TY 2024 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) ANDREA KANE MD...................................................................... VICE CHAIR	0.1 ................. 41.4	X	X		509,394	58,712
(2) CHARLES DENNIS...................................................................... SECRETARY/TREASURER	0.1 ................. 39.9	X	X		149,771	945
(3) RON GREENE...................................................................... CHAIR	0.4 ................. 0.8	X	X		0	0
(4) BRANDON BRESSNER...................................................................... BOARD MEMBER	0.1 ................. 1.3	X			0	0
(5) CHRISTOPHER HUGHES MD...................................................................... BOARD MEMBER // PHYSICIAN	40.0 ................. 0.0	X			513,331	58,450
(6) JEFFREY HOSCHEK MD...................................................................... BOARD MEMBER	1.0 ................. 2.0	X			0	0
(7) JENNIFER VANCE...................................................................... BOARD MEMBER	0.1 ................. 1.3	X			0	0
(8) JEROME OAKEY MD...................................................................... BOARD MEMBER // PHYSICIAN	38.0 ................. 2.0	X			1,191,412	59,394
(9) JUDY NEUBRANDER EDD FNP-BC...................................................................... BOARD MEMBER	0.1 ................. 0.9	X			0	0
(10) KATHY YODER DNP...................................................................... BOARD MEMBER	1.0 ................. 2.0	X			0	0
(11) SUE STRAYER MD...................................................................... BOARD MEMBER	1.0 ................. 2.0	X			0	0
(12) COLLEEN KANNADAY...................................................................... OFFICER - PRESIDENT, CARLE HEALTH - CENTRAL REGION	7.0 ................. 33.0		X		673,013	189,557
(13) DENNIS HESCH...................................................................... OFFICER - EVP, CHIEF FINANCE & STRATEGY OFFICER	1.0 ................. 39.0		X		1,175,111	332,566
(14) JAMES C LEONARD MD...................................................................... OFFICER - PRESIDENT & CEO	0.5 ................. 39.5		X		2,298,226	50,256
(15) MATTHEW KOLB JD MHA...................................................................... OFFICER - PRESIDENT, CARLE HEALTH REGIONS // EVP, CHIEF OPERATING OFFICER	1.0 ................. 39.0		X		1,418,629	333,703
(16) NAPOLEON KNIGHT MD MBA...................................................................... OFFICER - EVP, CHIEF MEDICAL OFFICER	1.0 ................. 39.0		X		1,091,552	41,194
(17) AMANDA SMITH...................................................................... VP, BROMENN & EUREKA AMBULATORY CARE	2.0 ................. 38.0			X	275,353	60,516

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) ANNA LAIBLE........................................................................ HOSPITAL ADMINISTRATOR	40.0 .......................0.0	X			233,046	0	32,601
(19) ARON KLEIN........................................................................ VP, PURCHASING & SUPPLY CHAIN	4.0 .......................36.0	X			0	349,051	88,072
(20) BROOK FISHER........................................................................ DIRECTOR, REVENUE CYCLE DENIALS	3.0 .......................37.0	X			0	172,634	43,126
(21) CALEB MILLER........................................................................ SVP, SURGICAL SERVICES & AMBULATORY CARE	1.0 .......................39.0	X			0	540,975	87,261
(22) JOHN WIELAND MD........................................................................ ASSOCIATE CHIEF MEDICAL OFFICER, BROMENN & EUREKA	1.0 .......................39.0	X			0	619,107	57,598
(23) LAUREN SCHMID MBA........................................................................ EVP, CHIEF HUMAN RESOURCES OFFICER	1.0 .......................39.0	X			0	878,588	105,168
(24) NICHOLAS CROMPTON........................................................................ VP, CONSTRUCTION & FACILITY SERVICES	1.0 .......................39.0	X			0	303,209	84,556
(25) BRANDON AHLERS........................................................................ ANESTHESIOLOGY MANAGER	40.0 .......................0.0		X		460,365	0	59,394
(26) JEFFREY LEMAN........................................................................ PHYSICIAN	40.0 .......................0.0		X		450,836	0	61,894
(27) JOHN KELL........................................................................ PHYSICIAN	40.0 .......................0.0		X		524,486	0	61,650
(28) NICHOLAS WEBER........................................................................ PHYSICIAN	40.0 .......................0.0		X		453,598	0	59,394
(29) SHANE FOGO........................................................................ PHYSICIAN	40.0 .......................0.0		X		472,908	0	58,712
(30) LAURIE ROUND........................................................................ FORMER KEY EMPLOYEE	0.0 .......................40.0			X	0	281,374	7,014
(31) URETZ OLIPHANT MD........................................................................ FORMER OFFICER	0.0 .......................40.0			X	0	131,034	7,632

(A) Name and business address	(B) Description of services	(C) Compensation
GE MEDICAL SYSTEMS INFO TECH 1 RESEARCH CIR BLDG K-1 NISKAYUNA,NY123091027	MEDICAL LABORATORY SERVICES	826,934
SHARED MEDICAL SERVICES 209 LIMESTONE PASS COTTAGE GROVE,WI53527	MEDICAL IMAGING SERVICES	148,144
GE HEALTHCARE 500 WEST MONROE ST CHICAGO,IL60661	MEDICAL TECHNOLOGY SERVICES	129,627
SENTRY DATA SYSTEMS INC 600 HILLSBORO BLVD STE 500 DEERFIELD BEACH,FL33441	MEDICAL TECHNOLOGY SERVICES	101,773

2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 4

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

Carle Eureka Hospital

Employer identification number

85-0688306

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2024

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

Name of the organization

Carle Eureka Hospital

Employer identification number

85-0688306

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization Carle Eureka Hospital

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization Carle Eureka Hospital		Employer identification number 85-0688306

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization Carle Eureka Hospital			Employer identification number 85-0688306
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Carle Eureka Hospital

Employer identification number

85-0688306

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2024

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2021	(b) 2022	(c) 2023	(d) 2024	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2024

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

15,495

Total. Add lines 1c through 1i ....................................................................................................

15,495

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	DUES & MEMBERSHIP FEES WERE PAID TO THE FOLLOWING ORGANIZATIONS A PORTION OF WHICH WAS ALLOCATED TO LOBBYING: -ILLINOIS HEALTH & HOSPITAL ASSOCIATION - $15,446 -American Academy of Physician Assistants - $34 - American Academy of Nurse Anesthesiology - $15

Schedule C (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

Carle Eureka Hospital

Employer identification number

85-0688306

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....
b	Buildings ....
c	Leasehold improvements
d	Equipment ....	4,302,253	1,920,571	2,381,682
e	Other .....	83,148	62,875	20,273
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				2,401,955

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Federal Income Taxes
ACCOUNTS PAYABLE - MEDICARE







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	0
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d	0
e	Add lines 2a through 2d .....................			2e	0
3	Subtract line 2e from line 1..................			3	0
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	0
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	0

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d	0
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	0
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b	0
c	Add lines 4a and 4b.....................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	0

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENTS RECOGNITION OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED OR RECORDED AS A LIABILITY AS OF DECEMBER 31, 2024 AND 2023.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public Inspection

Name of the organization

Carle Eureka Hospital

Employer identification number

85-0688306

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other %

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: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

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.

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"? . . . . . . . . . . . . .

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

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

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? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

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) . . .			321,728		321,728	1.085 %
b	Medicaid (from Worksheet 3, column a) . . . . .			3,361,015	2,342,005	1,019,010	3.437 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .					0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	3,682,743	2,342,005	1,340,738	4.522 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).			350,355	284,440	65,915	0.222 %
f	Health professions education (from Worksheet 5) . . .			63,671	0	63,671	0.215 %
g	Subsidized health services (from Worksheet 6) . . . .					0	0 %
h	Research (from Worksheet 7) .					0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .			8,889	0	8,889	0.030 %
j	Total. Other Benefits . .	0	0	422,915	284,440	138,475	0.467 %
k	Total. Add lines 7d and 7j .	0	0	4,105,658	2,626,445	1,479,213	4.989 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

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					0	0 %
2	Economic development			656		656	0.002 %
3	Community support					0	0 %
4	Environmental improvements					0	0 %
5	Leadership development and training for community members					0	0 %
6	Coalition building					0	0 %
7	Community health improvement advocacy					0	0 %
8	Workforce development					0	0 %
9	Other			1,314		1,314	0.004 %
10	Total	0	0	1,970	0	1,970	0.007 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

1,042,722

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. ......

521,361

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

Enter total revenue received from Medicare (including DSH and IME).....

17,633,690

Enter Medicare allowable costs of care relating to payments on line 5.....

15,473,375

Subtract line 6 from line 5. This is the surplus (or shortfall)........

2,160,315

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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 .........................

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) 2024

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)
1	CARLE EUREKA HOSPITAL 101 S MAJOR ST EUREKA,IL61530 https://carle.org/locations/carle-eureka-hospital 0006171	X	X	X	X

Schedule H (Form 990) 2024

Page 4

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)

	CARLE EUREKA 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):

Yes

Community Health Needs Assessment

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?........................

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...............

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......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

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 .................

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..................................

Yes

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. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): https://carle.org/about-us/community-health-needs-assessments

Other website (list url): https://healthyhoi.wildapricot.org/page-1075415

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 23

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): https://carle.org/about-us/community-health-needs-assessments

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

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) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	CARLE EUREKA HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.0%
and FPG family income limit for eligibility for discounted care of 400.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

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):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE SCHEDULE H, PART VI

The FAP application form was widely available on a website (list url):

SEE SCHEDULE H, PART VI

A plain language summary of the FAP was widely available on a website (list url):
SEE SCHEDULE H, PART VI

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	CARLE EUREKA HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	CARLE EUREKA HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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? ...............................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

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, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - CARLE EUREKA HOSPITAL. Carle Eureka Hospital participated in the Tri-County Community Health Needs Assessment (CHNA), a collaborative undertaking spearheaded by the Partnership for a Healthy Community (PFHC). The PFHC is a multi-sector community partnership working to improve population health in Woodford, Peoria and Tazewell County. An ad hoc committee within the PFHC facilitated the Tri-County PFHC CHNA. Members of the PFHC ad hoc CHNA collaborative team included Carle Eureka Hospital, OSF St. Francis Medical Center, UnityPoint Health - Central IL, including Methodist Medical Center of Illinois, Pekin Memorial Hospital and Proctor Hospital (part of Carle Health as of April 1, 2023), Hopedale Medical Complex, Woodford County Health Department, Peoria City/County Health Department, Tazewell County Health Department, Heart of Illinois United Way, Heartland Health Services and Bradley University. The goal of the PFHC ad hoc CHNA collaborative was to highlight the health needs of residents in the Tri-County region and effectively utilize resources and establish partnerships from the three counties to improve the health of the communities. The community health director for Carle BroMenn Medical Center and Carle Eureka Hospital serves on the PFHC board and was a member of the PFHC ad hoc CHNA collaborative team for the 2022 CHNA. Like other members of the PFHC, Carle Eureka Hospital used the Tri-County PFHC CHNA to prepare its 2022 CHNA report with a focus on Woodford County. For the 2022 CHNA, Carle Eureka Hospital participated in the priority setting process with the PFHC ad hoc CHNA collaborative. Three significant health needs were selected during the process by key community stakeholders at the May 24, 2022, prioritization meeting. Representatives from all three counties were in attendance. Participants included a broad cross-sector of representatives from organizations including healthcare, public health, social services, judiciary, policy, education, law enforcement, transportation, housing and economic development. The PFHC's 2022 CHNA was conducted using a mixed methodological approach. The main source of primary data came from the 2021 Tri-County Community Health Survey that was administered in the summer of 2021 to examine perceptions of community health issues, unhealthy behaviors, issues with quality of life, healthy behaviors and access to healthcare. Woodford County results indicated that 372 residents responded to the survey with 33 being from the at-risk population. The PFHC ad hoc CHNA collaborative team also examined data from a variety of secondary sources. At the May 24, 2022 PFHC prioritization meeting, the following criteria were considered by the PFHC ad hoc CHNA collaborative team, in conjunction with numerous community stakeholders: (1) magnitude of the issues, based on the percentage of the population impacted by the issue); (2) severity of the issues in terms of their relationship with morbidities and mortalities.; (3) potential impact through collaboration. Using a modified version of the Hanlon Method, the collaborative team and community stakeholders identified three significant health needs and considered them equal priorities: -Healthy Eating/Active Living: defined as active living, healthy eating and access to food and food insecurity -Mental Health: defined as depression, anxiety and suicide -Obesity: defined as overweight and obesity Following this selection for the PFHC CHNA, the CHNA team from Carle Eureka Hospital analyzed additional data for Woodford County and took into consideration available resources to determine how the hospital can make the most impact. On November 15, 2022, The Carle BroMenn Medical Center and Carle Eureka Hospital Governing Council reviewed and approved/adopted the Carle Eureka Hospital 2022 CHNA report and significant health needs followed by approval/adoption of the Carle Eureka Hospital Community Health Implementation Strategy Plan on March 8, 2023. The 2022 Carle Eureka Hospital CHNA was posted on the Carle Health webpage in November 2022 and contained an email for the community to provide feedback on the CHNA. Posting of the implementation strategy occurred in April 2023. As of December 31, 2024, there had been no feedback from the community on the 2022 CHNA, the 2023 - 2025 Carle Eureka Hospital Community Health Implementation Strategy Plan or the previous 2019 CHNA and its accompanying 2020-2022 implementation plan.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - CARLE EUREKA HOSPITAL. OSF HEALTHCARE SAINT FRANCIS MEDICAL CENTER, PEORIA, ILLINOIS PROCTOR HOSPITAL, PEORIA, ILLINOIS HOPEDALE MEDICAL COMPLEX, HOPEDALE, ILLINOIS PEKIN MEMORIAL HOSPITAL, PEKIN, ILLINOIS
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - CARLE EUREKA HOSPITAL. 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
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - CARLE EUREKA HOSPITAL. 2022 CHNA and 2023 - 2025 Implementation Plan Health Needs Selected In looking at the three PFHC CHNA priorities, Carle Eureka Hospital selected mental health as a priority. Additionally, the Carle Eureka Hospital team reviewed all six of the PFHC Tri-County CHNA health priorities (1) access to care, 2) cancer, 3) mental health, 4) substance use, 5) obesity and 6) healthy eating/active living and determined that access to care would be its second health priority. As a critical access hospital with limited resources, the Carle Eureka Hospital CHNA team felt that it could make a greater impact on improving the health of the community by focusing on access to care as a health priority. Access to care is a critical issue in rural counties and the hospital continually strives to improve the availability of health services to Woodford County residents. Mental Health From the three significant health needs selected by the PFHC ad hoc CHNA collaborative team, Carle Eureka Hospital's CHNA team selected mental health as a significant health need for Woodford County for several reasons. First, Woodford County residents that participated in the 2021 Tri-County Community Health Survey perceived mental health as the most important health issue in the community and 13 percent of Woodford County survey respondents reported that they did not have access to counseling in the last year when they needed it. Secondly, mental health was selected because the age-adjusted death rate due to suicide in Woodford County is in the worst 50th - 75th percentile range (yellow indicator) compared to other counties in the United States and does not meet the Healthy People 2030 target. Third, Carle Eureka Hospital's CHNA team selected mental health as a significant health need because some of the high Health Equity Needs ZIP codes - specifically Eureka ZIP code 61530, Washburn ZIP code 61570, Minonk ZIP code 61760 and Lowpoint ZIP code 61545 - had higher values than the county value and in comparison to other ZIP codes in Illinois for some of the age-adjusted emergency room and hospitalization rates; mental health, pediatric mental health and/or suicide and self-inflicted injury. Finally, the team selected mental health to maintain continuity in what has already been accomplished. Mental health was a health priority or significant health need for the 2013, 2016 and 2019 Carle Eureka Hospital CHNAs and significant strides towards increasing community members' knowledge of mental health issues and decreasing stigma related to mental health have been made. It is clear from community input and current data that continued efforts are needed to reduce the stigma associated with mental health and give further momentum to the efforts of improving mental health for county residents. Highlights for steps taken from January 1 - December 31, 2024 as a part of the 2023 - 2025 Carle Eureka Hospital Community Health Implementation Strategy Plan to address mental health are listed below. -In 2024, 29 Woodford County residents accessed counseling and psychiatric services provided by Trillium Place, an affiliate of Carle Health, onsite at Carle Eureka Hospital. At total of 161 service hours were provided. -The Community Health Director for Carle BroMenn Medical Center and Carle Eureka Hospital (Central Region) served on the Partnership for a Healthy Community (PFHC) Board and Mental Health Action Team in 2024. -The Carle Eureka Hospital Mental Health First Aid (MHFA) instructor served as the lead for the Partnership for a Healthy Community (PFHC) Tri-County MHFA Cadre/Collaborative and has assisted other counties in teaching numerous MHFA courses in their communities. -The Carle Eureka Hospital MHFA instructor and social worker served on the PFHC Tri-County mental health action team. -In 2024, the PFHC Tri-County MHFA Cadre, led by Carle Eureka Hospital, held 30 MHFA trainings, 14 adult MHFA trainings, 9 youth MHFA trainings, and seven population specific (four Fire/EMS, one higher education and two rural) trainings, for 479 community members. -In 2024, the Carle Eureka Hospital MHFA Instructor taught 11 of the PFHC Tri-County MHFA classes for approximately 191 community members. -In 2024, the PFHC Tri-County MHFA Cadre added two new members and continued offering a newsletter for instructors containing updates from the MHFA National Council and cadre specific information. -In 2024, the Carle Eureka Hospital MHFA Instructor and social worker gave a presentation to 18 women for the local Providing Educational Opportunities for Women (PEO) Chapter. The presentation was about MHFA and what it can offer. Access to Care Carle Eureka Hospital's CHNA team selected access to care as its second significant health need. The Carle Eureka Hospital CHNA team analyzed additional data for Woodford County and took into consideration available resources and the health needs, as brought forth by the PFHC ad hoc CHNA team, where the hospital could make the most impact. Carle Eureka Hospital's CHNA team selected access to care, one of the six PFHC health needs presented to community stakeholders at the prioritization meeting. As a critical access hospital with limited resources, the CHNA team felt that it could make the greatest impact on improving the health of the community by selecting access to care as the second health need alongside mental health. Access to care is a critical issue in rural counties and the hospital continually strives to improve the availability of health services to Woodford County residents. According to the 2021 Tri-County Community Health Survey, Woodford County residents perceived access to care as the second most important health need that impacts well-being. Eleven percent of Woodford County respondents reported that they were unable to access care in the past year when they needed it. In regard to screenings, the percentage of women aged 50 - 74 in Woodford County who have had a mammogram in the last two years does not meet the Healthy People 2030 target and Benson ZIP code 61516 and Minonk ZIP code 61760 are in the worst 25th percentile range (red indicator) compared to other ZIP codes in Illinois. The lowest percentages for cervical cancer screenings for ages 21 - 64 years occur in Washburn ZIP code 61570 and Lowpoint ZIP code 61545 which is in the worst 50th - 75th percentile range (yellow indicator) compared to other ZIP codes in Illinois. The percentage of individuals in Woodford County aged 50 - 75 years who have had either a fecal occult blood test in the past year, a sigmoidoscopy in the past five years AND a fecal occult blood test in the past three years, or a colonoscopy exam in the past ten years does not meet the Healthy People 2030 target. Better access to care could improve all of these statistics. Highlights for steps taken from January 1 - December 31, 2024 as a part of the 2023 - 2025 Carle Eureka Hospital Community Health Implementation Strategy Plan to address access to care are listed below. -As one of the eight hospitals in the Carle Health system, Carle Eureka Hospital contributed to the following system efforts in 2024: A. Hosted 12 Health Equity Grand Round sessions, with a total of 1,904 participants. Sessions were available to community members for continuing education credits. B. Delivered 15 weeks of anti-racism education to nurse leaders. The education was supported by a $20,000 grant from the American Nurses Association. C. Delivered 65 live DEI education sessions to Carle Health teams on topics like cultural humility, LGBTQ+ inclusive education, racism in healthcare and bias time out. D. Over 2,800 nurses completed education on caring for diverse hair types and textures. E. Carle Eureka Hospital was designated as a "high performer" on the 2024 Healthcare Equality Index, which is a nationwide designation of hospitals and healthcare facilities for LGBTQ+ inclusive healthcare practices. F. Carle Health leadership participated in over 4,000 hours of education through inclusive leadership forums; 102 leaders were Carle BroMenn Medical Center and Carle Eureka Hospital leaders accumulating 460 hours of education. G. Carle Health employees participated in 12 multicultural DEI forums for a total of 430 learning hours.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - CARLE EUREKA HOSPITAL (CONTINUED). -In 2024, Carle Health continued with the interventions below to increase access to care: A. Offered a charity care program and communicated the availability of that program. B. Participated in population health initiatives that actively manage the health of insurance members. C. Supported students in healthcare fields; Student nurses, APN's and/or Graduate Medical Education programs to grow number of future providers. D. Promoted prescription affordability as a 340B provider. E. Offered on-line scheduling, eCheck-in, communication with clinic staff and access to results through Carle My Chart. -In 2024, Carle Eureka Hospital added a new CT scanner. Th new CT scanner provides high-quality imaging to children and adults in and around Eureka with shorter exam times and lower levels of radiation. -In 2024, Carle Health launched YoMingo. YoMingo is a new app offered as an educational resource for new and expecting mothers. It has important information and answers to great everyday questions as well as the following: A. Information on topics like prenatal care, pregnancy, labor and childbirth, breastfeeding, newborn care, and parenting. B. Interactive maternity tools such as contraction timer, personal journal, feeding log and immunization log. C. Classes, videos and animations on multiple topics. D. Personalized content available in English, Spanish and 12 other languages. -In 2024, Carle Eureka Hospital added the following 17 new providers to the medical staff: 12 telemedicine radiologits, three hospitalist medicine physicians, one Interventional radiologist and one podiatrist. Interventions for the significant health needs outlined in the 2023-2025 Carle Eureka Hospital Community Health Implementation Strategy Plan can be viewed at: https://carle.org/about-us/community-health-needs-assessments Health Needs Not Selected Although Carle Eureka Hospital has focused many of its community health efforts on mental health and access to care, it also supports the PFHC's efforts related to obesity and healthy eating when possible. As mentioned above, a Carle Health leader is a member of the PFHC Board that supports the three Tri-County health priorities. On November 15, 2022, The Carle BroMenn Medical Center and Carle Eureka Hospital Governing Council (name changed to Carle Central Region Board in 2023) reviewed and approved/adopted the Carle Eureka Hospital 2022 CHNA report and significant health needs followed by approval/adoption of the Carle Eureka Hospital Community Health Implementation Strategy Plan on March 8, 2023. The 2022 Carle Eureka Hospital CHNA was posted on the Carle Health webpage in November 2022 and contained an email for the community to provide feedback on the CHNA. Posting of the implementation strategy occurred in April 2023. As of December 31, 2023 there had been no feedback from the community on the 2022 CHNA, the 2023 - 2025 Carle Eureka Hospital Community Health Implementation Strategy Plan or the previous 2019 CHNA and its accompanying 2020-2022 implementation plan.

Schedule H (Form 990) 2024

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?2
Name and address		Type of Facility (describe)
1	CARLE EUREKA POB 105 S MAJOR ST EUREKA,IL61530	RURAL HEALTH CLINIC
2	CARLE EL PASO 385 S ORANGE ST EL PASO,IL61738	RURAL HEALTH CLINIC
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2024

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 3 FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA	PATIENTS MAY REQUEST AND COMPLETE A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME, INCLUDING BEFORE CARE IS RECEIVED. PATIENTS ARE INFORMED ABOUT FINANCIAL ASSISTANCE ON MULTIPLE OCCASIONS THROUGHOUT THE COLLECTION PROCESS. IN ADDITION TO PATIENTS COMPLETING APPLICATIONS FOR OUR FINANCIAL ASSISTANCE PROGRAM, WE HAVE ROBUST PRESUMPTIVE ELIGIBILITY PROCESSES IN PLACE. WE HAVE PARTNERED WITH EXPERIAN INFORMATION SOLUTIONS, INC. TO HELP US IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON KEY FINANCIAL INDICATORS. THESE PATIENTS MAY BE APPROVED WITHOUT EVER COMPLETING AN APPLICATION OR EXPRESSING A NEED FOR FINANCIAL ASSISTANCE. IN ADDITION, WE PRESUME ELIGIBILITY FOR PATIENTS WHO ARE VERIFIED HOMELESS, DECEASED WITH NO ESTATE, MENTALLY INCAPACITATED, ELIGIBLE FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) OR WOMEN, INFANTS, AND CHILDREN NUTRITION PROGRAM (WIC), TOWNSHIP ASSISTANCE, LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM OR COVERED BY ILLINOIS MEDICAID.
Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE	HTTPS://CARLE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE	HTTPS://DEV-CMS.CARLE.ORG/GETMEDIA/ADCADB9A-2903-478C-A4A7-06BCF9DB10BC/358-0123-CFAPAPPLICATION.PDF
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	HTTPS://CARLE.ORG/GETMEDIA/F7608F63-CB1C-4EB5-8F0B-02F00EAFEC74/X0873-0223-CFAP-PLAINLANGUAGE-SUMMARY.PDF
Schedule H, Part I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE	SEE NARRATIVE FOR SCHEDULE H, PART III, LINE 2
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFITS REPORT	AS A CRITICAL ACCESS HOSPITAL, CARLE EUREKA HOSPITAL IS NOT REQUIRED TO FILE A STATE COMMUNITY BENEFIT REPORT WITH THE ILLINOIS ATTORNEY GENERAL.
Schedule H, Part II Community Building Activities	A team member from Carle Eureka Hospital regularly attends the Eureka Business Association (EBA) meetings as a representative of the hospital. Business updates related to the hospital are shared as well as community events such as blood drives held at the hospital for the community. Information about open positions is also shared. The Carle Eureka Hospital representative also participates in the annual Experience Eureka Event where community members buy tickets for $5 to visit several businesses around town to learn about the business and pick up a free goodie. Information about Carle Eureka Hospital's services and providers is also available.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	TO COMPUTE AND CONVERT FINANCIAL ASSISTANCE, UNREIMBURSED MEDICAID, MEANS-TESTED PROGRAMS AND BAD DEBT CHARGES TO COST; A CONSISTENT GAAP (GENERALLY ACCEPTED ACCOUNTING PRINCIPLES) BASED COST-TO-CHARGE RATIO WAS USED ACROSS ALL PAYERS. ALTHOUGH THE METHODOLOGY WAS SIMILAR TO WORKSHEET #2, FOR SIMPLICITY PURPOSES CERTAIN IMMATERIAL VALUES WERE OMITTED. OTHER COMMUNITY BENEFITS COSTS WERE REPORTED AT THE ACTUAL EXPENSE INCURRED. PATIENT RECEIVABLE PAYMENTS AND RELATED DISCOUNTS WERE RECORDED AT ACTUAL AMOUNTS AT THE TIME OF PAYMENT RECEIPT. A SEPARATE GAAP BASED PROVISION FOR ESTIMATED BAD DEBTS AND DISCOUNTS WAS RECOGNIZED FOR ACCOUNTS IN PROCESS AND PENDING ADJUDICATION AND PAYMENT. THE ESTIMATED PORTION WAS BASED ON HISTORICAL TRENDS AND ADJUSTED TO ACTUAL WHEN ADJUDICATION AND PAYMENT OCCUR. ACCOUNTS DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE WERE PROCESSED IMMEDIATELY FOR FINANCIAL ASSISTANCE DISCOUNT WITH NO COLLECTION EFFORT. FOR ACCOUNTS WITH INSUFFICIENT INFORMATION AND DOCUMENTATION TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY, THE HOSPITAL CONSULTED WITH A VARIETY OF ALTERNATIVE SOURCES TO HELP DETERMINE AN INDIVIDUAL'S FINANCIAL MEANS (OR LACK OF MEANS) TO PAY. BASED ON RELATED TRENDS, THE HOSPITAL FURTHER DEVELOPED A GENERAL ESTIMATE OF FINANCIAL ASSISTANCE WHICH CONTINUED TO RESIDE WITHIN BAD DEBTS. This narrative also pertains to Schedule H, Part I, Line 7 - Explanation of costing methodology used for calculating Line 7 Table
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	CARLE EUREKA HOSPITAL USES 50% AS A GENERAL ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0. PLEASE SEE SCHEDULE H, PART III, LINE 2 METHODOLOGY USED TO ESTIMATE BAD DEBT FOR 990 REPORTING PURPOSES.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE NUMERATOR (TOTAL EXPENSE) AND DENOMINATOR (TOTAL GROSS CHARGES) OF THE SIMPLE RATIO OF PATIENT CARE COST TO CHARGES IS ADJUSTED BY ELIMINATING NON-PATIENT CARE THAT GENERATES OTHER REVENUE, BAD DEBT EXPENSE, MEDICAID AND OTHER PROVIDER TAXES AND THE TOTAL COST OF COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS. ALSO, ANY GROSS PATIENT CHARGES FOR PROGRAMS NOT RELYING ON THE RATIO ARE ELIMINATED FROM BOTH THE NUMERATOR AND DENOMINATOR OF THE RATIO. THESE ADJUSTMENTS ARE INTENDED TO ELIMINATE ANY POTENTIAL FOR DOUBLE COUNTING OF COMMUNITY BENEFIT EXPENSES. THE RESULTANT RATIO ALIGNS WITH SCHEDULE H REQUIREMENTS. ILLINOIS LAW DEFINES GOVERNMENTAL-SPONSORED INDIGENT HEALTH CARE AS THE UNREIMBURSED COST OF MEDICARE, MEDICAID AND OTHER FEDERAL, STATE OR LOCAL INDIGENT CARE PROGRAMS. WHEN THERE IS A SHORTFALL, WE DO BELIEVE THIS IS A COMMUNITY BENEFIT BECAUSE, AS A HOSPITAL, WE ARE STEPPING UP TO CARRY THE BURDEN OF THE GOVERNMENT, ASSURING CARE TO SENIORS, AND THOSE LESS FORTUNATE DEMOGRAPHICS THAT HAVE EXPERIENCED INCREASING COSTS OVER THE PAST DECADE WHILE LIVING ON FIXED INCOMES.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	THE CARLE FINANCIAL ASSISTANCE PROGRAM (CFAP) PROVIDES DISCOUNTED OR FREE CARE TO THOSE WHO NEED IT WITHIN THE CARLE HEALTH SYSTEM, INCLUDING 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. WITH THIS PROGRAM, CARLE EUREKA HOSPITAL HAS A ROBUST PRESUMPTIVE ELIGIBILITY PROCESS. WE PRESUME ELIGIBILITY FOR VERIFIED HOMELESS, DECEASED WITH NO ESTATE, MENTAL INCAPACITATION, RECIPIENTS OF WIC (WOMEN, INFANTS AND CHILDREN NUTRITION PROGRAM), SNAP (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM), LIHEAP (LOW INCOME HOME ENERGY ASSISTANCE PROGRAM), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM, RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICE, FEDERALLY QUALIFIED HEALTH CLINIC (FQHC) DISCOUNT REFERRALS, MEDICAID TITLE XIX, XXI, AND IN-NETWORK MEDICAID MANAGED CARE PLANS. IN ADDITION, WE UTILIZE A VENDOR, EXPERIAN INFORMATION SOLUTIONS, INC., TO PROACTIVELY IDENTIFY PATIENTS WHO MAY BE PRESUMPTIVELY-QUALIFIED FOR ASSISTANCE - NOT ONLY FOR PUBLIC PROGRAMS LIKE MEDICAID, BUT ALSO BASED ON A NUMBER OF KEY FINANCIAL INDICATORS, INCLUDING CREDIT HISTORY, DEMOGRAPHICS AND GROSS INCOME. IDENTIFIED PATIENTS MAY BE PRESUMED ELIGIBLE AND AUTOMATICALLY ENROLLED IN THE PROGRAM, OR THEY MAY BE CONTACTED AND ENCOURAGED TO APPLY FOR ASSISTANCE. PATIENTS WHO ARE NOT DEEMED PRESUMPTIVELY ELIGIBLE WOULD NEED TO REQUEST AND COMPLETE AN APPLICATION. IF THE PATIENT DOES NOT REQUEST OR COMPLETE AND RETURN THE APPLICATION, THEN THE BALANCE IS DEEMED THEIR RESPONSIBILITY TO PAY. FOR PATIENTS THAT DO NOT QUALIFY FOR CARLE FINANCIAL ASSISTANCE AND WHO MAY BE UNINSURED OR UNDERINSURED, CARLE EUREKA HOSPITAL HAS OTHER DISCOUNT OPTIONS AVAILABLE, SUCH AS PROMPT PAY, ILLINOIS UNINSURED DISCOUNT, AND CAPPED DISCOUNT - WHERE A PATIENT'S OUT-OF-POCKET MEDICAL EXPENSES ARE LIMITED TO 40% OF THEIR ANNUAL GROSS INCOME IF THEY EARN AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL. ONCE ALL APPLICABLE DISCOUNTS HAVE BEEN APPLIED, WE MAKE EVERY ATTEMPT TO WORK WITH THE PATIENT AND SET UP PAYMENT ARRANGEMENTS ON THE REMAINING BALANCE DUE. THE CURRENT MINIMUM IS 5% OF THE TOTAL BALANCE DUE OR $25.00 A MONTH. IF THEY CANNOT MEET THESE GUIDELINES, OUR IN-HOUSE BILLING STAFF MEMBERS WORK WITH THEM TO SET UP A TEMPORARY/SHORT TERM PAYMENT ARRANGEMENT UNTIL THEY CAN MAKE THE MINIMUM PAYMENT. IF THEY ARE UNABLE TO MAKE PAYMENT ON THE BALANCE DUE, THEN THE BALANCE MAY BE LISTED WITH AN OUTSIDE COLLECTION AGENCY. WHEN THE ACCOUNT IS STILL IN-HOUSE, THE MINIMUM NOTIFICATION IS MONTHLY ITEMIZED STATEMENTS. IF A PATIENT DOES NOT RESPOND, THE ACCOUNT IS GIVEN A FINAL NOTICE, EITHER BY LETTER OR PHONE, AND SENT TO AN OUTSIDE COLLECTION AGENCY. CARLE EUREKA HOSPITAL WILL NOT FILE COLLECTION SUIT LIENS ON A PRIMARY RESIDENCE, NOR DO WE AUTHORIZE AN AGENCY TO USE SO-CALLED "BODY ATTACHMENTS." THE AGENCIES ARE AWARE OF OUR CFAP AND HAVE BEEN ADVISED TO REFER THE PATIENTS BACK TO CARLE IF THEY DEEM THE PATIENT IS UNABLE TO PAY. BILLING STAFF WILL THEN MAKE ONE MORE ATTEMPT TO WORK WITH THE PATIENT TO SEE IF HELP IS AVAILABLE. IF STAFF DETERMINES THAT THE PATIENT MIGHT QUALIFY, WE SEND THE PATIENT A CFAP APPLICATION AND INSTRUCT THE AGENCY TO PUT A HOLD ON THE ACCOUNT; THE AVERAGE HOLD IS 60 DAYS. IF THE PATIENT IS THEN APPROVED FOR DISCOUNTS AT 100% FOR FINANCIAL ASSISTANCE, THE BALANCE IS ADJUSTED AND THE ACCOUNT IS CLOSED WITH THE AGENCY. IF THE PATIENT IS APPROVED FOR LESS THAN 100%, THE ADJUSTMENTS ARE REPORTED TO THE AGENCY AND THE AGENCY WILL BEGIN COLLECTION EFFORTS ON ANY REMAINING BALANCE.
Schedule H, Part V, Section B, Line 16a FAP website	- CARLE EUREKA HOSPITAL: Line 16a URL: SEE SCHEDULE H, PART VI;
Schedule H, Part V, Section B, Line 16b FAP Application website	- CARLE EUREKA HOSPITAL: Line 16b URL: SEE SCHEDULE H, PART VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- CARLE EUREKA HOSPITAL: Line 16c URL: SEE SCHEDULE H, PART VI;
Schedule H, Part VI, Line 2 Needs assessment	Carle Eureka Hospital primarily assesses healthcare needs in the community by being a part of the aforementioned PFHC Tri-County collaborative CHNA in partnership with health departments and hospitals in Peoria, Tazewell and Woodford County. However, Carle Eureka Hospital is acutely aware of the need for access to care, especially in rural counties like Woodford County, making it a mainstay of our community benefit efforts. We have a strong financial assistance program based on a philosophy of doing the right thing for the community and patients, balanced by a careful stewardship of the community's resources. As a tax-exempt organization, Carle Eureka Hospital provides care to patients regardless of their ability to pay. Carle Health's generous financial assistance program has resulted in our ability to reach many people over the years. To ensure we are addressing the needs of the community, the finance and quality committees of Carle Health's board of trustees reviews and evaluates charity care figures annually. We do not limit the amount of financial assistance we provide at this time.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Carle Eureka Hospital'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 discount available. By expanding the presumptive eligibility screening processes and determining the financial status of patients up-front, Carle Health has been able to pinpoint those needing assistance early in the process, minimizing bad debt and optimizing our ability to help. Staff is also diligent in following up with patients during hospitalization and after discharge if there's any reason to believe the patient could benefit from financial assistance, and we auto-qualify certain patient populations for Carle Financial Assistance Program, such as the homeless, WIC, SNAP (Supplemental Nutrition Assistance Program), Medicaid, Low Income Home Energy Assistance Program (LIHEAP), and Township Assistance recipients. Communicating that Financial Assistance is Available Carle Health has made a concerted, continuous effort to be sure that people have access to information that will help them with their medical bills. These include: -Advertising Carle Financial Assistance Program 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/patients-visitors/financial-assistance -Information about the Carle Financial Assistance Program on all statements, collection letters and hospital admission packets -Carle Financial Assistance Program information and applications at all registration points, hospital main lobby and carle.org -Meetings with local legislators to help them assist constituents with healthcare needs, including financial assistance
Schedule H, Part VI, Line 4 Community information	Community Definition For the purpose of the 2022 Carle Eureka Hospital CHNA, "community" is defined as Woodford County, Illinois. Carle Eureka Hospital is the only hospital in Woodford County, which is located in rural central Illinois. Although the hospital participated in the 2022 Tri-County Collaborative, led by the Partnership for a Healthy Community for Woodford, Peoria and Tazewell County, for the purpose of the 2022 Carle Eureka Hospital Community Health Needs Assessment, the community is defined as Woodford County. The following towns are in Woodford County: Bay View Gardens, Benson, Congerville, El Paso, Eureka, Germantown Hills, Goodfield, Kappa, Lowpoint, Metamora, Minonk, Panola, Roanoke, Secor, Spring Bay and Washburn. County Health Ranking Woodford County ranks ninth out of 102 counties in Illinois. The lower the ranking, the better the health outcomes in the county (County Health Rankings, 2022). Population Woodford County consists of a total population of 38,584 (Conduent Healthy Communities Institute, Claritas, 2022). Metamora and Germantown Hills - ZIP code 61548, has the largest population in the county with 12,548 residents. The population in Woodford County decreased by 0.21 percent from 2010 to 2022 (Conduent Healthy Communities Institute, Claritas, 2022). Social Determinants of Health: Health Equity Index The Health Equity Index (formerly called the SocioNeeds Index) is a Conduent Healthy Communities Institute (HCI) tool that measures socioeconomic need, which is correlated with poor health outcomes. The index is part of the Conduent's SocioNeeds Index Suite, which provides analytics around social determinants of health to advance equitable outcomes for a range of topics. Conduent HCI's Health Equity Index considers validated indicators related to income, employment, education, and household environment to identify areas at highest risk for experiencing health inequities. The indicators are weighted to maximize the correlation of the index with premature death rates and preventable hospitalization rates. All ZIP codes, counties, and county equivalents in the United States are given an index value from 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. These ranks are used to color the map and chart for the Health Equity Index, with darker coloring associated with higher relative need. Woodford County has several communities that have a greater risk of experiencing health inequities or have a higher relative need compared to other communities in the county. Woodford County has two ZIP codes with a ranking of 5 and three ZIP codes with a ranking of 4, which represent the areas with the highest relative need in Woodford County. Demographics The median age in Woodford County is 41.0 years which is higher than the median age for Illinois of 39.2 years. The percent of the population in Woodford County that is male is 50 percent while 50 percent is female (Conduent Healthy Communities Institute, Claritas, 2022). The population by race for Woodford County is 96.15 percent White, 0.75 percent Black or African American, 0.84 percent Asian, 0.26 percent American Indian and Alaska Native and 0.05 percent Native Hawaiian or Pacific Islander (Conduent Healthy Communities Institute, Claritas, 2022). The average household size in Woodford County is 2.60 persons with 14,461 residents living as a part of a household. The percentage of single parent households in Woodford County is 22.2 percent. This is in the worst 50th - 75th percentile range (yellow indicator) in comparison to other counties in Illinois, is not statistically different from the prior value of 21 percent and is trending favorably in a statistically significant direction (Conduent Healthy Communities Institute, American Community Survey 5 Year, 2016 - 2020). The median household income in Woodford County is $83,856, which is higher than the Illinois median household income of $76,001 (Conduent Healthy Communities Institute, Claritas, 2022). The percent of people living below the poverty level in Woodford County is 5.9 percent (Conduent Healthy Communities Institute, American Community Survey, 2016 - 2020). This is in the best 0 - 50th percentile (green indicator) compared to other counties in Illinois, is lower than the Illinois value (12.0 percent) and is trending favorably in a statistically significant direction. The percentage of the civilian labor force over the age of 16 that is unemployed in Woodford County is 3.7 percent, lower than Illinois at 5.8 percent. The three most common industries of employment are manufacturing at 16.2 percent, healthcare at 13.5 percent and educational services at 10.4 percent (Conduent Healthy Communities Institute, Claritas, 2022). Ninety-five percent of the population over the age of 25 in Woodford County possess a high school diploma or higher and 21.7 percent have a bachelor's degree or higher (Conduent Healthy Communities Institute, Claritas, 2022). Eureka College, a small liberal arts college, is located in Woodford County. The percentage of residents with a bachelor's degree or higher is 33.8 percent. This is in the best 0 - 50th percentile range (green indicator) compared to other counties in Illinois (Conduent Healthy Communities Institute, American Community Survey 5 year, 2016 - 2020). Ninety-four percent of students in Woodford County graduate high school within four years of their first enrollment in ninth grade (Conduent Healthy Communities Institute, County Health Rankings, 2017 - 2018). This is in the best 0 - 50th percentile range (green indicator) when compared to other counties in Illinois, is higher than the Illinois value (85.4 percent), is trending favorably in a statistically significant direction and meets the Healthy People 2030 target of 90.7 percent. Health Care Coverage According to the 2021 Tri-County Community Health Survey, 62 percent of Woodford County survey respondents reported having private insurance, followed by seven percent having Medicaid and 26 percent having Medicare. Five percent of survey respondents reported not having insurance. This is an increase of two percent in comparison to the 2018 Tri-County Community Health Survey. Health Care Resources in the Defined Community The health care resources in Woodford County are listed below. Name of Facility / Type of Facility: Carle Eureka Hospital / Critical Access Hospital Woodford County Health Department / Health Clinic Heartline and Heart House / Community Organization
Schedule H, Part VI, Line 5 Promotion of community health	Carle Eureka Hospital's dedication to promoting the health of the community is exemplified in numerous ways. The Carle Central Region Board is comprised of local community leaders and physicians. Board members support hospital leadership in their pursuit of the hospital's goals, represent the community's interest to the hospital and serve as ambassadors in the community. Sixty-four percent of the current board members represent the community. In addition, the board grants medical staff privileges to qualified physicians in its community. Carle Eureka Hospital is a 25-bed facility that has served and cared for the people of Woodford County and the surrounding area since 1901. Carle Eureka Hospital is the only hospital in Woodford County and is a critical access hospital as certified by the Centers for Medicare and Medicaid Services. By functioning in this capacity, the hospital plays a vital role in serving the health needs of a primarily rural area. Community residents benefit from having access to care close to home as provided by a dedicated group of primary care and specialty physicians. Carle Eureka Hospital holds many clinics to increase access to care by specialists. The clinics held include podiatry, cardiology, oncology, surgery, urology, pulmonology, gastroenterology, mental health, orthopedics, pain management and dermatology. If the patient's condition requires a higher level of care, Carle Eureka Hospital is available to stabilize the condition and seamlessly transition the patient to another facility. A cherished community institution, Carle Eureka Hospital has set new standards for what a rural hospital can accomplish. While patients appreciate the small-town touch of one-on-one care, they also know that it is backed by services and technology typically unavailable at a small hospital. Emergency care, inpatient and outpatient surgeries, rehabilitation and advanced radiology are only a few of the services offered. These services are provided by a skilled and caring staff that has won numerous awards for patient satisfaction. In addition to being a critical access hospital, Carle Eureka Hospital helped to promote the health of the community and increased rural access to care 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, Woodford County Dementia Friendly Initiative, Eureka Business Association, Woodford County Emergency Management Services, Regional Healthcare Coordination, Maple Lawn Homes (retirement community), Kiwanis and the Rotary Club -In 2024, Carle Eureka Hospital sponsored the 28th Annual Race With Your Heart.
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, ITS SOLE MEMBER IS CARLE HEALTH - CENTRAL REGION, WHOSE BOARD OF DIRECTORS AND SENIOR LEADERSHIP PROVIDES GOVERNANCE OVERSIGHT TO CARLE EUREKA HOSPITAL. 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 (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

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Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

Carle Eureka Hospital

Employer identification number

85-0688306

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1URETZ OLIPHANT MD FORMER OFFICER	(i) (ii)	0 ------------- 124,529	0 ------------- 0	0 ------------- 6,505	0 ------------- 3,178	0 ------------- 4,454	0 ------------- 138,666	0 ------------- 0
2ANDREA KANE MD VICE CHAIR	(i) (ii)	0 ------------- 484,415	0 ------------- 21,956	0 ------------- 3,023	0 ------------- 27,678	0 ------------- 31,034	0 ------------- 568,106	0 ------------- 0
3CHARLES DENNIS SECRETARY/TREASURER	(i) (ii)	0 ------------- 2,165	0 ------------- 0	0 ------------- 147,606	0 ------------- 60	0 ------------- 885	0 ------------- 150,716	0 ------------- 147,321
4JEROME OAKEY MD BOARD MEMBER // PHYSICIAN	(i) (ii)	0 ------------- 1,101,586	0 ------------- 64,463	0 ------------- 25,363	0 ------------- 27,678	0 ------------- 31,716	0 ------------- 1,250,806	0 ------------- 0
5CHRISTOPHER HUGHES MD BOARD MEMBER // PHYSICIAN	(i) (ii)	0 ------------- 471,202	0 ------------- 25,498	0 ------------- 16,631	0 ------------- 27,678	0 ------------- 30,772	0 ------------- 571,781	0 ------------- 14,062
6JAMES C LEONARD MD OFFICER - PRESIDENT & CEO	(i) (ii)	0 ------------- 1,805,832	0 ------------- 0	0 ------------- 492,394	0 ------------- 27,678	0 ------------- 22,578	0 ------------- 2,348,482	0 ------------- 462,357
7MATTHEW KOLB JD MHA OFFICER - PRESIDENT, CARLE HEALTH REGIONS // EVP, CHIEF OPERATING OFFICER	(i) (ii)	0 ------------- 1,119,849	0 ------------- 0	0 ------------- 298,780	0 ------------- 302,587	0 ------------- 31,116	0 ------------- 1,752,332	0 ------------- 269,019
8DENNIS HESCH OFFICER - EVP, CHIEF FINANCE & STRATEGY OFFICER	(i) (ii)	0 ------------- 1,145,424	0 ------------- 0	0 ------------- 29,687	0 ------------- 306,265	0 ------------- 26,301	0 ------------- 1,507,677	0 ------------- 0
9NAPOLEON KNIGHT MD MBA OFFICER - EVP, CHIEF MEDICAL OFFICER	(i) (ii)	0 ------------- 832,803	0 ------------- 0	0 ------------- 258,749	0 ------------- 27,678	0 ------------- 13,516	0 ------------- 1,132,746	0 ------------- 229,062
10COLLEEN KANNADAY OFFICER - PRESIDENT, CARLE HEALTH - CENTRAL REGION	(i) (ii)	0 ------------- 645,178	0 ------------- 0	0 ------------- 27,835	0 ------------- 157,235	0 ------------- 32,322	0 ------------- 862,570	0 ------------- 0
11LAURIE ROUND FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 11,394	0 ------------- 0	0 ------------- 269,980	0 ------------- 6,126	0 ------------- 888	0 ------------- 288,388	0 ------------- 79,356
12LAUREN SCHMID MBA EVP, CHIEF HUMAN RESOURCES OFFICER	(i) (ii)	0 ------------- 711,410	0 ------------- 0	0 ------------- 167,178	0 ------------- 74,631	0 ------------- 30,537	0 ------------- 983,756	0 ------------- 137,552
13JOHN WIELAND MD ASSOCIATE CHIEF MEDICAL OFFICER, BROMENN & EUREKA	(i) (ii)	0 ------------- 568,791	0 ------------- 25,000	0 ------------- 25,316	0 ------------- 27,678	0 ------------- 29,920	0 ------------- 676,705	0 ------------- 0
14CALEB MILLER SVP, SURGICAL SERVICES & AMBULATORY CARE	(i) (ii)	0 ------------- 438,377	0 ------------- 0	0 ------------- 102,598	0 ------------- 56,043	0 ------------- 31,218	0 ------------- 628,236	0 ------------- 74,056
15ARON KLEIN VP, PURCHASING & SUPPLY CHAIN	(i) (ii)	0 ------------- 346,552	0 ------------- 0	0 ------------- 2,499	0 ------------- 57,535	0 ------------- 30,537	0 ------------- 437,123	0 ------------- 0
16NICHOLAS CROMPTON VP, CONSTRUCTION & FACILITY SERVICES	(i) (ii)	0 ------------- 299,356	0 ------------- 0	0 ------------- 3,853	0 ------------- 50,322	0 ------------- 34,234	0 ------------- 387,765	0 ------------- 0
17AMANDA SMITH VP, BROMENN & EUREKA AMBULATORY CARE	(i) (ii)	0 ------------- 273,265	0 ------------- 0	0 ------------- 2,088	0 ------------- 41,897	0 ------------- 18,619	0 ------------- 335,869	0 ------------- 0
18ANNA LAIBLE HOSPITAL ADMINISTRATOR	(i) (ii)	222,495 ------------- 0	0 ------------- 0	10,551 ------------- 0	14,771 ------------- 0	17,830 ------------- 0	265,647 ------------- 0	0 ------------- 0
19BROOK FISHER DIRECTOR, REVENUE CYCLE DENIALS	(i) (ii)	0 ------------- 165,259	0 ------------- 0	0 ------------- 7,375	0 ------------- 10,854	0 ------------- 32,272	0 ------------- 215,760	0 ------------- 0
20JOHN KELL PHYSICIAN	(i) (ii)	522,273 ------------- 0	0 ------------- 0	2,213 ------------- 0	27,678 ------------- 0	33,972 ------------- 0	586,136 ------------- 0	0 ------------- 0
21SHANE FOGO PHYSICIAN	(i) (ii)	445,120 ------------- 0	19,593 ------------- 0	8,195 ------------- 0	27,678 ------------- 0	31,034 ------------- 0	531,620 ------------- 0	5,445 ------------- 0
22BRANDON AHLERS ANESTHESIOLOGY MANAGER	(i) (ii)	447,500 ------------- 0	0 ------------- 0	12,865 ------------- 0	27,678 ------------- 0	31,716 ------------- 0	519,759 ------------- 0	0 ------------- 0
23NICHOLAS WEBER PHYSICIAN	(i) (ii)	404,554 ------------- 0	24,000 ------------- 0	25,044 ------------- 0	27,678 ------------- 0	31,716 ------------- 0	512,992 ------------- 0	0 ------------- 0
24JEFFREY LEMAN PHYSICIAN	(i) (ii)	448,856 ------------- 0	0 ------------- 0	1,980 ------------- 0	27,678 ------------- 0	34,216 ------------- 0	512,730 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	THE GOVERNING BOARD OF THE CARLE FOUNDATION, THE SYSTEM PARENT ORGANIZATION OF CARLE EUREKA HOSPITAL, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY. -THE COMMITTEE IS COMPRISED OF MEMBERS OF THE GOVERNING BOARD WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT, HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS, ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED, AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. -THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. -THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. -THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR, WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4a Severance or change-of-control payment	SCHEDULE J, PART I, LINE 4A - SEVERANCE OR CHANGE-OF-CONTROL PAYMENT IN 2024 SEVERANCE PAYMENTS WERE PAID TO LAURIE ROUND ($189,462).
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	THE 2024 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE SYSTEM PARENT ORGANIZATION OF CARLE EUREKA HOSPITAL, THAT ARE LISTED IN THE 990 PART VII INCLUDE DENNIS HESCH, COLLEEN KANNADAY, MATTHEW KOLB, JD, MHA, JAMES C. LEONARD, MD, LAUREN SCHMID, MBA, NAPOLEON KNIGHT, MD, MBA, NICHOLAS CROMPTON, CALEB MILLER, CHARLES DENNIS, CHRISTOPHER HUGHES, MD, SHANE FOGO, NICHOLAS WEBER, JOHN WIELAND, MD, JEROME OAKEY, MD, LAURIE ROUND AND URETZ OLIPHANT, MD. IN 2024, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO MATTHEW KOLB, JD, MHA ($269,019), JAMES C. LEONARD, MD ($462,357), LAUREN SCHMID, MBA ($137,552), CALEB MILLER ($74,056), CHRISTOPHER HUGHES, MD ($14,062), NAPOLEON KNIGHT, MD, MBA ($229,062), CHARLES DENNIS ($147,321), LAURIE ROUND ($79,356) AND SHANE FOGO ($5,445).
Schedule J, Part I, Line 7 Non-fixed payments	PART OF THE CARLE HEALTH SYSTEM'S PAYMENT STRUCTURE INCLUDES NON-FIXED PAYMENTS, SPECIFICALLY THOSE THAT ARE INCENTIVE COMPONENTS WHICH ARE DESIGNED TO ENCOURAGE AND PROMOTE ACHIEVEMENT OF CERTAIN QUALITY, OPERATIONAL AND EFFICIENCY IMPROVEMENTS, AS WELL AS, ENCOURAGE LONGEVITY OF EMPLOYMENT. CERTAIN NON-FIXED PAYMENTS ARE BASED ON THE ORGANIZATION MEETING CERTAIN FINANCIAL PERFORMANCE AND QUALITY METRICS, AND MUST BE APPROVED BY THE BOARD OF DIRECTORS. OTHER NON-FIXED PAYMENTS ARE SET BASED ON LONGEVITY OF SERVICE.

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

Carle Eureka Hospital

Employer identification number

85-0688306

Return Reference	Explanation
Form 990, Part VI, Line 15 15A & 15B - PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	CARLE EUREKA HOSPITAL DOES NOT COMPENSATE ITS OFFICERS. EMPLOYEE COMPENSATION FOR THESE INDIVIDUALS IS PAID BY THE SYSTEM PARENT ORGANIZATION, THE CARLE FOUNDATION. THE GOVERNING BOARD OF THE CARLE FOUNDATION, THE SYSTEM PARENT ORGANIZATION OF CARLE EUREKA HOSPITAL THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: -THE COMMITTEE IS COMPRISED OF MEMBERS OF THE GOVERNING BOARD; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. -THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. -THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. -THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR, WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	JAMES C. LEONARD, MD (OFFICER), MATTHEW KOLB, JD, MHA (OFFICER), AND NAPOLEON KNIGHT, MD, MBA (OFFICER) - Business relationship, JAMES C. LEONARD, MD (OFFICER) AND URETZ OLIPHANT, MD (FORMER OFFICER) - Business relationship, JAMES C. LEONARD, MD (OFFICER) AND NAPOLEON KNIGHT, MD, MBA (OFFICER) - Business relationship, JAMES C. LEONARD, MD (OFFICER), DENNIS HESCH (OFFICER), AND LAUREN SCHMID, MBA (KEY EMPLOYEE) - Business relationship, DENNIS HESCH (OFFICER), MATTHEW KOLB, JD, MHA (OFFICER), AND NICHOLAS CROMPTON (KEY EMPLOYEE) - Business relationship, COLLEEN KANNADAY (OFFICER) AND JOHN WIELAND, MD (KEY EMPLOYEE) - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholders	CARLE HEALTH - CENTRAL REGION, A TAX-EXEMPT ILLINOIS NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	CARLE EUREKA HOSPITAL's sole member, carle health - central region, acting through its board of trustees, has the exclusive power to elect and remove members of the board of trustees for the corporation in addition to filling vacancies.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	CARLE EUREKA HOSPITAL must have the approval of its sole member, carle health - central region, through its board of trustees, when voting on matters including the amending of governing documents; recommending the president to the Board; approving any annual or long-term capital or operational budgets; approving payment to the members of the bromenn Board of directors for their expenses or compensation for services; approving any new, long-term or master institutional plan or changes to such plans; approving the addition of any new member and any dissolution, merger, consolidation, or sale or other disposition or encumbrance of all or substantially all of the assets of the corporation or any disposition of real property or relocation of the hospital and/or clinic; approving any organization or acquisition of a subsidiary or affiliate; approving any initiative requiring certificate of need (CON) approval; approving any pledge of all or any part of the corporation's assets as security for a debt, liability or other obligation; approving any loan to or for the corporation or any other indebtedness; and approving non-budgeted expenditures or sale exceeding the president's authorized spending authority.
Form 990, Part VI, Line 11b Review of form 990 by governing body	FORM 990 WAS PREPARED BY STAFF AND AN EXTERNAL TAX ADVISOR AND REVIEWED BY MANAGEMENT. PRIOR TO FILING THIS FORM 990, A FULL AND COMPLETE COPY WAS PROVIDED TO THE GOVERNING BODY BY POSTING TO THE ORGANIZATION'S DIRECTOR COMMUNICATION PORTAL. ALSO, BEFORE FILING, EACH BOARD MEMBER RECEIVED NOTIFICATION THAT THE FORM 990 WAS POSTED AND AVAILABLE FOR REVIEW AT HIS/HER DISCRETION. EACH BOARD MEMBER HAS THE OPPORTUNITY TO CONTACT MANAGEMENT OR DISCUSS AND ADDRESS CONCERNS AT SUBSEQUENT BOARD MEETINGS.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION'S ESTABLISHED CONFLICT OF INTEREST POLICIES REQUIRE ANNUAL DISCLOSURE OF ACTUAL AND POTENTIAL CONFLICTS OF INTEREST FOR OFFICERS, DIRECTORS, MEMBERS OF THE GOVERNING BOARD, MEMBERS OF BOARD COMMITTEES, ADMINISTRATIVE AND MANAGERIAL EMPLOYEES AS WELL AS ALL EMPLOYEES OF THE PURCHASING DEPARTMENT. IF CIRCUMSTANCES CHANGE DURING THE COURSE OF A YEAR, INTERIM DISCLOSURE IS ALSO REQUIRED OF THE SAME INDIVIDUALS. THE DISCLOSURES OF EMPLOYEES ARE REVIEWED INITIALLY BY THE COMPLIANCE DEPARTMENT AND ANY IDENTIFIED CONFLICTS ARE REFERRED TO AND ADDRESSED BY THE ORGANIZATION'S INTERNAL LEGAL COUNSEL AND/OR CORPORATE INTEGRITY OFFICER. THE DISCLOSURES OF MEMBERS OF THE GOVERNING BOARD AND MEMBERS OF THE BOARD COMMITTEES ARE REVIEWED BY THE CHAIR OF THE BOARD. THE ENTIRE BOARD, ABSENT THE SUBJECT BOARD OR COMMITTEE MEMBER DETERMINES WHETHER A CONFLICT EXISTS. BOARD MEMBERS AND/OR BOARD COMMITTEE MEMBERS WITH IDENTIFIED CONFLICTS ARE REQUIRED TO RECUSE THEMSELVES FROM DELIBERATING AND VOTING ON MATTERS THAT MAY PRESENT A CONFLICT. THE ORGANIZATION ALSO MAINTAINS PURCHASING POLICIES REQUIRING COUNTER SIGNATURES TO FURTHER MINIMIZE THE RISK ASSOCIATED WITH ACTUAL AND/OR POTENTIAL CONFLICTS OF INTEREST.
Form 990, Part VI, Line 19 Required documents available to the public	THE CARLE FOUNDATION, THE SYSTEM PARENT ORGANIZATION OF CARLE EUREKA HOSPITAL, PUBLISHES THROUGH WWW.DACBOND.COM AND https://emma.msrb.org/ ITS QUARTERLY UNAUDITED FINANCIAL STATEMENTS, ANNUAL AUDITED FINANCIAL STATEMENTS, A MANAGEMENT'S DISCUSSION & ANALYSIS TO ACCOMPANY THE FINANCIAL STATEMENTS, AND AN ANNUAL REPORT OF CERTAIN OPERATING AND FINANCIAL INFORMATION. ADDITIONALLY, OFFICIAL STATEMENTS FOR OUTSTANDING MUNICIPAL BOND ISSUES FOR WHICH THE CARLE FOUNDATION IS OBLIGATED ARE AVAILABLE AT THESE WEBSITES. THESE DOCUMENTS INCLUDE EXTENSIVE INFORMATION ABOUT THE ORGANIZATION'S HEALTH CARE DELIVERY SYSTEM MODEL, RECENT HIGHLIGHTS/ACCOMPLISHMENTS, GOVERNANCE AND ADMINISTRATION, STRATEGIC PLAN, FACILITIES, CLINICAL PROGRAMS, MEDICAL STAFF, SERVICE AREA, COMPETITIVE ENVIRONMENT, DEMOGRAPHIC DATA, UTILIZATION STATISTICS, SUMMARY FINANCIAL INFORMATION, ACADEMIC AFFILIATIONS AND EDUCATIONAL PROGRAMS, MEDICAL RESEARCH, ACCREDITATIONS, AND ITS EMPLOYEES. THIS INFORMATION IS AVAILABLE AT NO CHARGE TO THOSE WHO REGISTER AT THE WWW.DACBOND.COM WEBSITE OR BY SEARCHING AT HTTPS://EMMA.MSRB.ORG/. IN ADDITION, FORMS 990 OF THE ORGANIZATION'S FILING ENTITIES ARE AVAILABLE THROUGH DACBOND. QUARTERLY FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST DELIVERED TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE ALSO AVAILABLE UPON REQUEST TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES.
Form 990, Part VII, Section A COLUMN B	THE AVERAGE ESTIMATED HOURS PER WEEK LISTED FOR THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS ARE BASED ON A STANDARD 40 HOUR WEEK. MEMBERS MAY FREQUENTLY DEVOTE MORE THAN 40 HOURS OF SERVICE TO THE ENTIRE ORGANIZATION DURING AN AVERAGE WEEK.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	OTHER - Total Revenue: 5964, Related or Exempt Function Revenue: 5964, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	INTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS - -546651; Total - -546651;
Form 990, Part XII, Line 2c Change of oversight process or selection process	FORM 990 PART XII, QUESTION 2A, B, C AND PART IV, QUESTION 12 THE FINANCIAL STATEMENTS FOR CARLE EUREKA HOSPITAL WERE AUDITED ON A CONSOLIDATED BASIS. THE CARLE FOUNDATION HAS AN AUDIT COMMITTEE CONSISTING OF MEMBERS OF THE GOVERNING BOARD AND THE CHIEF FINANCIAL OFFICER WHO TOGETHER ASSUME RESPONSIBILITY FOR THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT OR AUDITOR.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

Carle Eureka Hospital

Employer identification number

85-0688306

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)CARLE BROMENN MEDICAL CENTER 611 W PARK STREET URBANA,IL61801 85-0682363	HOSPITAL SERVICES	IL	501(c)(3)	3	CHCR	Yes
(2)CARLE COMMUNITY HEALTH CORPORATION 611 W PARK STREET URBANA,IL61801 36-4458371	FNDN MISSION	IL	501(c)(3)	Type I	CDF	Yes
(3)CARLE DEVELOPMENT FOUNDATION 611 W PARK STREET URBANA,IL61801 37-1159978	FUNDRAISING	IL	501(c)(3)	7	TCF	Yes
(4)CARLE HEALTH - CENTRAL REGION 611 W PARK STREET URBANA,IL61801 99-0548510	GOVERNANCE/OVERSIGHT	IL	501(c)(3)	Type III-FI	TCF	Yes
(5)CARLE HEALTH - EAST REGION 611 W PARK STREET URBANA,IL61801 99-0582680	GOVERNANCE/OVERSIGHT	IL	501(c)(3)	Type III-FI	TCF	Yes
(6)CARLE HEALTH - SOUTH REGION 611 W PARK STREET URBANA,IL61801 99-0614340	GOVERNANCE/OVERSIGHT	IL	501(c)(3)	Type III-FI	TCF	Yes
(7)CARLE HEALTH - WEST REGION 611 W PARK STREET URBANA,IL61801 37-1111135	GOVERNANCE/OVERSIGHT	IL	501(c)(3)	Type III-FI	TCF	Yes
(8)CARLE HEALTH CARE INCORPORATED 611 W PARK STREET URBANA,IL61801 37-1140016	VARIOUS MEDICAL SERVICES	IL	501(c)(3)	10	TCF	Yes
(9)CARLE RETIREMENT CENTERS INC 611 W PARK STREET URBANA,IL61801 37-1160033	RETIREMENT LIVING	IL	501(c)(3)	10	TCF	Yes
(10)CARLE WEST PHYSICIAN GROUP INC 611 W PARK STREET URBANA,IL61801 85-0703768	PHYSICIAN SERVICES	IL	501(c)(3)	10	CHCI	Yes
(11)CRIS HEALTHY AGING 611 W PARK STREET URBANA,IL61801 37-0948852	SENIOR CITIZEN SERVICES	IL	501(c)(3)	7	CHCI	Yes
(12)HOOPESTON COMMUNITY MEMORIAL HOSPITAL 611 W PARK STREET URBANA,IL61801 36-3637465	HOSPITAL SERVICES	IL	501(c)(3)	3	CHER	Yes
(13)HULT CENTER FOR HEALTHY LIVING INC 611 W PARK STREET URBANA,IL61801 36-3510390	WELLNESS SERVICES	IL	501(c)(3)	7	PH	Yes
(14)HUMAN SERVICE CENTER 611 W PARK STREET URBANA,IL61801 37-1004882	BEHAVIORAL HEALTH SERVICES	IL	501(c)(3)	7	TP	Yes
(15)METHODIST MEDICAL CENTER FOUNDATION 611 W PARK STREET URBANA,IL61801 51-0186460	FUNDRAISING	IL	501(c)(3)	7	CHWR	Yes
(16)METHODIST MEDICAL CENTER OF ILLINOIS 611 W PARK STREET URBANA,IL61801 37-0661223	HOSPITAL SERVICES	IL	501(c)(3)	3	CHWR	Yes
(17)METHODIST SERVICES INC 611 W PARK STREET URBANA,IL61801 37-1111134	PROPERTY HOLDING CO.	IL	501(c)(3)	PF	CHWR	Yes
(18)PARK COURT LIMITED 611 W PARK STREET URBANA,IL61801 37-1178386	PROPERTY HOLDING CO.	IL	501(c)(3)	Type II	CHWR	Yes
(19)PEKIN MEMORIAL HOSPITAL 611 W PARK STREET URBANA,IL61801 37-0692351	HOSPITAL SERVICES	IL	501(c)(3)	3	CHWR	Yes
(20)PRAIRIE VIEW VILLAS NO 1 611 W PARK STREET URBANA,IL61801 26-1755679	HOUSING SERVICES	IL	501(c)(3)	7	TMHC	Yes
(21)PROCTOR HEALTH SYSTEMS 611 W PARK STREET URBANA,IL61801 36-4147437	PHYSICIAN SERVICES	IL	501(c)(3)	3	CHWR	Yes
(22)PROCTOR HOSPITAL 611 W PARK STREET URBANA,IL61801 37-0681540	HOSPITAL SERVICES	IL	501(c)(3)	3	CHWR	Yes
(23)RICHLAND MEMORIAL HOSPITAL INC 611 W PARK STREET URBANA,IL61801 37-1363001	HOSPITAL SERVICES	IL	501(c)(3)	3	CHSR	Yes
(24)TAZWOOD MENTAL HEALTH CENTER INC 611 W PARK STREET URBANA,IL61801 37-1278969	BEHAVIORAL HEALTH SERVICES	IL	501(c)(3)	7	TP	Yes
(25)THE CARLE FOUNDATION 611 W PARK STREET URBANA,IL61801 37-0673465	PARENT/INV MGMT	IL	501(c)(3)	Type III-FI	NA		No
(26)THE CARLE FOUNDATION HOSPITAL 611 W PARK STREET URBANA,IL61801 37-1119538	HOSPITAL SERVICES	IL	501(c)(3)	3	CHER	Yes
(27)THE METHODIST MEDICAL CENTER OF ILLINOIS SELF INSURANCE TRUST AGREEMENT 611 W PARK STREET URBANA,IL61801 37-6181831	SELF INSURANCE	IL	501(c)(3)	Type I	MMCI	Yes
(28)TRILLIUM PLACE 611 W PARK STREET URBANA,IL61801 83-4051901	BEHAVIORAL HEALTH SERVICES	IL	501(c)(3)	Type II	CHWR	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) CENTRAL ILLINOIS ENDOSCOPY CENTER LLC 611 W PARK STREET URBANA,IL61704 20-8243285	Medical Services	IL	NA	N/A
(2) CHAMPAIGN SURGICENTER LLC 611 W PARK STREET URBANA,IL61801 20-1915925	Surgical Center	IL	NA	N/A
(3) MOUPH LLC 611 W PARK STREET URBANA,IL61801 92-1791534	Outpatient Orthopedic Services	IL	NA	N/A
(4) RAVEN EVERGREEN CREDIT OFFSHORE FUND II LP 75 SPRING STREET 6TH FLOOR NEW YORK,NY10012 98-1747373	INVESTMENTS		NA	N/A
(5) REHABILITATION THERAPY SERVICES LLC 416 ST MARKS CT 110 PEORIA,IL61603 81-0584193	Rehabilitation Therapy	IL	NA	N/A
(6) THE CENTER FOR ORTHOPEDIC MEDICINE LLC RECOVERY CARE CENTER 2502B E EMPIRE ST BLOOMINGTON,IL61704 27-0934895	Outpatient Orthopedic Services	IL	NA	N/A
(7) THE CENTER FOR ORTHOPEDIC MEDICINE LLC SURGERY CENTER 2502B E EMPIRE ST BLOOMINGTON,IL61704 37-1356453	Outpatient Orthopedic Services	IL	NA	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) BELCREST SERVICES LTD 611 W PARK STREET URBANA,IL61801 37-1196307	MEDICAL SERVICES	IL	NA	C Corporation				Yes
(2) CARLE HEALTH JUNCTION MEDICAL LLC 611 W PARK STREET URBANA,IL61801 81-4609769	CARE COORDINATION	IL	NA	C Corporation				Yes
(3) CARLE HEALTH PHYSICIAN PARTNERS INC 611 W PARK STREET URBANA,IL61801 85-0718392	PHYSICIAN SERVICES	IL	NA	C Corporation				Yes
(4) CARLE HOLDING COMPANY INC 611 W PARK STREET URBANA,IL61801 37-1188284	HOLDING CO.	IL	NA	C Corporation				Yes
(5) CARLE RESEARCH PRODUCTS INC 611 W PARK STREET URBANA,IL61801 99-9999999	MEDICAL RESEARCH - INACTIVE	IL	NA	C Corporation				Yes
(6) CARLE RISK MANAGEMENT COMPANY 611 W PARK STREET URBANA,IL61801 37-1217973	RISK MANAGEMENT	IL	NA	C Corporation				Yes
(7) CARLE VENTURES INC 611 W PARK STREET URBANA,IL61801 37-1313150	HEALTH CARE PARTNERSHIPS	IL	NA	C Corporation				Yes
(8) CHA HOLDING INC 3310 SOUTH FIELDS DR CHAMPAIGN,IL61822 47-1854275	HOLDING CO.	IL	NA	C Corporation				Yes
(9) FIRSTCAROLINACARE INSURANCE COMPANY 42 MEMORIAL DR PINEHURST,NC28374 33-1160597	INSURANCE	IL	NA	C Corporation				Yes
(10) HEALTH ALLIANCE CONNECT INC 3310 SOUTH FIELDS DR CHAMPAIGN,IL61822 46-4796891	HEALTH CARE COORDINATION	IL	NA	C Corporation				Yes
(11) HEALTH ALLIANCE MEDICAL PLANS INC 3310 SOUTH FIELDS DR CHAMPAIGN,IL61822 37-1260731	HEALTH COVERAGE	IL	NA	C Corporation				Yes
(12) HEALTH ALLIANCE MIDWEST INC 3310 SOUTH FIELDS DR CHAMPAIGN,IL61822 37-1354502	HEALTH COVERAGE	IL	NA	C Corporation				Yes
(13) HEALTH ALLIANCE NORTHWEST HEALTH PLAN 820 N CHELAN AVE WENATCHEE,WA98801 46-1966323	HEALTH COVERAGE	WA	NA	C Corporation				Yes
(14) HEALTH ALLIANCE NORTHWEST HOLDING 820 N CHELAN AVE WENATCHEE,WA98801 46-1717578	HOLDING CO.	WA	NA	C Corporation				Yes
(15) HEALTH PLUS INC 611 W PARK STREET URBANA,IL61801 37-1295532	CONTRACTING	IL	NA	C Corporation				Yes
(16) HEALTH SYSTEMS INSURANCE LIMITED GOVERNORS SQUARE 2ND FLOOR BLDG 3 23 LIME TREE BAY AVE GRAND CAYMAN KY11102 CJ 98-0638449	INSURANCE	CJ	NA	C Corporation				Yes
(17) METHODIST HEALTH VENTURES INC 611 W PARK STREET URBANA,IL61801 37-1140939	HOLDING CO.	IL	NA	C Corporation				Yes
(18) OPTIMUM HEALTH SOLUTIONS INC 611 W PARK STREET URBANA,IL61801 20-5430137	CARE COORDINATION - INACTIVE	IL	NA	C Corporation				Yes
(19) PEKIN PROHEALTH INC 611 W PARK STREET URBANA,IL61801 37-1117052	CLINICAL OPERATIONS	IL	NA	C Corporation				Yes
(20) PROVIDER RESOURCE MANAGEMENT INC 611 W PARK STREET URBANA,IL61801 37-1223550	PHYSICIAN SERVICES	IL	NA	C Corporation				Yes

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CARLE DEVELOPMENT FOUNDATION	C	51,133	BOOK
(2) Carle BroMenn Medical Center	M	166,980	Book
(3) Carle West Physician Group	M	434,770	Book
(4) Healthy Systems Insurance LTD	M	98,588	Book
(5) Carle Foundation Hospital	S	126,087	Book

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

1	Briefly describe the organization’s mission or most significant activities: To be the trusted partner in all healthcare decisions and improve health by providing highly accessible, world-class care and services.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	11
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	184
6	Total number of volunteers (estimate if necessary) .............	6	16
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	56,709	68,161
9	Program service revenue (Part VIII, line 2g) .........	28,210,630	31,161,390
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	0	-607
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	242,303	23,106
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	28,509,642	31,252,050
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	3,800	500
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	16,164,218	18,011,398
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	10,568,339	11,639,451
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	26,736,357	29,651,349
19	Revenue less expenses. Subtract line 18 from line 12.......	1,773,285	1,600,701
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	6,746,150	6,636,018
21	Total liabilities (Part X, line 26).............	4,098,585	2,934,403
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,647,565	3,701,615

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 25,936,141 including grants of $ 500 ) (Revenue $ 31,184,496 )
	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 2024, cEH had approximately 58,827 inpatient and outpatient visits, approximately 3,715 emergency department visits, and 3,075 convenient care visits.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses25,936,141

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	2,595,239	12,571,764	1,999,365

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	51,133
e	Government grants (contributions)		1e	12,028

f	All other contributions, gifts, grants, and similar amounts not included above		1f	5,000

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		68,161

		Business Code
2a	PATIENT SERVICE REVENUE	622110	31,161,390	31,161,390
b
c
d
e
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f .....		31,161,390

3 Investment income (including dividends, interest, and othersimilar amounts) ......
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c	0	0
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a
b	Less: cost or other basis and sales expenses	7b		607
c	Gain or (loss)	7c	0	-607
d	Net gain or (loss).........			-607			-607
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	Food Service		722310	7,374	7,374
b	Interest on Billed Accounts		561440	5,068	5,068
c	MEDICAL STAFF MEMBER DUES		611710	4,700	4,700
d	All other revenue ....			5,964	5,964	0	0
e	Total. Add lines 11a–11d ......			23,106
12	Total revenue. See instructions.....			31,252,050	31,184,496	0	-607

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	500	500
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......	0	0
5	Compensation of current officers, directors, trustees, and key employees ...........	243,641	243,641
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	14,385,051	13,350,332	1,034,719
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	970,893	907,483	63,410
9	Other employee benefits .......	1,488,942	1,345,733	143,209
10	Payroll taxes ...........	922,871	845,640	77,231
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........
d	Lobbying ...........	15,495		15,495
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	1,396,136	1,323,086	73,050	0
12	Advertising and promotion ....	43,863		43,863
13	Office expenses .......	328,426	231,991	96,435
14	Information technology ......	216,532	205,741	10,791
15	Royalties ..
16	Occupancy ...........	1,205,712	830,947	374,765
17	Travel ............	37,897	33,828	4,069
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	23,311	23,078	233
20	Interest ...........	6,179	6,179
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	443,827	419,549	24,278
23	Insurance ...	106,862	4,560	102,302
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	INTERNAL MANAGEMENT FEES	5,197,636	3,715,508	1,482,128
b	PATIENT CARE SUPPLIES	2,030,661	2,030,661
c	Provider Assessment Tax & Other Taxes	476,337	356,889	119,448
d	Dues & Memberships	66,081	16,752	49,329
e	All other expenses	44,496	44,043	453	0
25	Total functional expenses. Add lines 1 through 24e	29,651,349	25,936,141	3,715,208	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			867,881	1	729,082
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			3,772,313	4	3,291,480
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			115,302	8	97,074
9	Prepaid expenses and deferred charges ......			63,009	9	35,474
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	4,385,401
b	Less: accumulated depreciation	10b	1,983,446	1,735,509	10c	2,401,955
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			192,136	15	80,953
16	Total assets. Add lines 1 through 15 (must equal line 33)...			6,746,150	16	6,636,018

17	Accounts payable and accrued expenses .....	1,546,654	17	2,922,681
18	Grants payable ...		18
19	Deferred revenue .........	11,722	19	11,722
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	2,540,209	25	0
26	Total liabilities. Add lines 17 through 25..	4,098,585	26	2,934,403

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	2,647,565	27	3,701,615
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	2,647,565	32	3,701,615
33	Total liabilities and net assets/fund balances ........	6,746,150	33	6,636,018