2025-02-20T15:02:12+00:00 2023-12-31 346565596 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE INDIANAPOLIS IN 462045100 990 2023-01-01 370692351 PEKIN MEMORIAL HOSPITAL PEKI 2173833311 611 W PARK STREET URBANA IL 61801 DENNIS HESCH EXEC VP & CFO 2173833311 2025-02-20 true true Jennifer D Rhoderick P00395735 3176817000 2025-02-13 2023 2025-03-06 01:10:19Z X X Carle Health Pekin Hospital DENNIS HESCH EXEC VP & CFO 611 W PARK STREET URBANA IL 61801 55051932 false X www.carle.org X 1913 IL Improve health and well-being of community with love, compassion and extraordinary medical care. 17 15 485 116 0 0 2901070 345055 55465168 54156693 110846 43654 855134 493448 59332218 55038850 7740 72490 0 0 23369542 20544626 0 0 27342633 34929242 50719915 55546358 8612303 -507508 58132827 88977449 21951841 10286764 36180986 78690685 TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY AND TO DO SO WITH LOVE, COMPASSION AND EXTRAORDINARY MEDICAL CARE. false false 44415048 72490 54420903 HEALTH-CARE SERVICES PEKIN MEMORIAL HOSPITAL IS AN IMPORTANT ELEMENT OF THE HEALTH-CARE DELIVERY SYSTEM THAT THE PEKIN, ILLINOIS, AND SURROUNDING COMMUNITIES RELY ON EVERY DAY. IT IS COMMITTED TO PROVIDING QUALITY HEALTH CARE AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT. PEKIN MEMORIAL HOSPITAL PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES TO TREAT INDIVIDUALS WITH DISEASES, ILLNESS AND INJURIES WITH VARYING COMPLEXITIES. IT PROVIDES SERVICES TO IMPROVE THE HEALTH OF PATIENTS AND TO BETTER THEIR QUALITY OF LIFE. ALL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S RACE, CREED, SEX, NATIONALITY, HANDICAP, AGE OR ABILITY TO COMPENSATE FOR SERVICES RENDERED. THESE INCLUDE, BUT ARE NOT LIMITED TO, GENERAL ACUTE CARE, SURGERIES, INTENSIVE CARE AND CRITICAL CARE AND EMERGENCY SERVICES. SOME OF THE SERVICES PROVIDED DO NOT GENERATE ENOUGH INCOME TO OFFSET THEIR COST. IN THE FISCAL PERIOD ENDED DECEMBER 31, 2023, PEKIN MEMORIAL HOSPITAL ADMITTED 1,826 PATIENTS RESULTING IN A TOTAL OF 7,458 PATIENT DAYS. OUTPATIENT VISITS TOTALED 61,928 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS FOR THE SAME PERIOD WERE 1,513. THERE WERE ALSO 26,699 EMERGENCY ROOM VISITS. 44415048 true false 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 false false false false false true true true false false true X 22 0 true 485 true false false false false false false false false false false false false X 17 15 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 STREET URBANA IL 61801 Debbie Simon Secretary/Treasurer 0.0 0.0 X X 0 0 0 James Stevenson VICE CHAIR BEG 04/01/2023; TRUSTEE 0.0 0.0 X X 0 3625 0 John Wieland MD Chair 0.0 0.0 X X 0 653588 33314 Keith Knepp MD Ex Officio Voting Member // Officer - President, Carle Health - West Region 0.0 0.0 X X 0 1628845 44092 Rich Kriegsman VICE CHAIR THRU 03/31/2023; TRUSTEE 0.0 0.0 X X 0 0 0 Aaron Kilgore Trustee 0.0 0.0 X 0 0 0 Amy Darling Trustee 0.0 0.0 X 0 0 0 David Mueller Trustee 0.0 0.0 X 0 0 0 Dennis Triggs JD Trustee 0.0 0.0 X 0 3625 0 Dirk Roecker Trustee 0.0 0.0 X 0 0 0 Jenna Cicciarelli-Wiesner Trustee 0.0 0.0 X 0 0 0 Jerry Bell EdD Trustee 0.0 0.0 X 0 0 0 Kevin Barbier Trustee 0.0 0.0 X 0 0 0 Melissa Yoder Trustee 0.0 0.0 X 0 0 0 Peter Johnsen PhD Trustee 0.0 0.0 X 0 0 0 Ronald Champagne MD Trustee 0.0 0.0 X 0 0 0 Rusty Dunn Trustee 0.0 0.0 X 0 0 0 Dennis Hesch Officer - EVP, Chief Finance & Strategy Officer 0.0 0.0 X 0 1395995 366889 James C Leonard MD Officer - President & CEO 0.0 0.0 X 0 5690001 36885 John Peters Chief Finance Officer 0.0 0.0 X 0 314895 24330 Ken Dicken MBA VP, Finance - West Region 0.0 0.0 X 0 262860 11595 Matthew Kolb JD MHA Ex Officio, Non-Voting // Officer - President, Carle Health Regions // EVP, COO 0.0 0.0 X 0 1567332 363305 Napoleon Knight MD MBA Officer - EVP, Chief Medical Officer 0.0 0.0 X 0 940875 115459 Anthony Howard VP, Greater Peoria Support Services 0.0 0.0 X 0 259608 37319 Caleb Miller SVP, Surgical Services & Ambulatory Care 0.0 0.0 X 0 653999 124899 Jeanette Murray VP, Greater Peoria Hospital Operations 0.0 0.0 X 0 606715 31831 Jeanine Spain VP, Chief Operating Officer 0.0 0.0 X 0 837346 29089 Lauren Schmid MBA EVP, Chief Human Resources Officer 0.0 0.0 X 0 945711 209640 Nicholas Crompton VP, Construction & Facility Services 0.0 0.0 X 0 364372 68059 Ashokkumar Patel Pharmacist 40.0 0.0 X 168924 0 18278 Destiny Hart Registered Nurse Supervisor 40.0 0.0 X 164263 0 33331 Kaitlyn Szmania Pharmacist 40.0 0.0 X 149373 0 13375 Kingsley Akpan Registered Nurse 40.0 0.0 X 173432 0 11377 Matthew Reeb Pharmacist 40.0 0.0 X 174433 0 29351 830425 16129392 1602418 24 false true false EPSS LLC - CENTRAL SERIES 12528 SR 78 Havana IL 62644 ER Services 539700 FIDELITY ON CALL LTD 9600 N INDUSTRIAL RD PEORIA IL 61615 Healthcare Staffing 456021 PROFESSIONAL THERAPY SERVICES 2900 Frank Scott Pkwy West Ste 928 Belleville IL 62223 Healthcare Staffing 236709 ALCON LABORATORIES INC 333 Howard Ave Peoria IL 60018 Lab Services 232161 PEORIA TAZEWELL PATHOLOGY GROUP 221 NE Glen Oak Ave PEORIA IL 61636 Healthcare Services 130280 9 345055 345055 NET PATIENT REVENUE 621110 54156693 54156693 0 0 0 0 54156693 56736 56736 2400 2400 0 2400 2400 13082 0 -13082 -13082 -13082 Cafeteria/Food Services 722514 270981 44143 226838 Shared Savings Revenue 900099 170729 170729 Contract Revenue 900099 43277 43277 6061 6061 0 0 491048 55038850 54420903 0 272892 72490 72490 0 0 17135305 16152321 982984 238234 234348 3886 1903532 1903532 1267555 1203219 64336 16517 16517 5039774 4452396 587378 0 43 36 7 1002870 699646 303224 730999 637742 93257 662673 257694 404979 2402 75 2327 4176 4068 108 284691 890 283801 4295285 2219243 2076042 1301074 1301074 Internal Management Fees 10519509 6188860 4330649 MEDICAL SUPPLIES 6451378 6451378 PROVIDER ASSESSMENT TAX & OTHER TAXES 4425980 3745470 680510 Non-Physician Recruitment 156584 156353 231 35287 35287 0 0 55546358 44415048 11131310 0 2804958 133768 2067260 7492876 45634079 0 0 0 0 17218683 1607048 1551113 960216 495465 555784 31171107 3662339 24831345 27508768 1671127 245222 0 0 0 12332564 58132827 88977449 3311541 2139693 0 0 107 18640193 8147071 21951841 10286764 X 36180986 78690685 36180986 78690685 58132827 88977449 X -507508 58751 42958456 X false true X true true true X false false false false false false false false true 16517 16517 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY $16,517 - PORTION OF DUES PAID TO MISCELLANEOUS HEALTH CARE ORGANIZATIONS ATTRIBUTED TO LOBBYING. 1395679 1395679 15777035 1182926 14594109 13350128 2217624 11132504 648265 261789 386476 27508768 Due from Affiliates 6645423 Due from UnityPoint 5685058 Physician Receivables 2083 12332564 Due to Blue Cross 4659456 Self-Insurance Reserve 2374568 Due to Affiliates 1112332 Sales Tax Payable 715 8147071 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 false true true 154167 154167 0.0028 15563917 13224695 2339222 0.0421 0 0.0 0 0 15718084 13224695 2493389 0.0449 668 668 0.0000 72391 72391 0.0013 0 0.0 0 0.0 291618 291618 0.0052 0 0 364677 0 364677 0.0066 0 0 16082761 13224695 2858066 0.0515 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 658326 329163 9531342 11316919 -1785577 X true true 1 1 Carle Health Pekin Hospital 600 SOUTH 13TH STREET PEKIN IL 61554 CARLE.ORG/LOCATIONS/CARLE-HEALTH-PEKIN 001834 X X X Carle Health Pekin 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 23 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 CHNA. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - CARLE HEALTH PEKIN HOSPITAL. The CHNA process for the Carle Health Pekin Hospital was initiated in the first quarter of 2022 by the Partnership for a Healthy Community, an ad hoc committee consisting of a diverse group of community organizations creating a collaborative team to facilitate a community health needs assessment. The collaboration included members from Carle Eureka Hospital, Bradley University, Heart of Illinois United Way, Heartland Health Services, Hopedale Medical Complex, OSF Saint Francis Medical Center, Peoria City/County Health Department, Tazewell County Health Department, UnityPoint Health now Carle Health Greater Peoria which includes Methodist Medical Center of Illinois, Pekin Memorial Hospital and Proctor Hospital and Woodford County Health Department. During the assessment phase the use of focus groups, surveys using online, written and focus group settings to data collect, hospitals and local health departments provided health data as well as the use of State health data. Methods for collecting data included multiple sources. Secondary statistical data were used to assess the community profile, morbidity rates and causes of mortality. Additionally, a study was completed to examine perceptions of the community health-related issues, healthy behaviors, behavioral health, food security, social determinants of health and access to healthcare. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - CARLE HEALTH PEKIN HOSPITAL. Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Eureka Hospital and OSF Saint Francis Medical Center. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - CARLE HEALTH PEKIN HOSPITAL. Peoria City/County Health Department, Peoria, IL Tazewell County Health Department, Tremont, IL Woodford County Health Department, Eureka, IL Unity Point Health Central Illinois Greater Peoria Economic Development Council University of Illinois Extension, Peoria, IL, American Cancer Society, Peoria, IL Heart of Illinois United Way, Peoria, IL Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - CARLE HEALTH PEKIN HOSPITAL. 1) Healthy Eating Healthy Living Strategy 1 - Support tri-county Partnership for a Healthy Community's (PFHC) Community Health Improvement Plan (CHIP) efforts: Gardening Interventions and Social Support. TASK 1: Identify key staff to participate in PFHC HEAL Action Team. Carle Health Greater Peoria identified the Carle Health Hult Center for Healthy Living team of health educators and the Wellness Center team of health coaches and exercise specialists to participate in the PFHC's HEAL Action Team. - Team members regularly attended PFHC's HEAL Action Team meetings and tracked all hours contributed among Carle Health Greater Peoria team members. Three team members contributed 23 total staff hours to PFHC's HEAL Action Team in 2023. TASK 2: Disseminate PFHC campaign and recruitment messages to promote Gardening Interventions and Social Support Interventions. - To support PFHC's Social Support Interventions, Carle Health's Hult Center team assisted with the promotion of one tri-county HEAL event in 2023 by sharing the event information on Hult Center's Facebook page. The event was post ed on Facebook on 8-10-23, 8-21-23 and 9-18-23, and in total, these posts reached 444 people/6 reactions/15 post engagements/6 shares. Carle Health Hult Center also shared weekly efforts promoted by the HEAL Action Team on Facebook and Instagram, such as "Take a Walk Wednesday". TASK 3: Partner with PFHC and community resources to promote intervention strategies. - The Tri-County Hunger Walk, organized by Partnership for a Healthy Community and HEAL Action Team, took place on September 30, 2023. Three Carle Health Hult Center staff members attended the event and hosted a health fair table to educate attendees about healthy living. There were 70 participants at the event, and 785 pounds of food were donated to three local food pantries. TASK 4: Support community garden in region of concern at Family Medical Center (FMC). - To contribute to the PFHC's Gardening Interventions, FMC continued gardening efforts, producing and distributing 629 pounds of fresh produce. Most of the produce was donated to Sophia's Kitchen, a food pantry serving Peoria's low-income ZIP codes. Strategy 2 - Increase HEAL education and fitness opportunities for youth. TASK 1: Identify internal regional HEAL education resources and collect baseline data - Hult Center, Methodist College, Nursing Education, FMC, etc. - Carle Health identified the Hult Center for Healthy Living community health education programs as the main resource to provide HEAL education opportunities to youth. TASK 2: Identify external regional HEAL partners/resources. - Carle Health staff members engaged in the HEAL Action Team efforts worked closely with external community partners in 2023, including Tazewell County Health Department, University of Illinois Extension and others. TASK 3: Provide HEAL community health education to target populations. The Hult Center team provided education to 6,097 children in 2023 by providing interactive field trips on-site at Hult Center for Healthy Living and as outreach programming within the schools and community agencies. Hult Center health coaches provided 1:1 nutrition education to 71 adolescents in 2023. TASK 4: Utilize American Academy of Pediatrics (AAP) Bright Futures Guidelines to screen for HEAL and connect families with resources to address food insecurity and other social determinants of health (SDOH). - School-Based Health Center providers at three health centers (located at Peoria High, Manual High and Trewyn schools) used the AAP Guidelines for children and adolescent healthcare visits. Carle Health School-Based Health Center healthcare providers used the AAP Bright Futures Guidelines during well-child visits in 2023 and will continue to use these guidelines moving forward. A total of 1,626 well-child visits were provided in 2023 among three School-Based Health Centers located in Peoria's low-income ZIP codes. In January 2023, staff members from the Hult Center and a community health dietetics intern from Bradley University participated in a life simulator event for adolescents in Peoria County at the Woodruff Career and Technical Center. Throughout the event, Hult Center staff and the intern collaborated with students, providing guidance on budget-friendly grocery shopping and sharing various resources to address barriers to food security. Providers at the Carle Health School-Based Health Centers, alongside medical residents from FMC, employed the Bright Futures Guidelines to screen for SDOH and other barriers to food security. These screenings yield valuable insights, enabling providers to offer additional support to patients and facilitate connections to essential community resources, such as food pantries. TASK 5: Share success stories of the HEAL efforts within the tri-county area. - In Year 1 (2023), a 16-year-old participant enrolled in the Hult Center WELL (Wellness Education and Lifestyle Learning) Program set a goal to integrate a greater variety of fruits and vegetables into their daily meals. The student received the "Good and Cheap" cookbook, which was endorsed during the tri-county Hunger Walk. Successfully implementing the cookbook, the patient managed to prepare five to six recipes from the cookbook. As a result, the patient expresses increased confidence in meal preparation and trying more fresh produce. Strategy 3 - Increase physical activity among adult residents and staff. TASK 1: Establish internal regional HEAL team to collect baseline data and create action plan for community and worksite wellness activities. - In 2023, an internal committee was established and began to create an action plan for community and worksite wellness activities for employees and community members. This transitioned to Carle Health as a regional effort and is no longer directed by Carle Health Greater Peoria. TASK 2: Provide physical activity programming through WellMobile service line to promote increase in physical activity in leisure time. - In 2023, the WellMobile coordinator was working on scheduling the WellMobile to reach target populations in the 61603, 61604 and 61605 ZIP codes, and in rural areas within the tri-county region to incorporate fitness opportunities using Wellness fitness instructors. In 2023, the WellMobile planned 108 events throughout the tri-county area with 1,095 participants engaging in HEAL; 61 of those events were specifically planned to engage members of the 61603, 61604 and 61605 ZIP codes with 493 participants. The WellMobile was discontinued in fall 2023. TASK 3: Provide worksite wellness to increase physical activity and HEAL for all employees. - In 2023, an internal committee was established and began to create an action plan for community and worksite wellness activities for employees and community members. This transitioned to Carle Health as a regional effort and is no longer directed by Carle Health Greater Peoria. 2) Mental Health Strategy 1 - Support tri-county PFHC's CHIP interventions: Culturally Adaptive Health Care and Telemedicine. TASK 1: Identify key staff to participate in PFHC Mental Health Action Team. - Trillium Place staff member co-chairs the PFHC Mental Health Action Team alongside a staff member at OSF Strive. The Trillium staff member also leads the Mental Health Action Team's Steering Committee and Tele psych Sub-Committee. In total, Carle Health employees contributed 84 staff hours to the PFHC Mental Health Action Team's efforts in 2023. TASK 2: Partner with PFHC and community resources to promote intervention strategies. - 2023 was the first year in the CHIP three-year cycle. Therefore, Year 1 was dedicated to building a sustainable action team that represented diverse members and agencies contributing to good mental health in the tri-county area. This action team will be responsible for promoting the chosen intervention strategies. Carle Health Trillium Place led the PFHC's Mental Health Action Team in 2023. During this time, 18 partner agencies were represented at the monthly meetings, investing 292 volunteer hours in 2023. Partners included Annie Malone Center for Development, Trillium Place, Central Illinois Friends, Bob Michael VA, Peoria Regional Office of Education, Phoenix Community Development Center, Peoria City/County Health Department, Children's Home Association of Illinois, Woodford County Health Department, Tazewell County Health Department, Carle Health, OSF Saint Francis Medical Center, Heartland Health Services, Home for All Continuum of Care, OSF Resource Link, OSF Strive, Carle Health Hult Center for Healthy Living and private counseling centers. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - CARLE HEALTH PEKIN HOSPITAL (CONTINUED). TASK 3: Identify trauma-informed care trainings for providers and mental health employees and create training implementation plan. - Trillium Place invested significant time training staff on trauma-informed care from the National Council for Mental Wellbeing called, "ACEs Are Not Destiny" .The training was offered in April 2023 as a live, two-session event. Since the live event, Trillium Place, Carle Health inpatient units and Carle Health behavioral health clinics have continued to have team members complete the training through recorded sessions. Over 200 employees completed the training. The contract for the training concludes at the end of April 2024. Post-testing was offered for team members who are LCPCs due to state requirements. Next steps will be to continue meeting as a Core Implementation Team (CIT) to make plans for continued approaches for performing as a trauma-informed organization. This will include supervision, hiring and management approaches throughout our departments with the lens of trauma-informed care within our teams and with our contact with patients and clients. TASK 4: Identify and coordinate regular meetings with supervisors for trauma-informed care and systemwide sustainability. - Trillium Place supervisors have participated in a Supervision Cohort that met monthly from May 2023 to April 2024 to have ongoing discussions for trauma-informed care from the National Council for Mental Wellbeing trainer of the "ACEs Are Not Destiny" training in April 2023. TASK 5: Share success stories of the program within the tri-county area and with senior leadership/board. - The Mental Health Action Team and Trillium Place representative, Jonathan Gauerke, shared 2023 successes at the Partnership for a Healthy Community's annual meeting on March 7, 2024. This meeting included 79 representatives from diverse sectors and partner agencies. Strategy 2 - Increase access to comprehensive behavioral health services, care coordination, and resources and supports. TASK 1: Identify regional mental health access points and collect baseline data - Access Center Call Line, Systems of Care, Young Minds Center, High ED Utilizers, etc. - The Trillium Place Access Center has been a reliable resource for community members to seek information about mental health and available behavioral health services. The Access Center processes an average of 70 referrals per day. In 2022, the Access Center received 18,074 calls from the community and was on track to receive 19,000 by the end of 2023. Access to full 2023 data is unavailable due to the transition between UnityPoint Health (UPH) and Carle Health. Full data reports will be available for 2024, as the Epic transition for the Access Center occurred in December 2023. TASK 2: Distribute patient experience surveys to patients utilizing mental health services and create an action plan for continuous improvement. - Many surveys were distributed to patients in Year 1, and data is being reviewed. There are a variety of patient surveys across Trillium Place outpatient sites, as well as inpatient and clinic sites. Since moving to NRC for survey collection, Carle Health has implemented a variety of strategies to improve our return rates and the perception of the experiences overall. TASK 3: Launch Young Minds Center to increase access to care and provide more resources for children, adolescents and families; continue providing and increasing services for telemedicine, Access Center Call Line, System of Care and High ED Utilizers management. - Met with 65 community organizations/agencies. - Held 11 SOC partner implementation meetings. - Active engagement of approximately 30 community partners on average per month. - Established five SOC work groups. - Conducted two leadership presentations (one to the Trillium Place Board of Directors, one to Trillium Place leadership). TASK 4: Disseminate marketing and recruitment messages to promote mental health resources for youth and adults in Tri-County region. - Carle Health disseminated marketing campaigns to promote good mental health, suicide prevention and other mental health resources in 2023. TASK 5: Share success stories of the mental health efforts within the tri-county area - Trillium Place teams share a Mission Moment with the Board of Directors on a monthly basis. A recent story from November 2023 was shared about a certified community behavioral health clinic (CCBHC) care coordinator working with the clinician and discharge planner on the 6W Adult Behavioral Health Unit to meet the patient where they were at for their living situation post-discharge. The patient desired to go to the Trillium Place Adam Street Living Center for residential living rather than returning home with their father. The patient-first approach was a successful transition for more independence. Strategy 3 - Increase mental health prevention education and awareness to improve mental health. TASK 1: Identify regional mental health prevention community education resources and collect baseline data. - Carle Health identified key prevention education resources including Hult Center for Healthy Living, Trillium Place and the Carle Eureka role in leading the Mental Health First Aid Cadre. The Mental Health First Aid Cadre includes Mental Health First Aid trainers from the Greater Peoria area, led by Joanie Montoya. TASK 2: Establish partners to provide suicide prevention education and training opportunities to providers, medical students, medical staff and community members. - Carle Eureka provided Mental Health First Aid Training to five tri-county community participants in 2023, Carle Health Trillium Place provided Mental Health First Aid Training to 20 resident assistants at Eureka College in 2023, Carle Health Hult Center provided suicide prevention education in 2023 to 5,461 community members including 1,036 attending the Hult Center "Mega Brain" field trip, Carle Health Hult Center provided no-cost QPR (Question, Persuade, Refer) Suicide Prevention Gatekeeper training to: - Nine NAMI tri-county board members on August 3, 2023. - 45 University of Illinois College of Medicine medical residents and medical students on August 30, 2023. - 36 Peoria Public Schools staff on November 13, 2023, and December 4, 2023. TASK 3: Disseminate marketing and recruitment messages to promote mental health prevention education for youth and adults in the tri-county region. - Carle Health Hult Center shared information about the Trillium Place Access Center on Facebook on 9-1-24 and had 63 reach/1 share; Other posts promoting the 988 Lifeline number and local resources were posted on the Hult Center Face book page throughout the year. TASK 4: Support regional DEI efforts that include LGBTQ+ supports for community and staff. - Carle Health systemwide diversity, equity and inclusion efforts can be found here, including the 2023 annual report. Carle Health developed a Transgender Care Directory that was shared among community partners, on the website and via social media. 3) Obesity Strategy 1 - Support tri-county PFHC's CHIP efforts: Digital Health Interventions and Strong People - Healthy Weight. TASK 1: Identify key staff to participate in PFHC Obesity Action Team. - Hult Center and the Weight Loss Clinic have been actively engaged in the PFHC Obesity Action Team meetings. They are tracking their time on their efforts for community benefit. Conversations are ongoing, and efforts are being made to improve coordination and capacity. A total of 36 staff hours were dedicated to PFHC's Obesity Action Team in 2023. TASK 2: Disseminate PFHC campaign and recruitment messages to promote Digital Health Interventions and Strong People - Healthy Weight. - FHC did not launch any campaigns in 2023 as interventions were being planned and not implemented during Year 1. TASK 3: Partner with PFHC and community resources to promote intervention strategies. - No intervention strategies were promoted during Year 1 planning year. Strategy 2- Reduce the proportion of adolescents with obesity through individualized health coaching for adolescents with overweight and obesity. TASK 1: Collect baseline data. - WELL (Wellness Education and Lifestyle Learning) program at Hult Center reached over 65 youth and adolescents last year providing individual health coaching sessions for those diagnosed as at risk for type 2 diabetes or obese. TASK 2: Develop recruitment campaign in tri-county area. - Hult Center leadership and the WELL program coordinator actively engaged in meetings with providers in 2023 and maintained ongoing conversations to ensure a steady flow of referrals. Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - CARLE HEALTH PEKIN HOSPITAL (CONTINUED). TASK 3: Establish provider referral protocol. - Adolescents enrolled in the WELL one-on-one health coaching program were referred via the Epic EMR system. To be eligible for referral, they must have been either diagnosed as at risk for type 2 diabetes or have a body mass index (BMI) of 98% or higher. TASK 4: Partner with community resources to educate about the Hult Center WELL adolescent health coaching program to increase referrals and establish coaching locations. - In 2023, Hult Center staff forged collaborations with various community partners to enhance the visibility of the WELL program and to facilitate the establishment of coaching sessions. TASK 5: Provide individualized health coaching to adolescents at risk for developing type 2 diabetes. - Hult Center reached over 65 youth and adolescents last year. TASK 6: Share success stories of the program. - Carle Health shared multiple success stories are documented within the Implementation Plan progress. Strategy 3 - Reduce the proportion of adults with obesity through individualized support for weight loss. TASK 1: Collect baseline data. - The Weight Loss Clinic conducted 55 new patient consultations in 2023, 48 (87.2%) of which were considered to be in "metabolic crisis", five (9.0%) were considered having "severe imbalance one (1.8%) was "moderate imbalance". Forty-two (76.4%) of the 55 patients completed the program, and eight (14.5%) were discontinued due to the program ending. TASK 2: Launch weight loss clinic for adults. - This work is still underway in the Greater Peoria region, with Carle Health prepared to assist where possible. TASK 3: Launch outreach body-composition scanning program to tri-county area. - Body-composition scanning was launched in 2023; however, WellMobile services concluded in fall 2023. Cancer was a concern in the previous cycle; however, efforts were extended. Strategy 1 - Support tri-county PFHC's Cancer Performance Management efforts - routine cancer screenings, improving community health, and reducing transportation and lodging barriers for active cancer patients. Strategy 2 - Increase the number of cancer screenings (breast, colorectal, and lung) to decrease cancer deaths. Strategy 3 - Collaborate with community partner agencies to offer community-wide cancer screening events and education. 2 PEKIN HOSPITAL MRI BUILDING 1300 PARK AVENUE PEKIN IL 61554 DIAGNOSTIC CENTER PEKIN HOSPITAL PAIN MANAGEMENT LLC 600 SOUTH 13TH STREET PEKIN IL 61554 PAIN CLINIC 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 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 HTTPS://CARLE.ORG/GETMEDIA/F7608F63-CB1C-4EB5-8F0B-02F00EAFEC74/X0873-0223-CFAP-PLAINLANGUAGE-SUMMARY.PDF 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 V, Section B, Line 7 B - OTHER WEBSITE (LIST URL) https://osf-p-001.sitecorecontenthub.cloud/api/public/content/fb11b165c28245a4930bb1f643ba86e9?v=a3f7693a Schedule H, Part I, Line 6a Community benefit report prepared by related organization THE HOSPITAL'S COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE METHODIST HEALTH SERVICES CORPORATION (NOW CARLE HEALTH - WEST REGION) COMMUNITY BENEFIT REPORT. Schedule H, Part I, Line 7g Subsidized Health Services 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. 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 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, PEKIN MEMORIAL 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, PEKIN MEMORIAL 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 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 THE CARLE FINANCIAL ASSISTANCE PROGRAM (CFAP) PROVIDES DISCOUNTED OR FREE CARE TO THOSE WHO NEED IT WITHIN THE CARLE HEALTH SYSTEM, INCLUDING THIS HOSPITAL. NOT ONLY DOES THIS RESULT IN A TIMELIER APPLICATION PROCESS, BUT MOST IMPORTANTLY, IT MEANS PATIENTS RECEIVE THE SAME DISCOUNT AT THE HOSPITAL AND CLINICS IF THEY MIGHT NEED AN ADDITIONAL LEVEL OF SPECIALTY OR HOSPITAL CARE. WITH THIS PROGRAM, THE 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, THE 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. THE 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 Health Pekin Hospital: Line 16a URL: SEE SCHEDULE H, PART VI; Schedule H, Part V, Section B, Line 16b FAP Application website - Carle Health Pekin Hospital: Line 16b URL: SEE SCHEDULE H, PART VI; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Carle Health Pekin Hospital: Line 16c URL: SEE SCHEDULE H, PART VI; Schedule H, Part VI, Line 2 Needs assessment THE COMMUNITY BENEFITS PLAN ADOPTED BY CARLE IS ABOUT IMPROVING HEALTH, THE HEALTH OF EACH INDIVIDUAL, AND THE HEALTH OF THE COMMUNITY. IN DEVELOPING THE PLAN, SEVERAL SOURCES OF INFORMATION WERE UTILIZED TO HELP IDENTIFY SPECIFIC HEALTHCARE NEEDS. FIRST, ONE OF THE MORE COMPREHENSIVE LOCAL ASSESSMENTS IS LED BY THE DEPARTMENT OF PUBLIC HEALTH. THE PEORIA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED LOCAL HEALTH PRIORITIES AS HEALTHY EATING, MENTAL HEALTH, OBESITY, AND CANCER MANAGEMENT. THE SECOND SOURCE WAS HEALTHY PEOPLE 2010. HEALTHY PEOPLE 2010 SET OUT NATIONAL OBJECTIVES FOR HEALTH IMPROVEMENT AND ARE BUILT AROUND THE CONCEPTS OF DISEASE PREVENTION AND HEALTH PROMOTION. OTHER SOURCES OF DATA WERE REVIEWED, HEARTLAND ALLIANCE MID-AMERICA INSTITUTE ON POVERTY, UNITED STATES CENSUS BUREAU DATA, ILLINOIS BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY DATA, CARLE ACCESS DATA AND CENSUS BUREAU DATA. COLLECTIVELY, THESE DATA SOURCES HAVE SUPPORTED OUR ASSESSMENT OF THE COMMUNITY'S NEEDS. 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 THE 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/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE - INFORMATION ABOUT THE CARLE FINANCIAL ASSISTANCE PROGRAM ON ALL STATEMENTS, COLLECTION LETTERS AND HOSPITAL ADMISSION PACKETS - CARLE FINANCIAL ASSISTANCE PROGRAM INFORMATION AND APPLICATIONS AT ALL REGISTRATION POINTS, HOSPITAL MAIN LOBBY AND CARLE.ORG - 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 CARLE HEALTH PEKIN HOSPITAL PRIMARILY SERVES TAZEWELL, MASON AND PEORIA COUNTIES IN THE STATE OF ILLINOIS. IT IS ONE OF THE LARGEST EMPLOYERS IN THE CITY OF PEKIN AND IN TAZEWELL COUNTY. THE SERVICE AREA SITS TO THE SOUTH AND EAST OF THE GREATER PEORIA AREA, WHERE CATERPILLAR IS A MAJOR INDUSTRIAL EMPLOYER. ITS PRIMARY SERVICE AREA HAS A POPULATION OF 31,000 WITH A SECONDARY SERVICE AREA OF APPROXIMATELY 78,000. THE MEDIAN AGE OF ITS SERVICE AREA IS 42 YEARS, AND THE MEDIAN HOUSEHOLD INCOME IS $66,000. Schedule H, Part VI, Line 5 Promotion of community health Carle Health West Region 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 CARLE HEALTH Schedule H, Part VI, Line 7 State filing of community benefit report IL true Pekin Memorial Hospital Foundation 611 W PARK STREET Urbana IL 61801 371200267 501(c)(3) 72490 Program Support 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. WE HAVE REGULAR CONTACT WITH PEKIN MEMORIAL HOSPITAL FOUNDATION 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 Keith Knepp MD Ex Officio Voting Member // Officer - President, Carle Health - West Region 0 606605 0 173515 0 848725 0 17461 0 26631 0 1672937 0 519694 John Wieland MD Chair 0 564563 0 64312 0 24713 0 6600 0 26714 0 686902 0 0 James C Leonard MD Officer - President & CEO 0 1690975 0 443047 0 3555979 0 16500 0 20385 0 5726886 0 3526792 Matthew Kolb JD MHA Ex Officio, Non-Voting // Officer - President, Carle Health Regions // EVP, COO 0 1092613 0 219047 0 255672 0 335494 0 27811 0 1930637 0 226485 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 John Peters Chief Finance Officer 0 213222 0 83782 0 17891 0 11390 0 12940 0 339225 0 0 Ken Dicken MBA VP, Finance - West Region 0 251128 0 10000 0 1732 0 0 0 11595 0 274455 0 0 Lauren Schmid MBA EVP, Chief Human Resources Officer 0 674332 0 113339 0 158040 0 182309 0 27331 0 1155351 0 128983 Jeanine Spain VP, Chief Operating Officer 0 332167 0 90296 0 414883 0 13711 0 15378 0 866435 0 88387 Caleb Miller SVP, Surgical Services & Ambulatory Care 0 427753 0 63119 0 163127 0 96647 0 28252 0 778898 0 80698 Jeanette Murray VP, Greater Peoria Hospital Operations 0 330029 0 67947 0 208739 0 11961 0 19870 0 638546 0 130738 Nicholas Crompton VP, Construction & Facility Services 0 291871 0 30843 0 41658 0 37180 0 30879 0 432431 0 0 Anthony Howard VP, Greater Peoria Support Services 0 206182 0 24323 0 29103 0 6740 0 30579 0 296927 0 0 Matthew Reeb Pharmacist 168318 0 1534 0 4581 0 4495 0 24856 0 203784 0 0 0 Kingsley Akpan Registered Nurse 165641 0 6000 0 1791 0 2030 0 9347 0 184809 0 0 0 Ashokkumar Patel Pharmacist 163604 0 1551 0 3769 0 4420 0 13858 0 187202 0 0 0 Destiny Hart Registered Nurse Supervisor 157437 0 2257 0 4569 0 4612 0 28719 0 197594 0 0 0 Kaitlyn Szmania Pharmacist 145728 0 1356 0 2289 0 4004 0 9371 0 162748 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT COMPANY OF PEKIN MEMORIAL HOSPITAL, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: -THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. -THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. -THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. -THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY-SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE 2023 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF PEKIN MEMORIAL HOSPITAL, THAT ARE LISTED IN THE 990 PART VII INCLUDE DENNIS HESCH, MATTHEW KOLB, JD, MHA, JAMES C. LEONARD, MD, KEITH KNEPP, MD, LAUREN SCHMID, MBA, NAPOLEON KNIGHT, MD, MBA, NICHOLAS CROMPTON, JEANINE SPAIN, JANETTE MURRAY, AND CALEB MILLER. IN 2023, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO JAMES C. LEONARD, MD ($3,526,792), MATTHEW KOLB, JD, MHA ($226,485), LAUREN SCHMID, MBA ($128,983), KEITH KNEPP, MD ($519,694), JEANINE SPAIN ($88,387), JEANETTE MURRAY ($130,738) AND CALEB MILLER ($80,698). Schedule J, Part I, Line 7 Non-fixed payments PART OF THE CEO'S COMPENSATION INCLUDES AN INCENTIVE COMPONENT WHICH 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. Form 990, Part III, Line 4 Program service accomplishments Pekin Memorial Hospital continues to provide the same program services as in taxable year 2022 and has only changed presentation on Part III, Line 4. Form 990, Part V, Line 1a 1B AFTER AFFILIATION WITH CARLE HEALTH - CASH DISBURSEMENTS ARE CENTRALIZED THROUGH THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE PARENT MAKES THE PAYMENTS AND FILES THE RELATED FORMS 1099 AND 1096 ON BEHALF OF ALL CARLE HEALTH SYSTEM RELATED ORGANIZATIONS. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons JAMES C. LEONARD, MD (OFFICER), MATTHEW KOLB, JD, MHA (OFFICER), AND NAPOLEON KNIGHT, MD, MBA (OFFICER) - Business relationship, JAMES C. LEONARD, MD (OFFICER) AND JAMES STEVENSON (BOARD VICE CHAIR - Business relationship, JAMES C. LEONARD, MD (OFFICER) AND NAPOLEON KNIGHT, MD, MBA (OFFICER) - Business relationship, JAMES C. LEONARD, MD (OFFICER), DENNIS HESCH (OFFICER), AND LAUREN SCHMID, MBA (KEY EMPLOYEE) - 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, KEITH KNEPP, MD (OFFICER), DEBBIE SIMON (BOARD SECRETARY/TREASURER), DENNIS TRIGGS, JD (TRUSTEE), DIRK ROECKER (TRUSTEE), JAMES STEVENSON (BOARD VICE CHAIR), AND JOHN WIELAND, MD (BOARD CHAIR) - Business relationship, KEITH KNEPP, MD (OFFICER), DENNIS TRIGGS, JD (TRUSTEE), DIRK ROECKER (TRUSTEE), JAMES STEVENSON (BOARD VICE CHAIR), AND JOHN WIELAND, MD (BOARD CHAIR) - Business relationship, KEITH KNEPP, MD (OFFICER), KEN DICKEN, MBA (OFFICER), AND JEANNETTE MURRAY (KEY EMPLOYEE) - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders PEKIN MEMORIAL HOSPITAL DBA CARLE HEALTH PEKIN HOSPITAL HAS ONE MEMBER WHICH IS CARLE HEALTH - WEST REGION, WHOSE PARENT COMPANY IS THE CARLE FOUNDATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body PEKIN MEMORIAL HOSPITAL'S SOLE MEMBER, CARLE HEALTH - WEST 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 PEKIN MEMORIAL HOSPITAL MUST HAVE THE APPROVAL OF ITS SOLE MEMBER, CARLE HEALTH - WEST REGION, THROUGH ITS BOARD OF TRUSTEES, WHEN VOTING ON MATTERS INCLUDING THE AMENDING OF GOVERNING DOCUMENTS; RECOMMENDING THE PRESIDENT TO THE BOARD; APPROVING ANY ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGETS; APPROVING PAYMENT TO THE MEMBERS OF THE PEKIN 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 PEKIN MEMORIAL HOSPITAL, PUBLISHES THROUGH WWW.DACBOND.COM AND https://emma.msrb.org/ ITS QUARTERLY UNAUDITED FINANCIAL STATEMENTS, ANNUAL AUDITED FINANCIAL STATEMENTS, A MANAGEMENT'S DISCUSSION & ANALYSIS TO ACCOMPANY THE FINANCIAL STATEMENTS, AND AN ANNUAL REPORT OF CERTAIN OPERATING AND FINANCIAL INFORMATION. ADDITIONALLY, OFFICIAL STATEMENTS FOR OUTSTANDING MUNICIPAL BOND ISSUES FOR WHICH THE CARLE FOUNDATION IS OBLIGATED ARE AVAILABLE AT THIS WEBSITE. THESE DOCUMENTS INCLUDE EXTENSIVE INFORMATION ABOUT THE ORGANIZATION'S HEALTH CARE DELIVERY SYSTEM MODEL, RECENT HIGHLIGHTS/ACCOMPLISHMENTS, GOVERNANCE AND ADMINISTRATION, STRATEGIC PLAN, FACILITIES, CLINICAL PROGRAMS, MEDICAL STAFF, SERVICE AREA, COMPETITIVE ENVIRONMENT, DEMOGRAPHIC DATA, UTILIZATION STATISTICS, SUMMARY FINANCIAL INFORMATION, ACADEMIC AFFILIATIONS AND EDUCATIONAL PROGRAMS, MEDICAL RESEARCH, ACCREDITATIONS, AND ITS EMPLOYEES. THIS INFORMATION IS AVAILABLE AT NO CHARGE TO THOSE WHO REGISTER AT THE WWW.DACBOND.COM WEBSITE. IN ADDITION, THE FORM 990S OF THE ORGANIZATION'S FILING ENTITIES ARE AVAILABLE THROUGH DACBOND.COM. QUARTERLY FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST DELIVERED TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE ALSO AVAILABLE UPON REQUEST TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES. Form 990, Part VII, Section A COLUMN B THE AVERAGE ESTIMATED HOURS PER WEEK LISTED FOR THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS ARE BASED ON A STANDARD 40 HOUR WEEK. MEMBERS MAY FREQUENTLY DEVOTE MORE THAN 40 HOURS OF SERVICE TO THE ENTIRE ORGANIZATION DURING AN AVERAGE WEEK. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All other revenue - Total Revenue: 6061, Related or Exempt Function Revenue: 6061, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances INTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS - 42958456; 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 PEKIN MEMORIAL 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. Form 990, Part VI, Line 15 15A & 15B - Process to Establish Compensation of Top Management Official PEKIN MEMORIAL HOSPITAL DOES NOT COMPENSATE ITS OFFICERS. EMPLOYEE COMPENSATION FOR THESE INDIVIDUALS IS COMPENSATED BY THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF PEKIN MEMORIAL 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, Item B Amended return This amended Form 990 is being filed to correct Schedule H, Part I, Line 7 and Schedule H, Part III. Carle Health System acquired Pekin Memorial Hospital in 2023. After the initial return was filed, it was determined that only a portion of the financial assistance and community benefit data was included on the original timely filed return. The following provides a summary of the portions of Schedule H which are amended from the original return: - Various line items on Sch H Part, I line 7 were updated. The original total community benefit percent of total expense reported on Schedule H, Part I, Line 7k, Column F was 0.95%. The amended amount is 5.15%. - Line items provided on Schedule H, Part III were updated: SCHEDULE H, PART III, LINE 2 - AS ORIGINALLY FILED: $508,593 ; AS AMENDED: $658,326 SCHEDULE H, PART III, LINE 3 - AS ORIGINALLY FILED: $254,297 ; AS AMENDED: $329,163 SCHEDULE H, PART III, LINE 5 - AS ORIGINALLY FILED: $15,456,313 ; AS AMENDED: $9,531,342 SCHEDULE H, PART III, LINE 6 - AS ORIGINALLY FILED: $17,712,055 ; AS AMENDED: $11,316,919 SCHEDULE H, PART III, LINE 7 - AS ORIGINALLY FILED: $(2,255,742) ; AS AMENDED: $(1,785,577) ABBE CENTER FOR COMMUNITY MENTAL HEALTH INC 740 N 15TH AVE NO A HIAWATHA IA 52233 421045257 Mental Health Care IA 501(c)(3) 10 ABBEHEALTH INC false ABBEHEALTH INC 740 N 15TH AVE NO A HIAWATHA IA 52233 421373123 Support Affiliates' Mission to Improve Health Care IA 501(c)(3) Type III-FI ST LUKE'S HEALTHCARE false AGING SERVICES INC 740 N 15TH AVE NO A HIAWATHA IA 52233 237085316 Senior Services IA 501(c)(3) 7 ABBEHEALTH INC false ALLEN COLLEGE 1825 LOGAN AVE WATERLOO IA 50703 421351526 Educate and Develop Healthcare Professionals IA 501(c)(3) 2 ALLEN HEALTH SYSTEMS INC false ALLEN HEALTH SYSTEMS INC 1825 LOGAN AVE WATERLOO IA 50703 421201924 Support Affiliates' Mission to Improve Health Care IA 501(c)(3) Type II IOWA HEALTH SYSTEM false ALLEN MEMORIAL HOSPITAL CORPORATION 1825 LOGAN AVE WATERLOO IA 50703 420698265 Hospital IA 501(c)(3) 3 ALLEN HEALTH SYSTEMS INC false ANAMOSA AREA AMBULANCE SERVICE 101 GRANT WOOD DR ANAMOSA IA 52205 421466284 Provide Ambulance Services IA 501(c)(3) Type III-FI ST LUKE'SJONES REGIONAL MEDICAL CENTER false BLACK HAWK-GRUNDY MENTAL HEALTH CENTER INC 3251 WEST NINTH ST WATERLOO IA 50702 420733463 Mental Health Care IA 501(c)(3) 7 ALLEN HEALTH SYSTEMS INC false 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 CENTER FOR ALCOHOL AND DRUG SERVICES INC 4869 FOREST GROVE DR BETTENDORF IA 52722 421134273 Substance Abuse Services IA 501(c)(3) 7 THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH false CENTRAL IOWA HEALTH PROPERTIES CORPORATION 1200 PLEASANT ST WEST DES MOINES IA 50309 421233759 Property Holding Co. IA 501(c)(2) CENTRAL IOWA HEALTH SYSTEM false CENTRAL IOWA HEALTH SYSTEM 1200 PLEASANT ST WEST DES MOINES IA 50309 421189791 Support Affiliates' Mission to Improve Health Care IA 501(c)(3) Type II IOWA HEALTH SYSTEM false CENTRAL IOWA HOSPITAL CORPORATION 1200 PLEASANT ST WEST DES MOINES IA 50309 420680452 Hospital IA 501(c)(3) 3 CENTRAL IOWA HEALTH SYSTEM false CRIS HEALTHY AGING 611 W PARK STREET URBANA IL 61801 370948852 Senior Citizen Services IL 501(c)(3) 7 CHCI true DES MOINES AREA MEDICAL EDUCATION CONSORTIUM INC 1415 WOODLAND AVE SUITE 130 WEST DES MOINES IA 50309 421412497 Coordination of Medical Education Programs IA 501(c)(3) Type III-FI NA false EYERLY-BALL COMMUNITY MENTAL HEALTH SERVICES 945 19TH ST WEST DES MOINES IA 50314 420942273 Mental Health Care IA 501(c)(3) 10 CENTRAL IOWA HEALTH SYSTEM false FINLEY TRI-STATES HEALTH GROUP INC 350 NORTH GRANDVIEW AVE DUBUQUE IA 52001 421307495 Support Affiliates' Mission to Improve Health Care IA 501(c)(3) Type II IOWA HEALTH SYSTEM false FRIENDS OF THE BLACK HAWK-GRUNDY MENTAL HEALTH CENTER 3820 HILLSIDE DR CEDAR FALLS IA 50613 421372380 Charitable Fundraising IA 501(c)(3) 7 ALLEN HEALTH SYSTEMS INC false GRINNELL REGIONAL MEDICAL CENTER 210 FOURTH AVE GRINNELL IA 50112 420933383 Hospital IA 501(c)(3) 3 CENTRAL IOWA HEALTH SYSTEM false GRINNELL REGIONAL MEDICAL CENTER FOUNDATION 210 FOURTH AVE GRINNELL IA 50112 421454737 Charitable Fundraising IA 501(c)(3) Type I GRINNELL REGIONAL MEDICAL CENTER false 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 IOWA HEALTH FOUNDATION 1415 WOODLAND AVE SUITE E-200 WEST DES MOINES IA 50309 421467682 Charitable Fundraising IA 501(c)(3) 7 CENTRAL IOWA HEALTH SYSTEM false IOWA HEALTH SYSTEM 1776 WEST LAKES PKWY 400 WEST DES MOINES IA 50266 421435199 Support Affiliates' Mission to Improve Health Care IA 501(c)(3) Type III-FI NA false IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION 1776 WEST LAKES PKWY 400 WEST DES MOINES IA 50266 421411630 Primary Health Care Services IA 501(c)(3) 3 IOWA HEALTH SYSTEM false MEMORIAL FOUNDATION OF ALLEN HOSPITAL 1825 LOGAN AVE WATERLOO IA 50703 421201138 Charitable Fundraising IA 501(c)(3) 7 ALLEN HEALTH SYSTEMS INC false MERITER FOUNDATION INC 202 SOUTH PARK ST MADISON WI 53715 237098688 Charitable Fundraising WI 501(c)(3) 7 MERITER HEALTH SERVICES INC false MERITER HEALTH SERVICES INC 202 SOUTH PARK ST MADISON WI 53715 391412318 Support Affiliates' Mission to Improve Health Care WI 501(c)(3) Type III-FI IOWA HEALTH SYSTEM false MERITER HOSPITAL INC 202 SOUTH PARK ST MADISON WI 53715 390806367 Hospital WI 501(c)(3) 3 MERITER HEALTH SERVICES INC false 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. 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