4A (Expenses $ 19582279 including grants of $ 5560) (Revenue $ 23780741)
"CARLE EUREKA HOSPITAL (""CEH"") IS A TAX-EXEMPT ILLINOIS NOT-FOR-PROFIT CORPORATION ESTABLISHED FOR THE PURPOSE OF OPERATING A HOSPITAL AND CONDUCTING PATIENT CARE RELATED ACTIVITIES. CEH HAS SERVED AND CARED FOR THE PEOPLE OF CENTRAL ILLINOIS FOR NEARLY 120 YEARS. A 25-BED FACILITY LOCATED IN EUREKA, IL, WE'VE SET NEW STANDARDS FOR WHAT A RURAL HOSPITAL CAN ACHIEVE. WITH MANY AWARDS FOR QUALITY AND PATIENT SATISFACTION, OUR SKILLED STAFF PROVIDES EMERGENCY CARE, INPATIENT AND OUTPATIENT SURGERIES, REHABILITATION, ADVANCED RADIOLOGY AND MORE. THE HOSPITAL IS FULLY ACCREDITED DNV GL HEALTHCARE AND IS AN ACUTE STROKE READY HOSPITAL. CEH CONTINUES A CENTURY-LONG TRADITION OF PROVIDING CHARITABLE, NOT-FOR-PROFIT HOSPITAL CARE FOR EUREKA AND ITS SURROUNDING COMMUNITY. THE HISTORY BEGAN IN 1914 WHEN A LOCAL PHYSICIAN PURCHASED A HOUSE AND CONVERTED IT INTO THE ORIGINAL EUREKA HOSPITAL. IN 1978, EUREKA HOSPITAL WAS PURCHASED BY MENNONITE HEALTH CARE ASSOCIATION (""MENNONITE""). MENNONITE LATER MERGED WITH ANOTHER LOCAL HEALTHCARE ORGANIZATION THAT OPERATED BROKAW HOSPITAL IN BLOOMINGTON. IN 2010, EUREKA HOSPITAL MERGED INTO ADVOCATE HEALTH AND HOSPITAL CORPORATION (ADVOCATE). FROM THAT TIME, THE HOSPITAL WAS KNOWN AS ADVOCATE EUREKA HOSPITAL AND WAS OPERATED AS A DIVISION OF ADVOCATE, UNTIL JULY 1, 2020 WHEN IT WAS PURCHASED BY CARLE HEALTH. FOR 2021, CEH HAD APPROXIMATELY 46,749 INPATIENT AND OUTPATIENT VISITS, APPROXIMATELY 3,230 EMERGENCY DEPARTMENT VISITS, AND 1,562 CONVENIENT CARE VISITS."

COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 2)
EFFECTIVE JULY 1, 2020, THE FOUNDATION COMPLETED AN ASSET PURCHASE TRANSACTION WITH ADVOCATEAURORA HEALTH COMPRISING ESSENTIALLY ALL OF THE ASSETS OF CARLE EUREKA HOSPITAL. CARLE EUREKA HOSPITAL IS A NEWLY FORMED ENTITY INTO WHICH THE EXISTING HOSPITAL LICENSE WAS TRANSFERRED. FOR TRANSPARANCY, THE HOSPITAL IS PROVIDING INFORMATION ON THE CHNA CONDUCTED UNDER THE PRIOR LEGAL ENTITY AND HOSPITAL LICENSE.

COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 5)
ADVOCATE EUREKA HOSPITAL (CARLE EUREKA HOSPITAL AS OF JULY 1, 2020), PARTICIPATED IN THE TRI-COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WHICH IS A COLLABORATIVE UNDERTAKING SPEARHEADED BY THE PARTNERSHIP FOR A HEALTHY COMMUNITY (PFHC). THE PFHC IS A MULTI-SECTOR COMMUNITY PARTNERSHIP WORKING TO IMPROVE POPULATION HEALTH IN WOODFORD, PEORIA AND TAZEWELL COUNTIES. AN AD HOC COMMITTEE WITHIN THE PFHC FORMED A COLLABORATIVE TEAM TO FACILITATE THE 2019 TRI-COUNTY CHNA. THE CHNA COLLABORATIVE TEAM BEGAN MEETING ONE TO TWO TIMES PER MONTH IN JANUARY 2019. MEMBERS OF THE PFHC AD-HOC CHNA COLLABORATIVE TEAM INCLUDED ADVOCATE EUREKA HOSPITAL (CARLE EUREKA HOSPITAL AS OF JULY 1, 2020), OSF HEALTHCARE SAINT FRANCIS MEDICAL CENTER, UNITYPOINT HEALTH-METHODIST, PROCTOR AND PEKIN, HOPEDALE MEDICAL COMPLEX, WOODFORD COUNTY HEALTH DEPARTMENT, PEORIA CITY/COUNTY HEALTH DEPARTMENT, TAZEWELL COUNTY HEALTH DEPARTMENT, HEART OF ILLINOIS UNITED WAY, HEARTLAND HEALTH SERVICES AND BRADLEY UNIVERSITY. MEMBERS OF THE AD-HOC COLLABORATIVE TEAM CONSISTED OF INDIVIDUALS WITH SPECIAL KNOWLEDGE OF AND EXPERTISE IN THE HEALTH OF THE COMMUNITY. TEAM MEMBERS WERE CAREFULLY SELECTED TO ENSURE REPRESENTATION OF THE BROAD INTERESTS OF THE COMMUNITY. ADDITIONALLY, A DATA-ACTION TEAM WAS CREATED TO FOCUS ON CHNA DATA. ADVOCATE EUREKA HOSPITAL (CARLE EUREKA HOSPITAL AS OF JULY 1, 2020), CONSISTENT WITH OTHER MEMBERS OF THE PFHC, USED THE TRI-COUNTY CHNA TO PREPARE ITS 2019 CHNA REPORT, WITH A FOCUS ON WOODFORD COUNTY. FOR THE ADVOCATE EUREKA HOSPITAL (CARLE EUREKA HOSPITAL AS OF JULY 1, 2020) 2017-2019 CHNA, THE HOSPITAL PARTICIPATED IN THE PRIORITY-SETTING PROCESS WITH THE PFHC AD HOC CHNA COLLABORATIVE. FOUR SIGNIFICANT HEALTH NEEDS WERE SELECTED DURING THE TRI-COUNTY CHNA COLLABORATIVE PROCESS BY KEY COMMUNITY STAKEHOLDERS FROM ALL THREE COUNTIES AT THE MARCH 12, 2019, PRIORITIZATION MEETING. PARTICIPANTS INCLUDED A BROAD CROSS-SECTOR OF REPRESENTATIVES FROM ORGANIZATIONS INCLUDING HEALTHCARE, PUBLIC HEALTH, SOCIAL SERVICES, EDUCATION, FAITH AND OTHERS. SOCIAL SERVICE AGENCIES REPRESENTING THE UNDERSERVED INCLUDED CENTRAL ILLINOIS FRIENDS (HIV), EASTER SEALS (CHILDREN WITH SPECIAL NEEDS), CHILDREN'S HOME OF ILLINOIS, HUMAN SERVICE CENTER (ADULT BEHAVIORAL HEALTH), HEARTLAND HEALTH SERVICES (FQHC), SOUTHSIDE OFFICE OF CONCERN (SPECIAL NEEDS-MENTAL ILLNESS OR DEVELOPMENTALLY DISABLED), HEART OF ILLINOIS UNITED WAY AND THE PEORIA AREA FOOD BANK. THE PFHC CHNA WAS CONDUCTED USING A MIXED METHODOLOGICAL APPROACH. THE MAIN SOURCE OF PRIMARY DATA CAME FROM THE TRI-COUNTY COMMUNITY HEALTH SURVEY THAT WAS ADMINISTERED IN THE SUMMER OF 2018. WOODFORD COUNTY RESULTS INDICATED THAT 465 RESIDENTS RESPONDED TO THE SURVEY. THE PFCH AD-HOC CHNA COLLABORATIVE TEAM ALSO EXAMINED DATA FROM A VARIETY OF SECONDARY SOURCES. AT THE MARCH 12, 2019, PRIORITIZATION MEETING, THE FOLLOWING CRITERIA WERE CONSIDERED BY THE PFHC AD HOC CHNA COLLABORATIVE TEAM AND COMMUNITY STAKEHOLDERS IN PRIORITIZING HEALTH NEEDS: 1) MAGNITUDE OF THE ISSUES, BASED ON THE PERCENTAGE OF THE POPULATION IMPACTED BY THE ISSUE; 2) SERIOUSNESS OF THE ISSUES, BASED ON SERIOUSNESS OF OUTCOMES, ECONOMIC IMPACT, URGENCY, AND FUTURE TRENDS AND FORECASTS; 30 EFFECTIVENESS CONSIDERATIONS, BASED ON POTENTIAL IMPACT THROUGH COLLABORATION, COMMUNITY SUPPORT AND MEASUREMENT OF IMPACT. USING A MODIFIED VERSION OF THE HANLON METHOD, THE COLLABORATIVE TEAM AND COMMUNITY STAKEHOLDERS IDENTIFIED FOUR SIGNIFICANT HEALTH NEEDS: 1) MENTAL HEALTH; 2) SUBSTANCE USE; 3) CANCER; AND 4) HEALTHY BEHAVIORS OR HEALTHY EATING/ACTIVE LIVING. FROM THE FOUR PRIORITIES ABOVE, THE CHNA TEAM FROM ADVOCATE EUREKA HOSPITAL (CARLE EUREKA HOSPITAL AS OF JULY 1, 2020) ANALYZED ADDITIONAL DATA FOR WOODFORD COUNTY FOR THE FOUR PRIORITIES AND SELECTED TWO SIGNIFICANT HEALTH NEEDS FOR ITS 2019 CHNA-MENTAL HEALTH AND HEALTHY EATING/ACTIVE LIVING. THE HOSPITAL WANTED TO FOCUS ITS EFFORTS ON TWO SIGNIFICANT HEALTH NEEDS, SPECIFIC TO WOODFORD COUNTY, AS ITS RESOURCES ARE LIMITED AS A CRITICAL ACCESS HOSPITAL. MENTAL HEALTH HAS BEEN A HEALTH PRIORITY IN THE HOSPITAL'S 2013 AND 2016 CHNAS. ALTHOUGH THE HOSPITAL FOCUSES A MAJORITY OF ITS COMMUNITY HEALTH EFFORTS ON THE TWO HEALTH PRIORITIES, BY BEING MEMBERS OF THE PFHC MENTAL HEALTH/SUBSTANCE USE AND HEALTHY EATING/ACTIVE LIVING PRIORITY ACTION TEAMS, CARLE EUREKA HOSPITAL STAFF MEMBERS PARTICIPATED IN THE PFHC PRIORITY ACTION TEAMS FOR CANCER, WHEN NEEDED, TO FURTHER TRI-COUNTY EFFORTS TO ADDRESS BOTH OF THESE HEALTH PRIORITIES. ON NOVEMBER 19, 2019, THE ADVOCATE BROMENN MEDICAL CENTER AND ADVOCATE EUREKA HOSPITAL GOVERNING COUNCIL (CARLE BROMENN MEDICAL CENTER AND EUREKA HOSPITAL GOVERNING COUNCIL AS OF JULY 1, 2020) REVIEWED AND APPROVED THE ADVOCATE EUREKA HOSPITAL 2017-2019 CHNA REPORT AND SIGNIFICANT HEALTH NEEDS FOLLOWED BY APPROVAL OF THE ADVOCATE EUREKA COMMUNITY HEALTH IMPLEMENTATION STRATEGY PLAN ON JANUARY 23, 2020. THE ADVOCATE HEALTH CARE NETWORK BOARD APPROVED THE CHNA REPORT AND RECOMMENDED HEALTH NEEDS TO ADDRESS ON DECEMBER 16, 2019. THE 2017-2019 CHNA REPORT WAS POSTED ON THE ADVOCATE WEBPAGE ON DECEMBER 17, 2019 AND CONTAINED BOTH A FORM AND AN EMAIL FOR THE COMMUNITY TO PROVIDE FEEDBACK ON THE CHNA. POSTING OF THE IMPLEMENTATION STRATEGY OCCURRED IN EARLY MAY 2020. BOTH DOCUMENTS WERE POSTED ON CARLE HEALTH'S WEBSITE ON JULY 1, 2020. AS OF DECEMBER 31, 2021 THERE HAD BEEN NO FEEDBACK FROM THE COMMUNITY ON EITHER THE 2017-2019 CHNA REPORT, THE 2020-2022 IMPLEMENTATION PLAN, OR THE PREVIOUS 2014-2016 CHNA REPORT OR ITS ACCOMPANYING 2017-2019 IMPLEMENTATION PLAN

COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 6A)
OSF SAINT FRANCIS MEDICAL CENTER, PEORIA, ILLINOIS. UNITYPOINT HEALTH-METHODIST : PROCTOR, PEORIA, ILLINOIS. HOPEDALE MEDICAL COMPLEX, HOPEDALE, ILLINOIS. UNITYPOINT HEALTH-PEKIN HOSPITAL, PEKIN, ILLINOIS.

COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 6B)
WOODFORD COUNTY HEALTH DEPARTMENT. PEORIA CITY/COUNTY HEALTH DEPARTMENT. TAZEWELL COUNTY HEALTH DEPARTMENT. HEART OF ILLINOIS UNITED WAY. HEARTLAND HEALTH SERVICES, PEORIA, ILLINOIS. BRADLEY UNIVERSITY, PEORIA, ILLINOIS.

COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 7A)
HTTPS://CARLE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS

COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 7D)
THE RESULTS OF THE 2019 ADVOCATE EUREKA HOSPITAL (CARLE EUREKA HOSPITAL AS OF JULY 1, 2020) CHNA WERE PRESENTED TO THE ADVOCATE BROMENN MEDICAL CENTER AND EUREKA HOSPITAL DELEGATE CHURCH ASSOCIATION (CARLE BROMENN MEDICAL CENTER AND EUREKA HOSPITAL DELEGATE CHURCH ASSOCIATION) AS OF JULY 1, 2020.

COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 10)
HTTPS://CARLE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS CENTER AND EUREKA HOSPITAL DELEGATE CHURCH ASSOCIATION (CARLE BROMENN MEDICAL CENTER AND EUREKA HOSPITAL DELEGATE CHURCH ASSOCIATION) AS OF JULY 1, 2020.

COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 11)
"2017-2019 CHNA THE 2020-2022 ADVOCATE EUREKA HOSPITAL COMMUNITY HEALTH IMPLEMENTATION PLAN (CARLE EUREKA HOSPITAL AS OF JULY 1, 2020) IS FOCUSED ON WOODFORD COUNTY AND TWO OF THE FOUR SIGNIFICANT HEALTH NEEDS SELECTED FOR THE TRI-COUNTY REGION. ADVOCATE EUREKA HOSPITAL TRANSITION THE CARLE FOUNDATION (CARLE HEALTH) ACQUIRED ADVOCATE EUREKA HOSPITAL ON JULY 1, 2020. THE IMPLEMENTATION PLAN EFFORTS FOR EACH HEALTH NEED BELOW REFER TO THE PERIOD OF JULY 1 - DECEMBER 31, 2020 WHILE CARLE EUREKA HOSPITAL WAS A PART OF CARLE HEALTH. COVID-19 ON MARCH 9, 2020, GOVERNOR JB PRITZKER DECLARED ALL COUNTIES IN THE STATE OF ILLINOIS AS A DISASTER AREA IN RESPONSE TO THE OUTBREAK OF COVID-19. A STAY AT HOME ORDER WAS ISSUED ON MARCH 21, 2020 AND EXTENDED ON APRIL 30, 2020. ALTHOUGH EFFORTS WERE MADE TO CONTINUE WITH AS MANY IMPLEMENTATION PLAN INTERVENTIONS AS POSSIBLE, COVID-19 IMPACTED THE IMPLEMENTATION STRATEGIES AND INTERVENTIONS OUTLINED IN THE 2020-2022 ADVOCATE EUREKA HOSPITAL (CARLE EUREKA HOSPITAL AS OF JULY 1, 2020) COMMUNITY HEALTH IMPLEMENTATION PLAN. HEALTH NEEDS SELECTED MENTAL HEALTH WAS SELECTED FOR SEVERAL REASONS BY ADVOCATE EUREKA HOSPITAL'S (CARLE EUREKA HOSPITAL AS OF JULY 1, 2020) CHNA TEAM AS A SIGNIFICANT HEALTH NEED FROM THE FOUR SIGNIFICANT HEALTH NEEDS SELECTED BY THE PFHC AD-HOC CHNA COLLABORATIVE TEAM. WOODFORD COUNTY RESIDENTS THAT PARTICIPATED IN THE 2018 TRI-COUNTY COMMUNITY HEALTH SURVEY PERCEIVED MENTAL HEALTH AS THE MOST IMPORTANT HEALTH ISSUE IN THE COMMUNITY. THE AGE-ADJUSTED DEATH RATE DUE TO SUICIDE IN WOODFORD COUNTY IS ALSO IN THE WORST 25TH PERCENTILE RANGE COMPARED TO OTHER COUNTIES IN THE U.S., IS HIGHER THAN THE ILLINOIS VALUE, AND IS HIGHER THAN BOTH PEORIA AND TAZEWELL COUNTIES. ADDITIONALLY, 27 PERCENT OF THE WOODFORD COUNTY SURVEY RESPONDENTS WHO REPORTED THAT THEY DID NOT HAVE ACCESS TO COUNSELING CITED EMBARRASSMENT AS THE REASON. FINALLY, A FEW OF THE HIGH SOCIONEEDS ZIP CODES-SPECIFICALLY EL PASO, WASHBURN AND LOWPOINT-HAD HIGHER VALUES THAN THE COUNTY VALUE FOR SOME OF THE AGE-ADJUSTED EMERGENCY ROOM RATES; MENTAL HEALTH, PEDIATRIC MENTAL HEALTH AND/OR SUICIDE AND SELF-INFLICTED INJURY FOR BOTH ADULTS AND ADOLESCENTS. (THE CONDUENT HEALTH COMMUNITIES SOCIONEEDS INDEX TOOL IS DESCRIBED IN PART VI, LINE 4, COMMUNITY INFORMATION.) HIGHLIGHTS FOR STEPS THAT WERE TAKEN FROM JANUARY 1 - DECEMBER 31, 2021, AS A PART OF THE 2020-2022 ADVOCATE EUREKA HOSPITAL (CARLE EUREKA HOSPITAL AS OF JULY 1, 2020) COMMUNITY HEALTH IMPLEMENTATION PLAN TO ADDRESS MENTAL HEALTH INCLUDE THE FOLLOWING: - IN APRIL 2021, CARLE EUREKA HOSPITAL RECEIVED AN $8,000 MENTAL HEALTH IMPROVEMENT AWARD FROM THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK (ICHAN). THE AWARD WAS USED TO SUPPORT THE EFFORTS OF THE NEWLY FORMED MENTAL HEALTH FIRST AID (MHFA) COLLABORATIVE. THE GOAL OF THE COLLABORATIVE IS TO COORDINATE MHFA COURSES IN THE TRI-COUNTY REGION, PROVIDE INSTRUCTORS WITH TRAINING SUPPORT AND PEER-TO-PEER LEARNING OPPORTUNITIES, INCREASE THE NUMBER OF INSTRUCTORS TRAINED TO TEACH MHFA AND YOUTH MHFA, INCREASE THE NUMBER OF INSTRUCTORS WITH MHFA CERTIFICATIONS FOR SPECIAL POPULATIONS, AND INCREASE THE NUMBER OF PARTICIPANTS WHO COMPLETE A MHFA COURSE IN THE TRI-COUNTY REGION. THE AWARD ALSO ALLOWED FOR CARLE EUREKA HOSPITAL TO OFFER CLASSES TO COMMUNITY MEMBERS AT NO COST IN 2021. - IN 2021, THE CARLE EUREKA HOSPITAL MHFA INSTRUCTOR PARTICIPATED IN THE PARTNERSHIP FOR A HEALTHY COMMUNITY (PFHC) MHFA COLLABORATIVE. THE PARTNERSHIP FOR A HEALTHY COMMUNITY IS A TRI-COUNTY REGION WHICH INCLUDES PEORIA, TAZEWELL AND WOODFORD COUNTY. THE PURPOSE OF THE MHFA COLLABORATIVE IS TO INCREASE THE NUMBER OF INSTRUCTORS, INCREASE THE NUMBER OF COMMUNITY MEMBERS TRAINED AND TO UTILIZE RESOURCES MORE EFFECTIVELY IN THE TRI-COUNTY REGION. - IN 2021, THE CARLE EUREKA HOSPITAL MHFA INSTRUCTOR HELD THREE MHFA CLASSES IN WOODFORD COUNTY FOR 45 COMMUNITY MEMBERS. TWO OF THE CLASSES WERE HELD IN-PERSON AND ONE WAS A HYBRID CLASS WITH PART OF THE CLASS BEING VIRTUAL AND PART IN-PERSON. THE MHFA INSTRUCTOR ALSO TAUGHT TWO CLASSES AT SPOON RIVER COLLEGE IN FULTON COUNTY FOR 29 PEOPLE. FULTON COUNTY DOES NOT HAVE ANY MHFA INSTRUCTORS, SO THE TRI-COUNTY MHFA COLLABORATIVE ASSISTS THEM IN PROVIDING MHFA CLASSES. - COUNSELING SERVICES WERE OFFERED ON-SITE AT CARLE EUREKA HOSPITAL FOR 34 CLIENTS IN 2021. THIS EQUATES TO 224 SERVICES HOURS. THE SERVICES WERE PROVIDED BY THE TAZWOOD CENTER FOR WELLNESS AT THE HOSPITAL AND ALLOWED RESIDENTS TO RECEIVE CARE LOCALLY VERSUS TRAVELING OUTSIDE OF THE COUNTY FOR CARE. - THE COMMUNITY HEALTH DIRECTOR FOR CARLE BROMENN MEDICAL CENTER AND CARLE EUREKA HOSPITAL SERVED AS A BOARD MEMBER ON THE PARTNERSHIP FOR A HEALTHY COMMUNITY (PFHC). - THE COMMUNITY HEALTH DIRECTOR FOR CARLE BROMENN MEDICAL CENTER AND CARLE EUREKA HOSPITAL AND A CARLE EUREKA HOSPITAL SOCIAL WORKER SERVED ON THE PFHC MENTAL HEALTH/SUBSTANCE USE PRIORITY ACTION TEAM. THE 2020-2022 ADVOCATE EUREKA HOSPITAL (CARLE EUREKA HOSPITAL AS OF JULY 1, 2020) CHNA IMPLEMENTATION PLAN WAS POSTED IN MAY 2020. INTERVENTIONS FOR MENTAL HEALTH OUTLINED IN THE PLAN CAN BE VIEWED AT: HTTPS://CARLE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS HEALTHY EATING/ACTIVE LIVING WAS SELECTED BY ADVOCATE EUREKA HOSPITAL'S (CARLE EUREKA AS OF JULY 1, 2020) CHNA TEAM AS A SIGNIFICANT HEALTH NEED FROM THE FOUR SIGNIFICANT HEALTH NEEDS SELECTED BY THE PFHC AD-HOC CHNA COLLABORATIVE TEAM FOR SEVERAL REASONS. A HEALTHY LIFESTYLE OF REGULAR PHYSICAL ACTIVITY AND A HEALTHY DIET SERVES AS A FOUNDATION FOR GOOD MENTAL, PHYSICAL AND EMOTIONAL HEALTH, AND IS KEY IN PREVENTING NUMEROUS CHRONIC DISEASES. ADDITIONALLY, FIFTY-FIVE PERCENT OF TRI-COUNTY COMMUNITY HEALTH SURVEY RESPONDENTS RATED BEING OVERWEIGHT OR OBESITY AS ONE OF THE TOP PERCEIVED HEALTH NEEDS IN THE COUNTY. ALTHOUGH WOODFORD COUNTY IS SURROUNDED BY FARMLAND, THE PERCENTAGE OF ADULTS WHO EAT FRUITS AND VEGETABLES FIVE OR MORE TIMES PER DAY IS LOW AT 11.6 PERCENT AND IS IN THE WORST 25TH PERCENTILE RANGE IN COMPARISON TO OTHER COUNTIES IN ILLINOIS. IN ADDITION TO NOT EATING ENOUGH FRUITS AND VEGETABLES, THE 2018 TRI-COUNTY COMMUNITY HEALTH SURVEY DATA SHOW THAT 26 PERCENT OF WOODFORD COUNTY SURVEY RESPONDENTS INDICATED THAT THEY DO NOT EXERCISE AT ALL, WHILE 34 PERCENT ONLY EXERCISE ONE TO TWO TIMES PER WEEK. AN ADDITIONAL REASON ADVOCATE EUREKA HOSPITAL (CARLE EUREKA AS OF JULY 1, 2020) SELECTED HEALTHY EATING/ACTIVE LIVING TO ADDRESS IS DUE TO THE HOSPITAL RESOURCES AND STAFFING AVAILABLE TO ASSIST WITH THIS ISSUE FOR WOODFORD COUNTY, AS WELL AS THE TRI-COUNTY REGION. THE HOSPITAL'S CHNA TEAM FELT THAT AS A CRITICAL ACCESS HOSPITAL, IT COULD MAKE SIGNIFICANTLY MORE CONTRIBUTIONS TOWARD IMPROVING HEALTHY EATING/ACTIVE LIVING IN THE COUNTY THAN WITH SUBSTANCE USE OR CANCER. HIGHLIGHTS FOR STEPS TAKEN FROM JANUARY 1 - DECEMBER 31, 2021, AS A PART OF THE 2020-2022 ADVOCATE EUREKA HOSPITAL (CARLE EUREKA HOSPITAL AS OF JULY 1, 2020) COMMUNITY HEALTH IMPLEMENTATION PLAN TO ADDRESS HEALTHY EATING/ACTIVE LIVING ARE AS FOLLOWS: - IN 2021, CARLE EUREKA HOSPITAL SPONSORED TWO RUNS AND A KAYAK RACE; $500 FOR THE ""RACE FOR YOUR HEART"" HEARTLINE HEART HOUSE RUN; $500 FOR THE ""RUN WITH REAGAN"" EUREKA COLLEGE RUN AND $100 FOR THE EUREKA KAYAK RACE. - IN MAY 2021, CARLE EUREKA HOSPITAL COORDINATED AN EMPLOYEE FOOD DRIVE TO ASSEMBLE FOOD BOXES FOR FOOD INSECURE PATIENTS AND/OR VISITORS. THREE FOOD BOXES WERE DISTRIBUTED IN 2021. A BOX FILLED WITH NON-PERISHABLE FOOD WAS ALSO SET UP IN THE HOSPITAL CHAPEL. ANYONE IN NEED OF FOOD COULD TAKE ITEMS FROM THE BOX. - IN AUGUST 2021, A CARLE EUREKA HOSPITAL DIETITIAN PROVIDED NUTRITION INFORMATION AT EUREKA COLLEGE'S WELCOME WEEK EVENT TO ASSIST STUDENTS IN EATING WELL IN DINING HALLS. - THE COMMUNITY HEALTH DIRECTOR FOR CARLE BROMENN MEDICAL CENTER AND CARLE EUREKA HOSPITAL AND A CARLE EUREKA HOSPITAL DIETITIAN SERVED ON THE PFHC HEALTHY EATING/ACTIVE LIVING PRIORITY ACTION TEAM AND/OR ONE OF THE SUBCOMMITTEES. THEY ALSO PARTICIPATED IN THE ENDING THE HUNGER TRI-COUNTY COLLABORATION. - PLANS TO OFFER HEALTHY COOKING CLASSES AT THE HOSPITAL FOR THE 2020 - 2022 IMPLEMENTATION STRATEGY TIMEFRAME WERE PUT ON HOLD INDEFINITELY DUE TO THE PANDEMIC. CLASSES WERE GOING TO BE HELD IN PARTNERSHIP WITH THE UNIVERSITY OF ILLINOIS EXTENSION. INTERVENTIONS FOR HEALTHY EATING/ACTIVE LIVING OUTLINED IN THE PLAN CAN BE VIEWED AT: HTTPS://CARLE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS HEALTH NEEDS NOT SELECTED THE HOSPITAL CHNA TEAM DID NOT SELECT CANCER AS A SIGNIFICANT HEALTH NEED AND ELECTED TO FOCUS ON JUST TWO SIGNIFICANT HEALTH NEEDS INSTEAD, GIVEN ITS RESOURCES ARE LIMITED AS A CRITICAL ACCESS HOSPITAL. THE HOSPITAL WILL, HOWEVER, CONTINUE TO SUPPORT THE EFFORTS OF THE PFCH CANCER PRIORITY ACTION TEAM FOR THE TRI-COUNTY REGION. THE HOSPITAL CHNA TEAM ALSO DID NOT SELECT SUBSTANCE USE AS A SIGNIFICANT HEALTH NEED AS IT WANTED TO FOCUS THE HOSPITAL'S EFFORTS ON ONLY TWO SIGNIFICANT HEALTH NEEDS GIVEN ITS"

SCHEDULE H, PART VI
"FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA (PART I, LINE 3C) 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. EXPLANATION OF COSTING METHODOLOGY (PART I, LINE 7 AND PART III, LINE 2) TO COMPUTE AND CONVERT FINANCIAL ASSISTANCE, UNREIMBURSED MEDICAID, MEANS-TESTED PROGRAMS AND BAD DEBT CHARGES TO COST; A CONSISTENT GAAP (GENERALLY ACCEPTED ACCOUNTING PRINCIPLES) BASED COST-TO-CHARGE RATIO WAS USED ACROSS ALL PAYERS. ALTHOUGH THE METHODOLOGY WAS SIMILAR TO WORKSHEET #2, FOR SIMPLICITY PURPOSES CERTAIN IMMATERIAL VALUES WERE OMITTED. OTHER COMMUNITY BENEFITS COSTS WERE REPORTED AT THE ACTUAL EXPENSE INCURRED. PATIENT RECEIVABLE PAYMENTS AND RELATED DISCOUNTS WERE RECORDED AT ACTUAL AMOUNTS AT THE TIME OF PAYMENT RECEIPT. A SEPARATE GAAP BASED PROVISION FOR ESTIMATED BAD DEBTS AND DISCOUNTS WAS RECOGNIZED FOR ACCOUNTS IN PROCESS AND PENDING ADJUDICATION AND PAYMENT. THE ESTIMATED PORTION WAS BASED ON HISTORICAL TRENDS AND ADJUSTED TO ACTUAL WHEN ADJUDICATION AND PAYMENT OCCUR. ACCOUNTS DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE WERE PROCESSED IMMEDIATELY FOR FINANCIAL ASSISTANCE DISCOUNT WITH NO COLLECTION EFFORT. FOR ACCOUNTS WITH INSUFFICIENT INFORMATION AND DOCUMENTATION TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY, THE HOSPITAL CONSULTED WITH A VARIETY OF ALTERNATIVE SOURCES TO HELP DETERMINE AN INDIVIDUAL'S FINANCIAL MEANS (OR LACK OF MEANS) TO PAY. BASED ON RELATED TRENDS, THE HOSPITAL FURTHER DEVELOPED A GENERAL ESTIMATE OF FINANCIAL ASSISTANCE WHICH CONTINUED TO RESIDE WITHIN BAD DEBTS. BAD DEBT, MEDICARE, & COLLECTION PRACTICES (PART III, LINE 3) CARLE EUREKA HOSPITAL USES 50% AS A GENERAL ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. BAD DEBT FOOTNOTE (PART III, LINE 4) THE FOOTNOTES PERTAINING TO BAD DEBT EXPENSE CAN BE FOUND ON PAGE 28 OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENTS. EXPLANATION OF SURPLUS (PART III, LINE 7) Under the provisions of 305 ILCS 5/5-A the state of Illinois taxes hospitals to generate additional funding for the Medicaid program. These tax collections are submitted to the Federal government under a plan approved by the Center for Medicare and Medicaid Services (CMS) in order for the state to receive matching Medicaid funds. These funds are redistributed to hospitals via a combination of ""pass-through""directed payments"". The pass-through payments are fixed amounts while directed payments are tied to current Medicaid patient utilization and thus are ""at risk"" as those amounts are contingent on the number of Medicaid patients treated by a hospital. Hospitals are divided into three different groups with different allocation pools and criteria for each group. Eureka is in the ""Critical Access"" group which has a separate pool of funding for which payment is allocated based on patient days and outpatient claims. The annual pool amount for the Critical Access group increased 40% year over year from $28M in FY20 to $40M in FY21 in addition to increased outpatient volumes, so Eureka's reimbursement increased substantially year over year as a result. EXPLANATION OF MEDICARE COST REPORT COSTING METHODOLOGY (PART III, LINE 8) THE NUMERATOR (TOTAL EXPENSE) AND DENOMINATOR (TOTAL GROSS CHARGES) OF THE SIMPLE RATIO OF PATIENT CARE COST TO CHARGES IS ADJUSTED BY ELIMINATING NON-PATIENT CARE THAT GENERATES OTHER REVENUE, BAD DEBT EXPENSE, MEDICAID AND OTHER PROVIDER TAXES AND THE TOTAL COST OF COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS. ALSO, ANY GROSS PATIENT CHARGES FOR PROGRAMS NOT RELYING ON THE RATIO ARE ELIMINATED FROM BOTH THE NUMERATOR AND DENOMINATOR OF THE RATIO. THESE ADJUSTMENTS ARE 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. COLLECTION PRACTICES (PART III, LINE 9B) THE CARLE FINANCIAL ASSISTANCE PROGRAM (CFAP) PROVIDES DISCOUNTED OR FREE CARE TO THOSE WHO NEED IT WITHIN THE CARLE HEALTH SYSTEM, INCLUDING CARLE EUREKA HOSPITAL. NOT ONLY DOES THIS RESULT IN A MORE TIMELY APPLICATION PROCESS, BUT MOST IMPORTANTLY, IT MEANS PATIENTS RECEIVE THE SAME DISCOUNT AT THE HOSPITAL AND CLINICS IF THEY MIGHT NEED AN ADDITIONAL LEVEL OF SPECIALTY OR HOSPITAL CARE AT THE CARLE FOUNDATION HOSPITAL IN URBANA, ILLINOIS. WITH THIS PROGRAM, CARLE EUREKA HOSPITAL HAS A ROBUST PRESUMPTIVE ELIGIBILITY PROCESS. WE PRESUME ELIGIBILITY FOR VERIFIED HOMELESS, DECEASED WITH NO ESTATE, MENTAL INCAPACITATION, RECIPIENTS OF WIC (WOMEN, INFANTS AND CHILDREN NUTRITION PROGRAM), SNAP (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM), LIHEAP (LOW INCOME HOME ENERGY ASSISTANCE PROGRAM), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM, RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICE, FEDERALLY QUALIFIED HEALTH CLINIC (FQHC) DISCOUNT REFERRALS, MEDICAID TITLE XIX, XXI, AND IN-NETWORK MEDICAID MANAGED CARE PLANS. IN ADDITION, WE UTILIZE A VENDOR, EXPERIAN INFORMATION SOLUTIONS, INC., TO PROACTIVELY IDENTIFY PATIENTS WHO MAY BE PRESUMPTIVELY-QUALIFIED FOR ASSISTANCE - NOT ONLY FOR PUBLIC PROGRAMS LIKE MEDICAID, BUT ALSO BASED ON A NUMBER OF KEY FINANCIAL INDICATORS, INCLUDING CREDIT HISTORY, DEMOGRAPHICS AND GROSS INCOME. IDENTIFIED PATIENTS MAY BE PRESUMED ELIGIBLE AND AUTOMATICALLY ENROLLED IN THE PROGRAM, OR THEY MAY BE CONTACTED AND ENCOURAGED TO APPLY FOR ASSISTANCE. PATIENTS WHO ARE NOT DEEMED PRESUMPTIVELY-ELIGIBLE WOULD NEED TO REQUEST AND COMPLETE AN APPLICATION. IF THE PATIENT DOES NOT REQUEST OR COMPLETE AND RETURN THE APPLICATION, THEN THE BALANCE IS DEEMED THEIR RESPONSIBILITY TO PAY. FOR PATIENTS THAT DO NOT QUALIFY FOR CARLE FINANCIAL ASSISTANCE AND WHO MAY BE UNINSURED OR UNDERINSURED, CARLE EUREKA HOSPITAL HAS OTHER DISCOUNT OPTIONS AVAILABLE, SUCH AS PROMPT PAY, ILLINOIS UNINSURED DISCOUNT, AND CAPPED DISCOUNT - WHERE A PATIENT'S OUT-OF-POCKET MEDICAL EXPENSES ARE LIMITED TO 40% OF THEIR ANNUAL GROSS INCOME IF THEY EARN AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL. ONCE ALL APPLICABLE DISCOUNTS HAVE BEEN APPLIED, WE MAKE EVERY ATTEMPT TO WORK WITH THE PATIENT AND SET UP PAYMENT ARRANGEMENTS ON THE REMAINING BALANCE DUE. THE CURRENT MINIMUM IS 5% OF THE TOTAL BALANCE DUE OR $25.00 A MONTH. IF THEY CANNOT MEET THESE GUIDELINES, OUR IN-HOUSE BILLING STAFF MEMBERS WORK WITH THEM TO SET UP A TEMPORARY/SHORT TERM PAYMENT ARRANGEMENT UNTIL THEY CAN MAKE THE MINIMUM PAYMENT. IF THEY ARE UNABLE TO MAKE PAYMENT ON THE BALANCE DUE, THEN THE BALANCE MAY BE LISTED WITH AN OUTSIDE COLLECTION AGENCY. WHEN THE ACCOUNT IS STILL IN-HOUSE, THE MINIMUM NOTIFICATION IS MONTHLY ITEMIZED STATEMENTS. IF A PATIENT DOES NOT RESPOND, THE ACCOUNT IS GIVEN A FINAL NOTICE, EITHER BY LETTER OR PHONE, AND SENT TO AN OUTSIDE COLLECTION AGENCY. CARLE EUREKA HOSPITAL WILL NOT FILE COLLECTION SUIT LIENS ON A PRIMARY RESIDENCE, NOR DO WE AUTHORIZE AN AGENCY TO USE SO-CALLED ""BODY ATTACHMENTS."" THE AGENCIES ARE AWARE OF OUR CFAP AND HAVE BEEN ADVISED TO REFER THE PATIENTS BACK TO CARLE IF THEY DEEM THE PATIENT IS UNABLE TO PAY. BILLING STAFF WILL THEN MAKE ONE MORE ATTEMPT TO WORK WITH THE PATIENT TO SEE IF HELP IS AVAILABLE. IF STAFF DETERMINES THAT THE PATIENT MIGHT QUALIFY, WE SEND THE PATIENT A CFAP APPLICATION AND INSTRUCT THE AGENCY TO PUT A HOLD ON THE ACCOUNT; THE AVERAGE HOLD IS 60 DAYS. IF THE PATIENT IS THEN APPROVED FOR DISCOUNTS AT 100% FOR FINANCIAL ASSISTANCE, THE BALANCE IS ADJUSTED AND THE ACCOUNT IS CLOSED WITH THE AGENCY. IF THE PATIENT IS APPROVED FOR LESS THAN 100%, THE ADJUSTMENTS ARE REPORTED TO THE AGENCY AND THE AGENCY WILL"

SCHEDULE H, PART VI, LINE 2
NEEDS ASSESSMENT CARLE EUREKA HOSPITAL USES EXISTING DATA, INFORMAL DISCUSSIONS, AND A COMPREHENSIVE QUALITATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO DETERMINE IF EXISTING PROGRAMS ARE ON TRACK; WHAT NEEDS TO BE ADDED, DELETED OR ENHANCED; AND WHERE OUR FOCUS NEEDED TO BE PLACED IN THE FUTURE. THE CHNA INCLUDED DISCUSSIONS WITH COMMUNITY LEADERS, INCLUDING HUMAN SERVICE AGENCY ADMINISTRATORS, PUBLIC HEALTH REPRESENTATIVES AND HOSPITAL LEADERSHIP. CARLE EUREKA HOSPITAL PRIMARILY ASSESSES HEALTHCARE NEEDS IN OUR COMMUNITY BY BEING A PART OF THE AFOREMENTIONED TRI-COUNTY COLLABORATIVE CHNA IN PARTNERSHIP WITH HEALTH DEPARTMENTS AND HOSPITALS IN PEORIA, TAZEWELL AND WOODFORD COUNTY. HOWEVER, CARLE EUREKA HOSPITAL IS ACUTELY AWARE OF THE NEED FOR ACCESS TO CARE, ESPECIALLY IN RURAL COUNTIES LIKE WOODFORD COUNTY, MAKING IT A MAINSTAY OF OUR COMMUNITY BENEFIT EFFORTS. WE HAVE A STRONG FINANCIAL ASSISTANCE PROGRAM BASED ON A PHILOSOPHY OF DOING THE RIGHT THING FOR THE COMMUNITY AND PATIENTS, BALANCED BY A CAREFUL STEWARDSHIP OF THE COMMUNITY'S RESOURCES. AS A TAX-EXEMPT ORGANIZATION, CARLE EUREKA HOSPITAL PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. CARLE HEALTH'S GENEROUS FINANCIAL ASSISTANCE PROGRAM HAS RESULTED IN OUR ABILITY TO REACH MANY PEOPLE OVER THE YEARS. TO ENSURE WE ARE ADDRESSING THE NEEDS OF THE COMMUNITY, THE FINANCE AND QUALITY COMMITTEES OF CARLE HEALTH'S BOARD OF TRUSTEES REVIEWS AND EVALUATES CHARITY CARE FIGURES ANNUALLY. WE DO NOT LIMIT THE AMOUNT OF FINANCIAL ASSISTANCE WE PROVIDE, AT THIS TIME. IN ADDITION TO CHARITY CARE, CARLE EUREKA HOSPITAL SUPPORTS A WIDE RANGE OF PROGRAMS AND SERVICES TO INCREASE COMMUNITY CAPACITY, HEALTH CARE WORK FORCE EXPANSION, AND SOCIAL SERVICES THAT PROVIDE COMPLEMENTARY HEALTHCARE-RELATED SERVICES. CARLE EUREKA HOSPITAL WILL CONTINUE WITH 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 HEALTH SYSTEM, THEREBY EXPANDING ACCESS/CAPACITY 4. PARTICIPATE IN POPULATION HEALTH INITIATIVES THAT ACTIVELY MANAGE THE HEALTH OF MEMBERS 5. PROMOTE PRESCRIPTION AFFORDABILITY AS A 340B PROVIDER. 6. ENHANCE ACCESS-RELATED INITIATIVES THAT WILL IMPROVE PATIENT ACCESS AND ABILITY TO INTERFACE MORE EFFICIENTLY FOR NEEDED SERVICES, I.E VIRTUAL VISITS

SCHEDULE H, PART VI, LINE 3
PATIENT EDUCATION FOR ELIGIBILITY FOR ASSISTANCE THE PRACTICE OF CARLE EUREKA HOSPITAL IS TO REVIEW EACH PATIENT'S FINANCIAL STATUS IN RELATION TO CARLE'S 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'S FINANCIAL ASSISTANCE PROGRAM, SUCH AS THE HOMELESS, WIC, SNAP (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM), MEDICAID, LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP), AND TOWNSHIP ASSISTANCE RECIPIENTS. CARLE EUREKA HOSPITAL HAS MADE A CONCERTED, CONTINUOUS EFFORT TO BE SURE THAT PEOPLE HAVE ACCESS TO INFORMATION THAT WILL HELP THEM WITH THEIR MEDICAL BILLS. THESE INCLUDE: - ADVERTISING THE CARLE FINANCIAL ASSISTANCE PROGRAM, USING PRINT, BILLBOARDS AND WEB; CONTINUED PRESENCE IN APPROPRIATE COMMUNITY PUBLICATIONS; AND ON-SITE VIA DISPLAYS THROUGHOUT THE HOSPITAL AND CLINICS - SIMPLIFIED APPLICATION FORM, INCLUDING A VERSION IN SPANISH, 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/BILLING/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 - MEETINGS WITH LOCAL LEGISLATORS TO HELP THEM ASSIST CONSTITUENTS WITH HEALTHCARE NEEDS, INCLUDING FINANCIAL ASSISTANCE

SCHEDULE H, PART VI, LINE 6
AFFILIATED HEALTH CARE SYSTEM IN JULY 2020, CARLE EUREKA HOSPITAL BECAME PART OF THE CARLE HEALTH SYSTEM. THOUGH CARLE EUREKA HOSPITAL FALLS UNDER THE UMBRELLA OF THE CARLE FOUNDATION, IT MAINTAINS A SEPARATE BOARD OF DIRECTORS AND SENIOR LEADERSHIP. WHILE CARLE EUREKA HOSPITAL'S CHNA AND COMMUNITY BENEFIT REPORTING IS SEPARATE FROM OTHER HOSPITALS IN THE HEALTH SYSTEM, IT FOLLOWS THE SAME GUIDELINES AND PRINCIPLES AS OTHER CARLE ENTITIES. CARLE EUREKA HOSPITAL'S STAFF IS INVOLVED IN THE CHNA AND IMPLEMENTATION PLAN, AND SERVE ON HUMAN SERVICES AGENCY BOARDS AND COMMITTEES TO PROVIDE SUPPORT TO HELP ADDRESS IDENTIFIED LOCAL COMMUNITY NEEDS.

SCHEDULE H, PART VI, LINE 7
STATE FILING OF COMMUNITY BENEFIT REPORT ILLINOIS

SCHEDULE H, PART VI, LINE 4
"DESCRIPTION OF THE COMMUNITY/POPULATION FOR THE PURPOSE OF THE 2017-2019 CHNA, ""COMMUNITY"" IS DEFINED AS WOODFORD COUNTY, ILLINOIS. ADVOCATE EUREKA HOSPITAL (CARLE EUREKA HOSPITAL AS OF JULY 1, 2020) IS THE ONLY HOSPITAL IN WOODFORD COUNTY, WHICH IS IN RURAL CENTRAL ILLINOIS. ALTHOUGH THE HOSPITAL PARTICIPATED IN THE 2019 TRI-COUNTY COLLABORATIVE, LED BY THE PARTNERSHIP FOR A HEALTHY COMMUNITY FOR THE THREE COUNTIES, FOR THE PURPOSE OF THE 2017-2019 ADVOCATE EUREKA HOSPITAL (CARLE EUREKA HOSPITAL AS OF JULY 1, 2020) CHNA, THE COMMUNITY IS DEFINED AS WOODFORD COUNTY. THE FOLLOWING TOWNS ARE IN WOODFORD COUNTY: BAY VIEW GARDENS, BENSON, CONGERVILLE, EL PASO, EUREKA, GERMANTOWN HILLS, GOODFIELD, KAPPA, LOWPOINT, METAMORA, MINONK, PANOLA, ROANOKE, SECOR, SPRING BAY AND WASHBURN. THE TOTAL POPULATION OF WOODFORD COUNTY IS 38,606 (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019). THE TOWN OF EUREKA HAS THE LARGEST POPULATION IN THE COUNTY WITH 6,735. THE POPULATION IN WOODFORD COUNTY DECREASED BY 0.15 PERCENT FROM 2010 TO 2019. SOCIAL DETERMINANTS OF HEALTH: SOCIONEEDS INDEX THE SOCIONEEDS INDEX IS A CONDUENT HEALTHY COMMUNITIES INSTITUTE INDICATOR THAT IS A MEASURE OF SOCIOECONOMIC NEED CORRELATED WITH POOR HEALTH OUTCOMES. THE INDEX IS CALCULATED FROM SIX INDICATORS, ONE EACH FROM THE FOLLOWING TOPICS: POVERTY, INCOME, UNEMPLOYMENT, OCCUPATION, EDUCATION AND LANGUAGE. THE INDICATORS ARE WEIGHTED TO MAXIMIZE THE CORRELATION OF THE INDEX WITH PREMATURE DEATH RATES AND PREVENTABLE HOSPITALIZATION RATES. ALL ZIP CODES, COUNTIES AND COUNTY EQUIVALENTS IN THE U.S. ARE GIVEN AN INDEX VALUE FROM 0 (LOW NEED) TO 100 (HIGH NEED). TO HELP IDENTIFY THE AREAS OF HIGHEST NEED WITHIN A DEFINED GEOGRAPHIC AREA, THE SELECTED ZIP CODES ARE RANKED FROM 1 (LOW NEED) TO 5 (HIGH NEED) BASED ON THEIR INDEX VALUE. THESE VALUES ARE SORTED FROM LOW TO HIGH AND DIVIDED INTO FIVE RANKS USING NATURAL BREAKS. WOODFORD COUNTY HAS FOUR COMMUNITIES THAT HAVE GREATER SOCIOECONOMIC NEEDS (RANKING OF A 4 OR 5) COMPARED TO OTHER COMMUNITIES IN THE COUNTY. THE COMMUNITIES WITH A RANKING OF 4 OR 5 ARE WASHBURN-61570 (5), SECOR-61771 (5), LOWPOINT-61545 (4) AND EL PASO-61738 (4). EL PASO IS LOCATED IN BOTH MCLEAN AND WOODFORD COUNTIES. IN ADDITION TO THE ABOVE ZIP CODES WITH A HIGH SOCIONEEDS RANKING, WOODFORD COUNTY HAS THREE ZIP CODES, WITH A LOW SOCIONEEDS RANKING. GOODFIELD-61742, GERMANTOWN HILLS-61548 AND ROANOKE-61561 ALL HAVE A SOCIONEEDS RANKING OF 1. DEMOGRAPHICS THE MEDIAN AGE IN WOODFORD COUNTY IS 40.4 YEARS WHICH IS HIGHER THAN THE MEDIAN AGE FOR ILLINOIS OF 38.5 YEARS. WOODFORD COUNTY IS EVENLY SPLIT IN POPULATION IN TERMS OF GENDER, WITH 49.7 PERCENT OF THE POPULATION BEING MALE AND 50.3 PERCENT BEING FEMALE. THE RACE/ETHNICITY OF THE COUNTY'S POPULATION IS 96.3 PERCENT WHITE, 2.13 PERCENT HISPANIC/LATINO, 0.73 PERCENT ASIAN, 0.69 PERCENT BLACK OR AFRICAN AMERICAN, 0.26 PERCENT AMERICAN INDIAN AND ALASKA NATIVE, AND 0.03 PERCENT NATIVE HAWAIIAN OR PACIFIC ISLANDER (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019). INCOME THE MEDIAN HOUSEHOLD INCOME IN WOODFORD COUNTY IS $72,597, WHICH IS HIGHER THAN THE ILLINOIS MEDIAN HOUSEHOLD INCOME OF $66,487. IN WOODFORD COUNTY, THE PERCENT OF PEOPLE LIVING BELOW THE POVERTY LEVEL IS 7.4 PERCENT. THE PERCENT OF CHILDREN LIVING BELOW THE POVERTY LEVEL IN WOODFORD COUNTY IS 11.8 PERCENT AND THE PERCENT OF INDIVIDUALS WITH DISABILITIES LIVING IN POVERTY IN WOODFORD COUNTY IS 24.6 PERCENT. EMPLOYMENT/EDUCATION THE PERCENT OF THE CIVILIAN LABOR FORCE OVER THE AGE OF 16 THAT IS UNEMPLOYED IN WOODFORD COUNTY IS 5.2 PERCENT, LOWER THAN ILLINOIS AT 6.7 PERCENT. THE THREE COMMON INDUSTRIES OF EMPLOYMENT ARE MANUFACTURING AT 16.6 PERCENT, HEALTHCARE AT 12.9 PERCENT AND RETAIL TRADE AT 11.5 PERCENT. AS FAR AS LEVEL OF EDUCATION, NINETY-FOUR PERCENT OF THE POPULATION OVER THE AGE OF 25 IN WOODFORD COUNTY POSSESSES A HIGH SCHOOL DIPLOMA OR HIGHER AND 21.7 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER. EUREKA COLLEGE, A SMALL LIBERAL ARTS COLLEGE, IS IN WOODFORD COUNTY. THE FOUR-YEAR HIGH SCHOOL GRADUATION RATE FOR WOODFORD COUNTY IS 92 PERCENT. ACCORDING TO THE TRI-COUNTY COMMUNITY HEALTH SURVEY, EIGHTY-ONE PERCENT OF WOODFORD COUNTY SURVEY RESPONDENTS REPORTED HAVING PRIVATE INSURANCE, FOLLOWED BY 16 PERCENT HAVING MEDICAID AND 11 PERCENT HAVING MEDICARE. THREE PERCENT OF SURVEY RESPONDENTS REPORTED NOT HAVING ANY INSURANCE. ACCORDING TO THE HEALTH RESOURCES AND SERVICES ADMINISTRATION WEBSITE; HTTPS://DATA.HRSA.GOV/TOOLS/SHORTAGE-AREA/MUA-FIND. WOODFORD COUNTY DOES NOT HAVE AN INDEX OF MEDICAL UNDERSERVICE (IMU) SCORE INDICATING THAT THERE ARE NOT ANY MEDICALLY UNDERSERVED AREAS IN THE COUNTY. HEALTH CARE RESOURCES IN THE DEFINED COMMUNITY WOODFORD COUNTY HAS A CRITICAL ACCESS HOSPITAL, CARLE EUREKA HOSPITAL. ADDITIONAL RESOURCES IN THE COUNTY ARE THE WOODFORD COUNTY PUBLIC HEALTH DEPARTMENT AND HEART HOUSE/SHELTER; A COMMUNITY ORGANIZATION."

SCHEDULE H, PART VI, LINE 5
"PROMOTION OF COMMUNITY HEALTH CARLE EUREKA HOSPITAL'S DEDICATION TO PROMOTING THE HEALTH OF THE COMMUNITY IS EXEMPLIFIED IN NUMEROUS WAYS. THE CARLE BROMENN MEDICAL CENTER AND CARLE EUREKA HOSPITAL GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SEVENTY-ONE PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES. CARLE EUREKA HOSPITAL IS A 25-BED FACILITY THAT HAS SERVED AND CARED FOR THE PEOPLE OF WOODFORD COUNTY AND THE SURROUNDING AREA SINCE 1901. CARLE EUREKA HOSPITAL IS THE ONLY HOSPITAL IN WOODFORD COUNTY AND IS A CRITICAL ACCESS HOSPITAL AS CERTIFIED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. BY FUNCTIONING IN THIS CAPACITY, THE HOSPITAL PLAYS A VITAL ROLE IN SERVING THE HEALTH NEEDS OF A PRIMARILY RURAL AREA. COMMUNITY RESIDENTS BENEFIT FROM HAVING ACCESS TO CARE CLOSE TO HOME AS PROVIDED BY A DEDICATED GROUP OF PRIMARY CARE AND SPECIALTY PHYSICIANS. CARLE EUREKA HOSPITAL HOLDS MANY CLINICS TO INCREASE ACCESS TO CARE BY SPECIALISTS. THE CLINICS HELD INCLUDE PODIATRY, CARDIOLOGY, ONCOLOGY, SURGERY, UROLOGY, PULMONOLOGY, GASTROENTEROLOGY, MENTAL HEALTH AND DERMATOLOGY. IF THE PATIENT'S CONDITION REQUIRES A HIGHER LEVEL OF CARE, CARLE EUREKA HOSPITAL IS AVAILABLE TO STABILIZE THE CONDITION AND SEAMLESSLY TRANSITION THE PATIENT TO ANOTHER FACILITY. A CHERISHED COMMUNITY INSTITUTION, CARLE EUREKA HOSPITAL HAS SET NEW STANDARDS FOR WHAT A RURAL HOSPITAL CAN ACCOMPLISH. WHILE PATIENTS APPRECIATE THE SMALL-TOWN TOUCH OF ONE-ON-ONE CARE, THEY ALSO KNOW THAT IT IS BACKED BY SERVICES AND TECHNOLOGY TYPICALLY UNAVAILABLE AT A SMALL HOSPITAL. EMERGENCY CARE, INPATIENT AND OUTPATIENT SURGERIES, REHABILITATION AND ADVANCED RADIOLOGY ARE ONLY A FEW OF THE SERVICES OFFERED. THESE SERVICES ARE PROVIDED BY A SKILLED AND CARING STAFF THAT HAS WON NUMEROUS AWARDS FOR PATIENT SATISFACTION. IN ADDITION TO BEING A CRITICAL ACCESS HOSPITAL, CARLE EUREKA HOSPITAL HELPED TO PROMOTE THE HEALTH OF THE COMMUNITY IN THE FOLLOWING WAYS: - MEMBERS OF THE HOSPITAL'S EXECUTIVE OR LEADERSHIP TEAM PROVIDED IN-KIND SUPPORT BY SERVING ON MULTIPLE COMMUNITY BOARDS OR COMMITTEES THAT HELP EITHER DIRECTLY OR INDIRECTLY IMPROVE THE HEALTH OF THE COMMUNITY, SUCH AS THE WOODFORD COUNTY BOARD OF HEALTH, EUREKA BUSINESS ASSOCIATION, WOODFORD COUNTY EMERGENCY MANAGEMENT SERVICES, REGIONAL HEALTHCARE COORDINATION, MAPLE LAWN HOMES (RETIREMENT COMMUNITY), KIWANIS AND THE ROTARY CLUB. - IN THE FALL OF 2021, TWO CARLE MCLEAN COUNTY ORTHOPEDIC PHYSICIANS AND ONE ADVANCED PRACTICE PROVIDER BEGAN OFFERING A PAIN CLINIC AND AN ORTHOPEDIC CLINIC AT CARLE EUREKA HOSPITAL INCREASING THE SERVICES AVAILABLE TO COMMUNITY MEMBERS IN WOODFORD COUNTY. - IN DECEMBER 2021, A CARLE MCLEAN COUNTY ORTHOPEDIC SURGEON BEGAN OFFERING JOINT REPLACEMENT SURGERIES IN ADDITION TO NUMEROUS OTHER ORTHOPEDIC PROCEDURES AT THE HOSPITAL. IN JULY 2021, THE HOSPITAL RECEIVED A RURAL HEALTH CLINIC VACCINE GRANT IN THE AMOUNT OF $148,587 FROM THE HEALTH RESOURCES AND SERVICE ADMINISTRATION. GRANT FUNDS WERE UTILIZED FOR A COMPREHENSIVE MARKETING CAMPAIGN CONSISTING OF DIRECT MAIL FLYERS, BILLBOARDS, PRINT ADVERTISEMENTS, SOCIAL MEDIA MESSAGING, AND TV ADVERTISEMENTS. MESSAGING CONSISTED OF COVID-19 AND INFLUENZA VACCINE EFFECTIVENESS AND SAFETY, AND INFORMATION TO DISPROVE COMMON VACCINE FALSEHOODS/INACCURACIES. - IN 2021, CARLE EUREKA HOSPITAL RECEIVED A $256,978 GRANT FROM THE AMERICAN RESCUE PLAN FOR SHIP COVID TESTING AND MITIGATIONS. A PORTION OF THE GRANT WAS SPENT IN 2021 TO PURCHASE AN ULTRAVIOLET DISINFECTING ROBOT AND FOR A MODULE TO PROVIDE COVID-19 PCR LABORATORY TESTING AT THE HOSPITAL AND RAPID COVID-19 LABORATORY TESTING TO THE EMERGENCY ROOM AND ON-SITE CONVENIENT CARE. THE ADDITIONS OF THE ABOVE EQUIPMENT AND TESTING INCREASED PATIENT SAFETY, ACCESS, AND TIMELINESS OF COVID-19 TESTING FOR THE COMMUNITY. - IN 2021, CARLE EUREKA HOSPITAL'S THREE RURAL HEALTH CLINICS EACH RECEIVED $100,000 FROM HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) FOR COVID-19 TESTING AND MITIGATION. NEW FREEZERS TO STORE VACCINES, PORTABLE HEPA FILTERS AND NEW VINYL FURNITURE THAT IS WASHABLE WAS PURCHASED FOR THE RURAL HEALTH CLINICS FROM THIS GRANT. - THE RURAL HEALTH CLINICS ALSO PROVIDED 3,576 COVID-19 VACCINATIONS TO PATIENTS FROM JANUARY - DECEMBER, 2021. - IN 2021, CARLE EUREKA HOSPITAL CONVERTED ITS ELECTRONIC MEDICAL RECORD SYSTEM TO EPIC. THE CONVERSION IMPROVED COMMUNICATION AND INFORMATION ABOUT A PATIENT, NOT ONLY BETWEEN CARLE EUREKA HOSPITAL AND THE RURAL HEALTH CLINICS, BUT ALSO WITH OTHER HEALTH SYSTEMS. THE FUNCTIONALITY OF EPIC IMPROVED COMMUNICATION OF PATIENT'S MEDICAL RECORDS AND REDUCED DUPLICATE TESTING WHICH IMPROVED TIMELINESS AND QUALITY OF CARE. THE CONVERSION ALSO ALLOWS FOR PATIENTS TO VIEW MORE OF THEIR MEDICAL INFORMATION IN ONE PLACE VIA MYCHART. - IN 2021, A NEW PHYSICIAN WAS HIRED FOR THE EL PASO RURAL HEALTH CLINIC. THE CLINIC HAD BEEN WITHOUT A PHYSICIAN FOR A FEW YEARS. - IN 2021, CARLE HEALTH LAUNCHED AN INTERACTIVE CHATBOT TO ASSIST PATIENTS AND COMMUNITY MEMBERS IN DETERMINING WHEN AND WHERE THEY CAN GET THE COVID-19 VACCINE. - IN 2021, THE CHIEF NURSING OFFICER FOR CARLE BROMENN MEDICAL CENTER AND CARLE EUREKA HOSPITAL WAS A SPEAKER FOR AN INTERNATIONAL SEMINAR SERIES EVENT TITLED, ""COVID-19: MANAGING LOCALLY A GLOBAL PANDEMIC."