SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
THE CARLE FOUNDATION HOSPITAL
 
Employer identification number

37-1119538
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    17,977,234   17,977,234 2.000 %
b Medicaid (from Worksheet 3, column a) . . . . .     149,673,545 150,225,457 -551,912 0 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     167,650,779 150,225,457 17,425,322 2.000 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     3,973,395   3,973,395 0.440 %
f Health professions education (from Worksheet 5) . . .     18,364,927   18,364,927 2.050 %
g Subsidized health services (from Worksheet 6) . . . .     22,852,295 12,916 22,839,379 2.550 %
h Research (from Worksheet 7) .     6,095,734   6,095,734 0.680 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     3,266,939 53,540 3,213,399 0.360 %
j Total. Other Benefits . .     54,553,290 66,456 54,486,834 6.080 %
k Total. Add lines 7d and 7j .     222,204,069 150,291,913 71,912,156 8.080 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development     113,258   113,258 0.010 %
3 Community support     155,904   155,904 0.020 %
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development     3,536   3,536 0 %
9 Other     53,650   53,650 0.010 %
10 Total     326,348   326,348 0.040 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
7,150,912
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
3,575,456
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
193,380,356
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
202,189,370
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-8,809,014
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 THE CARLE FOUNDATION HOSPITAL
611 W PARK ST
URBANA,IL61801
carle.org
0003798
X X   X   X X      
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
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Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
THE CARLE FOUNDATION HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 20
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): carle.org/chna
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
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Part VFacility Information (continued)

Financial Assistance Policy (FAP)
THE CARLE FOUNDATION HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
see part v, section c
b
see part v, section c
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
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Part VFacility Information (continued)

Billing and Collections
THE CARLE FOUNDATION HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
THE CARLE FOUNDATION HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
SCHEDULE H, PART V SUPPLEMENTAL INFORMATION COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 5) UNIVERSITY OF ILLINOIS EXTENSION OFFICE, CRIS HEALTHY AGING, UNIVERSITY OF ILLINOIS MCKINLEY HEALTH CENTER, CU MASS TRANSIT DISTRICT, UNIVERSITY OF ILLINOIS POLICE, CUNNINGHAM CHILDREN'S HOME, URBANA ADULT EDUCATION, DEVELOPMENT SERVICES CENTER, URBANA PARK DISTRICT, FAITH IN ACTION, URBANA SCHOOL DISTRICT, FAMILY RESILIENCY CENTER, URBANA NEIGHBORHOOD CONNECTIONS CENTER, FAMILY SERVICES CENTER, WELLS FARGO, GREATER COMMUNITY AIDS PROJECT. THE COMMUNITY ASSESSMENT RAN MARCH THROUGH JULY 2020, WITH 634 TOTAL SURVEYS COMPLETED. THE PLAN WAS ADOPTED AND APPROVED BY THE CARLE FOUNDATION BOARD OF TRUSTEES ON DECEMBER 11, 2020. THE 2020-2022 COMMUNITY BENEFIT IMPLEMENTATION PLAN WAS ADOPTED AND APPROVED BY THE BOARD OF TRUSTEES ON DECEMBER 11, 2020.
COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 6A) RELATED: NONE UNRELATED: OSF HEART OF MARY MEDICAL CENTER (FORMERLY PRESENCE COVENANT MEDICAL CENTER)
COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 6B) CHAMPAIGN-URBANA PUBLIC HEALTH DISTRICT UNITED WAY OF CHAMPAIGN COUNTY
COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 7B) https://www.c-uphd.org/documents/admin/Community-Health-Plan-2021-2023.pdf
COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 11) HEALTH NEEDS SELECTED PRIORITY #1: BEHAVIORAL HEALTH / ACCESS, PREVENTION, SUBSTANCE ABUSE, AND RESOURCES CARLE IMPLEMENTATION PLAN - ANTICIPATED IMPACT & PLAN TO EVALUATE: CARLE FOUNDATION HOSPITAL WILL PURSUE THESE INITIATIVES TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES: 1. EXPLORE VIABILITY OF INCREASING PRIMARY CARE PHYSICIANS' COMFORT LEVEL IN PRESCRIBING PSYCHOTROPIC PRESCRIPTIONS. 2. RECRUIT BEHAVIORAL HEALTH PROVIDERS TO ADD CAPACITY WITHIN THE COMMUNITY. 3. TRAIN EMERGENCY DEPARTMENT PERSONNEL OF BEHAVIORAL HEALTH SYMPTOMS TO BEST DIRECT CARE. 4. INCREASE ACCESS TO TRAINED MENTAL/BEHAVIORAL HEALTH PROFESSIONALS IN HOME/VIRTUAL CARE SETTINGS IN PARTNERING WITH OUR NURSE FAITH PRACTITIONERS/HEALTHY BEGINNINGS PROGRAM. 5. IMPLEMENT IN-HOME COUNSELING SERVICES TO OFFER ACES SCREENING, AND TRAUMA INFORMED CARE DELIVERY APPROACHES THROUGH HEALTHY BEGINNINGS PROGRAM UNDER THE CARLE COMMUNITY HEALTH INITIATIVE. 6. SUPPORT EDUCATIONAL AND TRAINING PROGRAMS OF LOCAL PROVIDER. 7. SUPPORT COMMUNITY BEHAVIORAL/MENTAL HEALTH SERVICES THROUGH DONATIONS. EVALUATION OF PRIOR IMPACT: BEHAVIORAL HEALTH WAS CHOSEN AS A PRIORITY HEALTH ISSUE IN THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT, 2017-2019, AND CARLE HAS CONTINUED TO SUPPORT ACTIVITIES AIMED AT IMPROVING ACCESS TO BEHAVIORAL HEALTH CARE SERVICES. PSYCHIATRY RESIDENCY: PSYCHIATRIC RESIDENTS TREAT PATIENTS UNDER SUPERVISION FROM ATTENDING PSYCHIATRISTS AND MEDICAL SCHOOL FACULTY AT THREE PARTNERING HOSPITALS - CARLE, OSF (FORMERLY PRESENCE) AND VA IN DANVILLE. TRAINING INCLUDES THE AREAS OF INPATIENT AND OUTPATIENT PSYCHIATRY, ADDICTIONS, GERIATRICS, CHILD, FORENSICS, EMERGENCY AND ADMINISTRATIVE PSYCHIATRY. THIS TRAINING PROGRAM WILL GRADUATE PSYCHIATRISTS WHO WILL BE MORE LIKELY TO SETTLE AND PRACTICE IN THE AREA, WHICH HAS HISTORICALLY BEEN DIFFICULT TO RECRUIT TO. WE ADDED FOUR ADDITIONAL RESIDENTS IN 2019, WITH THE EXPECTATION OF FOUR NEW RESIDENTS JOINING THE PROGRAM EACH YEAR. PREVENTING DRUG OVERDOSE WITH NARCAN: CARLE PARTNERS WITH THE CHAMPAIGN COUNTY SHERIFF'S OFFICE TO EQUIP OFFICERS WITH NARCAN, OR NALOXONE, A DRUG THAT STOPS RESPIRATORY FAILURE CAUSED BY OPIOIDS. IN A RURAL REGION, IT'S CRITICAL TO GET NARCAN IN THE HANDS OF BOTH LAW ENFORCEMENT AND EMS TO SAVE LIVES AND STOP AN OVERDOSE AS IT IS HAPPENING. IN 2019, THERE WERE 15 HEROIN OVERDOSES IN CHAMPAIGN COUNTY UNDER THE JURISDICTION OF THE CHAMPAIGN CO. SHERIFF'S OFFICE; ONE (1) OF WHICH WAS FATAL. THERE WERE TWELVE (12) LIVES SAVED AFTER EMERGENCY RESPONDERS ADMINISTERED NARCAN: FOUR (4) TIMES BY CHAMPAIGN COUNTY SHERIFF'S OFFICE, SEVEN (7) TIMES BY EMERGENCY MEDICAL SERVICES, AND ONE (1) TIME BY CITIZENS. PRIORITY #2: OBESITY AND HEALTHY LIFESTYLES / NUTRITION, ENVIRONMENT, AND PHYSICAL ACTIVITY CARLE IMPLEMENTATION PLAN - ANTICIPATED IMPACT & PLAN TO EVALUATE: CARLE FOUNDATION HOSPITAL WILL PURSUE THESE INITIATIVES TO REDUCE OBESITY LEVELS: 1. ENCOURAGE PROVIDERS TO GIVE OUT NUTRITION RX AND PHYSICAL ACTIVITY RX. 2. INCREASE REFERRALS AND INFORMATION OF CARLE'S MOBILE HEALTH MARKET. 3. USE CARLE PATIENT BMI DATA TO TRACK CHILDHOOD OBESITY IN CHAMPAIGN COUNTY. 4. CONTINUE TO DISTRIBUTE FOOD BOXES TO FAMILIES IN NEED UNDER THE CARLE COMMUNITY HEALTH INITIATIVE. 5. COLLABORATE AND SUPPORT LOCAL DIABETIC PREVENTION PROGRAMS. 6. INCREASE AWARENESS OF OVERALL HEALTH AND WELLNESS THROUGH CARLE AND HEALTH ALLIANCE HEALTH-BASED SOCIAL MEDIA PLATFORMS. 7. DONATIONS TO COMMUNITY AND SCHOOL-BASED PROGRAMS THAT ENCOURAGE PHYSICAL ACTIVITY AND NUTRITIONAL EDUCATION. EVALUATION OF PRIOR IMPACT: OBESITY WAS CHOSEN AS A PRIORITY HEALTH ISSUE IN THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT, 2017 - 2019, AND CARLE HAS CONTINUED TO SUPPORT ACTIVITIES AIMED AT IMPROVING THE HEALTH OF THE COMMUNITY AND ADDRESSING OBESITY. 1. SUPPORTED GIRLS ON THE RUN (GOTR) EAST CENTRAL ILLINOIS AND GOTR OF CHAMPAIGN COUNTY, AN INTERNATIONAL PROGRAM WITH A MISSION TO HELP YOUNG WOMEN BECOME PHYSICALLY STRONGER AND BUILD THEIR SELF- ESTEEM. - GOTR OF CHAMPAIGN COUNTY SERVED 279 GIRLS (25% REQUESTED FINANCIAL ASSISTANCE) FROM 16 SITES THROUGHOUT CHAMPAIGN AND FORD COUNTIES. - THE FALL AND SPRING 5KS WELCOMED 579 PARTICIPANTS, INCLUDING GOTR GIRLS, THEIR COACHES, RUNNING BUDDIES, AND COMMUNITY SUPPORTERS. IN ADDITION, ABOUT 200 VOLUNTEERS SERVED OUR ORGANIZATION IN 2019, SERVING AS COACHES AND 5K VOLUNTEERS. 2. PROVIDED FUNDING OF COMMUNITY EVENTS THAT PROMOTE PHYSICAL ACTIVITY, INCLUDING VARIOUS WALKS AND RACES; AMOUNTING TO MORE THAN $19,000 IN FINANCIAL SUPPORT. PRIORITY #3: VIOLENCE / GUN VIOLENCE, DOMESTIC VIOLENCE, CHILD ABUSE AND NEGLECT CARLE FOUNDATION HOSPITAL WILL PURSUE THESE INITIATIVES TO REDUCE THE LEVELS OF VIOLENCE: 1. SEXUAL ASSAULT NURSE EXAMINERS (SANE) / INTERPERSONAL VIOLENCE PROGRAM 2. CHILD ABUSE SAFETY TEAM (CAST) 3. RISK WATCH 4. PLAYING IT SAFE SAFETY FAIR FOR KIDS AND FAMILIES 5. DONATION SUPPORT TO COMMUNITY AGENCIES EVALUATION OF PRIOR IMPACT: VIOLENCE HAS BEEN A PRIORITY HEALTH ISSUE IN THE CURRENT AND PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENTS. CARLE CONTINUES TO SUPPORT ACTIVITIES AIMED AT REDUCING LEVELS OF VIOLENCE IN THE COMMUNITY. SANE/INTERPERSONAL VIOLENCE PROGRAM: THIS PROGRAM FOCUSES ON REDUCING INTERPERSONAL VIOLENCE THROUGH COMMUNITY EDUCATION AND THE DEVELOPMENT AND TRAINING OF A STAFF OF SEXUAL ASSAULT NURSE EXAMINERS (SANE) AND OTHERS WHO TREAT SEXUAL ASSAULT AND ABUSE SURVIVORS. CARLE HAS ELEVEN NURSES TOTAL WORKING WITH SEXUAL ASSAULT PATIENTS, 2 WHO ARE INTERNATIONALLY BOARD CERTIFIED, 4 WHO ARE STATE CERTIFIED, AND 7 WHO ARE IN TRAINING, WHO ASSISTED WITH 144 TOTAL, INCLUDING 48 PEDIATRIC SEXUAL ASSAULT PATIENTS THIS YEAR. CARLE IS KNOWN AS A RESOURCE AND LEADER THROUGHOUT THE LOCAL COMMUNITY AND THE STATE IN TREATING VICTIMS OF ASSAULT. NOTABLE 2019 ACCOMPLISHMENTS INCLUDE BUT ARE NOT LIMITED TO: - PROVIDED CLINICAL AND CLASSROOM EDUCATION TO ADVOCATES OF RAPE VICTIMS, UNIVERSITY OF ILLINOIS AND PARKLAND COLLEGE NURSING STUDENTS, AND PARKLAND COLLEGE PARAMEDIC STUDENTS (100 HOURS) - PARTICIPATED IN THE ILLINOIS HOSPITAL ASSOCIATION / ATTORNEY GENERAL'S PROJECT TO INCREASE SANES THROUGHOUT ILLINOIS (100 HOURS) - PARTICIPATED AS A GENERAL COMMITTEE AND SILO SUBCOMMITTEE MEMBER WITH ICASA TO REVISE AND IMPACT NEW LEGISLATION IN SEXUAL ASSAULT LAW (12 HOURS) - PARTICIPATED IN COMMUNITY MULTIDISCIPLINARY TEAM TO FOLLOW UP ON PEDIATRIC ABUSE CASES (36 HOURS) - PARTICIPATED IN UNIVERSITY OF ILLINOIS RAPE AWARENESS AND PREVENTION COMMITTEE (24 HOURS) - ORGANIZING AND LEADING THE CHAMPAIGN COUNTY SEXUAL ASSAULT RESPONSE TEAM COMMITTEE (50 HOURS) - ORGANIZING AND HOSTING A ONE DAY SEMINAR ON SEXUAL ASSAULT IN MARCH 2019 (50 HOURS) - PLANNING AND PREPARATION TO HOST A ONE DAY SEMINAR ON CHILD ABUSE AND DOMESTIC VIOLENCE, SCHEDULED TO BE HELD IN MARCH 2020 (50 HOURS) CHILD ABUSE SAFETY TEAM (CAST): THE CHILD ABUSE SAFETY TEAM (CAST) IS A PROGRAM DEDICATED TO THE SAFETY OF CHILD ABUSE VICTIMS, LED BY A PEDIATRIC HOSPITALIST. THIS PHYSICIAN EXPERT IS ON CALL 24/7 TO IDENTIFY SUSPECTED ABUSE, ENSURE PROPER INVESTIGATION AND TESTING, AND COMMUNICATE WITH STATE AND LOCAL AGENCIES. IN 2019, THE CAST PROGRAM SERVED 92 CHILDREN. SINCE EACH PATIENT HAS A UNIQUE SET OF CIRCUMSTANCES, SOME CASES MAY ONLY REQUIRE A 10-MINUTE PHONE CALL, WHILE OTHERS REQUIRE HOURS OF COURTROOM WORK AND PREPARATION. OVERALL, THIS PROGRAM AMOUNTED TO MORE THAN $54,000 IN COMMUNITY BENEFIT. TO DATE, THIS INITIATIVE LED BY ONE PHYSICIAN CHAMPION HAS HELPED 614 CHILDREN SINCE LAUNCHING IN 2012. RADKIDS: CARLE JOINED FORCES WITH RACES (RAPE ADVOCACY, COUNSELING & EDUCATION SERVICES) IN 2018 TO TEACH RADKIDS TO ELEMENTARY-AGED CHILDREN IN THE COMMUNITY AT NO COST TO THE ATTENDEE. THE PARTNERSHIP CONTINUED INTO 2019, WITH CARLE PROVIDERS PROVIDING OVER 100 HOURS OF SUPPORT TO THE NATIONAL, FIVE-DAY COURSE EMPOWERS CHILDREN WITH REAL-LIFE TRAINING SO THEY CAN PROTECT THEMSELVES FROM DANGERS, LIKE INAPPROPRIATE TOUCHING, WHEN TO TELL A TRUSTED ADULT IF THEY ARE BEING HARMED, HOW TO DIAL 9-1-1 IN AN EMERGENCY, AND HOW TO PHYSICALLY DEFEND THEMSELVES. RISK WATCH: A LONGSTANDING PARTNERSHIP BETWEEN CARLE AND LOCAL POLICE AND FIRE DEPARTMENTS, RISK WATCH REACHED ALL ELEMENTARY-AGED CHILDREN IN CHAMPAIGN-URBANA'S PUBLIC SCHOOLS IN 2019 BY INTEGRATING THE MESSAGE INTO CURRICULUM AT THESE SCHOOLS. RISK WATCH CURRICULUM INCLUDES EDUCATION ABOUT AVOIDING FALLS, CHOKING, STRANGULATION, SUFFOCATION AND POISONING, AND IS TAUGHT BY APPROPRIATE EXPERTS MEETING ILLINOIS STATE LEARNING STANDARDS FOR PREVENTION EDUCATION AT THE ELEMENTARY LEVEL. CARLE EXPERTS REACHED 6,936 STUDENTS IN THESE TOPIC AREAS, SPENDING OVER 60 HOURS IN THE CLASSROOMS OF CHAMPAIGN-URBANA PROVIDED FUNDING TO COMMUNITY AGENCIES AND EVENTS THAT PROMOTE AWARENESS OF DOMESTIC VIOLENCE, CHILD ABUSE AND SEXUAL ASSAULT, AMOUNTING TO MORE THAN $22,000 IN VIOLENCE-RELATED FUNDING. NEEDS CARLE IS NOT ADDRESSING: WHILE THERE WERE A NUMBER OF ADDITIONAL NEEDS IDENTIFIED BY THE DATA AND INPUT FRO
FINANCIAL ASSISTANCE POLICY (FAP) (PART V, SECTION B, LINE 16A) https://carle.org/patients-visitors/financial-assistance
FAP APPLICATION (PART V, SECTION B, LINE 16B) https://carle.org/getmedia/61308d9a-9998-4742-a484-6f4fc05e043c/CFAP-Appli cation-English.PDF
PLAIN LANGUAGE SUMMARY OF FAP (PART V, SECTION B, LINE 16C) https://carle.org/getmedia/79f45a9c-712a-4f5f-9829-fd8eda1428be/plain-lang uage-summary.pdf
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2020
Page 9
Schedule H (Form 990) 2020
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?3
Name and address Type of Facility (describe)
1 CARLE THERAPY SERVICES
610 W ANTHONY DR
URBANA,IL61801
PHYSICAL AND OCCUPATIONAL THERAPY
2 CARLE SURGICENTER - DANVILLE
2300 NORTH VERMILLION ST
DANVILLE,IL61832
OUTPATIENT SURGERY
3 CHAMPAIGN SURGERY CENTER AT THE FIELDS
3103 FIELDS SOUTH DRIVE
CHAMPAIGN,IL61822
OUTPATIENT SURGERY
4
5
6
7
8
9
10
Schedule H (Form 990) 2020
Page 10
Schedule H (Form 990) 2020
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
SCHEDULE H, PART I LINE 7 EXPLANATION OF COSTING METHODOLOGY TO COMPUTE AND CONVERT FINANCIAL ASSISTANCE, UNREIMBURSED MEDICAID, MEANS-TESTED PROGRAMS AND BAD DEBT CHARGES TO COST, A CONSISTENT GAAP (GENERALLY ACCEPTED ACCOUNTING PRINCIPLES) BASED COST-TO-CHARGE RATIO WAS USED ACROSS ALL PAYERS. ALTHOUGH THE METHODOLOGY WAS SIMILAR TO WORKSHEET #2, FOR SIMPLICITY PURPOSES CERTAIN IMMATERIAL VALUES WERE OMITTED. OTHER COMMUNITY BENEFITS COSTS WERE REPORTED AT THE ACTUAL EXPENSE INCURRED. PATIENT RECEIVABLE PAYMENTS AND RELATED DISCOUNTS WERE RECORDED AT ACTUAL AMOUNTS AT THE TIME OF PAYMENT RECEIPT. A SEPARATE GAAP-BASED PROVISION FOR ESTIMATED BAD DEBTS AND DISCOUNTS WAS RECOGNIZED FOR ACCOUNTS IN PROCESS AND PENDING ADJUDICATION AND PAYMENT. THE ESTIMATED PORTION WAS BASED ON HISTORICAL TRENDS AND ADJUSTED TO ACTUAL WHEN ADJUDICATION AND PAYMENT OCCURRED. ACCOUNTS DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE WERE PROCESSED IMMEDIATELY FOR FINANCIAL ASSISTANCE DISCOUNT WITH NO COLLECTION EFFORT. FOR ACCOUNTS WITH INSUFFICIENT INFORMATION AND DOCUMENTATION TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY, THE CARLE FOUNDATION HOSPITAL CONSULTED WITH A VARIETY OF ALTERNATIVE SOURCES TO HELP DETERMINE AN INDIVIDUAL'S FINANCIAL MEANS (OR LACK OF MEANS) TO PAY. BASED ON RELATED TRENDS, THE CARLE FOUNDATION HOSPITAL FURTHER DEVELOPED A GENERAL ESTIMATE OF FINANCIAL ASSISTANCE WHICH CONTINUED TO BE RECORDED WITHIN BAD DEBTS. PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION SUBSIDIZED HEALTH SERVICES ARE NET COSTS FOR BILLED SERVICES THAT ARE SUBSIDIZED BY THE HOSPITAL. THESE INCLUDE SERVICES OFFERED DESPITE A FINANCIAL LOSS BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND EITHER OTHER PROVIDERS ARE UNWILLING TO PROVIDE THE SERVICES OR THE SERVICES WOULD OTHERWISE NOT BE AVAILABLE IN SUFFICIENT AMOUNT. INCLUDED AS UNREIMBURSED COSTS WAS $22,839,379.
SCHEDULE H, PART II OTHER COMMUNITY BENEFITS / COMMUNITY BUILDING: ALTHOUGH COMMUNITY BUILDING ITEMS ARE NOT COUNTED AS COMMUNITY BENEFIT, THIS SUPPORT IS AN IMPORTANT ASPECT OF CONTRIBUTING TO THE ECONOMIC VIABILITY OF THE COMMUNITY. IN TOTAL, CARLE FOUNDATION HOSPITAL CONTRIBUTED MORE THAN $326,000 IN COMMUNITY BUILDING ACTIVITIES IN 2020. THROUGH A VARIETY OF ACTIVITIES INCLUDING SIGNIFICANT DONATIONS, SCHOLARSHIP PROGRAMS, AND PHYSICIAN, NURSE AND ALLIED-HEALTH EDUCATION, MORE THAN $18 MILLION WAS INVESTED IN PROGRAMS THAT ADDRESS COMMUNITY-WIDE WORKFORCE AND EDUCATION ISSUES, STRENGTHENING THE TRAINING AND AVAILABILITY OF PROFESSIONALS TO CARE FOR OUR COMMUNITIES' HEALTHCARE NEEDS NOW AND IN THE FUTURE. - GRADUATE MEDICAL EDUCATION MAINTAINED SIX MEDICAL RESIDENCY PROGRAMS AT THE CARLE FOUNDATION HOSPITAL LOCATION - FAMILY MEDICINE, GENERAL SURGERY, INTERNAL MEDICINE, ORAL AND MAXILLOFACIAL SURGERY (OMS), PSYCHIATRY, AND VASCULAR SURGERY. THROUGHOUT 2020, GRADUATE MEDICAL EDUCATION WORKED TO EXPAND THE FOOTPRINT BY OPENING THE VASCULAR SURGERY PROGRAM WITH TWO RESIDENTS, EXPANDING THE TOTAL NUMBER OF RESIDENTS IN THE OMS AND GENERAL SURGERY PROGRAMS, AS WELL AS ADDING THREE RESIDENCIES BASED AT CARLE BROMENN MEDICAL CENTER. IN 2020, GRADUATE MEDICAL EDUCATION APPLIED FOR A CARDIOVASCULAR DISEASE FELLOWSHIP AND AN OB/GYN RESIDENCY WITH THE PLAN OF ADMITTING THE FIRST FELLOWS AND RESIDENTS TO BEGIN JULY 2022. DURING ACADEMIC YEAR 2020-2021, THERE ARE 101 RESIDENTS IN GME PROGRAMS. - CONTINUING MEDICAL EDUCATION STRIVES TO PROVIDE QUALITY AND WORLD-CLASS, EVIDENCE-BASED MEDICAL EDUCATION TO HEALTHCARE PROFESSIONALS BOTH LOCALLY AND REGIONALLY. AS AN INTERPROFESSIONAL CE PROVIDER, CARLE IS AN APPROVED PROVIDER OF CONTINUING EDUCATION CREDIT FOR 16 DIFFERENT DISCIPLINES. IN 2020, MORE THAN 10 MULTI-DISCIPLINARY SEMINARS, OPEN TO LOCAL, REGIONAL AND NATIONAL HEALTHCARE PROFESSIONALS, WERE PROVIDED IN ADDITION TO CONTINUING EDUCATION OPPORTUNITIES IN MULTIPLE DISCIPLINES THROUGHOUT CARLE FOUNDATION HOSPITAL. INCLUDED IN OVERALL CARLE HEALTH SYSTEM FIGURES AND NOT SPECIFIC TO THE HOSPITAL, CARLE CONTINUED SUPPORT OF THE CARLE ILLINOIS COLLEGE OF MEDICINE, THE WORLD'S FIRST ENGINEERING-BASED COLLEGE OF MEDICINE. IN 2020, CARLE ILLINOIS ADDED ANOTHER 48 MEDICAL STUDENTS TO THE PREVIOUS 32, WHO WILL CONTINUE TO THRIVE IN A RICH CLINICAL RESEARCH ENVIRONMENT THAT SUPPORTS STUDENT INNOVATIONS TO IMPROVE PATIENT CARE. LOOKING FORWARD, CARLE'S FOCUS FOR THE COLLEGE IS ON FACULTY AND PHYSICIAN RECRUITMENT TO MAXIMIZE OPPORTUNITIES FOR NEW RESEARCH IN CARLE'S KEY PILLAR AREAS. OVERALL, CARLE PLEDGED TO DONATE $100 MILLION TO THE COLLEGE OVER 10 YEARS, REPORTED AS A $10 MILLION GIFT FROM THE CARLE FOUNDATION EVERY YEAR. RESEARCH: CARLE FOUNDATION HOSPITAL'S RESEARCH PROGRAM CONTINUES TO EXPAND TO SERVE THE NEEDS OF THE COMMUNITY AND ADVANCE THE TRANSLATION OF NEW DISCOVERIES INTO CLINICAL SOLUTIONS. CARLE WORKS WITH INDUSTRY SPONSORS, FEDERAL AGENCIES, FOUNDATIONS AND START-UPS IN A VARIETY OF CLINICAL AREAS, INCLUDING CANCER, NEUROSCIENCES, DIGESTIVE HEALTH, MATERNAL-CHILD HEALTH, HEART AND VASCULAR, SPORTS MEDICINE, OPHTHALMOLOGY AND HEARING. AS OF DECEMBER 31, 2020, THERE WERE 399 ACTIVE CLINICAL RESEARCH STUDIES CONDUCTED AT THE STEPHENS FAMILY CLINICAL RESEARCH INSTITUTE; A 39% INCREASE SINCE 2017. OVER 2,000 PATIENTS PARTICIPATED IN CLINICAL RESEARCH STUDIES DURING 2020, JOINING OVER 600 ADDITIONAL PATIENTS WHOSE PARTICIPATION CONTINUED FROM THE PREVIOUS YEAR. IN 2020 CARLE AND THE UNIVERSITY OF ILLINOIS AT URBANA CHAMPAIGN (UIUC) FORMED THE CARLE ILLINOIS ADVANCED IMAGING CENTER AND ACCEPTED DELIVERY OF THE FIRST SIEMENS 7 TESLA MRI SYSTEM APPROVED FOR CLINICAL USE IN THE STATE OF ILLINOIS. THE CARLE CANCER CENTER IS A STRONG EXAMPLE OF THE BENEFITS OF RESEARCH. CARLE CANCER CENTER, A DESIGNATED NATIONAL CANCER INSTITUTE COMMUNITY ONCOLOGY RESEARCH PROGRAM, IS THE PREMIER CANCER TREATMENT AND SUPPORT CENTER IN EAST CENTRAL ILLINOIS, OFFERING THE MOST ADVANCED RESOURCES TO HELP PATIENTS FIGHT CANCER. THE CARLE CANCER CENTER IS ONE OF ONLY 32 COMMUNITY SITES IN THE NATION BRINGING CANCER CLINICAL TRIALS TO INDIVIDUALS IN THEIR OWN COMMUNITIES THROUGH THE NATIONAL CANCER INSTITUTE COMMUNITY ONCOLOGY RESEARCH PROGRAM ("NCORP"). IN 2020, CARLE ADDED TWO ADDITIONAL PARTNER SITES TO ITS NCORP NETWORK, BRINGING CUTTING-EDGE CANCER CLINICAL TRIALS TO UNDERSERVED AREAS IN EAST CENTRAL ILLINOIS AND WESTERN INDIANA. CARLE WAS THE TOP RECRUITING SITE IN THE COUNTRY AND THIRD HIGHEST ACCRUING SITE IN THE WORLD FOR THE TMIST 2D VS. 3D MAMMOGRAPHY CLINICAL TRIAL. CARLE WAS DESIGNATED AS A HIGH PERFORMING SITE BY THE NCI NCORP PROGRAM RESULTING IN A SIGNIFICANT INCREASE IN NCI SUPPORT TO EXPAND CLINICAL TRIALS ACROSS CARLE'S SERVICE AREA. CARLE REMAINS COMMITTED TO PURSUING INNOVATIVE RESEARCH THAT ADVANCES PATIENT CARE AND SAVES LIVES. ECONOMIC DEVELOPMENT CASH AND IN-KIND: A LARGE PORTION OF CARLE'S COMMUNITY-BUILDING ACTIVITIES FOCUSED ON ECONOMIC DEVELOPMENT, INCLUDING CASH, IN-KIND DONATIONS AND BUDGETED EXPENDITURES FOR THE CITY, BUSINESS ASSOCIATIONS AND OTHER PROGRAMS IN CHAMPAIGN COUNTY. IN ADDITION TO THE MORE THAN $44,000 IN CASH DONATIONS, LEADERSHIP PROVIDED IN-KIND SUPPORT BY SERVING ON BOARDS FOR CHAMPAIGN COUNTY CHAMBER OF COMMERCE, CHAMPAIGN COUNTY ECONOMIC DEVELOPMENT CORPORATION, VISIT CHAMPAIGN COUNTY AND MORE. THOUGH NOT INCLUDED IN THIS REPORT SINCE CARLE'S LEADERSHIP IS PAID BY A SEPARATE COST CENTER OUTSIDE OF CARLE FOUNDATION, IN-KIND SUPPORT OUTSIDE OF THE CASH DONATIONS TOTALED OVER $113,000 IN 2020. DISASTER READINESS/EMERGENCY MANAGEMENT: EMERGENCY MANAGEMENT CONTINUED TO BE A PRIORITY OF CARLE FOUNDATION HOSPITAL, AND INITIATIVES IN THIS AREA INCLUDE TRAINING THE FACILITY AND THE COMMUNITY, LEADERSHIP IN PLANNING COMMUNITY-WIDE RESPONSES TO VARIOUS SCENARIOS, AND STATE-LEVEL LEADERSHIP FOR THE 21-COUNTY REGIONAL HOSPITAL COORDINATING CENTER REGION (REGION 6). CARLE'S FOCUS IS TO PREPARE ITS STAFF AND SURROUNDING REGIONAL HOSPITALS TO BE READY TO RESPOND TO ANY NATURAL DISASTER, PANDEMIC OR ACT OF TERRORISM. IN A WORLD WITH INCREASED TRAVEL AND CHANGING WEATHER PATTERNS, DISEASES ONCE ISOLATED IN REMOTE REGIONS, NOW CAN SPREAD RAPIDLY. THE MOVEMENT OF THESE DISEASES CAN LEAD TO GLOBAL OUTBREAKS. CARLE HAS MADE THE COMMITMENT TO BE PREPARED TO CARE FOR AND TREAT HIGHLY INFECTIOUS DISEASE (HID) PATIENTS AS THE NEED ARISES. THE HID UNIT INCLUDES TWO PATIENT ISOLATION SUITES DESIGNED TO BE ABLE TO MANAGE A FULL SPECTRUM OF HIGHLY INFECTIOUS DISEASES RANGING FROM HEMORRHAGIC FEVERS TO RESPIRATORY DISEASES TO MEASLES AWAY FROM THE GENERAL HOSPITAL POPULATION. PREVIOUSLY, CARLE HAD DIRECTLY RECEIVED A FEDERAL GRANT FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES ASSISTANT SECRETARY FOR PREPAREDNESS AND RESPONSE (ASPR) TO EXPEND TOWARDS REGIONAL PROJECTS FOR EMERGENCY MANAGEMENT WITHIN THE COMMUNITY. FOR THE PAST FIVE YEARS, THOSE FUNDS HAVE BEEN CONSIDERED "REGIONAL COALITION FUNDSARE OVERSEEN BY THE EMERGENCY MANAGEMENT DIRECTOR FOR USE IN THE REGION. IN 2020, CARLE FOUNDATION HOSPITAL PURCHASED PPE FOR DISTRIBUTION TO AREA HOSPITALS IN RESPONSE TO THE COVID-19 PANDEMIC, WITH CARLE'S TOTAL EXPENSE AFTER THE GRANT BEING OVER $8,000. ADDITIONALLY, CARLE PURCHASED EMERGENCY NOTIFICATION SYSTEMS, VENTILATORS, PAPRS, AND CAPRS FOR AREA HOSPITALS- IN WHICH THE CARLE FOUNDATION HOSPITAL PAID WELL OVER $100,000 IN COMMUNITY SUPPORT OUTSIDE OF THE GRANT FUNDING. IT GOES WITHOUT SAYING THAT CARLE FOUNDATION HOSPITAL, LIKE MANY OTHERS ACROSS THE COUNTRY, DEDICATED ITS WORK TO SERVE ITS COMMUNITY AGAINST THE COVID-19 PANDEMIC. WHILE THE TIME OF FRONT LINE STAFF AND LEADERS FROM EVERY LEVEL DROPPED EVERYTHING TO COMBAT THE PANDEMIC, CARLE CONSERVATIVELY REPORTED ONLY A VERY SMALL NUMBER OF PUBLIC INFORMATION ITEMS- IN WHICH CARLE FOUNDATION HOSPITAL STAFF WORKED TO EDUCATE THE COMMUNITY ON COVID-19, WITH NO EXPECTATION OF ANY BUSINESS IN RETURN. THIS WAS NOT REIMBURSED BY STATE OR FEDERAL FUNDS. WORKFORCE DEVELOPMENT JOB SHADOWING: A LARGE AMOUNT OF COMMUNITY BUILDING EFFORTS - MORE THAN $30,000 - WERE FROM HEALTH CARE MENTORING PROGRAMS AND JOB SHADOWING. CARLE'S JOB SHADOWING PROGRAM, RUN BY THE VOLUNTEER SERVICES DEPARTMENT, HELPS ADDRESS COMMUNITY-WIDE WORKFORCE CONCERNS BY ALLOWING STUDENTS AND COLLEAGUES AN OPPORTUNITY TO FURTHER THEIR HEALTH CARE CAREERS. A TOTAL OF 20 PEOPLE SHADOWED VARIOUS STAFF AT BOTH CARLE FOUNDATION HOSPITAL AND CARLE PHYSICIAN GROUP IN 2020. THE HOSPITAL ALONE ACCOUNTED FOR 171 HOURS AS COMMUNITY BENEFIT, WHICH IS A CONSERVATIVE CALCULATION OF 20-50% OF THE TOTAL NUMBER OF HOURS SPENT WITH A SUPERVISOR. CARLE JOB READINESS AND LEARNING PROGRAM (JRLP): IN ITS FOURTH YEAR, THE CARLE JOB READINESS AND LEARNING PROGRAM PROVIDES EMPLOYMENT AND WORKFORCE TRAINING TO UNDER- AND UNEMPLOYED INDIVIDUALS IN THE COMMUNITY. INDIVIDUALS SELECTED FOR THE PROGRAM ARE HIRED FROM DAY ONE AND EMBARK ON A THREE-WEEK PAID TRAINING PROGRAM
SCHEDULE H, PART III, SECTION A, LINE 3 THE CARLE FOUNDATION HOSPITAL USES 50% AS A GENERAL ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART III, SECTION A, LINE 4 THE FOOTNOTE PERTAINING TO BAD DEBT EXPENSE CAN BE FOUND ON PAGE 28 OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION B, LINE 8 THE NUMERATOR (TOTAL EXPENSE) AND DENOMINATOR (TOTAL GROSS CHARGES) OF THE SIMPLE RATIO OF PATIENT CARE COST TO CHARGES IS ADJUSTED BY ELIMINATING NON-PATIENT CARE THAT GENERATES OTHER REVENUE, BAD DEBT EXPENSE, MEDICAID AND OTHER PROVIDER TAXES AND THE TOTAL COST OF COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS. ALSO, ANY GROSS PATIENT CHARGES FOR PROGRAMS NOT RELYING ON THE RATIO ARE ELIMINATED FROM BOTH THE NUMERATOR AND DENOMINATOR OF THE RATIO. THESE ADJUSTMENTS ARE INTENDED TO ELIMINATE ANY POTENTIAL FOR DOUBLE COUNTING OF COMMUNITY BENEFIT EXPENSES. THE RESULTANT RATIO ALIGNS WITH SCHEDULE H REQUIREMENTS. AS AN ILLINOIS-BASED HOSPITAL, THE CARLE FOUNDATION HOSPITAL IS REQUIRED BY THE COMMUNITY BENEFIT ACT OF 2003 TO REPORT TO THE OFFICE OF THE ATTORNEY GENERAL COMMUNITY BENEFITS PROVIDED. FOR THAT REPORT, ILLINOIS LAW DEFINES GOVERNMENT-SPONSORED INDIGENT HEALTH CARE AS THE UNREIMBURSED COST OF MEDICARE, MEDICAID AND OTHER FEDERAL, STATE OR LOCAL INDIGENT CARE PROGRAMS. TO REDUCE PUBLIC CONFUSION CAUSED BY VARIATIONS IN CARLE'S REPORTS, FOR CONSISTENCY, CARLE HAVE PREVIOUSLY INCLUDED A MEDICARE SHORTFALL IN ALL OF ITS COMMUNITY BENEFIT RELATED REPORTS. WHEN THERE IS A SHORTFALL, MANAGEMENT BELIEVES THIS IS A COMMUNITY BENEFIT BECAUSE, AS A HOSPITAL, THE CARLE FOUNDATION HOSPITAL IS AUGMENTING THESE GOVERNMENT FUNDING SHORTFALLS, ASSURING CARE TO SENIORS, WHERE 10.8% ARE 65 YEARS OF AGE AND OLDER IN CHAMPAIGN COUNTY ALONE. ACCORDING TO FAMILY SERVICE OF CHAMPAIGN COUNTY, THOSE 85 AND OLDER, THE FASTEST GROWING DEMOGRAPHIC IN THE COUNTY, HAVE EXPERIENCED INCREASING COSTS OVER THE PAST DECADE WHILE LIVING ON FIXED INCOMES DETERMINED 20 YEARS AGO.
SCHEDULE H, PART III, LINE 9B CARLE HAS A ROBUST PRESUMPTIVE ELIGIBILITY PROCESS. CARLE PRESUMES ELIGIBILITY FOR VERIFIED HOMELESS, DECEASED WITH NO ESTATE, MENTAL INCAPACITATION, RECIPIENTS OF WIC (WOMEN, INFANTS AND CHILDREN NUTRITION PROGRAM), SNAP (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM), LIHEAP (LOW INCOME HOME ENERGY ASSISTANCE PROGRAM), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM, RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICE, FRANCES NELSON HEALTH CENTER (PROMISE HEALTHCARE FQHC) DISCOUNT REFERRALS, MEDICAID TITLE XIX, XXI, AND IN-NETWORK MEDICAID MANAGED CARE PLANS. IN ADDITION, CARLE UTILIZES 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 THAT INDIVIDUAL'S RESPONSIBILITY TO PAY. FOR PATIENTS WHO DO NOT QUALIFY FOR CARLE FINANCIAL ASSISTANCE PROGRAM (CFAP), AND WHO MAY BE UNINSURED OR UNDERINSURED, CARLE HAS OTHER DISCOUNT OPTIONS AVAILABLE, SUCH AS PROMPT PAY, ILLINOIS UNINSURED DISCOUNT, AND CAPPED DISCOUNT - WHERE PATIENTS' OUT-OF-POCKET MEDICAL EXPENSES ARE LIMITED TO 40% OF THEIR ANNUAL GROSS INCOME IF THEY EARN AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL. ONCE ALL APPLICABLE DISCOUNTS HAVE BEEN APPLIED, MANAGEMENT MAKES EVERY ATTEMPT TO WORK WITH PATIENTS AND SET UP PAYMENT ARRANGEMENTS ON THE REMAINING BALANCES 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 PAYMENTS ON THE BALANCE DUE, THEN THAT BALANCE MAY BE LISTED WITH AN OUTSIDE COLLECTION AGENCY. WHEN THE ACCOUNT IS STILL IN-HOUSE, THE MINIMUM NOTIFICATION IS MONTHLY ITEMIZED STATEMENTS. IF A PATIENT DOES NOT RESPOND, THE ACCOUNT IS GIVEN A FINAL NOTICE, EITHER BY LETTER OR PHONE, AND SENT TO AN OUTSIDE COLLECTION AGENCY. CARLE WILL NOT FILE COLLECTION SUIT LIENS ON A PRIMARY RESIDENCE, NOR DOES CARLE AUTHORIZE AN AGENCY TO USE SO-CALLED "BODY ATTACHMENTS." THE CONTRACTED AGENCIES ARE AWARE OF THE CARLE FINANCIAL ASSISTANCE PROGRAM AND ARE TRAINED TO INFORM PATIENTS OF THE PROGRAM AND TO SEND APPLICATIONS, WHEN APPLICABLE. THEY HAVE BEEN INSTRUCTED TO INFORM A CARLE STAFF MEMBER IF THE AGENCY DEEMS THE PATIENT UNABLE TO PAY. CARLE STAFF WILL THEN MAKE ONE MORE ATTEMPT TO WORK WITH THE PATIENT TO SEE IF HELP IS NEEDED. IF CARLE DETERMINES THAT THE PATIENT MIGHT QUALIFY, CARLE WILL ATTEMPT TO ENROLL THE PATIENT THROUGH THE PRESUMPTIVE ELIGIBILITY TOOLS OR, IF ADDITIONAL INFORMATION IS NEEDED, CARLE SENDS THE PATIENT A CFAP APPLICATION. STAFF THEN INSTRUCTS THE AGENCY TO PUT A HOLD ON THE ACCOUNT; THE AVERAGE HOLD IS 60 DAYS. IF THE PATIENT IS THEN APPROVED FOR DISCOUNTS AT 100% FOR FINANCIAL ASSISTANCE, THE BALANCE IS ADJUSTED AND THE ACCOUNT IS CLOSED WITH THE AGENCY. IF THE PATIENT IS APPROVED FOR LESS THAN 100%, THE ADJUSTMENTS ARE REPORTED TO THE AGENCY AND THE AGENCY WILL BEGIN COLLECTION EFFORTS ON ANY REMAINING BALANCE.
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT CARLE PRIMARILY ADDRESSES HEALTHCARE NEEDS IN ITS COMMUNITY BY BEING A PART OF THE AFOREMENTIONED CHNA IN PARTNERSHIP WITH CHAMPAIGN URBANA PUBLIC HEALTH DISTRICT, OSF HEALTHCARE, AND UNITED WAY OF CHAMPAIGN COUNTY. HOWEVER, CARLE IS ACUTELY AWARE OF THE NEED FOR ACCESS TO CARE, MAKING IT A MAINSTAY OF OUR COMMUNITY BENEFIT EFFORTS. CARLE HAS A STRONG FINANCIAL ASSISTANCE PROGRAM BASED ON A PHILOSOPHY OF DOING THE RIGHT THING FOR THE COMMUNITY AND PATIENTS, BALANCED BY A CAREFUL STEWARDSHIP OF THE COMMUNITY'S RESOURCES. WHILE ACCESS TO CARE WAS NOT SELECTED AS A PRIORITY FOR THE 2020-2022 CHNA, IT WILL CONTINUE TO BE A PRIORITY FOR CARLE. AS A TAX-EXEMPT ORGANIZATION, CARLE FOUNDATION HOSPITAL PROVIDES CARE TO PATIENTS REGARDLESS OF THE ABILITY TO PAY. CARLE'S GENEROUS FINANCIAL ASSISTANCE PROGRAM HAS RESULTED IN MEDICAL CARE REACHING MANY PEOPLE OVER THE YEARS. TO ENSURE CARLE IS ADDRESSING THE NEEDS OF THE COMMUNITY, THE FINANCE AND QUALITY COMMITTEES OF THE CARLE BOARD OF TRUSTEES REVIEW AND EVALUATE CHARITY CARE FIGURES ANNUALLY. MANAGEMENT DOES NOT LIMIT THE AMOUNT OF FINANCIAL ASSISTANCE PROVIDED, AT THIS TIME. REPRESENTATIVES FROM PUBLIC RELATIONS, PATIENT FINANCIAL SERVICES, REGISTRATION, CASE MANAGEMENT AND INSURANCE CONTRACTING DEPARTMENTS CONTINUED TO MEET WITH THE LOCAL COMMUNITY COALITION OF THE CHAMPAIGN COUNTY HEALTH CARE CONSUMERS - SIX TIMES IN 2020 - INCLUDING REPRESENTATION FROM THE LAND OF LINCOLN LEGAL ASSISTANCE FOUNDATION. CARLE VALUES THIS REGULAR OPPORTUNITY FOR COMMUNITY DIALOGUE, WHICH WAS INITIATED MORE THAN A DECADE AGO. CARLE STAFF ALSO CONTINUED MEETING ON A REGULAR BASIS WITH REPRESENTATIVES OF THE LOCAL FREE CLINICS AND FQHC TO DISCUSS OPERATIONAL ISSUES. THIS DIALOGUE IS AN EFFECTIVE CHANNEL FOR LEARNING MORE ABOUT THEIR PATIENTS' EXPERIENCE IN OBTAINING FREE AND DISCOUNTED CARE. OTHER WAYS TO HELP IMPROVE ACCESS TO CARE: IN ADDITION TO CHARITY CARE, CARLE SUPPORTS A WIDE RANGE OF PROGRAMS AND SERVICES TO INCREASE COMMUNITY CAPACITY, HEALTH CARE WORK FORCE EXPANSION, AND SOCIAL SERVICES THAT PROVIDE COMPLEMENTARY HEALTHCARE-RELATED SERVICES. CARLE FOUNDATION HOSPITAL HAS, AND WILL CONTINUE TO, PURSUE THESE INITIATIVES TO IMPROVE ACCESS TO CARE: 1. OFFER A CHARITY CARE PROGRAM 2. COMMUNICATE THE AVAILABILITY OF THE CHARITY CARE PROGRAM 3. RECRUIT MORE PROVIDERS INTO THE CARLE SYSTEM, THEREBY EXPANDING ACCESS/CAPACITY 4. SUPPORT LOCAL COMMUNITY CLINICS TO ENSURE ADDED LOCAL CAPACITY FOR HEALTH CARE 5. SUPPORT PROMISE HEALTH TO ENSURE CAPACITY FOR DENTAL CARE AND PRIMARY CARE 6. SUPPORT UNITED WAY AND OTHER AREA AGENCIES TO IMPROVE AVAILABILITY OF HEALTH SERVICES 7. DONATE TO EXISTING COMMUNITY HEALTH AND DENTAL PROGRAMS 8. PARTICIPATE IN POPULATION HEALTH INITIATIVES THAT ACTIVELY MANAGE THE HEALTH OF MEMBERS 9. SUPPORT OF ECHO/CAOS HEARING PROGRAMS TO EXPAND ACCESS TO THESE SERVICES 10. SUPPORT PARKLAND STUDENTS IN HEALTH CARE FIELDS; GME PROGRAMS TO GROW NUMBER OF FUTURE PHYSICIANS 11. PROMOTE PRESCRIPTION AFFORDABILITY AS A 340B PROVIDER 12. ENHANCE ACCESS-RELATED INITIATIVES THAT WILL IMPROVE PATIENT ACCESS AND ABILITY TO INTERFACE MORE EFFICIENTLY FOR NEEDED SERVICES - PATIENT CONTACT CENTER, PRESCRIPTION REFILL REQUEST PROCESS, E-VISITS, VIRTUAL VISITS AND MORE 13. CONTINUE ACCESS TO CARE THROUGH SUBSIDIZED SERVICES, INCLUDING THE FAITH COMMUNITY NURSE PROGRAM, BREASTFEEDING CLINIC AND LANGUAGE ASSISTANCE SERVICES
SCHEDULE H, PART VI, LINE 3 CARLE'S PRACTICE IS TO LOOK AT 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 ELIGIBLE DISCOUNT. BY EXPANDING THE PRESUMPTIVE ELIGIBILITY SCREENING PROCESSES AND DETERMINING THE FINANCIAL STATUS OF PATIENTS UP-FRONT, CARLE HAS BEEN ABLE TO PINPOINT THOSE NEEDING ASSISTANCE EARLY IN THE PROCESS, MINIMIZING BAD DEBT AND OPTIMIZING THE 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 CARLE AUTO-QUALIFIES CERTAIN PATIENT POPULATIONS FOR CARLE FINANCIAL ASSISTANCE PROGRAM, SUCH AS THE HOMELESS, WIC, SNAP (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM), MEDICAID, LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP), AND TOWNSHIP ASSISTANCE RECIPIENTS. COMMUNICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE CARLE FOUNDATION HOSPITAL HAS MADE A CONCERTED, CONTINUOUS EFFORT TO BE SURE PEOPLE HAVE ACCESS TO INFORMATION THAT WILL HELP THEM WITH THEIR MEDICAL BILLS. THESE INCLUDE: - ADVERTISING CARLE FINANCIAL ASSISTANCE PROGRAM USING PRINT, BILLBOARDS AND WEB; CONTINUED PRESENCE IN APPROPRIATE COMMUNITY PUBLICATIONS; AND ON-SITE VIA DISPLAYS THROUGHOUT THE HOSPITAL AND CLINICS - SIMPLIFIED APPLICATION FORM, INCLUDING A VERSION IN SPANISH, THAT CONTAINS INFORMATION REGARDING THE CARLE FINANCIAL ASSISTANCE PROGRAM - PUBLICATION OF A PLAIN LANGUAGE SUMMARY AND ALL OTHER FINANCIAL ASSISTANCE-RELATED INFORMATION ON CARLE.ORG/FINANCIALASSISTANCE - INFORMATION ABOUT THE CARLE FINANCIAL ASSISTANCE PROGRAM ON ALL STATEMENTS, COLLECTION LETTERS AND HOSPITAL ADMISSION PACKETS - CARLE FINANCIAL ASSISTANCE PROGRAM INFORMATION AND APPLICATIONS AT ALL REGISTRATION POINTS, HOSPITAL MAIN LOBBY AND CARLE.ORG - STAFF AT FRANCES NELSON HEALTH CENTER OPERATED BY PROMISE HEALTHCARE, THE LOCAL FQHC, AND COMMUNITY FREE CLINICS ARE 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 DESCRIPTION OF THE COMMUNITY/POPULATION CARLE'S SERVICE AREA IS GENERALLY DEFINED AS EAST CENTRAL ILLINOIS, INCLUDING ALL OR PARTS OF MORE THAN 40 COUNTIES IN EAST CENTRAL ILLINOIS AND WESTERN INDIANA. FOR THE COMMUNITY BENEFIT IMPLEMENTATION PLAN, RESEARCH AND REMEDIES ARE DIRECTED TOWARDS COMMUNITY HEALTH ISSUES IDENTIFIED IN CARLE'S PRIMARY SERVICE AREA, WITH THE FOCUS ON CHAMPAIGN COUNTY. THIS REPRESENTS CARLE'S HEADQUARTERS AND OTHER COUNTIES WHERE CARLE HAS A THRIVING PRESENCE. CARLE'S REACH EXTENDS INTO 14 ADJOINING, RURAL ILLINOIS COUNTIES. THESE AREAS COMPRISE NEARLY 50% OF THE CARLE SERVICE AREA'S POPULATION OF ABOUT 1.1 MILLION RESIDENTS. POCKETS OF EXTREME POVERTY EXIST THROUGHOUT THIS REGION. THE PROGRAMS WITHIN CARLE'S COMMUNITY BENEFIT PLAN GENERALLY HAVE IMPACT UPON ALL THE TARGETED COMMUNITIES, WITH CERTAIN PROGRAMS DIRECTED AT SPECIFIC POPULATIONS. A GREATER PROPORTION OF RESOURCES WILL BE ALLOCATED IN CHAMPAIGN COUNTY, FOLLOWED BY COLES AND VERMILION COUNTIES, WHERE THE COMMUNITY BENEFIT PROGRAM HAS LONG BEEN ESTABLISHED. CARLE FOUNDATION HOSPITAL SERVES AS THE REGION'S ONLY LEVEL I TRAUMA CENTER AND LEVEL III NEONATAL INTENSIVE CARE UNIT. AS PROVIDER OF THE REGION'S PERINATAL SERVICES, CARLE PROVIDES CARE TO PATIENTS WHO LIVE THROUGHOUT THE GEOGRAPHIC AREA EXTENDING FROM KANKAKEE IN THE NORTH TO THE SOUTHERN-MOST TIP OF ILLINOIS, AND SPANNING FROM AS FAR WEST AS EUREKA AND EAST INTO WESTERN INDIANA. FOR THE PURPOSES OF THE CARLE FINANCIAL ASSISTANCE PROGRAM, COVERAGE ENCOMPASSES THE ENTIRE CARLE SERVICE AREA.
SCHEDULE H, PART VI, LINE 5 THE CARLE FOUNDATION HOSPITAL HAS AN OPEN MEDICAL STAFF AND IS GOVERNED BY A COMMUNITY BOARD. SURPLUS FUNDS ARE REINVESTED INTO THE ORGANIZATION FOR TECHNOLOGY REPLACEMENT AND ADVANCEMENT, BUILDING RENOVATION OR CONSTRUCTION, CLINICAL SERVICE EXPANSION AND QUALITY IMPROVEMENT. SURPLUS FUNDS ARE ALSO INVESTED INTO THE COMMUNITIES SERVED BY CARLE TO MEET IDENTIFIED HEALTH NEEDS WHICH CONTRIBUTE TO THE OVERALL WELL-BEING OF THE RESIDENTS OF THE COMMUNITIES WE SERVE.
SCHEDULE H, PART VI, LINE 6 THE HOSPITAL AND ITS ASSOCIATED BUSINESS UNITS UNDER THE CARLE FOUNDATION UMBRELLA ALL PARTICIPATE IN CARRYING OUT THE SAME ANNUAL COMMUNITY BENEFIT PLAN, PARTICIPATING IN PROGRAMS THAT FIT THEIR SPECIFIC MISSIONS.
SCHEDULE H, PART VI, LINE 7 ILLINOIS
Schedule H (Form 990) 2020
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