2023-11-15T14:20:59+00:00 2022-12-31 346565596 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE INDIANAPOLIS IN 462045100 990 2022-01-01 850688306 Carle Eureka Hospital CARL 2173833311 611 W PARK ST URBANA IL 61801 DENNIS HESCH EXEC VP & CFO 2023-11-15 true DENNIS HESCH 999009999 true Jennifer D Rhoderick P00395735 3176817000 2023-11-14 2022 2023-04-26 12:10:37Z DENNIS HESCH EXEC VP & CFO 611 W PARK ST URBANA IL 61801 25256635 false X CARLE.ORG/LOCATIONS/CARLE-EUREKA-HOSPITAL X 2020 IL CARLE EUREKA HOSPITAL'S MISSION IS TO BE THE TRUSTED PARTNER IN ALL HEALTHCARE DECISIONS AND IMPROVE HEALTH BY PROVIDING HIGHLY ACCESSIBLE, WORLD-CLASS CARE AND SERVICE. 6 4 195 14 0 0 782365 983807 23750510 24222205 0 5320 30231 44123 24563106 25255455 5560 18990 0 0 14162557 15404362 0 0 0 8402148 10289670 22570265 25713022 1992841 -457567 8246049 5858322 4512620 1814900 3733429 4043422 CARLE EUREKA HOSPITAL'S MISSION IS TO BE THE TRUSTED PARTNER IN ALL HEALTHCARE DECISIONS AND IMPROVE HEALTH BY PROVIDING HIGHLY ACCESSIBLE, WORLD-CLASS CARE AND SERVICE. false false 22385806 18990 24266328 CARLE EUREKA HOSPITAL ("CEH") IS A TAX-EXEMPT ILLINOIS NOT-FOR-PROFIT CORPORATION ESTABLISHED FOR THE PURPOSE OF OPERATING A HOSPITAL AND CONDUCTING PATIENT CARE RELATED ACTIVITIES. CEH HAS SERVED AND CARED FOR THE PEOPLE OF CENTRAL ILLINOIS FOR NEARLY 120 YEARS. A 25-BED FACILITY LOCATED IN EUREKA, IL, WE'VE SET NEW STANDARDS FOR WHAT A RURAL HOSPITAL CAN ACHIEVE. WITH MANY AWARDS FOR QUALITY AND PATIENT SATISFACTION, OUR SKILLED STAFF PROVIDES EMERGENCY CARE, INPATIENT AND OUTPATIENT SURGERIES, REHABILITATION, ADVANCED RADIOLOGY AND MORE. THE HOSPITAL IS FULLY ACCREDITED DNV GL HEALTHCARE (Det Norske Veritas Germanischer Lloyd) AND IS AN ACUTE STROKE READY HOSPITAL. CEH CONTINUES A CENTURY-LONG TRADITION OF PROVIDING CHARITABLE, NOT-FOR-PROFIT30 HOSPITAL CARE FOR EUREKA AND ITS SURROUNDING COMMUNITY. THE HISTORY BEGAN IN 1914 WHEN A LOCAL PHYSICIAN PURCHASED A HOUSE AND CONVERTED IT INTO THE ORIGINAL EUREKA HOSPITAL. IN 1978, EUREKA HOSPITAL WAS PURCHASED BY MENNONITE HEALTH CARE ASSOCIATION ("MENNONITE"). MENNONITE LATER MERGED WITH ANOTHER LOCAL HEALTHCARE ORGANIZATION THAT OPERATED BROKAW HOSPITAL IN BLOOMINGTON. IN 2010, EUREKA HOSPITAL MERGED INTO ADVOCATE HEALTH AND HOSPITAL CORPORATION (ADVOCATE). FROM THAT TIME, THE HOSPITAL WAS KNOWN AS ADVOCATE EUREKA HOSPITAL AND WAS OPERATED AS A DIVISION OF ADVOCATE, UNTIL JULY 1, 2020 WHEN IT WAS PURCHASED BY CARLE HEALTH. FOR 2022, CEH HAD APPROXIMATELY 46,514 INPATIENT AND OUTPATIENT VISITS, APPROXIMATELY 3,472 EMERGENCY DEPARTMENT VISITS, AND 1,751 CONVENIENT CARE VISITS. 22385806 true true false true false false false false false true false false false true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 10 0 true 195 true false false false false false false false false false false false false X 6 4 true false false false true true true true true false false true true true true true true false false false IL X X DENNIS HESCH EXEC VP & CFO 2173833311 611 W PARK ST URBANA IL 61801 Mark Czys Vice Chair 1.0 0.0 X X 0 0 0 Paul Tucker PhD Chair 1.0 0.0 X X 0 0 0 Uretz Oliphant MD Secretary/Treasurer of Board 1.0 39.0 X X 0 552134 61943 Aja Lystila MD Trustee 1.0 39.0 X 0 339330 48786 Jon Stewart Trustee (thru 8/31/22) 1.0 0.0 X 0 0 0 Karl Appelquist Trustee 1.0 0.0 X 0 0 0 Michael Devocelle Trustee 1.0 0.0 X 0 0 0 Colleen Kannaday Officer - President & CEO, Eureka Hospital 6.0 34.0 X 0 702846 230450 Dennis Hesch Officer - EVP, Chief Finance & Strategy Officer 1.0 39.0 X 0 1286099 414800 James c Leonard MD Ex-Officio, Officer - President & CEO 0.2 39.8 X 0 2140109 661809 Matthew Kolb JD MHA Officer - EVP, Chief Operating Officer 1.0 39.0 X 0 1363262 394190 Napoleon Knight MD MBA Officer - EVP, Chief Medical Officer 1.0 39.0 X 0 744746 114067 Anna Laible Administrator - EH 40.0 0.0 X 193745 0 25102 Aron Klein VP, Supply Chain & BroMenn Finance 4.0 36.0 X 0 284345 79168 John Wieland MD Associate Chief Medical Officer 2.0 38.0 X 0 564296 68434 Lauren Schmid EVP, Chief Human Resources Officer 1.0 39.0 X 0 772322 228747 Laurie Round VP, CNO BroMenn & Eureka 4.0 36.0 X 0 258767 90951 Nicholas Crompton VP, Construction & Facility Services 1.0 39.0 X 0 281961 73600 Brandon Ahlers Manager, EH Anesthesiology 40.0 0.0 X 288891 0 52497 Jane Patterson Registered Nurse - Nursing Services 40.0 0.0 X 137917 0 26613 Jason Roach Physician's Assistant 40.0 0.0 X 148756 0 36602 Raiann Karl Registered Nurse - EH Emergency Department 40.0 0.0 X 155887 0 3214 Scott Farquhar Registered Nurse - EH Emergency Department 40.0 0.0 X 217624 0 44714 Charles Dennis MD Former - Officer 0.0 20.0 X 0 437905 44150 James Nevin MD Former - Key Employee 0.0 0.0 X 0 165914 9676 1142820 9894036 2709513 21 true true false CENTRY DATA SYSTEMS INC PO BOX 505353 ST LOUIS MO 631505353 PHARMACY DATA SERVICES 176777 KONICA MINOLTA MEDICAL IMAGING PO BOX 122272 DALLAS TX 753122272 MEDICAL IMAGING SERVICES 170942 MID ILLINOIS MECHANICAL 304 SOUTH MASON ST BLOOMINGTON IL 61701 MAINTENANCE & REPAIR SERVICES 131440 3 273295 710512 983807 PATIENT SERVICE REVENUE 622110 24222205 24222205 0 0 0 0 24222205 0 0 6500 1180 0 5320 5320 5320 INTEREST ON BILLED ACCOUNTS 561440 6963 6963 0 0 Food Service 900099 5859 5859 0 0 Miscellaneous Revenue 900099 31301 31301 0 0 0 0 0 0 44123 25255455 24266328 0 5320 18990 18990 0 0 0 0 0 0 248048 248048 0 0 12507160 11486930 1020230 0 799306 743180 56126 0 1050614 960834 89780 0 799234 732518 66716 0 14019 0 14019 0 1562574 1513483 49091 0 35354 0 35354 0 387228 288330 98898 0 195426 153130 42296 0 1240965 705147 535818 0 72608 62991 9617 0 6583 6088 495 0 464785 433717 31068 0 49736 1722 48014 0 INTERNAL MANAGEMENT FEES 4275602 3141048 1134554 0 PATIENT CARE SUPPLIES 1574959 1574959 0 0 OTHER TAXES 380130 286787 93343 0 Non-Physician Recruitment 17875 17875 0 0 11826 10029 1797 0 25713022 22385806 3327216 0 3122474 853821 2877118 2631740 0 0 0 0 187005 112093 61152 65568 3112423 1066493 1919232 2045930 0 0 79068 149170 8246049 5858322 3529902 1245620 816720 234559 0 0 165998 334721 4512620 1814900 X 3733429 4043422 3733429 4043422 8246049 5858322 X -457567 767560 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 14019 14019 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY $14,019 - portion of membership dues, including dues paid to Illinois Hospital Association, attributable to lobbying. 3058681 1032629 2026052 53742 33864 19878 2045930 ACCOUNTS PAYABLE - MEDICARE 334721 334721 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION threshold AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENTS RECOGNITION OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED OR RECORDED AS A LIABILITY AS OF DECEMBER 31, 2022 AND 2021. true true X true X true X true true true false false 200434 0 200434 0.0078 3698280 1954154 1744126 0.0678 0 0.0 0 0 3898714 1954154 1944560 0.0756 279947 221739 58208 0.0023 8953 0 8953 0.0003 0 0.0 0 0.0 7983 0 7983 0.0003 0 0 296883 221739 75144 0.0029 0 0 4195597 2175893 2019704 0.0785 0 0.0 1140 1140 0.0000 1068 1068 0.0000 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1500 1500 0.0001 0 0 3708 0 3708 0.0001 true 324644 162322 14690785 13371725 1319060 X true true 1 1 CARLE EUREKA HOSPITAL 101 S MAJOR ST EUREKA IL 61530 HTTPS://CARLE.ORG/LOCATIONS/CARLE-EUREKA 0006171 X X X X CARLE EUREKA HOSPITAL 1 false false true X X X X X X X X X 22 true true true true X https://carle.org/about-us/community-health-needs-assessments X true 20 true https://carle.org/about-us/community-health-needs-assessments false true X 200.0 400.0 X true true X X X X true X SEE SCHEDULE H, PART VI X SEE SCHEDULE H, PART VI X SEE SCHEDULE H, PART VI X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - CARLE EUREKA HOSPITAL. CARLE EUREKA HOSPITAL PARTICIPATED IN THE TRI-COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA); A COLLABORATIVE UNDERTAKING SPEARHEADED BY THE PARTNERSHIP FOR A HEALTHY COMMUNITY (PFHC). THE PFHC IS A MULTI-SECTOR COMMUNITY PARTNERSHIP WORKING TO IMPROVE POPULATION HEALTH IN WOODFORD, PEORIA, AND TAZEWELL COUNTY. AN AD HOC COMMITTEE WITHIN THE PFHC FACILITATED THE TRI-COUNTY PFHC CHNA. MEMBERS OF THE PFHC AD HOC CHNA COLLABORATIVE TEAM INCLUDED CARLE EUREKA HOSPITAL, OSF SAINT FRANCIS MEDICAL CENTER, UNITYPOINT HEALTH - CENTRAL IL, including METHODIST MEDICAL CENTER OF ILLINOIS, PEKIN MEMORIAL HOSPITAL AND PROCTOR HOSPITAL, HOPEDALE MEDICAL COMPLEX, WOODFORD COUNTY HEALTH DEPARTMENT, PEORIA CITY/COUNTY HEALTH DEPARTMENT, TAZEWELL COUNTY HEALTH DEPARTMENT, HEART OF ILLINOIS UNITED WAY, HEARTLAND HEALTH SERVICES AND BRADLEY UNIVERSITY. THE GOAL OF THE PFHC AD HOC CHNA COLLABORATIVE WAS TO HIGHLIGHT THE HEALTH NEEDS OF RESIDENTS IN THE TRI-COUNTY REGION AND EFFECTIVELY UTILIZE RESOURCES AND ESTABLISH PARTNERSHIPS FROM THE THREE COUNTIES TO IMPROVE THE HEALTH OF THE COMMUNITIES. THE COMMUNITY HEALTH DIRECTOR FOR CARLE BROMENN MEDICAL CENTER AND CARLE EUREKA SERVES AS THE VICE-CHAIR/PRESIDENT OF THE PFHC BOARD AND IS A MEMBER FO THE PFHC AD HOC CHNA COLLABORATIVE TEAM. SIMILAR TO OTHER MEMBERS OF THE PFHC, CARLE EUREKA HOSPITAL USED THE TRI-COUNTY PFHC CHNA TO PREPARE ITS 2022 CHNA REPORT WITH A FOCUS ON WOODFORD COUNTY. FOR THE 2022 CHNA, CARLE EUREKA HOSPITAL PARTICIPATED IN THE PRIORITY SETTING PROCESS WITH THE PFHC AD HOC CHNA COLLABORATIVE. THREE SIGNIFICANT HEALTH NEEDS WERE SELECTED DURING THE PROCESS BY KEY COMMUNITY STAKEHOLDERS AT THE MAY 24, 2022, PRIORITIZATION MEETING. REPRESENTATIVES FROM ALL THREE COUNTIES WERE IN ATTENDANCE. PARTICIPANTS INCLUDED A BROAD CROSS-SECTOR OF REPRESENTATIVES FROM ORGANIZATIONS REPRESENTING HEALTHCARE, PUBLIC HEALTH, SOCIAL SERVICES, JUDICIARY, POLICY, EDUCATION, LAW ENFORCEMENT, TRANSPORTATION, HOUSING AND ECONOMIC DEVELOPMENT. PARTICIPANTS INCLUDED Heart of Illinois United Way, Phoenix Community Development Services, UnityPoint Health, Carle Eureka Hospital, UnityPlace, Tazewell County Health Department, Midwest Food Bank, UnityPoint Clinic, Tazewell County Circuit Clerk, University of Illinois Extension, Tri-County Regional Planning, Salvation Army Rust Center, University of Illinois - Chicago Peoria Campus, Tazewell County Youth Board, Woodford County Health Department, Peoria City County Health Department, OSF Healthcare St. Francis Medical Center, OSF Pediatrics, Greater Peoria Economic Development Council, Peoria Board of Health, American Cancer Society, Hopedale Medical Center, Hult Education Center, Peoria Police Department, Heartland Health Services, Peoria County Regional Office of Education, Peoria City Diversity Officer, Peoria Police Department, Peoria Park District, Continuum of Care AND PPS Wraparound Service. THE PFHC'S 2022 CHNA WAS CONDUCTED USING A MIXED METHODOLOGICAL APPROACH. THE MAIN SOURCE OF PRIMARY DATA CAME FROM THE 2021 TRI-COUNTY COMMUNITY HEALTH SURVEY THAT WAS ADMINISTERED IN THE SUMMER OF 2021 TO EXAMINE PERCEPTIONS OF COMMUNITY HEALTH ISSUES, UNHEALTHY BEHAVIORS, ISSUES WITH QUALITY OF LIFE, HEALTHY BEHAVIORS AND ACCESS TO HEALTHCARE. WOODFORD COUNTY RESULTS INDICATED THAT 372 RESIDENTS RESPONDED TO THE SURVEY WITH 33 BEING FROM THE AT-RISK POPULATION. THE PFCH AD HOC CHNA COLLABORATIVE TEAM ALSO EXAMINED DATA FROM A VARIETY OF SECONDARY SOURCES. AT THE MAY 24, 2022, PFHC PRIORITIZATION MEETING, THE FOLLOWING CRITERIA WERE CONSIDERED BY THE PFHC AND AD HOC CHNA COLLABORATIVE TEAM, IN CONJUNCTION WITH NUMEROUS COMMUNITY STAKEHOLDERS: (1) MAGNITUDE OF THE ISSUES, BASED ON THE PERCENTAGE OF THE POPULATION IMPACTED BY THE ISSUE; (2) SEVERITY OF THE ISSUES IN TERMS OF THEIR RELATIONSHIP WITH MORBIDITIES AND MORTALITIES; (3) POTENTIAL IMPACT THROUGH COLLABORATION. USING A MODIFIED VERSION OF THE HANLON METHOD, THE COLLABORATIVE TEAM AND COMMUNITY STAKEHOLDERS IDENTIFIED THREE SIGNIFICANT HEALTH NEEDS AND CONSIDERED THEM EQUAL PRIORITIES: * HEALTHY EATING/ACTIVE LIVING: DEFINED AS ACTIVE LIVING, HEALTHY EATING AND ACCESS TO FOOD AND FOOD INSECURITY * MENTAL HEALTH: DEFINED AS DEPRESSION, ANXIETY AND SUICIDE * OBESITY: DEFINED AS OVERWEIGHT AND OBESITY FOLLOWING THIS SELECTION FOR THE PFHC CHNA, THE CHNA TEAM FROM CARLE EUREKA HOSPITAL ANALYZED ADDITIONAL DATA FOR WOODFORD COUNTY AND TOOK INTO CONSIDERATION THE AVAILABLE RESOURCES TO DETERMINE HOW THE HOSPITAL CAN MAKE THE MOST IMPACT. IN LOOKING AT THE THREE PFHC CHNA PRIORITIES, CARLE EUREKA SELECTED MENTAL HEALTH AS A PRIORITY. ADDITIONALLY, THE CARLE EUREKA HOSPITAL TEAM REVIEWED ALL SIX OF THE PFHC TRI-COUNTY CHNA HEALTH PRIORITIES: (1) ACCESS TO CARE; (2) CANCER; (3) MENTAL HEALTH; (4) SUBSTANCE USE; (5) OBESITY AND (6) HEALTHY EATING/ACTIVE LIVING AND DETERMINED THAT ACCESS TO CARE WOULD BE ITS SECOND HEALTH PRIORITY AS A CRITICAL ACCESS HOSPITAL WITH LIMITED RESOURCES, THE CARLE EUREKA HOSPITAL CHNA TEAM FELT THAT IT COULD MAKE A GREATER IMPACT ON IMPROVING THE HEALTH OF THE COMMUNITY BY FOCUSING ON ACCESS TO CARE AS A HEALTH PRIORITY. ACCESS TO CARE IS A CRITICAL ISSUE IN RURAL COUNTIES AND THE HOSPITAL CONTINUALLY STRIVES TO IMPROVE THE AVAILABILITY OF HEALTH SERVICES TO WOODFORD COUNTY RESIDENTS. ALTHOUGH CARLE EUREKA HOSPITAL WILL FOCUS A MAJORITY OF ITS COMMUNITY HEALTH EFFORTS ON MENTAL HEALTH AND ACCESS TO CARE, IT WILL ALSO SUPPORT THE PFHC'S EFFORTS RELATED TO OBESITY AND HEALTHY EATING WHEN POSSIBLE. AS MENTIONED ABOVE, A CARLE HEALTH LEADER IS A MEMBER OF THE PFHC BOARD THAT SUPPORTS THE THREE TRI-COUNTY HEALTH PRIORITIES. ON NOVEMBER 15, 2022, THE CARLE BROMENN MEDICAL CENTER AND CARLE EUREKA HOSPITAL GOVERNING COUNCIL REVIEWED AND APPROVED/ADOPTED THE CARLE EUREKA HOSPITAL 2022 CHNA REPORT AND SIGNIFICANT HEALTH NEEDS FOLLOWED BY APPROVAL/ADOPTION OF THE CARLE EUREKA HOSPITAL COMMUNITY HEALTH IMPLEMENTATION STRATEGY PLAN ON MARCH 8, 2023. THE 2022 CARLE EUREKA HOSPITAL CHNA WAS POSTED ON THE CARLE HEALTH WEBPAGE IN NOVEMBER 2022 AND CONTAINED AN EMAIL FOR THE COMMUNITY TO PROVIDE FEEDBACK ON THE CHNA. POSTING OF THE IMPLEMENTATION STRATEGY OCCURRED IN APRIL 2023. AS OF DECEMBER 31, 2022, THERE HAD BEEN NO FEEDBACK FROM THE COMMUNITY ON EITHER THE 2022 CHNA REPORT NOR THE PREVIOUS 2019 CHNA REPORT AND ITS ACCOMPANYING 2020-2022 IMPLEMENTATION PLAN. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - CARLE EUREKA HOSPITAL. osf saint francis medical center, unitypoint health - central il (including methodist medical center of illinois, pekin memorial hospital and proctor hospital) and hopedale medical complex HOPEDALE MEDICAL COMPLEX, HOPEDALE, ILLINOIS UNITYPOINT HEALTH-PEKIN HOSPITAL, PEKIN, ILLINOIS (PART OF CARLE HEALTH AS OF APRIL 1, 2023) Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - CARLE EUREKA HOSPITAL. WOODFORD COUNTY HEALTH DEPARTMENT PEORIA CITY AND COUNTY HEALTH DEPARTMENT TAZEWELL COUNTY HEALTH DEPARTMENT HEART OF ILLINOIS UNITED WAY HEARTLAND HEALTH SERVICES, PEORIA, ILLINOIS BRADLEY UNIVERSITY, PEORIA, ILLINOIS Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - CARLE EUREKA HOSPITAL. 2019 CHNA AND 2020-2022 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) THE 2020-2022 CARLE EUREKA HOSPITAL COMMUNITY HEALTH IMPLEMENTATION PLAN IS FOCUSED ON WOODFORD COUNTY AND TWO OF THE FOUR SIGNIFICANT HEALTH NEEDS SELECTED FOR THE TRI-COUNTY REGION. HEALTH NEEDS SELECTED FROM THE FOUR SIGNIFICANT HEALTH NEEDS SELECTED BY THE PFHC AD HOC CHNA COLLABORATIVE TEAM, CARLE EUREKA HOSPITAL'S CHNA TEAM SELECTED MENTAL HEALTH AS A PRIORITY FOR WOODFORD COUNTY FOR SEVERAL REASONS. FIRST, ACCORDING TO THE 2018 TRI-COUNTY COMMUNITY HEALTH SURVEY, WOODORD COUNTY RESIDENTS PERCEIVED MENTAL HEALTH AS THE MOST IMPORTANT HEALTH ISSUE IN THE COMMUNITY. SECONDLY, THE AGE-ADJUSTED DEATH RATE DUE TO SUICIDE IN WOODFORD COUNTY WAS IN THE WORST 25TH PERCENTILE RANGE (RED INDICATOR) COMPARED TO OTHER COUNTIES IN THE U.S., WAS HIGHER THAN THE ILLINOIS VALUE, DID NOT MEET THE HEALTHY PEOPLE 2020 TARGET AND WAS HIGHER THAN BOTH PEORIA AND TAZEWELL COUNTY. A FEW OF THE HIGH SOCIONEEDS ZIP CODS - SPECIFICALLY EL PASO, WASHBURN AND LOWPOINT - HAD HIGHER VALUES THAN THE COUNTY VALUE FOR SOME OF THE AGE-ADJUSTED EMERGENCY ROOM RATES; MENTAL HEALTH, PEDIATRIC MENTAL HEALTH AND/OR SUICIDE AND SELF-INFLICTED INJURY FOR BOTH ADULTS AND ADOLESCENTS. ADDITIONALLY, EIGHTEEN PERCENT OF WOODFORD COUNTY SURVEY RESPONDENTS WHO REPORTED THAT THEY DID NOT HAVE ACCESS TO MENTAL HEALTH SERVICES CITED TOO LONG OF A WAIT AS THE REASON. THE FINAL REASON MENTAL HEALTH WAS SELECTED AS A SIGNIFICANT HEALTH NEED FOR WOODFORD COUNTY WAS BECAUSE MENTAL HEALTH WAS A HEALTH PRIORITY OR SIGNIFICANT HEALTH NEED FOR BOTH THE 2013 AND 2016 CARLE EUREKA HOSPITAL CHNA. HIGHLIGHTS FOR STEPS THAT WERE TAKEN FROM JANUARY 1 - DECEMBER 31, 2022, AS A PART OF THE 2020-2022 CARLE EUREKA HOSPITAL COMMUNITY HEALTH IMPLEMENTATION STRATEGY PLAN TO ADDRESS MENTAL HEALTH ARE LISTED BELOW. - IN 2022, THE CARLE EUREKA HOSPITAL SOCIAL WORKER AND MENTAL HEALTH FIRST AID (MHFA) INSTRUCTOR TAUGHT TWELVE MHFA CLASSES IN CENTRAL ILLINOIS FOR 188 PARTICIPANTS: TWO YOUTH MHFA COURSES AND EIGHT ADULT MHFA COURSES. THREE OF THE ADULT COURSES WERE THE HIGHER EDUCATION MHFA CURRICULUM. - ON AUGUST 11, 2022, THE SOCIAL WORKER AND MHFA INSTRUCTOR FROM CARLE EUREKA HOSPITAL PRESENTED TO APPROXIMATELY 100 EUREKA COLLEGE FRESHMEN ATHLETES ON HOW TO MANAGE POSITIVE MENTAL HELATH WITH THE ADJUSTMENT OF COLLEGE AND ON SIGNS TO LOOK FOR IN SOMEONE STRUGGLING WITH DEPRESSION AND/OR ANXIETY. - ON OCTOBER 7, 2022, THE CARLE EUREKA HOSPITAL SOCIAL WORKER AND MHFA INSTRUCTOR PRESENTED TO APPROXIMATELY THIRTY TEACHERS FROM ROANOKE-BENSON CUSD #60 SCHOOLS ON HOW TRAUMA AFFECTS BEHAVIORS AND LEADS TO DEPRESSION AND/OR ANXIETY IN YOUTH. - THE COMMUNITY HEALTH DIRECTOR FOR CARLE BROMENN MEDICAL CENTER AND CARLE EUREKA HOSPITAL SERVED AS A BOARD MEMBER FOR THE PARTNERSHIP FOR A HEALTHY COMMUNITY. - THE CARLE EUREKA HOSPITAL SOCIAL WORKER AND MHFA INSTRUCTOR SERVED ON THE PARTNERSHIP FOR A HEALTH COMMUNITY MENTAL HEALTH/SUBSTANCE USE PRIORITY ACTION TEAM. - IN 2022, FORTY-SIX CLIENTS RECEIVED 152 HOURS OF COUNSELING SERVICES ON-SITE AT CARLE EUREKA HOSPITAL. THE SERVICES WERE PROVIDED BY UNITYPLACE AT THE HOSPITAL AND ALLOWED RESIDENTS TO RECEIVE CARE LOCALLY VERSUS TRAVELING OUTSIDE OF THE COUNTY FOR CARE. - IN 2022, THE CARLE EUREKA SOCIAL WORKER AND MHFA INSTRUCTOR LED THE TRI-COUNTY MHFA COLLABORATIVE. THE TRI-COUNTY REGION INCLUDES PEORIA, TAZEWELL, AND WOODFORD COUNTY. THE PURPOSE OF THE COLLABORATIVE IS TO INCREASE THE NUMBER OF INSTRUCTORS, INCREASE THE NUMBER OF COMMUNITY MEMBERS TRAINED AND TO UTILIZE RESOURCES MORE EFFECTIVELY IN THE TRI-COUNTY REGION. THE 2020-2022 CARLE EUREKA HOSPITAL COMMUNITY HEALTH IMPLEMENTATION PLAN WAS POSTED IN MAY 2020. INTERVENTIONS FOR MENTAL HEALTH OUTLINED IN THE PLAN CAN BE VIEWED AT: HTTPS://CARLE.ORG/CHNA CARLE EUREKA HOSPITAL SELECTED HEALTHY EATING/ACTIVE LIVING AS A SIGNIFICANT HEALTH NEED FROM THE FOUR NEEDS SELECTED BY THE PFHC AD HOC CHNA COLLABORATIVE TEAM FOR SEVERAL REASONS. A HEALTHY LIFESTYLE OF REGULAR PHYSICAL ACTIVITY AND A HEALTHY DIET SERVES AS A FOUNDATION FOR GOOD MENTAL, PHYSICAL AND EMOTIONAL HEALTH AND IS KEY IN PREVENTING NUMEROUS CHRONIC DISEASES. FIFTY-FIVE PERCENT OF TRI-COUNTY COMMUNITY HEALTH SURVEY RESPONDENTS RATED BEING OVERWEIGHT OR OBESITY AS ONE OF THE TOP PERCEIVED HEALTH NEEDS IN THE COUNTY. ALTHOUGH WOODFORD COUNTY IS SURROUNDED BY FARMLAND, THE PERCENTAGE OF ADULTS WHO EAT FRUITS AND VEGETABLES FIVE OR MORE TIMES PER DAY IS LOW AT 11.6 PERCENT AND IS IN THE WORST 25TH PERCENTILE RANGE (RED INDICATOR) IN COMPARISON TO OTHER COUNTIES IN ILLINOIS. IN ADDITION TO NOT EATING ENOUGH FRUITS AND VEGETABLES, THE 2018 TRI-COUNTY COMMUNITY HEALTH SURVEY DATA SHOWED THAT 26 PERCENT OF WOODFORD COUNTY SURVEY RESPONDENTS INDICATED THAT THEY DO NOT EXERCISE AT ALL, WHILE 34 PERCENT ONLY EXERCISE ONE TO TWO TIMES PER WEEK. AN ADDITIONAL REASON CARLE EUREKA HOSPITAL SELECTED HEALTHY EATING/ACTIVE LIVING AS ONE OF THE TWO SIGNIFICANT NEEDS FOR ITS 2019 CHNA WAS DUE TO THE HOSPITAL RESOURCES AND STAFFING AVAILABLE TO ASSIST WITH THIS ISSUE FOR WOODFORD COUNTY AS WELL AS THE TRI-COUNTY REGION. THE HOSPITAL'S CHNA TEAM FELT THAT AS A CRITICAL ACCESS HOSPITAL, IT COULD MAKE SIGNIFICANTLY MORE CONTRIBUTIONS TOWARD IMPROVING HEALTHY EATING/ACTIVE LIVING IN THE COUNTY THAN IT COULD FOR SUBSTANCE USE OR CANCER. HIGHLIGHTS FOR STEPS TAKEN FROM JANUARY 1 - DECEMBER 31, 2022, AS A PART OF THE 2020-2022 CARLE EUREKA HOSPITAL COMMUNITY HEALTH IMPLEMENTATION STRATEGY PLAN TO ADDRESS HEALTHY EATING/ACTIVE LIVING ARE LISTED BELOW. - IN 2022, A CARLE EUREKA HOSPITAL DIETITIAN SERVED ON THE WOODFORD COUNTY EXTENSION BOARD. - IN APRIL 2022, A CARLE EUREKA HOSPITAL DIETITIAN PARTICIPATED IN THE WOODFORD COUNTY EXTENSION DIABETES HEALTH FAIR - APRIL 2022. - IN SEPTEMBER 2022, THE CARLE EUREKA HOSPITAL DIETITIAN PARTICIPATED IN THE WOODFORD COUNTY EXTENSION DIABETES CLINIC. - IN 2022, CARLE EUREKA HOSPITAL SPONSORED THE FOLLOWING RACES: EUREKA KAYAK RACE - $100; HEARTLINE AND HEART HOUSE "RACE WITH YOUR HEART" - $500; RED DEVIL RACERS - $500; AND RUN WITH REAGAN (EUREKA COLLEGE) - $500. - IN 2022, CARLE EUREKA HOSPIAL SPONSORED AN EMPLOYEE FOOD DRIVE TO COLLECT SNACKS FOR THE EUREKA SCHOOL DISTRICT. THE 2020-2022 CARLE EUREKA HOSPITAL COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) WAS POSTED IN MAY 2020. INTERVENTIONS FOR HEALTHY EATING/ACTIVE LIVING OUTLINED IN THE PLAN CAN BE VIEWED AT: HTTPS://CARLE.ORG/CHNA Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - CARLE EUREKA HOSPITAL (CONTINUED). 2022 CHNA AND 2023-2025 CHIP HEALTH NEEDS SELECTED FROM THE THREE SIGNIFICANT HEALTH NEEDS SELECTED BY THE PFHC AD HOC CHNA COLLABORATIVE TEAM, CARLE EUREKA HOSPITAL'S CHNA TEAM SELECTED MENTAL HEALTH AS A SIGNIFICANT HEALTH NEED FOR WOODFORD COUNTY FOR SEVERAL REASONS. FIRST, WOODFORD COUNTY RESIDENTS THAT PARTICIPATED IN THE 2021 TRI-COUNTY COMMUNITY HEALTH SURVEY PERCEIVED MENTAL HEALTH AS THE MOST IMPORTANT HEALTH ISSUE IN THE COMMUNITY AND THIRTEEN PERCENT OF WOODFORD COUNTY SURVEY RESPONDENTS REPORTED THAT THEY DID NOT HAVE ACCESS TO COUNSELING IN THE LAST YEAR WHEN THEY NEEDED IT. SECONDLY, MENTAL HEALTH WAS SELECTED BECAUSE THE AGE-ADJUSTED DEATH RATE DUE TO SUICIDE IN WOODFORD COUNTY IS IN THE WORSE 50TH-75TH PERCENTILE RANGE (YELLOW INDICATOR) COMPARED TO OTHER COUNTIES IN THE UNITED STATES AND DOES NOT MEET THE HEALTHY PEOPLE 2030 TARGET. THIRD, CARLE EUREKA HOSPITAL'S CHNA TEAM SELECTED MENTAL HEALTH AS A SIGNIFICANT HEALTH NEED BECAUSE SOME OF THE HIGH HEALTH EQUITY NEEDS ZIP CODES - SPECIFICALLY EUREKA ZIP CODE 61530, WASHBURN ZIP CODE 61570, MINONK ZIP CODE 61760 AND LOWPOINT ZIP CODE 61545 - HAD HIGHER VALUES THAN THE COUNTY VALUE IN COMPARISON TO OTHER ZIP CODES IN ILLINOIS FOR SOME OF THE AGE-ADJUSTED EMERGENCY ROOM AND HOSPITALIZATION RATES; MENTAL HEALTH, PEDIATRIC MENTAL HEALTH AND/OR SUICIDE AND SELF-INFLICTED INJURY. FINALLY, THE TEAM SELECTED MENTAL HEALTH TO MAINTAIN CONTINUITY IN WHAT HAS ALREADY BEEN ACCOMPLISHED. MENTAL HEALTH WAS A HEALTH PRIORITY OR SIGNIFICANT HEALTH NEED FOR THE 2013, 2016 AND 2019 CARLE EUREKA HOSPITAL CHNAS AND SIGNIFICANT STRIDES TOWARDS INCREASING COMMUNITY MEMBERS' KNOWLEDGE OF MENTAL HEALTH ISSUES AND DECREASING STIGMA RELATED TO MENTAL HEALTH HAVE BEEN MADE. IT IS CLEAR FROM COMMUNITY INPUT AND CURRENT DATA THAT CONTINUED EFFORTS ARE NEEDED TO REDUCE THE STIGMA ASSOCIATED WITH MENTAL HEALTH AND GIVE FURTHER MOMENTUM TO THE EFFORTS OF IMPROVING MENTAL HEALTH FOR COUNTY RESIDENTS. MENTAL HEALTH GOAL: TO IMPROVE MENTAL HEALTH, INCLUDING ANXIETY AND DEPRESSION, AND REDUCE SUICIDE. HIGHLIGHTS FOR STEPS THAT WILL BE TAKEN AS PART OF THE 2023-2025 CARLE EUREKA HOSPITAL COMMUNITY HEALTH IMPLEMENTATION PLAN TO ADDRESS MENTAL HEALTH ARE LISTED BELOW. A CARLE EUREKA HOSPITAL STAFF MEMBER WILL SERVE ON THE PARTNERSHIP FOR A HEALTHY COMMUNITY MENTAL HEALTH PRIORITY ACTION TEAM FOR THE 2023-2025 IMPLEMENTATION PERIOD. THE COMMUNITY HEALTH DIRECTOR WILL CONTINUE SERVING ON THE PARTNERSHIP FOR A HEALTHY COMMUNITY BOARD FOR THE TRI-COUNTY REGION AND LOOK FOR WAYS THE HOSPITAL CAN SUPPORT MENTAL HEALTH IN THE TRI-COUNTY REGION, WITH A FOCUS ON WOODFORD COUNTY. TO IMPROVE MENTAL HEALTH IN WOODFORD COUNTY, THE HOSPITAL WILL CONTINUE ITS COLLABORATION WITH UNITYPLACE (TRILLIUM PLACE, AN AFFILIATE OF CARLE HEALTH AS OF APRIL 1, 2023) TO ALLOW WOODFORD COUNTY RESIDENTS TO RECEIVE MENTAL HEALTH SERVICES LOCALLY INSTEAD OF TRAVELING OUTSIDE OF THE COUNTY FOR CARE. IN JUNE 2016, THE COUNSELING APPOINTMENTS PREVIOUSLY HELD AT THE WOODFORD COUNTY HEALTH DEPARTMENT BY UNITYPLACE, MOVED TO CARLE EUREKA HOSPITAL. THE MOVE TO THE HOSPITAL IMPROVED ACCESS TO MENTAL HEALTH SERVICES BECAUSE IT ALLOWED RESIDENTS TO SCHEDULE APPOINTMENTS LATER IN THE EVENING. TELEPSYCHIATRY WILL CONTINUE TO BE OFFERED AT CARLE EUREKA HOSPITAL FOR INPATIENTS TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES. ON-SITE COUNSELING SERVICES WILL ALSO BE OFFERED AT THE HOSPITAL IN PARTNERSHIP WITH CHRISTIAN PSYCHOLOGICAL ASSOCIATES. CARLE EUREKA HOSPTIAL PLANS TO CONTINUE OFFERING MENTAL HEALTH FIRST AID (MHFA), AND EVIDENCE-BASED MENTAL HEALTH PROGRAM, TO THE COMMUNITY. MHFA IS A NATIONALLY RECOGNIZED ADULT PUBLIC EDUCATION PROGRAM THAT TEACHES INDIVIDUALS HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO THE SIGNS OF MENTAL ILLNESS AND Substance USE DISORDERS. PARTICIPANTS LEARN ABOUT THE SIGNS AND SYMPTOMS OF ACUTE MENTAL HEALTH CRISES AND CHRONIC MENTAL HEALTH PROBLEMS LIKE ANXIETY AND DEPRESSION. CERTIFIED instructors TEACH PARTICIPANTS TO BECOME MENTAL HEALTH FIRST AIDERS. IN APRIL 2016, CARLE EUREKA HOSPITAL SENT AN EMPLOYEE TO BECOME A CERTIFIED MENTAL HEALTH FIRST AID TRAINER. THE HOSPITAL WILL COLLABORATE WITH THE TRI-COUNTY HEALTH DEPARTMENTS, THE CENTRAL ILLINOIS AREA HEALTH EDUCATION CENTER AND COMMUNITY PARTNERS TO OFFER THIS PROGRAM. THE CARLE EUREKA HOSPITAL MHFA INSTRUCTOR IS ALSO THE LEAD FOR THE PFHC TRI-COUNTY MHFA CADRE/COLLABORATIVE AND HAS ASSISTED OTHER COUNTIES IN TEACHING NUMEROUS MHFA COURSES IN THEIR COMMUNITIES. CARLE EUREKA HOSPITAL'S CHNA TEAM SELECTED ACCESS TO CARE AS ITS SECOND SIGNIFICANT HEALTH NEED. THE CARLE EUREKA HOSPITAL CHNA TEAM ANALYZED ADDITIONAL DATA FOR WOODFORD COUNTY AND TOOK INTO CONSIDERATION AVAILABLE RESOURCES AND THE HEALTH NEEDS, AS BROUGHT FORTH BY THE PFHC AD HOC CHNA TEAM, WHERE THE HOSPITAL COULD MAKE THE MOST IMPACT. CARLE EUREKA HOSPITAL'S CHNA TEAM SELECTED ACCESS TO CARE, ONE OF THE SIX PFHC HEALTH NEEDS PRESENTED TO COMMUNITY STAKEHOLDERS AT THE PRIORITIZATION MEETING. AS A CRITICAL ACCESS HOSPITAL WITH LIMITED RESOURCES, THE CHNA TEAM FELT THAT IT COULD MAKE THE GREATEST IMPACT ON IMPROVING THE HEALTH OF THE COMMUNITY BY SELECTING ACCESS TO CARE AS THE SECOND HEALTH NEED ALONGSIDE MENTAL HEALTH. ACCESS TO CARE IS A CRITICAL ISSUE IN RURAL COUNTIES AND THE HOSPITAL CONTINUALLY STRIVES TO IMPROVE THE AVAILABILITY OF HEALTH SERVICES TO WOODFORD COUNTY RESIDENTS. ACCORDING TO THE 2021 TRI-COUNTY COMMUNITY HEALTH SURVEY, WOODFORD COUNTY RESIDENTS PERCEIVED ACCESS TO CARE AS THE SECOND MOST IMPORTANT HEALTH THAT IMPACTS WELL-BEING. ELEVEN PERCENT OF WOODFORD COUNTY RESPONDENTS REPORTED THAT THEY WERE UNABLE TO ACCESS CARE IN THE PAST YEAR WHEN THEY NEEDED IT. IN REGARDS TO SCREENINGS, THE PERCENTAGE OF WOMEN AGED 50-74 IN WOODFORD COUNTY WHO HAVE HAD A MAMMOGRAM IN THE LAST TWO YEARS DOES NOT MEET THE HEALTHY PEOPLE 2030 TARGET AND BENSON ZIP CODE 61516 AND MINONK ZIP CODE 61760 ARE IN THE WORSE 25TH PERCENTILE RANGE (RED INDICATOR) COMPARED TO OTHER ZIP CODES IN ILLINOIS. THE LOWEST PERCENTAGES FOR CERVICAL CANCER SCREENINGS FOR AGES 21-64 YEARS OCCUR IN WASHBURN ZIP CODE 61570 AND LOWPOINT ZIP CODE 61545, WHICH IS IN THE WORST 50TH-75TH PERCENTILE RANGE (YELLOW INDICATOR) COMPARED TO OTHER ZIP CODES IN ILLINOIS. THE PERCENTAGE OF INDIVIDUALS IN WOODFORD COUNTY AGED 50-75 YEARS WHO HAVE HAD EITHER A FECAL OCCULT BLOOD TEST IN THE PAST YEAR, A SIGMOIDOSCOPY IN THE PAST FIVE YEARS AND A FECAL OCCULT BLOOD TEST IN THE PAST THREE YEARS, OR A COLONOSCOPY EXAM IN THE PAST TEN YEARS DOES NOT MEET THE HEALTHY PEOPLE 2030 TARGET. BETTER ACCESS TO CARE COULD IMPROVE ALL OF THESE STATISTICS. ACCESS TO CARE GOAL: ENSURE RURAL ACCESS TO CARE TO IMPROVE THE HEALTH AND WELL-BEING OF WOODFORD COUNTY RESIDENTS BY 2026. HIGHLIGHTS FOR STEPS THAT WILL BE TAKEN AS PART OF THE 2023-2025 CARLE EUREKA HOSPITAL COMMUNITY HEALTH IMPLEMENTATION STRATEGY PLAN TO ADDRESS ACCESS TO CARE ARE LISTED BELOW. CARLE EUREKA HOSPITAL IS THE ONLY HOSPITAL IN WOODFORD COUNTY AND IS A CRITICAL ACCESS HOSPITAL AS CERTIFIED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. BY FUNCTIONING IN THIS CAPACITY, CARLE EUREKA HOSPITAL PLAYS A VITAL ROLE IN SERVING THE HEALTH NEEDS OF A PRIMARILY RURAL AREA. COMMUNITY RESIDENTS BENEFIT FROM HAVING ACCESS TO CARE CLOSE TO HOME AS PROVIDED BY A DEDICATED GROUP OF PRIMARY CARE AND SPECIALTY PHYSICIANS. CARLE EUREKA HOSPITAL HOLDS MANY CLINICS TO INCREASE ACCESS TO CARE BY SPECIALISTS. THE CLINICS HELD INCLUDE PODIATRY, CARDIOLOGY, ONCOLOGY, SURGERY, UROLOGY, PULMONOLOGY, GASTROENTEROLOGY, ORTHOPEDICS, PAIN MANAGEMENT, MENTAL HEALTH, AND DERMATOLOGY. CARLE EUREKA HOSPITAL ALSO HAS THREE RURAL HEALTH CLINICS IN EL PASO, EUREKA, AND ROANOKE. RURAL HEALTH CLINICS INCREASE ACCESS TO CARE FOR WOODFORD COUNTY RESIDENTS THROUGHOUT THE REGION. FOR THE 2023-2025 CARLE EUREKA HOSPITAL IMPLEMENTATION STRATEGY PLAN, THE HOSPITAL WILL CONTINUE TO LOOK FOR WAYS TO INCREASE ACCESS TO CARE SUCH AS ADDING PRIMARY CARE AND SPECIALTY CLINICS AND/OR SURGERIES THAT ARE TYPICALLY UNAVAILABLE AT A SMALL RURAL HOSPITAL. THE HOSPITAL ALSO HAS A WALK-IN CARE CLINIC SO RESIDENTS DO NOT NEED TO GO OUTSIDE OF THE COUNTY FOR CARE THAT IS APPROPRIATE FOR A CONVENIENT CARE SETTING. ADDITIONALLY, AS A TAX-EXEMPT ORGANIZATION, CARLE EUREKA HOSPITAL PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THAT CARE OR SOURCE OF PAYMENT. THE HOSPITAL RECOGNIZES THAT SOME PATIENTS NEED HELP PAYING THEIR BILLS. CARLE'S FINANCIAL ASSISTANCE PROGRAM IS VERY GENEROUS AND PROVIDES DISCOUNTS OR FREE CARE TO THOSE WHO NEED IT. Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - CARLE EUREKA HOSPITAL (CONTINUED). IN ADDITION TO CHARITY CARE, CARLE HEALTH 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 EUREKA HOSPITAL HAS, AND WILL CONTINUE TO, PURSUE THESE INITIATIVES TO IMPROVE ACCESS TO CARE: 1. OFFER A CHARITY CARE PROGRAM AND COMMUNICATE THE AVAILABILITY OF THAT PROGRAM. 2. RECRUIT MORE PROVIDERS INTO THE CARLE HEALTH SYSTEM, THEREBY EXPANDING ACCESS/CAPACITY. 3. PARTICIPATE IN POPULATION HEALTH INITIATIVES THAT ACTIVELY MANAGE THE HEALTH OF MEMBERS. 4. SUPPORT STUDENTS IN HEALTH CARE FIELDS; GRADUATE MEDICAL EDUCATION PROGRAMS TO GROW THE NUMBER OF FUTURE PHYSICIANS. 5. PROMOTE PRESCRIPTION AFFORDABILITY AS A 340B PROVIDER. 6. ENHANCE ACCESS-RELATED INITIATIVES THAT WILL IMPROVE PATIENT ACCESS AND ABILITY TO INTERFACE MORE EFFICIENTLY FOR NEEDED SERVICES - PATIENT CONTACT CENTER, SCHEDULING CENTER, PRESCRIPTION REFILL REQUEST PROCESS, VIRTUAL VISITS AND MORE. 7. OFFER ON-LINE SCHEDULING, ECHECK-IN, COMMUNICATION WITH CLINIC STAFF AND ACCESS TO RESULTS THROUGH CARLE MY CHART. ADDITIONAL INTERVENTIONS FOR THE SIGNIFICANT HEALTH NEEDS OUTLINED IN THE 2023-2025 CARLE EUREKA COMMUNITY HEALTH IMPLEMENTATION STRATEGY PLAN CAN BE VIEWED AT: HTTPS://CARLE.ORG/CHNA HEALTH NEEDS NOT SELECTED ALTHOUGH THE HOSPITAL WILL FOCUS A MAJORITY OF ITS COMMUNITY HEALTH EFFORTS ON MENTAL HEALTH AND ACCESS TO CARE, IT WILL ALSO SUPPORT THE PFHC'S EFFORTS WITH OBESITY AND HEALTHY EATING/ACTIVE LIVING WHEN POSSIBLE. THE CARLE EUREKA HOSPITAL CHNA TEAM DID NOT SELECT HEALTHY EATING/ACTIVE LIVING (HEAL) AS A SIGNIFICANT HEALTH NEED GIVEN THE HOSPITAL'S LIMITED RESOURCES AND ITS ABILITY TO HAVE A GREATER IMPACT ON MENTAL HEALTH AND ACCESS TO CARE FOR WOODFORD COUNTY RESIDENTS. THE HOSPITAL WILL, HOWEVER, CONTINUE TO SUPPORT THE EFFORTS OF THE PFHC HEALTHY EATING/ACTIVE LIVING PRIORITY ACTION TEAM FOR THE TRI-COUNTY REGION. A MEMBER OF THE CARLE EUREKA HOSPITAL LEADERSHIP TEAM SERVES ON THE PARTNERSHIP FOR A HEALTHY COMMUNITY BOARD AND WILL CONTINUE TO SEEK WAYS IN WHICH THE HOSPITAL CAN SUPPORT AND COLLABORATE WITH THE HEAL TEAM. THE CARLE EUREKA HOSPITAL'S CHNA TEAM DID NOT SELECT OBESITY AS A SIGNIFICANT HEALTH NEED GIVEN ITS LIMITED RESOURCES AS A CRITICAL ACCESS HOSPITAL AND ITS ABILITY TO HAVE A GREATER IMPACT ON ACCESS TO CARE AND MENTAL HEALTH FOR WOODFORD COUNTY RESIDENTS. THE HOSPITAL WILL, HOWEVER, CONTINUE TO SUPPORT THE EFFORTS OF THE PFHC OBESITY priority ACTION TEAM FOR THE TRI-COUNTY REGION. A MEMBER OF THE CARLE EUREKA HOSPITAL LEADERSHIP TEAM SERVES ON THE PARTNERSHIP FOR A HEALTHY COMMUNITY BOARD AND WILL CONTINUE TO SEEK WAYS IN WHICH THE HOSPITAL CAN SUPPORT AND COLLABORATE WITH THE OBESITY TEAM. 2 CARLE EUREKA POB 105 S MAJOR ST EUREKA IL 61530 RURAL HEALTH CLINIC CARLE EL PASO 385 S ORANGE ST EL PASO IL 61738 RURAL HEALTH CLINIC Schedule H, Part I, Line 3 FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA PATIENTS MAY REQUEST AND COMPLETE A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME, INCLUDING BEFORE CARE IS RECEIVED. PATIENTS ARE INFORMED ABOUT FINANCIAL ASSISTANCE ON MULTIPLE OCCASIONS THROUGHOUT THE COLLECTION PROCESS. IN ADDITION TO PATIENTS COMPLETING APPLICATIONS FOR OUR FINANCIAL ASSISTANCE PROGRAM, WE HAVE ROBUST PRESUMPTIVE ELIGIBILITY PROCESSES IN PLACE. WE HAVE PARTNERED WITH EXPERIAN INFORMATION SOLUTIONS, INC. TO HELP US IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON KEY FINANCIAL INDICATORS. THESE PATIENTS MAY BE APPROVED WITHOUT EVER COMPLETING AN APPLICATION OR EXPRESSING A NEED FOR FINANCIAL ASSISTANCE. IN ADDITION, WE PRESUME ELIGIBILITY FOR PATIENTS WHO ARE VERIFIED HOMELESS, DECEASED WITH NO ESTATE, MENTALLY INCAPACITATED, ELIGIBLE FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) OR WOMEN, INFANTS, AND CHILDREN NUTRITION PROGRAM (WIC), TOWNSHIP ASSISTANCE, LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM OR COVERED BY ILLINOIS MEDICAID. Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE HTTPS://CARLE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE HTTPS://DEV-CMS.CARLE.ORG/GETMEDIA/ADCADB9A-2903-478C-A4A7-06BCF9DB10BC/358-0123-CFAPAPPLICATION.PDF Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE HTTPS://CARLE.ORG/GETMEDIA/F7608F63-CB1C-4EB5-8F0B-02F00EAFEC74/X0873-0223-CFAP-PLAINLANGUAGE-SUMMARY.PDF Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance SEE NARRATIVE FOR SCHEDULE H, PART III, LINE 2 Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount TO COMPUTE AND CONVERT FINANCIAL ASSISTANCE, UNREIMBURSED MEDICAID, MEANS-TESTED PROGRAMS AND BAD DEBT CHARGES TO COST; A CONSISTENT GAAP (GENERALLY ACCEPTED ACCOUNTING PRINCIPLES) BASED COST-TO-CHARGE RATIO WAS USED ACROSS ALL PAYERS. ALTHOUGH THE METHODOLOGY WAS SIMILAR TO WORKSHEET #2, FOR SIMPLICITY PURPOSES CERTAIN IMMATERIAL VALUES WERE OMITTED. OTHER COMMUNITY BENEFITS COSTS WERE REPORTED AT THE ACTUAL EXPENSE INCURRED. PATIENT RECEIVABLE PAYMENTS AND RELATED DISCOUNTS WERE RECORDED AT ACTUAL AMOUNTS AT THE TIME OF PAYMENT RECEIPT. A SEPARATE GAAP BASED PROVISION FOR ESTIMATED BAD DEBTS AND DISCOUNTS WAS RECOGNIZED FOR ACCOUNTS IN PROCESS AND PENDING ADJUDICATION AND PAYMENT. THE ESTIMATED PORTION WAS BASED ON HISTORICAL TRENDS AND ADJUSTED TO ACTUAL WHEN ADJUDICATION AND PAYMENT OCCUR. ACCOUNTS DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE WERE PROCESSED IMMEDIATELY FOR FINANCIAL ASSISTANCE DISCOUNT WITH NO COLLECTION EFFORT. FOR ACCOUNTS WITH INSUFFICIENT INFORMATION AND DOCUMENTATION TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY, THE HOSPITAL CONSULTED WITH A VARIETY OF ALTERNATIVE SOURCES TO HELP DETERMINE AN INDIVIDUAL'S FINANCIAL MEANS (OR LACK OF MEANS) TO PAY. BASED ON RELATED TRENDS, THE HOSPITAL FURTHER DEVELOPED A GENERAL ESTIMATE OF FINANCIAL ASSISTANCE WHICH CONTINUED TO RESIDE WITHIN BAD DEBTS. This narrative also pertains to Schedule H, Part I, Line 7 - Explanation of costing methodology used for calculating Line 7 Table Schedule H, Part III, Line 3 Bad Debt Expense Methodology CARLE EUREKA HOSPITAL USES 50% AS A GENERAL ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE FOOTNOTES PERTAINING TO BAD DEBT EXPENSE CAN BE FOUND ON PAGE 28 OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE NUMERATOR (TOTAL EXPENSE) AND DENOMINATOR (TOTAL GROSS CHARGES) OF THE SIMPLE RATIO OF PATIENT CARE COST TO CHARGES IS ADJUSTED BY ELIMINATING NON-PATIENT CARE THAT GENERATES OTHER REVENUE, BAD DEBT EXPENSE, MEDICAID AND OTHER PROVIDER TAXES AND THE TOTAL COST OF COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS. ALSO, ANY GROSS PATIENT CHARGES FOR PROGRAMS NOT RELYING ON THE RATIO ARE ELIMINATED FROM BOTH THE NUMERATOR AND DENOMINATOR OF THE RATIO. THESE ADJUSTMENTS ARE INTENDED TO ELIMINATE ANY POTENTIAL FOR DOUBLE COUNTING OF COMMUNITY BENEFIT EXPENSES. THE RESULTANT RATIO ALIGNS WITH SCHEDULE H REQUIREMENTS. ILLINOIS LAW DEFINES GOVERNMENTAL-SPONSORED INDIGENT HEALTH CARE AS THE UNREIMBURSED COST OF MEDICARE, MEDICAID AND OTHER FEDERAL, STATE OR LOCAL INDIGENT CARE PROGRAMS. WHEN THERE IS A SHORTFALL, WE DO BELIEVE THIS IS A COMMUNITY BENEFIT BECAUSE, AS A HOSPITAL, WE ARE STEPPING UP TO CARRY THE BURDEN OF THE GOVERNMENT, ASSURING CARE TO SENIORS, AND THOSE LESS FORTUNATE DEMOGRAPHICS THAT HAVE EXPERIENCED INCREASING COSTS OVER THE PAST DECADE WHILE LIVING ON FIXED INCOMES. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE CARLE FINANCIAL ASSISTANCE PROGRAM (CFAP) PROVIDES DISCOUNTED OR FREE CARE TO THOSE WHO NEED IT WITHIN THE CARLE HEALTH SYSTEM, INCLUDING CARLE EUREKA HOSPITAL. NOT ONLY DOES THIS RESULT IN A MORE TIMELY APPLICATION PROCESS, BUT MOST IMPORTANTLY, IT MEANS PATIENTS RECEIVE THE SAME DISCOUNT AT THE HOSPITAL AND CLINICS IF THEY MIGHT NEED AN ADDITIONAL LEVEL OF SPECIALTY OR HOSPITAL CARE AT THE CARLE FOUNDATION HOSPITAL IN URBANA, ILLINOIS. WITH THIS PROGRAM, CARLE EUREKA HOSPITAL HAS A ROBUST PRESUMPTIVE ELIGIBILITY PROCESS. WE PRESUME ELIGIBILITY FOR VERIFIED HOMELESS, DECEASED WITH NO ESTATE, MENTAL INCAPACITATION, RECIPIENTS OF WIC (WOMEN, INFANTS AND CHILDREN NUTRITION PROGRAM), SNAP (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM), LIHEAP (LOW INCOME HOME ENERGY ASSISTANCE PROGRAM), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM, RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICE, FEDERALLY QUALIFIED HEALTH CLINIC (FQHC) DISCOUNT REFERRALS, MEDICAID TITLE XIX, XXI, AND IN-NETWORK MEDICAID MANAGED CARE PLANS. IN ADDITION, WE UTILIZE A VENDOR, EXPERIAN INFORMATION SOLUTIONS, INC., TO PROACTIVELY IDENTIFY PATIENTS WHO MAY BE PRESUMPTIVELY-QUALIFIED FOR ASSISTANCE - NOT ONLY FOR PUBLIC PROGRAMS LIKE MEDICAID, BUT ALSO BASED ON A NUMBER OF KEY FINANCIAL INDICATORS, INCLUDING CREDIT HISTORY, DEMOGRAPHICS AND GROSS INCOME. IDENTIFIED PATIENTS MAY BE PRESUMED ELIGIBLE AND AUTOMATICALLY ENROLLED IN THE PROGRAM, OR THEY MAY BE CONTACTED AND ENCOURAGED TO APPLY FOR ASSISTANCE. PATIENTS WHO ARE NOT DEEMED PRESUMPTIVELY ELIGIBLE WOULD NEED TO REQUEST AND COMPLETE AN APPLICATION. IF THE PATIENT DOES NOT REQUEST OR COMPLETE AND RETURN THE APPLICATION, THEN THE BALANCE IS DEEMED THEIR RESPONSIBILITY TO PAY. FOR PATIENTS THAT DO NOT QUALIFY FOR CARLE FINANCIAL ASSISTANCE AND WHO MAY BE UNINSURED OR UNDERINSURED, CARLE EUREKA HOSPITAL HAS OTHER DISCOUNT OPTIONS AVAILABLE, SUCH AS PROMPT PAY, ILLINOIS UNINSURED DISCOUNT, AND CAPPED DISCOUNT - WHERE A PATIENT'S OUT-OF-POCKET MEDICAL EXPENSES ARE LIMITED TO 40% OF THEIR ANNUAL GROSS INCOME IF THEY EARN AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL. ONCE ALL APPLICABLE DISCOUNTS HAVE BEEN APPLIED, WE MAKE EVERY ATTEMPT TO WORK WITH THE PATIENT AND SET UP PAYMENT ARRANGEMENTS ON THE REMAINING BALANCE DUE. THE CURRENT MINIMUM IS 5% OF THE TOTAL BALANCE DUE OR $25.00 A MONTH. IF THEY CANNOT MEET THESE GUIDELINES, OUR IN-HOUSE BILLING STAFF MEMBERS WORK WITH THEM TO SET UP A TEMPORARY/SHORT TERM PAYMENT ARRANGEMENT UNTIL THEY CAN MAKE THE MINIMUM PAYMENT. IF THEY ARE UNABLE TO MAKE PAYMENT ON THE BALANCE DUE, THEN THE BALANCE MAY BE LISTED WITH AN OUTSIDE COLLECTION AGENCY. WHEN THE ACCOUNT IS STILL IN-HOUSE, THE MINIMUM NOTIFICATION IS MONTHLY ITEMIZED STATEMENTS. IF A PATIENT DOES NOT RESPOND, THE ACCOUNT IS GIVEN A FINAL NOTICE, EITHER BY LETTER OR PHONE, AND SENT TO AN OUTSIDE COLLECTION AGENCY. CARLE EUREKA HOSPITAL WILL NOT FILE COLLECTION SUIT LIENS ON A PRIMARY RESIDENCE, NOR DO WE AUTHORIZE AN AGENCY TO USE SO-CALLED "BODY ATTACHMENTS." THE AGENCIES ARE AWARE OF OUR CFAP AND HAVE BEEN ADVISED TO REFER THE PATIENTS BACK TO CARLE IF THEY DEEM THE PATIENT IS UNABLE TO PAY. BILLING STAFF WILL THEN MAKE ONE MORE ATTEMPT TO WORK WITH THE PATIENT TO SEE IF HELP IS AVAILABLE. IF STAFF DETERMINES THAT THE PATIENT MIGHT QUALIFY, WE SEND THE PATIENT A CFAP APPLICATION AND INSTRUCT THE AGENCY TO PUT A HOLD ON THE ACCOUNT; THE AVERAGE HOLD IS 60 DAYS. IF THE PATIENT IS THEN APPROVED FOR DISCOUNTS AT 100% FOR FINANCIAL ASSISTANCE, THE BALANCE IS ADJUSTED AND THE ACCOUNT IS CLOSED WITH THE AGENCY. IF THE PATIENT IS APPROVED FOR LESS THAN 100%, THE ADJUSTMENTS ARE REPORTED TO THE AGENCY AND THE AGENCY WILL BEGIN COLLECTION EFFORTS ON ANY REMAINING BALANCE. Schedule H, Part V, Section B, Line 16a FAP website - CARLE EUREKA HOSPITAL: Line 16a URL: SEE SCHEDULE H, PART VI; Schedule H, Part V, Section B, Line 16b FAP Application website - CARLE EUREKA HOSPITAL: Line 16b URL: SEE SCHEDULE H, PART VI; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - CARLE EUREKA HOSPITAL: Line 16c URL: SEE SCHEDULE H, PART VI; Schedule H, Part VI, Line 2 Needs assessment CARLE EUREKA HOSPITAL USES EXISTING DATA, INFORMAL DISCUSSIONS, AND A COMPREHENSIVE QUALITATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO DETERMINE IF EXISTING PROGRAMS ARE ON TRACK; WHAT NEEDS TO BE ADDED, DELETED OR ENHANCED; AND WHERE OUR FOCUS NEEDED TO BE PLACED IN THE FUTURE. THE CHNA INCLUDED DISCUSSIONS WITH COMMUNITY LEADERS, INCLUDING HUMAN SERVICE AGENCY ADMINISTRATORS, PUBLIC HEALTH REPRESENTATIVES AND HOSPITAL LEADERSHIP. CARLE EUREKA HOSPITAL PRIMARILY ASSESSES HEALTHCARE NEEDS IN OUR COMMUNITY BY BEING A PART OF THE AFOREMENTIONED TRI-COUNTY COLLABORATIVE CHNA IN PARTNERSHIP WITH HEALTH DEPARTMENTS AND HOSPITALS IN PEORIA, TAZEWELL, AND WOODFORD COUNTY. HOWEVER, CARLE EUREKA HOSPITAL IS ACUTELY AWARE OF THE NEED FOR ACCESS TO CARE, ESPECIALLY IN RURAL COUNTIES LIKE WOODFORD COUNTY, MAKING IT A MAINSTAY OF OUR COMMUNITY BENEFIT EFFORTS. WE HAVE A STRONG FINANCIAL ASSISTANCE PROGRAM BASED ON A PHILOSOPHY OF DOING THE RIGHT THING FOR THE COMMUNITY AND PATIENTS, BALANCED BY A CAREFUL STEWARDSHIP OF THE COMMUNITY'S RESOURCES. AS A TAX-EXEMPT ORGANIZATION, CARLE EUREKA HOSPITAL PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. CARLE HEALTH'S GENEROUS FINANCIAL ASSISTANCE PROGRAM HAS RESULTED IN OUR ABILITY TO REACH MANY PEOPLE OVER THE YEARS. TO ENSURE WE ARE ADDRESSING THE NEEDS OF THE COMMUNITY, THE FINANCE AND QUALITY COMMITTEES OF CARLE HEALTH'S BOARD OF TRUSTEES REVIEWS AND EVALUATES CHARITY CARE FIGURES ANNUALLY. WE DO NOT LIMIT THE AMOUNT OF FINANCIAL ASSISTANCE WE PROVIDE, AT THIS TIME. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE PRACTICE OF CARLE EUREKA HOSPITAL IS TO REVIEW EACH PATIENT'S FINANCIAL STATUS IN RELATION TO THE CARLE FINANCIAL ASSISTANCE PROGRAM AND THE CRITERIA OF THE UNINSURED PATIENT DISCOUNT ACT, AND TO PROVIDE THE PATIENT WITH THE DEEPEST DISCOUNT AVAILABLE. BY EXPANDING THE PRESUMPTIVE ELIGIBILITY SCREENING PROCESSES AND DETERMINING THE FINANCIAL STATUS OF PATIENTS UP-FRONT, 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 THE 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. CARLE EUREKA HOSPITAL HAS MADE A CONCERTED, CONTINUOUS EFFORT TO BE SURE THAT PEOPLE HAVE ACCESS TO INFORMATION THAT WILL HELP THEM WITH THEIR MEDICAL BILLS. THESE INCLUDE: -ADVERTISING THE CARLE FINANCIAL ASSISTANCE PROGRAM, USING PRINT, BILLBOARDS AND WEB; CONTINUED PRESENCE IN APPROPRIATE COMMUNITY PUBLICATIONS; AND ON-SITE VIA DISPLAYS THROUGHOUT THE HOSPITAL AND CLINICS -SIMPLIFIED APPLICATION FORM, INCLUDING A VERSION IN SPANISH, WHICH 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 -MEETINGS WITH LOCAL LEGISLATORS TO HELP THEM ASSIST CONSTITUENTS WITH HEALTHCARE NEEDS, INCLUDING FINANCIAL ASSISTANCE Schedule H, Part VI, Line 4 Community information COMMUNITY DEFINITION FOR THE PURPOSE OF THE 2022 CARLE EUREKA HOSPTIAL CHNA, "COMMUNITY" IS DEFINED AS WOODFORD COUNTY, ILLINOIS. CARLE EUREKA HOSPITAL IS THE ONLY HOSPITAL IN WOODFORD COUNTY, WHICH IS LOCATED IN RURAL CENTRAL ILLINOIS. ALTHOUGH THE HOSPITAL PARTICIPATED IN THE 2022 TRI-COUNTY COLLABORATIVE, LED BY THE PARTNERSHIP FOR A HEALTHY COMMUNITY FOR WOODFORD, PEORIA, AND TAZEWELL COUNTY, FOR THE PURPOSE OF THE 2022 CARLE EUREKA HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT, THE COMMUNITY IS DEFINED AS WOODFORD COUNTY. THE FOLLOWING TOWNS ARE IN WOODFORD COUNTY: BAY VIEW GARDENS, BENSON, CONGERVILLE, EL PASO, EUREKA, GERMANTOWN HILLS, GOODFIELD, KAPPA, LOWPOINT, METAMORA, MINONK, PANOLA, ROANOKE, SECOR, SPRING BAY AND WASHBURN. COUNTY HEALTH RANKING WOODFORD COUNTY RANKS NINTH OUT OF 102 COUNTIES IN ILLINOIS. THE LOWER THE RANKING, THE BETTER THE HEALTH OUTCOMES IN THE COUNTY (COUNTY HEALTH RANKINGS, 2022). POPULATION WOODFORD COUNTY CONSISTS OF A TOTAL POPULATION OF 38,584 (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2022). METAMORA AND GERMANTOWN HILLS - ZIP CODE 61548 HAS THE LARGEST POPULATION IN THE COUNTY WITH 12,548 RESIDENTS. THE POPULATION IN WOODFORD COUNTY DECREASED BY 0.21 PERCENT FROM 2010 TO 2022 (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2022). SOCIAL DETERMINANTS OF HEALTH: HEALTH EQUITY INDEX THE HEALTH EQUITY INDEX (FORMERLY CALLED THE SOCIONEEDS INDEX) IS A CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TOOL THAT MEASURES SOCIOECONOMIC NEED, WHICH IS CORRELATED WITH POOR HEALTH OUTCOMES. THE INDEX IS PART OF THE CONDUENT'S SOCIONEEDS INDEX SUITE, WHICH PROVIDES ANALYTICS AROUND SOCIAL DETERMINANTS OF HEALTH TO ADVANCE EQUITABLE OUTCOMES FOR A RANGE OF TOPICS. CONDUENT HCI'S HEALTH EQUITY INDEX CONSIDERS VALIDATED INDICATORS RELATED TO INCOME, EMPLOYMENT, EDUCATION, AND HOUSEHOLD ENVIRONMENT TO IDENTIFY AREAS AT HIGHEST RISK FOR EXPERIENCING HEALTH INEQUITIES. THE INDICATORS ARE WEIGHTED TO MAXIMIZE THE CORRELATION OF THE INDEX WITH PREMATURE DEATH RATES AND PREVENTABLE HOSPITALIZATION RATES. ALL ZIP CODES, COUNTIES, AND COUNTY EQUIVALENTS IN THE UNITED STATES ARE GIVEN AN INDEX VALUE FROM ZERO (LOW NEED) TO ONE HUNDRED (HIGH NEED). TO HELP IDENTIFY THE AREAS OF HIGHEST NEED WITHIN A DEFINED GEOGRAPHIC AREA, THE SELECTED ZIP CODES ARE RANKED FROM ONE (LOW NEED) TO FIVE (HIGH NEED) BASED ON THEIR INDEX VALUE. THESE VALUES ARE SORTED FROM LOW TO HIGH AND DIVIDED INTO FIVE RANKS USING NATURAL BREAKS. THESE RANKS ARE USED TO COLOR THE MAP AND CHART FOR THE HEALTH EQUITY INDEX, WITH DARKER COLORING ASSOCIATED WITH HIGHER RELATIVE NEED. WOODFORD COUNTY HAS SEVERAL COMMUNITIES THAT HAVE A GREATER RISK OF EXPERIENCING HEALTH INEQUITIES OR HAVE A HIGHER RELATIVE NEED COMPARED TO OTHER COMMUNITIES IN THE COUNTY. WOODFORD COUNTY HAS TWO ZIP CODES WITH A RANKING OF FIVE AND THREE ZIP CODES WITH A RANKING OF FOUR, WHICH REPRESENT THE AREAS WITH THE HIGHEST RELATIVE NEED IN WOODFORD COUNTY. DEMOGRAPHICS THE MEDIAN AGE IN WOODFORD COUNTY IS 41.0 YEARS, WHICH IS HIGHER THAN THE MEDIAN AGE FOR ILLINOIS OF 39.2 YEARS. THE PERCENT OF THE POPULATION IN WOODFORD COUNTY THAT IS MALE IS FIFTY PERCENT, WHILE FIFTY PERCENT IS FEMALE (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2022). THE POPULATION BY RACE FOR WOODFORD COUNTY IS 96.15 PERCENT WHITE, 0.75 PERCENT BLACK OR AFRICAN AMERICAN, 0.84 PERCENT ASIAN, 0.26 PERCENT AMERICAN INDIAN AND ALASKA NATIVE AND 0.05 PERCENT NATIVE HAWAIIAN OR PACIFIC ISLANDER (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2022). THE AVERAGE HOUSEHOLD SIZE IN WOODFORD COUNTY IS 2.60 PERSONS WITH 14,461 RESIDENTS LIVING AS A PART OF A HOUSEHOLD. THE PERCENT OF SINGLE PARENT HOUSEHOLDS IN WOODFORD COUNTY IS 22.2 PERCENT. THIS IS IN THE WORST 50TH-75TH PERCENTILE RANGE (YELLOW INDICATOR) IN COMPARISON TO OTHER COUNTIES IN ILLINOIS, IS NOT STATISTICALLY DIFFERENT FROM THE PRIOR VALUE OF 21 PERCENT AND IS TRENDING FAVORABLY IN A STATISTICALLY SIGNIFICANT DIRECTION (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY 5 YEAR, 2016-2020). INCOME THE MEDIAN HOUSEHOLD INCOME IN WOODFORD COUNTY IS $83,856, WHICH IS HIGHER THAN THE ILLINOIS MEDIAN HOUSEHOLD INCOME OF $76,001 (CONDUENT HEALTH COMMUNITIES INSTITUTE, CLARITAS, 2022). THE PERCENT OF PEOPLE LIVING BELOW THE POVERTY LEVEL IN WOODFORD COUNTY IS 5.9 PERCENT (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2016-2020). THIS IS IN THE BEST 0-50TH PERCENTILE (GREEN INDICATOR) COMPARED TO OTHER COUNTIES IN ILLINOIS, IS LOWER THAN THE ILLINOIS VALUE (12.0 PERCENT) AND IS TRENDING FAVORABLE IN A STATISTICALLY SIGNIFICANT DIRECTION. EMPLOYMENT/EDUCATION THE PERCENT OF THE CIVILIAN LABOR FORCE OVER THE AGE OF 16 THAT IS UNEMPLOYED IN WOODFORD COUNTY IS 3.7 PERCENT, LOWER THAN ILLINOIS AT 5.8 PERCENT. THE THREE MOST COMMON INDUSTRIES OF EMPLOYMENT ARE MANUFACTURING AT 16.2 PERCENT, HEALTHCARE AT 13.5 PERCENT AND EDUCATIONAL SERVICES AT 10.4 PERCENT (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2022). NINETY-FIVE PERCENT OF THE POPULATION OVER THE AGE OF 25 IN WOODFORD COUNTY POSSESSES A HIGH SCHOOL DIPLOMA OR HIGHER AND 21.7 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2022). EUREKA COLLEGE, A SMALL LIBERAL ARTS COLLEGE, IS LOCATED IN WOODFORD COUNTY. THE PERCENT OF RESIDENTS WITH A BACHELOR'S DEGREE OR HIGHER IS 33.8 PERCENT. THIS IS IN THE BEST 0-50TH PERCENTILE RANGE (GREEN INDICATOR) COMPARED TO OTHER COUNTIES IN ILLINOIS (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY 5 YEAR, 2016-2020). NINETY-FOUR PERCENT OF STUDENTS IN WOODFORD COUNTY GRADUATE HIGH SCHOOL WITHIN FOUR YEARS OF THEIR FIRST ENROLLMENT IN NINTH GRADE (CONDUENT HEALTHY COMMUNITIES INSTITUTE, COUNTY HEALTH RANKINGS, 2017-2018). THIS IS IN THE BEST 0-50TH PERCENTILE RANGE (GREEN INDICATOR) WHEN COMPARED TO OTHER COUNTIES IN ILLINOIS, HIGHER THAN THE ILLINOIS VALUE (85.4 PERCENT), TRENDING FAVORABLY IN A STATISTICALLY SIGNIFICANT DIRECTION AND MEETS THE HEALTHY PEOPLE 2030 TARGET OF 90.7 PERCENT. HEALTH CARE COVERAGE ACCORDING TO THE 2021 TRI-COUNTY COMMUNITY HEALTH SURVEY, SIXTY-TWO PERCENT OF WOODFORD COUNTY SURVEY RESPONDENTS REPORTED HAVING PRIVATE INSURANCE, FOLLOWED BY SEVEN PERCENT HAVING MEDICAID AND TWENTY-SIX PERCENT HAVING MEDICARE. FIVE PERCENT OF SURVEY RESPONDENTS REPORTED NOT HAVING INSURANCE. THIS IS AN INCREASE OF TWO PERCENT IN COMPARISON TO THE 2018 TRI-COUNTY COMMUNITY HEALTH SURVEY. HEALTH CARE RESOURCES IN THE DEFINED COMMUNITY THE HEALTH CARE RESOURCES IN WOODFORD COUNTY ARE LISTED BELOW. NAME OF FACILITY -- TYPE OF FACILITY: CARLE EUREKA HOSPITAL -- CRITICAL ACCESS HOSPITAL WOODFORD COUNTY HEALTH DEPARTMENT -- HEALTH CLINIC HEARTLINE AND HEART HOUSE -- COMMUNITY ORGANIZATION Schedule H, Part VI, Line 5 Promotion of community health CARLE EUREKA HOSPITAL'S DEDICATION TO PROMOTING THE HEALTH OF THE COMMUNITY IS EXEMPLIFIED IN NUMEROUS WAYS. THE CARLE CENTRAL REGION BOARD IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. BOARD MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. FIFTY-EIGHT PERCENT OF THE CURRENT BOARD MEMBERS REPRESENT THE COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES. CARLE EUREKA HOSPITAL IS A 25-BED FACILITY THAT HAS SERVED AND CARED FOR THE PEOPLE OF WOODFORD COUNTY AND THE SURROUNDING AREA SINCE 1901. CARLE EUREKA HOSPITAL IS THE ONLY HOSPITAL IN WOODFORD COUNTY AND IS A CRITICAL ACCESS HOSPITAL AS CERTIFIED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. BY FUNCTIONING IN THIS CAPACITY, THE HOSPITAL PLAYS A VITAL ROLE IN SERVING THE HEALTH NEEDS OF A PRIMARILY RURAL AREA. COMMUNITY RESIDENTS BENEFIT FROM HAVING ACCESS TO CARE CLOSE TO HOME AS PROVIDED BY A DEDICATED GROUP OF PRIMARY CARE AND SPECIALTY PHYSICIANS. CARLE EUREKA HOSPITAL HOLDS MANY CLINICS TO INCREASE ACCESS TO CARE BY SPECIALISTS. THE CLINICS HELD INCLUDE PODIATRY, CARDIOLOGY, ONCOLOGY, SURGERY, UROLOGY, PULMONOLOGY, GASTROENTEROLOGY, MENTAL HEALTH, ORTHOPEDICS, PAIN MANAGEMENT AND DERMATOLOGY. IF THE PATIENT'S CONDITION REQUIRES A HIGHER LEVEL OF CARE, CARLE EUREKA HOSPITAL IS AVAILABLE TO STABILIZE THE CONDITION AND SEAMLESSLY TRANSITION THE PATIENT TO ANOTHER FACILITY. A CHERISHED COMMUNITY INSTITUTION, CARLE EUREKA HOSPITAL HAS SET NEW STANDARDS FOR WHAT A RURAL HOSPITAL CAN ACCOMPLISH. WHILE PATIENTS APPRECIATE THE SMALL-TOWN TOUCH OF ONE-ON-ONE CARE, THEY ALSO KNOW THAT IT IS BACKED BY SERVICES AND TECHNOLOGY TYPICALLY UNAVAILABLE AT A SMALL HOSPITAL. EMERGENCY CARE, INPATIENT AND OUTPATIENT SURGERIES, REHABILITATION AND ADVANCED RADIOLOGY ARE ONLY A FEW OF THE SERVICES OFFERED. THESE SERVICES ARE PROVIDED BY A SKILLED AND CARING STAFF THAT HAS WON NUMEROUS AWARDS FOR PATIENT SATISFACTION. IN ADDITION TO BEING A CRITICAL ACCESS HOSPITAL, CARLE EUREKA HOSPITAL HELPED TO PROMOTE THE HEALTH OF THE COMMUNITY IN THE FOLLOWING WAYS: - MEMBERS OF THE HOSPITAL'S EXECUTIVE OR LEADERSHIP TEAM PROVIDED IN-KIND SUPPORT BY SERVING ON MULTIPLE COMMUNITY BOARDS OR COMMITTEES THAT HELP EITHER DIRECTLY OR INDIRECTLY IMPROVE THE HEALTH OF THE COMMUNITY, SUCH AS THE WOODFORD COUNTY BOARD OF HEALTH, EUREKA BUSINESS ASSOCIATION, WOODFORD COUNTY EMERGENCY MANAGEMENT SERVICES, REGIONAL HEALTHCARE COORDINATION, MAPLE LAWN HOMES (RETIREMENT COMMUNITY) AND THE ROTARY CLUB. - IN JANUARY 2022, CARLE HEALTH LAUNCHED THE COLLECTION OF SEXUAL ORIENTATION AND GENDER IDENTITY DATA AS WELL AS THE OPTION FOR PATIENTS TO ADD THEIR PREFERRED NAME THROUGH MYCARLE, CHECK-IN KIOSKS AND REGISTRATION. - IN 2022, CARLE HEALTH'S DIVERSITY, EQUITY AND INCLUSION COMMITTEE, CARLE EXPERIENCE AND CONTINUING EDUCATION PARTNERED TO OFFER SIX PROVIDER EDUCATION SESSIONS ON GENDER INCLUSIVE CARE TO BUILD AWARENESS AND KNOWLEDGE RELATED TO GENDER AND SEXUALITY INCLUSIVE CARE FOR PATIENTS. - IN 2022, CARLE HEALTH OFFERED FOUR VIRTUAL COMMUNITY EDUCATION PRESENTATIONS FEATURING IMPORTANT HEALTH INFORMATION AND HOW TO FIND THE RIGHT CARE AT THE RIGHT TIME. TWO SESSIONS WERE OFFERED IN SPANISH. - IN JUNE 2022, CARLE HEALTH LAUNCHED A NEW FEATURE TO HELP CARLE PATIENTS BETTER UNDERSTAND THE NEXT STEPS OF THEIR CARE. SELECT ELEMENTS OF THE AFTER-VISIT SUMMARY - THE CLINICAL REFERENCES AND THE EDUCATIONAL DOCUMENTS - BEGAN PRINTING AUTOMATICALLY IN BOTH ENGLISH AND THE PATIENT'S PREFERRED LANGUAGE. - IN MARCH 2022, CARLE HEALTH CONVENED A HEALTH EQUITY AND CLINICAL GUIDANCE COMMITTEE. THE COMMITTEE INCLUDES LEADERSHIP REPRESENTATION FROM OPERATIONS, QUALITY, RESEARCH, POPULATION HEALTH, COMMUNITY HEALTH, PHYSICIANS, NURSING, CARLE EXPERIENCE, DEI, AND ADMINISTRATION. THE COMMITTEE IS RESPONSIBLE FOR GUIDING ORGANIZATIONAL STRATEGY AND IMPLEMENTATION OF WORK TO ADDRESS HEALTH INEQUITIES, INCLUDING MONITORING AND REPORTING OF STRATIFIED PATIENT QUALITY, SAFETY AND EXPERIENCE DATA, BUILDING EDUCATION AND AWARENESS OF HEALTH EQUITY AS AN ORGANIZATIONAL PRIORITY, AND SPECIFIC PROJECTS TO CLOSE CARE GAPS. Schedule H, Part VI, Line 6 Affiliated health care system IN JULY 2020, CARLE EUREKA HOSPITAL BECAME PART OF THE CARLE HEALTH SYSTEM. THOUGH CARLE EUREKA HOSPITAL FALLS UNDER THE UMBRELLA OF THE CARLE FOUNDATION, IT MAINTAINS A SEPARATE BOARD OF DIRECTORS AND SENIOR LEADERSHIP. WHILE CARLE EUREKA HOSPITAL'S CHNA AND COMMUNITY BENEFIT REPORTING IS SEPARATE FROM OTHER HOSPITALS IN THE HEALTH SYSTEM, IT FOLLOWS THE SAME GUIDELINES AND PRINCIPLES AS OTHER CARLE ENTITIES. CARLE EUREKA HOSPITAL'S STAFF IS INVOLVED IN THE CHNA AND IMPLEMENTATION PLAN AND SERVE ON HUMAN SERVICES AGENCY BOARDS AND COMMITTEES TO PROVIDE SUPPORT TO HELP ADDRESS IDENTIFIED LOCAL COMMUNITY NEEDS. Schedule H, Part VI, Line 7 State filing of community benefit report IL true Eureka College 300 E College Ave Eureka IL 61530 510245375 GOV'T 17290 Healthcare Agreement 1 0 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 MARKETING AND COMMUNICATIONS (PUBLIC RELATIONS) DEPARTMENT, 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 Uretz Oliphant MD Secretary/Treasurer of Board 0 505354 0 44417 0 2363 0 45010 0 16933 0 614077 0 0 Aja Lystila MD Trustee 0 253745 0 83766 0 1819 0 24510 0 24276 0 388116 0 0 James c Leonard MD Ex-Officio, Officer - President & CEO 0 1607032 0 528517 0 4560 0 643876 0 17933 0 2801918 0 497 Matthew Kolb JD MHA Officer - EVP, Chief Operating Officer 0 979097 0 225035 0 159130 0 368388 0 25802 0 1757452 0 155067 Dennis Hesch Officer - EVP, Chief Finance & Strategy Officer 0 993973 0 288063 0 4063 0 396203 0 18597 0 1700899 0 0 Colleen Kannaday Officer - President & CEO, Eureka Hospital 0 540935 0 157496 0 4415 0 204574 0 25876 0 933296 0 0 Napoleon Knight MD MBA Officer - EVP, Chief Medical Officer 0 735215 0 0 0 9531 0 96568 0 17499 0 858813 0 5621 Lauren Schmid EVP, Chief Human Resources Officer 0 550105 0 123287 0 98930 0 204706 0 24041 0 1001069 0 95210 John Wieland MD Associate Chief Medical Officer 0 491274 0 70755 0 2267 0 45010 0 23424 0 632730 0 0 Aron Klein VP, Supply Chain & BroMenn Finance 0 244322 0 37972 0 2051 0 55028 0 24140 0 363513 0 0 Nicholas Crompton VP, Construction & Facility Services 0 252006 0 27955 0 2000 0 45832 0 27768 0 355561 0 0 Laurie Round VP, CNO BroMenn & Eureka 0 221247 0 35630 0 1890 0 71332 0 19619 0 349718 0 0 Anna Laible Administrator - EH 166851 0 25883 0 1011 0 15934 0 9168 0 218847 0 0 0 Brandon Ahlers Manager, EH Anesthesiology 274936 0 12682 0 1273 0 23827 0 28670 0 341388 0 0 0 Scott Farquhar Registered Nurse - EH Emergency Department 216698 0 500 0 426 0 17878 0 26836 0 262338 0 0 0 Jason Roach Physician's Assistant 140977 0 7010 0 769 0 10561 0 26041 0 185358 0 0 0 Jane Patterson Registered Nurse - Nursing Services 137006 0 500 0 411 0 9924 0 16689 0 164530 0 0 0 Raiann Karl Registered Nurse - EH Emergency Department 155682 0 187 0 18 0 3214 0 0 0 159101 0 0 0 James Nevin MD Former - Key Employee 0 23243 0 81688 0 60983 0 8285 0 1391 0 175590 0 60805 Charles Dennis MD Former - Officer 0 261683 0 173935 0 2287 0 24510 0 19640 0 482055 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT COMPANY OF CARLE EUREKA HOSPITAL, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: *THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. *THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. *THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. *THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY-SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE 2022 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE EUREKA HOSPITAL, THAT ARE LISTED IN THE 990 PART VII INCLUDE DENNIS HESCH, COLLEEN KANNADAY, MATTHEW KOLB, JAMES LEONARD, MD, JAMES NEVIN, JR., MD, LAURIE ROUND, LAUREN SCHMID, NAPOLEON KNIGHT, MD, ARON KLEIN, AND NICHOLAS CROMPTON. IN 2022, PAYMENTS FROM THE 457(F) PLAN WERE MADE MATTHEW KOLB ($155,067), JAMES LEONARD, MD ($497), JAMES NEVIN, JR, MD ($13,518), LAUREN SCHMID ($95,210), AND Napoleon Knight, MD, MBA ($5,621). IN 2022, JAMES NEVIN, JR., MD, ALSO PARTICIPATED IN A 457(B) PLAN AND RECEIVED A PAYMENT OF $47,287. Schedule J, Part I, Line 7 Non-fixed payments PART OF THE OVERALL EMPLOYEE'S COMPENSATION PROGRAM INCLUDES AN INCENTIVE COMPONENT THAT COVERS MOST EMPLOYEES AND IS DESIGNED TO ENCOURAGE AND PROMOTE THE ACHIEVEMENT OF CERTAIN QUALITY, OPERATIONAL, AND EFFICIENCY IMPROVEMENTS. ALTHOUGH THIS INCENTIVE COMPONENT IS BASED ON THE ORGANIZATION MEETING CERTAIN MINIMUM FINANCIAL THRESHOLDS, ALL PAYMENTS MUST BE APPROVED BY THE BOARD OF DIRECTORS PRIOR TO ANY INCENTIVE PAYOUT. Form 990, Part VI, Line 15a 15B THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE EUREKA HOSPITAL, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: *THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. *THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. *THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. *THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY-SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons MATTHEW KOLB (OFFICER), JAMES LEONARD, MD (OFFICER), NAPOLEON KNIGHT, MD (OFFICER), AND CHARLES DENNIS, MD (FORMER) - Business relationship, MATTHEW KOLB (OFFICER) AND CHARLES DENNIS, MD (FORMER) - Business relationship, PAUL TUCKER (CHAIR OF BOARD), MARK CZYS (VICE CHAIR OF BOARD), URETZ OLIPHANT, MD (SECRETARY AND TREASURER OF BOARD), MICHAEL DEVOCELLE (TRUSTEE), AJA LYSTILA, MD (TRUSTEE), JON STEWART (TRUSTEE), AND JAMES LEONARD, MD (OFFICER) - Business relationship, PAUL TUCKER (CHAIR OF BOARD), MARK CZYS (VICE CHAIR OF BOARD), URETZ OLIPHANT, MD (SECRETARY AND TREASURER OF BOARD), KARL APPELQUIST (IMMEDIATE PAST CHAIR OF BOARD), MICHAEL DEVOCELLE (TRUSTEE), AJA LYSTILA, MD (TRUSTEE), JON STEWART (TRUSTEE), AND JAMES LEONARD, MD (OFFICER) - Business relationship, JON STEWART (TRUSTEE), DENNIS HESCH (OFFICER), JAMES LEONARD, MD (OFFICER), NAPOLEON KNIGHT, MD (OFFICER), AND CHARLES DENNIS, MD (FORMER) - Business relationship, JON STEWART (TRUSTEE), DENNIS HESCH (OFFICER), JAMES LEONARD, MD (OFFICER), AND CHARLES DENNIS, MD (FORMER) - Business relationship, AJA LYSTILA, MD (TRUSTEE), DENNIS HESCH (OFFICER), JAMES LEONARD, MD (OFFICER), AND LAUREN SCHMID (KEY EMPLOYEE) - Business relationship, PAUL TUCKER (CHAIR OF BOARD), MARK CZYS (VICE CHAIR OF BOARD), MICHAEL DEVOCELLE (TRUSTEE), JON STEWART (TRUSTEE), AND DENNIS HESCH (OFFICER) - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders CARLE EUREKA HOSPITAL HAS ONE MEMBER WHICH IS THE PARENT COMPANY, THE CARLE FOUNDATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body CARLE EUREKA HOSPITAL'S SOLE MEMBER, THE CARLE FOUNDATION, ACTING THROUGH ITS BOARD OF TRUSTEES, HAS THE EXCLUSIVE POWER TO ELECT AND REMOVE MEMBERS OF THE BOARD OF TRUSTEES FOR THE CORPORATION IN ADDITION TO FILLING VACANCIES. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders CARLE EUREKA HOSPITAL MUST HAVE THE APPROVAL OF ITS SOLE MEMBER, THE CARLE FOUNDATION, THROUGH ITS BOARD OF TRUSTEES, WHEN VOTING ON MATTERS INCLUDING THE AMENDING OF GOVERNING DOCUMENTS; RECOMMENDING THE PRESIDENT TO THE BOARD; APPROVING ANY ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGETS; APPROVING PAYMENT TO THE MEMBERS OF THE BROMENN BOARD OF DIRECTORS FOR THEIR EXPENSES OR COMPENSATION FOR SERVICES; APPROVING ANY NEW, LONG-TERM OR MASTER INSTITUTIONAL PLAN OR CHANGES TO SUCH PLANS; APPROVING THE ADDITION OF ANY NEW MEMBER AND ANY DISSOLUTION, MERGER, CONSOLIDATION, OR SALE OR OTHER DISPOSITION OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR ANY DISPOSITION OF REAL PROPERTY OR RELOCATION OF THE HOSPITAL AND/OR CLINIC; APPROVING ANY ORGANIZATION OR ACQUISITION OF A SUBSIDIARY OR AFFILIATE; APPROVING ANY INITIATIVE REQUIRING CERTIFICATE OF NEED (CON) APPROVAL; APPROVING ANY PLEDGE OF ALL OR ANY PART OF THE CORPORATION'S ASSETS AS SECURITY FOR A DEBT, LIABILITY OR OTHER OBLIGATION; APPROVING ANY LOAN TO OR FOR THE CORPORATION OR ANY OTHER INDEBTEDNESS; AND APPROVING NON-BUDGETED EXPENDITURES OR SALE EXCEEDING THE PRESIDENT'S AUTHORIZED SPENDING AUTHORITY. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 WAS PREPARED BY STAFF AND AN EXTERNAL TAX ADVISOR AND REVIEWED BY MANAGEMENT. PRIOR TO FILING THIS FORM 990, A FULL AND COMPLETE COPY WAS PROVIDED TO THE GOVERNING BODY. AT THEIR DISCRETION, THE GOVERNING MEMBERS HAVE THE OPPORTUNITY TO CONTACT MANAGEMENT OR DISCUSS AND ADDRESS CONCERNS AT SUBSEQUENT BOARD MEETINGS. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION'S ESTABLISHED CONFLICT OF INTEREST POLICIES REQUIRE ANNUAL DISCLOSURE OF ACTUAL AND POTENTIAL CONFLICTS OF INTEREST FOR OFFICERS, DIRECTORS, TRUSTEES, MEMBERS OF BOARD COMMITTEES, ADMINISTRATIVE AND MANAGERIAL EMPLOYEES AS WELL AS ALL EMPLOYEES OF THE PURCHASING DEPARTMENT. IF CIRCUMSTANCES CHANGE DURING THE COURSE OF A YEAR, INTERIM DISCLOSURE IS ALSO REQUIRED OF THE SAME INDIVIDUALS. THE DISCLOSURES OF EMPLOYEES ARE REVIEWED INITIALLY BY THE COMPLIANCE DEPARTMENT AND ANY IDENTIFIED CONFLICTS ARE REFERRED TO, AND ADDRESSED BY, THE ORGANIZATION'S INTERNAL LEGAL COUNSEL AND/OR CORPORATE INTEGRITY OFFICER. THE DISCLOSURES OF TRUSTEES AND MEMBERS OF BOARD COMMITTEES ARE REVIEWED BY THE CHAIR OF THE BOARD. THE ENTIRE BOARD, ABSENT THE SUBJECT TRUSTEE OR COMMITTEE MEMBER DETERMINES WHETHER A CONFLICT EXISTS. TRUSTEES AND/OR BOARD COMMITTEE MEMBERS WITH IDENTIFIED CONFLICTS ARE REQUIRED TO RECUSE THEMSELVES FROM DELIBERATING AND VOTING ON MATTERS THAT MAY PRESENT A CONFLICT. THE ORGANIZATION ALSO MAINTAINS PURCHASING POLICIES REQUIRING COUNTER SIGNATURES TO FURTHER MINIMIZE THE RISK ASSOCIATED WITH ACTUAL AND/OR POTENTIAL CONFLICTS OF INTEREST. Form 990, Part VI, Line 19 Required documents available to the public THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE EUREKA HOSPITAL, PUBLISHES THROUGH WWW.DACBOND.COM AND https://emma.msrb.org/ ITS QUARTERLY UNAUDITED FINANCIAL STATEMENTS, ANNUAL AUDITED FINANCIAL STATEMENTS, A MANAGEMENT'S DISCUSSION & ANALYSIS TO ACCOMPANY THE FINANCIAL STATEMENTS, AND AN ANNUAL REPORT OF CERTAIN OPERATING AND FINANCIAL INFORMATION. ADDITIONALLY, OFFICIAL STATEMENTS FOR OUTSTANDING MUNICIPAL BOND ISSUES FOR WHICH THE CARLE FOUNDATION IS OBLIGATED ARE AVAILABLE AT THIS WEBSITE. THESE DOCUMENTS INCLUDE EXTENSIVE INFORMATION ABOUT THE ORGANIZATION'S HEALTH CARE DELIVERY SYSTEM MODEL, RECENT HIGHLIGHTS/ACCOMPLISHMENTS, GOVERNANCE AND ADMINISTRATION, STRATEGIC PLAN, FACILITIES, CLINICAL PROGRAMS, MEDICAL STAFF, SERVICE AREA, COMPETITIVE ENVIRONMENT, DEMOGRAPHIC DATA, UTILIZATION STATISTICS, SUMMARY FINANCIAL INFORMATION, ACADEMIC AFFILIATIONS AND EDUCATIONAL PROGRAMS, MEDICAL RESEARCH, ACCREDITATIONS, AND ITS EMPLOYEES. THIS INFORMATION IS AVAILABLE AT NO CHARGE TO THOSE WHO REGISTER AT THE WWW.DACBOND.COM WEBSITE. IN ADDITION, THE FORM 990S OF THE ORGANIZATION'S FILING ENTITIES ARE AVAILABLE THROUGH DACBOND.COM. Form 990, Part VII, Section A COLUMN B THE AVERAGE ESTIMATED HOURS PER WEEK LISTED FOR THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS ARE BASED ON A STANDARD 40 HOUR WEEK. MEMBERS MAY FREQUENTLY DEVOTE MORE THAN 40 HOURS OF SERVICE TO THE ENTIRE ORGANIZATION DURING AN AVERAGE WEEK. Form 990, Part XI, Line 9 Other changes in net assets or fund balances INTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS - 767560; Form 990, Part XII, Line 2c Change of oversight process or selection process FORM 990 PART XII, QUESTION 2A, B, C AND PART IV, QUESTION 12 THE FINANCIAL STATEMENTS FOR CARLE EUREKA HOSPITAL WERE REVIEWED ON A CONSOLIDATED BASIS UNDER THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE CARLE FOUNDATION HAS AN AUDIT COMMITTEE CONSISTING OF MEMBERS OF THE GOVERNING BOARD AND THE CHIEF FINANCIAL OFFICER WHO TOGETHER ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE REVIEW AND AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT OR AUDITOR. THE CARLE FOUNDATION 611 W PARK ST URBANA IL 618012595 370673465 Parent/Inv Mgnt IL 501(c)(3) Type III-FI NA false THE CARLE FOUNDATION HOSPITAL 611 W PARK ST URBANA IL 618012595 371119538 Hospital Services IL 501(c)(3) 3 TCF true CARLE HEALTH CARE INCORPORATED 611 W PARK ST URBANA IL 618012595 371140016 Various Med Services IL 501(c)(3) 10 TCF true CARLE RETIREMENT CENTERS INC 611 W PARK ST URBANA IL 618012595 371160033 Retirement Living IL 501(c)(3) 10 TCF true CARLE DEVELOPMENT FOUNDATION 611 W PARK ST URBANA IL 618012595 371159978 Fundraising IL 501(c)(3) 7 TCF true hOOPESTON COMMUNITY MEMORIAL HOSPITAL 701 E ORANGE ST HOOPESTON IL 609421801 363637465 Hospital Services IL 501(c)(3) 3 TCF true CARLE COMMUNITY HEALTH CORPORATION 611 W PARK ST URBANA IL 618012595 364458371 FNDN mission IL 501(c)(3) Type I TCDF true CARLE BROMENN MEDICAL CENTER 611 W PARK ST URBANA IL 61761 850682363 Hospital Services IL 501(c)(3) 3 TCF true CARLE CANCER INSTITUTE NORMAL LLC 407 E VERNON AVE NORMAL IL 61761 371363717 Cancer Treatment IL 501(c)(3) Type I TCF true CARLE WEST PHYSICIAN GROUP INC 611 W PARK ST URBANA IL 618012595 850703768 Physician Services IL 501(c)(3) 10 CHCI true RICHLAND MEMORIAL HOSPITAL INC 800 EAST LOCUST STREET OLNEY IL 62450 371363001 Hospital Services IL 501(c)(3) 3 TCF true CRIS HEALTHY AGING 309 N FRANKLIN ST DANVILLE IL 618324509 370948852 Senior Citizen Services IL 501(c)(3) 7 CHCI true CHAMPAIGN SURGICENTER LLC 611 W PARK ST URBANA IL 618012595 201915925 Surgical Center IL NA N/A HEALTH SYSTEMS INSURANCE LIMITED Governors Square 2nd Floor Bldg 3 23 Line Tree Bay Ave GRAND CAYMAN CJ KY11102 Insurance CJ NA C Corporation true CARLE RISK MANAGEMENT COMPANY 611 W PARK ST URBANA IL 618012595 371217973 Risk Management IL NA C Corporation true EVALIDATA INC 611 W PARK ST URBANA IL 618012595 462022658 Physician Credentialing IL NA C Corporation true CHA HOLDING INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 471854275 Holding Co. IL NA C Corporation true CARLE HOLDING COMPANY INC 611 W PARK ST URBANA IL 618012595 371188284 Holding Co. 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 CONNECT INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 464796891 Health Care Coordination IL NA C Corporation true HEALTH ALLIANCE NORTHWEST HOLDING INC 820 N CHELAN AVE WENATCHEE WA 98801 461717578 Holding Co. WA NA C Corporation true HEALTH ALLIANCE NORTHWEST HEALTH PLAN INC 820 N CHELAN AVE WENATCHEE WA 98801 461966323 Health Coverage WA NA C Corporation true HEALTH ALLIANCE-MIDWEST INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 371354502 Health Coverage IL NA C Corporation true CARLE VENTURES INC 611 W PARK ST URBANA IL 618012595 371313150 Health Care Partnerships IL TCF C Corporation true CARLE HEALTH PHYSICIAN PARTNERS INC 611 W PARK ST URBANA IL 618012595 850718392 Physician Services IL TCF C Corporation true FIRST CAROLINA CARE INSURANCE COMPANY 42 Memorial Drive PINEHURST IL 28374 331160597 Insurance IL CHA Holding C Corporation true false false true false false false false false false false true false true false false true true true true Carle Development Foundation C 273295 BOOK Carle BroMenn Medical Center M 176928 BOOK Carle Health Care Incorporated M 109600 BOOK Carle West Physician Group M 350331 BOOK The Carle Foundation Hospital S 128541 BOOK