped with a supply of applications and knowledge to assist their patients in completing them - Meetings with local legislators to help them assist constituents with healthcare needs, including financial assistance SCHEDULE H, PART VI, LINE 4 Carles service area is generally defined as east central Illinois, including all or parts of 41 counties throughout Illinois and western Indiana. Our primary, five-region service area includes 26 Illinois counties and comprises nearly 65% of the Carle service areas population of about 1.4 million residents. For the Community Benefit Implementation plan, research and remedies are directed towards community health issues identified in our primary service area, with the focus on Champaign County. This represents our headquarters and other counties where Carle has a thriving presence. Pockets of extreme poverty exist throughout this region. The programs within our community benefit plan generally have impact upon all the targeted communities, with certain programs directed at specific populations. A greater proportion of resources will be allocated in Champaign County, followed by Coles and Vermilion counties, where our community benefit program has long been established. The Carle Foundation Hospital serves as the regions only Level I Trauma Center and Level III Neonatal Intensive Care Unit. As provider of the regions perinatal services, Carle provides care to patients who live throughout the geographic area extending from Kankakee in the north to the southern-most tip of Illinois, and spanning from as far west as Decatur and east into western Indiana. For the purposes of the Carle Financial Assistance Program, coverage encompasses this entire, 41-county region. SCHEDULE H, PART VI, LINE 5 The Carle Foundation Hospital has an open medical staff and is governed by a community board. Surplus funds are reinvested into the organization for technology replacement and advancement, building renovation or construction, clinical service expansion and quality improvement. Surplus funds are also invested into our communities to meet identified health needs which contribute to the overall well-being of the residents of the communities we serve. SCHEDULE H, PART VI, LINE 6 The Hospital and its associated business units under The Carle Foundation umbrella all participate in carrying out the same annual community benefit plan, participating in programs that fit their specific missions. SCHEDULE H, PART VI, LINE 7 ILLINOIS true CHAMPAIGN COUNTY CHAMBER OF COMMERCE 303 W KIRBY AVE CHAMPAIGN IL 61820 371269310 501(c)(6) 12925 ANNUAL CONTRIBUTION CHAMPAIGN COUNTY CHRISTIAN HEALTH PO BOX 1400 CHAMPAIGN IL 61824 562421584 501(c)(3) 20000 OPERATIONS & FACILITIES CHAMPAIGN COUNTY CONVENTION BUREAU 108 S NEIL ST CHAMPAIGN IL 61820 371167754 501(c)(3) 10000 PROGRAM SUPPORT & FACILITIES CHAMPAIGN COUNTY HEALTH CARE CONSUMERS 44 E MAIN ST CHAMPAIGN IL 61820 371073411 501(c)(3) 111330 PROGRAM SUPPORT CHAMPAIGN COUNTY REGIONAL PLANNING COMMISSION 1776 E WASHINGTON ST URBANA IL 61802 376006910 Gov't 25019 PROGRAM SUPPORT PROGRAM SUPPORT DON MOYER BOYS & GIRLS CLUB 201 EAST PARK ST URBANA IL 61801 370906638 501(c)(3) 7500 PROGRAM SUPPORT EASTERN ILLINOIS FOOD BANK 2405 NORTH SHORE DR URBANA IL 61801 371130252 501(c)(3) 7500 PROGRAM SUPPORT SUPPORT EASTERN ILLINOIS UNIVERSITY FOUNDATION 860 LINCOLN AVE CHARLESTON IL 61820 376031320 501(c)(3) 20500 PROGRAM SUPPORT LAND OF LINCOLN LEGAL ASSISTANCE FNDN 302 SOUTH FIRST ST CHAMPAIGN IL 61820 370958448 501(c)(3) 80000 VOLUNTEER STIPEND SUPPORT PARKLAND COLLEGE FOUNDATION 2400 WEST BRADLEY CHAMPAIGN IL 61821 370892090 501(c)(3) 260000 Scholarships & Sponsorships PROMISE HEALTHCARE NFP PO BOX 154 CHAMPAIGN IL 61824 141880824 501(c)(3) 299166 PROGRAM SUPPORT UNITED WAY OF CHAMPAIGN COUNTY 404 W CHURCH ST CHAMPAIGN IL 61820 370662519 501(c)(3) 121998 CAMPAIGN ACCESS TO CARE UNIVERSITY OF ILLINOIS 505 S MATHEWS AVE URBANA IL 61801 376000511 501(c)(3) 998113 SCHOLARSHIPS & SPONSORSHIPS UNIVERSITY OF ILLINOIS FOUNDATION 1305 WEST GREEN ST URBANA IL 61801 376006007 501(c)(3) 5500 PROGRAM SUPPORT VERMILLION ADVANTAGE 28 W NORTH ST DANVILLE IL 61832 370238000 501(C)(6) 8250 13 2 FORM 990, SCHEDULE I DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS ANY CHARITABLE ORGANIZATION WISHING TO REQUEST FUNDS IS ASKED TO SUBMIT THEIR REQUEST IN WRITING. EMAILED REQUESTS ARE ACCEPTABLE. THE REQUEST MUST INCLUDE A DESCRIPTION OF THE PURPOSE OF THE CONTRIBUTION AND OTHER RELEVANT INFORMATION SUCH AS REQUESTORS NAME, AMOUNT OF THE REQUEST, ETC. THE REQUESTS ARE REVIEWED, EVALUATED, AND ADMINISTERED BY THE PUBLIC RELATIONS DIRECTOR, SEEKING ADDITIONAL INFORMATION FROM THE REQUESTOR, AS NEEDED, AND INPUT FROM ANY APPROPRIATE CARLE ADMINISTRATOR OR DIRECTOR. A SET OF ESTABLISHED GUIDELINES DRIVE THESE DECISIONS WHILE MOST ARE MADE TO IMPROVE HEALTHCARE/ACCESS TO HEALTHCARE OR ARE IN LINE WITH OUR ROLE AS A CORPORATE CITIZEN. ASSESSED NEED IS A COMMON CRITERIA. IN THE CASE OF MOST DONATIONS OF $5,000 OR MORE, SUCH AS TO COLLEGES AND UNIVERSITIES OR COMMUNITY CLINICS, WRITTEN AGREEMENTS ARE IN PLACE AND WE HAVE REGULAR CONTACT WITH THOSE ORGANIZATIONS, OFTENTIMES THROUGH A CARLE CONTACT PERSON TO ASSURE THAT THE DONATIONS ARE BEING USED AS AGREED UPON. THE RECORDS ARE EITHER MAINTAINED IN ADMINISTRATION OR PUBLIC RELATIONS. false true false false false false false true false ANDY ARWARI MD SECRETARY & PHYSICIAN 0 533433 0 22464 0 14207 0 22182 0 26097 0 618383 0 0 URETZ OLIPHANT MD TRUSTEE & PHYSICIAN 0 580551 0 2925 0 33453 0 16682 0 3224 0 636835 0 0 KENNETH ARONSON MD SECRETARY OF BOARD-2017/2018 0 390275 0 22714 0 26626 0 22182 0 12188 0 473985 0 0 JAMES C LEONARD MD EX-OFFICIO, PRESIDENT & CEO 0 1310577 0 405971 0 550059 0 497971 0 7685 0 2772263 0 517369 JOHN SNYDER EXEC VP & COO 0 961660 0 243554 0 345317 0 338446 0 15445 0 1904422 0 306629 DENNIS HESCH EXEC VP & CFO 0 724742 0 162373 0 292850 0 251926 0 23202 0 1455093 0 267641 MATTHEW GIBB MD EXEC VP & CMO 0 655696 0 136374 0 262171 0 212053 0 5702 0 1271996 0 247999 LYNETTE BARNES COO-CFH, SVP-FACILITIES 0 339948 0 63519 0 136212 0 107775 0 0 0 647454 0 102319 LAURENCE FALLON EXEC VP-LEGAL AFFAIRS & HR 0 551363 0 123444 0 220813 0 188201 0 22197 0 1106018 0 192600 BLAIR ROWITZ MD MED DIR- SURGICAL SERVICES 0 689767 0 39940 0 22081 0 22182 0 21011 0 794981 0 0 MALEC MOKRAOUI MD MED DIR- HVI THRU 10/1/18 0 665797 0 41590 0 33943 0 22182 0 12511 0 776023 0 0 PAMELA BIGLER SVP-NURSING & CNO 0 306784 0 58227 0 110505 0 96918 0 6934 0 579368 0 78460 DAWN WALDEN VP-REVENUE CYCLE OPS 0 268559 0 35890 0 66189 0 73457 0 19254 0 463349 0 54355 MATTHEW KOLB SVP-Spec Care &Regional Health 0 264795 0 39768 0 63437 0 74333 0 25011 0 467344 0 36188 LAUREN SCHMID Exec VP, Chief HR Officer 0 238913 0 29727 0 92576 0 60976 0 22631 0 444823 0 42626 SALLY SALMONS MD VP-ASSOC CMO HOSP MED 0 321581 0 34333 0 4077 0 56044 0 17011 0 433046 0 0 CALEB MILLER SVP-Surgical & Diag Svcs 0 234523 0 35347 0 52499 0 65690 0 20642 0 408701 0 28447 ISSAM MOUSSA MD MED DIR-HVI 0 116522 0 40000 0 5817 0 0 0 4403 0 166742 0 0 LINDA FRED INPT PHARM DIRECTOR 197183 0 19490 0 2056 0 17621 0 23329 0 259679 0 0 0 JOEL LOVE PHYSICIST 203674 0 450 0 1617 0 16514 0 25659 0 247914 0 0 0 ALLEN RINEHART DIR-ED & INPT SVCS 166866 0 13864 0 2536 0 14198 0 17810 0 215274 0 0 0 KHANDAKER ISLAM PHYSICIST 181434 0 450 0 895 0 14239 0 23238 0 220256 0 0 0 MATTHEW PIKE PHARMACIST-INPT RX 180749 0 470 0 127 0 14191 0 23844 0 219381 0 0 0 STEPHANIE BEEVER KEY EMPLOYEE - FORMER 0 485665 0 98889 0 136546 0 156248 0 21476 0 898824 0 112145 JULIANNA SELLETT Key Employee-Former 0 197785 0 29389 0 65734 0 58294 0 26759 0 377961 0 39164 JOSEPH BARKMEIER MD KEY EMPLOYEE - FORMER 0 0 0 0 0 154256 0 0 0 0 0 154256 0 154256 R BRUCE WELLMAN MD EX-OFFICIO, CEO OF CPG-FORMER 0 241156 0 0 0 12782 0 14982 0 7318 0 276238 0 0 SCHEDULE J, PART I, QUESTION 3 THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, PARENT ORGANZATION OF THE CARLE FOUNDATION HOSPITAL, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: *THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. *THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. *THE COMMITTEE APPROVES ALL 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, SCHEDULE J, PART I, QUESTION 4B THE 2018 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF THE CARLE FOUNDATION HOSPITAL, THAT ARE LISTED IN THE 990 PART VII INCLUDE LYNETTE BARNES, STEPHANIE BEEVER, PAMELA BIGLER, LAURENCE FALLON, MATTHEW GIBB, MD, DENNIS HESCH, MATTHEW KOLB, JAMES LEONARD, MD, CALEB MILLER, SALLY SALMONS, MD, LAUREN SCHMID, JULIANNA SELLETT, JOHN SNYDER, AND DAWN WALDEN. THE 2018 PAYMENTS FROM THE 457(F) PLAN WERE MADE TO JOSEPH BARKMEIER, MD ($154,256), LYNETTE BARNES ($102,319), STEPHANIE BEEVER ($112,145), PAMELA BIGLER ($78,460), LAURENCE FALLON ($192,600), MATTHEW GIBB, MD ($247,999), DENNIS HESCH ($267,641), MATTHEW KOLB ($36,188), JAMES LEONARD, MD ($517,369), CALEB MILLER ($28,447), LAUREN SCHMID ($42,626), JULIANNA SELLETT ($39,164), JOHN SNYDER ($306,629), AND DAWN WALDEN ($54,355). FORM 990, SCHEDULE J, PART I, QUESTION 7 PART OF THE OVERALL EMPLOYEE'S COMPENSATION PROGRAM INCLUDES AN INCENTIVE COMPONENT THAT COVERS MOST EMPLOYEES AND IS DESIGNED TO ENCOURAGE AND PROMOTE THE ACHIEVEMENT OF CERTAIN QUALITY, OPERATIONAL, AND EFFICIENCY IMPROVEMENTS. ALTHOUGH THIS INCENTIVE COMPONENT IS BASED ON THE ORGANIZATION MEETING CERTAIN MINIMUM FINANCIAL THRESHOLDS, ALL PAYMENTS MUST BE APPROVED BY THE BOARD OF DIRECTORS PRIOR TO ANY INCENTIVE PAYOUT. Jeanette Gibb Family member of Officer 48449 Employment false FORM 990, SCHEDULE L, PART IV, COLUMN D JEANETTE GIBB WAS AN EMPLOYEE OF THE CARLE FOUNDATION HOSPITAL AND HAS A FAMILY RELATIONSHIP WITH MATTHEW GIBB, MD WHO SERVES AS AN OFFICER FOR THE HOSPITAL. X SEE ATTACHMENT 1 814999 FMV false true false SCHEDULE M, PART I, LINE 25 DESCRIPTION OF OTHER PROPERTY GUEST HOUSE RENOVATINS, MOBILE HEALTH CLINIC FUNDING, HEALTHY BEGINNINGS FUNDING, BLOOD PRESSURE MONITORS AND CUFFS AND SCALES FOR HEART FAILURE PATIENTS, BOOKS FOR PRESCRIPTION TO READ PROGRAMS, OPEN HEART DISCHARGE BAGS, PHOTO SCREENING SYSTEMS, PEDIADTRIC SURGICAL AND DIABETES BACKPACKS, SPEAKER EXPENSES/FOOD/MARKETING FOR COMMUNITY DIABETES EDUCATION EVENT, AND HOSPICE PATIENT COMFORT SUPPORT. THE CARLE DEVELOPMENT FOUNDATION IS THE SOURCE OF ALL THESE CONTRIBUTIONS AND HAS A POLICY THAT MANDATES REVIEW OF ANY NON-STANDARD CONTRIBUTION. FORM 990, SUPPLEMENTAL INFORMATION FORM 990, PART I, LINE I THE CARLE FOUNDATION HOSPITAL'S MISSION IS TO SERVE PEOPLE THROUGH HIGH QUALITY CARE, MEDICAL RESEARCH, AND EDUCATION. HEALTH CARE SERVICES ARE PROVIDED TO INDIVIDUALS IN THE COMMUNITY REGARDLESS OF ABILITY TO PAY. FORM 990, PART VI, QUESTION 2 JAMES C. LEONARD, MD (EX-OFFICIO), MATTHEW GIBB, MD (OFFICER), JOHN SNYDER (OFFICER), ANDY ARWARI, MD (SECRETARY/TREASURER), PAM BIGLER (KEY EMPLOYEE) AND LAWRENCE FALLON (KEY EMPLOYEE) HAD A BUSINESS RELATIONSHIP. GUY HALL (IMMEDIATE PAST CHAIR), KENNETH ARONSON, MD (TRUSTEE), BRENDA TIMMONS (CHAIR OF THE BOARD 2017/2018), KARL APPELQUIST (CHAIR OF THE BOARD 2018/2019), URETZ OLIPHANT, MD (TRUSTEE), PAUL TUCKER (VICE CHAIR OF THE BOARD), ANDY ARWARI, MD (SECRETARY), AND JON STEWART (TRUSTEE) HAD A BUSINESS RELATIONSHIP. JAMES C. LEONARD, MD (EX-OFFICIO), JOHN SNYDER (OFFICER), AND DENNIS HESCH (OFFICER) HAD A BUSINESS RELATIONSHIP. FORM 990, PART VI, QUESTION 6 & 7A THE CARLE FOUNDATION HOSPITAL'S SOLE MEMBER, THE CARLE FOUNDATION, ACTING THROUGH ITS BOARD OF TRUSTEES, HAS THE EXCLUSIVE POWER TO ELECT AND REMOVE MEMBERS OF THE BOARD OF TRUSTEES FOR THE CORPORATION IN ADDITION TO FILLING VACANCIES. FORM 990, PART VI, QUESTION 7B THE CARLE FOUNDATION HOSPITAL'S BOARD OF TRUSTEES MUST HAVE THE APPROVAL OF ITS SOLE MEMBER, THE CARLE FOUNDATION, THROUGH ITS BOARD OF TRUSTEES, WHEN VOTING ON MATTERS INCLUDING THE AMENDING OF THE BY-LAWS; AMENDMENTS TO THE ARTICLES OF THE CORPORATION; TO APPROVE EXPENDITURES IN EXCESS OF THE CEOS AUTHORITY; TO ORGANIZE OR ACQUIRE, OR TO AUTHORIZE OR APPROVE THE ORGANIZATION'S ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; TO PLEDGE ALL OR ANY PART OF THE CORPORATION'S ASSETS AS SECURITY FOR A DEBT; AND THE AUTHORIZATION TO ENTER INTO ANY CONTRACT OR ENGAGE IN ANY TRANSACTION OR ACTIVITY WHICH REQUIRES APPLICATION TO THE ILLINOIS HEALTH FACILITIES PLANNING BOARD FOR A PERMIT OR CERTIFICATE OF NEED. FORM 990, PART VI, QUESTION 11B THE FORM 990 WAS PREPARED BY STAFF AND AN EXTERNAL TAX ADVISOR AND REVIEWED BY MANAGEMENT. PRIOR TO FILING THIS FORM 990, A FULL AND COMPLETE COPY WAS PROVIDED TO THE GOVERNING BODY BY POSTING TO THE ORGANIZATION'S DIRECTOR COMMUNICATION PORTAL. ALSO BEFORE FILING, EACH TRUSTEE RECEIVED NOTIFICATION THAT THE FORM 990 WAS POSTED AND AVAILABLE FOR REVIEW AT HIS/HER DISCRETION, EACH TRUSTEE HAS THE OPPORTUNITY TO CONTACT MANAGEMENT OR DISCUSS AND ADDRESS CONCERNS AT SUBSEQUENT BOARD MEETINGS. FORM 990, PART VI, QUESTION 12C THE ORGANIZATION'S ESTABLISHED CONFLICT OF INTEREST POLICIES REQUIRE ANNUAL DISCLOSURE OF ACTUAL AND POTENTIAL CONFLICTS OF INTEREST FOR OFFICERS, DIRECTORS, TRUSTEES, MEMBERS OF BOARD COMMITTEES, ADMINISTRATIVE AND MANAGERIAL EMPLOYEES AS WELL AS ALL EMPLOYEES OF THE PURCHASING DEPARTMENT. IF CIRCUMSTANCES CHANGE DURING THE COURSE OF A YEAR, INTERIM DISCLOSURE IS ALSO REQUIRED OF THE SAME INDIVIDUALS. THE DISCLOSURES OF EMPLOYEES ARE REVIEWED INITIALLY BY THE HUMAN RESOURCES DEPARTMENT AND ANY IDENTIFIED CONFLICTS ARE REFERRED TO, AND ADDRESSED BY, THE ORGANIZATION'S INTERNAL LEGAL COUNSEL AND/OR CORPORATE INTEGRITY OFFICER. THE DISCLOSURES OF TRUSTEES AND MEMBERS OF BOARD COMMITTEES ARE REVIEWED BY THE CHAIR OF THE BOARD. THE ENTIRE BOARD, ABSENT THE SUBJECT TRUSTEE OR COMMITTEE MEMBER, DETERMINES WHETHER A CONFLICT EXISTS. TRUSTEES AND/OR BOARD COMMITTEE MEMBERS WITH IDENTIFIED CONFLICTS ARE REQUIRED TO RECUSE THEMSELVES FROM VOTING ON MATTERS THAT MAY PRESENT A CONFLICT. THE ORGANIZATION ALSO MAINTAINS PURCHASING POLICIES REQUIRING COUNTER SIGNATURES TO FURTHER MINIMIZE THE RISK ASSOCIATED WITH ACTUAL AND/OR POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, QUESTIONS 15A & 15B THE CARLE FOUNDATION HOSPITAL DOES NOT COMPENSATE ITS OFFICERS AND KEY EMPLOYEES. EMPLOYEE COMPENSATION FOR THESE INDIVIDUALS IS PAID BY THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, PARENT ORGANZATION OF THE CARLE FOUNDATION HOSPITAL, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: *THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. *THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. *THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. *THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY-SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE. FORM 990, PART VI, QUESTIONS 18 & 19 THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF THE CARLE FOUNDATION 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. A COMMUNITY BENEFIT REPORT IS ALSO PUBLISHED AND DISTRIBUTED ANNUALLY TO THE COMMUNITY. QUARTERLY FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST DELIVERED TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE ALSO AVAILABLE UPON REQUEST TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES. FORM 990, PART VII, SECTION A, COLUMN B THE AVERAGE ESTIMATED HOURS PER WEEK LISTED FOR THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS ARE BASED ON A STANDARD 40 HOUR WEEK. MEMBERS MAY FREQUENTLY DEVOTE MORE THAN 40 HOURS OF SERVICE TO THE ENTIRE ORGANIZATION DURING AN AVERAGE WEEK. FORM 990, PART XI, LINE 9 THE CARLE FOUNDATION HOSPITAL SETTLED VARIOUS INTERCOMPANY RECEIVABLE/PAYABLE BALANCES THROUGH EQUAL OFFSETTING EQUITY TRANSFERS. THE INTERCOMPANY RECEIVABLE/PAYABLE BALANCE RESULTED FROM THE NORMAL COURSE OF OPERATIONS AND WERE PRIMARILY ATTRIBUTABLE TO CENTRALIZED CASH MANAGEMENT AND DISBURSEMENT ACTIVITIES. THESE INTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS HELPED PROVIDE SUPPLEMENTAL FUNDING FOR CERTAIN RELATED ORGANIZATIONS TO FURTHER THEIR EXEMPT PURPOSES. NET OTHER CHANGES IN NET ASSETS OR FUND BALANCES - (232,452,455) FORM 990, PART XII, LINES 2A, B, C AND PART IV, LINES 12, 12A THE FINANCIAL STATEMENTS FOR THE CARLE FOUNDATION HOSPITAL WERE AUDITED 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. 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