2024-11-15T13:53:58+00:00 2023-12-31 346565596 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE INDIANAPOLIS IN 462045100 990 2023-01-01 371119538 THE CARLE FOUNDATION HOSPITAL CARL 2173833311 611 W PARK STREET URBANA IL 61801 DENNIS HESCH EXEC VP & CFO 2173836702 2024-11-15 true true Jennifer D Rhoderick P00395735 3176817000 2024-11-13 2023 2024-10-15 13:58:12Z X DENNIS HESCH EXEC VP & CFO 611 W PARK STREET URBANA IL 61801 1444813845 false X WWW.CARLE.ORG X 1982 IL 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. 4 2 5371 1091 9609324 0 20156883 10213173 1226056070 1398587179 92809 261942 7116398 6812122 1253422160 1415874416 1488784 961102 0 0 346595428 361877500 0 0 0 737126082 757375289 1085210294 1120213891 168211866 295660525 471321883 648066880 228367990 153243286 242953893 494823594 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 1056364094 961102 1405397894 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 453-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. IN 2023, CLINICIANS, RESEARCHERS, AND STUDENTS WORKED ON OVER 440 CLINICAL RESEARCH STUDIES, A 50% INCREASE SINCE 2017. MORE THAN 3,500 PATIENTS PARTICIPATED, INCLUDING MORE THAN 1,400 NEW PARTICIPANTS, WHICH INCLUDE EXPANSION OF CLINICAL RESEARCH TO CARLE HEALTH HOSPITALS IN BLOOMINGTON-NORMAL AND PEORIA. RESEARCHERS WORKING AT CARLE PRODUCED OVER 200 RESEARCH PUBLICATIONS IN 2023, A TWOFOLD INCREASE SINCE 2020. THE SIEMENS 7 TESLA MRI SYSTEM OWNED BY CARLE AND THE UNIVERSITY OF ILLINOIS AT URBANA CHAMPAIGN (UIUC) REMAINS THE ONLY 7T MRI SYSTEM APPROVED FOR CLINICAL USE IN THE STATE OF ILLINOIS. 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. 32894101 0 0 THE STEPHENS FAMILY CLINICAL RESEARCH INSTITUTE AT CARLE HEALTH BRINGS CUTTING EDGE CLINICAL TRIALS TO SERVE THE NEEDS OF OUR PATIENTS AND ADVANCES CARE THROUGH THE TRANSLATION OF NEW DISCOVERIES INTO CLINICAL SOLUTIONS. CARLE CLINICIANS AND RESEARCHERS ARE LEADING RESEARCH PROJECTS THAT ARE RECOGNIZED BY FEDERAL FUNDING AGENCIES AND RESEARCH INSTITUTIONS ACROSS THE COUNTRY. AS THE PRIMARY CLINICAL RESEARCH PARTNER TO THE CARLE ILLINOIS COLLEGE OF MEDICINE AT THE UNIVERSITY OF ILLINOIS AT URBANA CHAMPAIGN, CARLE PARTNERS ON MORE THAN 40 COLLABORATIVE RESEARCH PROJECTS TO ADVANCE UNDERSTANDING OF COMPLEX DISEASE PROCESSES AND DEVELOP TECHNICAL SOLUTIONS. IN 2023, CLINICIANS, RESEARCHERS, AND STUDENTS WORKED ON OVER 440 CLINICAL RESEARCH STUDIES, A 50% INCREASE SINCE 2017. MORE THAN 3,500 PATIENTS PARTICIPATED, INCLUDING MORE THAN 1,400 NEW PARTICIPANTS, WHICH INCLUDE EXPANSION OF CLINICAL RESEARCH TO CARLE HEALTH HOSPITALS IN BLOOMINGTON-NORMAL AND PEORIA. RESEARCHERS WORKING AT CARLE PRODUCED OVER 200 RESEARCH PUBLICATIONS IN 2023, A TWOFOLD INCREASE SINCE 2020. CARLE HEALTH CONTINUES TO DEVELOP THE CARLE CLINICAL IMAGING RESEARCH CENTER WITH USE OF THE SIEMENS 7 T MRI SYSTEM, THE ONLY 7 T SYSTEM IN THE STATE OF ILLINOIS APPROVED FOR CLINICAL USE. THE SYSTEM WAS PURCHASED IN 2020 IN PARTNERSHIP WITH THE UNIVERSITY OF ILLINOIS URBANA CHAMPAIGN BECKMAN IMAGING CENTER. IN 2023, INTERVENTIONAL NEURORADIOLOGISTS AT CARLE HEALTH IMPROVED VISUALIZATION OF BRAIN ANEURYSM BY UTILIZING NON-INVASIVE 7 T MRI IMAGING OVER THE FORMER CATHETER-BASED IMAGING TECHNIQUES TO REDUCE RISKS FOR PATIENTS AND IMPROVE DETECTION. IMAGING CENTER DIRECTOR, BRUCE DAMON WORKED WITH A TEAM AT CLEVELAND CLINIC TO DEVELOP AN MRI BASED PREDICTIVE MODEL OF PEDIATRIC CARDIAC TRANSPLANT REJECTION THAT ELIMINATES THE NEED FOR PAINFUL TISSUE BIOPSY TO MONITOR THE HEALTH OF HEART TRANSPLANTS. OTHER RESEARCHERS ARE USING 7 T MRI TO UNDERSTAND THE IN COGNITIVE DEFICITS SEEN IN SOME COLON CANCER PATIENTS. IMAGING RESEARCH STUDIES CONTINUE TO YIELD NEW INSIGHTS INTO CONDITIONS SUCH AS TRAUMATIC BRAIN INJURY ("TBI"), STROKE, TUMOR METASTASIS, EPILEPSY, AND MENTAL HEALTH DISORDERS. DR. BRUCE DAMON IS ALSO COLLABORATING WITH CARLE CLINICIAN SCIENTIST, CHRISTINA LAUKAITIS, MD/PHD, AND INTERNATIONAL EXPERT ON THE GENETIC UNDERPINNINGS OF HYPERMOBILE EHLERS DANLOS DISEASE, A COLLAGEN DISORDER THAT AFFECTS THOUSANDS OF PEOPLE IN THE STATE. DAMON AND LAUKAITIS, WORKING WITH A TEAM AT UNIVERSITY OF ILLINOIS ARE STUDYING THE IMPACTS OF CONNECTIVE TISSUE STRUCTURAL WEAKNESSES ON THE MANY INJURIES AND ILLNESS EFFECTING THIS PATIENT POPULATION. CARLE FOUNDATION HOSPITAL PARTNERED IN RESEARCH LEADING TO A NEW AI TOOL FOR SEPSIS DIAGNOSIS. CALLED SEPSIS IMMUNOSCORE, THE NEW TOOL USES ALGORITHMS TO COMBINE DEEP BIOLOGICAL DATA WITH BROAD CLINICAL DATA TO ELUCIDATE PATTERNS IN THE HUMAN BIOLOGICAL RESPONSE. EARLY DETECTION OF SEPSIS LEADS TO PROMPT TREATMENT BEFORE DAMAGE OCCURS. THE TOOL JUST RECEIVED MARKETING APPROVAL FROM THE FOOD AND DRUG ADMINISTRATION. BEGINNING IN 2014, RASHID BASHIR, DEAN OF THE UNIVERSITY OF ILLINOIS GRAINGER COLLEGE OF ENGINEERING, AND BOBBY REDDY JR., CO-FOUNDER OF CHICAGO-BASED PRENOSIS COLLABORATED WITH CARLE CRITICAL CARE PHYSICIAN, KAREN WHITE, MD, PHD AND EMERGENCY MEDICINE PHYSICIANS, BRAD WEIR, AND BEN DAVIS TO DESIGN AND TEST THE ALGORITHM THAT EVENTUALLY LED TO IMMUNOSCORE. THE TEAM IS CURRENTLY RUNNING A CLINICAL STUDY TO DETERMINE HOW TO OPTIMIZE THE TOOL FOR USE IN BUSY CLINICAL ENVIRONMENTS. IN PARTNERSHIP WITH THE DEPARTMENT OF BIOENGINEERING AT UNIVERSITY OF ILLINOIS, CARLE HEALTH RECRUITED A LEADING EXPERT IN TRANSCRANIAL ELECTRIC AND MAGNETIC STIMULATION. DR. YUAN YANG IS CURRENTLY RUNNING AN AMERICAN HEART ASSOCIATION FUNDED CLINICAL TRIAL TO EVALUATE THE EFFECTIVENESS OF TRANSCRANIAL STIMULATION IN RESTORING DEFICITS REMAINING AFTER RECOVERY FROM STROKE. HIS TEAM WILL PARTNER WITH OUR 7T RESEARCH TEAM TO VISUALIZE COGNITIVE FUNCTION AFTER TREATMENT. CARLE IS THE PRIMARY CLINICAL RESEARCH PARTNER FOR THE CARLE ILLINOIS COLLEGE OF MEDICINE. OVER 50 MEDICAL STUDENTS PARTNERED WITH PHYSICIANS AT CARLE TO SEARCH FOR WAYS TO IMPROVE PATIENT OUTCOMES. MEDICAL EDUCATION AT CARLE ILLINOIS COLLEGE OF MEDICINE OFFERS A UNIQUE EMPHASIS ON INNOVATION. STUDENTS DESIGNED AND TESTED SEVERAL INNOVATIONS SUCH AS IMPROVED BEDSIDE TABLES AND SPIROMETERS THAT WERE EASIER FOR PATIENTS TO USE. CARLE RESEARCHERS HELP TRAIN MEDICAL STUDENTS AND RESIDENTS IN GOOD CLINICAL RESEARCH PRACTICE AND PROVIDE GUIDANCE TO HELP THEM DEVELOP THEIR IDEAS INTO IMPACTFUL RESEARCH PROJECTS. THE CARLE CANCER CENTER CONTINUES TO BE SUPPORTED BY A NATIONAL CANCER INSTITUTE COMMUNITY ONCOLOGY RESEARCH PROGRAM ("NCORP") GRANT. CARLE CANCER CENTER IS ONE OF ONLY 32 COMMUNITY SITES BRINGING CANCER CLINICAL TRIALS TO INDIVIDUALS IN THEIR OWN COMMUNITIES. IN 2021, NCI AWARDED CARLE A SIGNIFICANT INCREASE IN FUNDING IN RECOGNITION OF CARLE'S SUCCESS IN ENGAGING PATIENTS IN CLINICAL RESEARCH AND EXPANDING THE NETWORK OF PARTNER CLINICS. THE CARLE NCORP NETWORK NOW HAS 26 AFFILIATE SITES IN UNDERSERVED AREAS OF ILLINOIS AND WESTERN INDIANA, BRINGING CUTTING-EDGE CANCER CLINICAL TRIALS TO THOSE AREAS. CARLE CANCER INSTITUTE RECEIVED NUMEROUS AWARDS IN 2023 RECOGNIZING THEIR OUTSTANDING ACCOMPLISHMENTS IN BRINGING CUTTING EDGE CLINICAL TRIALS TO PATIENTS IN OUR REGION. FOR THE THIRD YEAR IN A ROW, CARLE WAS THE TOP RECRUITING SITE IN THE NATION FOR AN IMPORTANT STUDY EVALUATING THE EFFECTIVENESS OF 2D VERSUS 3D MAMMOGRAPHY. CARLE CLINICIAN RESEARCH GEORGINA CHENG, MD, PHD PUBLISHED AND IMPORTANT PAPER IN COLLABORATION WITH PROF. ROHIT BHARGAVA AT UNIVERSITY OF ILLINOIS. THE PAPER PUBLISHED IN NATURE COMMUNICATIONS (JULY 2023), ONE OF THE MOST RECOGNIZED SCIENTIFIC JOURNALS IN WORLD DESCRIBED ADVANCES IN CHEMICAL IMAGING TECHNOLOGIES THAT COULD BRING RAPID PATHOLOGICAL DIAGNOSIS AND STAGING OF TUMORS INTO THE OPERATING ROOM. THEIR WORK IS PARTIALLY SUPPORTED BY A RESEARCH GRANT FROM THE NATIONAL INSTITUTES OF HEALTH TO COMPARE THE TECHNIQUE IN COLON CANCER PATIENTS. EDUCATION THROUGH A VARIETY OF ACTIVITIES INCLUDING SIGNIFICANT DONATIONS, SCHOLARSHIP PROGRAMS, AND PHYSICIAN, NURSE AND ALLIED-HEALTH EDUCATION, MORE THAN $23 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. * GRADUATE MEDICAL EDUCATION HAS GROWN TO NINE MEDICAL RESIDENCY PROGRAMS AT THE CARLE FOUNDATION HOSPITAL LOCATION - FAMILY MEDICINE, GENERAL SURGERY, INTERNAL MEDICINE, ORAL AND MAXILLOFACIAL SURGERY (OMS), PSYCHIATRY, NEUROLOGY, OB-GYN, CARDIOVASCULAR DISEASE FELLOWSHIP, AND VASCULAR SURGERY. CARLE BROMENN CONTINUES TO HOUSE A FAMILY MEDICINE PROGRAM AND A NEUROSURGERY RESIDENCY PROGRAMS. IN ACADEMIC YEAR 2023-2024, THERE ARE AROUND 145 RESIDENTS AND FELLOWS IN GME PROGRAMS. * CONTINUING EDUCATION STRIVES TO ENHANCE LOCAL AND REGIONAL HEALTHCARE PROFESSIONALS' ABILITIES TO PROVIDE HIGH-QUALITY CARE FOR PATIENTS AND SUPPORT TO CLINICAL TEAM MEMBERS, FOCUSING ON INTERPROFESSIONAL EDUCATION TO SUPPORT PROFESSIONAL GROWTH OF INDIVIDUALS AND TEAMS, AS WELL AS SERVING AS A LEADER FOR INNOVATIVE AND EVIDENCE-BASED CONTINUING EDUCATION OPPORTUNITIES. CARLE IS AN APPROVED PROVIDER OF CONTINUING EDUCATION CREDIT FOR 21 DIFFERENT DISCIPLINES. IN 2023, MORE THAN 20 MULTI-DISCIPLINARY CONFERENCES AND EVENTS, OPEN TO LOCAL, REGIONAL AND NATIONAL HEALTHCARE PROFESSIONALS, WERE PROVIDED IN ADDITION TO CONTINUING EDUCATION OPPORTUNITIES IN MULTIPLE DISCIPLINES THROUGHOUT CARLE HEALTH SYSTEM AND COMMUNITY. ADDITIONALLY, OVER 2,965 DEPARTMENT OR DIVISION BASED CONTINUING EDUCATION OPPORTUNITIES WERE SUPPORTED TO OVER 34,230 HEALTHCARE PROFESSIONALS 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 2023, CARLE ILLINOIS CONTINUED THIS SUPPORT, SUPPORTING MEDICAL STUDENTS WHO WILL CONTINUE TO THRIVE IN A RICH CLINICAL RESEARCH ENVIRONMENT THAT SUPPORTS STUDENT INNOVATIONS TO IMPROVE PATIENT CARE. OVERALL, CARLE PLEDGED TO DONATE $100 MILLION TO THE COLLEGE OVER 10 YEARS, REPORTED AS A $10 MILLION GIFT FROM THE CARLE FOUNDATION EVERY YEAR, INCLUDING 2023. 9650109 0 502079 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. DURING 2023, FINANCIAL ASSISTANCE ALONE FOR HOSPITAL PATIENTS TOTALED $12,843,574 AT COST. 1098908304 true true false true 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 true false false false false true true true false false true 173 0 true 5371 true true true false false false false false false false false false false false X 4 2 true false true false true true true true true false false true true true true true true false false false IL X X DENNIS HESCH EXEC VP & CFO 2173833311 611 W PARK STREET URBANA IL 61801 Karl Appelquist Immediate Past Chair THRU 03/31/2023 1.0 4.3 X X 0 0 0 Kelly Cunningham MD Secretary/Treasurer BEG 04/01/2023 39.0 1.0 X X 0 587801 13222 Mark Czys Vice Chair THRU 03/31/2023 1.0 6.5 X X 0 0 0 Martin O'Donnell Vice Chair BEG 04/01/2023 1.0 1.0 X X 0 0 0 Meredith Mills Chair BEG 04/01/2023 1.0 1.0 X X 0 0 0 Michael Devocelle Trustee THRU 03/31/2023 1.0 5.5 X X 0 0 0 Paul Tucker PhD Chair THRU 03/31/2023 1.0 6.0 X X 0 0 0 Uretz Oliphant MD Secretary/Treasurer THRU 03/31/2023 1.0 39.0 X X 0 589881 35685 Aja Lystila MD Trustee THRU 03/31/2023 - PHYSICIAN 1.0 39.0 X 0 406916 34166 Caleb Miller Trustee & SVP, Surgical Services & Ambulatory Care 1.0 39.0 X 0 654000 124899 Dennis Hesch Officer - EVP, Chief Finance & Strategy Officer 3.0 37.0 X 0 1395995 366889 Elizabeth Angelo DNPRN-BC Ex Officio, Non-Voting // Officer - President, CHER // CNO 36.0 4.0 X 0 722013 95920 James C Leonard MD Ex-Officio, Officer - President & CEO 0.5 39.5 X 0 5690001 36885 Matthew Kolb JDMHA Officer - President, Carle Health Regions // EVP, Chief Operating Officer 1.0 39.0 X 0 1567332 363305 Napoleon Knight MD MBA Officer - EVP, Chief Medical Officer 1.0 39.0 X 0 940875 115459 Blair Rowitz MD Associate Chief Medical Officer, Surgical Services 20.0 20.0 X 0 704507 37479 David Chan MD Associate Chief Medical Director, Acute Care & Children's Services 20.0 20.0 X 0 580503 25540 Dawn Walden SVP, Chief Revenue Cycle Officer 16.0 24.0 X 0 568121 100293 Issam Moussa MD MEDICAL DIRECTOR 39.0 1.0 X 0 807426 6600 Kenneth Aronson MD MEDICAL DIRECTOR 1.0 39.0 X 0 674881 36405 Lauren Schmid MBA EVP, Chief Human Resources Officer 1.0 39.0 X 0 945711 209640 Nicholas Crompton VP, Construction & Facility Services 1.0 39.0 X 0 364372 68059 Sally Salmons MD Associate Chief Medical Officer, Ambulatory Care 1.0 39.0 X 0 572407 72879 Amber Hanson Pharmacist 40.0 0.0 X 279079 0 17334 Bruce Damon Director, Clinical Imaging Research 40.0 0.0 X 340268 0 35450 Jodi Davis Registered Nurse - CFH House Supervisor 40.0 0.0 X 280037 0 27962 Kerry Fox Executive Director, Perioperative Services 40.0 0.0 X 286930 0 39758 Maria FE Celis Registered Nurse - CFH CIA 40.0 0.0 X 295333 0 33219 Charles Dennis MD Former - Officer 0.0 40.0 X 0 283640 35014 Julianna Sellett Former- Key Employee 0.0 40.0 X 0 414725 81018 Laurence Fallon Former - Key Employee 0.0 40.0 X 0 926444 234361 Malec Mokraoui MD Former - Key Employee 0.0 40.0 X 0 546342 38205 1481647 19943893 2285646 729 true true false Supplemental Healthcare PO Box 677896 Dallas TX 752677896 Staffing SERVICES 64270831 Fidelity On Call Inc 9006 North Industrial Rd Peoria IL 61615 Staffing SERVICES 9583625 Amer Health Staffing Group Inc 3051 Willowood Rd Edmond OK 73034 Staffing SERVICES 8967099 Prolink Healthcare 4600 Montgomery Rd STE 300 Cincinnati OH 45212 Staffing SERVICES 8702782 Avant Healthcare Professionals PO Box 744554 Atlanta GA 303744554 Staffing SERVICES 5926208 87 5185653 4593102 434418 398859 10213173 Net Patient Care 621110 1394653777 1384320080 10333697 Net Patient Care - ASC 621110 3933402 3933402 0 0 0 0 1398587179 12144 12144 10915988 8012438 0 2903550 2903550 2903550 758398 508600 0 249798 249798 -223701 473499 16492639 20418391 -3925752 14919 -3940671 INTERNAL MANAGEMENT FEES 900099 6192979 5770953 422026 CLINICAL TRIALS/REF LAB REVENUE 900099 1187684 1081141 106543 CAOS TUITION 611430 124164 124164 0 329497 321617 7880 0 7834324 1415874416 1395566276 9609324 485643 961102 961102 299765658 294292934 5472724 4311115 4279445 31670 35867977 35144143 723834 21932750 21529423 403327 87373 87373 110837091 108126008 2711083 0 29079 29079 15435458 13412412 2023046 8049311 7914782 134529 54239447 51673075 2566372 1281612 1237935 43677 439511 436022 3489 15648 13504 2144 19320321 19234551 85770 6099274 5820247 279027 PATIENT CARE SUPPLIES 289986438 289986438 INTERNAL MANAGEMENT FEES 212015857 206826115 5189742 Provider Assessment Tax & Other Taxes 36769296 36029754 739542 Non-Physician Recruitment 1721045 1693295 27750 1048528 297119 751409 0 1120213891 1098908304 21305587 0 17877 31217 100064818 139909018 0 0 0 0 9489261 5945698 17192385 18076063 287047763 204652609 88697628 82395154 0 0 255859914 401709730 471321883 648066880 113367897 92796868 184067 0 0 0 114816026 60446418 228367990 153243286 X 242953893 494823594 242953893 494823594 471321883 648066880 X 295660525 -104149 -43686675 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 87373 87373 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY $83,638 - PORTION OF DUES PAID TO AMERICAN ACADEMY OF FAMILY PHYSICIANS, AMERICAN MEDICAL ASSOCIATION, AMERICAN ACADEMY OF SLEEP MEDICINE, AMERICAN PHYSICAL THERAPY ASSOCIATION, AMERICAN DENTAL ASSOCIATION, AMERICAN ASSOCIATION OF ORAL AND MAXILLOFACIAL SURGEONS, NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS, AMERICAN ACADEMY OF NEUROLOGY INSTITUTE, AMERICAN COLLEGE OF PHYSICIANS, AMERICAN PHYSICAL THERAPY ASSOCIATION, AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION, AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS, AMERICAN PSYCHIATRIC ASSOCIATION, AND ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. 209154 180844 28310 1581952 1445403 136549 279932493 199612663 80319830 5324164 3413699 1910465 82395154 Intercompany Receivables 398964724 Other Receivables 2745006 401709730 EST 3RD PARTY PAYOR SETTLEMENT 55630055 EST LIABILITY FOR SELF INSURANCE 4367786 FINANCE LEASE LIABILITY - LT 445195 OTHER LIABILITIES 3382 60446418 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENTS RECOGNITION OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED OR RECORDED AS A LIABILITY AS OF DECEMBER 31, 2023 AND 2022. true true X true X true X true true true false true true 12843574 12843574 0.0115 190463448 239855513 0 0.0 0 0.0 0 0 203307022 239855513 12843574 0.0115 2287966 338936 1949030 0.0017 23797 23797 0.0000 44073487 44073487 0.0393 9626312 502079 9124233 0.0081 921368 921368 0.0008 0 0 56932930 841015 56091915 0.0501 0 0 260239952 240696528 68935489 0.0615 0 0.0 45625 45625 0.0000 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 27430 27430 0.0000 74725 74725 0.0001 0 0 147780 0 147780 0.0001 true 8211330 4105665 402008009 436861148 -34853139 X true true 1 1 THE CARLE FOUNDATION HOSPITAL 611 W PARK STREET URBANA IL 61801 https://carle.org/locations/carle-foundation-hospital 0003798 X X X X X THE CARLE FOUNDATION HOSPITAL 1 false false true X X X X X X X X X 22 true true true true X SEE SCHEDULE H, PART VI X SEE SCHEDULE H, PART VI X true 22 true HTTPS://CARLE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS false true X 200.0 400.0 true true X X X X true X SEE SCHEDULE H, PART VI X SEE SCHEDULE H, PART VI X SEE SCHEDULE H, PART VI X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - THE CARLE FOUNDATION HOSPITAL. THE 2022 CHAMPAIGN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT IS A COLLABORATIVE UNDERTAKING BY THE REGIONAL EXECUTIVE COMMITTEE, CONSISTING OF CARLE FOUNDATION HOSPITAL, CHAMPAIGN COUNTY MENTAL HEALTH BOARD, CHAMPAIGN COUNTY DEVELOPMENTAL DISABILITIES BOARD, CHAMPAIGN-URBANA PUBLIC HEALTH DISTRICT, CHAMPAIGN COUNTY UNITED WAY, AND OSF HEART OF MARY MEDICAL CENTER TO HIGHLIGHT THE HEALTH NEEDS AND WELL-BEING OF RESIDENTS IN CHAMPAIGN COUNTY. DEVELOPMENT OF THIS PLAN WAS A COLLABORATIVE EFFORT, WORKING WITH COMMUNITY PARTNERS INCLUDING CITY OF CHAMPAIGN, CHAMPAIGN-URBANA MASS TRANSIT DISTRICT, EASTERN ILLINOIS FOODBANK, ILLINOIS DEPARTMENT OF PUBLIC HEALTH, LAND CONNECTION, OSF HEALTHCARE, Promise Healthcare d/b/a Frances Nelson, UNIVERSITY OF ILLINOIS, URBANA SCHOOL DISTRICT #116, THE TRAUMA AND RESILIENCE INITIATIVE, AND OTHERS. ENGAGEMENT OCCURRED THROUGHOUT THE ENTIRE PROCESS, RESULTING IN SHARED OWNERSHIP OF THE ASSESSMENT. MORE THAN 50 COMMUNITY LEADERS FROM A VARIETY OF AGENCIES AND ORGANIZATIONS, AS WELL AS MORE THAN 380 COUNTY RESIDENTS, CONTRIBUTED TO THE ASSESSMENT VIA BOTH IN-PERSON MEETINGS AND SURVEYS. SURVEY DATA WERE COLLECTED IN THE THIRD AND FOURTH QUARTERS OF 2021, AND A PUBLIC STAKEHOLDER MEETING WAS HELD IN MAY OF 2022. AFTER ASSESSING THE CURRENT HEALTH STATUS OF THE COMMUNITY AND IDENTIFIED NEEDS, THE REGIONAL EXECUTIVE COMMITTEE CREATED A COMPREHENSIVE PLAN TO IMPROVE OUR COMMUNITY'S HEALTH. COMMUNITY BENEFIT IMPLEMENTATION PLAN: BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT, USING BOTH QUANTITATIVE AND QUALITATIVE RESEARCH, CARLE FOUNDATION HOSPITAL PRIORITIZED THE SIGNIFICANT COMMUNITY HEALTH NEEDS OF CHAMPAIGN COUNTY CONSIDERING SEVERAL CRITERIA, INCLUDING: ALIGNMENT WITH THE HOSPITAL'S MISSION, EXISTING PROGRAMS, THE ABILITY TO MAKE AN IMPACT WITHIN A REASONABLE TIME FRAME, THE FINANCIAL AND HUMAN RESOURCES REQUIRED, AND WHETHER THERE WOULD BE A MEASURABLE OUTCOME TO GAUGE IMPROVEMENT. THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT WAS APPROVED AND ADOPTED BY THE BOARD OF TRUSTEES ON DECEMBER 9, 2022. THE 2023-2025 COMMUNITY BENEFIT IMPLEMENTATION PLAN WAS ADOPTED AND APPROVED BY THE BOARD OF TRUSTEES ON DECEMBER 9, 2022. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - THE CARLE FOUNDATION HOSPITAL. OSF HEART OF MARY MEDICAL CENTER Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - THE CARLE FOUNDATION HOSPITAL. -CHAMPAIGN COUNTY MENTAL HEALTH BOARD -CHAMPAIGN COUNTY DEVELOPMENTAL DISABILITIES BOARD -CHAMPAIGN-URBANA PUBLIC HEALTH DISTRICT -CHAMPAIGN COUNTY UNITED WAY Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - THE CARLE FOUNDATION HOSPITAL. Health needs selected: THE FOLLOWING THREE HEALTH AREAS WERE SELECTED AS THE TOP PRIORITIES: 1. BEHAVIORAL HEALTH 2. HEALTHY BEHAVIORS AND WELLNESS 3. VIOLENCE Priority #1: healthy behaviors and wellness Like many communities in the united states, obesity and obesity-related illnesses continue to be a concern in champaign county. Obesity is associated with poorer mental health outcomes, reduced quality of life, and is the leading causes of death in the u.s. and worldwide, through contributing to heart disease, stroke, diabetes, and some types of cancer. According to 2023 county health rankings, obesity in champaign county is 32%. Obesity and its related health problems have a heavy economic impact throughout the united states. Obesity is linked with higher healthcare costs for adults and children through direct medical costs, along with impacting job productivity and absenteeism. Reducing obesity, increasing activity, and improving nutrition can have a strong impact on lowering health care costs through fewer prescription drugs, sick days, emergency room visits, doctor's office visits, and admissions to the hospital. Carle implementation plan - anticipated impact & plan to evaluate: Carle foundation hospital will pursue these initiatives to reduce obesity levels: 1. Encourage providers to give out nutrition rx and physical activity rx. 2. Increase referrals and information of carle's mobile health market. 3. Continue to distribute food boxes to families in need under the carle community health initiative. 4. Provide secure and healthy food options through congregate meal program and meals on wheels through partnership with carle health cris healthy aging center. 5. Provide wellness works articles related to health at all farm bureaus on a monthly basis through carle health rural health and farm safety. 6. Offer education on critical farm and rural safety by providing progressive ag safety days within champaign county through carle health rural health and farm safety. 7. Inform champaign county of significant health priorities and awareness efforts through bulletin inserts in faith communities through carle health faith community health. 8. Collaborate and support local diabetic prevention programs. 9. Increase awareness of overall health and wellness through carle and health alliance health-based social media platforms. 10. Donations to community and school-based programs that encourage physical activity and nutritional education. Evaluation of prior impact: Healthy behaviors/wellness/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. - Healthy food boxes: carle, through our community health initiatives program, contributed over 1,100 healthy food boxes to families in need in 2023 alone, ensuring those most in need had access to healthy and nutritional options. - Funding: carle provided funding of community events that promote physical activity, including various walks and races; amounting to more than $200,000 in financial support. Priority #2: behavioral health Behavioral health issues continue to be an issue across the county. Lack of resources, funding, and stigma contribute to the issue in champaign county. According to the most recent county health rankings, mental heath providers are at 290:1. According to the cdc, national vital statistics system, updated in 2023, the champaign county suicide rate was 13.2/100,000, which is higher than the state of illinois rate of 10.9, but lower than the national rate of 13.9. The most recent data for the drug and opioid-involved overdose death rate for champaign county is 23.1 deaths per 100,000. This figure is lower than the state of illionois average of 23.6 and national average of 23.5, but is still a concerning number. Carle implementation plan - anticipated impact & plan to evaluate: Carle foundation hospital will pursue these initiatives to increase acess 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. Train emergency department personnel of behavioral health symptoms to best direct care. 4. Increase access to trained mental/behavioral health professionals in home/virtual care settings in partnering with our nurse faith practitioners/healthy beginnings program. 5. Continue to offer mental health first aid tranings while also extending virtual opportunities to the community. 6. Implement in-home counseling services to offer aces screening, and trauma informed care delivery approaches through healthy beginnings program under the carle community health initiative. 7. Partner with the champaign county sheriff's office to equip officers with narcan, or naloxone, a drug that stops respiratory failure caused by opioids. 8. Support educational and training programs of local providers. 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. - Mental health first aid: in 2023, carle facilitated a train the trainer program for carle and regional partner employees to teach mental health first aid training. Carle staff provided more than 73 hours in providing mental health first aid classes in 2023. We had the opportunity to train healthcare professionals, farmers, employers, clergy members, first responders, and many other community members. - Psychiatry residency: psychiatric residents treat patients under supervision from attending psychiatrists and medical school faculty at three partnering hospitals - carle foundation hospital, osf heart of mary medical center, and veterans affairs medical center in danville, il. 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 2023, with the expectation of four new residents joining the program each year. In 2023, carle hired two residents out of this program. Other impacts: - Carle provided funding to community agencies and events that promote awareness of behavioral health education, including opioid awareness events; amounting to over $50,000 in behavioral health funding. - Carle increased its behavioral health providers, with three net new providers in 2023. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - THE CARLE FOUNDATION HOSPITAL (continued). Priority #3: violence Champaign county crime rates have decreased in recent years but remain higher compared to the state of illinois and surrounding counties. As stated by the 2023 county health rankings, the violent crime rate (the number of reported violent crime offenses per 100,000 populations) is 487, which remains higher than the state of illionois rate of 403. 2023 data from the cdc provides average death rate to due to homicide is 5/100,000, lower than both illinois and national averages. From the illinois state police crime reports, between 2018-2020, champaign county has seen an increase in criminal homicides from 10 to 12, an increase in aggravated assault/battery from 621 to 817, an increase in motor-vehicle thefts from 158 to 314, and an increase in arson from 22 to 30. At the same time, there has been a decrease in forcible rapes from 164 to 133, a decrease in robbery from 158 to 145, a decrease in burglary from 743 to 583, and a decrease in theft from 3,545 to 2,393. As part of the 2022 community health needs assessment survey, community members were asked to assess factors impacting well-being. Based on survey results, survey respondents ranked less violence (14%) as the second most important community concern. Similarly, safer neighborhoods (13%) was ranked the third most important community concern impacting well-being. Carle implementation plan - anticipated impact & plan to evaluate 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. Partner with the city of champaign and community groups in the champaign blueprint to reduce gun violence through community involvement and intervention. 5. Continue to work towards having a 24/7 social worker staffed in the emergency department to respond when we have victims of gun violence brought in, but also to help with many other things (including mental health crises, other victims of violence, etc.). 6. Ensure safety protocols on the hospital campus provide the safest environment possible for all patients, visitors, and staff. 7. Increase access to care in the home with carle's healthy BEGINNINGS services, to reduce levels of child abuse and domestic violence. 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: this program focuses on reducing interpersonal violence through community education and the development and training of a staff of sexual assault nurse examiners (sanes) who treat sexual assault and abuse survivors. Carle has twenty-four nurses total working with sexual assault patients, two who are internationally board certified, twelve who are state certified, and ten who are in training, who assisted with 202 total sexual assault exams, including ninety-three pediatric sexual assault exams this year. Carle is known as a resource and leader throughout the local community and the state in treating victims of assault notable 2023 accomplishments include but are not limited to: - Provided clinical and classroom education to rape advocates, University of Illinois and Parkland College nursing students, and Parkland College paramedic students (100 hours) - Participated in community multidisciplinary teams in 3 counties to follow up on pediatric abuse cases (96 hours) - Organizing and leading the Champaign County Sexual Assault Response Team committee (50 hours) - Organized and hosted a full day seminar on sexual assault patient care in February 2023 (100 hours) - Provided SANE training to all ED clinical staff that meets state mandates (200 hours) - College nursing students, and Parkland College paramedic students (100 hours) - Participated in community multidisciplinary teams in 3 counties to follow up on pediatric abuse cases (96 hours) - Organizing and leading the Champaign County Sexual Assault Response Team committee (50 hours) - Provided SANE training to all ED clinical staff that meets new state mandates (200 hours) Child abuse safety team (cast): the child abuse safety team (cast) is a program dedicated to the safety of child abuse victims, led by a pediatric hospitalist. This physician expert is on call 24/7 to identify suspected abuse, ensure proper investigation and testing, and communicate with state and local agencies. In 2023, the cast program served 115 children. Since each patient has a unique set of circumstances, some cases may only require a 10-minute phone call, while others require hours of courtroom work and preparation. Overall, this program amounted to more than $100,000 in community benefits. To date, this initiative led by one physician champion, has helped 1,043 children since launching in 2012. Needs carle is not addressing: While there are a number of additional needs identified by the data and input from community leaders, carle does not have the resources to adequately address all of them. The issues that will not be addressed in this implementation plan were prioritized as such because the needs were not as significant; they are not central to the hospital's mission; and carle has determined it does not have the ability to make a measurable impact in those areas. Carle will not focus on addressing community health challenges related to cancer, dental problems, and diabetes outside of our regular and constant efforts to provide top clinical care to those we serve. 13 CARLE AT THE RIVERFRONT 516 W MADISON ST DANVILLE IL 61832 OUTPATIENT HEALTH SERVICES & SURGERY CARLE CHAMPAIGN ON CURTIS 1701 CURTIS RD CHAMPAIGN IL 61822 OUTPATIENT HEALTH SERVICES CARLE AT THE FIELDS MEDICAL OFFICE BUILDING 3105 FIELDS SOUTH DR CHAMPAIGN IL 61822 OUTPATIENT HEALTH SERVICES CARLE DANVILLE ON VERMILION 2300 N VERMILION ST DANVILLE IL 61832 OUTPATIENT HEALTH SERVICES CARLE URBANA ON WINDSOR 1818 E WINDSOR RD URBANA IL 61802 OUTPATIENT HEALTH SERVICES CARLE CHAMPAIGN ORTHOPEDICS AND SPORTS MEDICINE 2300 S FIRST ST CHAMPAIGN IL 61820 ORTHOPEDICS AND SPORTS MEDICINE CARLE URBANA NORTH ANNEX 810 W ANTHONY DR URBANA IL 61802 OCCUPATIONAL THERAPY CARLE CHAMPAIGN ON MATTIS 1802 S MATTIS AVE CHAMPAIGN IL 61821 PAIN CLINIC CARLE CHAMPAIGN ON KIRBY 1813 W KIRBY AVE CHAMPAIGN IL 61822 HOME SERVICES AND HOSPICE CARLE NEUROSCIENCE INSTITUTE - SLEEP MEDICINE 1702 S MATTIS AVE CHAMPAIGN IL 61821 SLEEP MEDICINE CARLE MAHOMET 1001 HEATHER DR MAHOMET IL 61853 OUTPATIENT HEALTH SERVICES CARLE RANTOUL 1540 E GROVE ST RANTOUL IL 61866 OUTPATIENT HEALTH SERVICES CARLE MONTICELLO 1002 MEDICAL CENTER DR MONTICELLO IL 61856 OUTPATIENT HEALTH SERVICES Schedule H, Part I, Line 7g SUBSIDIZED HEALTH SERVICES EXPLANATION SUBSIDIZED HEALTH SERVICES ARE NET COSTS FOR BILLED SERVICES THAT ARE SUBSIDIZED BY THE HOSPITAL. THESE INCLUDE SERVICES OFFERED DESPITE A FINANCIAL LOSS BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND EITHER OTHER PROVIDERS ARE UNWILLING TO PROVIDE THE SERVICES OR THE SERVICES WOULD OTHERWISE NOT BE AVAILABLE IN A SUFFICIENT AMOUNT. WE INCLUDED AS UNREIMBURSED COSTS OF $44,073,487. Schedule H, Part I, Line 3 ASSISTANCE ELIGIBILITY CRITERIA PATIENTS MAY REQUEST AND COMPLETE A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME, INCLUDING BEFORE CARE IS RECEIVED. PATIENTS ARE INFORMED ABOUT FINANCIAL ASSISTANCE ON MULTIPLE OCCASIONS THROUGHOUT THE COLLECTION PROCESS. IN ADDITION TO PATIENTS COMPLETING APPLICATIONS FOR OUR FINANCIAL ASSISTANCE PROGRAM, WE HAVE ROBUST PRESUMPTIVE ELIGIBILITY PROCESSES IN PLACE. WE HAVE PARTNERED WITH EXPERIAN INFORMATION SOLUTIONS, INC. TO HELP US IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON KEY FINANCIAL INDICATORS. THESE PATIENTS MAY BE APPROVED WITHOUT EVER COMPLETING AN APPLICATION OR EXPRESSING A NEED FOR FINANCIAL ASSISTANCE. IN ADDITION, WE PRESUME ELIGIBILITY FOR PATIENTS WHO ARE VERIFIED HOMELESS, DECEASED WITH NO ESTATE, MENTALLY INCAPACITATED, ELIGIBLE FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) OR WOMEN, INFANTS, AND CHILDREN NUTRITION PROGRAM (WIC), TOWNSHIP ASSISTANCE, LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM OR COVERED BY ILLINOIS MEDICAID. Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE HTTPS://CARLE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE HTTPS://DEV-CMS.CARLE.ORG/GETMEDIA/ADCADB9A-2903-478C-A4A7-06BCF9DB10BC/358-0123-CFAPAPPLICATION.PDF Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE HTTPS://CARLE.ORG/GETMEDIA/F7608F63-CB1C-4EB5-8F0B-02F00EAFEC74/X0873-0223-CFAP-PLAINLANGUAGE-SUMMARY.PDF Schedule H, Part V, Section B, Line 7 B - OTHER WEBSITE (LIST URL) https://osf-p-001.sitecorecontenthub.cloud/api/public/content/dab972945fce4d2d92fb41e979c29ba5?v=b5c53182 Schedule H, Part V, Section B, Line 7 A - HOSPITAL FACILITY'S WEBSITE (LIST URL) https://carle.org/about-us/community-health-needs-assessments Schedule H, Part I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE SEE NARRATIVE FOR SCHEDULE H, PART III, LINE 2. Schedule H, Part I, Line 7f EDUCATION EDUCATION: THROUGH A VARIETY OF ACTIVITIES INCLUDING SIGNIFICANT DONATIONS, SCHOLARSHIP PROGRAMS, AND PHYSICIAN, NURSE AND ALLIED-HEALTH EDUCATION, MORE THAN $23 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. -GRADUATE MEDICAL EDUCATION HAS GROWN TO NINE MEDICAL RESIDENCY PROGRAMS AT THE CARLE FOUNDATION HOSPITAL LOCATION - FAMILY MEDICINE, GENERAL SURGERY, INTERNAL MEDICINE, ORAL AND MAXILLOFACIAL SURGERY (OMS), PSYCHIATRY, NEUROLOGY, OB-GYN, CARDIOVASCULAR DISEASE FELLOWSHIP, AND VASCULAR SURGERY. CARLE BROMENN CONTINUES TO HOUSE A FAMILY MEDICINE PROGRAM AND A NEUROSURGERY RESIDENCY PROGRAMS. IN ACADEMIC YEAR 2023-2024, THERE ARE AROUND 145 RESIDENTS AND FELLOWS IN GME PROGRAMS. -CONTINUING EDUCATION STRIVES TO ENHANCE LOCAL AND REGIONAL HEALTHCARE PROFESSIONALS' ABILITIES TO PROVIDE HIGH-QUALITY CARE FOR PATIENTS AND SUPPORT TO CLINICAL TEAM MEMBERS, FOCUSING ON INTERPROFESSIONAL EDUCATION TO SUPPORT PROFESSIONAL GROWTH OF INDIVIDUALS AND TEAMS, AS WELL AS SERVING AS A LEADER FOR INNOVATIVE AND EVIDENCE-BASED CONTINUING EDUCATION OPPORTUNITIES. CARLE IS AN APPROVED PROVIDER OF CONTINUING EDUCATION CREDIT FOR 21 DIFFERENT DISCIPLINES. IN 2023, MORE THAN 20 MULTI-DISCIPLINARY CONFERENCES AND EVENTS, OPEN TO LOCAL, REGIONAL AND NATIONAL HEALTHCARE PROFESSIONALS, WERE PROVIDED IN ADDITION TO CONTINUING EDUCATION OPPORTUNITIES IN MULTIPLE DISCIPLINES THROUGHOUT CARLE HEALTH SYSTEM AND COMMUNITY. ADDITIONALLY, OVER 2,965 DEPARTMENT OR DIVISION BASED CONTINUING EDUCATION OPPORTUNITIES WERE SUPPORTED TO OVER 34,230 HEALTHCARE PROFESSIONALS. 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 2023, CARLE ILLINOIS CONTINUED THIS SUPPORT, SUPPORTING MEDICAL STUDENTS WHO WILL CONTINUE TO THRIVE IN A RICH CLINICAL RESEARCH ENVIRONMENT THAT SUPPORTS STUDENT INNOVATIONS TO IMPROVE PATIENT CARE. OVERALL, CARLE PLEDGED TO DONATE $100 MILLION TO THE COLLEGE OVER 10 YEARS, REPORTED AS A $10 MILLION GIFT FROM THE CARLE FOUNDATION EVERY YEAR, INCLUDING 2023. Schedule H, Part I, Line 7h RESEARCH RESEARCH: THE STEPHENS FAMILY CLINICAL RESEARCH INSTITUTE AT CARLE HEALTH BRINGS CUTTING EDGE CLINICAL TRIALS TO SERVE THE NEEDS OF OUR PATIENTS AND ADVANCES CARE THROUGH THE TRANSLATION OF NEW DISCOVERIES INTO CLINICAL SOLUTIONS. CARLE CLINICIANS AND RESEARCHERS ARE LEADING RESEARCH PROJECTS THAT ARE RECOGNIZED BY FEDERAL FUNDING AGENCIES AND RESEARCH INSTITUTIONS ACROSS THE COUNTRY. AS THE PRIMARY CLINICAL RESEARCH PARTNER TO THE CARLE ILLINOIS COLLEGE OF MEDICINE AT THE UNIVERSITY OF ILLINOIS AT URBANA CHAMPAIGN, CARLE PARTNERS ON MORE THAN 40 COLLABORATIVE RESEARCH PROJECTS TO ADVANCE UNDERSTANDING OF COMPLEX DISEASE PROCESSES AND DEVELOP TECHNICAL SOLUTIONS. IN 2023, CLINICIANS, RESEARCHERS, AND STUDENTS WORKED ON OVER 440 CLINICAL RESEARCH STUDIES, A 50% INCREASE SINCE 2017. MORE THAN 3,500 PATIENTS PARTICIPATED, INCLUDING MORE THAN 1,400 NEW PARTICIPANTS, WHICH INCLUDE EXPANSION OF CLINICAL RESEARCH TO CARLE HEALTH HOSPITALS IN BLOOMINGTON-NORMAL AND PEORIA. RESEARCHERS WORKING AT CARLE PRODUCED OVER 200 RESEARCH PUBLICATIONS IN 2023, A TWOFOLD INCREASE SINCE 2020. CARLE HEALTH CONTINUES TO DEVELOP THE CARLE CLINICAL IMAGING RESEARCH CENTER WITH USE OF THE SIEMENS 7 T MRI SYSTEM, THE ONLY 7 T SYSTEM IN THE STATE OF ILLINOIS APPROVED FOR CLINICAL USE. THE SYSTEM WAS PURCHASED IN 2020 IN PARTNERSHIP WITH THE UNIVERSITY OF ILLINOIS URBANA CHAMPAIGN BECKMAN IMAGING CENTER. IN 2023, INTERVENTIONAL NEURORADIOLOGISTS AT CARLE HEALTH IMPROVED VISUALIZATION OF BRAIN ANEURYSM BY UTILIZING NON-INVASIVE 7 T MRI IMAGING OVER THE FORMER CATHETER-BASED IMAGING TECHNIQUES TO REDUCE RISKS FOR PATIENTS AND IMPROVE DETECTION. IMAGING CENTER DIRECTOR, BRUCE DAMON WORKED WITH A TEAM AT CLEVELAND CLINIC TO DEVELOP AN MRI BASED PREDICTIVE MODEL OF PEDIATRIC CARDIAC TRANSPLANT REJECTION THAT ELIMINATES THE NEED FOR PAINFUL TISSUE BIOPSY TO MONITOR THE HEALTH OF HEART TRANSPLANTS. OTHER RESEARCHERS ARE USING 7 T MRI TO UNDERSTAND THE IN COGNITIVE DEFICITS SEEN IN SOME COLON CANCER PATIENTS. IMAGING RESEARCH STUDIES CONTINUE TO YIELD NEW INSIGHTS INTO CONDITIONS SUCH AS TRAUMATIC BRAIN INJURY ("TBI"), STROKE, TUMOR METASTASIS, EPILEPSY, AND MENTAL HEALTH DISORDERS. DR. BRUCE DAMON IS ALSO COLLABORATING WITH CARLE CLINICIAN SCIENTIST, CHRISTINA LAUKAITIS, MD/PHD, AND INTERNATIONAL EXPERT ON THE GENETIC UNDERPINNINGS OF HYPERMOBILE EHLERS DANLOS DISEASE, A COLLAGEN DISORDER THAT AFFECTS THOUSANDS OF PEOPLE IN THE STATE. DAMON AND LAUKAITIS, WORKING WITH A TEAM AT UNIVERSITY OF ILLINOIS ARE STUDYING THE IMPACTS OF CONNECTIVE TISSUE STRUCTURAL WEAKNESSES ON THE MANY INJURIES AND ILLNESS EFFECTING THIS PATIENT POPULATION. CARLE FOUNDATION HOSPITAL PARTNERED IN RESEARCH LEADING TO A NEW AI TOOL FOR SEPSIS DIAGNOSIS. CALLED SEPSIS IMMUNOSCORE, THE NEW TOOL USES ALGORITHMS TO COMBINE DEEP BIOLOGICAL DATA WITH BROAD CLINICAL DATA TO ELUCIDATE PATTERNS IN THE HUMAN BIOLOGICAL RESPONSE. EARLY DETECTION OF SEPSIS LEADS TO PROMPT TREATMENT BEFORE DAMAGE OCCURS. THE TOOL JUST RECEIVED MARKETING APPROVAL FROM THE FOOD AND DRUG ADMINISTRATION. BEGINNING IN 2014, RASHID BASHIR, DEAN OF THE UNIVERSITY OF ILLINOIS GRAINGER COLLEGE OF ENGINEERING, AND BOBBY REDDY JR., CO-FOUNDER OF CHICAGO-BASED PRENOSIS COLLABORATED WITH CARLE CRITICAL CARE PHYSICIAN, KAREN WHITE, MD, PHD AND EMERGENCY MEDICINE PHYSICIANS, BRAD WEIR, AND BEN DAVIS TO DESIGN AND TEST THE ALGORITHM THAT EVENTUALLY LED TO IMMUNOSCORE. THE TEAM IS CURRENTLY RUNNING A CLINICAL STUDY TO DETERMINE HOW TO OPTIMIZE THE TOOL FOR USE IN BUSY CLINICAL ENVIRONMENTS. IN PARTNERSHIP WITH THE DEPARTMENT OF BIOENGINEERING AT UNIVERSITY OF ILLINOIS, CARLE HEALTH RECRUITED A LEADING EXPERT IN TRANSCRANIAL ELECTRIC AND MAGNETIC STIMULATION. DR. YUAN YANG IS CURRENTLY RUNNING AN AMERICAN HEART ASSOCIATION FUNDED CLINICAL TRIAL TO EVALUATE THE EFFECTIVENESS OF TRANSCRANIAL STIMULATION IN RESTORING DEFICITS REMAINING AFTER RECOVERY FROM STROKE. HIS TEAM WILL PARTNER WITH OUR 7T RESEARCH TEAM TO VISUALIZE COGNITIVE FUNCTION AFTER TREATMENT. CARLE IS THE PRIMARY CLINICAL RESEARCH PARTNER FOR THE CARLE ILLINOIS COLLEGE OF MEDICINE. OVER 50 MEDICAL STUDENTS PARTNERED WITH PHYSICIANS AT CARLE TO SEARCH FOR WAYS TO IMPROVE PATIENT OUTCOMES. MEDICAL EDUCATION AT CARLE ILLINOIS COLLEGE OF MEDICINE OFFERS A UNIQUE EMPHASIS ON INNOVATION. STUDENTS DESIGNED AND TESTED SEVERAL INNOVATIONS SUCH AS IMPROVED BEDSIDE TABLES AND SPIROMETERS THAT WERE EASIER FOR PATIENTS TO USE. CARLE RESEARCHERS HELP TRAIN MEDICAL STUDENTS AND RESIDENTS IN GOOD CLINICAL RESEARCH PRACTICE AND PROVIDE GUIDANCE TO HELP THEM DEVELOP THEIR IDEAS INTO IMPACTFUL RESEARCH PROJECTS. THE CARLE CANCER CENTER CONTINUES TO BE SUPPORTED BY A NATIONAL CANCER INSTITUTE COMMUNITY ONCOLOGY RESEARCH PROGRAM ("NCORP") GRANT. CARLE CANCER CENTER IS ONE OF ONLY 32 COMMUNITY SITES BRINGING CANCER CLINICAL TRIALS TO INDIVIDUALS IN THEIR OWN COMMUNITIES. IN 2021, NCI AWARDED CARLE A SIGNIFICANT INCREASE IN FUNDING IN RECOGNITION OF CARLE'S SUCCESS IN ENGAGING PATIENTS IN CLINICAL RESEARCH AND EXPANDING THE NETWORK OF PARTNER CLINICS. THE CARLE NCORP NETWORK NOW HAS 26 AFFILIATE SITES IN UNDERSERVED AREAS OF ILLINOIS AND WESTERN INDIANA, BRINGING CUTTING-EDGE CANCER CLINICAL TRIALS TO THOSE AREAS. CARLE CANCER INSTITUTE RECEIVED NUMEROUS AWARDS IN 2023 RECOGNIZING THEIR OUTSTANDING ACCOMPLISHMENTS IN BRINGING CUTTING EDGE CLINICAL TRIALS TO PATIENTS IN OUR REGION. FOR THE THIRD YEAR IN A ROW, CARLE WAS THE TOP RECRUITING SITE IN THE NATION FOR AN IMPORTANT STUDY EVALUATING THE EFFECTIVENESS OF 2D VERSUS 3D MAMMOGRAPHY. CARLE CLINICIAN RESEARCH GEORGINA CHENG, MD, PHD PUBLISHED AND IMPORTANT PAPER IN COLLABORATION WITH PROF. ROHIT BHARGAVA AT UNIVERSITY OF ILLINOIS. THE PAPER PUBLISHED IN NATURE COMMUNICATIONS (JULY 2023), ONE OF THE MOST RECOGNIZED SCIENTIFIC JOURNALS IN WORLD DESCRIBED ADVANCES IN CHEMICAL IMAGING TECHNOLOGIES THAT COULD BRING RAPID PATHOLOGICAL DIAGNOSIS AND STAGING OF TUMORS INTO THE OPERATING ROOM. THEIR WORK IS PARTIALLY SUPPORTED BY A RESEARCH GRANT FROM THE NATIONAL INSTITUTES OF HEALTH TO COMPARE THE TECHNIQUE IN COLON CANCER PATIENTS. Schedule H, Part II Community Building Activities OTHER COMMUNITY BENEFITS / COMMUNITY BUILDING: 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 $147,000 in community building activities in 2023. Economic Development Cash and In-kind: A large portion of Carle's 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 $45,000 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 The Carle Foundation Hospital's community benefit report since our leadership is paid by a separate cost center outside of Carle Foundation, in-kind support outside of the cash donations totaled over $590,000 in 2023. Disaster Readiness/Emergency: Emergency Management continued to be a priority of 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. Workforce Development Job Shadowing: A large amount of community building efforts - more than $27,000 - were from health care mentoring programs and job shadowing. Carle's 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. 36 people shadowed various staff at both Carle Foundation Hospital and Carle Physician Group in 2023. The hospital alone accounted for over 630 hours as community benefit, which is a conservative calculation of 20-50% of the total number of hours spent with a supervisor. Efforts Undertaken to Address Health Equity, Reduce Health Disparities, and Improve Community Health: Carle Health has established a Diversity, Equity, and Inclusion Steering Committee, which plays a material role in making decisions for the health system, as well as a Health Equity Clinical Guidance committee, which is accountable for examining and addressing health disparities in the Carle Health patient population. In 2023, Carle Health had several system wide Diversity, Equity and Inclusion (DEI) related accomplishments: -Over 17,000 employees completed a learning module on health equity. -Carle Health leadership participated in 3,300 hours of education through inclusive leadership forums. -Carle Health employees participated in twice monthly multi-cultural DEI forums for a total of 1,000 hours. -Enhanced EMR to better capture accurate and inclusive REAL (race, ethnicity, language) and SOGI (sexual orientation and gender identity) data from patients. -Removed race-based eGFR equation from clinical testing. -Began screening for the social determinants of health (SDOH) in the inpatient setting in October 2023. -Hosted five Health Equity Grand Round sessions with a total of 969 participants. Sessions were available to community members for continuing education credits. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount TO COMPUTE AND CONVERT FINANCIAL ASSISTANCE, UNREIMBURSED MEDICAID, MEANS-TESTED PROGRAMS, AND BAD DEBT CHARGEST 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 OCCURRED. 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. This narrative also pertains to Schedule H, Part I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE CARLE FOUNDATION HOSPITAL USES 50% AS A GENERAL ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT'S ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0. PLEASE SEE SCHEDULE H, PART III, LINE 2 METHODOLOGY USED TO ESTIMATE BAD DEBT FOR 990 REPORTING PURPOSES. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE NUMERATOR (TOTAL EXPENSE) AND DENOMINATOR (TOTAL GROSS CHARGES) OF THE SIMPLE RATIO OF PATIENT CARE COST TO CHARGES IS ADJUSTED BY ELIMINATING NON-PATIENT CARE THAT GENERATES OTHER REVENUE, BAD DEBT EXPENSE, MEDICAID AND OTHER PROVIDER TAXES AND THE TOTAL COST OF COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS. ALSO, ANY GROSS PATIENT CHARGES FOR PROGRAMS NOT RELYING ON THE RATIO ARE ELIMINATED FROM BOTH THE NUMERATOR AND DENOMINATOR OF THE RATIO. THESE ADJUSTMENTS ARE INTENDED TO ELIMINATE ANY POTENTIAL FOR DOUBLE COUNTING OF COMMUNITY BENEFIT EXPENSES. THE RESULTANT RATIO ALIGNS WITH SCHEDULE H REQUIREMENTS. ILLINOIS LAW DEFINES GOVERNMENTAL-SPONSORED INDIGENT HEALTH CARE AS THE UNREIMBURSED COST OF MEDICARE, MEDICAID AND OTHER FEDERAL, STATE OR LOCAL INDIGENT CARE PROGRAMS. WHEN THERE IS A SHORTFALL, WE DO BELIEVE THIS IS A COMMUNITY BENEFIT BECAUSE, AS A HOSPITAL, WE ARE STEPPING UP TO CARRY THE BURDEN OF THE GOVERNMENT, ASSURING CARE TO SENIORS, AND THOSE LESS FORTUNATE DEMOGRAPHICS THAT HAVE EXPERIENCED INCREASING COSTS OVER THE PAST DECADE WHILE LIVING ON FIXED INCOMES. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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 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 PATIENT'S OUT-OF-POCKET MEDICAL EXPENSES ARE LIMITED TO 40% OF THEIR ANNUAL GROSS INCOME IF THEY EARN AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL. ONCE ALL APPLICABLE DISCOUNTS HAVE BEEN APPLIED, WE MAKE EVERY ATTEMPT TO WORK WITH THE PATIENT AND SET UP PAYMENT ARRANGEMENTS ON THE REMAINING BALANCE DUE. THE CURRENT MINIMUM IS 5% OF THE TOTAL BALANCE DUE OR $25.00 A MONTH. IF THEY CANNOT MEET THESE GUIDELINES, OUR IN-HOUSE BILLING STAFF MEMBERS WORK WITH THEM TO SET UP A TEMPORARY/SHORT-TERM PAYMENT ARRANGEMENT UNTIL THEY CAN MAKE THE MINIMUM PAYMENT. IF THEY ARE UNABLE TO MAKE PAYMENT ON THE BALANCE DUE, THEN THE BALANCE MAY BE LISTED WITH AN OUTSIDE COLLECTION AGENCY. WHEN THE ACCOUNT IS STILL IN-HOUSE, THE MINIMUM NOTIFICATION IS MONTHLY ITEMIZED STATEMENTS. IF A PATIENT DOES NOT RESPOND, THE ACCOUNT IS GIVEN 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 SIXTY DAYS. IF THE PATIENT IS THEN APPROVED FOR DISCOUNTS AT 100% FOR FINANCIAL ASSISTANCE, THE BALANCE IS ADJUSTED AND THE ACCOUNT IS CLOSED WITH THE AGENCY. IF THE PATIENT IS APPROVED FOR LESS THAN 100%, THE ADJUSTMENTS ARE REPORTED TO THE AGENCY AND THE AGENCY WILL BEGIN COLLECTION EFFORTS ON ANY REMAINING BALANCE. Schedule H, Part V, Section B, Line 16a FAP website - THE CARLE FOUNDATION HOSPITAL: Line 16a URL: SEE SCHEDULE H, PART VI; Schedule H, Part V, Section B, Line 16b FAP Application website - THE CARLE FOUNDATION HOSPITAL: Line 16b URL: SEE SCHEDULE H, PART VI; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - THE CARLE FOUNDATION HOSPITAL: Line 16c URL: SEE SCHEDULE H, PART VI; Schedule H, Part VI, Line 2 Needs assessment Carle primarily addresses healthcare needs in our community by being a part of the aforementioned CHNA in partnership with Champaign Urbana Public Health District, OSF Healthcare, 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 community's resources. While Access to Care was not selected as a priority for the 2022 CHNA, it will continue to be a priority for Carle. Carle Financial Assistance Program (CFAP): As a tax-exempt organization, Carle Foundation Hospital provides care to patients regardless of their ability to pay. Carle's generous Financial Assistance Program has resulted in our ability to reach many people over the years. Review Status 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 Marketing and Communications, 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 - 4 times in 2023 - 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. 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 United Way and other area agencies to improve availability of health services 6. Donate to existing community health programs 7. Participate in population health initiatives that actively manage the health of members 8. Support Parkland students in health care fields; GME programs to grow number of future physicians 9. Promote prescription affordability as a 340B provider 10. 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 11. Continue access to care through subsidized services, including the Faith Community Nurse Program, Breastfeeding Clinic and Language Assistance Services Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Our practice is to look at each patient's 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 there's any reason to believe the patient could benefit from financial assistance, and we auto-qualify certain patient populations for Carle Financial Assistance Program, such as the homeless, WIC, SNAP (Supplemental Nutrition Assistance Program), Medicaid, Low Income Home Energy Assistance Program (LIHEAP), and Township Assistance recipients. Communicating that Financial Assistance is Available Carle 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 Carle Financial Assistance Program; 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 Community information Description of the Community/Population Carle Foundation Hospital's service area is generally defined as east central Illinois, including all or parts of more than 40 counties in east central Illinois and western Indiana. 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. Our reach extends into 14 adjoining, rural Illinois counties. These areas comprise nearly 50% of the Carle service area's population of about 1.1 million residents. Champaign County is located in east central Illinois and is 998.39 square miles with a population density of 208.8 people per square mile. The two major cities, Champaign and Urbana, are home to the University of Illinois, as well as Parkland College and numerous businesses and companies. Champaign County also includes the following villages: Bondville, Broadlands, Fisher, Foosland, Gifford, Homer, Ivesdale, Longview, Ludlow, Mahomet, Ogden, Pesotum, Philo, Rantoul, Royal, Sadorus, Savoy, Sidney, St. Joseph, Thomasboro, and Tolono. Townships include Ayers, Brown, Champaign, Colfax, Compromise, Condit, Crittenden, Cunningham, East Bend, Harwood, Hensley, Kerr, Ludlow, Mahomet, Newcomb, Ogden, Pesotum, Philo, Rantoul, Raymond, Sadorus, Scott, Sidney, Somer, South Homer, St. Joseph, Stanton, Tolono, and Urbana. Champaign County includes the following zip codes: 61820-2, 61801-3, 61866, 61874, 61873, 61880, 61864, 61877-8, 61847, 61863, 61871, 61815, and 61824-6. Data from the last census indicates the population of Champaign County has increased between 2010 (201,546) and 2021 despite a slight decline in the past five years. Of note, the elderly population (residents aged 65+ years) increased 19% between 2015 and 2019. For 2020, the median household income in Champaign County ($53,936) was lower than the State of Illinois ($68,428). In Champaign County, the poverty was 15.1%, which was higher than the State of Illinois poverty rate of 11.4%. Poverty has a significant impact on the development of children and youth. Analyses were completed to identify the percentage of inpatient and outpatient activity represented by Champaign County residents in area hospitals. Specifically, data show that Champaign County represents approximately 80% of all patient activity for OSF HealthCare Heart of Mary Medical Center and Carle Foundation Hospital, which are the two major hospitals serving the community. In addition, there is Promise Healthcare Frances Nelson FQHC, McKinley Health Center. In addition to defining the community by geographic boundaries, this study targets the at-risk population as an area of potential opportunity to improve the health of the community. Note that the at-risk population was defined as those individuals who were eligible to receive Medicaid based on the state of Illinois guidelines using household size and income level. 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. The population estimate as of 2022 was 206,542, predominantly white (70.6%). Individuals living in poverty is roughly 15% of the population, with the percentage of the population under 65 without health insurance is 6.5%. Carle Foundation Hospital serves as the region's only Level I Trauma Center and Level III Neonatal Intensive Care Unit. As provider of the region's 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 Eureka and east into western Indiana. For the purposes of the Carle Financial Assistance Program, coverage encompasses the entire Carle service area. Schedule H, Part VI, Line 5 Promotion of community health 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 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. Schedule H, Part VI, Line 7 State filing of community benefit report IL true PROMISE HEALTHCARE NFP 819 Bloomington Rd Champaign IL 61820 141880824 501(C)(3) 188743 Program Support United Way of Champaign County 5 Dunlap Court Savoy IL 61874 370662519 501(C)(3) 133250 Program Support, Power of the Purse 2023 Sponsor, IPLAN Coordinator Support Champaign CNT Healthcare Consumers 44 East Main St STE 208 Champaign IL 61820 371073411 501(C)(3) 120000 Program Support Land of Lincoln Legal AsT Foundation 302 North First St Champaign IL 61820 370958448 501(C)(3) 113000 Medical Legal Partnership Urbana Park District 505 W Stoughton Urbana IL 61801 376000532 Government 100000 Program Support Champaign Park District 706 Kenwood Rd Champaign IL 61821 376000474 Government 100000 Support Commitment Parkland College Foundation 2400 W Bradley Ave Champaign IL 61821 237025130 501(C)(3) 50000 SCHL & Sponsorships The Rosecrance Foundation 1021 N Mulford Rd Rockford IL 61107 364167891 501(C)(3) 50000 Program Support Champaign County Chamber of Commerce 303 W Kirby Ave Champaign IL 61820 371269310 501(C)(6) 13375 Membership Investment Visit Champaign County 17 E Taylor St Champaign IL 61820 474095548 501(C)(3) 10000 Program Support Champaign CNT Econ Development Corp 1817 South Neil St Champaign IL 61820 371200848 501(C)(6) 10000 Community building - EDC Investment Champaign County Convention 17 E Taylor St Champaign IL 61820 371167754 501(C)(6) 10000 Convention Partner Don Moyer Boys & Girls Club 600 N Neil St Unit 770 Champaign IL 61820 370906638 501(C)(3) 7500 Program Support Performance Health Supply Inc PO Box 93040 Chicago IL 60673 204590834 5689 Program Support - athletic training 10 4 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. 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 Kelly Cunningham MD Secretary/Treasurer BEG 04/01/2023 0 532271 0 28313 0 27217 0 6600 0 6622 0 601023 0 0 Uretz Oliphant MD Secretary/Treasurer THRU 03/31/2023 0 563944 0 0 0 25937 0 16500 0 19185 0 625566 0 0 Aja Lystila MD Trustee THRU 03/31/2023 - PHYSICIAN 0 336287 0 67393 0 3236 0 6600 0 27566 0 441082 0 0 Caleb Miller Trustee & SVP, Surgical Services & Ambulatory Care 0 427754 0 63119 0 163127 0 96647 0 28252 0 778899 0 80698 Elizabeth Angelo DNPRN-BC Ex Officio, Non-Voting // Officer - President, CHER // CNO 0 540222 0 75108 0 106683 0 64797 0 31123 0 817933 0 0 Dennis Hesch Officer - EVP, Chief Finance & Strategy Officer 0 1104200 0 262608 0 29187 0 346286 0 20603 0 1762884 0 0 Napoleon Knight MD MBA Officer - EVP, Chief Medical Officer 0 775491 0 136231 0 29153 0 103114 0 12345 0 1056334 0 0 Matthew Kolb JDMHA Officer - President, Carle Health Regions // EVP, Chief Operating Officer 0 1092613 0 219047 0 255672 0 335494 0 27811 0 1930637 0 226485 James C Leonard MD Ex-Officio, Officer - President & CEO 0 1690975 0 443047 0 3555979 0 16500 0 20385 0 5726886 0 3526792 Laurence Fallon Former - Key Employee 0 738955 0 158380 0 29109 0 210158 0 24203 0 1160805 0 0 Malec Mokraoui MD Former - Key Employee 0 522570 0 5704 0 18068 0 16500 0 21705 0 584547 0 0 Charles Dennis MD Former - Officer 0 255906 0 24327 0 3407 0 12918 0 22096 0 318654 0 0 Julianna Sellett Former- Key Employee 0 306389 0 32062 0 76274 0 52452 0 28566 0 495743 0 0 Kenneth Aronson MD MEDICAL DIRECTOR 0 548487 0 100157 0 26237 0 16500 0 19905 0 711286 0 0 David Chan MD Associate Chief Medical Director, Acute Care & Children's Services 0 490936 0 63580 0 25987 0 6600 0 18940 0 606043 0 0 Nicholas Crompton VP, Construction & Facility Services 0 291871 0 30843 0 41658 0 37180 0 30879 0 432431 0 0 Issam Moussa MD MEDICAL DIRECTOR 0 715316 0 67347 0 24763 0 6600 0 0 0 814026 0 0 Blair Rowitz MD Associate Chief Medical Officer, Surgical Services 0 625579 0 57491 0 21437 0 6600 0 30879 0 741986 0 0 Sally Salmons MD Associate Chief Medical Officer, Ambulatory Care 0 446923 0 46250 0 79234 0 50708 0 22171 0 645286 0 0 Lauren Schmid MBA EVP, Chief Human Resources Officer 0 674332 0 113339 0 158040 0 182309 0 27331 0 1155351 0 128983 Dawn Walden SVP, Chief Revenue Cycle Officer 0 391610 0 52955 0 123556 0 77522 0 22771 0 668414 0 69508 Maria FE Celis Registered Nurse - CFH CIA 290771 0 400 0 4162 0 5498 0 27721 0 328552 0 0 0 Bruce Damon Director, Clinical Imaging Research 309765 0 21587 0 8916 0 5963 0 29487 0 375718 0 0 0 Jodi Davis Registered Nurse - CFH House Supervisor 277785 0 400 0 1852 0 0 0 27962 0 307999 0 0 0 Kerry Fox Executive Director, Perioperative Services 259015 0 16881 0 11034 0 12192 0 27566 0 326688 0 0 0 Amber Hanson Pharmacist 278231 0 0 0 848 0 5047 0 12287 0 296413 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, 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 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE 2023 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF THE CARLE FOUNDATION HOSPITAL, THAT ARE LISTED IN THE 990 PART VII INCLUDED JAMES C. LEONARD, MD, MATTHEW KOLB, JD, MHA, DENNIS HESCH, LAURENCE FALLON, JD, LAUREN SCHMID, MBA, NAPOLEON KNIGHT, MD, MBA, ELIZABETH ANGELO DNP, RN-BC, CALEB MILLER, DAWN WALDEN, AND SALLY SALMONS, MD. THE 2023 PAYMENTS FROM THE 457(F) PLAN WERE MADE TO MATTHEW KOLB, JD, MHA ($226,485), JAMES C. LEONARD, MD ($3,526,792), LAUREN SCHMID, MBA ($128,983), CALEB MILLER ($80,698) AND DAWN WALDEN ($69,508) Schedule J, Part I, Line 7 Non-fixed payments PART OF THE OVERALL EMPLOYEE'S COMPENSATION PROGRAM INCLUDES AN INCENTIVE COMPONENT THAT COVERS MOST EMPLOYEES AND IS DESIGNED TO ENCOURAGE AND PROMOTE THE ACHIEVEMENT OF CERTAIN QUALITY, OPERATIONAL, AND EFFICIENCY IMPROVEMENTS. ALTHOUGH THIS INCENTIVE COMPONENT IS BASED ON THE ORGANIZATION MEETING CERTAIN MINIMUM FINANCIAL THRESHOLDS, ALL PAYMENTS MUST BE APPROVED BY THE BOARD OF TRUSTEES PRIOR TO ANY INCENTIVE PAYOUT. X GUEST HOUSE SUPPORT 1 398859 Market value false true false Schedule M, Part I, Line 25 DESCRIPTION OF OTHER PROPERTY Guest house program support, pediatric sensory kits, pediatric therapy mats and evaluation toys, mobile health clinic funding, healthy beginnings funding, job readiness and learning program support, oncology support garden, patient meal vouchers, pressure monitors and cuffs and scales for heart failure patients, pediatric surgical backpacks, hospice patient comfort support, and other hospital program support. Schedule M, Part I COLUMN B THE AMOUNTS REPORTED IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED. Form 990, Part VI, Line 15 15A & 15B - PROCCES TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL 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, Line 2 Family/business relationships amongst interested persons JAMES C. LEONARD, MD (OFFICER), MATTHEW KOLB, JD, MHA (OFFICER), NAPOLEON KNIGHT, MD, MBA (OFFICER), LAURENCE FALLON, JD (OFFICER), ELIZABETH ANGELO, DNP, RN-BC (OFFICER), BLAIR ROWITZ, MD (KEY EMPLOYEE), AND SALLY SALMONS, MD (KEY EMPLOYEE) - Business relationship, JAMES C. LEONARD, MD (OFFICER), AJA LYSTILA, MD (TRUSTEE), MARK CZYS (BOARD VICE CHAIR), MICHAEL DEVOCELLE (TRUSTEE), PAUL TUCKER, PHD (BOARD CHAIR), AND URETZ OLIPHANT, MD (BOARD SECRETARY/TREASURER) - Business relationship, JAMES C. LEONARD, MD (OFFICER), AJA LYSTILA, MD (TRUSTEE), KARL APPELQUIST (BOARD IMMEDIATE PAST CHAIR), MARK CZYS (BOARD VICE CHAIR), MICHAEL DEVOCELLE (TRUSTEE), PAUL TUCKER, PHD (BOARD CHAIR), AND URETZ OLIPHANT, MD (BOARD SECRETARY/TREASURER) - Business relationship, JAMES C. LEONARD, MD (OFFICER), AJA LYSTILA, MD (TRUSTEE), MARK CZYS (BOARD VICE CHAIR), MICHAEL DEVOCELLE (TRUSTEE), PAUL TUCKER, PHD (BOARD CHAIR), AND URETZ OLIPHANT, MD (BOARD SECRETARY/TREASURER) - Business relationship, JAMES C. LEONARD, MD (OFFICER) AND NAPOLEON KNIGHT, MD, MBA (OFFICER) - Business relationship, JAMES C. LEONARD, MD (OFFICER), DENNIS HESCH (OFFICER), LAUREN SCHMID, MBA (KEY EMPLOYEE), AND AJA LYSTILA, MD (TRUSTEE) - Business relationship, DENNIS HESCH (OFFICER), MARK CZYS (BOARD VICE CHAIR), MICHAEL DEVOCELLE (TRUSTEE), AND PAUL TUCKER, PHD (BOARD CHAIR) - Business relationship, JAMES C. LEONARD, MD (OFFICER), NAPOLEON KNIGHT, MD, MBA (OFFICER), MARK CZYS (BOARD VICE CHAIR), AND PAUL TUCKER, PHD (BOARD CHAIR) - Business relationship, DENNIS HESCH (OFFICER) AND CALEB MILLER (KEY EMPLOYEE) - Business relationship, DENNIS HESCH (OFFICER), MATTHEW KOLB, JD, MHA (OFFICER), AND NICHOLAS CROMPTON (KEY EMPLOYEE) - Business relationship Form 990, Part VI, Line 4 Significant changes to organizational documents DURING 2023, THE CARLE FOUNDATION D/B/A THE CARLE HEALTH SYSTEM AND PARENT ORGANIZATION OF THE CARLE FOUNDATION HOSPITAL, FORMED THREE SUBSIDIARY REGIONAL GOVERNING ENTITIES KNOWN AS CARLE HEALTH - EAST REGION, CARLE HEALTH - CENTRAL REGION, AND CARLE HEALTH - SOUTH REGION. EACH REGIONAL ENTITY BECAME THE SOLE MEMBER OF THE HOSPITALS WITHIN THE ORGANIZATION BASED ON THE GEOGRAPHICAL REGIONS. THE GOVERNING DOCUMENTS OF THE CARLE FOUNDATION HOSPITAL WERE AMENDED TO LIST THE SOLE MEMBER AS CARLE HEALTH - EAST REGION. Form 990, Part VI, Line 6 Classes of members or stockholders THE CARLE FOUNDATION HOSPITAL HAS ONE MEMBER WHICH IS CARLE HEALTH - EAST REGION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE CARLE FOUNDATION HOSPITAL'S SOLE MEMBER, Carle Health - East Region, ACTING THROUGH ITS BOARD OF TRUSTEES, HAS THE EXCLUSIVE POWER TO ELECT AND REMOVE MEMBERS OF THE BOARD OF TRUSTEES FOR THE CORPORATION IN ADDITION TO FILLING VACANCIES Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE CARLE FOUNDATION HOSPITAL'S BOARD OF TRUSTEES MUST HAVE THE APPROVAL OF ITS SOLE MEMBER, Carle Health - East Region, 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 CEO'S 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, Line 11b Review of form 990 by governing body THE FORM 990 WAS PREPARED BY STAFF AND AN EXTERNAL TAX ADVISOR AND REVIEWED BY MANAGEMENT. PRIOR TO FILING THIS FORM 990, A FULL AND COMPLETE COPY WAS PROVIDED TO THE GOVERNING BODY 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, Line 12c Conflict of interest policy THE ORGANIZATION'S ESTABLISHED CONFLICT OF INTEREST POLICIES REQUIRE ANNUAL DISCLOSURE OF ACTUAL AND POTENTIAL CONFLICTS OF INTEREST FOR OFFICERS, DIRECTORS, TRUSTEES, MEMBERS OF BOARD COMMITTEES, ADMINISTRATIVE AND MANAGERIAL EMPLOYEES AS WELL AS ALL EMPLOYEES OF THE PURCHASING DEPARTMENT. IF CIRCUMSTANCES CHANGE DURING THE COURSE OF A YEAR, INTERIM DISCLOSURE IS ALSO REQUIRED OF THE SAME INDIVIDUALS. THE DISCLOSURES OF EMPLOYEES ARE REVIEWED INITIALLY BY THE COMPLIANCE DEPARTMENT AND ANY IDENTIFIED CONFLICTS ARE REFERRED TO, AND ADDRESSED BY, THE ORGANIZATION'S INTERNAL LEGAL COUNSEL AND/OR CORPORATE INTEGRITY OFFICER. THE DISCLOSURES OF TRUSTEES AND MEMBERS OF BOARD COMMITTEES ARE REVIEWED BY THE CHAIR OF THE BOARD. THE ENTIRE BOARD, ABSENT THE SUBJECT TRUSTEE OR COMMITTEE MEMBER DETERMINES WHETHER A CONFLICT EXISTS. TRUSTEES AND/OR BOARD COMMITTEE MEMBERS WITH IDENTIFIED CONFLICTS ARE REQUIRED TO RECUSE THEMSELVES FROM DELIBERATING AND VOTING ON MATTERS THAT MAY PRESENT A CONFLICT. THE ORGANIZATION ALSO MAINTAINS PURCHASING POLICIES REQUIRING COUNTER SIGNATURES TO FURTHER MINIMIZE THE RISK ASSOCIATED WITH ACTUAL AND/OR POTENTIAL CONFLICTS OF INTEREST. Form 990, Part VI, Line 19 Required documents available to the public THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF 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 VIII, Line 2f Other Program Service Revenue - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue - Total Revenue: 329497, Related or Exempt Function Revenue: 321617, Unrelated Business Revenue: 7880, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances INTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS - -43686675; Form 990, Part XII, Line 2c Change of oversight process or selection process FORM 990 PART XII, QUESTIONS 2A, B, C AND PART IV, QUESTION 12 THE FINANCIAL STATEMENTS FOR THE CARLE FOUNDATION HOSPITAL WERE REVIEWED ON A CONSOLIDATED BASIS UNDER THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE CARLE FOUNDATION HAS AN AUDIT COMMITTEE CONSISTING OF MEMBERS OF THE GOVERNING BOARD AND THE CHIEF FINANCIAL OFFICER WHO TOGETHER ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE REVIEW AND AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT OR AUDITOR. CARLE BROMENN MEDICAL CENTER 611 W PARK STREET URBANA IL 61801 850682363 Hospital Services IL 501(c)(3) 3 CHCR true CARLE COMMUNITY HEALTH CORPORATION 611 W PARK STREET URBANA IL 61801 364458371 FNDN Mission IL 501(c)(3) Type I TCDF true CARLE EUREKA HOSPITAL 611 W PARK STREET URBANA IL 61801 850688306 Hospital Services IL 501(c)(3) 3 CHCR true CARLE HEALTH - CENTRAL REGION 611 W PARK STREET URBANA IL 61801 990548510 Governance/Oversight IL 501(c)(3) Type III-FI TCF true CARLE HEALTH - EAST REGION 611 W PARK STREET URBANA IL 61801 990582680 Governance/Oversight IL 501(c)(3) Type III-FI TCF true CARLE HEALTH - SOUTH REGION 611 W PARK STREET URBANA IL 61801 990614340 Governance/Oversight IL 501(c)(3) Type III-FI TCF true CARLE HEALTH - WEST REGION 611 W PARK STREET URBANA IL 61801 371111135 Governance/Oversight IL 501(c)(3) Type III-FI TCF true CARLE HEALTH CARE INCORPORATED 611 W PARK STREET URBANA IL 61801 371140016 Various Medical Services IL 501(c)(3) 10 TCF true CARLE RETIREMENT CENTERS INC 611 W PARK STREET URBANA IL 61801 371160033 Retirement Living IL 501(c)(3) 10 TCF true CARLE WEST PHYSICIAN GROUP INC 611 W PARK STREET URBANA IL 61801 850703768 Physician Services IL 501(c)(3) 10 CHCI true CRIS HEALTHY AGING 611 W PARK STREET URBANA IL 61801 370948852 Senior Citizen Services IL 501(c)(3) 7 CHCI true HOOPESTON COMMUNITY MEMORIAL HOSPITAL 611 W PARK STREET URBANA IL 61801 363637465 Hospital Services IL 501(c)(3) 3 CHER true HULT CENTER FOR HEALTHY LIVING INC 611 W PARK STREET URBANA IL 61801 363510390 Wellness Services IL 501(c)(3) 7 PH true HUMAN SERVICE CENTER 611 W PARK STREET URBANA IL 61801 371004882 Behavioral Health Services IL 501(c)(3) 7 TP true METHODIST MEDICAL CENTER FOUNDATION 611 W PARK STREET URBANA IL 61801 510186460 Fundraising IL 501(c)(3) 7 CHWR true METHODIST SERVICES INC 611 W PARK STREET URBANA IL 61801 371111134 Property Holding Co. IL 501(c)(3) 10 CHWR true PARK COURT LIMITED 611 W PARK STREET URBANA IL 61801 371178386 Property Holding Co. IL 501(c)(3) Type II CHWR true PEKIN MEMORIAL HOSPITAL 611 W PARK STREET URBANA IL 61801 370692351 Hospital Services IL 501(c)(3) 3 CHWR true PEKIN MEMORIAL HOSPITAL FOUNDATION 611 W PARK STREET URBANA IL 61801 371200267 Fundraising IL 501(c)(3) 7 CHWR true PRAIRIE VIEW VILLAS NO 1 1900 SPRING ROAD STE 300 OAK BROOK IL 605231480 261755679 Housing Services IL 501(c)(3) 7 TMHC true PROCTOR HEALTH SYSTEMS 611 W PARK STREET URBANA IL 61801 364147437 Physician Services IL 501(c)(3) 3 CHWR true PROCTOR HOSPITAL 611 W PARK STREET URBANA IL 61801 370681540 Hospital Services IL 501(c)(3) 3 CHWR true RICHLAND MEMORIAL HOSPITAL INC 611 W PARK STREET URBANA IL 61801 371363001 Hospital Services IL 501(c)(3) 3 CHSR true TAZWOOD MENTAL HEALTH CENTER INC 611 W PARK STREET URBANA IL 61801 371278969 Behavioral Health Services IL 501(c)(3) 7 TP true THE CARLE DEVELOPMENT FOUNDATION 611 W PARK STREET URBANA IL 61801 371159978 Fundraising IL 501(c)(3) 7 TCF true THE CARLE FOUNDATION 611 W PARK STREET URBANA IL 61801 370673465 Parent/Inv Mgmt IL 501(c)(3) Type III-FI NA false THE METHODIST MEDICAL CENTER OF ILLINOIS 611 W PARK STREET URBANA IL 61801 370661223 Hospital Services IL 501(c)(3) 3 CHWR true THE METHODIST MEDICAL CENTER OF ILLINOIS SELF INSURANCE TRUST AGREEMENT 611 W PARK STREET URBANA IL 61801 376181831 Self Insurance IL 501(c)(3) Type I MMCI true TRILLIUM PLACE 611 W PARK STREET URBANA IL 61801 834051901 Behavioral Health Services IL 501(c)(3) 10 CHWR true CHAMPAIGN SURGICENTER LLC 611 W PARK STREET URBANA IL 61801 201915925 Surgical Center IL NA N/A FIELDS SOUTH LLC 611 W PARK STREET URBANA IL 61801 823187698 Property & Facility Management IL NA N/A MOUPH LLC 611 W PARK STREET URBANA IL 61801 921791534 Outpatient Orthopedic Services IL NA N/A REHABILITATION THERAPY SERVICES LLC 416 ST MARKS CT 110 PEORIA IA 61603 810584193 Rehabilitation Therapy IL NA N/A THE CENTER FOR ORTHOPEDIC MEDICINE LLC RECOVERY CARE CENTER 2502B E EMPIRE ST BLOOMINGTON IL 61704 270934895 Outpatient Orthopedic Services IL NA N/A THE CENTER FOR ORTHOPEDIC MEDICINE LLC SURGERY CENTER 2502B E EMPIRE ST BLOOMINGTON IL 61704 371356453 Outpatient Orthopedic Services IL NA N/A BELCREST SERVICES LTD 611 W PARK STREET URBANA IL 61801 371196307 Medical Services IL NA C Corporation true CARLE HEALTH JUNCTION MEDICAL LLC 611 W PARK STREET URBANA IL 61801 814609769 Care Coordination IL NA C Corporation true CARLE HEALTH PHYSICIAN PARTNERS INC 611 W PARK STREET URBANA IL 61801 850718392 Physician Services IL NA C Corporation true CARLE HOLDING COMPANY INC 611 W PARK STREET URBANA IL 61801 371188284 Holding Co. IL NA C Corporation true CARLE RESEARCH PRODUCTS INC 611 W PARK STREET URBANA IL 61801 999999999 Medical Research - INACTIVE IL NA C Corporation true CARLE RISK MANAGEMENT COMPANY 611 W PARK STREET URBANA IL 61801 371217973 Risk Management IL CFH C Corporation 2401774 145278 1 true CARLE VENTURES INC 611 W PARK STREET URBANA IL 61801 371313150 Health Care Partnerships IL NA C Corporation true CHA HOLDING INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 471854275 Holding Co. IL NA C Corporation true FIRSTCAROLINACARE INSURANCE COMPANY 42 MEMORIAL DR PINEHURST NC 28374 331160597 Insurance IL NA C Corporation true HEALTH ALLIANCE CONNECT INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 464796891 Health Care Coordination IL NA C Corporation true HEALTH ALLIANCE MEDICAL PLANS INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 371260731 Health Coverage IL NA C Corporation true HEALTH ALLIANCE MIDWEST INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 371354502 Health Coverage IL NA C Corporation true HEALTH ALLIANCE NORTHWEST HEALTH PLAN 820 N CHELAN AVE WENATCHEE WA 98801 461966323 Health Coverage WA NA C Corporation true HEALTH ALLIANCE NORTHWEST HOLDING 820 N CHELAN AVE WENATCHEE WA 98801 461717578 Holding Co. WA NA C Corporation true HEALTH PLUS INC 611 W PARK STREET URBANA IL 61801 371295532 Contracting IL NA C Corporation true HEALTH SYSTEMS INSURANCE LIMITED Governors Square 2nd Floor Bldg 3 23 Lime Tree Bay Ave Grand Cayman CJ KY11102 980638449 Insurance CJ NA C Corporation true METHODIST HEALTH VENTURES INC 611 W PARK STREET URBANA IL 61801 371140939 Holding Co. 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