PROCTOR HOSPITAL: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- PROCTOR HOSPITAL (EIN 37-0681540)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2025-02-20
- IRS object ID
- 202510519349301851
- Schema version
- 2023v6.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-02-20T15:03:06+00:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 462045100 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370681540 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Proctor Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PROC | BusinessNameControlTxt |
| Phone | 2173833311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W PARK STREET | AddressLine1Txt |
| City | URBANA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DENNIS HESCH | PersonNm |
| Person Title | EXEC VP & CFO | PersonTitleTxt |
| Phone | 2173833311 | PhoneNum |
| Signature | 2025-02-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jennifer D Rhoderick | PreparerPersonNm |
| PTIN | P00395735 | PTIN |
| Phone | 3176817000 | PhoneNum |
| Preparation | 2025-02-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Amended Return | Yes (X) | AmendedReturnInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carle Health Proctor Hospital | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENNIS HESCH EXEC VP & CFO | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W PARK STREET | AddressLine1Txt |
| City | URBANA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $138,401,048 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.carle.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1958 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | To be the trusted partner in all healthcare decisions for everyone who depends on it. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 834 | TotalEmployeeCnt |
| Total Volunteers | 64 | TotalVolunteersCnt |
| Total Gross UBI | $418,342 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,110,102 | PYContributionsGrantsAmt |
| CY Contributions Grants | $900,334 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $133,951,762 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $136,000,302 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$10,259 | PYInvestmentIncomeAmt |
| CY Investment Income | -$16,217 | CYInvestmentIncomeAmt |
| PY Other Revenue | $705,860 | PYOtherRevenueAmt |
| CY Other Revenue | $1,442,880 | CYOtherRevenueAmt |
| PY Total Revenue | $136,757,465 | PYTotalRevenueAmt |
| CY Total Revenue | $138,327,299 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,085 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $43,210,246 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $34,252,375 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $66,091,979 | PYOtherExpensesAmt |
| CY Other Expenses | $92,829,422 | CYOtherExpensesAmt |
| PY Total Expenses | $109,305,310 | PYTotalExpensesAmt |
| CY Total Expenses | $127,081,797 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $27,452,155 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $11,245,502 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $83,914,225 | TotalAssetsBOYAmt |
| Total Assets EOY | $184,506,452 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $25,557,125 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $31,655,316 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $58,357,100 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $152,851,136 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To be the trusted partner in all healthcare decisions for everyone who depends on it. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $90,134,649 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $127,500,005 | RevenueAmt |
| Desc | HEALTH-CARE SERVICES PROCTOR HOSPITAL IS AN IMPORTANT ELEMENT OF THE HEALTH-CARE DELIVERY SYSTEM THAT THE PEORIA, ILLINOIS, COMMUNITIES RELY ON EVERY DAY. IT IS COMMITTED TO PROVIDING QUALITY HEALTH CARE AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT. PROCTOR HOSPITAL PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES TO TREAT INDIVIDUALS WITH DISEASES, ILLNESS AND INJURIES WITH VARYING COMPLEXITIES. IT PROVIDES SERVICES TO IMPROVE THE HEALTH OF PATIENTS AND TO BETTER THEIR QUALITY OF LIFE. ALL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S RACE, CREED, SEX, NATIONALITY, HANDICAP, AGE OR ABILITY TO COMPENSATE FOR SERVICES RENDERED. THESE INCLUDE, BUT ARE NOT LIMITED TO, GENERAL ACUTE CARE, SURGERIES, HOME HEALTH, INTENSIVE AND CRITICAL CARE, MENTAL HEALTH CARE, CARDIOLOGY, ONCOLOGY, REHABILITATION, SKILLED NURSING, BEHAVIORAL DISORDER PROGRAMS, MATERNAL/CHILD CARE, LABORATORY, PALLIATIVE CARE, PHARMACEUTICAL DRUGS, EMERGENCY SERVICES, OUTPATIENT CLINICS, CHECK-UPS AND RADIOLOGY AND A NATIONALLY UNIQUE ADDICTION RECOVER CENTER. SOME OF THE SERVICES PROVIDED DO NOT GENERATE ENOUGH INCOME TO OFFSET THEIR COST. IN THE FISCAL PERIOD ENDED DECEMBER 31, 2023, PROCTOR HOSPITAL ADMITTED 2,954 PATIENTS RESULTING IN A TOTAL OF 14,463 PATIENT DAYS. OUTPATIENT VISITS TOTALED 58,115 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS FOR THE SAME PERIOD WERE 7,559. THERE WERE ALSO 21,534 EMERGENCY ROOM VISITS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $16,420,946 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $8,681,875 | RevenueAmt |
| Desc | PROCTOR HOSPITAL, A MAGNET-DESIGNATED 205-BED FACILITY IN PEORIA, ILLINOIS, PROVIDES HEALTH CARE SERVICES TO PEORIA AND SURROUNDING COMMUNITIES BY OFFERING THE ONLY BEHAVIORAL HEALTH FACILITY IN THE REGION DESIGNATED FOR OLDER ADULTS AND HAS A STATE-OF THE ART OUTPATIENT DIALYSIS CENTER AND BURKLUND CARDIOPULMONARY REHABILITATION CENTER. PROCTOR HOSPITAL ALSO PROVIDES SEVERAL OTHER BENEFITS THAT ASSIST THE COMMUNITY. PROGRAMS MAY INCLUDE, BUT ARE NOT LIMITED TO, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS SUCH AS PREVENTION AND HEALTH SCREENINGS; CONTINUING EDUCATION FOR HEALTH PROFESSIONALS; SUBSIDIZED HEALTH SERVICES; RESEARCH; AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. PROCTOR HOSPITAL COLLABORATES WITH COMMUNITY STAKEHOLDERS TO IMPROVE COMMUNITY HEALTH AND ACCESS TO HEALTH CARE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $106,555,595 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 20 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 834 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENNIS HESCH EXEC VP & CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2173833311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W PARK STREET | AddressLine1Txt |
| City | URBANA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61801 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Debbie Simon | |||||||||
| Secretary/Treasurer | 1.0 | 9.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| James Stevenson | |||||||||
| Vice Chair Beg 04/01/2023; Trustee | 1.0 | 11.0 | Yes (X) | Yes (X) | $0 | $3,625 | $0 | ||
| John Wieland MD | |||||||||
| Chair | 1.0 | 39.0 | Yes (X) | Yes (X) | $0 | $653,588 | $33,314 | ||
| Keith Knepp MD | |||||||||
| Ex Officio, Voting // Officer - President, Carle Health - West Region | 1.0 | 39.0 | Yes (X) | Yes (X) | $0 | $1,628,845 | $44,092 | ||
| Rich Kriegsman | |||||||||
| Vice Chair Thru 03/31/2023; Trustee | 1.0 | 7.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Aaron Kilgore | |||||||||
| Trustee | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | |||
| Amy Darling | |||||||||
| Trustee | 1.0 | 5.0 | Yes (X) | $0 | $0 | $0 | |||
| David Mueller | |||||||||
| Trustee | 5.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| Dennis Triggs JD | |||||||||
| Trustee | 0.5 | 4.5 | Yes (X) | $0 | $3,625 | $0 | |||
| Dirk Roecker | |||||||||
| Trustee | 1.0 | 7.0 | Yes (X) | $0 | $0 | $0 | |||
| Jenna Cicciarelli-Wiesner | |||||||||
| Trustee | 1.0 | 5.0 | Yes (X) | $0 | $0 | $0 | |||
| Jerry Bell EdD | |||||||||
| Trustee | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | |||
| Kevin Barbier | |||||||||
| Trustee | 1.0 | 2.3 | Yes (X) | $0 | $0 | $0 | |||
| Melissa Yoder | |||||||||
| Trustee | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | |||
| Peter Johnsen PhD | |||||||||
| Trustee | 1.0 | 7.0 | Yes (X) | $0 | $0 | $0 | |||
| Ronald Champagne MD | |||||||||
| Trustee | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | |||
| Rusty Dunn | |||||||||
| Trustee | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| Dennis Hesch | |||||||||
| Officer - EVP, Chief Finance & Strategy Officer | 1.0 | 39.0 | Yes (X) | $0 | $1,395,995 | $366,889 | |||
| James C Leonard MD | |||||||||
| Officer - President & CEO | 0.5 | 39.5 | Yes (X) | $0 | $5,690,001 | $36,885 | |||
| John Peters | |||||||||
| Chief Finance Officer thru 03/31/2023 | 1.0 | 39.0 | Yes (X) | $0 | $314,895 | $24,330 | |||
| Ken Dicken MBA | |||||||||
| VP, Finance - West Region | 1.0 | 39.0 | Yes (X) | $0 | $262,860 | $11,595 | |||
| Matthew Kolb JD MHA | |||||||||
| Ex Officio, Non-Voting // Officer - President, Carle Health Regions // EVP, COO | 0.0 | 0.0 | Yes (X) | $0 | $1,567,332 | $363,305 | |||
| Napoleon Knight MD MBA | |||||||||
| Officer - EVP, Chief Medical Officer | 0.0 | 0.0 | Yes (X) | $0 | $940,875 | $115,459 | |||
| Jeanette Murray | |||||||||
| VP, Greater Peoria Hospital Operations | 1.0 | 39.0 | $0 | $606,715 | $31,831 | Yes (X) | |||
| Lauren Schmid MBA | |||||||||
| EVP, Chief Human Resources Officer | 1.0 | 39.0 | $0 | $945,711 | $209,640 | Yes (X) | |||
| Nicholas Crompton | |||||||||
| VP, Construction & Facility Services | 1.0 | 39.0 | $0 | $364,372 | $68,059 | Yes (X) | |||
| Danielle Snodgrass | |||||||||
| Clinical Staff Pharmacist | 40.0 | 0.0 | $147,735 | $0 | $9,776 | Yes (X) | |||
| Diana Jones | |||||||||
| Nursing Supervisor | 40.0 | 0.0 | $208,339 | $0 | $13,938 | Yes (X) | |||
| Monica Hayes | |||||||||
| Registered Nurse - Emergency Department | 40.0 | 0.0 | $93,926 | $49,507 | $2,779 | Yes (X) | |||
| Tate Hohulin | |||||||||
| Lead Clinical Staff Pharmacist | 40.0 | 0.0 | $167,816 | $0 | $32,076 | Yes (X) | |||
| Theresa Skibba | |||||||||
| Registered Nurse - Cardiac | 40.0 | 0.0 | $279,462 | $985 | $36,801 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $897,278 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $14,428,931 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,400,769 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 32 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| FIDELITY ON CALL LTD | |||||
| 9006 N INDUSTRIAL RD | PEORIA | IL | 62223 | STAFFING SERVICES | $1,322,994 |
| AMERICAN HEALTHCARE STAFFING ASSOCIATION | |||||
| 226 E SIXTEENTH ST STE A | TRAVERSE CITY | MI | 49684 | STAFFING SERVICES | $870,639 |
| Emergency Physician Staffing S | |||||
| 12528 SR 78 | Havana | IL | 62644 | Staffing services | $765,948 |
| Professional Therapy Services | |||||
| 2900 Frank Scott Pkwy West St 928 | Belleville | IL | 622238506 | Staffing services | $692,212 |
| ALCON LABORATORIES INC | |||||
| PO Box 735843 | Dallas | TX | 753735843 | LABORATORY SERVICES | $651,322 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 15 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $305,927 | RelatedOrganizationsAmt |
| Government Grants | $164,698 | GovernmentGrantsAmt |
| All Other Contributions | $429,709 | AllOtherContributionsAmt |
| Total Contributions | $900,334 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 621110 | $133,939,515 | $133,939,515 |
| RENTAL INCOME | 531120 | $103,142 | $103,142 |
| MOUPH, LLC Revenue | 621400 | $1,957,645 | $1,957,645 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $136,000,302 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $57,532 | TotalRevenueColumnAmt |
| Exclusion | $57,532 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $73,749 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | -$73,749 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$73,749 | TotalRevenueColumnAmt |
| Exclusion | -$73,749 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|---|
| CHILDCARE AND ADULTCARE SERVICES | 624410 | $765,539 | $418,342 | $347,197 | |
| CAFETERIA/FOOD SVCS | 722514 | $495,763 | $495,763 | ||
| CONTRACT REVENUE | 900099 | $254,793 | $254,793 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$73,215 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$73,215 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,442,880 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $138,327,299 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $136,181,880 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $418,342 | UnrelatedBusinessRevenueAmt |
| Exclusion | $826,743 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,288,193 | TotalAmt |
| Program Services | $26,625,498 | ProgramServicesAmt |
| Management And General | $1,662,695 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $340,122 | TotalAmt |
| Program Services | $340,122 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,531,609 | TotalAmt |
| Program Services | $3,475,094 | ProgramServicesAmt |
| Management And General | $56,515 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,092,451 | TotalAmt |
| Program Services | $1,962,269 | ProgramServicesAmt |
| Management And General | $130,182 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,164 | TotalAmt |
| Management And General | $23,164 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,823,000 | TotalAmt |
| Program Services | $17,417,431 | ProgramServicesAmt |
| Management And General | $405,569 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,911 | TotalAmt |
| Management And General | $8,911 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,805,930 | TotalAmt |
| Program Services | $1,197,771 | ProgramServicesAmt |
| Management And General | $608,159 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,490,710 | TotalAmt |
| Program Services | $1,334,354 | ProgramServicesAmt |
| Management And General | $156,356 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,180,404 | TotalAmt |
| Program Services | $1,611,543 | ProgramServicesAmt |
| Management And General | $1,568,861 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,847 | TotalAmt |
| Program Services | $4,608 | ProgramServicesAmt |
| Management And General | $13,239 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,498 | TotalAmt |
| Program Services | $12,404 | ProgramServicesAmt |
| Management And General | $94 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $383,956 | TotalAmt |
| Program Services | $1,609 | ProgramServicesAmt |
| Management And General | $382,347 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,464,266 | TotalAmt |
| Program Services | $3,323,336 | ProgramServicesAmt |
| Management And General | $3,140,930 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,003,937 | TotalAmt |
| Management And General | $2,003,937 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PATIENT CARE SUPPLIES | $31,390,550 | $31,390,550 | |
| INTERNAL MANAGEMENT FEES | $22,848,700 | $13,058,101 | $9,790,599 |
| PROVIDER ASSESSMENT TAX & OTHER TAXES | $5,159,109 | $4,588,034 | $571,075 |
| NON-PHYISICIAN RECRUITMENT | $193,125 | $191,296 | $1,829 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,315 | TotalAmt |
| Program Services | $21,575 | ProgramServicesAmt |
| Management And General | $1,740 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,081,797 | TotalAmt |
| Program Services | $106,555,595 | ProgramServicesAmt |
| Management And General | $20,526,202 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,561,885 | BOYAmt |
| EOY | $380,743 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,710,314 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,755,613 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,572,772 | BOYAmt |
| EOY | $117,294,999 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,050,830 | BOYAmt |
| EOY | $7,663,373 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,500,232 | BOYAmt |
| EOY | $3,406,039 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $801,493 | BOYAmt |
| EOY | $713,952 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $53,895,461 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,571,640 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,774,865 | BOYAmt |
| EOY | $48,323,821 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,186,221 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $6,500,961 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $222,564 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,914,225 | BOYAmt |
| EOY | $184,506,452 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,685,516 | BOYAmt |
| EOY | $7,069,491 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $209,673 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,661,936 | BOYAmt |
| EOY | $24,585,825 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,557,125 | BOYAmt |
| EOY | $31,655,316 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,601,487 | BOYAmt |
| EOY | $147,096,539 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,755,613 | BOYAmt |
| EOY | $5,754,597 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,357,100 | BOYAmt |
| EOY | $152,851,136 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,914,225 | BOYAmt |
| EOY | $184,506,452 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $11,245,502 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $75,053 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $83,173,481 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $23,164 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $23,164 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | $23,164 - A PORTION OF ANNUAL MEMBERSHIP DUES PAID TO VARIOUS PROFESSIONAL ORGANIZATIONS WAS ESTIMATED TO BE ATTRIBUTED TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,697,776 | OtherCostOrOtherBasisAmt |
| Book Value | $5,697,776 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,645,304 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,203,021 | DepreciationAmt |
| Book Value | $27,442,283 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,391,547 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,925,616 | DepreciationAmt |
| Book Value | $14,465,931 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,160,834 | OtherCostOrOtherBasisAmt |
| Depreciation | $443,003 | DepreciationAmt |
| Book Value | $717,831 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $48,323,821 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)
| DescDesc | AmtAmt |
|---|---|
| SELF-INSURANCE RESERVE | $11,087,009 |
| DUE TO BLUE CROSS | $9,380,202 |
| DUE TO AFFILIATES | $3,092,623 |
| DUE TO UNITYPOINT HEALTH | $632,069 |
| ASSET RETIREMEMENT OBLIGATION | $334,100 |
| ACCRUED REAL ESTATE TAX | $57,687 |
| SALES TAX PAYABLE | $2,135 |
| HEALTH & WELFARE BENEFITS RESERVE | |
| ASBESTOS REMOVAL LIABILITY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $24,585,825 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENTS RECOGNITION OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED OR RECORDED AS A LIABILITY AS OF DECEMBER 31, 2023 AND 2022. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $450,094 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $450,094 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0035 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,815,684 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,942,254 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,873,430 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0383 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $17,265,778 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,942,254 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,323,524 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0419 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $93,598 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $93,598 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0007 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $142,382 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $142,382 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0011 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,354,156 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,354,156 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0579 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,471,962 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,471,962 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0588 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $15,062,098 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,062,098 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1185 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $32,327,876 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,942,254 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,385,622 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1604 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,814,302 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $907,151 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $25,726,508 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $33,020,376 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$7,293,868 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUPH LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | ORTHOPEDIC SERVICE LINE MANAGEMENT | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.3333 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.0 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.6667 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARLE HEALTH PROCTOR HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5409 N KNOXVILLE AVENUE | AddressLine1Txt |
| City | PEORIA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61614 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | CARLE.ORG/LOCATIONS/CARLE-HEALTH-PROCTOR-HOSPITAL | WebsiteAddressTxt |
| State License | 0001925 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARLE HEALTH PROCTOR HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SCHEDULE H, PART VI | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE SCHEDULE H, PART VI | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://carle.org/about-us/community-health-needs-assessments | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE SCHEDULE H, PART VI | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE SCHEDULE H, PART VI | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE SCHEDULE H, PART VI | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3E | THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - CARLE HEALTH PROCTOR HOSPITAL. The CHNA process for the Carle Health Proctor Hospital was initiated in the first quarter of 2022 by the Partnership for a Healthy Community, an ad hoc committee consisting of a diverse group of community organizations creating a collaborative team to facilitate a community health needs assessment. The collaboration included members from Carle Eureka Hospital, Bradley University, Heart of Illinois United Way, Heartland Health Services, Hopedale Medical Complex, OSF Saint Francis Medical Center, Peoria City/County Health Department, Tazewell County Health Department, UnityPoint Health now Carle Health Greater Peoria which includes Methodist Medical Center of Illinois, Pekin Memorial Hospital and Proctor Hospital and Woodford County Health Department. During the assessment phase the use of focus groups, surveys using online, written and focus group settings to data collect, hospitals and local health departments provided health data as well as the use of State health data. Methods for collecting data included multiple sources. Secondary statistical data were used to assess the community profile, morbidity rates and causes of mortality. Additionally, a study was completed to examine perceptions of the community health-related issues, healthy behaviors, behavioral health, food security, social determinants of health and access to healthcare. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - CARLE HEALTH PROCTOR HOSPITAL. Carle Health Methodist Hospital, Carle Health Pekin Hospital, Carle Health Eureka Hospital and OSF Saint Francis Medical Center |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - CARLE HEALTH PROCTOR HOSPITAL. Peoria City/County Health Department, Peoria, IL, Tazewell County Health Department, Tremont, IL Woodford County Health Department, Eureka, IL Unity Point Health Central Illinois Greater Peoria Economic Development Council University of Illinois Extension, Peoria, IL, American Cancer Society, Peoria, IL Heart of Illinois United Way, Peoria, IL |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - CARLE HEALTH PROCTOR HOSPITAL. 1) Healthy Eating Healthy Living Strategy 1 - Support tri-county Partnership for a Healthy Community's (PFHC) Community Health Improvement Plan (CHIP) efforts: Gardening Interventions and Social Support. TASK 1: Identify key staff to participate in PFHC HEAL Action Team. Carle Health Greater Peoria identified the Carle Health Hult Center for Healthy Living team of health educators and the Wellness Center team of health coaches and exercise specialists to participate in the PFHC's HEAL Action Team. - Team members regularly attended PFHC's HEAL Action Team meetings and tracked all hours contributed among Carle Health Greater Peoria team members. Three team members contributed 23 total staff hours to PFHC's HEAL Action Team in 2023. TASK 2: Disseminate PFHC campaign and recruitment messages to promote Gardening Interventions and Social Support Interventions. - To support PFHC's Social Support Interventions, Carle Health's Hult Center team assisted with the promotion of one tri-county HEAL event in 2023 by sharing the event information on Hult Center's Facebook page. The event was post ed on Facebook on 8-10-23, 8-21-23 and 9-18-23, and in total, these posts reached 444 people/6 reactions/15 post engagements/6 shares. Carle Health Hult Center also shared weekly efforts promoted by the HEAL Action Team on Facebook and Instagram, such as "Take a Walk Wednesday". TASK 3: Partner with PFHC and community resources to promote intervention strategies. - The Tri-County Hunger Walk, organized by Partnership for a Healthy Community and HEAL Action Team, took place on September 30, 2023. Three Carle Health Hult Center staff members attended the event and hosted a health fair table to educate attendees about healthy living. There were 70 participants at the event, and 785 pounds of food were donated to three local food pantries. TASK 4: Support community garden in region of concern at Family Medical Center (FMC). - To contribute to the PFHC's Gardening Interventions, FMC continued gardening efforts, producing and distributing 629 pounds of fresh produce. Most of the produce was donated to Sophia's Kitchen, a food pantry serving Peoria's low-income ZIP codes. Strategy 2 - Increase HEAL education and fitness opportunities for youth. TASK 1: Identify internal regional HEAL education resources and collect baseline data - Hult Center, Methodist College, Nursing Education, FMC, etc. - Carle Health identified the Hult Center for Healthy Living community health education programs as the main resource to provide HEAL education opportunities to youth. TASK 2: Identify external regional HEAL partners/resources. - Carle Health staff members engaged in the HEAL Action Team efforts worked closely with external community partners in 2023, including Tazewell County Health Department, University of Illinois Extension and others. TASK 3: Provide HEAL community health education to target populations. The Hult Center team provided education to 6,097 children in 2023 by providing interactive field trips on-site at Hult Center for Healthy Living and as outreach programming within the schools and community agencies. Hult Center health coaches provided 1:1 nutrition education to 71 adolescents in 2023. TASK 4: Utilize American Academy of Pediatrics (AAP) Bright Futures Guidelines to screen for HEAL and connect families with resources to address food insecurity and other social determinants of health (SDOH). - School-Based Health Center providers at three health centers (located at Peoria High, Manual High and Trewyn schools) used the AAP Guidelines for children and adolescent healthcare visits. Carle Health School-Based Health Center healthcare providers used the AAP Bright Futures Guidelines during well-child visits in 2023 and will continue to use these guidelines moving forward. A total of 1,626 well-child visits were provided in 2023 among three School-Based Health Centers located in Peoria's low-income ZIP codes. In January 2023, staff members from the Hult Center and a community health dietetics intern from Bradley University participated in a life simulator event for adolescents in Peoria County at the Woodruff Career and Technical Center. Throughout the event, Hult Center staff and the intern collaborated with students, providing guidance on budget-friendly grocery shopping and sharing various resources to address barriers to food security. Providers at the Carle Health School-Based Health Centers, alongside medical residents from FMC, employed the Bright Futures Guidelines to screen for SDOH and other barriers to food security. These screenings yield valuable insights, enabling providers to offer additional support to patients and facilitate connections to essential community resources, such as food pantries. TASK 5: Share success stories of the HEAL efforts within the tri-county area. - In Year 1 (2023), a 16-year-old participant enrolled in the Hult Center WELL (Wellness Education and Lifestyle Learning) Program set a goal to integrate a greater variety of fruits and vegetables into their daily meals. The student received the "Good and Cheap" cookbook, which was endorsed during the tri-county Hunger Walk. Successfully implementing the cookbook, the patient managed to prepare five to six recipes from the cookbook. As a result, the patient expresses increased confidence in meal preparation and trying more fresh produce. Strategy 3 - Increase physical activity among adult residents and staff. TASK 1: Establish internal regional HEAL team to collect baseline data and create action plan for community and worksite wellness activities. - In 2023, an internal committee was established and began to create an action plan for community and worksite wellness activities for employees and community members. This transitioned to Carle Health as a regional effort and is no longer directed by Carle Health Greater Peoria. TASK 2: Provide physical activity programming through WellMobile service line to promote increase in physical activity in leisure time. - In 2023, the WellMobile coordinator was working on scheduling the WellMobile to reach target populations in the 61603, 61604 and 61605 ZIP codes, and in rural areas within the tri-county region to incorporate fitness opportunities using Wellness fitness instructors. In 2023, the WellMobile planned 108 events throughout the tri-county area with 1,095 participants engaging in HEAL; 61 of those events were specifically planned to engage members of the 61603, 61604 and 61605 ZIP codes with 493 participants. The WellMobile was discontinued in fall 2023. TASK 3: Provide worksite wellness to increase physical activity and HEAL for all employees. - In 2023, an internal committee was established and began to create an action plan for community and worksite wellness activities for employees and community members. This transitioned to Carle Health as a regional effort and is no longer directed by Carle Health Greater Peoria. 2) Mental Health Strategy 1 - Support tri-county PFHC's CHIP interventions: Culturally Adaptive Health Care and Telemedicine. TASK 1: Identify key staff to participate in PFHC Mental Health Action Team. - Trillium Place staff member co-chairs the PFHC Mental Health Action Team alongside a staff member at OSF Strive. The Trillium staff member also leads the Mental Health Action Team's Steering Committee and Tele psych Sub-Committee. In total, Carle Health employees contributed 84 staff hours to the PFHC Mental Health Action Team's efforts in 2023. TASK 2: Partner with PFHC and community resources to promote intervention strategies. - 2023 was the first year in the CHIP three-year cycle. Therefore, Year 1 was dedicated to building a sustainable action team that represented diverse members and agencies contributing to good mental health in the tri-county area. This action team will be responsible for promoting the chosen intervention strategies. Carle Health Trillium Place led the PFHC's Mental Health Action Team in 2023. During this time, 18 partner agencies were represented at the monthly meetings, investing 292 volunteer hours in 2023. Partners included Annie Malone Center for Development, Trillium Place, Central Illinois Friends, Bob Michael VA, Peoria Regional Office of Education, Phoenix Community Development Center, Peoria City/County Health Department, Children's Home Association of Illinois, Woodford County Health Department, Tazewell County Health Department, Carle Health, OSF Saint Francis Medical Center, Heartland Health Services, Home for All Continuum of Care, OSF Resource Link, OSF Strive, Carle Health Hult Center for Healthy Living and private counseling centers. |
| Schedule H, Part V, Section B, Line 11 Facility , 2 | Facility , 2 - CARLE HEALTH PROCTOR HOSPITAL (CONTINUED). TASK 3: Identify trauma-informed care trainings for providers and mental health employees and create training implementation plan. - Trillium Place invested significant time training staff on trauma-informed care from the National Council for Mental Wellbeing called, "ACEs Are Not Destiny" .The training was offered in April 2023 as a live, two-session event. Since the live event, Trillium Place, Carle Health inpatient units and Carle Health behavioral health clinics have continued to have team members complete the training through recorded sessions. Over 200 employees completed the training. The contract for the training concludes at the end of April 2024. Post-testing was offered for team members who are LCPCs due to state requirements. Next steps will be to continue meeting as a Core Implementation Team (CIT) to make plans for continued approaches for performing as a trauma-informed organization. This will include supervision, hiring and management approaches throughout our departments with the lens of trauma-informed care within our teams and with our contact with patients and clients. TASK 4: Identify and coordinate regular meetings with supervisors for trauma-informed care and systemwide sustainability. - Trillium Place supervisors have participated in a Supervision Cohort that met monthly from May 2023 to April 2024 to have ongoing discussions for trauma-informed care from the National Council for Mental Wellbeing trainer of the "ACEs Are Not Destiny" training in April 2023. TASK 5: Share success stories of the program within the tri-county area and with senior leadership/board. - The Mental Health Action Team and Trillium Place representative, Jonathan Gauerke, shared 2023 successes at the Partnership for a Healthy Community's annual meeting on March 7, 2024. This meeting included 79 representatives from diverse sectors and partner agencies. Strategy 2 - Increase access to comprehensive behavioral health services, care coordination, and resources and supports. TASK 1: Identify regional mental health access points and collect baseline data - Access Center Call Line, Systems of Care, Young Minds Center, High ED Utilizers, etc. - The Trillium Place Access Center has been a reliable resource for community members to seek information about mental health and available behavioral health services. The Access Center processes an average of 70 referrals per day. In 2022, the Access Center received 18,074 calls from the community and was on track to receive 19,000 by the end of 2023. Access to full 2023 data is unavailable due to the transition between UnityPoint Health (UPH) and Carle Health. Full data reports will be available for 2024, as the Epic transition for the Access Center occurred in December 2023. TASK 2: Distribute patient experience surveys to patients utilizing mental health services and create an action plan for continuous improvement. - Many surveys were distributed to patients in Year 1, and data is being reviewed. There are a variety of patient surveys across Trillium Place outpatient sites, as well as inpatient and clinic sites. Since moving to NRC for survey collection, Carle Health has implemented a variety of strategies to improve our return rates and the perception of the experiences overall. TASK 3: Launch Young Minds Center to increase access to care and provide more resources for children, adolescents and families; continue providing and increasing services for telemedicine, Access Center Call Line, System of Care and High ED Utilizers management. - Met with 65 community organizations/agencies. - Held 11 SOC partner implementation meetings. - Active engagement of approximately 30 community partners on average per month. - Established five SOC work groups. - Conducted two leadership presentations (one to the Trillium Place Board of Directors, one to Trillium Place leadership). TASK 4: Disseminate marketing and recruitment messages to promote mental health resources for youth and adults in Tri-County region. - Carle Health disseminated marketing campaigns to promote good mental health, suicide prevention and other mental health resources in 2023. TASK 5: Share success stories of the mental health efforts within the tri-county area - Trillium Place teams share a Mission Moment with the Board of Directors on a monthly basis. A recent story from November 2023 was shared about a certified community behavioral health clinic (CCBHC) care coordinator working with the clinician and discharge planner on the 6W Adult Behavioral Health Unit to meet the patient where they were at for their living situation post-discharge. The patient desired to go to the Trillium Place Adam Street Living Center for residential living rather than returning home with their father. The patient-first approach was a successful transition for more independence. Strategy 3 - Increase mental health prevention education and awareness to improve mental health. TASK 1: Identify regional mental health prevention community education resources and collect baseline data. - Carle Health identified key prevention education resources including Hult Center for Healthy Living, Trillium Place and the Carle Eureka role in leading the Mental Health First Aid Cadre. The Mental Health First Aid Cadre includes Mental Health First Aid trainers from the Greater Peoria area, led by Joanie Montoya. TASK 2: Establish partners to provide suicide prevention education and training opportunities to providers, medical students, medical staff and community members. - Carle Eureka provided Mental Health First Aid Training to five tri-county community participants in 2023, Carle Health Trillium Place provided Mental Health First Aid Training to 20 resident assistants at Eureka College in 2023, Carle Health Hult Center provided suicide prevention education in 2023 to 5,461 community members including 1,036 attending the Hult Center "Mega Brain" field trip, Carle Health Hult Center provided no-cost QPR (Question, Persuade, Refer) Suicide Prevention Gatekeeper training to: - Nine NAMI tri-county board members on August 3, 2023. - 45 University of Illinois College of Medicine medical residents and medical students on August 30, 2023. - 36 Peoria Public Schools staff on November 13, 2023, and December 4, 2023. TASK 3: Disseminate marketing and recruitment messages to promote mental health prevention education for youth and adults in the tri-county region. - Carle Health Hult Center shared information about the Trillium Place Access Center on Facebook on 9-1-24 and had 63 reach/1 share; Other posts promoting the 988 Lifeline number and local resources were posted on the Hult Center Face book page throughout the year. TASK 4: Support regional DEI efforts that include LGBTQ+ supports for community and staff. - Carle Health systemwide diversity, equity and inclusion efforts can be found here, including the 2023 annual report. Carle Health developed a Transgender Care Directory that was shared among community partners, on the website and via social media. 3) Obesity Strategy 1 - Support tri-county PFHC's CHIP efforts: Digital Health Interventions and Strong People - Healthy Weight. TASK 1: Identify key staff to participate in PFHC Obesity Action Team. - Hult Center and the Weight Loss Clinic have been actively engaged in the PFHC Obesity Action Team meetings. They are tracking their time on their efforts for community benefit. Conversations are ongoing, and efforts are being made to improve coordination and capacity. A total of 36 staff hours were dedicated to PFHC's Obesity Action Team in 2023. TASK 2: Disseminate PFHC campaign and recruitment messages to promote Digital Health Interventions and Strong People - Healthy Weight. - FHC did not launch any campaigns in 2023 as interventions were being planned and not implemented during Year 1. TASK 3: Partner with PFHC and community resources to promote intervention strategies. - No intervention strategies were promoted during Year 1 planning year. Strategy 2- Reduce the proportion of adolescents with obesity through individualized health coaching for adolescents with overweight and obesity. TASK 1: Collect baseline data. - WELL (Wellness Education and Lifestyle Learning) program at Hult Center reached over 65 youth and adolescents last year providing individual health coaching sessions for those diagnosed as at risk for type 2 diabetes or obese. TASK 2: Develop recruitment campaign in tri-county area. - Hult Center leadership and the WELL program coordinator actively engaged in meetings with providers in 2023 and maintained ongoing conversations to ensure a steady flow of referrals. |
| Schedule H, Part V, Section B, Line 11 Facility , 3 | Facility , 3 - CARLE HEALTH PROCTOR HOSPITAL (CONTINUED). TASK 3: Establish provider referral protocol. - Adolescents enrolled in the WELL one-on-one health coaching program were referred via the Epic EMR system. To be eligible for referral, they must have been either diagnosed as at risk for type 2 diabetes or have a body mass index (BMI) of 98% or higher. TASK 4: Partner with community resources to educate about the Hult Center WELL adolescent health coaching program to increase referrals and establish coaching locations. - In 2023, Hult Center staff forged collaborations with various community partners to enhance the visibility of the WELL program and to facilitate the establishment of coaching sessions. TASK 5: Provide individualized health coaching to adolescents at risk for developing type 2 diabetes. - Hult Center reached over 65 youth and adolescents last year. TASK 6: Share success stories of the program. - Carle Health shared multiple success stories are documented within the Implementation Plan progress. Strategy 3 - Reduce the proportion of adults with obesity through individualized support for weight loss. TASK 1: Collect baseline data. - The Weight Loss Clinic conducted 55 new patient consultations in 2023, 48 (87.2%) of which were considered to be in "metabolic crisis", five (9.0%) were considered having "severe imbalance one (1.8%) was "moderate imbalance". Forty-two (76.4%) of the 55 patients completed the program, and eight (14.5%) were discontinued due to the program ending. TASK 2: Launch weight loss clinic for adults. - This work is still underway in the Greater Peoria region, with Carle Health prepared to assist where possible. TASK 3: Launch outreach body-composition scanning program to tri-county area. - Body-composition scanning was launched in 2023; however, WellMobile services concluded in fall 2023. Cancer was a concern in the previous cycle; however, efforts were extended. Strategy 1 - Support tri-county PFHC's Cancer Performance Management efforts - routine cancer screenings, improving community health, and reducing transportation and lodging barriers for active cancer patients. Strategy 2 - Increase the number of cancer screenings (breast, colorectal, and lung) to decrease cancer deaths. Strategy 3 - Collaborate with community partner agencies to offer community-wide cancer screening events and education. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (23 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE | HTTPS://CARLE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE |
| Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM | HTTPS://DEV-CMS.CARLE.ORG/GETMEDIA/ADCADB9A-2903-478C-A4A7-06BCF9DB10BC/358-0123-CFAPAPPLICATION.PDF |
| Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP | HTTPS://CARLE.ORG/GETMEDIA/F7608F63-CB1C-4EB5-8F0B-02F00EAFEC74/X0873-0223-CFAP-PLAINLANGUAGE-SUMMARY.PDF |
| Schedule H, Part I, Line 3 Assistance Eligibility Criteria | PATIENTS MAY REQUEST AND COMPLETE A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME, INCLUDING BEFORE CARE IS RECEIVED. PATIENTS ARE INFORMED ABOUT FINANCIAL ASSISTANCE ON MULTIPLE OCCASIONS THROUGHOUT THE COLLECTION PROCESS. IN ADDITION TO PATIENTS COMPLETING APPLICATIONS FOR OUR FINANCIAL ASSISTANCE PROGRAM, WE HAVE ROBUST PRESUMPTIVE ELIGIBILITY PROCESSES IN PLACE. WE HAVE PARTNERED WITH EXPERIAN INFORMATION SOLUTIONS, INC. TO HELP US IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON KEY FINANCIAL INDICATORS. THESE PATIENTS MAY BE APPROVED WITHOUT EVER COMPLETING AN APPLICATION OR EXPRESSING A NEED FOR FINANCIAL ASSISTANCE. IN ADDITION, WE PRESUME ELIGIBILITY FOR PATIENTS WHO ARE VERIFIED HOMELESS, DECEASED WITH NO ESTATE, MENTALLY INCAPACITATED, ELIGIBLE FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) OR WOMEN, INFANTS, AND CHILDREN NUTRITION PROGRAM (WIC), TOWNSHIP ASSISTANCE, LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM OR COVERED BY ILLINOIS MEDICAID. |
| Schedule H, Part V, Section B, Line 7 A - HOSPITAL FACILITY'S WEBSITE (LIST URL) | https://carle.org/about-us/community-health-needs-assessments |
| Schedule H, Part V, Section B, Line 7 B - OTHER WEBSITE (LIST URL) | https://osf-p-001.sitecorecontenthub.cloud/api/public/content/fb11b165c28245a4930bb1f643ba86e9?v=a3f7693a |
| Schedule H, Part I, Line 6a Community benefit report prepared by related organization | THE HOSPITAL'S COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE METHODIST HEALTH SERVICES CORPORATION (NOW CARLE HEALTH - WEST REGION) COMMUNITY BENEFIT REPORT. |
| Schedule H, Part I, Line 7g Subsidized Health Services | SUBSIDIZED HEALTH SERVICES ARE NET COSTS FOR BILLED SERVICES THAT ARE SUBSIDIZED BY THE HOSPITAL. THESE INCLUDE SERVICES OFFERED DESPITE A FINANCIAL LOSS BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND EITHER OTHER PROVIDERS ARE UNWILLING TO PROVIDE THE SERVICES OR THE SERVICES WOULD OTHERWISE NOT BE AVAILABLE IN A SUFFICIENT AMOUNT. |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | SEE NARRATIVE FOR SCHEDULE H, PART III, LINE 2. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | TO COMPUTE AND CONVERT FINANCIAL ASSISTANCE, UNREIMBURSED MEDICAID, MEANS-TESTED PROGRAMS, AND BAD DEBT CHARGEST 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 OCCURRED. ACCOUNTS DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE WERE PROCESSED IMMEDIATELY FOR FINANCIAL ASSISTANCE DISCOUNT WITH NO COLLECTION EFFORT. FOR ACCOUNTS WITH INSUFFICIENT INFORMATION AND DOCUMENTATION TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY, THE HOSPITAL CONSULTED WITH A VARIETY OF ALTERNATIVE SOURCES TO HELP DETERMINE AN INDIVIDUAL'S FINANCIAL MEANS (OR LACK OF MEANS) TO PAY. BASED ON RELATED TRENDS, THE HOSPITAL FURTHER DEVELOPED A GENERAL ESTIMATE OF FINANCIAL ASSISTANCE, WHICH CONTINUED TO RESIDE WITHIN BAD DEBTS. THIS NARRATIVE ALSO PERTAINS TO SCHEDULE H, PART I, LINE 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | THE HOSPITAL USES 50% AS A GENERAL ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT'S ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0. PLEASE SEE SCHEDULE H, PART III, LINE 2 METHODOLOGY USED TO ESTIMATE BAD DEBT FOR 990 REPORTING PURPOSES. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | THE NUMERATOR (TOTAL EXPENSE) AND DENOMINATOR (TOTAL GROSS CHARGES) OF THE SIMPLE RATIO OF PATIENT CARE COST TO CHARGES IS ADJUSTED BY ELIMINATING NON-PATIENT CARE THAT GENERATES OTHER REVENUE, BAD DEBT EXPENSE, MEDICAID AND OTHER PROVIDER TAXES AND THE TOTAL COST OF COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS. ALSO, ANY GROSS PATIENT CHARGES FOR PROGRAMS NOT RELYING ON THE RATIO ARE ELIMINATED FROM BOTH THE NUMERATOR AND DENOMINATOR OF THE RATIO. THESE ADJUSTMENTS ARE INTENDED TO ELIMINATE ANY POTENTIAL FOR DOUBLE COUNTING OF COMMUNITY BENEFIT EXPENSES. THE RESULTANT RATIO ALIGNS WITH SCHEDULE H REQUIREMENTS. ILLINOIS LAW DEFINES GOVERNMENTAL-SPONSORED INDIGENT HEALTH CARE AS THE UNREIMBURSED COST OF MEDICARE, MEDICAID AND OTHER FEDERAL, STATE OR LOCAL INDIGENT CARE PROGRAMS. WHEN THERE IS A SHORTFALL, WE DO BELIEVE THIS IS A COMMUNITY BENEFIT BECAUSE, AS A HOSPITAL, WE ARE STEPPING UP TO CARRY THE BURDEN OF THE GOVERNMENT, ASSURING CARE TO SENIORS, AND THOSE LESS FORTUNATE DEMOGRAPHICS THAT HAVE EXPERIENCED INCREASING COSTS OVER THE PAST DECADE WHILE LIVING ON FIXED INCOMES. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | THE CARLE FINANCIAL ASSISTANCE PROGRAM (CFAP) PROVIDES DISCOUNTED OR FREE CARE TO THOSE WHO NEED IT WITHIN THE CARLE HEALTH SYSTEM, INCLUDING THIS HOSPITAL. NOT ONLY DOES THIS RESULT IN A TIMELIER APPLICATION PROCESS, BUT MOST IMPORTANTLY, IT MEANS PATIENTS RECEIVE THE SAME DISCOUNT AT THE HOSPITAL AND CLINICS IF THEY MIGHT NEED AN ADDITIONAL LEVEL OF SPECIALTY OR HOSPITAL CARE. WITH THIS PROGRAM, THE HOSPITAL HAS A ROBUST PRESUMPTIVE ELIGIBILITY PROCESS. WE PRESUME ELIGIBILITY FOR VERIFIED HOMELESS, DECEASED WITH NO ESTATE, MENTAL INCAPACITATION, RECIPIENTS OF WIC (WOMEN, INFANTS AND CHILDREN NUTRITION PROGRAM), SNAP (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM), LIHEAP (LOW INCOME HOME ENERGY ASSISTANCE PROGRAM), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM, RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICE, FEDERALLY QUALIFIED HEALTH CLINIC (FQHC) DISCOUNT REFERRALS, MEDICAID TITLE XIX, XXI, AND IN-NETWORK MEDICAID MANAGED CARE PLANS. IN ADDITION, WE UTILIZE A VENDOR, EXPERIAN INFORMATION SOLUTIONS, INC., TO PROACTIVELY IDENTIFY PATIENTS WHO MAY BE PRESUMPTIVELY QUALIFIED FOR ASSISTANCE - NOT ONLY FOR PUBLIC PROGRAMS LIKE MEDICAID, BUT ALSO BASED ON A NUMBER OF KEY FINANCIAL INDICATORS, INCLUDING CREDIT HISTORY, DEMOGRAPHICS AND GROSS INCOME. IDENTIFIED PATIENTS MAY BE PRESUMED ELIGIBLE AND AUTOMATICALLY ENROLLED IN THE PROGRAM, OR THEY MAY BE CONTACTED AND ENCOURAGED TO APPLY FOR ASSISTANCE. PATIENTS WHO ARE NOT DEEMED PRESUMPTIVELY ELIGIBLE WOULD NEED TO REQUEST AND COMPLETE AN APPLICATION. IF THE PATIENT DOES NOT REQUEST OR COMPLETE AND RETURN THE APPLICATION, THEN THE BALANCE IS DEEMED THEIR RESPONSIBILITY TO PAY. FOR PATIENTS THAT DO NOT QUALIFY FOR CARLE FINANCIAL ASSISTANCE AND WHO MAY BE UNINSURED OR UNDERINSURED, THE HOSPITAL HAS OTHER DISCOUNT OPTIONS AVAILABLE, SUCH AS PROMPT PAY, ILLINOIS UNINSURED DISCOUNT, AND CAPPED DISCOUNT - WHERE A PATIENT'S OUT-OF-POCKET MEDICAL EXPENSES ARE LIMITED TO 40% OF THEIR ANNUAL GROSS INCOME IF THEY EARN AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL. ONCE ALL APPLICABLE DISCOUNTS HAVE BEEN APPLIED, WE MAKE EVERY ATTEMPT TO WORK WITH THE PATIENT AND SET UP PAYMENT ARRANGEMENTS ON THE REMAINING BALANCE DUE. THE CURRENT MINIMUM IS 5% OF THE TOTAL BALANCE DUE OR $25.00 A MONTH. IF THEY CANNOT MEET THESE GUIDELINES, OUR IN-HOUSE BILLING STAFF MEMBERS WORK WITH THEM TO SET UP A TEMPORARY/SHORT TERM PAYMENT ARRANGEMENT UNTIL THEY CAN MAKE THE MINIMUM PAYMENT. IF THEY ARE UNABLE TO MAKE PAYMENT ON THE BALANCE DUE, THEN THE BALANCE MAY BE LISTED WITH AN OUTSIDE COLLECTION AGENCY. WHEN THE ACCOUNT IS STILL IN-HOUSE, THE MINIMUM NOTIFICATION IS MONTHLY ITEMIZED STATEMENTS. IF A PATIENT DOES NOT RESPOND, THE ACCOUNT IS GIVEN A FINAL NOTICE, EITHER BY LETTER OR PHONE, AND SENT TO AN OUTSIDE COLLECTION AGENCY. THE HOSPITAL WILL NOT FILE COLLECTION SUIT LIENS ON A PRIMARY RESIDENCE, NOR DO WE AUTHORIZE AN AGENCY TO USE SO-CALLED "BODY ATTACHMENTS". THE AGENCIES ARE AWARE OF OUR CFAP AND HAVE BEEN ADVISED TO REFER THE PATIENTS BACK TO CARLE IF THEY DEEM THE PATIENT IS UNABLE TO PAY. BILLING STAFF WILL THEN MAKE ONE MORE ATTEMPT TO WORK WITH THE PATIENT TO SEE IF HELP IS AVAILABLE. IF STAFF DETERMINES THAT THE PATIENT MIGHT QUALIFY, WE SEND THE PATIENT A CFAP APPLICATION AND INSTRUCT THE AGENCY TO PUT A HOLD ON THE ACCOUNT; THE AVERAGE HOLD IS 60 DAYS. IF THE PATIENT IS THEN APPROVED FOR DISCOUNTS AT 100% FOR FINANCIAL ASSISTANCE, THE BALANCE IS ADJUSTED AND THE ACCOUNT IS CLOSED WITH THE AGENCY. IF THE PATIENT IS APPROVED FOR LESS THAN 100%, THE ADJUSTMENTS ARE REPORTED TO THE AGENCY AND THE AGENCY WILL BEGIN COLLECTION EFFORTS ON ANY REMAINING BALANCE. |
| Schedule H, Part V, Section B, Line 16a FAP website | - CARLE HEALTH PROCTOR HOSPITAL: Line 16a URL: SEE SCHEDULE H, PART VI; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - CARLE HEALTH PROCTOR HOSPITAL: Line 16b URL: SEE SCHEDULE H, PART VI; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - CARLE HEALTH PROCTOR HOSPITAL: Line 16c URL: SEE SCHEDULE H, PART VI; |
| Schedule H, Part VI, Line 2 Needs assessment | THE COMMUNITY BENEFITS PLAN ADOPTED BY CARLE IS ABOUT IMPROVING HEALTH, THE HEALTH OF EACH INDIVIDUAL, AND THE HEALTH OF THE COMMUNITY. IN DEVELOPING THE PLAN, SEVERAL SOURCES OF INFORMATION WERE UTILIZED TO HELP IDENTIFY SPECIFIC HEALTHCARE NEEDS. FIRST, ONE OF THE MORE COMPREHENSIVE LOCAL ASSESSMENTS IS LED BY THE DEPARTMENT OF PUBLIC HEALTH. THE PEORIA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED LOCAL HEALTH PRIORITIES AS HEALTHY EATING, MENTAL HEALTH, OBESITY, AND CANCER MANAGEMENT. THE SECOND SOURCE WAS HEALTHY PEOPLE 2010. HEALTHY PEOPLE 2010 SET OUT NATIONAL OBJECTIVES FOR HEALTH IMPROVEMENT AND ARE BUILT AROUND THE CONCEPTS OF DISEASE PREVENTION AND HEALTH PROMOTION. OTHER SOURCES OF DATA WERE REVIEWED, HEARTLAND ALLIANCE MID-AMERICA INSTITUTE ON POVERTY, UNITED STATES CENSUS BUREAU DATA, ILLINOIS BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY DATA, CARLE ACCESS DATA AND CENSUS BUREAU DATA. COLLECTIVELY, THESE DATA SOURCES HAVE SUPPORTED OUR ASSESSMENT OF THE COMMUNITY'S NEEDS. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | Our practice is to look at each patient's financial status in relation to our Carle Financial Assistance Program and the criteria of the Uninsured Patient Discount Act, and to provide the patient with the deepest discount available. By expanding the presumptive eligibility screening processes and determining the financial status of patients up-front, we have been able to pinpoint those needing assistance early in the process, minimizing bad debt and optimizing our ability to help. Staff is also diligent in following up with patients during hospitalization and after discharge if there's any reason to believe the patient could benefit from financial assistance, and we auto-qualify certain patient populations for Carle Financial Assistance Program, such as the homeless, WIC, SNAP (Supplemental Nutrition Assistance Program), Medicaid, Low Income Home Energy Assistance Program (LIHEAP), and Township Assistance recipients. Communicating that Financial Assistance is Available The Hospital has made a concerted, continuous effort to be sure that people have access to information that will help them with their medical bills. These include: - Advertising Carle Financial Assistance Program; continued presence in appropriate community publications; and on-site via displays throughout the hospital and clinics - Simplified application form, including a version in Spanish, that contains information regarding the Carle Financial Assistance Program - Publication of a Plain Language Summary and all other financial assistance-related information on CARLE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE - Information about the Carle Financial Assistance Program on all statements, collection letters and Hospital admission packets - Carle Financial Assistance Program information and applications at all registration points, Hospital main lobby and carle.org - Staff at Frances Nelson Health Center operated by Promise Healthcare, the local FQHC, and community free clinics equipped with a supply of applications and knowledge to assist their patients in completing them - Meetings with local legislators to help them assist constituents with healthcare needs, including financial assistance |
| Schedule H, Part VI, Line 4 Community information | CARLE HEALTH PROCTOR HOSPITAL IS A GENERAL MEDICAL AND SURGICAL HOSPITAL IN PEORIA, IL, WITH 138 BEDS. FROM A DEMOGRAPHIC STANDPOINT, PROCTOR SERVES A POPULATION THAT DIFFERS SIGNIFICANTLY FROM ITS LARGER DOWNTOWN COMPETITORS. THE RACIAL AND ETHNIC MIX OF PROCTOR PATIENTS IS IMPACTED BY THE HOSPITAL'S NORTHSIDE LOCATION. |
| Schedule H, Part VI, Line 5 Promotion of community health | Carle Health West Region has an open medical staff and is governed by a community board. Surplus funds are reinvested into the organization for technology replacement and advancement, building renovation or construction, clinical service expansion and quality improvement. Surplus funds are also invested into our communities to meet identified health needs which contribute to the overall well-being of the residents of the communities we serve. |
| Schedule H, Part VI, Line 6 Affiliated health care system | CARLE HEALTH |
| Schedule H, Part VI, Line 7 State filing of community benefit report | IL |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Keith Knepp MD | ||||||||||||||
| Ex Officio, Voting // Officer - President, Carle Health - West Region | $0 | $606,605 | $0 | $173,515 | $0 | $848,725 | $0 | $17,461 | $0 | $26,631 | $0 | $1,672,937 | $0 | $519,694 |
| John Wieland MD | ||||||||||||||
| Chair | $0 | $564,563 | $0 | $64,312 | $0 | $24,713 | $0 | $6,600 | $0 | $26,714 | $0 | $686,902 | $0 | $0 |
| 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 |
| Matthew Kolb JD MHA | ||||||||||||||
| Ex Officio, Non-Voting // Officer - President, Carle Health Regions // EVP, COO | $0 | $1,092,613 | $0 | $219,047 | $0 | $255,672 | $0 | $335,494 | $0 | $27,811 | $0 | $1,930,637 | $0 | $226,485 |
| 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 |
| 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 |
| John Peters | ||||||||||||||
| Chief Finance Officer thru 03/31/2023 | $0 | $213,222 | $0 | $83,782 | $0 | $17,891 | $0 | $11,390 | $0 | $12,940 | $0 | $339,225 | $0 | $0 |
| Ken Dicken MBA | ||||||||||||||
| VP, Finance - West Region | $0 | $251,128 | $0 | $10,000 | $0 | $1,732 | $0 | $0 | $0 | $11,595 | $0 | $274,455 | $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 |
| Jeanette Murray | ||||||||||||||
| VP, Greater Peoria Hospital Operations | $0 | $330,029 | $0 | $67,947 | $0 | $208,739 | $0 | $11,961 | $0 | $19,870 | $0 | $638,546 | $0 | $130,738 |
| 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 |
| Theresa Skibba | ||||||||||||||
| Registered Nurse - Cardiac | $275,514 | $984 | $1,798 | $0 | $2,150 | $1 | $6,193 | $29 | $30,453 | $126 | $316,108 | $1,140 | $0 | $0 |
| Diana Jones | ||||||||||||||
| Nursing Supervisor | $202,666 | $0 | $2,529 | $0 | $3,144 | $0 | $5,138 | $0 | $8,800 | $0 | $222,277 | $0 | $0 | $0 |
| Tate Hohulin | ||||||||||||||
| Lead Clinical Staff Pharmacist | $164,332 | $0 | $1,486 | $0 | $1,998 | $0 | $4,255 | $0 | $27,821 | $0 | $199,892 | $0 | $0 | $0 |
| Danielle Snodgrass | ||||||||||||||
| Clinical Staff Pharmacist | $144,553 | $0 | $1,481 | $0 | $1,701 | $0 | $3,687 | $0 | $6,089 | $0 | $157,511 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION | THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF PROCTOR HOSPITAL, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: -THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. -THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. -THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. -THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY-SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE. |
| Schedule J, Part I, Line 4b SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | THE 2023 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF PROCTOR HOSPITAL, THAT ARE LISTED IN THE 990 PART VII INCLUDE DENNIS HESCH, MATTHEW KOLB, JD, MHA, JAMES C. LEONARD, MD, KEITH KNEPP, MD, LAUREN SCHMID, MBA, NAPOLEON KNIGHT, MD, MBA, NICHOLAS CROMPTON, AND JEANETTE MURRAY. 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), KEITH KNEPP, MD ($519,694), AND JEANETTE MURRAY ($130,738). |
| Schedule J, Part I, Line 7 Non-Fixed Payments | PART OF THE CEO'S COMPENSATION INCLUDES AN INCENTIVE COMPONENT WHICH IS DESIGNED TO ENCOURAGE AND PROMOTE THE ACHIEVEMENT OF CERTAIN QUALITY, OPERATIONAL, AND EFFICIENCY IMPROVEMENTS. ALTHOUGH THIS INCENTIVE COMPONENT IS BASED ON THE ORGANIZATION MEETING CERTAIN MINIMUM FINANCIAL THRESHOLDS, ALL PAYMENTS MUST BE APPROVED BY THE BOARD OF TRUSTEES PRIOR TO ANY INCENTIVE PAYOUT. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 2 Family/business relationships amongst interested persons | James C. Leonard, MD (Officer), Matthew Kolb, JD, MHA (Officer), and Napoleon Knight, MD, MBA (Officer) - Business relationship, James C. Leonard, MD (Officer) and James Stevenson (Board Vice Chair) - Business relationship, James C. Leonard, MD (Officer) and Napoleon Knight, MD, MBA (Officer) - Business relationship, James C. Leonard, MD (Officer), Dennis Hesch (Officer), and Lauren Schmid, MBA (Key Employee) - Business relationship, Dennis Hesch (Officer), Matthew Kolb, JD, MHA (Officer), and Nicholas Crompton (Key Employee) - Business relationship, Keith Knepp, MD (Officer), Debbie Simon (Board Secretary / Treasurer), Dennis Triggs, JD (Trustee), Dirk Roecker (Trustee), James Stevenson (Board Vice Chair), and John Wieland, MD (Board Chair) - Business relationship, Keith Knepp, MD (Officer), Dennis Triggs, JD (Trustee), Dirk Roecker (Trustee), James Stevenson (Board Vice Chair), and John Wieland, MD (Board Chair) - Business relationship, Keith Knepp, MD (Officer), Ken Dicken, MBA (Officer), and Jeannette Murray (Key Employee) - Business relationship, Keith Knepp, MD (Officer), Jeanette Murray(Key Employee), John Peters (Officer) and Ken Dicken, MBA (Officer) - Business relationship |
| Form 990, Part VI, Line 6 Classes of members or stockholders | PROCTOR HOSPITAL HAS ONE MEMBER WHICH IS CARLE HEALTH - WEST REGION, WHOSE PARENT COMPANY IS THE CARLE FOUNDATION. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | PROCTOR HOSPITAL'S SOLE MEMBER, CARLE HEALTH - WEST REGION, ACTING THROUGH ITS BOARD OF TRUSTEES, HAS THE EXCLUSIVE POWER TO ELECT AND REMOVE MEMBERS OF THE BOARD OF TRUSTEES FOR THE CORPORATION IN ADDITION TO FILLING VACANCIES. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | PROCTOR HOSPITAL MUST HAVE THE APPROVAL OF ITS SOLE MEMBER, CARLE HEALTH - WEST REGION, THROUGH ITS BOARD OF TRUSTEES, WHEN VOTING ON MATTERS INCLUDING THE AMENDING OF GOVERNING DOCUMENTS; RECOMMENDING THE PRESIDENT TO THE BOARD; APPROVING ANY ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGETS; APPROVING PAYMENT TO THE MEMBERS OF THE PROCTOR BOARD OF DIRECTORS FOR THEIR EXPENSES OR COMPENSATION FOR SERVICES; APPROVING THE ADDITION OF ANY NEW MEMBER AND ANY DISSOLUTION, MERGER, CONSOLIDATION, OR SALE OR OTHER DISPOSITION OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR ANY DISPOSITION OF REAL PROPERTY OR RELOCATION OF THE HOSPITAL AND/OR CLINIC; APPROVING ANY ORGANIZATION OR ACQUISITION OF A SUBSIDIARY OR AFFILIATE; APPROVING ANY INITIATIVE REQUIRING CERTIFICATE OF NEED (CON) APPROVAL; APPROVING ANY PLEDGE OF ALL OR ANY PART OF THE CORPORATION'S ASSETS AS SECURITY FOR A DEBT, LIABILITY OR OTHER OBLIGATION; APPROVING ANY LOAN TO OR FOR THE CORPORATION OR ANY OTHER INDEBTEDNESS; AND APPROVING NON-BUDGETED EXPENDITURES OR SALE EXCEEDING THE PRESIDENT'S AUTHORIZED SPENDING AUTHORITY. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 WAS PREPARED BY STAFF AND AN EXTERNAL TAX ADVISOR AND REVIEWED BY MANAGEMENT. PRIOR TO FILING THIS FORM 990, A FULL AND COMPLETE COPY WAS PROVIDED TO THE GOVERNING BODY. AT THEIR DISCRETION, THE GOVERNING MEMBERS HAVE THE OPPORTUNITY TO CONTACT MANAGEMENT OR DISCUSS AND ADDRESS CONCERNS AT SUBSEQUENT BOARD MEETINGS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | THE ORGANIZATION'S ESTABLISHED CONFLICT OF INTEREST POLICIES REQUIRE ANNUAL DISCLOSURE OF ACTUAL AND POTENTIAL CONFLICTS OF INTEREST FOR OFFICERS, DIRECTORS, TRUSTEES, MEMBERS OF BOARD COMMITTEES, ADMINISTRATIVE AND MANAGERIAL EMPLOYEES AS WELL AS ALL EMPLOYEES OF THE PURCHASING DEPARTMENT. IF CIRCUMSTANCES CHANGE DURING THE COURSE OF A YEAR, INTERIM DISCLOSURE IS ALSO REQUIRED OF THE SAME INDIVIDUALS. THE DISCLOSURES OF EMPLOYEES ARE REVIEWED INITIALLY BY THE COMPLIANCE DEPARTMENT AND ANY IDENTIFIED CONFLICTS ARE REFERRED TO, AND ADDRESSED BY, THE ORGANIZATION'S INTERNAL LEGAL COUNSEL AND/OR CORPORATE INTEGRITY OFFICER. THE DISCLOSURES OF TRUSTEES AND MEMBERS OF BOARD COMMITTEES ARE REVIEWED BY THE CHAIR OF THE BOARD. THE ENTIRE BOARD, ABSENT THE SUBJECT TRUSTEE OR COMMITTEE MEMBER DETERMINES WHETHER A CONFLICT EXISTS. TRUSTEES AND/OR BOARD COMMITTEE MEMBERS WITH IDENTIFIED CONFLICTS ARE REQUIRED TO RECUSE THEMSELVES FROM DELIBERATING AND VOTING ON MATTERS THAT MAY PRESENT A CONFLICT. THE ORGANIZATION ALSO MAINTAINS PURCHASING POLICIES REQUIRING COUNTER SIGNATURES TO FURTHER MINIMIZE THE RISK ASSOCIATED WITH ACTUAL AND/OR POTENTIAL CONFLICTS OF INTEREST. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF PROCTOR HOSPITAL, PUBLISHES THROUGH WWW.DACBOND.COM AND https://emma.msrb.org/ ITS QUARTERLY UNAUDITED FINANCIAL STATEMENTS, ANNUAL AUDITED FINANCIAL STATEMENTS, A MANAGEMENT'S DISCUSSION & ANALYSIS TO ACCOMPANY THE FINANCIAL STATEMENTS, AND AN ANNUAL REPORT OF CERTAIN OPERATING AND FINANCIAL INFORMATION. ADDITIONALLY, OFFICIAL STATEMENTS FOR OUTSTANDING MUNICIPAL BOND ISSUES FOR WHICH THE CARLE FOUNDATION IS OBLIGATED ARE AVAILABLE AT 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 B | THE AVERAGE ESTIMATED HOURS PER WEEK LISTED FOR THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS ARE BASED ON A STANDARD 40 HOUR WEEK. MEMBERS MAY FREQUENTLY DEVOTE MORE THAN 40 HOURS OF SERVICE TO THE ENTIRE ORGANIZATION DURING AN AVERAGE WEEK. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Other - Total Revenue: -73215, Related or Exempt Function Revenue: -73215, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part IX, Line 11g Other Fees | Contract Labor - Total Expense: 8738898, Program Service Expense: 8738898, Management and General Expenses: 0, Fundraising Expenses: ; Consulting Fees - Total Expense: 3312, Program Service Expense: 2945, Management and General Expenses: 367, Fundraising Expenses: ; Other Purchased Services - Total Expense: 9080790, Program Service Expense: 8675588, Management and General Expenses: 405202, Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | INTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS - 83179182; Other Changes in Net Assets - -5701; |
| Form 990, Part XII, Line 2c CHANGE OF OVERSIGHT PROCESS OR SELECTION PROCESS | FORM 990 PART XII, QUESTION 2A, B, C AND PART IV, QUESTION 12 THE FINANCIAL STATEMENTS FOR PROCTOR HOSPITAL WERE REVIEWED ON A CONSOLIDATED BASIS UNDER THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE CARLE FOUNDATION HAS AN AUDIT COMMITTEE CONSISTING OF MEMBERS OF THE GOVERNING BOARD AND THE CHIEF FINANCIAL OFFICER WHO TOGETHER ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE REVIEW AND AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT OR AUDITOR. |
| Form 990, Part VI, Line 15 15a & 15b - Process to Establish Compensation of Top Management Official | PROCTOR HOSPITAL DOES NOT COMPENSATE ITS OFFICERS. EMPLOYEE COMPENSATION FOR THESE INDIVIDUALS IS COMPENSATED BY THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF PROCTOR HOSPITAL, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: -THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. -THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. -THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. -THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY-SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE. |
| Form 990, Item B Amended return | This amended Form 990 is being filed to correct Schedule H, Part I, Line 7 and Schedule H, Part III. Carle Health System acquired Proctor Hospital in 2023. After the initial return was filed, it was determined that only a portion of the financial assistance and community benefit data was included on the original timely filed return. The following provides a summary of the portions of Schedule H which are amended from the original return: - Various line items on Sch H Part, I line 7 were updated. The original total community benefit percent of total expense reported on Schedule H, Part I, Line 7k, Column F was 6.09%. The amended amount is 16.04%. - Line items provided on Schedule H, Part III were updated: SCHEDULE H, PART III, LINE 2 - AS ORIGINALLY FILED: $400,526 ; AS AMENDED: $1,814,302 SCHEDULE H, PART III, LINE 3 - AS ORIGINALLY FILED: $200,263 ; AS AMENDED: $907,151 SCHEDULE H, PART III, LINE 5 - AS ORIGINALLY FILED: $34,999,294 ; AS AMENDED: $25,726,508 SCHEDULE H, PART III, LINE 6 - AS ORIGINALLY FILED: $46,969,863 ; AS AMENDED: $33,020,376 SCHEDULE H, PART III, LINE 7 - AS ORIGINALLY FILED: $(11,970,569) ; AS AMENDED: $(7,293,868) |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (82 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ABBE CENTER FOR COMMUNITY MENTAL HEALTH INC | ||||||||||
| 740 N 15TH AVE NO A | HIAWATHA | IA | 52233 | 421045257 | Mental Health Care | IA | 501(c)(3) | 10 | ABBEHEALTH INC | false |
| ABBEHEALTH INC | ||||||||||
| 740 N 15TH AVE NO A | HIAWATHA | IA | 52233 | 421373123 | Support Affiliates' Mission to Improve Health Care | IA | 501(c)(3) | Type III-FI | ST LUKE'S HEALTHCARE | false |
| AGING SERVICES INC | ||||||||||
| 740 N 15TH AVE NO A | HIAWATHA | IA | 52233 | 237085316 | Senior Services | IA | 501(c)(3) | 7 | ABBEHEALTH INC | false |
| ALLEN COLLEGE | ||||||||||
| 1825 LOGAN AVE | WATERLOO | IA | 50703 | 421351526 | Educate and Develop Healthcare Professionals | IA | 501(c)(3) | 2 | ALLEN HEALTH SYSTEMS INC | false |
| ALLEN HEALTH SYSTEMS INC | ||||||||||
| 1825 LOGAN AVE | WATERLOO | IA | 50703 | 421201924 | Support Affiliates' Mission to Improve Health Care | IA | 501(c)(3) | Type II | IOWA HEALTH SYSTEM | false |
| ALLEN MEMORIAL HOSPITAL CORPORATION | ||||||||||
| 1825 LOGAN AVE | WATERLOO | IA | 50703 | 420698265 | Hospital | IA | 501(c)(3) | 3 | ALLEN HEALTH SYSTEMS INC | false |
| ANAMOSA AREA AMBULANCE SERVICE | ||||||||||
| 101 GRANT WOOD DR | ANAMOSA | IA | 52205 | 421466284 | Provide Ambulance Services | IA | 501(c)(3) | Type III-FI | ST LUKE'SJONES REGIONAL MEDICAL CENTER | false |
| BLACK HAWK-GRUNDY MENTAL HEALTH CENTER INC | ||||||||||
| 3251 WEST NINTH ST | WATERLOO | IA | 50702 | 420733463 | Mental Health Care | IA | 501(c)(3) | 7 | ALLEN HEALTH SYSTEMS INC | false |
| CARLE BROMENN MEDICAL CENTER | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 850682363 | Hospital Services | IL | 501(c)(3) | 3 | CHCR | Yes (true) |
| CARLE COMMUNITY HEALTH CORPORATION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 364458371 | FNDN Mission | IL | 501(c)(3) | Type I | TCDF | Yes (true) |
| CARLE EUREKA HOSPITAL | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 850688306 | Hospital Services | IL | 501(c)(3) | 3 | CHCR | Yes (true) |
| CARLE HEALTH - CENTRAL REGION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 990548510 | Governance/Oversight | IL | 501(c)(3) | Type III-FI | TCF | Yes (true) |
| CARLE HEALTH - EAST REGION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 990582680 | Governance/Oversight | IL | 501(c)(3) | Type III-FI | TCF | Yes (true) |
| CARLE HEALTH - SOUTH REGION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 990614340 | Governance/Oversight | IL | 501(c)(3) | Type III-FI | TCF | Yes (true) |
| CARLE HEALTH - WEST REGION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371111135 | Governance/Oversight | IL | 501(c)(3) | Type III-FI | TCF | Yes (true) |
| CARLE HEALTH CARE INCORPORATED | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371140016 | Various Medical Services | IL | 501(c)(3) | 10 | TCF | Yes (true) |
| CARLE RETIREMENT CENTERS INC | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371160033 | Retirement Living | IL | 501(c)(3) | 10 | TCF | Yes (true) |
| CARLE WEST PHYSICIAN GROUP INC | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 850703768 | Physician Services | IL | 501(c)(3) | 10 | CHCI | Yes (true) |
| CENTER FOR ALCOHOL AND DRUG SERVICES INC | ||||||||||
| 4869 FOREST GROVE DR | BETTENDORF | IA | 52722 | 421134273 | Substance Abuse Services | IA | 501(c)(3) | 7 | THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH | false |
| CENTRAL IOWA HEALTH PROPERTIES CORPORATION | ||||||||||
| 1200 PLEASANT ST | WEST DES MOINES | IA | 50309 | 421233759 | Property Holding Co. | IA | 501(c)(2) | CENTRAL IOWA HEALTH SYSTEM | false | |
| CENTRAL IOWA HEALTH SYSTEM | ||||||||||
| 1200 PLEASANT ST | WEST DES MOINES | IA | 50309 | 421189791 | Support Affiliates' Mission to Improve Health Care | IA | 501(c)(3) | Type II | IOWA HEALTH SYSTEM | false |
| CENTRAL IOWA HOSPITAL CORPORATION | ||||||||||
| 1200 PLEASANT ST | WEST DES MOINES | IA | 50309 | 420680452 | Hospital | IA | 501(c)(3) | 3 | CENTRAL IOWA HEALTH SYSTEM | false |
| CRIS HEALTHY AGING | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 370948852 | Senior Citizen Services | IL | 501(c)(3) | 7 | CHCI | Yes (true) |
| DES MOINES AREA MEDICAL EDUCATION CONSORTIUM INC | ||||||||||
| 1415 WOODLAND AVE SUITE 130 | WEST DES MOINES | IA | 50309 | 421412497 | Coordination of Medical Education Programs | IA | 501(c)(3) | Type III-FI | NA | false |
| EYERLY-BALL COMMUNITY MENTAL HEALTH SERVICES | ||||||||||
| 945 19TH ST | WEST DES MOINES | IA | 50314 | 420942273 | Mental Health Care | IA | 501(c)(3) | 10 | CENTRAL IOWA HEALTH SYSTEM | false |
| FINLEY TRI-STATES HEALTH GROUP INC | ||||||||||
| 350 NORTH GRANDVIEW AVE | DUBUQUE | IA | 52001 | 421307495 | Support Affiliates' Mission to Improve Health Care | IA | 501(c)(3) | Type II | IOWA HEALTH SYSTEM | false |
| FRIENDS OF THE BLACK HAWK-GRUNDY MENTAL HEALTH CENTER | ||||||||||
| 3820 HILLSIDE DR | CEDAR FALLS | IA | 50613 | 421372380 | Charitable Fundraising | IA | 501(c)(3) | 7 | ALLEN HEALTH SYSTEMS INC | false |
| GRINNELL REGIONAL MEDICAL CENTER | ||||||||||
| 210 FOURTH AVE | GRINNELL | IA | 50112 | 420933383 | Hospital | IA | 501(c)(3) | 3 | CENTRAL IOWA HEALTH SYSTEM | false |
| GRINNELL REGIONAL MEDICAL CENTER FOUNDATION | ||||||||||
| 210 FOURTH AVE | GRINNELL | IA | 50112 | 421454737 | Charitable Fundraising | IA | 501(c)(3) | Type I | GRINNELL REGIONAL MEDICAL CENTER | false |
| HOOPESTON COMMUNITY MEMORIAL HOSPITAL | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 363637465 | Hospital Services | IL | 501(c)(3) | 3 | CHER | Yes (true) |
| HULT CENTER FOR HEALTHY LIVING INC | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 363510390 | Wellness Services | IL | 501(c)(3) | 7 | PH | Yes (true) |
| HUMAN SERVICE CENTER | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371004882 | Behavioral Health Services | IL | 501(c)(3) | 7 | TP | Yes (true) |
| IOWA HEALTH FOUNDATION | ||||||||||
| 1415 WOODLAND AVE SUITE E-200 | WEST DES MOINES | IA | 50309 | 421467682 | Charitable Fundraising | IA | 501(c)(3) | 7 | CENTRAL IOWA HEALTH SYSTEM | false |
| IOWA HEALTH SYSTEM | ||||||||||
| 1776 WEST LAKES PKWY 400 | WEST DES MOINES | IA | 50266 | 421435199 | Support Affiliates' Mission to Improve Health Care | IA | 501(c)(3) | Type III-FI | NA | false |
| IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION | ||||||||||
| 1776 WEST LAKES PKWY 400 | WEST DES MOINES | IA | 50266 | 421411630 | Primary Health Care Services | IA | 501(c)(3) | 3 | IOWA HEALTH SYSTEM | false |
| MEMORIAL FOUNDATION OF ALLEN HOSPITAL | ||||||||||
| 1825 LOGAN AVE | WATERLOO | IA | 50703 | 421201138 | Charitable Fundraising | IA | 501(c)(3) | 7 | ALLEN HEALTH SYSTEMS INC | false |
| MERITER FOUNDATION INC | ||||||||||
| 202 SOUTH PARK ST | MADISON | WI | 53715 | 237098688 | Charitable Fundraising | WI | 501(c)(3) | 7 | MERITER HEALTH SERVICES INC | false |
| MERITER HEALTH SERVICES INC | ||||||||||
| 202 SOUTH PARK ST | MADISON | WI | 53715 | 391412318 | Support Affiliates' Mission to Improve Health Care | WI | 501(c)(3) | Type III-FI | IOWA HEALTH SYSTEM | false |
| MERITER HOSPITAL INC | ||||||||||
| 202 SOUTH PARK ST | MADISON | WI | 53715 | 390806367 | Hospital | WI | 501(c)(3) | 3 | MERITER HEALTH SERVICES INC | false |
| METHODIST MEDICAL CENTER FOUNDATION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 510186460 | Fundraising | IL | 501(c)(3) | 7 | CHWR | Yes (true) |
| METHODIST SERVICES INC | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371111134 | Property Holding Co. | IL | 501(c)(3) | 10 | CHWR | Yes (true) |
| NELLIE R SHERWOOD TRUST | ||||||||||
| 1026 A AVE NE | CEDAR RAPIDS | IA | 52402 | 426061621 | Pay Medical Bills of Retired Teachers Unable to Pay | IA | 501(c)(3) | Type I | ST LUKE'S METHODIST HOSPITAL | false |
| NORTH CENTRAL IOWA MENTAL HEALTH CENTER INCORPORATED | ||||||||||
| 720 KENYON DR | FORT DODGE | IA | 50501 | 420937390 | Mental Health Care | IA | 501(c)(3) | 3 | TRINITY HEALTH SYSTEMS INC | false |
| NORTHWEST IOWA HOSPITAL CORPORATION | ||||||||||
| 2720 STONE PARK BLVD | SIOUX CITY | IA | 51104 | 421019872 | Hospital | IA | 501(c)(3) | 3 | ST LUKE'S HEALTH SYSTEM INC | false |
| PARK COURT LIMITED | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371178386 | Property Holding Co. | IL | 501(c)(3) | Type II | CHWR | Yes (true) |
| PEKIN MEMORIAL HOSPITAL | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 370692351 | Hospital Services | IL | 501(c)(3) | 3 | CHWR | Yes (true) |
| PEKIN MEMORIAL HOSPITAL FOUNDATION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371200267 | Fundraising | IL | 501(c)(3) | 7 | CHWR | Yes (true) |
| PRAIRIE VIEW VILLAS NO 1 | ||||||||||
| 1900 SPRING ROAD STE 300 | OAK BROOK | IL | 605231480 | 261755679 | Housing Services | IL | 501(c)(3) | 7 | TMHC | Yes (true) |
| PROCTOR HEALTH SYSTEMS | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 364147437 | Physician Services | IL | 501(c)(3) | 3 | CHWR | Yes (true) |
| RICHLAND MEMORIAL HOSPITAL INC | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371363001 | Hospital Services | IL | 501(c)(3) | 3 | CHSR | Yes (true) |
| SIOUXLAND PACE INC | ||||||||||
| 1200 TRI VIEW AVE | SIOUX CITY | IA | 51103 | 261120134 | All-Inclusive Care for the Elderly | IA | 501(c)(3) | 3 | ST LUKE'S HEALTH SYSTEM INC | false |
| ST LUKE'S HEALTH RESOURCES | ||||||||||
| 2720 STONE PARK BLVD | SIOUX CITY | IA | 51104 | 421059182 | Outpatient Clinics and Healthcare Services | IA | 501(c)(3) | 10 | ST LUKE'S HEALTH SYSTEM INC | false |
| ST LUKE'S HEALTH SYSTEM INC | ||||||||||
| 2720 STONE PARK BLVD | SIOUX CITY | IA | 51104 | 421294091 | Support Affiliates' Mission to Improve Health Care | IA | 501(c)(3) | Type III-FI | IOWA HEALTH SYSTEM | false |
| ST LUKE'S HEALTHCARE | ||||||||||
| 1026 A AVE NE | CEDAR RAPIDS | IA | 52402 | 421487968 | Support Affiliates' Mission to Improve Health Care | IA | 501(c)(3) | Type II | IOWA HEALTH SYSTEM | false |
| ST LUKE'S METHODIST HOSPITAL | ||||||||||
| 1026 A AVE NE | CEDAR RAPIDS | IA | 52402 | 420504780 | Hospital | IA | 501(c)(3) | 3 | ST LUKE'S HEALTHCARE | false |
| STLUKE'SJONES REGIONAL MEDICAL CENTER | ||||||||||
| 1795 HIGHWAY 64 EAST | ANAMOSA | IA | 52205 | 421487967 | Hospital | IA | 501(c)(3) | 3 | ST LUKE'S HEALTHCARE | false |
| STL CARE COMPANY | ||||||||||
| 1026 A AVE NE | CEDAR RAPIDS | IA | 52402 | 421276632 | Improve Public Health Services | IA | 501(c)(3) | 10 | ST LUKE'S HEALTHCARE | false |
| TAZWOOD MENTAL HEALTH CENTER INC | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371278969 | Behavioral Health Services | IL | 501(c)(3) | 7 | TP | Yes (true) |
| THE CARLE DEVELOPMENT FOUNDATION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371159978 | Fundraising | IL | 501(c)(3) | 7 | TCF | Yes (true) |
| THE CARLE FOUNDATION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 370673465 | Parent/Inv Mgmt | IL | 501(c)(3) | Type III-FI | NA | false |
| THE CARLE FOUNDATION HOSPITAL | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371119538 | Hospital Services | IL | 501(c)(3) | 3 | CHER | Yes (true) |
| THE DUBUQUE VISITING NURSE ASSOCIATION | ||||||||||
| 350 NORTH GRANDVIEW AVE | DUBUQUE | IA | 52001 | 420680410 | Public Health Services/Home Care | IA | 501(c)(3) | 10 | FINLEY TRI-STATES HEALTH GROUP INC | false |
| THE FINLEY HOSPITAL | ||||||||||
| 350 NORTH GRANDVIEW AVE | DUBUQUE | IA | 52001 | 420680354 | Hospital | IA | 501(c)(3) | 3 | FINLEY TRI-STATES HEALTH GROUP INC | false |
| THE METHODIST MEDICAL CENTER OF ILLINOIS | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 370661223 | Hospital Services | IL | 501(c)(3) | 3 | CHWR | Yes (true) |
| THE METHODIST MEDICAL CENTER OF ILLINOIS SELF INSURANCE TRUST AGREEMENT | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 376181831 | Self Insurance | IL | 501(c)(3) | Type I | MMCI | Yes (true) |
| THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH | ||||||||||
| 2701 17TH ST | ROCK ISLAND | IL | 61201 | 363678909 | Mental Health Care | IL | 501(c)(3) | 7 | TRINITY REGIONAL HEALTH SYSTEM | false |
| TRILLIUM PLACE | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 834051901 | Behavioral Health Services | IL | 501(c)(3) | 10 | CHWR | Yes (true) |
| TRIMARK PHYSICIANS GROUP | ||||||||||
| 802 KENYON RD | FORT DODGE | IA | 50501 | 453791448 | Support Services for Medical Care and Health Services | IA | 501(c)(3) | 3 | TRINITY HEALTH SYSTEMS INC | false |
| TRINITY COLLEGE OF NURSING & HEALTH SCIENCES | ||||||||||
| 2122 25TH AVE | ROCK ISLAND | IL | 61201 | 810994377 | Educate and Develop Healthcare Professionals | IL | 501(c)(3) | 2 | TRINITY MEDICAL CENTER | false |
| TRINITY HEALTH FOUNDATION | ||||||||||
| 802 KENYON RD | FORT DODGE | IA | 50501 | 421222381 | Charitable Fundraising | IA | 501(c)(3) | 7 | TRINITY HEALTH SYSTEMS INC | false |
| TRINITY HEALTH FOUNDATION | ||||||||||
| 2701 17TH ST | ROCK ISLAND | IL | 61201 | 363321751 | Charitable Fundraising | IL | 501(c)(3) | 7 | TRINITY REGIONAL HEALTH SYSTEM | false |
| TRINITY HEALTH SYSTEMS INC | ||||||||||
| 802 KENYON RD | FORT DODGE | IA | 50501 | 421222877 | Support Affiliates' Mission to Improve Health Care | IA | 501(c)(3) | Type II | IOWA HEALTH SYSTEM | false |
| TRINITY MEDICAL CENTER | ||||||||||
| 2701 17TH ST | ROCK ISLAND | IL | 61201 | 362739299 | Hospital | IL | 501(c)(3) | 3 | TRINITY REGIONAL HEALTH SYSTEM | false |
| TRINITY REGIONAL HEALTH SYSTEM | ||||||||||
| 2701 17TH ST | ROCK ISLAND | IL | 61201 | 363351952 | Support Affiliates' Mission to Improve Health Care | IL | 501(c)(3) | Type II | IOWA HEALTH SYSTEM | false |
| TRINITY REGIONAL MEDICAL CENTER | ||||||||||
| 802 KENYON RD | FORT DODGE | IA | 50501 | 421009175 | Hospital | IA | 501(c)(3) | 3 | TRINITY HEALTH SYSTEMS INC | false |
| UNITY HEALTHCARE | ||||||||||
| 1518 MULBERRY AVE | MUSCATINE | IA | 52761 | 420680337 | Hospital | IA | 501(c)(3) | 3 | TRINITY REGIONAL HEALTH SYSTEM | false |
| UNITY HEALTHCARE FOUNDATION | ||||||||||
| 1518 MULBERRY AVE | MUSCATINE | IA | 52761 | 421525031 | Support Affiliates' Mission to Improve Health Care | IA | 501(c)(3) | Type I | UNITY HEALTHCARE | false |
| UNITYPOINT AT HOME | ||||||||||
| 1776 WEST LAKES PKWY 400 | WEST DES MOINES | IA | 50266 | 421477471 | Home Health Care | IA | 501(c)(3) | 10 | IOWA HEALTH SYSTEM | false |
| UNITYPOINT HEALTH - MARSHALLTOWN | ||||||||||
| 1825 LOGAN AVE | WATERLOO | IA | 50703 | 815034179 | Hospital | IA | 501(c)(3) | 3 | ALLEN HEALTH SYSTEMS INC | false |
| UNITYPOINT HEALTH - MARSHALLTOWN FOUNDATION | ||||||||||
| 3 SOUTH 4TH AVE | MARSHALLTOWN | IA | 50158 | 421388518 | Charitable Fundraising | IA | 501(c)(3) | 7 | ALLEN HEALTH SYSTEMS INC | false |
| UNITYPOINT HEALTH AT WORK | ||||||||||
| 1776 WEST LAKES PKWY 400 | WEST DES MOINES | IA | 50266 | 810872241 | Employer Onsite Medical Services and Occupational Medicine | IA | 501(c)(3) | 3 | IOWA HEALTH SYSTEM | false |
| WISCONSIN DIALYSIS INC | ||||||||||
| 3034 FISH HATCHERY RD | MADISON | WI | 53713 | 300072647 | Outpatient Kidney Dialysis | WI | 501(c)(3) | Type III-FI | NA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVANCED IMAGING CENTER LLC | |||||||||||||
| 615 VALLEY VIEW DR | MOLINE | IL | 61265 | 364356301 | Diagnostic Radiology Center | IA | NA | N/A | |||||
| ANKENY MEDICAL PARK SURGERY CENTER LC | |||||||||||||
| 3625 NORTH ANKENY BLVD STE J | ANKENY | IA | 50021 | 831281114 | Ambulatory Surgery Center | IA | NA | N/A | |||||
| CENTRAL IOWA CARDIOVASCULAR CO-MANAGEMENT CO LLC | |||||||||||||
| 1200 PLEASANT ST | WEST DES MOINES | IA | 50309 | 273625869 | Cardiovascular Management & Administrative Services | IA | NA | N/A | |||||
| CENTRAL IOWA ONCOLOGY CO-MANAGEMENT COMPANY | |||||||||||||
| 1200 PLEASANT ST | WEST DES MOINES | IA | 50309 | 453017991 | Oncology Management & Administrative Services | IA | NA | N/A | |||||
| CENTRAL IOWA PHYSIO LLC | |||||||||||||
| 4714 GETTYSBURG RD | MECHANICSBURG | PA | 17055 | 364799633 | Physical Therapy Services | IA | NA | N/A | |||||
| CENTRAL IOWA SURGICAL SERVICES CO-MANAGEMENT CO LLC | |||||||||||||
| 1200 PLEASANT ST | WEST DES MOINES | IA | 50309 | 471608704 | Surgical Management & Administrative Services | IA | NA | N/A | |||||
| CHAMPAIGN SURGICENTER LLC | |||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 201915925 | Surgical Center | IL | NA | N/A | |||||
| DUBUQUE ENDOSCOPY CENTER LC | |||||||||||||
| 1515 DELHI ST SUITE 500 | DUBUQUE | IA | 52001 | 201597161 | Ambulatory Surgery Center | IA | NA | N/A | |||||
| EASTERN IOWA SLEEP SUPPLY LLC | |||||||||||||
| 275 10TH ST SE STE 1130-B | CEDAR RAPIDS | IA | 52403 | 851990451 | Medical Equipment Retail Sales | IA | NA | N/A | |||||
| FIELDS SOUTH LLC | |||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 823187698 | Property & Facility Management | IL | NA | N/A | |||||
| HEALTH CARE AFFILIATES OF THE TRI-STATES LLC | |||||||||||||
| 350 N GRANDVIEW AVE | DUBUQUE | IA | 52001 | 421428503 | Provide Access to Licensed Software | IA | NA | N/A | |||||
| IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC | |||||||||||||
| 1200 PLEASANT ST | WEST DES MOINES | IA | 50309 | 030482623 | Outpatient Diagnostic Imaging | IA | NA | N/A | |||||
| IOWA HEALTH SYSTEM CONTRACTING SERVICES LC | |||||||||||||
| 1776 WEST LAKES PKWY 400 | WEST DES MOINES | IA | 50266 | 421511142 | Group Purchasing | IA | NA | N/A | |||||
| LAKEVIEW SURGERY CENTER LC | |||||||||||||
| 1200 PLEASANT ST | WEST DES MOINES | IA | 50309 | 421516120 | Surgery Center | IA | NA | N/A | |||||
| MOUPH LLC | |||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 921791534 | Outpatient Orthopedic Services | IL | PH | Related | $1,957,645 | $751,049 | false | Yes (true) | 0.3333 |
| MR ASSOCIATES LLP | |||||||||||||
| 1956 1ST AVE NE | CEDAR RAPIDS | IA | 52402 | 421260463 | Own and Operate MR Unit | IA | NA | N/A | |||||
| ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC | |||||||||||||
| 1200 PLEASANT ST | WEST DES MOINES | IA | 50309 | 421508092 | Ambulatory Surgery Center | IA | NA | N/A | |||||
| REHABILITATION THERAPY SERVICES LLC | |||||||||||||
| 416 ST MARKS CT 110 | PEORIA | IA | 61603 | 810584193 | Rehabilitation Therapy | IL | NA | N/A | |||||
| THE CENTER FOR ORTHOPEDIC MEDICINE LLC RECOVERY CARE CENTER | |||||||||||||
| 2502B E EMPIRE ST | BLOOMINGTON | IL | 61704 | 270934895 | Outpatient Orthopedic Services | IL | NA | N/A | |||||
| THE CENTER FOR ORTHOPEDIC MEDICINE LLC SURGERY CENTER | |||||||||||||
| 2502B E EMPIRE ST | BLOOMINGTON | IL | 61704 | 371356453 | Outpatient Orthopedic Services | IL | NA | N/A | |||||
| THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS LLC | |||||||||||||
| 1075 FIRST AVE SE | CEDAR RAPIDS | IA | 52403 | 721550812 | Ambulatory Surgery Center | IA | NA | N/A | |||||
| UNITED MEDICAL PARK ASC LLC DBA THE SURGERY CENTER AT UNITED MEDICAL PARK | |||||||||||||
| 1825 LOGAN AVE WATERLOO IA | WATERLOO | IA | 50703 | 831720113 | Ambulatory Surgery Center | IA | NA | N/A | |||||
| UPHT-SCA HOLDINGS LLC | |||||||||||||
| 569 BROOKWOD VILLAGE SUITE 901 | BIRMINGHAM | AL | 35209 | 473564984 | Ambulatory Surgery Center Investment | DE | NA | N/A | |||||
| WEST HOSPITAL ORTHOPEDIC CO-MANAGEMENT COMPANY LLC | |||||||||||||
| 1660 60TH ST | WEST DES MOINES | IA | 50266 | 271414600 | Orthopedic Service Lines Management | IA | NA | N/A | |||||
| WEST LAKES SLEEP CENTER LLC | |||||||||||||
| 5950 UNIVERSITY AVE SUITE 2 | WEST DES MOINES | IA | 50266 | 263193923 | Sleep Disorder Diagnostic Testing Facility | IA | NA | N/A | |||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (35 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | Address Line2ForeignAddress/AddressLine2Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ABBE MANAGEMENT CORPORATION | |||||||||||||||
| 740 N 15TH AVE NO A | HIAWATHA | IA | 52233 | 421361755 | Management Services | IA | NA | C Corporation | false | ||||||
| BELCREST SERVICES LTD | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371196307 | Medical Services | IL | NA | C Corporation | Yes (true) | ||||||
| BROADBAND INC | |||||||||||||||
| 1776 WEST LAKES PKWY 400 | WEST DES MOINES | IA | 50266 | 273819741 | Information Technology Management | IA | NA | C Corporation | false | ||||||
| CARLE HEALTH JUNCTION MEDICAL LLC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 814609769 | Care Coordination | IL | NA | C Corporation | Yes (true) | ||||||
| CARLE HEALTH PHYSICIAN PARTNERS INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 850718392 | Physician Services | IL | NA | C Corporation | Yes (true) | ||||||
| CARLE HOLDING COMPANY INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371188284 | Holding Co. | IL | NA | C Corporation | Yes (true) | ||||||
| CARLE RESEARCH PRODUCTS INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 999999999 | Medical Research - INACTIVE | IL | NA | C Corporation | Yes (true) | ||||||
| CARLE RISK MANAGEMENT COMPANY | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371217973 | Risk Management | IL | NA | C Corporation | Yes (true) | ||||||
| CARLE VENTURES INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371313150 | Health Care Partnerships | IL | NA | C Corporation | Yes (true) | ||||||
| CHA HOLDING INC | |||||||||||||||
| 3310 SOUTH FIELDS DR | CHAMPAIGN | IL | 61822 | 471854275 | Holding Co. | IL | NA | C Corporation | Yes (true) | ||||||
| DELHI POINT CONDO ASSOCIATION | |||||||||||||||
| 350 N GRANDVIEW | DUBUQUE | IA | 52001 | 421467002 | Real Estate Management | IA | NA | C Corporation | false | ||||||
| FIRSTCAROLINACARE INSURANCE COMPANY | |||||||||||||||
| 42 MEMORIAL DR | PINEHURST | NC | 28374 | 331160597 | Insurance | IL | NA | C Corporation | Yes (true) | ||||||
| HANSEN CHARITABLE REMAINDER ANNUITY TRUST | |||||||||||||||
| 210 FOURTH AVE | GRINNELL | IA | 50112 | 396770806 | Investment | IA | NA | Trust | false | ||||||
| HANSEN CHARITABLE REMAINDER UNITRUST | |||||||||||||||
| 210 FOURTH AVE | GRINNELL | IA | 50112 | 396770807 | Investment | IA | NA | Trust | false | ||||||
| HCP CORPORATION | |||||||||||||||
| 202 SOUTH PARK ST | MADISON | WI | 53715 | 391177562 | Real Estate Rental | WI | NA | C Corporation | false | ||||||
| HEALTH ADVANTAGE PLUS INC | |||||||||||||||
| 210 FOURTH AVE | GRINNELL | IA | 50112 | 421436490 | Physical Therapy | IA | NA | C Corporation | false | ||||||
| HEALTH ALLIANCE CONNECT INC | |||||||||||||||
| 3310 SOUTH FIELDS DR | CHAMPAIGN | IL | 61822 | 464796891 | Health Care Coordination | IL | NA | C Corporation | Yes (true) | ||||||
| HEALTH ALLIANCE MEDICAL PLANS INC | |||||||||||||||
| 3310 SOUTH FIELDS DR | CHAMPAIGN | IL | 61822 | 371260731 | Health Coverage | IL | NA | C Corporation | Yes (true) | ||||||
| HEALTH ALLIANCE MIDWEST INC | |||||||||||||||
| 3310 SOUTH FIELDS DR | CHAMPAIGN | IL | 61822 | 371354502 | Health Coverage | IL | NA | C Corporation | Yes (true) | ||||||
| HEALTH ALLIANCE NORTHWEST HEALTH PLAN | |||||||||||||||
| 820 N CHELAN AVE | WENATCHEE | WA | 98801 | 461966323 | Health Coverage | WA | NA | C Corporation | Yes (true) | ||||||
| HEALTH ALLIANCE NORTHWEST HOLDING | |||||||||||||||
| 820 N CHELAN AVE | WENATCHEE | WA | 98801 | 461717578 | Holding Co. | WA | NA | C Corporation | Yes (true) | ||||||
| HEALTH PLUS INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371295532 | Contracting | IL | NA | C Corporation | Yes (true) | ||||||
| HEALTH SYSTEMS INSURANCE LIMITED | |||||||||||||||
| 980638449 | Insurance | NA | C Corporation | Yes (true) | Governors Square 2nd Floor Bldg 3 | 23 Lime Tree Bay Ave | Grand Cayman | CJ | KY11102 | CJ | |||||
| HNC SERVICES | |||||||||||||||
| 1776 WEST LAKES PKWY 400 | WEST DES MOINES | IA | 50266 | 270987243 | Fiber Optic Network Services | IA | NA | C Corporation | false | ||||||
| MEDIMORE INC | |||||||||||||||
| 1776 WEST LAKES PKWY 400 | WEST DES MOINES | IA | 50266 | 421414390 | Managed Care | IA | NA | C Corporation | false | ||||||
| MERITER HEALTH ENTERPRISES INC | |||||||||||||||
| 202 SOUTH PARK ST | MADISON | WI | 53715 | 391293620 | Management Services | WI | NA | C Corporation | false | ||||||
| MERITER MANAGEMENT SERVICES INC | |||||||||||||||
| 202 SOUTH PARK ST | MADISON | WI | 53715 | 391458235 | Administrative Services | WI | NA | C Corporation | false | ||||||
| METHODIST HEALTH VENTURES INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371140939 | Holding Co. | IL | NA | C Corporation | Yes (true) | ||||||
| OPTIMUM HEALTH SOLUTIONS INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 205430137 | Care Coordination - INACTIVE | IL | NA | C Corporation | Yes (true) | ||||||
| PEKIN PROHEALTH INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371117052 | Clinical Operations | IL | NA | C Corporation | Yes (true) | ||||||
| PRECEDENCE PLUS INC | |||||||||||||||
| 4622 PROGRESS DR STE A | DAVENPORT | IA | 52807 | 364140096 | Managed Mental Care | IA | NA | C Corporation | false | ||||||
| PRECEDENCE INC | |||||||||||||||
| 4622 PROGRESS DR STE A | DAVENPORT | IA | 52807 | 371288604 | Managed Mental Care | IA | NA | C Corporation | false | ||||||
| PROVIDER RESOURCE MANAGEMENT INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371223550 | Physician Services | IL | NA | C Corporation | Yes (true) | ||||||
| STL HEALTH RESOURCES CO | |||||||||||||||
| 1026 A AVE NE | CEDAR RAPIDS | IA | 52402 | 421193499 | Physician Office Rental | IA | NA | C Corporation | false | ||||||
| TRINITY HEALTH ENTERPRISES INC | |||||||||||||||
| 2701 17TH ST | ROCK ISLAND | IL | 61201 | 363320141 | Retail Durable Medical Equipment & Pharmacy | IL | NA | C Corporation | false | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| METHODIST SERVICES INC | ||
| K | $664,149 | BOOK |
| CARLE DEVELOPMENT FOUNDATION | ||
| C | $305,927 | BOOK |
| HEALTH SYSTEMS INSURANCE LIMITED | ||
| M | $274,066 | BOOK |
| HEALTH ALLIANCE MEDICAL PLANS INC | ||
| A | $503 | BOOK |
| MOUPH LLC | ||
| B | $130,000 | BOOK |
| MOUPH LLC | ||
| S | $1,336,596 | BOOK |