2013-11-15T16:19:53-06:00 2012-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2012-01-01 371119538 The Carle Foundation Hospital % DENNIS HESCH EXEC VP & CFO CARL 2173833311 611 WEST PARK Suite URBANA IL 61801 DENNIS P HESCH 2013-11-15 3176817000 2012 2016-02-25 16:41:14Z Dennis Hesch Exec VP CFO 611 W Park St Urbana IL 61801 469361887 false X www.carle.org X 1982 IL THE CARLE FOUNDATION HOSPITAL'S MISSION IS TO SERVE PEOPLE THROUGH HIGH QUALITY CARE, MED RESEARCH & EDUCATION. HEALTH CARE SERVICES ARE PROVIDED TO INDIVIDUALS IN THE COMMUNITY REGARDLESS OF ABILITY TO PAY. 7 3 2448 1325 433802 -130884 7314083 6200249 415262724 449752134 6498279 -129473 5505704 6088572 434580790 461911482 3822286 2193256 0 0 124148856 132818601 0 0 0 198600549 220483361 326571691 355495218 108009099 106416264 238294492 273484830 71315039 84775794 166979453 188709036 X SECTION 1. GENERAL PURPOSES. THE CORPORATION IS ORGANIZED AND SHALL BE EXCLUSIVELY OPERATED AS A NOT-FOR-PROFIT CORPORATION FOR CHARITABLE, BENEVOLENT, SCIENTIFIC AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501C(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISIONS OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW (THE "CODE"). THE MAIN MISSION STATEMENT IS: WE SERVE PEOPLE THROUGH HIGH QUALITY CARE, MEDICAL RESEARCH AND EDUCATION. AND, IN FURTHERANCE OF SUCH CHARITABLE PURPOSES, THE CORPORATION SHALL ENGAGE IN THE ACTIVITIES DESCRIBED IN SECTION 2 OF THIS STATEMENT. SECTION 2. SPECIFIC PURPOSES. THE CORPORATION'S PURPOSES SHALL INCLUDE, BUT NOT BE LIMITED TO, THE FOLLOWING: (a)TO PROVIDE AND TO ASSIST IN PROVIDING FACILITIES FOR THE RENDERING OF COMPREHENSIVE HEALTH CARE SERVICES ON AN INPATIENT OR OTHER BASIS THROUGH THE OPERATION OF ONE OR MORE HOSPITALS, BY PROVIDING SERVICES TO PROVIDERS OF HEALTH CARE SERVICES AND THROUGH ALL OTHER APPROPR false false 308520234 808250 455550005 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 339-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 112 ACTIVE STUDIES RELATING TO CANCER, GASTRO-INTESTINAL DISEASE, CARDIOVASCULAR DISEASE AND MORE. EDUCATIONAL PROGRAMS FOR BOTH OUR PROFESSIONALS AND THE COMMUNITY ENSURE EVERYONE IS BETTER PREPARED. FOR THE COMMUNITY, WE OFFER A MYRIAD OF OPPORTUNITIES LIKE BABYSITTING CERTIFICATION AND NEW DAD COURSES, ALONG WITH FREE CPR AND FIRST AID CLASSES. FOR OUR PROFESSIONALS, WE HAVE CONTINUING EDUCATION COURSES, THREE LEVELS OF MANAGEMENT TRAINING CLASSES AND COURSES FOR PHYSICIAN LEADERS. THE CARLE FOUNDATION HOSPITAL'S CONTINUED SUCCESS IS ROOTED IN OUR ABILITY TO ADAPT TO A CHANGING HEALTHCARE ENVIRONMENT, PLAN DILIGENTLY FOR OUR FUTURE AND MAINTAIN A COMMITMENT TO OUR PATIENTS AND COMMUNITY. NOT-FOR-PROFIT HOSPITALS HAVE A LONG STANDING PRACTICE OF PROVIDING SUPPORT, DONATIONS AND SERVICES TO THEIR COMMUNITIES. THIS STEMS NOT FROM ECONOMIC OPPORTUNITY, BUT RATHER FROM A RESPONSIBILITY TO ADDRESS AND IMPROVE THE HEALTH OF ALL THE PEOPLE THEY SERVE. AT THE CARLE FOUNDATION HOSPITAL, WE ALSO BELIEVE THAT WE HAVE AN OBLIGATION TO GENEROUSLY GIVE BACK TO OUR COMMUNITY IN EXCHANGE FOR OUR TAX EXEMPTION. ALL OF THESE FACTORS LEAD TO THE CARLE FOUNDATION HOSPITAL BEING A CHAMPION OF ACCESS TO HEALTHCARE AND A PILLAR OF COMMUNITY SUPPORT. FOR THE TWELVE MONTHS ENDED DECEMBER 31, 2012 (CY12), THE CARLE FOUNDATION HOSPITAL'S TOTAL COMMUNITY BENEFIT WAS $59,222,405. 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 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 CHARITY CARE 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. 19336085 0 0 THE CARLE COMMUNITY CARE DISCOUNT PROGRAM (CHARITY CARE) AS A TAX-EXEMPT ORGANIZATION, CARLE PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THAT CARE OR SOURCE OF PAYMENT. WE ALSO RECOGNIZE THAT SOME PATIENTS NEED HELP TO PAY THEIR BILLS. THE CARLE FOUNDATION HOSPITAL'S COMMUNITY CARE DISCOUNT PROGRAM (CHARITY CARE) PROVIDES DISCOUNTS OR FREE CARE TO THOSE WHO NEED IT. THE MOST RECENT REVISION OF SEPTEMBER 1, 2011, IS FOCUSED PRIMARILY ON PROVIDING GREATER CLARITY AROUND COVERED SERVICES, BASED ON OUR EXPERIENCES AND FEEDBACK FOLLOWING THE INCLUSION OF OUTPATIENT SERVICES. AN ADDITIONAL POLICY REFLECTS OUR COMPLIANCE WITH THE ILLINOIS HOSPITAL UNINSURED PATIENT DISCOUNT ACT, ESTABLISHED IN 2009, IT WAS LAST REVISED IN JANUARY 2012. 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, 2012 (CFY12), CHARITY CARE TOTALED $19,336,085 AND SERVED 9,068 PEOPLE. 9220048 1385006 0 RESEARCH AND EDUCATION INITIATIVES THE CARLE FOUNDATION HOSPITAL IS ACTIVELY INVOLVED IN RESEARCH AND EDUCATION INITIATIVES. THE OVERALL PURPOSE OF THE RESEARCH PROGRAM IS HELPING TO DISCOVER NEW DIAGNOSTIC AND TREATMENT TECHNOLOGIES AND METHODS THAT WILL IMPROVE THE DELIVERY AND/OR QUALITY OF HEALTHCARE. THE RESEARCH PROGRAM IS PREDOMINANTLY DONE IN CONJUNCTION WITH AREA PHYSICIANS AND SCIENTISTS, THE UNIVERSITY OF ILLINOIS AND ENTREPRENEURIAL COMPANIES. THE CARLE FOUNDATION HOSPITAL'S EFFORTS IN RESEARCH AND EDUCATION HAVE STEADILY GROWN IN RECENT YEARS WITH STRATEGIC EMPHASIS NOW PLACED ON TRANSLATIONAL RESEARCH WITH THE UNIVERSITY OF ILLINOIS. EMPHASIS HAS BEEN ON CONTINUING TO CREATE AN INFRASTRUCTURE FOR A ROBUST RESEARCH PROGRAM. PROGRAM SUCCESSES IN 2012 INCLUDED- -USING DISCARDED PLACENTAL TISSUES OBTAINED FROM CARLE TISSUE PROCUREMENT SERVICES TO LOOK AT STRATEGIES FOR REPAIRING SEVERE TENDON INJURIES, WHICH HAS SHOWN SIGNIFICANT POTENTIAL IN REGENERATIVE MEDICINE BECAUSE OF ITS UNIQUE COMPOSITION. -USING AN IMAGING DEVICE TO DETECT BIOFILMS IN PATIENTS WITH EAR INFECTIONS, WORKING TOWARDS IDENTIFYING THE TYPE OF BACTERIA WHICH WILL HELP DOCTORS BETTER TREAT THE INFECTIONS. -OFFERING PROTECTED RESEARCH TIME FOR SOME SPECIALTY PHYSICIANS TO ATTRACT THEM TO THIS RURAL MIDWEST AREA. AS A PART OF THIS PROTECTED RESEARCH, ONE OF OUR ONCOLOGY SURGEONS CONTINUES TO MAKE GREAT STRIDES WITH HIS RESEARCH ON TRIPLE NEGATIVE BREAST CANCER AND AN INNOVATIVE CLINICAL DETECTION TEST. THIS ALSO INCLUDES HIRING A POST-DOCTORAL STUDENT AND SUBMITTING GRANT PROPOSALS, INCLUDING A CONTINUATION OF A PREVIOUSLY AWARDED PHASE I SBIR GRANT. AS OF DECEMBER 2012, THE CARLE RESEARCH INSTITUTE HAD 112 ACTIVE, WITH ANOTHER 26 PENDING RESEARCH STUDIES UNDERWAY. OF THE TOTAL OF 112 STUDIES, THE BREAKDOWN OF STUDIES INTO VARIOUS AREAS WAS 18 TRANSLATIONAL, 33 INVESTIGATOR-INITIATED, 19 NURSING, 19 CLINICAL TRIALS, AND 23 RESIDENCY PROGRAM AND STUDENT RESEARCH STUDIES. CARLE PHYSICIANS AND UNIVERSITY OF ILLINOIS SCIENTISTS FREQUENTLY COLLABORATE ON RESEARCH PROJECTS WITHIN THE CARLE RESEARCH INSTITUTE. BESIDES PATIENT AND COMMUNITY EDUCATION, SIGNIFICANT RESOURCES ARE EXPENDED ON THE EDUCATION AND TRAINING OF MEDICAL STUDENTS, PHYSICIAN RESIDENTS, NURSES, ALLIED HEALTH PROFESSIONALS AND THE GENERAL HEALTHCARE WORKFORCE. THROUGH A VARIETY OF ACTIVITIES INCLUDING SIGNIFICANT DONATIONS, SCHOLARSHIP PROGRAMS, AND PHYSICIAN, NURSE, AND ALLIED HEALTH EDUCATION, MORE THAN $9 MILLION WAS INVESTED IN PROGRAMS THAT ADDRESS COMMUNITY-WIDE WORKFORCE ISSUES, STRENGTHENING THE TRAINING AND AVAILABILITY OF PROFESSIONALS TO CARE FOR OUR COMMUNITIES' HEALTHCARE NEEDS NOW AND IN THE NEAR AND DISTANT FUTURE. -GRADUATE MEDICAL EDUCATION PROGRAMS. MAINTAINING A GERIATRIC FELLOWSHIP AND THREE MEDICAL RESIDENCY PROGRAMS, AND SERVING AS A CLINICAL SITE FOR A FOURTH. THERE ARE 30 RESIDENTS PRACTICING ON CARLE'S CAMPUS AT ANY POINT IN TIME. -CONTINUING MEDICAL EDUCATION PROGRAMS FOR REGIONAL PROVIDERS WHO ARE NOT MEMBERS OF THE CARLE FOUNDATION HOSPITAL MEDICAL STAFF. THIS INCLUDES CARLE FOUNDATION DAY, WHICH IS AN EVENT FOR PROVIDERS HELD AT THE FORUM. THERE ARE MULTIPLE PRESENTATIONS, SPEAKERS AND DISPLAYS WHICH COUNT TOWARD REQUIRED CONTINUING MEDICAL EDUCATION CREDIT FOR PHYSICIANS IN THE REGION WHO ATTEND. -SUPPORT OF THE UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE AT URBANA-CHAMPAIGN, WITH MONIES EARMARKED FOR THE MD/PHD PROGRAM. 337076367 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 false false false false false false false true true true false false true 205 0 true 2448 true true true false false false false false false false false false X 7 3 true false false 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 WEST PARK ST Urbana IL 61801 X Phillip Blankenburg 1.0 2.4 X X 0 0 0 Donna Greene 0.5 2.4 X X 0 0 0 Cora E Musial Phd MD 35.0 5.0 X X 0 278602 25525 Matthew Gibb MD 18.0 22.0 X 0 754820 22639 J Michael Martin 0.5 7.4 X 0 0 0 Marty Smith 1.0 3.0 X 0 0 0 Paul Tender MD 1.0 39.0 X 0 456017 33444 James C Leonard MD 11.0 29.0 X 0 1210256 399947 R Bruce Wellman MD 19.0 21.0 X 0 947859 307991 John Snyder 10.0 30.0 X 0 750240 239964 Dennis Hesch 16.0 24.0 X 0 573934 193752 Philip Kubow 1.0 2.2 X 0 433449 390050 Lynne Barnes 29.0 11.0 X 0 332728 69646 Pamela Bigler 15.0 25.0 X 0 319928 82367 Stephanie Beever 15.0 25.0 X 0 287430 85220 Dawn Walden 20.0 20.0 X 0 266080 67990 Mark Berlin 20.0 20.0 X 0 261100 84205 James Dougherty 40.0 0.0 X 244675 0 26135 Linda Fred 20.0 20.0 X 177241 0 35695 Vijay Bavda 40.0 0.0 X 150386 0 34525 Julianna Sellett 40.0 0.0 X 149250 0 12358 Robert Nebughr 6.0 34.0 X 144751 0 32353 Robert Tonkinson 0.0 0.0 X 0 178466 0 866303 7050909 2143806 58 true true false Philips Medical Capital LLC PO Box 92449 CLEVELAND OH 44193 EQUIPMENT LEASING 3012319 Commerce Bank PO Box 11309 ST LOUIS MO 63103 Equipment leasing 2028316 Mayo Collaborative Services PO Box 91 MINNEAPOLIS MN 55415 Lab services 1424582 Accredo Health Group 13408 Collections CHICAGO IL 60693 Pharmaceuticals 717018 ASD Specialty Healthcare Inc PO Box 848104 DALLAS TX 75284 PHARMACEUTICALS 568333 29 3348525 2784117 67607 6200249 Net Patient Care 621110 447096305 447015160 81145 Net Patient Care - ASC 621110 2655829 2655829 449752134 113012 113012 0 0 5548931 4011366 1537565 0 1537565 1537565 495465 737950 -242485 -242485 61956 -304441 0 0 1171499 2701089 -1529590 -1529590 RURAL FLOOR BUDGET NEUTRALITY PAYMENT 900099 3200000 3200000 INTERNAL MANAGEMENT FEES 900099 1015188 1015188 Provision for Income Taxes 900099 125933 125933 1739476 1456750 282726 6080597 461911482 455468860 433802 -191429 2193256 2193256 0 0 0 0 0 104610152 101299729 3310423 5290699 5096146 194553 15464791 14839912 624879 7452959 7217513 235446 0 659947 659324 623 360000 341382 18618 34803 34803 0 0 22885477 20833001 2052476 163029 159797 3232 9970739 8056947 1913792 5515934 5098933 417001 0 29367394 26597464 2769930 832162 812138 20024 0 485982 476272 9710 121766 52809 68957 0 6907036 6188190 718846 2007276 1776349 230927 Internal Management Fees 57867635 53844308 4023327 Taxes 10114272 9591209 523063 Patient Care Supplies 72605354 71645513 959841 All other expenses 584555 261372 323183 355495218 337076367 18418851 0 124000 11002 0 0 0 0 86175599 97825291 0 0 0 0 0 0 6391661 6142030 1739894 1538082 73888577 34831825 42482281 39056752 0 0 0 0 0 0 0 0 101381057 128911673 238294492 273484830 20492866 18009056 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50822173 66766738 71315039 84775794 X 166979453 188709036 0 0 0 0 166979453 188709036 238294492 273484830 X 106416264 -84686681 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 1582 false true 33221 34803 false Description of other Lobbying activites Sched C, Part II-B, line (i) $25,176 - portion of Illinois Hospital Association (IHA) dues attributed to lobbying. $8,045 - portion of American Hospital Association (AHA) dues attributed to lobbying. Description of other Lobbying activites Schedule I, Part II-B, Line (G) The Hospital has contract professionals to provide consulting services for the hospital. As a portion of the contractors' duties, the contractors interact with governmental officials on behalf of the Hospital. 203650 29422 174228 1997462 1506176 491286 64930685 32150919 32779766 6756780 1145308 5611472 39056752 Inter-Company receivable 127138984 Other receivables 1772689 128911673 0 Estimated Third Party Settlements 27593408 Compensation and paid leave accrual 32178753 EST LIAB FOR SELF INSURED LOSSES 3723375 OTHER ACCRUED LIABILITIES 3271202 66766738 X SUPPLEMENTAL INFORMATION Sch D, Part X, line 2 The Foundation adopted the guidance for accounting for uncertainty in income taxes on July 1, 2007. This guidance clarifies the accounting for uncertainty in income taxes recognized in an organization's financial statement. The guidance prescribes a more-likely-than-not recognition threshold and measurement attribute for financial statement recognition of a tax position taken or expected to be taken. Amounts requiring recognition under tax accounting guidance is reflected as a liability for uncertain tax benefits along with any associated interest and penalties that would be payable to the taxing authorities upon examination. There are no uncertain tax benefits identified or recorded as a liability as of December 31, 2012. true true X true X true X true true true false true true 19336085 0 19336085 0.05440 49000144 63671718 -14671574 0.00000 5320766 0 5320766 0.01500 73656995 63671718 9985277 0.02810 684599 3086 681513 0.00190 10292514 10292514 0.02900 11643610 11643610 0.03280 9220048 9220048 0.02590 2673812 2673812 0.00750 34514583 3086 34511497 0.09710 108171578 63674804 44496774 0.12520 1006 1006 53744 53744 0.00020 81764 81764 0.00020 0 0 0 0 2127 2127 2408 2408 108021 108021 0.00030 6030 6030 255100 255100 0.00070 true 5320766 2660383 119207390 100082815 19124575 X true true 1 1 THE CARLE FOUNDATION HOSPITAL

611 W PARK ST URBANA IL 61801

X X X X X CARLE FOUNDATION HOSPITAL 1 true X X X X X X X X 10 true false true X X X X X X X X X X false false true true 200. true 400. true X X X X X X true true X X X X X X true false X X X X true X false false 3 CARLE THERAPY SERVICE

810 W ANTHONY DR URBANA IL 61801

Physical and Occupational therapy Carle SurgiCenter - Danville

2300 North Vermilion St Danville IL 61832

Outpatient Surgery Carle SurgiCenter - Champaign

1702 South Mattis Ave Champaign IL 61821

Outpatient Surgery 1. REQUIRED DESCRIPTIONS Rural Floor Budget Neutrality Adjustment (Part I, line 7a) Financial Assistance at cost does not reflect a rural floor budget Neutrality adjustment appeal payment of $3,200,000. This relates to a settlement from the Centers for Medicare & Medicaid Services (CMS) for past underpayments related to an error in the budget neutrality adjustement for fiscal years 2007-2011. Explanation of Costing Methodology (Part I, line 7 and Part III, line 4) TO COMPUTE AND CONVERT CHARITY CARE, UNREIMBURSED MEDICAID, MEANS-TESTED PROGRAMS AND BAD DEBT CHARGES TO COST, A CONSISTENT GAAP (GENERALLY ACCEPTED ACCOUNTING PRINCIPLES) BASED COST-TO-CHARGE RATIO WAS USED ACROSS ALL PAYERS. ALTHOUGH THE METHODOLOGY WAS SIMILAR TO WORKSHEET #2, FOR SIMPLICITY PURPOSES CERTAIN IMMATERIAL VALUES WERE OMITTED. OTHER BENEFITS COSTS WERE REPORTED AT THE ACTUAL EXPENSE INCURRED. PATIENTS' RECEIVABLE PAYMENTS WERE RECORDED AT TIME OF RECEIPT AND RELATED DISCOUNTS WERE ALSO RECORDED AT ACTUAL AMOUNTS AT THE TIME OF PAYMENT RECEIPT. A SEPARATE GAAP BASED PROVISION FOR ESTIMATED BAD DEBTS AND DISCOUNTS WAS RECOGNIZED FOR ACCOUNTS IN PROCESS AND PENDING ADJUDICATION AND PAYMENT. THE ESTIMATED PORTION WAS BASED ON HISTORICAL TRENDS AND ADJUSTED TO ACTUAL IN FUTURE PERIODS WHEN THE ACCOUNTS' ADJUDICATION AND PAYMENT OCCUR. ACCOUNTS DETERMINED TO BE ELIGIBLE FOR CHARITY CARE WERE PROCESSED IMMEDIATELY FOR CHARITY CARE DISCOUNT WITH NO COLLECTION EFFORT. FOR ACCOUNTS WITH INSUFFICIENT INFORMATION AND DOCUMENTATION TO DETERMINE CHARITY CARE 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 CHARITY CARE WHICH CONTINUED TO RESIDE WITHIN BAD DEBTS. THE CARLE FOUNDATION HOSPITAL'S FINANCIAL STATEMENTS (PART III, LINE 4) THE CARLE FOUNDATION HOSPITAL IS COMMITTED TO PROVIDING QUALITY HEALTH CARE TO ALL, REGARDLESS OF THEIR ABILITY TO PAY. UNDER THE FOUNDATION'S CHARITY CARE POLICY, PATIENTS MEETING CERTAIN CRITERIA RECEIVE CARE WITHOUT CHARGE OR WITH A SIGNIFICANT REDUCTION IN CHARGES. BECAUSE THE FOUNDATION DOES NOT PURSUE COLLECTION OF AMOUNTS IDENTIFIED AS CHARITY CARE, THEY ARE NOT REPORTED IN NET PATIENT SERVICE REVENUES. CHARGES FORGONE, BASED ON ESTABLISHED RATES, TOTALED $135.2 MILLION FOR THE TWELVE MONTHS ENDED DECEMBER 31, 2012. THE FORGONE CHARGES REPRESENT 6.7 % OF THE GROSS PATIENT SERVICE REVENUE. MANAGEMENT BELIEVES THAT THE DIFFERENCE BETWEEN THE COSTS TO PROVIDE CARE AND THE AMOUNTS ACTUALLY RECEIVED FROM THE MEDICAID PROGRAM, INCLUDING THE NET AMOUNTS RECEIVED FROM THE PROGRAM, SHOULD BE CONSIDERED CHARITY CARE. USING THE OVERALL RATIO OF COST TO CHARGES, THE COSTS EXCEED THE REIMBURSEMENT FOR THE FOUNDATION BY $15.8 MILLION FOR THE TWELVE MONTHS ENDED DECEMBER 31, 2012. THIS AMOUNT COMPRISES .6% OF GROSS PATIENT SERVICE REVENUE. IN ADDITION TO PROVIDING DIRECT CHARITY HEALTH SERVICES, THE CARLE FOUNDATION HOSPITAL PERIODICALLY CONDUCTS A COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT INCLUDING ACTIVE PARTNERING WITH VARIOUS COMMUNITY SERVICE ORGANIZATIONS. THE ASSESSMENT HELPS IDENTIFY AREAS OF UNDER-SERVED AND UNDER-INSURED POPULATIONS AND FURTHER HELPS PROMOTE A COMMON AND JOINT APPROACH TO RESPONDING TO IDENTIFIED COMMUNITY NEEDS. THE HOSPITAL IS A KEY FINANCIAL SUPPORTER TO PROMISE HEALTHCARE NFP, WHICH OPERATES FRANCES NELSON HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER, AND ALSO FINANCIALLY SUPPORTS OTHER HEALTH AND EDUCATIONAL SERVICE ACCESS FOR ELIGIBLE AT-RISK POPULATIONS. THE HOSPITAL PLAYS A VITAL ROLE IN CHAMPAIGN COUNTY'S EMERGENCY PREPAREDNESS AND HOME LAND SECURITY INITIATIVES. THESE ARE IN ADDITION TO NUMEROUS OTHER COMMUNITY HEALTH AND WELLNESS PROGRAMS IDENTIFIED BY THE COMMUNITY NEEDS ASSESSMENT. EXPLANATION OF MEDICARE COST REPORT COSTING METHODOLOGY (PART III, LINE 8) THE NUMERATOR (TOTAL EXPENSE) AND DENOMINATOR (TOTAL GROSS CHARGES) OF THE SIMPLE RATIO OF PATIENT CARE COST TO CHARGES IS ADJUSTED BY ELIMINATING NON-PATIENT CARE THAT GENERATES OTHER REVENUE, BAD DEBT EXPENSE, MEDICAID AND OTHER PROVIDER TAXES AND THE TOTAL COST OF COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS. ALSO, ANY GROSS PATIENT CHARGES FOR PROGRAMS NOT RELYING ON THE RATIO ARE ELIMINATED FROM BOTH THE NUMERATOR AND DENOMINATOR OF THE RATIO. THESE ADJUSTMENTS ARE DESIGNED TO ELIMINATE ANY POTENTIAL FOR "DOUBLE COUNTING" OF COMMUNITY BENEFIT EXPENSES. THE RESULTANT RATIO ALIGNS WITH SCHEDULE H REQUIREMENTS. AS AN ILLINOIS-BASED HOSPITAL, WE ARE REQUIRED TO REPORT COMMUNITY BENEFITS PROVIDED TO THE OFFICE OF THE ATTORNEY GENERAL BY THE COMMUNITY BENEFIT ACT OF 2003. FOR THAT REPORT, ILLINOIS LAW DEFINES GOVERNMENTAL-SPONSORED INDIGENT HEALTH CARE AS THE UNREIMBURSED COST OF MEDICARE, MEDICAID AND OTHER FEDERAL, STATE OR LOCAL INDIGENT CARE PROGRAMS. TO REDUCE PUBLIC CONFUSION CAUSED BY VARIATIONS IN OUR REPORTS, FOR CONSISTENCY, WE HAVE PREVIOUSLY INCLUDED A MEDICARE SHORTFALL IN ALL OF OUR COMMUNITY BENEFIT RELATED REPORTS. IN 2012 MEDICARE COSTS WERE COVERED. HOWEVER, 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, WHERE 14.2% ARE 60 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. IN 2012, 22.7% OF THE CARLE FOUNDATION HOSPITAL'S CASES WERE MEDICARE RECIPIENTS. OF THAT, 20.3% OF INPATIENT MEDICARE CASES WERE ALSO COVERED BY MEDICAID. IN ADDITION, 16.2% OF OUTPATIENT MEDICARE CASES WERE ALSO COVERED BY MEDICAID. (PATIENTS WITH MEDICARE ADVANTAGE AS THE PRIMARY PAYER ARE NOT INCLUDED IN THESE FIGURES.) DEBT COLLECTION PRACTICES (PART III, LINE 9B) IT IS THE RESPONSIBILITY OF OUR PATIENTS TO REQUEST AND COMPLETE A COMMUNITY CARE DISCOUNT PROGRAM (CCDP) APPLICATION. THEY ARE INFORMED ABOUT COMMUNITY CARE ON MULTIPLE OCCASIONS THROUGHOUT THE COLLECTION PROCESS. IF A PATIENT DOES NOT REQUEST OR COMPLETE AND RETURN THE APPLICATION, THEN THE BALANCE IS DEEMED THEIR RESPONSIBILITY TO PAY. WE PRESUME ELIGIBILITY FOR TRADITIONAL MEDICAID AND HOMELESS PATIENTS (BASED ON CURRENT AREA SHELTERS OR SOCIAL WORKER VERIFICATION). PATIENTS MAY APPLY FOR THE CCDP AT ANY TIME, INCLUDING BEFORE CARE IS RECEIVED. OUT OF POCKET MEDICAL EXPENSES ARE LIMITED TO 40% OF THE PATIENT'S ANNUAL GROSS INCOME IF THE PATIENT IS UNINSURED OR UNDERINSURED AND EARNS 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 TO SET UP PAYMENT ARRANGEMENTS ON THE REMAINING BALANCE DUE. THE CURRENT MINIMUM IS THE LESSER OF 5% OR $25.00 A MONTH. IF THEY CANNOT MEET THESE GUIDELINES, OUR IN-HOUSE COLLECTORS 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 REMAINING BALANCE AFTER THE CCDP DISCOUNTS, THEN THE BALANCE MAY BE LISTED WITH THE COLLECTION AGENCY. WHEN THE ACCOUNT IS STILL IN-HOUSE, THE MINIMUM NOTIFICATIONS ARE ONE COLLECTION LETTER, ONE PHONE CALL AND MONTHLY ITEMIZED STATEMENTS. IF A PATIENT DOES NOT RESPOND TO US, THEN THE ACCOUNT IS FINAL NOTICED WITH AN ADDITIONAL LETTER AND SENT TO THE AGENCY. CARLE WILL NOT FILE COLLECTION SUIT LIENS ON A PRIMARY RESIDENCE, NOR DO WE ALLOW THE COLLECTION ATTORNEYS TO USE "BODY ATTACHMENTS." THE AGENCIES ARE AWARE OF OUR COMMUNITY CARE DISCOUNT PROGRAM AND HAVE BEEN ADVISED TO REFER THE PATIENTS BACK TO CARLE IF THEY DEEM THE PATIENT IS UNABLE TO PAY. WE THEN MAKE ONE MORE ATTEMPT TO WORK WITH THE PATIENT TO SEE IF HELP IS AVAILABLE. IF CARLE THEN DETERMINES THAT THE PATIENT MIGHT QUALIFY, WE SEND THE PATIENT A CCDP APPLICATION AND PUT A HOLD ON THE ACCOUNT LISTED WITH THE AGENCY FOR AS LONG AS WE HAVE DETERMINED NECESSARY; THE AVERAGE IS 60 DAYS. IF THE PATIENT IS THEN APPROVED FOR CHARITY CARE, THE BALANCE IS ADJUSTED AND THEN THE ACCOUNT IS CLOSED. IF THEY ARE APPROVED FOR LESS THAN 100%, THE ADJUSTMENTS ARE REPORTED TO THE AGENCY AND THE BALANCE IS LEFT WITH THE AGENCY FOR COLLECTION. 2. NEEDS ASSESSMENT (PART V, SECTION B) THE CARLE FOUNDATION HOSPITAL USED EXISTING DATA, INFORMAL DISCUSSIONS, AND A COMPREHENSIVE QUALITATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO DETERMINE IF EXISTING PROGRAMS ARE ON TRACK; WHAT NEEDS TO BE ADDED, DELETED OR ENHANCED; AND WHERE OUR FOCUS NEEDED TO BE PLACED IN THE FUTURE. THE CHNA NOT ONLY INCLUDED SECONDARY RESEARCH (NOTED BELOW), BUT ALSO FOUR FOCUS GROUPS CONDUCTED BY AN INDEPENDENT RESEARCH FIRM, TO QUERY COMMUNITY LEADERS, HUMAN SERVICE AGENCY ADMINISTRATORS, AND THE CARLE FOUNDATION HOSPITAL LEADERSHIP. THESE FOCUS GROUPS WERE CONDUCTED IN CHAMPAIGN, VERMILION, AND COLES COUNTIES. DATA WAS ALSO DRAWN FROM THESE SOURCES AND USED TO AFFIRM AND RE-SHAPE OUR COMMUNITY BENEFIT PLAN FOR 2011 THROUGH 2013 AS NEEDED: *THE ROBERT WOOD JOHNSON COUNTY HEALTH RANKINGS, FEBRUARY 2010 *COUNTY QUICKFACTS FROM THE U.S. CENSUS BUREAU FOR CHAMPAIGN, COLES, AND VERMILION COUNTIES *CHAMPAIGN URBANA PUBLIC HEALTH DISTRICT IPLAN, 2010, KEY FINDINGS *UNITED WAY OF CHAMPAIGN COUNTY 2011 REPORT TO THE COMMUNITY *COLES COUNTY HEALTH DEPARTMENT IPLAN 2010-2015 *POVERTY TRENDS IN VERMILION COUNTY, ILLINOIS, AUGUST 2008 *HUNGER IN AMERICA STUDY WITH PARTICIPATION BY THE EASTERN ILLINOIS FOODBANK, FEBRUARY 2010 *HEALTH ALLIANCE MEDICAL PLANS RESEARCH SUMMARIES: DIABETES KNOWLEDGE SURVEY RESULTS 2010 AND ADULT AND PEDIATRIC ASTHMA SURVEY RESULTS 2009 *ON-GOING INFORMAL DISCUSSIONS WITH GOVERNMENT AND COMMUNITY AGENCIES AND LOCAL NEWS COVERAGE ON HOMELAND SECURITY INITIATIVES *CDC AND ILLINOIS DEPARTMENT OF PUBLIC HEALTH COMMUNICATIONS *ORAL HEALTH IN CHAMPAIGN-URBANA, IL, PREPARED BY THE CHAMPAIGN-URBANA PUBLIC HEALTH DEPARTMENT, EXECUTIVE SUMMARY, 2007 *MOBILE ADULT DENTAL UPDATE REPORTED BY NANCY GREENWALT, SMILEHEALTHY, JUNE 16, 2010 *CURRENT AND FUTURE WORKFORCE SHORTAGE STATISTICS *FINDING A CURE FOR THE HEALTHCARE WORKFORCE, HUFFINGTON POST, MARCH 2010 *SENIOR HEALTH NEEDS ASSESSMENT CONDUCTED BY CARLE IN 2007 *THE AFFORDABLE CARE ACT: OPPORTUNITIES FOR THE AGING NETWORK. PRESENTATION BY EAST CENTRAL ILLINOIS AREA AGENCY ON AGING, 2010 *LITERATURE REVIEW REGARDING CHILDHOOD OBESITY TAKING THESE SOURCES INTO ACCOUNT, CARLE'S COMMUNITY BENEFIT PLAN IS INTENDED TO BE ALIGNED WITH THE LONG-TERM STRATEGIC PLAN OF THE HOSPITAL. CURRENT COMMUNITY BENEFIT PRIORITIES INCLUDE: *ACCESS TO HEALTHCARE, WHICH ENCOMPASSES THE CARLE COMMUNITY DISCOUNT PROGRAM (CHARITY CARE) *CHILDHOOD OBESITY *CHILDREN-AT-RISK *COMMUNICATIONS TO FOSTER OUTREACH AND COLLABORATION *MAINTENANCE OF EXISTING CARLE COMMUNITY BENEFIT PROGRAMS. IN EVERY WAY, THESE ACTIVITIES AND PROGRAMS MEET ESTABLISHED COMMUNITY BENEFIT CRITERIA-BUT MORE SO, IN EVERY WAY CONTRIBUTE TO A SIGNIFICANTLY HEALTHIER COMMUNITY. IN 2012, OUR COMMUNITY BENEFIT PLAN REFLECTED THE SECOND YEAR OF A THREE-YEAR PLAN AND PRIMARILY ADDRESSES NEEDS IDENTIFIED IN THE CHAMPAIGN-URBANA AREA WITHIN THE SCOPE OF THE DETERMINED PLAN PRIORITIES. IT ALSO INCLUDES COMMUNITY BUILDING ACTIVITIES, AS WELL AS RESEARCH AND EDUCATION INITIATIVES-ALL OF WHICH ARE REVIEWED AND CONFIRMED THROUGH THE ANNUAL BUDGETING PROCESS. 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE CARLE IS ACUTELY AWARE OF THE NEED FOR ACCESS TO CARE, MAKING THAT A MAINSTAY OF OUR COMMUNITY BENEFIT PROGRAM, WITH A STRONG CHARITY CARE PROGRAM THAT IS BASED IN A PHILOSOPHY OF DOING THE RIGHT THING FOR THE COMMUNITY AND PATIENTS AND BALANCED BY A CAREFUL STEWARDSHIP OF THE COMMUNITY'S RESOURCES. BY DETERMINING THE FINANCIAL STATUS OF PATIENTS UP-FRONT, WE HAVE BEEN ABLE TO PINPOINT THOSE NEEDING FINANCIAL ASSISTANCE EARLY IN THE PROCESS, MINIMIZING BAD DEBT AND OPTIMIZING OUR ABILITY TO HELP. STAFF IS ALSO DILIGENT IN FOLLOWING UP WITH PATIENTS DURING HOSPITALIZATION AND AFTER DISCHARGE IF THERE'S ANY REASON TO BELIEVE THE PATIENT COULD BENEFIT FROM CHARITY CARE. THE CARLE FOUNDATION HOSPITAL HAS MADE A CONCERTED, CONTINUOUS EFFORT TO BE SURE THAT PEOPLE HAVE ACCESS TO INFORMATION THAT WILL HELP THEM WITH THEIR MEDICAL BILLS. THIS INCLUDES: *ADVERTISING CARLE'S COMMUNITY CARE DISCOUNT PROGRAM USING PRINT, OUTDOOR BILLBOARDS, BUS BOARDS AND ONLINE ADVERTISING; CONTINUED PRESENCE IN APPROPRIATE SPECIAL EVENT PROGRAMS; AND ON-SITE VIA DIGITAL AND STATIC DISPLAYS THROUGHOUT THE HOSPITAL AND CLINICS *A SIMPLIFIED APPLICATION FORM, INCLUDING A VERSION IN SPANISH *BILLING ENVELOPES PROMINENTLY MARKED WITH THE MESSAGE, "NEED HELP WITH YOUR MEDICAL BILL? CALL 888-479-0008." *INFORMATION ABOUT THE COMMUNITY CARE PROGRAM ON ALL BILLING STATEMENTS, COLLECTION LETTERS AND HOSPITAL ADMISSION PACKETS *INFORMATION AND APPLICATION FORMS READILY AVAILABLE AND ACCESSED AT CARLE.ORG *COMMUNITY CARE APPLICATION FORMS AND BROCHURES AVAILABLE AT ALL INPATIENT AND OUTPATIENT REGISTRATION POINTS, AS WELL AS IN THE HOSPITAL'S MAIN LOBBY *STAFF AT FRANCES NELSON HEALTH CENTER, THE LOCAL FQHC, AND COMMUNITY FREE CLINICS EQUIPPED WITH A SUPPLY OF APPLICATION FORMS AND KNOWLEDGE TO ASSIST THEIR PATIENTS IN COMPLETING THEM *INFORMATIONAL MEETINGS WITH LOCAL LEGISLATORS TO HELP THEM ASSIST CONSTITUENTS WITH HEALTHCARE NEEDS, INCLUDING FINANCIAL ASSISTANCE *MEETING WITH OUR OWN STAFF TO KEEP THEM INFORMED ABOUT THE PROGRAM AND WHAT BENEFITS ARE AVAILABLE TO PATIENTS *COMMUNITY CARE REPRESENTATIVES AVAILABLE AT VARIOUS COMMUNITY FORUMS 4. COMMUNITY INFORMATION TARGETED POPULATIONS INCLUDE THE UNINSURED AND UNDERINSURED, AND CHILDREN AT RISK-FROM CONCEPTION THROUGH CHILDHOOD. CARLE'S SERVICE AREA IS GENERALLY DEFINED AS EAST CENTRAL ILLINOIS, INCLUDING ALL OR PARTS OF MORE THAN 25 COUNTIES IN EAST CENTRAL ILLINOIS AND WESTERN INDIANA. FOR THE CURRENT PLAN, RESEARCH AND REMEDIES ARE DIRECTED TOWARDS COMMUNITY HEALTH ISSUES IDENTIFIED IN CHAMPAIGN, COLES AND VERMILION COUNTIES, WITH THE PRIMARY FOCUS BEING ON CHAMPAIGN COUNTY. THESE AREAS REPRESENT OUR HEADQUARTERS AND TWO OTHER COUNTIES WHERE CARLE HAS A THRIVING PRESENCE. OUR REACH EXTENDS FROM THESE THREE COUNTIES-ALSO IDENTIFIED IN THIS REPORT AS CHAMPAIGN-URBANA (CHAMPAIGN COUNTY), MATTOON-CHARLESTON (COLES COUNTY) AND DANVILLE (VERMILION COUNTY) AREAS INTO 14 ADJOINING, RURAL ILLINOIS COUNTIES. THESE AREAS COMPRISE NEARLY 50% OF THE CARLE SERVICE AREA POPULATION OF ABOUT 1.2 MILLION RESIDENTS. AND THE THREE CORE COUNTIES REPRESENT ABOUT 25% OF THAT TOTAL SERVICE AREA POPULATION. POCKETS OF EXTREME POVERTY EXIST THROUGHOUT THIS REGION. THE PROGRAMS WITHIN OUR COMMUNITY BENEFIT PLAN GENERALLY HAVE IMPACT UPON ALL OF THESE TARGETED COMMUNITIES, WITH CERTAIN PROGRAMS DIRECTED AT SPECIFIC POPULATIONS. IN 2012, A GREATER PROPORTION OF OUR RESOURCES WERE SPENT IN CHAMPAIGN COUNTY, WHERE THE LARGEST POPULRATION IN OUR SERVICE AREA RESIDES AND WHERE OUR COMMUNITY BENEFIT PROGRAM HAS LONG BEEN ESTABLISHED. THE CARLE FOUNDATION HOSPITAL SERVES AS THE REGION'S ONLY LEVEL I TRAUMA CENTER AND MAINTAINS A 25-BED LEVEL III NEONATAL INTENSIVE CARE UNIT, AND ALSO HAS 38 ADULT INTENSIVE CARE BEDS. AS PROVIDER OF THE REGION'S LEVEL III PERINATAL SERVICES, CARLE PROVIDES CARE TO PATIENTS WHO LIVE THROUGHOUT THE AREA EXTENDING FROM KANKAKEE TO THE SOUTHERN-MOST TIP OF ILLINOIS, AND SPANNING FROM AS FAR WEST AS DECATUR INTO WESTERN INDIANA. FOR THE PURPOSES OF OUR COMMUNITY CARE DISCOUNT PROGRAM, COVERAGE ENCOMPASSES THIS ENTIRE REGION-40 COUNTIES IN ILLINOIS AND INDIANA. QUALIFYING TRAUMA PATIENTS, REGARDLESS OF THEIR PLACE OF RESIDENCY, ARE COVERED FOR THEIR TRAUMA CARE, HOSPITALIZATION, AND FOLLOW-UP CARE. 5. PROMOTION OF COMMUNITY HEALTH THE CARLE FOUNDATION HOSPITAL HAS AN OPEN MEDICAL STAFF AND IS GOVERNED BY A COMMUNITY BOARD. SURPLUS FUNDS ARE REINVESTED INTO THE ORGANIZATION FOR TECHNOLOGY REPLACEMENT AND ADVANCEMENT, BUILDING RENOVATION OR CONSTRUCTION, CLINICAL SERVICE EXPANSION AND QUALITY IMPROVEMENT. SURPLUS FUNDS ARE ALSO INVESTED INTO OUR COMMUNITIES TO MEET IDENTIFIED HEALTH NEEDS WHICH CONTRIBUTE TO THE OVERALL WELL-BEING OF THE RESIDENTS OF THE COMMUNITIES WE SERVE. BECAUSE THE NEEDS ARE GREAT AND VARIED AND IT WOULD BE UNREASONABLE TO ADDRESS EACH AND EVERY IDENTIFIED NEED, WE SET PRIORITIES AND USE OUR RESOURCES TO FOCUS PRIMARILY ON IDENTIFIED NEEDS WITHIN THE COMMUNITY BENEFIT PRIORITIES SET. MANY OF THESE NEEDS ARE ADDRESSED THROUGH PARTNERSHIPS AND COLLABORATIVE EFFORTS. OUR PROGRESS IS SHOWN BELOW AND PRESENTED WITH THE RESPECTIVE COMMUNITY BENEFIT PRIORITY. ACCESS TO CARE FINANCIAL AND LEADERSHIP SUPPORT OF COMMUNITY PROGRAMS HAS BEEN CENTRAL TO PROVIDING ADDITIONAL ACCESS TO PRIMARY, DENTAL, PREVENTIVE AND MENTAL HEALTH SERVICES. CARLE HAS IDENTIFIED AND SOUGHT WAYS TO INITIATE AND EXPAND HEALTHCARE SERVICES FOR THE UNDERINSURED AND UNINSURED BY WORKING COLLABORATIVELY WITH COMMUNITY ORGANIZATIONS AND LEADERS. ONE NOTABLE WAY WE ARE WORKING TO FACILITATE SOLUTIONS IS BY CONTINUING TO HOST A COMMUNITY COALITION TO GET INPUT ON OUR CHARITY CARE PROGRAM, AS WELL AS TO ADDRESS ADDITIONAL ACCESS TO CARE IN OUR COMMUNITY. FREE CLINIC SUPPORT CHAMPAIGN COUNTY CHRISTIAN HEALTH CENTER - $45,147 AS THE LEAD FUNDER OF THE CHAMPAIGN COUNTY CHRISTIAN HEALTH CENTER, CARLE HELPS THE FREE CLINIC FULFILL ITS MISSION TO PROVIDE QUALITY, HOLISTIC CARE AT NO COST TO AS MANY PEOPLE AS POSSIBLE. THEY PROVIDE PRIMARY CARE, DENTAL AND MENTAL HEALTH SERVICES, WITH 1,638 PATIENT VISITS AND 454 NEW PATIENTS SERVED IN CY 12. A SIGNIFICANT NUMBER OF THE VOLUNTEER MEDICAL STAFF IS CARLE PHYSICIANS, NURSES AND TECHS WHO HAVE PERSONALLY CHOSEN TO SERVE THEIR COMMUNITY THROUGH THE CHAMPAIGN COUNTY CHRISTIAN HEALTH CENTER. CARLE HAS CONTINUED TO COVER THE FACILITY'S RENT-$40,000 PER YEAR-AS WELL AS PROVIDE SUBSTANTIAL SUPPORT FOR OPERATIONS. SINCE THIS CLINIC'S INCEPTION IN 2003, CARLE HAS PROVIDED NEARLY $370,000 TO HELP MAINTAIN THIS SMALL CLINIC THAT PROVIDES HUGE BENEFITS TO PEOPLE WHO ARE UNDERINSURED OR UNINSURED. AVICENNA CARLE ALSO SUPPORTS THE ACTIVITIES OF AVICENNA, A LOCAL MUSLIM-BASED CLINIC THAT PROVIDES FREE CARE TO ALL. AVICENNA CURRENTLY USES THE CHRISTIAN HEALTH CENTER SPACE ON WEEKENDS. CARLE ALSO WORKS WITH THE FREE CLINIC SO THEY CAN ACCESS SPECIALTY CARE AS WELL AS LAB RESULTS FOR THEIR PATIENTS. FRANCES NELSON HEALTH CENTER - $120,688 CARLE FINANCIALLY SUPPORTS AND PROVIDES LEADERSHIP TO PROMISE HEALTHCARE NFP, WHICH OPERATES FRANCES NELSON HEALTH CENTER (FNHC), A FEDERALLY QUALIFIED HEALTH CENTER. *CARLE CONTINUES TO PAY UTILITIES AND OPERATING COSTS ASSOCIATED WITH THE FACILITY'S MAINTENANCE, CLEANING AND SECURITY, WHICH TOTALED $99,723.38 IN CY12. CARLE ALSO PAYS PROPERTY TAXES ON THE FACILITY, BUT THAT IS NOT INCLUDED IN OUR COMMUNITY BENEFIT TOTAL. *CARLE'S ALL ABOUT BABY STAFF REGULARLY PROVIDES PRENATAL, BREASTFEEDING AND NEWBORN CARE EDUCATION AT THE CLINIC. THEY ALSO OFFERED A TEEN PREGNANCY PROGRAM. COST OF THESE PROGRAMS TOTALED $19,849. *AN ADDITIONAL $1,116 FOR IN-KIND SUPPLIES AND OTHER NEEDS WAS ALSO PROVIDED TO FRANCES NELSON. *CARLE FAMILY MEDICINE RESIDENTS PROVIDE OBSTETRICAL CARE AT FNHC. COMMUNITY DENTAL INITIATIVE FOR ADULTS AND CHILDREN THE CARLE FOUNDATION HOSPITAL CONTINUED TO PROVIDE LEADERSHIP AND SUPPORT FOR ADULT, SENIOR AND YOUTH DENTAL SERVICES IN CHAMPAIGN COUNTY. THE FRANCES NELSON DENTAL CENTER OPENED IN 2011 WITH A SIGNIFICANT CONTRIBUTION FROM CARLE. IN 2012, CARLE DONATED $10,200 TO SMILEHEALTHY, A MOBILE DENTAL CLINIC SERVING UNINSURED ADULTS AND CHILDREN IN THE SURROUNDING AREA. ACCESS TO CARE THROUGH SUBSIDIZED SERVICES AT CARLE OVER THE YEARS, MULTIPLE CARLE INITIATIVES HAVE PROVIDED ADDITIONAL ACCESS TO CARE. BECAUSE THESE SERVICES CONTINUE TO MEET AN ENORMOUS NEED, THE PROGRAMS HAVE BEEN MAINTAINED, EVEN THOUGH SEVERAL OF THEM OPERATE AT A LOSS. A LISTING OF THESE AT-LOSS SUBSIDIZED SERVICES IS INCLUDED BELOW. NOTEWORTHY PROGRAMS INCLUDE: COMMUNITY PARISH NURSE PROGRAM CARLE HAS ONE OF THE LARGEST PARISH NURSE GROUPS IN THE NATION, WITH 465 NURSES FROM 228 CONGREGATIONS IN 31 COUNTIES IN 3 STATES. THE PROGRAM TRAINS NURSES FROM LOCAL CHURCHES TO EDUCATE CONGREGANTS AND ADVOCATE FOR THEIR HEALTHCARE INTERESTS. IN 2012, 11 RNS COMPLETED TRAINING. ALTOGETHER THE NURSES LOGGED MORE THAN 10,000 HOURS OF SERVICE TO THEIR CONGREGATIONS. THE GROUP ALSO DISTRIBUTED MORE THAN 1,000 VIAL OF LIFE KITS AND MORE THAN 19,000 TO DATE. CARLE BREASTFEEDING CLINIC CERTIFIED LACTATION SPECIALISTS HAVE HELPED THOUSANDS OF WOMEN SUCCESSFULLY BREASTFEED SINCE 1997. THIS SERVICE IS FREE AND AVAILABLE TO ANY NURSING MOTHER, REGARDLESS OF WHERE SHE RECEIVES CARE. LOCATED AT THE CARLE FOUNDATION HOSPITAL, AND AT CLINICS IN CHAMPAIGN AND URBANA, THE SERVICE INCLUDES 24/7 SUPPORT WHERE BREASTFEEDING MOTHERS CAN CALL WITH QUESTIONS OR CONCERNS AND SPEAK TO A NURSE AROUND-THE-CLOCK. IN 2012, STAFF RESPONDED TO 4,776 CALLS REQUESTING ASSISTANCE. THERE WERE 9,486 INPATIENT VISITS, 2,287 VISITS TO THE HOSPITAL-BASED, URBAN CLINIC AND 3,977 VISITS TO TWO CARLE REGIONAL OUTPATIENT FACILITIES. LANGUAGE ASSISTANCE SERVICES WHILE A WELL-RENDERED LANGUAGE ASSISTANCE PROGRAM IS PROVIDED FOR PATIENTS WHO HAVE LIMITED ENGLISH PROFICIENCY OR WHO ARE HEARING IMPAIRED, THE SERVICE IS PROVIDED TO ALL CARLE PATIENTS AT THE HOSPITAL AND IN THE CLINICS. THUS, THE SUBSIDY IS COVERED BY THE CARLE HEALTHCARE SYSTEM AND THOSE DOLLARS FALL WITHIN A "SHARED SERVICES" COST CENTER. THEREFORE, THIS TOTAL INVESTMENT OF $151,561 IN 2012 IS NOT INCLUDED IN THE CARLE FOUNDATION HOSPITAL'S COMMUNITY BENEFIT REPORTING. PROGRAMMING IN THE REGION EFFORTS TO ADDRESS LOW BIRTH WEIGHT IN VERMILION COUNTY: WE CONTINUED COLLABORATIVE TALKS WITH UNITED WAY OF DANVILLE AND PROVENA UNITED SAMARITAN HOSPITAL TO REDUCE THE NUMBER OF BABIES WITH LOW BIRTH WEIGHT BORN AT PROVENA USMC TO 2008 LEVELS. IN 2012, WE BEGAN EXPLORING THE OPTION OF ENHANCING OUR PRENATAL EDUCATION AND NUTRITION PROGRAMMING IN ORDER TO REACH THE LOWER INCOME WOMEN AND TEENS THAT CAN BENEFIT. EFFORTS TO ADDRESS ACCESS TO CARE IN COLES COUNTY: THOUGH THE INITIAL PLAN HAD CALLED FOR A $5,000 CONTRIBUTION, WE MADE A $25,000 DONATION IN 2012 TO THE COLES COUNTY COMMUNITY HEALTH CENTER. MATCHING GRANTS FROM BOTH THE LUMPKIN FOUNDATION AND SARAH BUSH LINCOLN HEALTH CENTER IN COLES COUNTY RESULTED IN THE BEST OUTCOME FOR THE HEALTH CENTER AND THE COMMUNITY. WE ALSO CONTINUED TO PROVIDE BOARD LEADERSHIP. IN ADDITION, WE CONTINUED TO TAKE STEPS TO STRENGTHEN MENTAL HEALTH SERVICES FOR ADULTS AND CHILDREN IN COLES COUNTY, AND TO NURTURE OUR RELATIONSHIP WITH LIFELINKS, A MENTAL HEALTH AGENCY. WE EXPLORED ADDING MENTAL HEALTH PROVIDERS TO OUR CLINIC IN MATTOON-CHARLESTON, ALLOWING FOR A MORE PRIVATE VENUE WITH CRISIS-SENSITIVE ACCESS FOR THE PATIENT, AS WELL AS LEASING CLINICAL SPACE TO LIFELINKS TO EXPAND SERVICES TO BOTH GERIATRIC AND ADOLESCENT PATIENTS. WE ALSO MAINTAIN A PRESENCE ON THE LIFELINKS BOARD. CHILDHOOD OBESITY THIS INITIATIVE IS AIMED AT EFFORTS TO REDUCE CHILDHOOD OBESITY, FIRST BY JOINING WITH SCHOOLS WHICH HAVE SHOWN AN INTEREST IN HELPING THEIR STUDENTS AND FAMILIES TO LIVE A HEALTHIER LIFESTYLE THROUGH BETTER NUTRITION AND PHYSICAL ACTIVITY. DURING 2012, CARLE DONATED MORE THAN $6,500 TO TWO SCHOOLS TO BOOST THEIR EXISTING PROGRAMS. THROUGHOUT THE SCHOOL YEAR, CARLE PROVIDED A CUSTOMIZED HEALTH AND WELLNESS-RELATED ARTICLE FOR DISTRIBUTION IN MONTHLY SCHOOL NEWSLETTERS. IN CHAMPAIGN COUNTY, CARLE PARTNERED WITH BOOKER T. WASHINGTON STEM ACADEMY (BTW), A CHAMPAIGN SCHOOL. IN COLLABORATION WITH THE CHAMPAIGN-URBANA PUBLIC HEALTH DEPARTMENT, WE TEAMED WITH A PARENT-TEACHER COMMITTEE TO CREATE A PLAN WHICH COMPLEMENTED WHAT THE SCHOOL'S LEADERSHIP HAD ALREADY PUT INTO PLACE. THE MULTI-FACETED PROGRAM INCLUDES BASELINE AND LATER MEASUREMENT TESTING AT THE BEGINNING OF EACH SCHOOL YEAR USING BMI ASSESSMENTS AND A FOOD QUIZ, AND PROGRESS IS MEASURED ANNUALLY. WE ALSO CONNECTED BTW'S LEADERSHIP WITH NORTHEAST ELEMENTARY MAGNET SCHOOL IN DANVILLE, OUR PARTNERSHIP SCHOOL IN VERMILION COUNTY. NORTHEAST HAS BEEN RECOGNIZED FOR ITS HEALTH AND WELLNESS PROGRAM WITH A GOLD AWARD FROM THE HEALTHY GENERATIONS, A NATIONAL ORGANIZATION HEADED BY FORMER PRESIDENT BILL CLINTON. IN COLES COUNTY, THE GIRLS ON THE RUN PROGRAM IS OUR INITIAL FORAY INTO TACKLING THIS PROBLEM THERE. THIS IS A PROGRAM AIMED AT BOTH HELPING YOUNG WOMEN BECOME PHYSICALLY STRONGER AND ALSO TO BUILD THEIR SELF-ESTEEM AND CONFIDENCE LEVELS. CARLE STAFF ASSISTS AT THE EVENTS AND ADVISES THROUGHOUT THE YEAR FOR THE ORGANIZATION. PROGRESS HAS BEEN INCREMENTAL AND WE HAVE SUPPORTED THE PARTNERSHIP, STILL IN ITS EARLY STAGES, THROUGH EDUCATION AND FINANCIAL SUPPORT. CHILDREN-AT-RISK CHILD SAFETY PROGRAMS AND OTHER ACTIVITIES WHICH FOCUS ON REDUCING UNINTENTIONAL INJURY AND ACCIDENTAL DEATHS. INTERPERSONAL VIOLENCE PROGRAM THIS PROGRAMMING, PROVIDED AT CARLE AND WITHIN THE COMMUNITY, FOCUSES ON REDUCING DOMESTIC VIOLENCE, AS WELL AS TRAINING FOR SEXUAL ASSAULT NURSE EXAMINERS (SANE) AND OTHERS WHO TREAT RAPE AND ABUSE VICTIMS. CARLE HAS NINE SANE NURSES IN THE EMERGENCY DEPARTMENT, ASSISTING APPROXIMATELY 106 ADULT/ADOLESCENT AND PEDIATRIC SEXUAL ASSAULT PATIENTS THIS YEAR. *EDUCATIONAL EFFORTS INCLUDED ASSISTING WITH TRAINING FOR RAPE CRISIS CENTER; EDUCATING U OF I, PARKLAND AND DACC NURSING STUDENTS; PRESENTING TO EMS MEMBERS; AND SPEAKING TO PRE-MED STUDENTS REGARDING SEXUAL ASSAULT AND CHILD ABUSE. *FINALIZED IMPLEMENTATION OF AN INPATIENT CHILD ABUSE SAFETY TEAM IN 2012 WITH THE ADDITION OF A PEDIATRIC HOSPITALIST TO LEAD THE PROGRAM. *THE LEAD SANE ALSO PARTICIPATED IN THE FORENSIC NURSE CERTIFICATION BOARD'S VETTING OF THE INTERNATIONAL SANE EXAM, AS WELL AS THE CREATION OF THE NEW TEST FOR THE INTERNATIONAL ASSOCIATION OF FORENSIC NURSES. RISK WATCH THE PROGRAM, WHICH IS A LONGSTANDING PARTNERSHIP BETWEEN THE CARLE FOUNDATION HOSPITAL AND LOCAL POLICE AND FIRE DEPARTMENTS, REACHED 8,254 CHILDREN IN CHAMPAIGN-URBANA IN 2012. THIS IS POSSIBLE BECAUSE RISK WATCH HAS BEEN INTEGRATED INTO THE CURRICULUM AT ALL PUBLIC SCHOOLS AND ONE PRIVATE SCHOOL. BY REACHING THE CHILDREN, WHO ARE DIVERSE IN CULTURE, RACE, AND SOCIOECONOMIC LEVELS, THIS AREA SEES FEWER ACCIDENTAL INJURIES AND DEATHS. CURRICULUM INCLUDES EDUCATION ABOUT AVOIDING FALLS, CHOKING, STRANGULATION, SUFFOCATION AND POISONING. CENTER FOR RURAL HEALTH AND FARM SAFETY CARLE FORMED THE CENTER IN 1991 AFTER RECOGNIZING THE NEED TO PROVIDE EDUCATION ON AGRICULTURAL SAFETY AND HEALTH TO BOTH CHILDREN AND ADULTS IN THE FARMING COMMUNITY. ALL PROGRAMS REMAIN FREE TO THOSE IN CARLE'S SERVICE AREA. *OF THE MORE THAN 3,500 PEOPLE TRAINED IN 2012, MORE THAN 2,000 WERE CHILDREN. LAST YEAR, THE CENTER REACHED MORE THAN 1,100 YOUTH IN SURROUNDING RURAL COMMUNITIES THROUGH 42 SCHOOL PROGRAMS. IN ADDITION, 638 CHILDREN WERE REACHED AT PROGRESSIVE AG SAFETY DAYS, COORDINATED BY CARLE AND HOSTED IN CHAMPAIGN, VERMILION, PIATT AND FORD COUNTIES. *THE CENTER CERTIFIED MORE THAN 600 ADULTS 14 YEARS AND OLDER IN CPR AND FIRST AID LAST YEAR. *SIXTEEN AGRICULTURAL EMERGENCY RESPONSE CLASSES WERE PROVIDED, TRAINING 316 FIRST RESPONDERS. *TWENTY-ONE HIGH SCHOOL PROGRAMS WERE OFFERED, COVERING TRACTOR ROLLOVER, GRAIN ENTRAPMENT AND FARM FAMILY EMERGENCY RESPONSE, REACHING 420 PARTICIPANTS. *EMERGENCY ACTION TUBES HELP PROTECT FARMSTEADS AND AID EMERGENCY RESPONDERS. THE CENTER PLACED SEALED CYLINDERS WITH DETAILED FARM INFORMATION AND MAPS ON AN ADDITIONAL 41 FARMS IN 2012, BRINGING THE NUMBER OF PROTECTED FARMSTEADS TO 60. THE CENTER ALSO PRODUCED A COMPREHENSIVE BOOK ON HOW ORGANIZATIONS CAN IMPLEMENT THE PROJECT IN OTHER REGIONS. PLAYING IT SAFE IN ITS 16TH YEAR OF BRINGING TOGETHER PUBLIC SAFETY AND AGENCIES TO TEACH CHILDREN AND THEIR FAMILIES HOW TO PREVENT UNINTENTIONAL INJURIES, THIS FREE SAFETY FAIR-CO-SPONSORED WITH SAFE KIDS CHAMPAIGN COUNTY-INVOLVED MORE THAN 50 INTERACTIVE DISPLAYS AND PRESENTATIONS. HIGHLIGHTS INCLUDE CAR SEAT SAFETY CHECKS AND CHILD IDS. MORE THAN 1,400 CHILDREN AND PARENTS ATTENDED. CARLE/SALVATION ARMY TOY DRIVE FOR THE 28TH YEAR, CARLE WAS A PRIMARY CORPORATE SPONSOR OF THIS ANNUAL HOLIDAY EVENT. CARLE SHARES THIS SPONSORSHIP WITH WHMS/WDWS/WKIO RADIO. WE GATHERED 2,736 TOYS AND CASH AND GIFT CARDS TOTALING $2,225. THESE WERE COLLECTED AT CARLE LOCATIONS AND THROUGH A ONE-DAY DRIVE-THROUGH EVENT. UNITED WAY OF DANVILLE AREA - DOLLY PARTON'S IMAGINATION LIBRARY WE SUPPORTED PRINTING EDUCATIONAL MATERIALS AS PART OF THIS HEALTH LITERACY INITIATIVE WHICH BEGAN IN DANVILLE IN 2011. WITH THAT FUNDING, IN 2012, 10,000 BROCHURES HAVE BEEN DISTRIBUTED THROUGH SCHOOLS, LIBRARIES AND AGENCIES. CURRENTLY MORE THAN 700 CHILDREN ARE ENROLLED AND RECEIVING BOOKS EVERY MONTH AS A PART OF THIS FREE PROGRAM. COLES COUNTY GIRLS ON THE RUN THIS IS A PROGRAM DESIGNED TO NOT ONLY HELP YOUNG WOMEN BECOME PHYSICALLY STRONGER, BUT BUILD THEIR SELF-ESTEEM AND CONFIDENCE LEVELS. SINCE ITS INCEPTION TWO YEARS AGO, ENROLLMENT FOR THE PROGRAM HAS GROWN FROM 15 TO 160 YOUNG WOMEN. COMMUNICATIONS TO FOSTER OUTREACH AND COLLABORATION CARLE HAS BEEN ACTIVE IN FACILITATING COMMUNITY ENGAGEMENT AND COLLABORATION TO CONNECT, UPDATE AND EXPAND EXISTING RESOURCES, INCLUDING DATABASES AND TECHNOLOGY TO ASSIST AGENCIES, SOCIAL WORKERS, CLERGY, HEALTHCARE PROVIDERS AND FAMILY MEMBERS WITH REFERRALS FOR THEIR CLIENTS, PATIENTS AND LOVED ONES. *HELPSOURCE.ORG-TAKING A LEADERSHIP ROLE IN ITS DEVELOPMENT MORE THAN 13 YEARS AGO, WE HAVE CONTINUED TO SUPPORT HELPSOURCE.ORG AND PROVIDE GUIDANCE TO THE MAINTENANCE AND PROMOTION OF THIS ONLINE DIRECTORY OF HUMAN SERVICES RESOURCES IN EAST CENTRAL ILLINOIS. *CONTINUED MONITORING THE STATUS OF 2-1-1 IN ILLINOIS AND THE REGION, WITH CONSIDERATION FOR THE IMPACT ON ACTIVITIES OF A COMMUNICATIONS COALITION ESTABLISHED WITH THE LOCAL PUBLIC HEALTH DISTRICT AND OTHERS, AS WELL AS HELPSOURCE. *IN VERMILION COUNTY AND COLES COUNTY, DECISIONS AND PROGRESSIVE ACTIONS OF THE COMMUNITY COMMUNICATIONS COALITION AND THE HELPSOURCE CONSORTIUM, AS WELL AS THE UPCOMING INTRODUCTION OF 2-1-1 TO OUR REGION, WILL IMPACT VERMILION COUNTY'S HELPLINE AND COLES COUNTY'S CORDLINK. CARLE COMMUNITY BENEFIT PROGRAMS MAINTAINED THERE ARE A HOST OF OTHER PROGRAMS IDENTIFIED IN EARLIER YEARS THAT HAVE BEEN CLEARLY ANSWERING THE NEEDS OF OUR COMMUNITY WHICH CARLE CONTINUES TO STAND BEHIND, SUPPORT AND MONITOR TO MEET OUR OBLIGATION AS A NOT-FOR-PROFIT CHARITABLE ORGANIZATION. BESIDES MAINTAINING THE CARLE COMMUNITY CARE DISCOUNT PROGRAM AND SERVING MEDICAID AND MEDICARE PATIENTS, EVEN THOUGH GOVERNMENT REIMBURSEMENT IS TYPICALLY BELOW COST TO PROVIDE SERVICE, WE CONTINUE TO FOCUS ON THE ADDITIONAL MAJOR CATEGORIES OF EXISTING, IDENTIFIED HEALTH NEEDS THAT CARLE HAS CONSISTENTLY ADDRESSED OVER THE YEARS: SUBSIDIZED HEALTH SERVICES, INITIATED AND MAINTAINED TO IMPROVE THE HEALTH OF THE COMMUNITY *AIRLIFE *CARLE BREASTFEEDING CLINIC *CARLE COMMUNITY PARISH NURSE PROGRAM *CARLE LOW VISION CENTER *ECHO (EXPANDING CHILDREN'S HEARING OPPORTUNITIES-PEDIATRIC HEARING SERVICES) *CARLE AUDITORY ORAL SCHOOL *HOME HEALTH SERVICES *NEONATAL INTENSIVE CARE UNIT *PATIENT ADVISORY NURSE *PULMONARY REHABILITATION FUNDING COMMUNITY PROGRAMS THIS REPRESENTS A SIGNIFICANT PORTION OF FINANCIAL, IN-KIND AND LEADERSHIP SUPPORT TO HEALTH AND HUMAN SERVICE ORGANIZATIONS WITH SIMILAR AND COMPATIBLE MISSIONS. 145 COMMUNITY ORGANIZATIONS RECEIVED SUPPORT IN 2012. SOME OF THOSE ARE: *ALZHEIMER'S ASSOCIATION *AMERICAN DIABETES ASSOCIATION *CHAMPAIGN COUNTY CHRISTIAN HEALTH CENTER *CHAMPAIGN COUNTY HEALTH CARE CONSUMERS *CHAMPAIGN COUNTY MENTAL HEALTH BOARD *CHAMPAIGN-URBANA PUBLIC HEALTH DISTRICT *COLES COUNTY COUNCIL ON AGING *COLES COUNTY CRISIS RESPONSE TEAM *CRISIS NURSERY *CUNNINGHAM CHILDREN'S HOME *DEVELOPMENTAL SERVICES CENTER *EASTERN ILLINOIS FOOD BANK *FAMILY SERVICE OF CHAMPAIGN COUNTY *MATTOON AREA PUBLIC ACTION TO DELIVER SHELTER *MUSCULAR DYSTROPHY ASSOCIATION * 6. AFFILIATED HEALTH CARE SYSTEM 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. FOR INSTANCE, CHRONIC DISEASE MANAGEMENT CLASSES ARE PROVIDED AT NO COST AT OUR RETIREMENT COMMUNITY; OUR DIRECTORS ARE INVOLVED ON HUMAN AGENCY SERVICES BOARDS AND COMMITTEES AND IDENTIFY PROGRAMS THAT WE CAN FINANCIALLY SUPPORT OR PARTICIPATE IN, WHICH MEET A COMMUNITY NEED; AND OUR AMBULANCES PROVIDE COMPLIMENTARY STAND-BY SERVICES AT COMMUNITY EVENTS. THERE WERE ALSO 14,902 INDIVIDUAL PATIENTS OF CARLE PHYSICIAN GROUP WHOSE OUTPATIENT CARE WAS COVERED AT A TOTAL OF $12,621,472 BY OUR COMMUNITY CARE DISCOUNT PROGRAM AND ANOTHER 6,187 PATIENTS WHO RECEIVED FREE OR DISCOUNTED CARE FROM CARLE FOUNDATION PHYSICIAN SERVICES (CFPS) IN THE AMOUNT OF $2,615,608. Part III, Sect A, Line 3 The Carle Foundation Hospital uses 50% as a general estimate of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Part V, Sect B, Line 3 Conducted focus groups, evaluated outside research, prioritized needs based on that information. Focus groups included 41 public health experts in the region: Irfan Ahmad, President of Board, Avicenna; Steve Ayers, Unit Educator, Champaign County Extension Office; Sheryl Bautch, Executive Director, Family Service Champaign County; Molly Delaney, Educational Outreach Director, CU Fit Families; Mark Driscoll, Associate Director of Mental Health and Substance Abuse Services, Champaign County Mental Health Board; Andrea Goldberg, Site Director, Frances Nelson Health Center; Deborah Hlavna, Co-Director, ECIRMAC; Darlene Kloeppel, Director, Social Services, Champaign County Regional Plan Commission; Rick Krandell, Champaign Consortium, representing the Latino Partnership of Champaign County; Dale Morrissey, CEO, Developmental Services Center; Julie Pryde, Administrator, Champaign-Urbana Public Health District; Karen Simms, Training and Technical Assistant Coordinator, Access Initiative; Jeff Trask, Director of Fund Development, Champaign County Christian Health Center; Josephine Underwood, representative of Glory Center International; Keith Ballinger, Clinic Healthcare Provider, Coles County Community Health Center; Dee Braden, Executive Director, Coles County Council on Aging; Carolyn Cloyd, President, Coles County United Way; Tricia Coffey, Business Manager, Salvation Army Coles & Cumberland Counties; Debbie Cook, Director of Outpatient Services, LifeLinks; Vicki East, Project Coordinator of Medical Assistance Program, Catholic Charities; Jamie Forsyth, Pediatric Nurse Practitioner, Coles County Community Health Center; Dr. Stan Huffman, Retired physician; Dianne Kauffman, Nurse, Carle Physician Group - Mattoon/Charleston; Kara Mcgahey, Area Director, IL Dept. of HS, Family Resource Center; Mike Murray, Coles County Community Health Center; Cathy Reynolds, Director of Nursing, Coles County Public Health Department; Mary Kay Spannagel, Coles County Area Extension Office; Tracy Wavering, Vice President, Charleston Transition Facility; Stacie Teak, Manager, Carle Physician Group - Mattoon/Charleston; Linda Bolton, Director of Business Development, Vermilion Advantage; Jan Byrne, Nurse Practitioner, Carle; Chalmers Flint, Senior Executive Director, Hoopeston Multi Agency; Shirley Hicks, Administrator, Vermilion County Public Health Department; Alice Jacobs, President, Danville Area Community College; Jackie Johnson, Chief Clinical Officer, Hoopeston Regional Hospital; Amy Marchant, CEO, CRIS Center for Healthy Aging; Cheryl McIntire, Principal, Northeast Elementary Magnet School; Ed Michaels, CEO, Center for Children's Services; Jim Russell, Clinical Supervisor, Catholic Charities; Jeanne Mulvaney, President, United Way Danville Area, Inc.; Odette Watson, Executive Director, Laura Lee Fellowship Hall. Part V, Sect B, Line 7 Our research shows that there are many community health needs prevalent in the region we serve. We acknowledge that we cannot effectively address every need and expect to make an impact. Because the needs are great and varied, we set priorities and created a plan that uses our resources to focus on those needs that align both with our mission and our ability to make an impact. Those that are not being addressed with additional programming outside the scope of our practice at Carle include: adult day care, medication management for seniors, community health education programs around arthritis, Alzheimer's, adult obesity, asthma education and sexually transmitted disease management. Part V, Sect B, Line 20 Carle's fee schedule depends on place of service. Fees are not set based on service or payor source , including self-pay and/or patients with financial assistance. Contractual adjustments, misc adjustments and discounts are applied based upon payor source including insurance, managed care, eligibility for uninsured discount and eligibility for charity care program discount. STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI IL, true University of Illinois 506 S Mathews Ave Urbana IL 61801 376000511 501c3 1478854 Scholarships & Sponsorships United Way of Champaign County 404 W Church St Champaign IL 61820 370662519 501c3 109818 Campaign Champaign County Christian Health PO Box 1400 Champaign IL 61824 562421584 501c3 40780 Operations & Facilities Smile Healthy PO Box 154 Champaign IL 61824 141880824 501c3 10200 Center Assistance Parkland College Foundation 2400 West Bradley Ave Champaign IL 61821 370892090 501c3 260800 Scholarships & Sponsorships Land of Lincoln Legal Assistance Fndn 302 SOUTH FIRST ST Champaign IL 61820 370958448 501c3 30000 Volunteer Stipend Kirby Medical Center 1000 Medical Ctr Dr Monticello IL 61856 370661215 501c3 20000 program support Don Moyer Boys & Girls Club 201 East Park St Champaign IL 61820 370906638 501c3 7500 Boys & girls program support March of Dimes 201 W Springfield Champaign IL 61820 131846366 501c3 7000 program support Coles County Community Health Program 700 Broadway Ave Mattoon IL 61938 753246048 501c3 25000 Program support Vermilion County Advantage 28 W North St Danville IL 61832 370238000 501c3 8610 Membership, program support School Health Corp 865 Muirfield Dr Hanover Park IL 60133 362425385 501c3 15376 Program support Champaign County CASA 154 C Lincoln Square Urbana IL 61801 371325204 501c3 5200 Program support 13 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants The majority of the requests for funding are to The Carle Foundation or its affiliates located in the communities we serve. 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, and 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, casual contact with those organizations, often times through a Carle contact person to assure that the donations are being used as agreed upon. Records are maintained either in administration or public relations. true true false false false false false true false Cora E Musial Phd MD 0 263804 0 0 14798 0 20298 0 5227 0 304127 0 0 Matthew Gibb MD 0 718480 0 29913 0 6427 0 20298 0 2341 0 777459 0 0 Paul Tender MD 0 439965 0 12659 0 3393 0 20298 0 13146 0 489461 0 0 James C Leonard MD 0 877544 0 291898 0 40814 0 384427 0 15520 0 1610203 0 0 R Bruce Wellman MD 0 715548 0 206167 0 26144 0 296717 0 11274 0 1255850 0 0 John Snyder 0 570002 0 135448 0 44790 0 220201 0 19763 0 990204 0 0 Dennis Hesch 0 443192 0 110434 0 20308 0 173391 0 20361 0 767686 0 0 Philip Kubow 0 174973 0 64591 0 193885 0 371363 0 18687 0 823499 0 0 Lynne Barnes 0 261858 0 65308 0 5562 0 67862 0 1784 0 402374 0 0 Pamela Bigler 0 259130 0 39512 0 21286 0 77182 0 5185 0 402295 0 0 Stephanie Beever 0 249182 0 34486 0 3762 0 66196 0 19024 0 372650 0 0 Dawn Walden 0 227853 0 34062 0 4165 0 50614 0 17376 0 334070 0 0 Mark Berlin 0 208596 0 32887 0 19617 0 62446 0 21759 0 345305 0 0 James Dougherty 199527 0 20000 0 25148 0 21993 0 4142 0 270810 0 0 0 Linda Fred 158216 0 18052 0 973 0 14139 0 21556 0 212936 0 0 0 Vijay Bavda 149162 0 544 0 680 0 11867 0 22658 0 184911 0 0 0 Julianna Sellett 134126 0 11639 0 3485 0 10986 0 1372 0 161608 0 0 0 Robert Nebughr 137308 0 6913 0 530 0 11197 0 21156 0 177104 0 0 0 Robert Tonkinson 0 0 0 0 0 178466 0 0 0 0 0 178466 0 178466 Supplemental Compensation Information FORM 990, SCHEDULE J, PART I, QUESTION 3 THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT COMPANY OF THE CARLE FOUNDATION HOSPITAL, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: " THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES, WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT, HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS, ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED, AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. * THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. * THE COMMITTEE APPROVES ALL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. * THE COMPENSATION COMMITTEE USES A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY-SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND REPORTS DIRECTLY TO THE COMPENSATION COMMITTEE. FORM 990, SCHEDULE J, PART 1, QUESTION 4A PHILIP KUBOW RECEIVED SEVERANCE PAY IN THE AMOUNT OF $146,566 DURING CALENDAR YEAR 2012. FORM 990, SCHEDULE J, PART I, QUESTION 4B IN 2012, PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF THE CARLE FOUNDATION HOSPITAL, INCLUDED JAMES C. LEONARD, MD, JOHN SNYDER, R. BRUCE WELLMAN, MD, DENNIS HESCH, DAWN WALDEN, JAMES DOUGHERTY, MD, LYNNE BARNES, MARK BERLIN, PAMELA BIGLER, PHILIP KUBOW AND STEPHANIE BEEVER. IN 2012, PAYMENTS FROM THE 457(F) PLAN WERE PAID TO ROBERT TONKINSON ($178,466). FORM 990, SCHEDULE J, PART 1, 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. FORM 990, SUPPLEMENTAL INFORMATION FORM 990, PART VI, QUESTION 2 KEY EMPLOYEE, LYNNE BARNES AND FORMER OFFICER, ROBERT TONKINSON HAD A BUSINESS RELATIONSHIP FORM 990, PART VI, QUESTION 6 THE CARLE FOUNDATION HOSPITAL HAS ONE MEMBER WHICH IS THE PARENT COMPANY, THE CARLE FOUNDATION. FORM 990, PART VI, QUESTION 7A THE CARLE FOUNDATION HOSPITAL'S SOLE MEMBER, THE CARLE FOUNDATION, ACTING THROUGH ITS BOARD OF TRUSTEES, HAS THE EXCLUSIVE POWER TO ELECT AND REMOVE MEMBERS OF THE BOARD OF TRUSTEES FOR THE CORPORATION IN ADDITION TO FILLING VACANCIES. FORM 990, PART VI, QUESTION 7B THE CARLE FOUNDATION HOSPITAL'S BOARD OF TRUSTEES MUST HAVE THE APPROVAL OF ITS SOLE MEMBER, THE CARLE FOUNDATION, THROUGH ITS BOARD OF TRUSTEES, WHEN VOTING ON MATTERS INCLUDING THE AMENDING OF THE BY-LAWS; AMENDMENTS TO THE ARTICLES OF THE CORPORATION; AUTHORIZING ANY NON-BUDGETED EXPENDITURE IN EXCESS OF $100,000 (THE EXCESS OF ANY PROPOSED EXPENDITURE OVER THE PREVIOUSLY APPROVED BUDGETED AMOUNT SHALL BE DEEMED A NON-BUDGETED EXPENDITURE); TO ADOPT ANY NEW OR ANY CHANGES TO EXISTING LONG TERM OR MASTER INSTITUTIONAL PLANS OF THE CORPORATION; TO ORGANIZE OR ACQUIRE, OR TO AUTHORIZE OR APPROVE THE ORGANIZATION'S ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; 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, THE GOVERNING MEMBERS RECEIVED NOTIFICATION THAT THE FORM 990 WAS POSTED AND AVAILABLE FOR THEIR REVIEW. AT THEIR DISCRETION, THE GOVERNING MEMBERS HAVE THE OPPORTUNITY TO CONTACT MANAGEMENT OR DISCUSS AND ADDRESS CONCERNS AT SUBSEQUENT BOARD MEETINGS. FORM 990, PART VI, QUESTION 12C THE ORGANIZATION'S ESTABLISHED CONFLICT OF INTEREST POLICIES REQUIRE ANNUAL DISCLOSURE OF ACTUAL AND POTENTIAL CONFLICTS OF INTEREST FOR OFFICERS, DIRECTORS, TRUSTEES, MEMBERS OF BOARD COMMITTEES, ADMINISTRATIVE AND MANAGERIAL EMPLOYEES AS WELL AS ALL EMPLOYEES OF THE PURCHASING DEPARTMENT. IF CIRCUMSTANCES CHANGE DURING THE COURSE OF A YEAR, INTERIM DISCLOSURE IS ALSO REQUIRED OF THE SAME INDIVIDUALS. THE DISCLOSURES OF EMPLOYEES ARE REVIEWED INITIALLY BY THE HUMAN RESOURCES DEPARTMENT AND ANY IDENTIFIED CONFLICTS ARE REFERRED TO, AND ADDRESSED BY, THE ORGANIZATION'S INTERNAL LEGAL COUNSEL AND/OR CORPORATE INTEGRITY OFFICER. THE DISCLOSURES OF TRUSTEES AND MEMBERS OF BOARD COMMITTEES ARE REVIEWED BY THE CHAIR OF THE BOARD. THE ENTIRE BOARD ABSENT THE SUBJECT TRUSTEE OR COMMITTEE MEMBER DETERMINES WHETHER A CONFLICT EXISTS. TRUSTEES AND/OR BOARD COMMITTEE MEMBERS WITH IDENTIFIED CONFLICTS ARE REQUIRED TO RECUSE THEMSELVES FROM VOTING ON MATTERS RELATED TO THEIR CONFLICTS. THE ORGANIZATION ALSO MAINTAINS PURCHASING POLICIES REQUIRING COUNTER SIGNATURES TO FURTHER MINIMIZE THE RISK ASSOCIATED WITH CONFLICTS OF INTEREST. FORM 990, PART VI, QUESTIONS 15A & 15B THE 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, THE PARENT COMPANY OF THE CARLE FOUNDATION HOSPITAL, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: *THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES, WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT, HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS, ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED, AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. *THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. *THE COMMITTEE APPROVES ALL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. *THE COMPENSATION COMMITTEE USES A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS REVIEW INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY-SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND REPORTS DIRECTLY TO THE COMPENSATION COMMITTEE. FORM 990, PART VI, QUESTIONS 18 & 19 THE CARLE FOUNDATION, THE PARENT COMPANY OF THE CARLE FOUNDATION HOSPITAL, PUBLISHES THROUGH WWW.DACBOND.COM ITS QUARTERLY UNAUDITED FINANCIAL STATEMENTS, ANNUAL AUDITED FINANCIAL STATEMENTS, A MANAGEMENT'S DISCUSSION & ANALYSIS TO ACCOMPANY THE FINANCIAL STATEMENTS, AND AN ANNUAL REPORT OF CERTAIN OPERATING AND FINANCIAL INFORMATION. ADDITIONALLY, OFFICIAL STATEMENTS FOR OUTSTANDING MUNICIPAL BOND ISSUES FOR WHICH THE CARLE FOUNDATION IS OBLIGATED ARE AVAILABLE AT THIS WEBSITE. THESE DOCUMENTS INCLUDE EXTENSIVE INFORMATION ABOUT THE ORGANIZATION'S HEALTH CARE DELIVERY SYSTEM MODEL, RECENT HIGHLIGHTS/ACCOMPLISHMENTS, GOVERNANCE AND ADMINISTRATION, STRATEGIC PLAN, FACILITIES, CLINICAL PROGRAMS, MEDICAL STAFF, SERVICE AREA, COMPETITIVE ENVIRONMENT, DEMOGRAPHIC DATA, UTILIZATION STATISTICS, SUMMARY FINANCIAL INFORMATION, ACADEMIC AFFILIATIONS AND EDUCATIONAL PROGRAMS, MEDICAL RESEARCH, ACCREDITATIONS, AND ITS EMPLOYEES. THIS INFORMATION IS AVAILABLE AT NO CHARGE TO THOSE WHO REGISTER AT THE WWW.DACBOND.COM WEBSITE. IN ADDITION, THE FORM 990S OF THE ORGANIZATION'S FILING ENTITIES ARE AVAILABLE THROUGH DACBOND. A COMMUNITY BENEFIT REPORT IS ALSO PUBLISHED AND DISTRIBUTED ANNUALLY TO THE COMMUNITY. QUARTERLY FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST DELIVERED TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE ALSO AVAILABLE UPON REQUEST TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES. PART VII, SECTION A, COLUMN B THE AVERAGE ESTIMATED HOURS PER WEEK LISTED FOR THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS ARE BASED ON A STANDARD 40 HOUR WEEK. MEMBERS MAY FREQUENTLY DEVOTE MORE THAN 40 HOURS OF SERVICE TO THE ENTIRE ORGANIZATION DURING AN AVERAGE WEEK. FORM 990, PART XI, LINE 9 THE CARLE FOUNDATION HOSPITAL SETTLED VARIOUS INTERCOMPANY RECEIVABLE/PAYABLE BALANCES THROUGH EQUAL OFFSETTING EQUITY TRANSFERS. THE INTERCOMPANY RECEIVABLE/PAYABLE BALANCE RESULTED FROM THE NORMAL COURSE OF OPERATIONS AND WERE PRIMARILY ATTRIBUTABLE TO CENTRALIZED CASH MANAGEMENT AND DISBURSEMENT ACTIVITIES. THESE INTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS HELPED PROVIDE SUPPLEMENTAL FUNDING FOR CERTAIN RELATED ORGANIZATIONS TO FURTHER THEIR EXEMPT PURPOSES. EQUITY TRANSFERS (TO)/FROM AFFILIATES - (84,763,000) ROUNDING - (135) NET INCOME/EQUITY - CRIMCO - 76,454 ------------- NET OTHER CHANGES IN NET ASSETS OR FUND BALANCES - (84,686,681) ------------- FORM 990, PART XII, LINES 2A, B, C AND PART IV, LINES 12,12A THE FINANCIAL STATEMENTS FOR THE CARLE FOUNDATION HOSPITAL WERE REVIEWED ON A CONSOLIDATED BASIS UNDER THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE CARLE FOUNDATION DOES HAVE AN AUDIT COMMITTEE CONSISTING OF MEMBERS OF THE GOVERNING BOARD AND THE CHIEF FINANCIAL OFFICER WHO TOGETHER ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE REVIEW AND AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. Hoopeston Community Memorial Hospital 701 E Orange St Hoopeston IL 60942 363637465 Hospital serv IL 501(c)(3) 3 TCF true The Carle Development Foundation 611 W Park St Urbana IL 61801 371159978 Fundraising IL 501(c)(3) 7 TCF true Carle Health Care Incorporated 611 W Park St Urbana IL 61801 371140016 Var svcs IL 501(c)(3) 9 TCF true Carle Retirement Centers Inc 611 W Park St Urbana IL 61801 371160033 RTRMT LIVING IL 501(c)(3) 9 TCF true Carle Community Health Corp 611 W Park St Urbana IL 61801 364458371 FDN MISSION IL 501(c)(3) 11a, Type I TCDF true The Carle Foundation 611 W Park St Urbana IL 61801 370673465 PARENT/INVEST IL 501(c)(3) 11B TYPE II NA false Health Systems Insurance Limited GOVERNORS SQ 2ND FL BLDG 3 Grand Cayman CJ KY1-1102 Insurance CJ TCF C-CORP 0 0 0.00000 true Carle Holding Company Inc 611 W Park St Urbana IL 61801 371188284 HOLDING COMPANY IL TCF C-CORP 0 0 0.00000 true Carle Risk Management Company 611 W Park St Urbana IL 61801 371217973 Risk management IL TCF c-corp 1245463 53680 1.00000 true eValiData Inc 611 W Park St Urbana IL 61801 462022658 PHYS CREDENTIALNG IL TCF C-CORP 10647 8443 1.00000 true false false true false false false false false false true true true true false false true true false false Carle Community Health Corporation c 2618160 COST THE CARLE DEVELOPMENT FOUNDATION c 451659 COST Carle Health Care Incorporated l 816487 COST Hoopeston Regional Health Center l 176679 COST Carle Health Care Incorporated m 8713151 COST Health Alliance Medical Plans Inc m 420688 COST Carle Health Care Incorporated p 1968235 COST Schedule R, Supplemental Information SCHEDULE R, PART II CARLE HEALTH CARE INCORPORATED PRIMARY ACTIVITY: EMERGENCY TRANSPORT, DAY CARE, PHYSICIAN SERVICES.