2024-11-15T15:19:24+00:00 2023-12-31 346565596 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE INDIANAPOLIS IN 462045100 990 2023-01-01 371363001 RICHLAND MEMORIAL HOSPITAL RICH 2173833311 611 W Park Street Urbana IL 61801 DENNIS HESCH EXEC VP & CFO 6183952131 2024-11-15 true true Jennifer D Rhoderick P00395735 3176817000 2024-11-13 2023 2024-10-15 13:58:12Z X Carle Richland Memorial Hospital DENNIS HESCH EXEC VP & CFO 611 W Park Street Urbana IL 61801 65180313 false X www.carle.org X 1953 IL TO PROVIDE EXCELLENT HEALTHCARE, PROMOTE WELLNESS, AND EDUCATE PATIENTS, STAFF, AND THE COMMUNITY. 10 7 514 53 578931 0 2755502 160537 59309027 62991249 40627 24892 724228 870075 62829384 64046753 74527 50396 0 40721287 41811150 0 0 31003925 32162008 71799739 74023554 -8970355 -9976801 26663290 24883089 13457935 12852522 13205355 12030567 TO PROVIDE EXCELLENT HEALTHCARE, PROMOTE WELLNESS, AND EDUCATE PATIENTS, STAFF, AND THE COMMUNITY. false false 66039785 50396 63067084 Richland Memorial Hospital, Inc., DBA Carle Richland Memorial Hospital (CRMH) is a tax-exempt Illinois not-for-profit corporation established for the purpose of operating a hospital and conducting patient care related activities. Richland is a 25 bed hospital (45 bed during tax year 2023) providing a range of ancillary and support services. For 2023, the hospital admitted 1,652 patients, is fully accredited by the Healthcare Facilities Accreditation Program (HFAP), has an Emergent Stroke Ready Designation and a Level II Nursery Designation by the Illinois Department of Public Health and is a clinical hub site for Southern Illinois University Physician Assistant Program. In 2023, CRMH recorded 11,655 patient days. In addition to the hospital, the organization has three rural health clinics: -Carle Bridgeport is located at 100 Industry Road, Bridgeport, IL, and offers audiology and hearing, behavioral health, cardiovascular medicine, family medicine, midwifery, orthopedics, and otolaryngology (ENT: ear, nose, and throat) services Monday through Friday, 8 a.m. to 5 p.m. -Carle Olney is located at 363 N. West Street, Olney, IL, 1.3 miles from the hospital, which offers behavioral health, convenient care, and family medicine services 8 a.m. - 8 p.m. seven days per week. -Carle West Salem is located at 100 S. Main Street, West Salem, IL, and offers family medicine services Monday through Friday, 8 a.m. to 5 p.m. In addition to the rural health clinics, Richland provides services under the following: -CRMH Professional Services located at 605 E. Main Street, Olney, IL one-half mile from the hospital and offers general surgery and podiatry services. -The Apothecary Shoppe, located at 108 S. Main Street, West Salem, IL, offers retail pharmacy services Monday through Friday from 9 a.m. to 3 p.m., and Saturdays from 9 a.m. to noon. CRMH provides quality medical healthcare regardless of race, creed, gender, national origin, disability, age or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of the hospital, it is recognized that not all individuals possess the ability to purchase essential medical services. The mission of CRMH is to serve our community with respect in providing healthcare services and healthcare education. Therefore, in keeping with the commitment to serve all members of the community, we offer: -Free care to qualified individuals under the CRMH financial assistance program -Care provided to persons covered by governmental programs at below cost; and -Health activities and programs to support and educate the community. These activities include wellness programs, community education programs, professional education programs, and a variety of broad community support activities. CRMH provides care to persons covered by governmental programs at below cost. The hospital also provides care to persons covered by commercial insurance at below cost. Recognizing its mission to the community, services are provided to both Medicare and Medicaid patients. To the extent reimbursement is below cost, the hospital recognizes these amounts as cost incurred in meeting its mission to the entire community. Financial assistance was also provided through CRMH's financial assistance policy offered in 2023. 66039785 true true false true false false false false false true false false false true true false true false false false false false false false false true true true false true false false false false false false true false false false false false false true true true false false true 41 0 true 514 true true true false false false false false false false false false false false X 10 7 true false true false true true true true true false false true true true true true true false false false IL X X DENNIS HESCH EXEC VP & CFO 2173833311 611 W PARK STREET URBANA IL 61801 Gary Houchin Secretary / Treasurer 1.5 1.5 X X 0 0 0 Jennifer Cummins-Zuber Chair 2.0 2.0 X X 0 0 0 Matthew Kolb JD MHA Ex Officio // President, Carle Health Regions // EVP, COO // TRUSTEE THRU 3/08/2023 1.0 39.0 X X 0 1567332 363305 Patricia Kessler-Bookhout DDS Vice Chair 1.5 1.5 X X 0 0 0 Tanner Miller MD Trustee Beg 02/01/2023 // Physician 1.0 39.0 X X 0 518048 34451 Bernard Brauer Trustee 1.0 1.0 X 0 0 0 Brian Atwood MD Trustee Beg 02/01/2023 3.0 3.0 X 0 0 0 Cole Duke Trustee Thru 01/31/2023 1.0 0.0 X 0 0 0 Larry Dunn Trustee 1.0 1.0 X 0 0 0 Raymond Fisher MD Trustee // Physician 1.0 39.0 X 0 647807 15808 Sally Salmons MD Trustee Thru 01/31/2023 // CHRH MEDICAL DIRECTOR 1.0 39.0 X 0 572407 72879 Sherry Geier Trustee 1.5 1.5 X 0 0 0 Steve Thomson Trustee 4.0 4.0 X 0 0 0 Dennis Hesch Officer - EVP, Chief Finance & Strategy Officer 2.0 38.0 X 0 1395995 366889 James C Leonard MD Officer - President & CEO 0.5 39.5 X 0 5690001 36885 Napoleon Knight MD MBA Officer - EVP, Chief Medial Officer 1.0 39.0 X 0 940875 115459 Regina Thomas DNP MBA Ex Officio, Non-Voting // Officer - President, Carle Health - South Region 20.0 20.0 X 0 379780 52557 Lauren Schmid MBA EVP, Chief Human Resources Officer 1.0 39.0 X 0 945711 209640 Nicholas Crompton VP, Construction & Facility Services 1.0 39.0 X 0 364372 68059 Benjamin Curtis CRNA - CRMH Anesthesiology 40.0 0.0 X 347452 0 34981 John Allen CRNA - CRMH Anesthesiology 40.0 0.0 X 354422 0 34754 John Wall CRNA Lead - CRMH Anesthesiology 40.0 0.0 X 358840 0 37074 Mary Waller MD Physician - Urology 40.0 0.0 X 458989 0 6600 Thomas Falcone CRNA - CRMH Anesthesiology 40.0 0.0 X 327398 0 37074 Kenneth Aronson MD Former - Key Employee 0.0 40.0 X 0 674881 36405 1847101 13697209 1522820 56 true true false Abbot Laboratories 100 Abbot Park Rd Abbot IL 60064 Medical Laboratory Services 307908 Sentry Data Systems Inc 800 Fairway Dr Ste 400 Deerfield Beach FL 33441 Pharmacy Software Maintenance 233216 Pioneer Pathology Sc 4887 N Whitewater Rd Olney IL 62450 Pathology Services 215000 Arup Laboratories 500 Chipeta Way Salt Lake City UT 84108 Medical Laboratory Services 122417 Hartz Lawn & Janitorial 14267 Hartz Lane Lawrenceville IL 62439 Housekeeping Services 111950 6 111768 48769 160537 NET PATIENT SERVICE REVENUE 622110 62980170 62980170 RENT FROM RELATED ORGS 523000 10138 10138 ALL OTHER PROGRAM SERVICES REVENUE 900099 941 941 0 0 0 0 62991249 24892 24892 0 0 0 0 1670908 1133560 537348 537348 CAFETERIA SERVICES 722331 204728 204728 CATERING REVENUE 722320 27550 27550 LAUNDRY SERVICES 812331 14033 14033 86416 75835 0 10581 332727 64046753 63067084 578931 240201 50396 50396 104524 104524 35245467 31131292 4114175 520914 471370 49544 3666730 3057801 608929 2273515 2078271 195244 15084 15084 3292948 2848539 444409 0 2249 2249 1136009 692912 443097 293084 256204 36880 950550 660355 290195 37361 22860 14501 40390 33150 7240 187669 161656 26013 2045693 1501821 543872 361323 272144 89179 Internal Management Fees 12858453 12307580 550873 Patient Care Supplies 7237480 7237480 Provider Assessment Tax 2999979 2999979 Physician recruitment 132792 132792 570944 149202 421742 0 74023554 66039785 7983769 0 1377471 2232803 4231585 3183933 0 0 0 0 232045 64183 1724548 835852 212171 223229 66250953 47992273 18636196 18258680 0 0 249274 84409 26663290 24883089 4204867 4610864 998 0 0 0 4634730 4263600 4617340 3978058 13457935 12852522 X 13205355 12030567 13205355 12030567 26663290 24883089 X -9976801 8802013 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 15084 15084 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY $15,084 - PORTION OF DUES PAID TO AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS, ILLINOIS COUNCIL OF HEALTH-SYSTEM PHARMACISTS, AMERICAN ASSOCIATION OF NURSE ANESTHETISTS, AMERICAN ACADEMY OF ORHOPAEDIC SURGEONS, ILLINOIS ACADEMY OF PHYSICIANS ASSISTANTS, AND ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. 1017266 1017266 33664105 22874444 10789661 30270870 24449909 5820961 1298712 667920 630792 18258680 DUE TO BLUE CROSS 442028 ASSET RETIREMENT OBLIGATION 3536030 3978058 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENTS RECOGNITION OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED OR RECORDED AS A LIABILITY AS OF DECEMBER 31, 2023 AND 2022. true true X true X true X true true true false true true 722825 722825 0.0098 14560716 11845504 2715212 0.0367 0 0.0 0 0 15283541 11845504 3438037 0.0464 18091 18091 0.0002 235628 235628 0.0032 9840295 9840295 0.1329 0 0.0 0 0.0 0 0 10094014 0 10094014 0.1364 0 0 25377555 11845504 13532051 0.1828 0 0.0 14240 14240 0.0002 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 14240 0 14240 0.0002 true 937797 468899 25637724 29821121 -4183397 X true true 1 1 Carle Richland Memorial Hospital 800 East Locust Street Olney IL 62450 https://carle.org/locations/carle-richland-memorial-hospital 0004200 X X X X Carle Richland Memorial Hospital 1 false false true X X X X X X X X X 21 true false false true X https://carle.org/about-us/community-health-needs-assessments X true 21 true https://carle.org/about-us/community-health-needs-assessments false true X 200.0 400.0 true true X X X true X SEE SCHEDULE H PART VI X SEE SCHEDULE H PART VI X SEE SCHEDULE H PART VI X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Carle Richland Memorial Hospital. Provisions in the Affordable Care Act (ACA) require charitable hospitals to conduct a Community Health Needs Assessment (CHNA). The CHNA is a systematic process involving the community to identify and analyze community health needs as well as community assets and resources in order to plan and act upon priority community health needs. This assessment process results in a CHNA report which assists the hospital in planning, implementing, and evaluating hospital strategies and community benefit activities. The Community Health Needs Assessment was developed and conducted, in partnership with representatives from the community, by a consultant provided through the Illinois Critical Access Hospital Network (ICAHN). ICAHN is a not-for-profit 501(c)(3) corporation established in 2003 for the purposes of sharing resources, education, promoting operational efficiencies, and improving healthcare services for member critical access and rural hospitals and their communities. ICAHN, with 57 member hospitals, is an independent network governed by a nine-member board of directors, with standing and project development committees facilitating the overall activities of the network. ICAHN continually strives to strengthen the capacity and viability of its members and rural health providers. This Community Health Needs Assessment will serve as a guide for planning and implementation of healthcare initiatives that will allow the hospital and its partners to best serve the emerging health needs of Olney and the surrounding area. Three focus groups met through facilitated virtual conferencing on May 20, 2021, to discuss the state of overall health and wellness in the Carle Richland Memorial Hospital service area. They were also tasked with identifying health concerns and needs in the delivery of healthcare and health services in order to improve wellness and reduce chronic illness for all residents. The focus groups included representation of healthcare providers, community leaders, community services providers, schools, faith-based organizations, local elected officials, public health, and others. Several members of the groups provided services to underserved and unserved persons as all or part of their roles. The findings of the focus groups were presented along with secondary data analyzed by the consultant to a third group for identification and prioritization of the significant health needs facing the community through a virtual conference on June 28, 2021. The focus group consisted of representatives from Richland County Ministerial Alliance, The Master's Hands, Richland County Housing Authority, Stopping Woman Abuse Now, Department of Human Services, Richland County Community Unit 1 Schools, Richland County Addiction Prevention Coalition, Community Unit School District 20, Olney Central College, Carle Richland Memorial Hospital, Richland County TB and Public Health Office, Arrow Ambulance, SIHF, Jasper County Health Department and Wayne County Health Department. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Carle Richland Memorial Hospital. Health Needs Selected 1. Mental health services for children, adolescents, and adults, including: - Youth and adult inpatient care for treatment through recovery - Improved access to counseling for youth, including services at schools - Inpatient behavioral health and substance use crisis care - Addiction medicine services, including Medication Assisted Treatment Actions the hospital intends to take to address the health need: - Carle Richland Memorial Hospital will explore increasing access to Medication Assisted Treatment/recovery resources - Carle Richland Memorial Hospital will explore increasing relationships with inpatient behavioral health and substance use disorder providers - Carle Richland Memorial Hospital will provide reasonable and appropriate support to development of the crisis program at Lawrence County Health Department - Carle Richland Memorial Hospital will explore developing tele-counseling - Carle Richland Memorial Hospital will explore new avenues to increase access to counseling - Carle Richland Memorial Hospital will continue and expand the Mental Health First Aid program Anticipated impacts of these actions: Carle Richland Memorial Hospital anticipates that the steps set out above will create increased access to counseling for youth and adults, medication assisted treatment, and inpatient and crisis care for behavioral health and substance use disorder. Programs and resources the hospital plans to commit to address health need: - Administrative team Planned collaboration between hospital and other facilities or organizations: - SIU School of Medicine - Public Health - Inpatient providers - Law enforcement - Carle Behavioral Health services Evaluation of Prior Impact: Mental and behavioral health continue to be an identified health needs for Carle Richland and Richland County, similar to counties across Illinois and the United States. In 2023, the number of mental health providers in Richland County is roughly 190:1, according to most recently available data, and increase from 210:1 in recent years. This is better than both the Illinois and national average. In most recent available suicide data, there were 15 suicides per 100,000 people in Richland County, which is higher than both the statewide and national average. In response, Carle Richland Memorial Hospital took the following actions in 2023: - CRMH began the Little Spot of Emotion program with all 2nd graders in Richland County. This program helps the children to recognize the feelings they are having and talk about them. This started during the 2023-24 school year. - CRMH team members were recognized for their work with Mental Health First Aid at the annual conference held by Illinois Critical Access Hospital Network (ICAHN), with a team member being recognized as winner of the Community Project Award for her behavioral health work with both adult organizations and in the local high schools. - CRMH added an additional PMHNP to the medical staff, making that 2 full-time psychiatric practitioners that are available to see patients. - CRMH maintained a behavioral health room in our ED so we can safely keep patients who need to be transferred to a behavioral facility or are on suicide precautions, supported by the Richland County Board in recognition of need, and the work Carle Richland Memorial Hospital does in caring for patients. 2. Flexible transportation for local appointments and assistance when needed for persons that have little or no transportation at home Actions the hospital intends to take to address the health need: - Carle Richland Memorial Hospital will explore expanding care coordination services to include transportation Anticipated impacts of these actions: Carle Richland Memorial Hospital anticipates the expanding care coordination services to include transportation will improve coordination of transportation with appointments and address patient needs related to transportation. Programs and resources the hospital plans to commit to address health need: - Administration Planned collaboration between hospital and other facilities or organizations: - RIDES Mass Transit District - Embarras River Basin Area Agency (ERBA) Evaluation of Prior Impact: Like many rural communities, physical landmass is large and reliable transportation to access community services and care is not always easy to attain. As with often common in rural communities, there is a large aging population. In Richland County, adults aged 65+ with an independent living difficulty (including access to transportation), is roughly 15%, higher than the statewide and national average. In response to this identified health need, Carle Richland Memorial Hospital took the following actions: - Carle Richland Memorial Hospital continues to work to increase services for those needing transportation assistance. Inpatient Care Coordination staff have access to hospital discharge service transportation for patients as needed - which helps take patients being discharged from the hospital home if they are needing help getting into their home or are going home with medical equipment. When patients do not need any special circumstances upon discharge, the care coordinators continue to schedule rides for them through Rides Mass Transit. ED also utilizes both services as needed for discharges from the ED. - Carle Richland Memorial Hospital continues to work with the Mass Transit District to advocate for assistance and routes for patients in our rural communities - a commitment to ongoing dialogue. 3. Improved opportunities to achieve wellness through: - Access to healthy foods and nutrition education - Access to low cost or free opportunities for recreation and fitness Actions the hospital intends to take to address the health need: - Carle Richland Memorial Hospital will explore development of a community garden program - Carle Richland Memorial Hospital will continue the demonstration garden for nutrition education - Carle Richland Memorial Hospital will provide funding for lighting to enhance use of the community walking path in Olney - Carle Richland Memorial Hospital will explore expanding services of Carle Health's Mobile Market - Carle Richland Memorial Hospital will partner with Carle Health to provide the community with access to video with health and wellness content - Carle Richland Memorial Hospital will continue to support local youth sports Anticipated impacts of these actions: Carle Richland Memorial Hospital anticipates that the addition of the programs and services to be undertaken will improve opportunities to achieve wellness through access to healthy foods and nutrition education, and access to low cost or free opportunities for recreation and fitness. Programs and resources the hospital plans to commit to address health need: - Administrative team - Organizational and community development Planned collaboration between hospital and other facilities or organizations: - Volunteers - Carle Health - City of Olney - University of Illinois Extension - Carle Richland Auxiliary Evaluation of Prior Impact: Like many communities in the United States, obesity and obesity related illnesses continue to be a concern in Richland County. Obesity is associated with poorer mental health outcomes, reduced quality of life, and the leading cause of death in the U.S. and worldwide, through contributing to heart disease, stroke, diabetes and some types of cancer. According to 2023 County Health Rankings, adult obesity in Richland County is 37%, higher than the statewide and national average, and higher than recent years. Additionally, Access to Exercise Opportunities is significantly lower than the statewide and national averages, at only 67% of people living near a park or recreation facility. In response to this identified health need, Carle Richland Memorial Hospital took the following actions: - In 2023, CRMH Respiratory Therapy brought back the Better Breather's Club. This group has not met since before COVID. They now meet monthly again for those with COPD and other breathing issues. - In 2023, CRMH added new specialties, including full-time Pain Management and full-time Podiatry services. We had been without podiatry services for close to a year and Pain Management is a completely new service for Richland. Both providers have been well-received and are continuing to get more referrals and new patients. - CRMH started a walking group that encouraged residents to get out and walk on Saturday mornings. A representative would meet residents and walk with them for up to an hour at various outdoor locations in town. The group disbanded once the weather got too cold to walk outdoors, but did meet for 3-4 months. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - Carle Richland Memorial Hospital (Continued). - CRMH also added a Urology and Cardiology APP to our medical staff. While we already had established Urology and Cardiology practices, the volume for both areas was in need of additional providers. 4. Dental care for underinsured and uninsured Actions the hospital intends to take to address the health need: Carle Richland Memorial Hospital continues to recognize the importance of access to dentalcare and the impact of dental care on wellness but observes that dental care is not a function for which the hospital is well-suited. Carle Richland Memorial Hospital recognizes that the Federally Qualified Health Center (FQHC) may be better positioned to address this issue, and the hospital will promote partnerships between dentists, the FQHC, and any other potential partners as reasonably possible. Anticipated impacts of these actions: Any impacts from any developments on this issue are dependent on external partners and solutions they may offer. Programs and resources the hospital plans to commit to address health need: - Administration Planned collaboration between hospital and other facilities or organizations: - Federally Qualified Health Center - Dentists - Others that may be interested in the effort - Public Health Evaluation of Prior Impact: According to most recently available data, Richland County does have a higher proportion of dentists to the population at 3,950:1 than the statewide and national averages, and the average number of adults visiting a dentist is higher than the statewide and national averages. Carle Richland Memorial Hospital continues to recognize the importance of access to dentalcare and the impact of dental care on wellness but observes that dental care is not a function for which the hospital is well-suited. Carle Richland Memorial Hospital recognizes that the Federally Qualified Health Center (FQHC) may be better positioned to address this issue, and the hospital will promote partnerships between dentists, the FQHC, and any other potential partners as reasonably possible, and works to continue to advocate and support these community partners as we are able. 5 CARLE OLNEY PRIMARY CARE 363 N WEST ST OLNEY IL 62450 RURAL HEALTH CLINIC CARLE (OLNEY) SURGICAL SERVICES 605 E MAIN ST OLNEY IL 62450 SURGICAL SERVICES CARLE WEST SALEM 100 S MAIN ST WEST SALEM IL 62476 RURAL HEALTH CLINIC CARLE BRIDGEPORT 101 INDUSTRY RD BRIDGEPORT IL 624172242 OUTPATIENT CLINIC RMH PROFESSIONAL SERVICES 605 E Main Street Olney IL 62450 GENERAL SURGERY AND PODIATRY SERVICES 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 ENERGY ASSISTANCE PROGRAM (LIHEAP), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM OR COVERED BY ILLINOIS MEDICAID. Schedule H, Part II Describe How Community Building Activities Promote the Health of the Community VOLUNTEER SERVICES: Employee: Carle Richland administrators and leaders provided more than 75 hours on behalf of Carle for participation in community boards, committees and community functions in 2023. Most of these hours were spent by senior leadership. Non-employee: In 2023, non-employee volunteers put in more than 6,032 hours at the hospital, receiving no payment but contributing to Carle's mission. At a minimum wage of $13/hour, this equated to more than $78,000 of potential wages that Carle saved by having such a strong volunteer program. 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-PLAIN-LANGUAGE-SUMMARY.PDF Schedule H, Part I, Line 7 OTHER COMMUNITY BENEFITS CASH AND IN-KIND: A LARGE PORTION OF CARLE'S COMMUNITY-BUILDING ACTIVITIES FOCUSED ON ECONOMIC DEVELOPMENT, INCLUDING CASH, IN-KIND DONATIONS AND BUDGETED EXPENDITURES FOR THE CITY, BUSINESS ASSOCIATIONS AND OTHER PROGRAMS IN RICHLAND COUNTY. IN ADDITION TO THE MORE THAN $8,000 IN CASH DONATIONS, LEADERSHIP PROVIDED IN-KIND SUPPORT OF OVER $20,000 BY SERVING ON NUMEROUS COMMUNITY BOARDS AND COMMITTEES. Schedule H, Part I, Line 7g Subsidized Health Services SUBSIDIZED HEALTH SERVICES ARE NET COSTS FOR BILLED SERVICES THAT ARE SUBSIDIZED BY THE HOSPITAL. THESE INCLUDE SERVICES OFFERED DESPITE A FINANCIAL LOSS BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND EITHER OTHER PROVIDERS ARE UNWILLING TO PROVIDE THESE SERVICES OR THE SERVICES WOULD OTHERWISE NOT BE AVAILABLE IN A SUFFICIENT AMOUNT. WE INCLUDED AS UNREIMBURSED COSTS OF SUBSIDIZED HEALTH SERVICES: $84,235 FOR HOSPITAL OUTPATIENT SERVICES, $3,461,723 FOR EMERGENCY AND TRAUMA SERVICES, AND $6,114,247 FOR SUBSIDIZED CONTINUING CARE. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance SEE NARRATIVE FOR SCHEDULE H, PART III, LINE 2 Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount TO COMPUTE AND CONVERT FINANCIAL ASSISTANCE, UNREIMBURSED MEDICAID, MEANS-TESTED PROGRAMS, AND BAD DEBT CHARGES TO COST; A CONSISTENT GAAP (GENERALLY ACCEPTED ACCOUNTING PRINCIPLES) BASED COST-TO-CHARGE RATIO WAS USED ACROSS ALL PAYERS. ALTHOUGH THE METHODOLOGY WAS SIMILAR TO WORKSHEET #2, FOR SIMPLICITY PURPOSES CERTAIN IMMATERIAL VALUES WERE OMITTED. OTHER COMMUNITY BENEFITS COSTS WERE REPORTED AT THE ACTUAL EXPENSE INCURRED. PATIENT RECEIVABLE PAYMENTS AND RELATED DISCOUNTS WERE RECORDED AT ACTUAL AMOUNTS AT THE TIME OF PAYMENT RECEIPT. A SEPARATE GAAP BASED PROVISION FOR ESTIMATED BAD DEBTS AND DISCOUNTS WAS RECOGNIZED FOR ACCOUNTS IN PROCESS AND PENDING ADJUDICATION AND PAYMENT. THE ESTIMATED PORTION WAS BASED ON HISTORICAL TRENDS AND ADJUSTED TO ACTUAL WHEN ADJUDICATION AND PAYMENT OCCUR. ACCOUNTS DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE WERE PROCESSED IMMEDIATELY FOR FINANCIAL ASSISTANCE DISCOUNT WITH NO COLLECTION EFFORT. FOR ACCOUNTS WITH INSUFFICIENT INFORMATION AND DOCUMENTATION TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY, THE HOSPITAL CONSULTED WITH A VARIETY OF ALTERNATIVE SOURCES TO HELP DETERMINE AN INDIVIDUAL'S FINANCIAL MEANS (OR LACK OF MEANS) TO PAY. BASED ON RELATED TRENDS, THE HOSPITAL FURTHER DEVELOPED A GENERAL ESTIMATE OF FINANCIAL ASSISTANCE WHICH CONTINUED TO RESIDE WITHIN BAD DEBTS. THIS NARRATIVE ALSO PERTAINS TO SCHEDULE H, PART I, LINE 7 - EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology CARLE RICHLAND MEMORIAL 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 THIS 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, THE HOSPITAL HAS A ROBUST PRESUMPTIVE ELIGIBILITY PROCESS. WE PRESUME ELIGIBILITY FOR VERIFIED HOMELESS, DECEASED WITH NO ESTATE, MENTAL INCAPACITATION, RECIPIENTS OF WIC (WOMEN, INFANTS AND CHILDREN NUTRITION PROGRAM), SNAP (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM), LIHEAP (LOW INCOME HOME ENERGY ASSISTANCE PROGRAM), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM, RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICE, FEDERALLY QUALIFIED HEALTH CLINIC (FQHC) DISCOUNT REFERRALS, MEDICAID TITLE XIX, XXI, AND IN-NETWORK MEDICAID MANAGED CARE PLANS. IN ADDITION, WE UTILIZE A VENDOR, EXPERIAN INFORMATION SOLUTIONS, INC., TO PROACTIVELY IDENTIFY PATIENTS WHO MAY BE PRESUMPTIVELY-QUALIFIED FOR ASSISTANCE - NOT ONLY FOR PUBLIC PROGRAMS LIKE MEDICAID, BUT ALSO BASED ON A NUMBER OF KEY FINANCIAL INDICATORS, INCLUDING CREDIT HISTORY, DEMOGRAPHICS AND GROSS INCOME. IDENTIFIED PATIENTS MAY BE PRESUMED ELIGIBLE AND AUTOMATICALLY ENROLLED IN THE PROGRAM, OR THEY MAY BE CONTACTED AND ENCOURAGED TO APPLY FOR ASSISTANCE. PATIENTS WHO ARE NOT DEEMED PRESUMPTIVELY ELIGIBLE WOULD NEED TO REQUEST AND COMPLETE AN APPLICATION. IF THE PATIENT DOES NOT REQUEST OR COMPLETE AND RETURN THE APPLICATION, THEN THE BALANCE IS DEEMED THEIR RESPONSIBILITY TO PAY. FOR PATIENTS THAT DO NOT QUALIFY FOR CARLE FINANCIAL ASSISTANCE AND WHO MAY BE UNINSURED OR UNDERINSURED, THE HOSPITAL HAS OTHER DISCOUNT OPTIONS AVAILABLE, SUCH AS PROMPT PAY, ILLINOIS UNINSURED DISCOUNT, AND CAPPED DISCOUNT - WHERE A PATIENT'S OUT-OF-POCKET MEDICAL EXPENSES ARE LIMITED TO 40% OF THEIR ANNUAL GROSS INCOME IF THEY EARN AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL. ONCE ALL APPLICABLE DISCOUNTS HAVE BEEN APPLIED, WE MAKE EVERY ATTEMPT TO WORK WITH THE PATIENT AND SET UP PAYMENT ARRANGEMENTS ON THE REMAINING BALANCE DUE. THE CURRENT MINIMUM IS 5% OF THE TOTAL BALANCE DUE OR $25.00 A MONTH. IF THEY CANNOT MEET THESE GUIDELINES, OUR IN-HOUSE BILLING STAFF MEMBERS WORK WITH THEM TO SET UP A TEMPORARY/SHORT TERM PAYMENT ARRANGEMENT UNTIL THEY CAN MAKE THE MINIMUM PAYMENT. IF THEY ARE UNABLE TO MAKE PAYMENT ON THE BALANCE DUE, THEN THE BALANCE MAY BE LISTED WITH AN OUTSIDE COLLECTION AGENCY. WHEN THE ACCOUNT IS STILL IN-HOUSE, THE MINIMUM NOTIFICATION IS MONTHLY ITEMIZED STATEMENTS. IF A PATIENT DOES NOT RESPOND, THE ACCOUNT IS GIVEN A FINAL NOTICE, EITHER BY LETTER OR PHONE, AND SENT TO AN OUTSIDE COLLECTION AGENCY. THE HOSPITAL WILL NOT FILE COLLECTION SUIT LIENS ON A PRIMARY RESIDENCE, NOR DO WE AUTHORIZE AN AGENCY TO USE SO-CALLED "BODY ATTACHMENTS". THE AGENCIES ARE AWARE OF OUR CFAP AND HAVE BEEN ADVISED TO REFER THE PATIENTS BACK TO CARLE IF THEY DEEM THE PATIENT IS UNABLE TO PAY. BILLING STAFF WILL THEN MAKE ONE MORE ATTEMPT TO WORK WITH THE PATIENT TO SEE IF HELP IS AVAILABLE. IF STAFF DETERMINES THAT THE PATIENT MIGHT QUALIFY, WE SEND THE PATIENT A CFAP APPLICATION AND INSTRUCT THE AGENCY TO PUT A HOLD ON THE ACCOUNT; THE AVERAGE HOLD IS 60 DAYS. IF THE PATIENT IS THEN APPROVED FOR DISCOUNTS AT 100% FOR FINANCIAL ASSISTANCE, THE BALANCE IS ADJUSTED AND THE ACCOUNT IS CLOSED WITH THE AGENCY. IF THE PATIENT IS APPROVED FOR LESS THAN 100%, THE ADJUSTMENTS ARE REPORTED TO THE AGENCY AND THE AGENCY WILL BEGIN COLLECTION EFFORTS ON ANY REMAINING BALANCE. Schedule H, Part V, Section B, Line 16a FAP website - Carle Richland Memorial Hospital: Line 16a URL: SEE SCHEDULE H PART VI; Schedule H, Part V, Section B, Line 16b FAP Application website - Carle Richland Memorial Hospital: Line 16b URL: SEE SCHEDULE H PART VI; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Carle Richland Memorial Hospital: Line 16c URL: SEE SCHEDULE H PART VI; Schedule H, Part VI, Line 2 Needs assessment Carle primarily addresses healthcare needs in our community by being a part of the aforementioned CHNA. However, Carle is acutely aware of the need for Access to Care, 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. While Access to Care was not selected as a priority for the 2021 CHNA, it will continue to be a priority for Carle. As a tax-exempt organization, Carle Richland Memorial Hospital provides care to patients regardless of the ability to pay. Carle's generous financial assistance program has resulted in our ability to reach many people over the years. To ensure we addressing the needs of the community, the finance and quality committees of the Carle Board of Trustees review and evaluate Charity Care figures annually. We do not limit the amount of financial assistance we provide, at this time. Other ways to help improve Access to Care: In addition to charity care, Carle supports a wide range of programs and services to increase community capacity, health care work force expansion, and social services that provide complementary healthcare-related services. Carle Richland Memorial Hospital has, and will continue to, pursue these initiatives to improve access to care: 1. Offer a charity care program 2. Communicate the availability of the charity care program 3. Recruit more providers into the Carle system, thereby expanding access/capacity 4. Support local community clinics to ensure added local capacity for health care 5. Donate to existing community health 6. Participate in population health initiatives that actively manage the health of members 7. Promote prescription affordability as a 340B provider 8. Continue access to care through subsidized services, including the LTC Skilled Nursing, the Extended Care Wing, the Emergency Department, Cardiac Rehab, and more. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Our practice is to look at each patient's financial status in relation to our Carle Financial Assistance Program and the criteria of the Uninsured Patient Discount Act, and to provide the patient with the deepest discount available. By expanding the presumptive eligibility screening processes and determining the financial status of patients up-front, we have been able to pinpoint those needing assistance early in the process, minimizing bad debt and optimizing our ability to help. Staff is also diligent in following up with patients during hospitalization and after discharge if there's any reason to believe the patient could benefit from financial assistance, and we auto-qualify certain patient populations for Carle Financial Assistance Program, such as the homeless, WIC, SNAP (Supplemental Nutrition Assistance Program), Medicaid, Low Income Home Energy Assistance Program (LIHEAP), and Township Assistance recipients. Communicating that Financial Assistance is Available Carle Richland Memorial Hospital has made a concerted, continuous effort to be sure that people have access to information that will help them with their medical bills. These include: - Advertising Carle Financial Assistance Program; continued presence in appropriate community publications; and on-site via displays throughout the hospital and clinics - Simplified application form, including a version in Spanish, that contains information regarding the Carle Financial Assistance Program - Publication of a Plain Language Summary and all other financial assistance-related information on carle.org/patients-visitors/financial-assistance - Information about the Carle Financial Assistance Program on all statements, collection letters and Hospital admission packets - Carle Financial Assistance Program information and applications at all registration points, Hospital main lobby and carle.org - Meetings with local legislators to help them assist constituents with healthcare needs, including financial assistance Schedule H, Part VI, Line 4 Community information Carle Richland Memorial Hospital has defined its primary service area and populations as the general population within the geographic area in and surrounding Richland County defined in detail below. The hospital's patient population includes all who receive care without regard to insurance coverage or eligibility for assistance. Carle Richland Memorial Hospital's service area is comprised of approximately 3,298.30 square miles, with a population of approximately 108,055 people and a population density of 33 people per square mile. The service area consists of the following rural Illinois counties: Richland, Lawrence, Edwards, Jasper, Clay, Crawford, Wabash, and Wayne. The average household size of the area, at 2.3, is lower than both Illinois (3) and the U.S. (2.5). Median age is over 43.5 years, which is higher than Illinois and the U.S. The largest education segment is reported as some college, followed by high school graduates. College graduates in the area exceed the number of residents that did not complete high school. The unemployment rate is typical of surrounding counties and other rural counties in Illinois and is better than national and statewide numbers. Also, as is the case in much of rural Illinois, income by households in the service area is lower than statewide In the report area, 41.23%, or 11,937 families report a total annual income of $75,000 or greater. Total income includes all reported income from wages and salaries as well as income from selfemployment, interest or dividends, public assistance, retirement, and other sources. As defined by the US Census Bureau, a family household is any housing unit in which the householder is living with one or more individuals related to him or her by birth, marriage, or adoption. A non family household is any household occupied by the householder alone, or by the householder and one or more unrelated individuals. Within the report area 13.74% or 14,051 individuals are living in households with income below the Federal Poverty Level (FPL). This indicator is relevant because poverty creates barriers to access including health services, health food, and other necessities that contribute to poor health status. In addition to Carle Richland Memorial Hospital, Richland County is served by Lawrence County Memorial Hospital, Wabash General Hospital, Crawford Memorial Hospital, Clay County Hospital, and Fairfield Memorial Hospital. There are also other clinics within our service areas from hospitals and health systems outside our service area. Schedule H, Part VI, Line 5 Promotion of community health CARLE RICHLAND MEMORIAL HOSPITAL has an open medical staff and is governed by a community board that serves on a volunteer basis. Surplus funds are reinvested into the organization for technology replacement and advancement, clinical service expansion and quality improvement. Funds are also invested into our communities to meet identified health needs which contribute to the overall well-being of the residents of the communities we serve. Schedule H, Part VI, Line 6 Affiliated health care system CARLE RICHLAND MEMORIAL HOSPITAL is a 25 bed, not-for-profit healthcare facility located in Olney, IL and became part of the Carle Health System on April 1, 2017. As part of the Carle Health System, it currently serves eight Southeastern Illinois counties, with a total population of more than 107,000 individuals. The integration of Carle and CRMH allows for expanded access to healthcare in the region. Though CRMH falls under the umbrella of The Carle Foundation, it maintains a separate board of trustees and senior leadership. While CRMH's CHNA and community benefit reporting is separate from the Carle Foundation Hospital, it follows the same guidelines and principles as Carle. CRMH 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 community health needs true Richland County High School 1200 East Laurel Street Olney IL 62450 376004449 Government 7826 Sponsorship Richland County Development Corporation 315 West Main Street Olney IL 62450 371201502 501(c)(3) 13500 Program Services 2 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. ANY CHARITABLE ORGANIZATION WISHING TO REQUEST FUNDS IS ASKED TO SUBMIT THEIR REQUEST IN WRITING. EMAILED REQUESTS ARE ACCEPTABLE. THE REQUEST MUST INCLUDE A DESCRIPTION OF THE PURPOSE OF THE CONTRIBUTION AND OTHER RELEVANT INFORMATION SUCH AS REQUESTORS NAME, AMOUNT OF THE REQUEST, ETC. THE REQUESTS ARE REVIEWED, EVALUATED, AND ADMINISTERED BY THE MARKETING AND COMMUNICATIONS (PUBLIC RELATIONS) DEPARTMENT, SEEKING ADDITIONAL INFORMATION FROM THE REQUESTOR, AS NEEDED, AND INPUT FROM ANY APPROPRIATE CARLE ADMINISTRATOR OR DIRECTOR. A SET OF ESTABLISHED GUIDELINES DRIVE THESE DECISIONS WHILE MOST ARE MADE TO IMPROVE HEALTHCARE/ACCESS TO HEALTHCARE OR ARE IN LINE WITH OUR ROLE AS A CORPORATE CITIZEN. ASSESSED NEED IS A COMMON CRITERIA. IN THE CASE OF MOST DONATIONS OF $5,000 OR MORE, SUCH AS TO COLLEGES AND UNIVERSITIES OR COMMUNITY CLINICS, WRITTEN AGREEMENTS ARE IN PLACE AND WE HAVE REGULAR CONTACT WITH THOSE ORGANIZATIONS, OFTENTIMES THROUGH A CARLE CONTACT PERSON TO ASSURE THAT THE DONATIONS ARE BEING USED AS AGREED UPON. THE RECORDS ARE EITHER MAINTAINED IN ADMINISTRATION OR PUBLIC RELATIONS. false true false false false false false true false Matthew Kolb JD MHA Ex Officio // President, Carle Health Regions // EVP, COO // TRUSTEE THRU 3/08/2023 0 1092613 0 219047 0 255672 0 335494 0 27811 0 1930637 0 226485 Tanner Miller MD Trustee Beg 02/01/2023 // Physician 0 424496 0 91289 0 2263 0 6600 0 27851 0 552499 0 0 Raymond Fisher MD Trustee // Physician 0 623380 0 0 0 24427 0 6600 0 9208 0 663615 0 0 Sally Salmons MD Trustee Thru 01/31/2023 // CHRH MEDICAL DIRECTOR 0 446923 0 46250 0 79234 0 50708 0 22171 0 645286 0 0 Dennis Hesch Officer - EVP, Chief Finance & Strategy Officer 0 1104200 0 262608 0 29187 0 346286 0 20603 0 1762884 0 0 Napoleon Knight MD MBA Officer - EVP, Chief Medial Officer 0 775491 0 136231 0 29153 0 103114 0 12345 0 1056334 0 0 James C Leonard MD Officer - President & CEO 0 1690975 0 443047 0 3555979 0 16500 0 20385 0 5726886 0 3526792 Regina Thomas DNP MBA Ex Officio, Non-Voting // Officer - President, Carle Health - South Region 0 293950 0 30968 0 54862 0 36601 0 15956 0 432337 0 0 Kenneth Aronson MD Former - Key Employee 0 548487 0 100157 0 26237 0 16500 0 19905 0 711286 0 0 Nicholas Crompton VP, Construction & Facility Services 0 291871 0 30843 0 41658 0 37180 0 30879 0 432431 0 0 Lauren Schmid MBA EVP, Chief Human Resources Officer 0 674332 0 113339 0 158040 0 182309 0 27331 0 1155351 0 128983 John Allen CRNA - CRMH Anesthesiology 334029 0 10951 0 9442 0 6267 0 28487 0 389176 0 0 0 Benjamin Curtis CRNA - CRMH Anesthesiology 324071 0 10951 0 12430 0 6231 0 28750 0 382433 0 0 0 Thomas Falcone CRNA - CRMH Anesthesiology 314937 0 10951 0 1510 0 6195 0 30879 0 364472 0 0 0 John Wall CRNA Lead - CRMH Anesthesiology 345882 0 11389 0 1569 0 6458 0 30616 0 395914 0 0 0 Mary Waller MD Physician - Urology 455237 0 1721 0 2031 0 6600 0 0 0 465589 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF RICHLAND MEMORIAL HOSPITAL, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: - THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. - THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. - THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. - THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY-SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE 2023 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF RICHLAND MEMORIAL HOSPITAL, THAT ARE LISTED IN THE 990 PART VII INCLUDE MATTHEW KOLB, JD, MHA, SALLY SALMONS, MD, DENNIS HESCH, JAMES C. LEONARD, MD, REGINA THOMAS, DNP, MBA, LAUREN SCHMID, MBA, AND NICHOLAS CROMPTON. IN 2023, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO MATTHEW KOLB, JD, MHA ($226,485), JAMES C. LEONARD, MD ($3,526,792), AND LAUREN SCHMID, MBA ($128,983). Schedule J, Part I, Line 7 Non-fixed payments PART OF THE CEO'S COMPENSATION INCLUDES AN INCENTIVE COMPONENT WHICH IS DESIGNED TO ENCOURAGE AND PROMOTE THE ACHIEVEMENT OF CERTAIN QUALITY, OPERATIONAL, AND EFFICIENCY IMPROVEMENTS. ALTHOUGH THIS INCENTIVE COMPONENT IS BASED ON THE ORGANIZATION MEETING CERTAIN MINIMUM FINANCIAL THRESHOLDS, ALL PAYMENTS MUST BE APPROVED BY THE BOARD OF TRUSTEES PRIOR TO ANY INCENTIVE PAYOUT. Whitley Houchin FAMILY MEMBER OF TRUSTEE 104524 EMPLOYMENT false Schedule L, Part V FAMILY RELATIONSHIPS Whitley Houchin IS AN EMPLOYEE OF Richland Memorial Hospital Inc. AND HAS A FAMILY RELATIONSHIP WITH Gary Houchin (SECRETARY AND TREASURER OF BOARD). Form 990, Part VI, Line 2 Family/business relationships amongst interested persons James C. Leonard, MD (Officer), Matthew Kolb, JD, MHA (Officer), Napoleon Knight, MD, MBA (Officer), and Sally Salmons, MD (Trustee) - 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 Form 990, Part VI, Line 4 Significant changes to organizational documents DURING 2023, THE CARLE FOUNDATION D/B/A THE CARLE HEALTH SYSTEM AND PARENT ORGANIZATION OF THE CARLE FOUNDATION HOSPITAL, FORMED THREE SUBSIDIARY REGIONAL GOVERNING ENTITIES KNOWN AS CARLE HEALTH - EAST REGION, CARLE HEALTH - CENTRAL REGION, AND CARLE HEALTH - SOUTH REGION. EACH REGIONAL ENTITY BECAME THE SOLE MEMBER OF THE HOSPITALS WITHIN THE ORGANIZATION BASED ON THE GEOGRAPHICAL REGIONS. THE GOVERNING DOCUMENTS OF RICHLAND MEMORIAL HOSPITAL INC ARE TO BE AMENDED TO LIST THE SOLE MEMBER AS CARLE HEALTH - SOUTH REGION. Form 990, Part VI, Line 6 Classes of members or stockholders Richland Memorial Hospital, Inc. DBA Carle Richland Memorial Hospital has one member which is Carle Health - South Region. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Richland Memorial Hospital Inc.'s sole member, Carle Health - South 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 RICHLAND MEMORIAL HOSPITAL, INC. MUST HAVE THE APPROVAL OF ITS SOLE MEMBER, CARLE HEALTH - SOUTH REGION, THROUGH ITS BOARD OF TRUSTEES, WHEN VOTING ON MATTERS INCLUDING THE AMENDING OF GOVERNING DOCUMENTS; RECOMMENDING THE CEO TO THE BOARD; APPROVING ANY ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGETS; APPROVING PAYMENT TO THE MEMBERS OF THE RICHLAND BOARD OF TRUSTEES FOR THEIR EXPENSES OR COMPENSATION FOR SERVICES; APPROVING ANY NEW, LONG-TERM OR MASTER INSTITUTIONAL PLANS OR CHANGES TO SUCH PLANS; APPROVING THE ADDITION OF ANY NEW MEMBER AND ANY DISSOLUTION, MERGER, CONSOLIDATION, OR SALE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL ASSETS 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 CHIEF EXECUTIVE OFFICER'S (CEO) AUTHORIZED SPENDING AUTHORITY. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 WAS PREPARED BY STAFF AND AN EXTERNAL TAX ADVISOR AND REVIEWED BY MANAGEMENT. PRIOR TO FILING THIS FORM 990, A FULL AND COMPLETE COPY WAS PROVIDED TO THE GOVERNING BODY. AT THEIR DISCRETION, THE GOVERNING MEMBERS HAVE THE OPPORTUNITY TO CONTACT MANAGEMENT OR DISCUSS AND ADDRESS CONCERNS AT SUBSEQUENT BOARD MEETINGS. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION'S ESTABLISHED CONFLICT OF INTEREST POLICIES REQUIRE ANNUAL DISCLOSURE OF ACTUAL AND POTENTIAL CONFLICTS OF INTEREST FOR OFFICERS, DIRECTORS, TRUSTEES, MEMBERS OF BOARD COMMITTEES, ADMINISTRATIVE AND MANAGERIAL EMPLOYEES AS WELL AS ALL EMPLOYEES OF THE PURCHASING DEPARTMENT. IF CIRCUMSTANCES CHANGE DURING THE COURSE OF A YEAR, INTERIM DISCLOSURE IS ALSO REQUIRED OF THE SAME INDIVIDUALS. THE DISCLOSURES OF EMPLOYEES ARE REVIEWED INITIALLY BY THE COMPLIANCE DEPARTMENT AND ANY IDENTIFIED CONFLICTS ARE REFERRED TO, AND ADDRESSED BY, THE ORGANIZATION'S INTERNAL LEGAL COUNSEL AND/OR CORPORATE INTEGRITY OFFICER. THE DISCLOSURES OF TRUSTEES AND MEMBERS OF BOARD COMMITTEES ARE REVIEWED BY THE CHAIR OF THE BOARD. THE ENTIRE BOARD, ABSENT THE SUBJECT TRUSTEE OR COMMITTEE MEMBER DETERMINES WHETHER A CONFLICT EXISTS. TRUSTEES AND/OR BOARD COMMITTEE MEMBERS WITH IDENTIFIED CONFLICTS ARE REQUIRED TO RECUSE THEMSELVES FROM DELIBERATING AND VOTING ON MATTERS THAT MAY PRESENT A CONFLICT. THE ORGANIZATION ALSO MAINTAINS PURCHASING POLICIES REQUIRING COUNTER SIGNATURES TO FURTHER MINIMIZE THE RISK ASSOCIATED WITH ACTUAL AND/OR POTENTIAL CONFLICTS OF INTEREST. Form 990, Part VI, Line 19 Required documents available to the public THE CARLE FOUNDATION PUBLISHES THROUGH WWW.DACBOND.COM AND HTTPS://EMMA.MSRB.ORG/ ITS QUARTERLY UNAUDITED FINANCIAL STATEMENTS, ANNUAL AUDITED FINANCIAL STATEMENTS, A MANAGEMENT'S DISCUSSION & ANALYSIS TO ACCOMPANY THE FINANCIAL STATEMENTS, AND AN ANNUAL REPORT OF CERTAIN OPERATING AND FINANCIAL INFORMATION. ADDITIONALLY, OFFICIAL STATEMENTS FOR OUTSTANDING MUNICIPAL BOND ISSUES FOR WHICH THE CARLE FOUNDATION IS OBLIGATED ARE AVAILABLE AT THIS WEBSITE. THESE DOCUMENTS INCLUDE EXTENSIVE INFORMATION ABOUT THE ORGANIZATION'S HEALTH CARE DELIVERY SYSTEM MODEL, RECENT HIGHLIGHTS/ACCOMPLISHMENTS, GOVERNANCE AND ADMINISTRATION, STRATEGIC PLAN, FACILITIES, CLINICAL PROGRAMS, MEDICAL STAFF, SERVICE AREA, COMPETITIVE ENVIRONMENT, DEMOGRAPHIC DATA, UTILIZATION STATISTICS, SUMMARY FINANCIAL INFORMATION, ACADEMIC AFFILIATIONS AND EDUCATIONAL PROGRAMS, MEDICAL RESEARCH, ACCREDITATIONS, AND ITS EMPLOYEES. THIS INFORMATION IS AVAILABLE AT NO CHARGE TO THOSE WHO REGISTER AT THE WWW.DACBOND.COM WEBSITE. IN ADDITION, THE FORM 990S OF THE ORGANIZATION'S FILING ENTITIES ARE AVAILABLE THROUGH DACBOND. 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: 86416, Related or Exempt Function Revenue: 75835, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 10581; Form 990, Part XI, Line 9 Other changes in net assets or fund balances INTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS - 8802013; 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 RICHLAND MEMORIAL HOSPITAL WERE REVIEWED ON A CONSOLIDATED BASIS UNDER THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE CARLE FOUNDATION HAS AN AUDIT COMMITTEE CONSISTING OF MEMBERS OF THE GOVERNING BOARD AND THE CHIEF FINANCIAL OFFICER WHO TOGETHER ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE REVIEW AND AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT OR AUDITOR. Form 990, Part VI, Line 15 15A & 15B - Procces to establish compensation of top management official RICHLAND MEMORIAL HOSPITAL DOES NOT COMPENSATE ITS OFFICERS. EMPLOYEE COMPENSATION FOR THESE INDIVIDUALS IS COMPENSATED BY THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF RICHLAND MEMORIAL HOSPITAL, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: - THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. - THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. - THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. - THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY-SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE. CARLE BROMENN MEDICAL CENTER 611 W PARK STREET URBANA IL 61801 850682363 Hospital Services IL 501(c)(3) 3 CHCR true CARLE COMMUNITY HEALTH CORPORATION 611 W PARK STREET URBANA IL 61801 364458371 FNDN Mission IL 501(c)(3) Type I TCDF true CARLE EUREKA HOSPITAL 611 W PARK STREET URBANA IL 61801 850688306 Hospital Services IL 501(c)(3) 3 CHCR true CARLE HEALTH - CENTRAL REGION 611 W PARK STREET URBANA IL 61801 990548510 Governance/Oversight IL 501(c)(3) Type III-FI TCF true CARLE HEALTH - EAST REGION 611 W PARK STREET URBANA IL 61801 990582680 Governance/Oversight IL 501(c)(3) Type III-FI TCF true CARLE HEALTH - SOUTH REGION 611 W PARK STREET URBANA IL 61801 990614340 Governance/Oversight IL 501(c)(3) Type III-FI TCF true CARLE HEALTH - WEST REGION 611 W PARK STREET URBANA IL 61801 371111135 Governance/Oversight IL 501(c)(3) Type III-FI TCF true CARLE HEALTH CARE INCORPORATED 611 W PARK STREET URBANA IL 61801 371140016 Various Medical Services IL 501(c)(3) 10 TCF true CARLE RETIREMENT CENTERS INC 611 W PARK STREET URBANA IL 61801 371160033 Retirement Living IL 501(c)(3) 10 TCF true CARLE WEST PHYSICIAN GROUP INC 611 W PARK STREET URBANA IL 61801 850703768 Physician Services IL 501(c)(3) 10 CHCI true CRIS HEALTHY AGING 611 W PARK STREET URBANA IL 61801 370948852 Senior Citizen Services IL 501(c)(3) 7 CHCI true HOOPESTON COMMUNITY MEMORIAL HOSPITAL 611 W PARK STREET URBANA IL 61801 363637465 Hospital Services IL 501(c)(3) 3 CHER true HULT CENTER FOR HEALTHY LIVING INC 611 W PARK STREET URBANA IL 61801 363510390 Wellness Services IL 501(c)(3) 7 PH true HUMAN SERVICE CENTER 611 W PARK STREET URBANA IL 61801 371004882 Behavioral Health Services IL 501(c)(3) 7 TP true METHODIST MEDICAL CENTER FOUNDATION 611 W PARK STREET URBANA IL 61801 510186460 Fundraising IL 501(c)(3) 7 CHWR true METHODIST SERVICES INC 611 W PARK STREET URBANA IL 61801 371111134 Property Holding Co. IL 501(c)(3) 10 CHWR true PARK COURT LIMITED 611 W PARK STREET URBANA IL 61801 371178386 Property Holding Co. IL 501(c)(3) Type II CHWR true PEKIN MEMORIAL HOSPITAL 611 W PARK STREET URBANA IL 61801 370692351 Hospital Services IL 501(c)(3) 3 CHWR true PEKIN MEMORIAL HOSPITAL FOUNDATION 611 W PARK STREET URBANA IL 61801 371200267 Fundraising IL 501(c)(3) 7 CHWR true PRAIRIE VIEW VILLAS NO 1 1900 SPRING ROAD STE 300 OAK BROOK IL 605231480 261755679 Housing Services IL 501(c)(3) 7 TMHC true PROCTOR HEALTH SYSTEMS 611 W PARK STREET URBANA IL 61801 364147437 Physician Services IL 501(c)(3) 3 CHWR true PROCTOR HOSPITAL 611 W PARK STREET URBANA IL 61801 370681540 Hospital Services IL 501(c)(3) 3 CHWR true TAZWOOD MENTAL HEALTH CENTER INC 611 W PARK STREET URBANA IL 61801 371278969 Behavioral Health Services IL 501(c)(3) 7 TP true THE CARLE DEVELOPMENT FOUNDATION 611 W PARK STREET URBANA IL 61801 371159978 Fundraising IL 501(c)(3) 7 TCF true THE CARLE FOUNDATION 611 W PARK STREET URBANA IL 61801 370673465 Parent/Inv Mgmt IL 501(c)(3) Type III-FI NA false THE CARLE FOUNDATION HOSPITAL 611 W PARK STREET URBANA IL 61801 371119538 Hospital Services IL 501(c)(3) 3 CHER true THE METHODIST MEDICAL CENTER OF ILLINOIS 611 W PARK STREET URBANA IL 61801 370661223 Hospital Services IL 501(c)(3) 3 CHWR true THE METHODIST MEDICAL CENTER OF ILLINOIS SELF INSURANCE TRUST AGREEMENT 611 W PARK STREET URBANA IL 61801 376181831 Self Insurance IL 501(c)(3) Type I MMCI true TRILLIUM PLACE 611 W PARK STREET URBANA IL 61801 834051901 Behavioral Health Services IL 501(c)(3) 10 CHWR true CHAMPAIGN SURGICENTER LLC 611 W PARK STREET URBANA IL 61801 201915925 Surgical Center IL NA N/A FIELDS SOUTH LLC 611 W PARK STREET URBANA IL 61801 823187698 Property & Facility Management IL NA N/A MOUPH LLC 611 W PARK STREET URBANA IL 61801 921791534 Outpatient Orthopedic Services IL NA N/A REHABILITATION THERAPY SERVICES LLC 416 ST MARKS CT 110 PEORIA IA 61603 810584193 Rehabilitation Therapy IL NA N/A THE CENTER FOR ORTHOPEDIC MEDICINE LLC RECOVERY CARE CENTER 2502B E EMPIRE ST BLOOMINGTON IL 61704 270934895 Outpatient Orthopedic Services IL NA N/A THE CENTER FOR ORTHOPEDIC MEDICINE LLC SURGERY CENTER 2502B E EMPIRE ST BLOOMINGTON IL 61704 371356453 Outpatient Orthopedic Services IL NA N/A BELCREST SERVICES LTD 611 W PARK STREET URBANA IL 61801 371196307 Medical Services IL NA C Corporation true CARLE HEALTH JUNCTION MEDICAL LLC 611 W PARK STREET URBANA IL 61801 814609769 Care Coordination IL NA C Corporation true CARLE HEALTH PHYSICIAN PARTNERS INC 611 W PARK STREET URBANA IL 61801 850718392 Physician Services IL NA C Corporation true CARLE HOLDING COMPANY INC 611 W PARK STREET URBANA IL 61801 371188284 Holding Co. IL NA C Corporation true CARLE RESEARCH PRODUCTS INC 611 W PARK STREET URBANA IL 61801 999999999 Medical Research - INACTIVE IL NA C Corporation true CARLE RISK MANAGEMENT COMPANY 611 W PARK STREET URBANA IL 61801 371217973 Risk Management IL NA C Corporation true CARLE VENTURES INC 611 W PARK STREET URBANA IL 61801 371313150 Health Care Partnerships IL NA C Corporation true CHA HOLDING INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 471854275 Holding Co. IL NA C Corporation true FIRSTCAROLINACARE INSURANCE COMPANY 42 MEMORIAL DR PINEHURST NC 28374 331160597 Insurance IL NA C Corporation true HEALTH ALLIANCE CONNECT INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 464796891 Health Care Coordination IL NA C Corporation true HEALTH ALLIANCE MEDICAL PLANS INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 371260731 Health Coverage IL NA C Corporation true HEALTH ALLIANCE MIDWEST INC 3310 SOUTH FIELDS DR CHAMPAIGN IL 61822 371354502 Health Coverage IL NA C Corporation true HEALTH ALLIANCE NORTHWEST HEALTH PLAN 820 N CHELAN AVE WENATCHEE WA 98801 461966323 Health Coverage WA NA C Corporation true HEALTH ALLIANCE NORTHWEST HOLDING 820 N CHELAN AVE WENATCHEE WA 98801 461717578 Holding Co. WA NA C Corporation true HEALTH PLUS INC 611 W PARK STREET URBANA IL 61801 371295532 Contracting IL NA C Corporation true HEALTH SYSTEMS INSURANCE LIMITED Governors Square 2nd Floor Bldg 3 23 Lime Tree Bay Ave Grand Cayman CJ KY11102 980638449 Insurance CJ NA C Corporation true METHODIST HEALTH VENTURES INC 611 W PARK STREET URBANA IL 61801 371140939 Holding Co. IL NA C Corporation true OPTIMUM HEALTH SOLUTIONS INC 611 W PARK STREET URBANA IL 61801 205430137 Care Coordination - INACTIVE IL NA C Corporation true PEKIN PROHEALTH INC 611 W PARK STREET URBANA IL 61801 371117052 Clinical Operations IL NA C Corporation true PROVIDER RESOURCE MANAGEMENT INC 611 W PARK STREET URBANA IL 61801 371223550 Physician Services IL NA C Corporation true true false true false false false false false false false true true true false false true true true true Carle Health Care Incorporated A 9600 Book Health Alliance Medical Plans Inc A 538 Book Carle Development Foundation C 111768 Book Health Alliance Connect Inc L 536117 Book Health Alliance Medical Plans Inc L 2265205 Book Methodist Medical Center of Illinois L 98850 Book Health Systems Insurance Limited M 291201 Book Hoopeston Community Memorial Hospital S 87087 Book