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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990-EZ, Part III, Line 28, Description PROGRAM SERVICE ACCOMPLISHMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2023, THE CARLE HEALTH SYSTEM IMPLEMENTED A NEW CORPORATE GOVERNANCE STRUCTURE AND CREATED A CARLE HEALTH SYSTEM BOARD OF TRUSTEES. THERE ARE FIVE REGIONAL BOARDS, INCLUDING THE SOUTH REGIONAL BOARD (SRB) UNDER THE SYSTEM BOARD. THE SRB HAS OVERSIGHT RESPONSIBILITY FOR THE CARLE HEALTH PROVIDER ENTITIES IN THE RICHLAND AND OLNEY AREAS. THE SRB MET FOUR TIMES DURING 2023. RICHLAND MEMORIAL HOSPITAL IS MOVING TOWARD ACCREDITATION TOWARD CRITICAL ACCESS STATUS. THE EXPECTATION IS THAT THIS WILL BE COMPLETED BY APRIL 2024. THE 2023 ENGAGEMENT SURVEY WAS REVIEWED. PARTICIPATION WAS AT 90% BY THE STAFF OF THE SOUTH REGION AND DEMONSTRATED POSTIVIE RESULTS IN ENGAGEMENT, RETENTION, WELL-BEING, INCLUSION, AND BURNOUT. PROGRAM UPDATES WERE MADE DURING THE FIRST QUARTER OF 2023 INCLUDING IMPLEMENTING WRITTEN POLICIES AND PROCEDURES, ENFORCING STANDARDS, MAINTAINING OVERSIGHT, CONDUCTING EFFECTIVE TRAINING AND EDUCATION, MAINTAINING EFFECTIVE LINES OF COMMUNICATION, AND PERFORMING INTERNAL AUDITS AND MONITORING. SEVERAL POLICIES WERE ADDRESSED DURING 2023 AND THE CORPORATE COMPLIANCE COMMITTEE REVIEWED LEGISLATION FROM THE SPRING CONGRESSIONAL SESSION WHICH INCLUDED 78 LAWS IMPACTING CARLE HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990-EZ, Part IV COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AVERAGE ESTIMATED HOURS PER WEEK LISTED FOR THE REPORTING ORGANIZATION IS 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>