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CARLE BROMENN MEDICAL CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
CARLE BROMENN MEDICAL CENTER (EIN 85-0682363)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-15
IRS object ID
202433209349321828
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-15T15:36:49+00:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLEAddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP462045100ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN850682363EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Carle BroMenn Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCARLBusinessNameControlTxt
Phone2173833311PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1611 W PARK STREETAddressLine1Txt
CityURBANACityNm
State AbbreviationILStateAbbreviationCd
ZIP61801ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDennis HeschPersonNm
Person TitleExec VP & CFOPersonTitleTxt
Phone2173833311PhoneNum
Signature2024-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJennifer D RhoderickPreparerPersonNm
PTINP00395735PTIN
Phone3176817000PhoneNum
Preparation2023-11-13PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1DENNIS HESCH EXEC VP & CFOBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1611 W PARK STREETAddressLine1Txt
CityURBANACityNm
State AbbreviationILStateAbbreviationCd
ZIP61801ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$250,612,613GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CARLE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2020FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionCARLE BROMENN MEDICAL CENTER'S MISSION IS TO BE THE TRUSTED PARTNER IN ALL HEALTHCARE DECISIONS AND IMPROVE HEALTH BY PROVIDING HIGHLY ACCESSIBLE, WORLD-CLASS CARE AND SERVICE.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1787TotalEmployeeCnt
Total Volunteers609TotalVolunteersCnt
Total Gross UBI$3,628,954TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,777,062PYContributionsGrantsAmt
CY Contributions Grants$512,651CYContributionsGrantsAmt
PY Program Service Revenue$209,091,296PYProgramServiceRevenueAmt
CY Program Service Revenue$243,430,368CYProgramServiceRevenueAmt
PY Investment Income-$39,009PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$8,579,758PYOtherRevenueAmt
CY Other Revenue$6,669,594CYOtherRevenueAmt
PY Total Revenue$219,409,107PYTotalRevenueAmt
CY Total Revenue$250,612,613CYTotalRevenueAmt
PY Grants And Similar Paid$131,962PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$108,309CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$97,160,901PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$100,843,960CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$139,153,841PYOtherExpensesAmt
CY Other Expenses$141,853,818CYOtherExpensesAmt
PY Total Expenses$236,446,704PYTotalExpensesAmt
CY Total Expenses$242,806,087CYTotalExpensesAmt
PY Revenues Less Expenses-$17,037,597PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,806,526CYRevenuesLessExpensesAmt
Total Assets BOY$61,296,148TotalAssetsBOYAmt
Total Assets EOY$68,938,847TotalAssetsEOYAmt
Total Liabilities BOY$4,587,458TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,313,838TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$56,708,690NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$62,625,009NetAssetsOrFundBalancesEOYAmt
MissionCARLE BROMENN MEDICAL CENTER'S MISSION IS TO BE THE TRUSTED PARTNER IN ALL HEALTHCARE DECISIONS AND IMPROVE HEALTH BY PROVIDING HIGHLY ACCESSIBLE, WORLD-CLASS CARE AND SERVICE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$209,894,490ExpenseAmt
Grant$108,309GrantAmt
Revenue$245,707,607RevenueAmt
DescCARLE BROMENN MEDICAL CENTER ("CBMC") IS A TAX-EXEMPT ILLINOIS NOT-FOR-PROFIT CORPORATION ESTABLISHED FOR THE PURPOSE OF OPERATING A HOSPITAL AND CONDUCTING PATIENT CARE RELATED ACTIVITIES. THE HEALTHCARE LEADER IN MCLEAN COUNTY, ILLINOIS, CBMC PROVIDES WORLD-CLASS CARE IN NEUROLOGY, CARDIOLOGY, ORTHOPEDICS, OBSTETRICS, BEHAVORIAL HEALTH SERVICES, AND MORE. CBMC IS ALSO A TEACHING FACILITY OFFERING RESIDENCY PROGRAMS IN NEUROSURGERY, NEUROLOGY, FAMILY MEDICINE, AND CLINICAL PASTORAL EDUCATION. CBMC IS A 200 BED HOSPITAL LOCATED AT 1304 FRANKLIN AVENUE, NORMAL, IL PROVIDING A RANGE OF ANCILLARY AND SUPPORT SERVICES. CBMC IS ACCREDITED BY DNV GL HEALTHCARE AND HAS ACHIEVED MAGNET DESIGNATION, THE NATION'S HIGHEST DESIGNATION FOR NURSING CARE. CBMC MAINTAINS ACCREDITATIONS AS A LEVEL II TRAUMA CENTER, CHEST PAIN CENTER, PRIMARY STROKE CENTER AND LEVEL II PERINATAL CENTER, AND IS IPDH EMERGENCY DEPARTMENT APPROVED FOR PEDIATRICS. CBMC CONTINUES A NEARLY 125-YEAR HISTORY OF PROVIDING CHARITABLE, NOT-FOR-PROFIT HOSPITAL CARE FOR BLOOMINGTON-NORMAL, AND THEIR SURROUNDING COMMUNITY. THIS HISTORY BEGAN WITH DEACONESS HOSPITAL, WHICH WAS FORMED IN 1896 AND WHICH LATER CHANGED ITS NAME TO BROKAW HOSPITAL, AND THEN TO BROMENN MEDICAL CENTER AFTER A MERGER WITH MENNONITE HEALTH CARE ASSOCIATION. IN 2010, THE HOSPITAL AND ITS SISTER HOSPITAL, EUREKA HOSPITAL, MERGED INTO ADVOCATE HEALTH AND HOSPITAL CORPORATION (ADVOCATE) AND WAS OPERATED AS A DIVISION OF ADVOCATE, UNTIL JULY 1, 2020 WHEN ACQUIRED BY CARLE HEALTH. FOR 2023, CBMC HAD APPROXIMATELY 204,697 INPATIENT AND OUTPATIENT VISITS WITH APPROXIMATELY 29,943 EMERGENCY DEPARTMENT VISITS AND 1,330 BIRTHS.Desc
Total Program Service Expenses$209,894,490TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document59IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1787EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DENNIS HESCHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2173833311PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1EXEC VP CFO 611 W PARK STREETAddressLine1Txt
CityURBANACityNm
State AbbreviationILStateAbbreviationCd
ZIP61801ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Andrea Kane MD
Secretary/Treasurer BEG 04/01/202338.02.0Yes (X)Yes (X)$0$503,855$34,429
Karl Appelquist
Immediate Past Chair THRU 03/31/20231.04.3Yes (X)Yes (X)$0$0$0
Mark Czys
Vice Chair THRU 03/31/20231.06.5Yes (X)Yes (X)$0$0$0
Paul Tucker PhD
Chair THRU 03/31/20231.06.0Yes (X)Yes (X)$0$0$0
Ron Greene
Vice Chair BEG 04/01/20231.02.0Yes (X)Yes (X)$0$0$0
Sue Strayer MD
Chair BEG 04/01/20231.02.0Yes (X)Yes (X)$0$0$0
Uretz Oliphant MD
Secretary/Treasurer THRU 03/31/20231.039.0Yes (X)Yes (X)$0$589,881$35,685
Aja Lystila MD
Physician// Director THRU 03/31/20231.039.0Yes (X)$0$406,916$34,166
Brandon Bressner
Director BEG 04/01/20231.02.0Yes (X)$0$0$0
Christopher Hughes MD
Physician//Director BEG 04/01/20231.039.0Yes (X)$0$442,537$34,166
Jeffrey Hoschek MD
Director BEG 04/01/20231.02.0Yes (X)$0$0$0
Jennifer Vance
Director BEG 04/01/20231.02.0Yes (X)$0$0$0
Jerome Oakey MD
Physician//Director BEG 04/01/202338.02.0Yes (X)$0$1,199,482$35,350
Judy Neubrander EdD FNP-BC
Director BEG 04/01/20231.02.0Yes (X)$0$0$0
Kathy Yoder DNP
Director BEG 04/01/20231.02.0Yes (X)$0$0$0
Michael Devocelle
Director THRU 03/31/20231.05.5Yes (X)$0$0$0
Nancy Scott
Director BEG 04/01/20231.02.0Yes (X)$0$0$0
Robert Bruha MD
Director BEG 04/01/20231.02.0Yes (X)$0$0$0
Vasudha Gadhiraju
Director BEG 04/01/20231.02.0Yes (X)$0$0$0
Colleen Kannaday
Officer - President, Carle Health - Central Region15.025.0Yes (X)$0$815,721$35,766
Dennis Hesch
Officer - EVP, Chief Finance & Strategy Officer2.038.0Yes (X)$0$1,395,995$366,889
James C Leonard MD
Officer - President & CEO0.539.5Yes (X)$0$5,690,001$36,885
Matthew Kolb JD MHA
Officer - President, Carle Health Regions // EVP, Chief Operating Officer1.039.0Yes (X)$0$1,567,331$363,305
Napoleon Knight MD MBA
Officer - EVP, Chief Medical Officer1.039.0Yes (X)$0$940,875$115,459
Amanda Smith
VP, BroMenn & Eureka Ambulatory Care36.04.0$0$251,312$21,754Yes (X)
John Wieland MD
Associate Chief Medical Officer, BroMenn & Eureka30.010.0$0$653,589$33,314Yes (X)
Lauren Schmid MBA
EVP, Chief Human Resources Officer1.039.0$0$945,711$209,640Yes (X)
Laurie Round
VP, Chief Nursing Officer - BroMenn & Eureka36.04.0$0$335,870$27,741Yes (X)
Linda Fred
VP, Pharmacy Services10.030.0$0$377,082$58,124Yes (X)
Nicholas Crompton
VP, Construction & Facility Services1.039.0$0$364,372$68,059Yes (X)
Jeffrey Kuska
Clinical Pharmacist40.00.0$225,986$0$21,612Yes (X)
Jennifer Woodward
Director, Pharmacy Services40.00.0$253,936$0$6,436Yes (X)
Joseph Prosser
Director, Carle Cancer Institute Normal40.00.0$230,666$0$4,195Yes (X)
Katie While
Registered Nurse - BMC CRU40.00.0$246,741$0$4,477Yes (X)
Lori Harper
Director, Nursing Services40.00.0$243,971$0$24,023Yes (X)
Charles Dennis MD
Former - Officer0.040.0$0$283,641$35,014Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,201,300TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$16,764,171TotReportableCompRltdOrgAmt
Total Other Compensation$1,606,489TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K185IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NORMAL BLOOMINGTON ANESTHESIA
387 SHUMAN BLVD SUITE 240WNAPERVILLEIL60563PHYSICIAN STAFFING$2,603,472
STRYKER MULTI YEAR CONTRACTS
PO BOX 93213CHICAGOIL606733213INSTRUMENT MAINTENANCE$1,407,749
QUEST DIAGNOSTICS
PO BOX 775460CHICAGOIL606775460LAB SERVICES$1,081,355
ORTHOPEDIC CALL COVERAGE PLLC
1111 TRINITY LANE SUITE 111BLOOMINGTONIL617048112PHYSICIAN STAFFING$534,600
PERFUSION SOLUTION
PO BOX 1200BELOITWI535121200PATIENT CONTRACT SERVICES$494,825
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K26CntrctRcvdGreaterThan100KCnt
Related Organizations$512,651RelatedOrganizationsAmt
Noncash Contributions$12,667NoncashContributionsAmt
Total Contributions$512,651TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient Service RevenueDesc
Business621110BusinessCd
Total Revenue Column$243,430,368TotalRevenueColumnAmt
Related Or Exempt Func Income$243,430,368RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$243,430,368TotalProgramServiceRevenueAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PHARMACY INCOME446110$2,427,420$2,427,420
MANAGEMENT FEE REVENUE900099$1,201,534$1,201,534
THRIFT SHOP INCOME453310$763,401$763,401

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,277,239TotalRevenueColumnAmt
Related Or Exempt Func Income$2,277,239RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,669,594OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$250,612,613TotalRevenueColumnAmt
Related Or Exempt Func Income$245,707,607RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,628,954UnrelatedBusinessRevenueAmt
Exclusion$763,401ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$108,309TotalAmt
Program Services$108,309ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$84,175,969TotalAmt
Program Services$79,114,467ProgramServicesAmt
Management And General$5,061,502ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,292,271TotalAmt
Program Services$1,223,785ProgramServicesAmt
Management And General$68,486ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,185,330TotalAmt
Program Services$8,392,702ProgramServicesAmt
Management And General$792,628ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,190,390TotalAmt
Program Services$5,797,043ProgramServicesAmt
Management And General$393,347ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$14,915TotalAmt
Management And General$14,915ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$32,613TotalAmt
Management And General$32,613ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$19,319,634TotalAmt
Program Services$18,748,622ProgramServicesAmt
Management And General$571,012ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$46,598TotalAmt
Program Services$696ProgramServicesAmt
Management And General$45,902ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,154,907TotalAmt
Program Services$2,499,703ProgramServicesAmt
Management And General$655,204ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$695,636TotalAmt
Program Services$404,737ProgramServicesAmt
Management And General$290,899ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,839,980TotalAmt
Program Services$4,054,909ProgramServicesAmt
Management And General$3,785,071ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$280,077TotalAmt
Program Services$255,204ProgramServicesAmt
Management And General$24,873ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$66,432TotalAmt
Program Services$63,649ProgramServicesAmt
Management And General$2,783ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,477,344TotalAmt
Program Services$5,099,986ProgramServicesAmt
Management And General$377,358ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,421,632TotalAmt
Program Services$9,578ProgramServicesAmt
Management And General$1,412,054ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
INTERNAL MANAGEMENT FEES$50,098,773$33,302,981$16,795,792
PATIENT CARE SUPPLIES$43,274,151$43,274,151
Provider Assessment Tax & Other Taxes$9,505,436$7,002,145$2,503,291
Non-Physician Recruitment$526,250$445,000$81,250

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$99,440TotalAmt
Program Services$96,823ProgramServicesAmt
Management And General$2,617ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$242,806,087TotalAmt
Program Services$209,894,490ProgramServicesAmt
Management And General$32,911,597ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,794,900BOYAmt
EOY$1,443,305EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$27,216,683BOYAmt
EOY$29,144,066EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
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Schedule B IRS990ScheduleB

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Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
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Explanation$32,613 - PORTION OF MEMBERSHIP DUES, INCLUDING DUES PAID TO FOR ILLINOIS HOSPITAL ASSOCIATION, ATTRIBUTABLE TO LOBBYING.ExplanationTxt

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FieldValueIRS element (for citing)
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Supplemental Information Detail SupplementalInformationDetail

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Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

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FieldValueIRS element (for citing)
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Total Expense0.0093TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
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Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
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Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
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Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
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Total Expense0.0714TotalExpensePct

Research ResearchGrp

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Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
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Total Expense0.0008TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
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Persons Served0PersonsServedCnt
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Direct Offsetting Revenue$299,207DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,676,468NetCommunityBenefitExpnsAmt
Total Expense0.0769TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

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Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
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Direct Offsetting Revenue$33,220,038DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,747,252NetCommunityBenefitExpnsAmt
Total Expense0.1225TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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Total Expense0.0000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
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Total Expense0.0001TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
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Environmental Improvements EnvironmentalImprovementsGrp

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Leadership Development LeadershipDevelopmentGrp

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Coalition Building CoalitionBuildingGrp

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Health Improvement Advocacy HealthImprovementAdvocacyGrp

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Workforce Development WorkforceDevelopmentGrp

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Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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Total Communtity Building Acty TotalCommuntityBuildingActyGrp

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State AbbreviationILStateAbbreviationCd
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Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
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Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
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CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://carle.org/about-us/community-health-needs-assessmentsOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE SCHEDULE H, PART VI FOR PART V, SECTION B, LINE 7B - COMMUNITY HEALTH NEEDS ASSESSMENT FOOTNOTEOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt23ImplementationStrategyAdptYr
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Strategy Website URLhttps://carle.org/about-us/community-health-needs-assessmentsStrategyWebsiteURLTxt
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Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SCHEDULE H, PART VIFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
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FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
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FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
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Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3ETHE 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 , 1Facility , 1 - CARLE BROMENN MEDICAL CENTER. Carle BroMenn Medical Center, Chestnut Health Systems (a Federally Qualified Health Center), the McLean County Health Department and OSF St. Joseph Medical Center collaborated with 64 individuals on the McLean County Community Health Council to conduct a joint 2022 McLean County Community Health Needs Assessment (CHNA) and adopt a joint 2023 - 2025 McLean County Community Health Improvement Plan (CHIP). Participants included a broad cross-sector of representatives from 46 organizations including healthcare, county and city government, public health, social services, housing, education, faith and others. Twenty-one of these organizations are social services organizations representing the underserved, low-income or minority populations, including the Baby Fold, Bloomington Normal Girls and Boys Club, Bloomington Housing Authority, Bloomington Township, Children's Home and Aid, East Central Illinois Area Agency on Aging, Heartland Head Start, EasterSeals of Central Illinois (individuals with disabilities), Faith in Action (transportation for seniors), Home Sweet Home Ministries (homeless), Integrity Counseling, Marcfirst SPICE, McLean County Center for Human Services, Mid Central Community Action, NAACP of Bloomington-Normal, Project Oz (youth), United Way of McLean County, Western Avenue Community Center, West Bloomington Revitalization, YMCA, and YWCA. There was also representation from Chestnut Health Systems Family Health Center which serves low-income and underserved residents of McLean County. Conducting a joint CHNA is possible as all four entities define their service area as McLean County. The process of collecting and analyzing data and prioritizing significant needs was overseen by an Executive Steering Committee of the council comprised of one representative from both hospitals, Chestnut Health Systems and the McLean County Health Department. In the fall/winter of 2021 - 2022, the committee analyzed data from a variety of sources, including existing secondary data sources and primary data from a survey administered to McLean County residents in August - September 2021. Of the 763 residents that responded, 113 were from the low-income population. The Executive Steering Committee identified the significant health needs to present to the McLean County Community Health Council for prioritization by utilizing the following criteria: - Size of the issue - Rates worse than Illinois counties or state rate - Disparities by race/ethnicity, age and gender - Disparities by ZIP code - Percent of indicators trending unfavorably in a statistically significant direction - Does not meet Healthy People (HP) 2020 or HP 2030 target - Does working on the issue impact other issues for collective impact? The seven significant health needs identified by the executive steering committee for prioritization by the council were access to care; behavioral health (mental health and substance use); diabetes, healthy eating and active living (exercise, nutrition, obesity, food access/insecurity); heart disease; oral health; and respiratory disease. The Executive Steering Committee facilitated three virtual meetings, due to the COVID-19 pandemic, of the McLean County Community Health Council to prioritize the health needs derived from the data analysis: January 27, 2022 The purpose of the first meeting was to explain the collaborative nature of the joint 2022 community health needs assessment with Carle BroMenn Medical Center, the McLean County Health Department, OSF St. Joseph Medical Center and Chestnut Health Systems and the end goal of producing a joint community health improvement plan for McLean County. Annual Report highlights from 2020 and 2021 for the 2020 - 2022 McLean County Community Health Improvement Plan were reviewed with the council. February 10, 2022 During the second meeting, the Executive Steering Committee presented data on the significant health needs identified for prioritization. Age, gender, race/ethnicity and ZIP code disparities were shared when available. Data for the social determinants of health was also reviewed with the council. Questions from council members were addressed throughout the data presentation. At the conclusion of the meeting, data summaries for the top seven health needs were emailed to the council members, in addition to the presentation given by the Executive Steering Committee during the meeting. February 24, 2022 During the final meeting, a prioritization method was used for the McLean County Community Health Council to the select the three significant health needs for the 2022 McLean County Community Health Needs Assessment and around which the 2023 - 2025 McLean County Community Health Improvement Plan was be developed. The 2022 McLean County Community Health Needs Assessment was approved by Chestnut Health Systems' Board of Directors on July 27, 2022, Carle BroMenn Medical Center and Carle Eureka Hospital's Governing Council on July 19, 2022, the McLean County Board of Health on July 13, 2022 and OSF HealthCare System's Board of Directors on July 25, 2022. The McLean County 2022 CHNA was posted in August 2022 and included a mechanism for the community to provide feedback via email. Posting of the McLean County 2023 - 2025 CHIP occurred in February 2023. As of December 31, 2023, there was no additional feedback from the community related to the 2022 McLean County CHNA, the 2023 - 2025 McLean County Community Health Improvement Plan (CHIP), the previous 2019 McLean County CHNA or the 2020-2022 McLean County CHIP.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - CARLE BROMENN MEDICAL CENTER. OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER, BLOOMINGTON, IL
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - CARLE BROMENN MEDICAL CENTER. CHESTNUT HEALTH SYSTEMS, CHESTNUT FAMILY HEALTH CENTER, BLOOMINGTON, IL MCLEAN COUNTY HEALTH DEPARTMENT, BLOOMINGTON, IL
Schedule H, Part V, Section B, Line 7 Facility , 1Facility , 1 - CARLE BROMENN MEDICAL CENTER. An overview of the process and results of the 2022 McLean County CHNA were given to the McLean County Board of Health, Chestnut Health Systems Board of Directors and Carle BroMenn-Eureka Governing Council, OSF Healthcare Systems Board of Directors. CHNA presentations were also given to students at Illinois Wesleyan University and to Leadership McLean County participants in 2022 and 2023.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - CARLE BROMENN MEDICAL CENTER. 2022 CHNA and 2023 - 2025 implementation plan (CHIP) Health Needs Selected Access to care Access to care was selected as a significant health need to be addressed by the McLean County Community Health Council not only because of its high priority score (172.9), but for several other reasons. Access to care is an important issue that affects many health outcomes. Improving access in certain areas and for certain populations can have a widespread impact on a variety of health outcomes. Data presented to the council also indicated that there are significant geographic and racial/ethnic disparities in McLean County that may be related to access to care. Access to healthcare was also rated by the 2021 McLean County Community Health Survey respondents as the number one issue affecting quality of life. Council members suggested that there are a variety of factors that can improve access to care ranging from health equity to transportation. Access to care was also selected as a health priority for the 2016 and 2019 McLean County Community Health Needs Assessments. The 2023-2025 McLean County Community Health Improvement Plan is a joint plan for the entire county and consists of interventions and resources to be provided by the hospitals, health department, family health center and numerous social services or other community organizations. Highlights for steps taken in 2023 as a part of the joint 2023 - 2025 McLean Community Health Improvement Plan to address access to care are listed below: -In 2023, Carle BroMenn Medical Center and Prairie Pride Coalition continued to provide support to Central Illinois Friends to expand access to HIV and sexual health services at the Community Health Care Clinic. -In 2023, Carle Health provided mobile health services at six sites in McLean County for 372 clients. OSF St. Joseph Medical Center distributed 93 Smart Meals at the clinics. -Carle BroMenn Medical Center and OSF HealthCare St. Joseph Medical Center continued to provide support for the Community Health Care Clinic (CHCC) in 2023. The CHCC is a free clinic which provides services to the medically underserved population of McLean County to ensure that all populations in the community have access to healthcare. All emergency room visits, diagnostic testing and hospital services are provided free of charge by Carle BroMenn and OSF St. Joseph. Carle BroMenn also owns the building where the clinic is located and provides maintenance for the clinic at no charge. OSF provides human resources support for the clinic. -In 2023, Carle BroMenn Medical Center and OSF St. Joseph Medical Center continued to collaborate with the Community Health Care Clinic for Coordinating Appropriate Access to Comprehensive Care (CAATCH). CAATCH is an emergency room navigation program for navigators and/or care coordinators to engage those without a primary care home. -Carle BroMenn Medical Center continued to lead the LGBTQ+ Community Advisory Council for Carle Health. The council fosters increased access to care by giving voice to the LGBTQ+ community and allies in order to provide more sensitive and respectful care. -Carle Health submitted an application for the Healthcare Equality Index (HEI) in October 2023. HEI is the national LGBTQ+ benchmarking tool that evaluates healthcare facilities' policies and practices related to the equity and inclusion of their LGBTQ+ patients, visitors and employees. As a part of this the application process, leaders at each Carle Health hospital completed a three-hour executive briefing session on LGBTQ+ inclusive healthcare, and staff at Carle BroMenn Medical Center (previously designated under Advocate) completed over 60 hours of LGBTQ+ inclusion education. -In 2023, Carle BroMenn Medical Center partnered with Habitat for Humanity of McLean County to sponsor a Healthcare House. -In 2023, Carle BroMenn Medical Center, Carle Cancer Institute Normal and the American Cancer Society (ACS) continued to partner on ACS's Breast Health Advocate (BHA) pilot program that launched in October 2022. Breast Health Advocates are volunteers that work within their communities to help connect Black women to local screening resources and reduce later stage breast cancer diagnoses. By the end of 2023 four BHA's were trained. -Carle Health staff members worked with the health committee of the local National Association for the Advancement of Colored People (NAACP) and the American Cancer Society in 2023, speaking and presenting on breast health at several major community events, including the Juneteenth celebration. Carle Health also hosted a lunch and learn educational event on Saturday, Aug. 5 at the Carle Cancer Institute Normal with 13 community members in attendance. -In 2023, Carle Cancer Institute Normal was awarded a grant from the Kay Yow Foundation. The grant dollars will be focused on education and promoting the importance of breast cancer screenings in the underserved areas of our community. -In 2023, Carle Health had several system wide Diversity, Equity and Inclusion (DEI) related accomplishments: 1- Over 17,000 employees completed a learning module on health equity. 2- Carle Health leadership participated in 3,300 hours of education through inclusive leadership forums; 101 leaders were Carle BroMenn Medical Center and Carle Eureka Hospital leaders accumulating 411 hours of education. 3- Carle Health employees participated in twice monthly multi-cultural DEI forums for a total of 1,000 hours. 4- Enhanced EMR to better capture accurate and inclusive REAL (race, ethnicity, language) and SOGI (sexual orientation and gender identity) data from patients. 5- Removed race-based eGFR equation from clinical testing. 6- Began screening for the social determinants of health (SDOH) in the inpatient setting in October 2023. 7- Hosted five Health Equity Grand Round sessions with a total of 969 participants. Sessions were available to community members for continuing education credits. -In 2023, the Community Health Director for Carle BroMenn Medical Center and Carle Eureka Hospital served on the Access to Care Priority Action Team for the 2023 - 2025 McLean County Community Health Improvement Plan. The 2023 - 2025 McLean County Community Health Improvement Plan (CHIP) was posted in February 2023. Interventions for access to care and the 2023 McLean County CHIP Progress Report can be viewed at: https://carle.org/about-us/community-health-needs-assessments Behavioral Health Behavioral health was selected as a significant health need to be addressed by the McLean County Community Health Council for several reasons. Behavioral health received the second highest priority score (159.0), indicating the need for further improvements in this area in McLean County. There are numerous geographic and racial/ethnic disparities for behavioral health related indicators. In addition, mental health was rated as the top health issue by 2021 McLean County Community Health Survey respondents. There has been a great deal of public support and momentum behind behavioral health in McLean County for the last several years. McLean County is well situated to continue to collaborate on mental health care due to the ongoing efforts of numerous organizations and the support of the McLean County Government. Mental health was also previously selected as a key health priority for the 2016 and 2019 McLean County Community Health Needs Assessments. Highlights for steps that taken in 2023 as a part of the joint 2023 - 2025 McLean Community Health Improvement Plan to address behavioral health are listed below: -Carle BroMenn Medical Center continues to have the only inpatient mental health unit and the only hospital-based substance use program in McLean County, which addresses both the behavioral health and access to care significant health needs. The inpatient mental health unit and the addiction and recovery unit provide critical services to those adults needing inpatient psychiatric or addiction and recovery services. The inpatient mental health unit operated at a loss of $3,526,317 and the addiction and recovery unit operated at a loss $2,611,597 from January 1 - December 31, 2023.
Schedule H, Part V, Section B, Line 11 Facility , 2Facility , 2 - CARLE BROMENN MEDICAL CENTER (CONTINUED). - In 2023, Carle Behavioral Health Bloomington had the following related accomplishments which are outlined below: 1- A Carle Behavioral Health Bloomington psychiatrist provided onsite psychiatry visits for adults for a brief period at two local homeless shelters. The psychiatrist also worked with a medical student and a master's in social work student to pilot a dialectical behavioral therapy (DBT) group at Home Sweet Home Ministries (HSH). This is a specific type of clinical therapy group that gives people actionable steps and resources to manage mental health. The psychiatrist continues to provide services at HSM. 2- A Carle Behavioral Health Bloomington psychiatrist provided educational sessions on psychopharmacology for local Carle primary care physicians. Eight sessions were conducted for approximately 30 primary care physicians and family medicine residents. 3- On May 5, 2023, a Carle Behavioral Health Bloomington psychiatrist, in partnership with University of Iowa Stead Family Children's Hospital and Child Health Specialty Clinics, conducted an eight-hour virtual training entitled, Reviewing Up-to-Date Child Psychiatric Information for a Post-Pandemic World to approximately 500 participants. - In June 2023, the Coordinator of Faith Community Relations/Senior Chaplain at Carle Health became a certified Youth Mental Health First Aid instructor. - As part of a grant through LifeLong Access, a Carle psychologist was provided free training and certification in Parent-Child Interaction Therapy in 2023 and began providing those services at Carle. - In 2023, Carle Behavioral Health Bloomington and United Way of McLean County continued their partnership entitled ThriveMind to increase rural access to behavioral health services for kindergarten through twelfth grade students, who do not readily have access to these services, at Olympia, Ridgeview and Lexington schools. As a part of the collaboration, 22 students received counseling services at no charge and without a limit on the number of services received. - In 2023, Carle BroMenn Medical Center hosted three Mental Health First Aid (MHFA) classes held at the Carle Health and Fitness Center for 35 community members. - Carle BroMenn Medical Center was one of the sponsors of the 2023 McLean County Behavioral Health Forum held on October 19, 2023. Over 240 community members attended the forum. - The Manager of Behavioral Health, Carle BroMenn Medical Center Chemical Dependency, continued to serve on the McLean County Recovery Oriented System of Care Council in 2023. - The Assistant Clinical Manager of Mental Health Services for Carle BroMenn Medical Center served on the McLean County Community Health Improvement Plan Behavioral Health Priority Action Team in 2023. - In 2023, the Community Health Director for Carle BroMenn Medical Center and Carle Eureka Hospital facilitated the McLean County Community Health Improvement Plan Behavioral Health Priority Action Team meetings. - The Community Health Director for Carle BroMenn Medical Center and Carle Eureka Hopsital served on the McLean County Trauma and Resilience Collaborative (RISE) core team as well as on the data team in 2022. RISE is led by the McLean County Government. The 2023 - 2025 McLean County Community Health Improvement Plan (CHIP) was posted in February 2023. Interventions for behavioral health and the 2023 McLean County CHIP Progress Report can be viewed at: https://carle.org/about-us/community-health-needs-assessments HEALTHY EATING/ACTIVE LIVING Healthy eating/active living was selected as a significant health need to be addressed by the McLean County Community Health Council because it ranked as number three according to its priority score of 157.5. Additionally, the council felt that by focusing on healthy eating/active living, many other health outcomes such as heart disease, cancer and diabetes may also be positively impacted. This issue was also selected because obesity was the second top perceived health issue, according to the 2021 McLean County Community Health Survey respondents, and poor eating habits was the second most important perceived issue impacting health. Food insecurity and food access are also areas needing improvement in McLean County. Healthy Eating/Active Living was selected as a health priority for the 2019 McLean County Community Health Needs Assessment. Obesity was selected as a health priority for the 2016 McLean County Community Health Needs Assessment. Highlights for steps taken in 2023 as a part of the joint 2023 - 2025 McLean Community Health Improvement Plan to address healthy eating/active living are listed below: - In 2023, Carle Health and Fitness Center had the following related accomplishments: 1- Hosted a presentation by a Carle physician on sleep for 22 individuals. 2- Hosted a Friendship Walk Training at McGraw Park for 12 individuals. 3- Hosted a workout session and presented nutrition information at Lifelong Access for 35 individuals on Disability Pride Awareness Day. 4- Hosted a presentation by a Carle physician on acid reflux for 15 individuals. 5- Hosted a presentation by a Carle physician on breast health for 12 individuals. 6- Hosted a presentation by a Carle physician on seasonal affective disorder for 17 individuals. 7- Donated 20 bags of clothing to PATH Crisis Center. 8- Donated over 1,660 pounds of food to faith and other organizations in West Bloomington. 9- Donated $5,000 in fitness center memberships, youth services and general sponsorships in 2023. - The Partnership for Health Pilot Program began in April 2017 and continued in 2023. The program is a private-public partnership to improve the health and fitness of people with developmental and intellectual disabilities, and their support workers. Partners include Carle Health and Fitness Center, Lifelong Access to Care, Carle Center for Philanthropy, the McLean County Health Department and the McLean County Board for the Care and Treatment of Persons with a Developmental Disability (377 Board). - In 2023, the program served an average of 29 individuals. 2023 outcomes are as follows: - 48% of participants decreased their systolic pressure - 52% of participants decreased their diastolic pressure - 48% of participants improved their waist circumference - 34% of participants improved their body mass index (BMI) - Carle BroMenn Medical Center's Nurse Practice Council donated 217 jars of peanut butter and 63 boxes of crackers to benefit children in need at Glenn, Fairview and Oakland Elementary Schools. - Carle BroMenn Medical Center's Spiritual Care department, in cooperation with the Carle Faith Community Partners, launched the Compassion Cupboard in May 2023 as a pilot program. The Compassion Cupboard provided bags of basic food items such as canned fruits, vegetables, proteins and grains to 68 individuals experiencing food insecurity that were discharged from the hospital or sought services at an outpatient clinic. The intent of the food bags is to aid with food insecurity in the short term. Information about local food pantries and support programs was included in each bag. - In 2023, the Community Health Director for Carle BroMenn Medical Center and Carle Eureka Hospital served on the Healthy Eating/Active Living Priority Action Team for the 2023 - 2025 McLean County Community Health Improvement Plan. - In September 2023, the inaugural McLean County Hunger Walk was held at Tipton Park. The Hunger Walk was sponsored by the Executive Steering Committee of the McLean County Community Health Council and the University of Illinois Extension. Members of the Council's Executive Steering Committee included representatives from Carle BroMenn Medical Center, Chestnut Health Systems, McLean County Health Department, and OSF St. Joseph Medical Center. Approximately 50 individuals participated in the walk and donated food. Food donations were given to Mt. Pisgah Baptist Church for their food pantry. The 2023 - 2025 McLean County Community Health Improvement Plan (CHIP) was posted in February 2023. Interventions for healty eating/active living and the 2023 McLean County CHIP Progress Report can be viewed at: https://carle.org/about-us/community-health-needs-assessments
Schedule H, Part V, Section B, Line 11 Facility , 3Facility , 3 - CARLE BROMENN MEDICAL CENTER (CONTINUED). Health Needs Not Selected Diabetes was not selected as a health need to be addressed because it was ranked seventh with a priority score of 71.4 and the McLean County Community Health Council did not feel that there was a compelling reason to eliminate one of the top three ranked health issues. Council members also felt that diabetes improvements could be made with a focus on access to care and healthy eating/active living. Heart disease was not selected as a health need to be addressed because it was ranked fifth according to its priority score of 96.0 and the McLean County Community Health Council did not feel that there was a compelling reason to eliminate one of the health issues that ranked in the top three. The council did discuss that improving access to care may also improve health outcomes for heart disease, particularly in areas of high socioeconomic needs. Oral health was not selected as a health need to be address. Although oral health is deemed as an extremely important issue in McLean County, the McLean County Community Health Council agreed to address the three needs that received the highest priority scores. Oral health was ranked fourth with a score of 112. The council did discuss that oral health is an access issue and can be addressed under access to care. The opening of a new dental clinic at the Community Health Care Clinic in early 2019 for individuals without health insurance is improving oral health care access. Respiratory disease was not selected as a health need to be addressed as it ranked sixth according to its priority score of 90.0 and the McLean County Community Health Council did not feel that there was a compelling reason to eliminate one of the health concerns that ranked in the top three. The council did discuss that improving access to care may also improve health outcomes for respiratory disease, particularly in areas of high socioeconomic needs.
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
MEDICAL OFFICE CENTER 1
1302 FRANKLIN AVENORMALIL61761RURAL HEALTH CLINIC
CARLE BROMENN OUTPATIENT CENTER
3024 E EMPIRE STBLOOMINGTONIL61704RURAL HEALTH CLINIC
MEDICAL OFFICE CENTER 2
1300 FRANKLIN AVENORMALIL61761RURAL HEALTH CLINIC
ADULT DAY CARE AND ENT CLINIC
207 LANDMARK DRIVENORMALIL61761RURAL HEALTH CLINIC
COMMUNITY HEALTH CARE CLINIC
900 FRANKLIN AVENORMALIL61761RURAL HEALTH CLINIC
CARLE EL PASO CLINIC
385 S ORANGE STEL PASOIL61738RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3c FINANCIAL ASSISTANCE ELIGIBILITY CRITERIAPATIENTS 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 I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLESEE NARRATIVE FOR SCHEDULE H, PART III, LINE 2
Schedule H, Part V, Section B, Line 7 B COMMUNITY HEALTH NEEDS ASSESSMENTChestnut Health Systems: https://www.chestnut.org/chestnut-family-health-center/data-reports/ McLean County Health Department: https://health.mcleancountyil.gov/112/Community-Health-Needs-Assessment-Health OSF St. Joseph Medical Center: https://x.osfhealthcare.org/patients-visitors/about/community-health
Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITEHTTPS://CARLE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITEHTTPS://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 WEBSITEHTTPS://CARLE.ORG/GETMEDIA/F7608F63-CB1C-4EB5-8F0B-02F00EAFEC74/X0873-0223-CFAP-PLAINLANGUAGE-SUMMARY.PDF
Schedule H, Part II Community Building ActivitiesEducation Through a variety of activities including significant donations, scholarship programs, and physician, nurse and allied health education, more than $777,000 was invested in programs that address community-wide workforce and education issues, strengthening the training and availability of professionals to care for our communities' healthcare needs now and in the future. Community Building Although community building items are not counted as community benefit, this support is an important aspect of contributing to the economic viability of the community. In total, Carle BroMenn Medical Center contributed more than $49,000 in community building activities in 2023. Economic Development (F2) A portion of Carle BroMenn Medical Center's community-building activities is focused on economic development cash donations and in-kind donations. The hospital provided funding to many community building associations in 2023, including the Bloomington-Normal Economic Development Corporation, the McLean County Chamber of Commerce, the McLean County Museum of History, and more. Leadership also provided in-kind support by serving on boards for the McLean County Chamber of Commerce and the Bloomington-Normal Economic Development Council.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountTO 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 MethodologyCARLE BROMENN MEDICAL CENTER 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 footnoteAS 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 costsTHE 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 assistanceTHE CARLE FINANCIAL ASSISTANCE PROGRAM (CFAP) PROVIDES DISCOUNTED OR FREE CARE TO THOSE WHO NEED IT WITHIN THE CARLE HEALTH SYSTEM, INCLUDING CARLE BROMENN MEDICAL CENTER. 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 BROMENN MEDICAL CENTER 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 BROMENN MEDICAL CENTER 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 BROMENN MEDICAL CENTER 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 BROMENN MEDICAL CENTER: Line 16a URL: SEE SCHEDULE H, PART VI;
Schedule H, Part V, Section B, Line 16b FAP Application website- CARLE BROMENN MEDICAL CENTER: Line 16b URL: SEE SCHEDULE H, PART VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- CARLE BROMENN MEDICAL CENTER: Line 16c URL: SEE SCHEDULE H, PART VI;
Schedule H, Part VI, Line 2 Needs assessmentCarle Bromenn Medical Center primarily assesses healthcare needs in our community by being a part of the aforementioned joint CHNA in partnership with OSF Healthcare St. Joseph Medical Center, McLean County Health Department and Chestnut Health Systems - Family Health Center. In addition to the highlights for access to care outlined in Part V line 11, Carle BroMenn Medical Center has a strong financial assistance program based on a philosophy of doing the right thing for the community and patients, balanced by a careful stewardship of the community's resources. As a tax-exempt organization, Carle BroMenn Medical Center provides care to patients regardless of their ability to pay. Carle Health's generous financial assistance program has resulted in our ability to reach many people over the years. To ensure we are addressing the needs of the community, the finance and quality committees of Carle Health's board of trustees reviews and evaluates charity care figures annually. We do not limit the amount of financial assistance we provide, at this time. In addition to charity care, Carle BroMenn Medical Center 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 BroMenn Medical Center will continue with these Initiatives to improve access to care: 1. Offer a charity care program 2. Communicate the availability of the charity care program 3. Recruit more providers into the Carle Health system, thereby expanding access/capacity 4. Support the local Community Health Care Clinic to ensure added local capacity for health and dental care 5. Participate in population health initiatives that actively manage the health of members 6. Enhance access-related initiatives that will improve patient access and ability to interface more efficiently for needed services, i.e; virtual visits 7. Continue access to care through subsidized services, including mental health services, heart failure clinic, chemical dependency and acute rehabilitation to name a few.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceCarle Bromenn Medical Center'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 https://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 informationCommunity Description The McLean County Community Health Council defined the community as McLean County, the primary service area for Carle BroMenn Medical Center, the McLean County Health Department, OSF St. Joseph Medical Center and Chestnut Family Health Center. This area includes the following cities and towns: Anchor, Arrowsmith, Bellflower, Bloomington, Carlock, Chenoa, Colfax, Cooksville, Danvers, Downs, Ellsworth, Gridley, Heyworth, Hudson, Le Roy, Lexington, McLean, Merna, Normal, Saybrook, Stanford and Towanda. Population McLean County consists of a total population of 174,090 (Conduent Healthy Communities Institute, Claritas, 2022). Bloomington has the largest population in the county with 77,962 and Normal has the second largest population with 54,742 (Conduent Healthy Communities Institute, U.S. Census Bureau, 2018). The population in McLean County increased by 2.66 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. McLean 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. McLean County has two ZIP codes with a ranking of 5 and eight ZIP codes with a ranking of 4, which represent the areas with the highest relative need in McLean County. Demographics The median age in McLean County is 34.4 years of age. This is lower than the median age for Illinois (39.2 years). Approximately 22 percent of persons in McLean County are less than 18 years of age, 42 percent are 18 to 44 years, 22 percent are 45 to 64 years of age and 13.5 percent are over the age of 65. Forty-nine percent of the population in McLean County is male and 51 percent is female. The race/ethnicity of the county's population is 81.3 percent White, 8.4 percent Black or African American, 5.2 percent Asian, 5.5 percent Hispanic or Latino, 0.23 percent American Indian and Alaska Native, and .04 percent Native Hawaiian or Pacific Islander. There are 67,245 households in McLean County. The average household size is 2.43 persons (Conduent Healthy Communities Institute, Claritas, 2022). The percent of the households in McLean County that are single parent households is 22.2 percent. The median household income for McLean County is $73,004. This is lower than the median household income for Illinois which is $76,001. Within McLean County, the median household income varies with Asians having the highest median household income at $103,819 and respondents indicating "Some Other Race Blacks/African American having the lowest at $22,937 and $32,263 respectively. The percent of people living below the federal poverty line is 15.2 percent. This is higher than the Illinois value (12 percent). The percentage of the civilian labor force ages 16 years and over that is unemployed in McLean County is 2.8 percent. This is lower than the Illinois value of 5.18 percent. The three common industries of employment are financial or insurance industry at 18.2 percent, educational services at 14.6 percent and healthcare at 12.6 percent (Conduent Healthy Communities Institute, Claritas, 2022). Ninety-five percent of the population ages 25 and over in McLean County possess a high school diploma or higher and 45.6 percent have a bachelor's degree or higher (Conduent Healthy Communities Institute, Claritas, 2022). Illinois State University, Illinois Wesleyan University and Heartland Community College are all located in McLean County. The four-year high school graduation rate for McLean County is 91.6 percent and meets the Healthy People 2030 target of 90.7 percent. Over time, the McLean County value has increased, but not significantly. McLean County's high school graduation rate is higher than the graduation rate for Illinois of 85.4 percent (Conduent Healthy Communities Institute, County Health Rankings, 2017 - 2018). Healthcare Coverage Ninety-seven percent of respondents of the 2021 McLean County Community Health Survey reported having either private insurance, Medicare or Medicaid, while three percent reported not having any insurance. The Index of Medical Underservice (IMU) score for the McLean County Service Area is 49.2. The lowest score (highest need) is 0; the highest score (lowest need) is 100. To qualify for designation, the IMU score must be less than or equal to 62.0. This score applies to the Medically Underserved Area (MUA) or Medically Underserved Populations (MUP) as a whole, and not to individual portions of it (Human Resources and Services Administration, 2022). Healthcare Resources in the Defined Community McLean County has two hospitals, Carle BroMenn Medical Center located in Normal and OSF Healthcare St. Joseph Medical Center located in Bloomington. There is also a federally qualified health center (FQHC), the Chestnut Family Health Center, located in Bloomington. In addition, there are two community clinics. The Community Health Care Clinic is located in Normal and McLean County Center for Human Services is located in Bloomington. Another health care resource in McLean County is the family health clinic within the McLean County Health Department. In the 2021 County Health Rankings, McLean County ranked second out of 102 Illinois counties for clinical care. The ranking is based on a summary composite score calculated from the following measures: uninsured, primary care physicians, mental health providers, dentists, preventable hospital stays, diabetic monitoring, and mammography screening (Conduent Healthy Communities Institute, County Health Rankings, 2021).
Schedule H, Part VI, Line 5 Promotion of community healthCarle BroMenn Medical Center'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 organization extends medical staff privileges to all qualified physicians in its community for some or all of its departments and specialties. A vast majority of the hospital's executive and leadership team serve on multiple community boards that help either directly or indirectly improve the health of the community, such as Faith in Action, Habitat for Humanity, McLean County Interfaith Alliance, Mennonite College of Nursing, Not in Our Town, Boys and Girls Club, Big Brothers and Big Sisters and Promise Council boards. In addition, Carle BroMenn Medical Center's president is involved in many other boards impacting the community, such as the Commerce Bank Advisory Board, Illinois Wesleyan University Board, Chamber of Commerce CEO Council and Illinois State University Foundation and Development Advisory boards. The Community Health Care Clinic also contributes to the health of the community and furthers the medical center's charitable, tax-exempt status. In 1993, Carle BroMenn Medical Center (BroMenn Medical Center at the time) collaborated with OSF Healthcare St. Joseph Medical Center to open the clinic. The clinic provides services to the medically underserved population of McLean County to ensure all populations in the community have access to healthcare. Emergency room visits, diagnostic testing and medical center services are provided free-of-charge by Carle BroMenn Medical Center and OSF Healthcare St. Joseph Medical Center. In 2023, the Community Health Care Clinic served 764 patients and dispensed 17,479 prescription medications at no charge to uninsured individuals. The clinic is in a building owned by Carle BroMenn Medical Center for which the hospital paid $85,216 for upkeep and maintenance of the facility in 2023. In addition to the above, Carle BroMenn Medical Center offers several services to patients and the community which operate at a loss to the hospital. A sampling of these services is outlined below. -Carle BroMenn Medical Center is an American Heart Association (AHA) Training Center. The American Heart Association (AHA) Training Center offers Friends & Family CPR/AED, BLS (Basic Life Support), Heartsaver First Aid/CPR/AED, Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS), to staff, as well as the community. In 2023, 7,050 individuals were trained through the training center at a cost of $28,514 to the medical center. -Carle BroMenn Medical Center's Acute Rehab Services treats patients who require inpatient rehabilitation services resulting from a variety of conditions including stroke, traumatic and non-traumatic brain and spinal cord injury, neurological disorders, hip fracture, amputation, burns, arthritis, joint replacement and other conditions. The goal of treatment, provided by a care team, is to help individuals regain their independence and reach their rehabilitation goals. Depending on the customized care plan, a care team may include nurses, physical therapists, occupational therapists, speech therapists, social workers/case managers and dietitians. Carle BroMenn Medical Center operated Acute Rehab Services in 2023 at a loss of $3,415,489. -In 2023, Carle BroMenn Medical Center operated a heart failure clinic at a loss of $811,005 and cardiopulmonary rehab at a loss of $1,129,135. Other services offered by the medical center that benefit the health of the community include clinical pastoral education programs and being a teaching hospital for both family practice and neurosurgery residents.
Schedule H, Part VI, Line 6 Affiliated health care systemThe Hospital and its associated business units under The Carle Foundation umbrella all participate in carrying out the same annual community benefit plan, participating in programs that fit their specific missions.
Schedule H, Part VI, Line 7 State filing of community benefit reportIL

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Illinois State University Foundation
1101 N Main StNormalIL61790376025713501(c)(3)$37,000BroMenn Endowed Professorship in Nursing 2023 and Other Program Support
McLean County Chamber of Commerce
2203 E Empire St Ste BBloomingtonIL61704370182200501(c)(6)$11,375Membership Investment; 2023 Event Sponsor
A-L Tier II LLC fka Redbirds Sports Property
PO Box 843038Kansas CityMO641843038470911648$32,500Program Support
Western Avenue Community Center
1208 S Bunn StreetBloomingtonIL61701370662599501(c)(3)$10,000Program Support
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule I, Part II REDBIRDS SPORTS PROPERTYCARLE BROMENN MEDICAL CENTER HAS A SPONSORSHIP AGREEMENT WITH REDBIRDS SPORTS PROPERTY, WHO HAS THE EXCLUSIVE MARKETING AND SPONSORSHIP RIGHTS FOR ILLINOIS STATE UNIVERSITY. THE SPONSORSHIP PROVIDES EXPOSURE OF PRODUCT AND SERVICES FOR CARLE BROMENN MEDICAL CENTER BY SPONSORING ILLINOIS STATE UNIVERSITY ATHLETICS.
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS 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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Andrea Kane MD
Secretary/Treasurer BEG 04/01/2023$0$392,245$0$108,551$0$3,059$0$6,600$0$27,829$0$538,284$0$0
Uretz Oliphant MD
Secretary/Treasurer THRU 03/31/2023$0$563,944$0$0$0$25,937$0$16,500$0$19,185$0$625,566$0$0
Christopher Hughes MD
Physician//Director BEG 04/01/2023$0$361,900$0$64,656$0$15,981$0$6,600$0$27,566$0$476,703$0$13,526
Aja Lystila MD
Physician// Director THRU 03/31/2023$0$336,287$0$67,393$0$3,236$0$6,600$0$27,566$0$441,082$0$0
Jerome Oakey MD
Physician//Director BEG 04/01/2023$0$946,563$0$228,206$0$24,713$0$6,600$0$28,750$0$1,234,832$0$0
Charles Dennis MD
Former - Officer$0$255,906$0$24,328$0$3,407$0$12,918$0$22,096$0$318,655$0$0
Dennis Hesch
Officer - EVP, Chief Finance & Strategy Officer$0$1,104,200$0$262,608$0$29,187$0$346,286$0$20,603$0$1,762,884$0$0
Colleen Kannaday
Officer - President, Carle Health - Central Region$0$623,587$0$164,842$0$27,292$0$6,600$0$29,166$0$851,487$0$0
Napoleon Knight MD MBA
Officer - EVP, Chief Medical Officer$0$775,491$0$136,231$0$29,153$0$103,114$0$12,345$0$1,056,334$0$0
Matthew Kolb JD MHA
Officer - President, Carle Health Regions // EVP, Chief Operating Officer$0$1,092,613$0$219,046$0$255,672$0$335,494$0$27,811$0$1,930,636$0$226,485
James C Leonard MD
Officer - President & CEO$0$1,690,975$0$443,047$0$3,555,979$0$16,500$0$20,385$0$5,726,886$0$3,526,792
Nicholas Crompton
VP, Construction & Facility Services$0$291,871$0$30,843$0$41,658$0$37,180$0$30,879$0$432,431$0$0
Linda Fred
VP, Pharmacy Services$0$279,931$0$40,480$0$56,671$0$35,654$0$22,470$0$435,206$0$0
Laurie Round
VP, Chief Nursing Officer - BroMenn & Eureka$0$282,249$0$29,189$0$24,432$0$5,570$0$22,171$0$363,611$0$0
Lauren Schmid MBA
EVP, Chief Human Resources Officer$0$674,332$0$113,339$0$158,040$0$182,309$0$27,331$0$1,155,351$0$128,983
Amanda Smith
VP, BroMenn & Eureka Ambulatory Care$0$225,328$0$24,276$0$1,708$0$4,890$0$16,864$0$273,066$0$0
John Wieland MD
Associate Chief Medical Officer, BroMenn & Eureka$0$564,563$0$64,313$0$24,713$0$6,600$0$26,714$0$686,903$0$0
Lori Harper
Director, Nursing Services$227,596$0$13,915$0$2,460$0$4,183$0$19,840$0$267,994$0$0$0
Jeffrey Kuska
Clinical Pharmacist$220,979$0$400$0$4,607$0$4,307$0$17,305$0$247,598$0$0$0
Joseph Prosser
Director, Carle Cancer Institute Normal$210,010$0$15,180$0$5,476$0$4,195$0$0$0$234,861$0$0$0
Katie While
Registered Nurse - BMC CRU$245,946$0$400$0$395$0$4,477$0$0$0$251,218$0$0$0
Jennifer Woodward
Director, Pharmacy Services$237,056$0$15,528$0$1,352$0$4,436$0$2,000$0$260,372$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationTHE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT COMPANY OF CARLE BROMENN MEDICAL CENTER, 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 planTHE 2023 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE BROMENN MEDICAL CENTER, THAT ARE LISTED IN THE 990 PART VII INCLUDE DENNIS HESCH, COLLEEN KANNADAY, MATTHEW KOLB, JD, MHA, JAMES C. LEONARD, MD, LINDA FRED, JAMES NEVIN, JR., MD, LAUREN SCHMID, MBA, LAURIE ROUND, NAPOLEON KNIGHT, MD, NICHOLAS CROMPTON, AMANDA SMITH, AND CHRISTOPHER HUGHES, MD. IN 2023, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO JAMES C. LEONARD, MD ($3,526,792), MATTHEW KOLB, JD, MHA ($226,485), LAUREN SCHMID, MBA ($128,983), AND CHRISTOPHER HUGHES, MD ($13,526).
Schedule J, Part I, Line 7 Non-fixed paymentsPART 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 DIRECTORS PRIOR TO ANY INCENTIVE PAYOUT.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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), AJA LYSTILA, MD (TRUSTEE), MARK CZYS (BOARD VICE CHAIR), MICHAEL DEVOCELLE (DIRECTOR), PAUL TUCKER, PHD (BOARD CHAIR), AND URETZ OLIPHANT, MD (BOARD SECRETARY/TREASURER) - Business relationship, - JAMES C. LEONARD, MD (OFFICER), AJA LYSTILA, MD (DIRECTOR), KARL APPELQUIST (BOARD IMMEDIATE PAST CHAIR), MARK CZYS (BOARD VICE CHAIR), MICHAEL DEVOCELLE (DIRECTOR), PAUL TUCKER, PHD (BOARD CHAIR), AND URETZ OLIPHANT, MD (BOARD SECRETARY/TREASURER) - Business relationship, - JAMES C. LEONARD, MD (OFFICER) AND NAPOLEON KNIGHT, MD, MBA (OFFICER) - Business relationship, - JAMES C. LEONARD, MD (OFFICER), DENNIS HESCH (OFFICER), LAUREN SCHMID, MBA (KEY EMPLOYEE), AND AJA LYSTILA, MD (DIRECTOR) - Business relationship, - DENNIS HESCH (OFFICER), MARK CZYS (BOARD VICE CHAIR), MICHAEL DEVOCELLE (DIRECTOR), AND PAUL TUCKER, PHD (BOARD CHAIR) - Business relationship, - JAMES C. LEONARD, MD (OFFICER), NAPOLEON KNIGHT, MD, MBA (OFFICER), MARK CZYS (BOARD VICE CHAIR), AND PAUL TUCKER, PHD (BOARD CHAIR) - Business relationship, - DENNIS HESCH (OFFICER), MATTHEW KOLB, JD, MHA (OFFICER), AND NICHOLAS CROMPTON (KEY EMPLOYEE) - Business relationship, - COLLEEN KANNADAY (OFFICER), JEROME OAKEY, MD (DIRECTOR), JOHN WIELAND, MD (KEY EMPLOYEE), AND CHARLES DENNIS, MD (FORMER) - Business relationship
Form 990, Part VI, Line 4 Significant changes to organizational documentsDURING 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 CARLE BROMENN MEDICAL CENTER ARE TO BE AMENDED TO LIST THE SOLE MEMBER AS CARLE HEALTH - CENTRAL REGION.
Form 990, Part VI, Line 6 Classes of members or stockholdersCARLE BROMENN MEDICAL CENTER HAS ONE MEMBER WHICH CARLE HEALTH - CENTRAL REGION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyCARLE BROMENN MEDICAL CENTER'S SOLE MEMBER, CARLE HEALTH - CENTRAL REGION, ACTING THROUGH ITS BOARD OF DIRECTORS, HAS THE EXCLUSIVE POWER TO ELECT AND REMOVE MEMBERS OF THE BOARD OF DIRECTORS FOR THE CORPORATION IN ADDITION TO FILLING VACANCIES.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersCARLE BROMENN MEDICAL CENTER MUST HAVE THE APPROVAL OF ITS SOLE MEMBER, CARLE HEALTH - CENTRAL REGION, THROUGH ITS BOARD OF DIRECTORS, 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 bodyTHE 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 policyTHE 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 DIRECTORS AND MEMBERS OF BOARD COMMITTEES ARE REVIEWED BY THE CHAIR OF THE BOARD. THE ENTIRE BOARD, ABSENT THE SUBJECT DIRECTOR OR COMMITTEE MEMBER DETERMINES WHETHER A CONFLICT EXISTS. DIRECTORS 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 publicTHE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE BROMENN MEDICAL CENTER, 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.COM. QUARTERLY FINANCIAL STATEMENTS ARE 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 BTHE 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 RevenueALL OTHER REVENUE - Total Revenue: 2277239, Related or Exempt Function Revenue: 2277239, 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 balancesINTERCOMPANY RECEIVABLE/PAYABLE - -1890207;
Form 990, Part XII, Line 2c Change of oversight process or selection processForm 990, Part XII, Lines 2A, B, C and Part IV, Lines 12, 12A THE FINANCIAL STATEMENTS FOR CARLE BROMENN MEDICAL CENTER 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 - PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALCARLE BROMENN MEDICAL CENTER DOES NOT COMPENSATE ITS OFFICERS. EMPLOYEE COMPENSATION FOR THESE INDIVIDUALS IS COMPENSATED BY THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE BOARD OF DIRECTORS OF THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE BROMENN MEDICAL CENTER, 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 DIRECTORS; 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 R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CARLE COMMUNITY HEALTH CORPORATION
611 W PARK STREETURBANAIL61801364458371FNDN MissionIL501(c)(3)Type ITCDFYes (true)
CARLE EUREKA HOSPITAL
611 W PARK STREETURBANAIL61801850688306Hospital ServicesIL501(c)(3)3CHCRYes (true)
CARLE HEALTH - CENTRAL REGION
611 W PARK STREETURBANAIL61801990548510Governance/OversightIL501(c)(3)Type III-FITCFYes (true)
CARLE HEALTH - EAST REGION
611 W PARK STREETURBANAIL61801990582680Governance/OversightIL501(c)(3)Type III-FITCFYes (true)
CARLE HEALTH - SOUTH REGION
611 W PARK STREETURBANAIL61801990614340Governance/OversightIL501(c)(3)Type III-FITCFYes (true)
CARLE HEALTH - WEST REGION
611 W PARK STREETURBANAIL61801371111135Governance/OversightIL501(c)(3)Type III-FITCFYes (true)
CARLE HEALTH CARE INCORPORATED
611 W PARK STREETURBANAIL61801371140016Various Medical ServicesIL501(c)(3)10TCFYes (true)
CARLE RETIREMENT CENTERS INC
611 W PARK STREETURBANAIL61801371160033Retirement LivingIL501(c)(3)10TCFYes (true)
CARLE WEST PHYSICIAN GROUP INC
611 W PARK STREETURBANAIL61801850703768Physician ServicesIL501(c)(3)10CHCIYes (true)
CRIS HEALTHY AGING
611 W PARK STREETURBANAIL61801370948852Senior Citizen ServicesIL501(c)(3)7CHCIYes (true)
HOOPESTON COMMUNITY MEMORIAL HOSPITAL
611 W PARK STREETURBANAIL61801363637465Hospital ServicesIL501(c)(3)3CHERYes (true)
HULT CENTER FOR HEALTHY LIVING INC
611 W PARK STREETURBANAIL61801363510390Wellness ServicesIL501(c)(3)7PHYes (true)
HUMAN SERVICE CENTER
611 W PARK STREETURBANAIL61801371004882Behavioral Health ServicesIL501(c)(3)7TPYes (true)
METHODIST MEDICAL CENTER FOUNDATION
611 W PARK STREETURBANAIL61801510186460FundraisingIL501(c)(3)7CHWRYes (true)
METHODIST SERVICES INC
611 W PARK STREETURBANAIL61801371111134Property Holding Co.IL501(c)(3)10CHWRYes (true)
PARK COURT LIMITED
611 W PARK STREETURBANAIL61801371178386Property Holding Co.IL501(c)(3)Type IICHWRYes (true)
PEKIN MEMORIAL HOSPITAL
611 W PARK STREETURBANAIL61801370692351Hospital ServicesIL501(c)(3)3CHWRYes (true)
PEKIN MEMORIAL HOSPITAL FOUNDATION
611 W PARK STREETURBANAIL61801371200267FundraisingIL501(c)(3)7CHWRYes (true)
PRAIRIE VIEW VILLAS NO 1
1900 SPRING ROAD STE 300OAK BROOKIL605231480261755679Housing ServicesIL501(c)(3)7TMHCYes (true)
PROCTOR HEALTH SYSTEMS
611 W PARK STREETURBANAIL61801364147437Physician ServicesIL501(c)(3)3CHWRYes (true)
PROCTOR HOSPITAL
611 W PARK STREETURBANAIL61801370681540Hospital ServicesIL501(c)(3)3CHWRYes (true)
RICHLAND MEMORIAL HOSPITAL INC
611 W PARK STREETURBANAIL61801371363001Hospital ServicesIL501(c)(3)3CHSRYes (true)
TAZWOOD MENTAL HEALTH CENTER INC
611 W PARK STREETURBANAIL61801371278969Behavioral Health ServicesIL501(c)(3)7TPYes (true)
THE CARLE DEVELOPMENT FOUNDATION
611 W PARK STREETURBANAIL61801371159978FundraisingIL501(c)(3)7TCFYes (true)
THE CARLE FOUNDATION
611 W PARK STREETURBANAIL61801370673465Parent/Inv MgmtIL501(c)(3)Type III-FINAfalse
THE CARLE FOUNDATION HOSPITAL
611 W PARK STREETURBANAIL61801371119538Hospital ServicesIL501(c)(3)3CHERYes (true)
THE METHODIST MEDICAL CENTER OF ILLINOIS
611 W PARK STREETURBANAIL61801370661223Hospital ServicesIL501(c)(3)3CHWRYes (true)
THE METHODIST MEDICAL CENTER OF ILLINOIS SELF INSURANCE TRUST AGREEMENT
611 W PARK STREETURBANAIL61801376181831Self InsuranceIL501(c)(3)Type IMMCIYes (true)
TRILLIUM PLACE
611 W PARK STREETURBANAIL61801834051901Behavioral Health ServicesIL501(c)(3)10CHWRYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxt
CHAMPAIGN SURGICENTER LLC
611 W PARK STREETURBANAIL61801201915925Surgical CenterILNAN/A
FIELDS SOUTH LLC
611 W PARK STREETURBANAIL61801823187698Property & Facility ManagementILNAN/A
MOUPH LLC
611 W PARK STREETURBANAIL61801921791534Outpatient Orthopedic ServicesILNAN/A
REHABILITATION THERAPY SERVICES LLC
416 ST MARKS CT 110PEORIAIA61603810584193Rehabilitation TherapyILNAN/A
THE CENTER FOR ORTHOPEDIC MEDICINE LLC RECOVERY CARE CENTER
2502B E EMPIRE STBLOOMINGTONIL61704270934895Outpatient Orthopedic ServicesILNAN/A
THE CENTER FOR ORTHOPEDIC MEDICINE LLC SURGERY CENTER
2502B E EMPIRE STBLOOMINGTONIL61704371356453Outpatient Orthopedic ServicesILNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtAddress Line2ForeignAddress/AddressLine2TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
BELCREST SERVICES LTD
611 W PARK STREETURBANAIL61801371196307Medical ServicesILNAC CorporationYes (true)
CARLE HEALTH JUNCTION MEDICAL LLC
611 W PARK STREETURBANAIL61801814609769Care CoordinationILNAC CorporationYes (true)
CARLE HEALTH PHYSICIAN PARTNERS INC
611 W PARK STREETURBANAIL61801850718392Physician ServicesILNAC CorporationYes (true)
CARLE HOLDING COMPANY INC
611 W PARK STREETURBANAIL61801371188284Holding Co.ILNAC CorporationYes (true)
CARLE RESEARCH PRODUCTS INC
611 W PARK STREETURBANAIL61801999999999Medical Research - INACTIVEILNAC CorporationYes (true)
CARLE RISK MANAGEMENT COMPANY
611 W PARK STREETURBANAIL61801371217973Risk ManagementILNAC CorporationYes (true)
CARLE VENTURES INC
611 W PARK STREETURBANAIL61801371313150Health Care PartnershipsILNAC CorporationYes (true)
CHA HOLDING INC
3310 SOUTH FIELDS DRCHAMPAIGNIL61822471854275Holding Co.ILNAC CorporationYes (true)
FIRSTCAROLINACARE INSURANCE COMPANY
42 MEMORIAL DRPINEHURSTNC28374331160597InsuranceILNAC CorporationYes (true)
HEALTH ALLIANCE CONNECT INC
3310 SOUTH FIELDS DRCHAMPAIGNIL61822464796891Health Care CoordinationILNAC CorporationYes (true)
HEALTH ALLIANCE MEDICAL PLANS INC
3310 SOUTH FIELDS DRCHAMPAIGNIL61822371260731Health CoverageILNAC CorporationYes (true)
HEALTH ALLIANCE MIDWEST INC
3310 SOUTH FIELDS DRCHAMPAIGNIL61822371354502Health CoverageILNAC CorporationYes (true)
HEALTH ALLIANCE NORTHWEST HEALTH PLAN
820 N CHELAN AVEWENATCHEEWA98801461966323Health CoverageWANAC CorporationYes (true)
HEALTH ALLIANCE NORTHWEST HOLDING
820 N CHELAN AVEWENATCHEEWA98801461717578Holding Co.WANAC CorporationYes (true)
HEALTH PLUS INC
611 W PARK STREETURBANAIL61801371295532ContractingILNAC CorporationYes (true)
HEALTH SYSTEMS INSURANCE LIMITED
980638449InsuranceNAC CorporationYes (true)Governors Square 2nd Floor Bldg 323 Lime Tree Bay AveGrand CaymanCJKY11102CJ
METHODIST HEALTH VENTURES INC
611 W PARK STREETURBANAIL61801371140939Holding Co.ILNAC CorporationYes (true)
OPTIMUM HEALTH SOLUTIONS INC
611 W PARK STREETURBANAIL61801205430137Care Coordination - INACTIVEILNAC CorporationYes (true)
PEKIN PROHEALTH INC
611 W PARK STREETURBANAIL61801371117052Clinical OperationsILNAC CorporationYes (true)
PROVIDER RESOURCE MANAGEMENT INC
611 W PARK STREETURBANAIL61801371223550Physician ServicesILNAC CorporationYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Carle Development Foundation
C$499,984BOOK
Carle Eureka Hospital
L$179,686BOOK
Health Alliance Connect Inc
L$4,303,188BOOK
Health Alliance Medical Plans Inc
L$12,493,442BOOK
Carle West Physician Group Inc
M$2,049,973BOOK
Health Systems Insurance Limited
M$1,099,338BOOK
Carle Health Care Incorporated
S$240,194BOOK
The Carle Foundation Hospital
S$118,580BOOK