RICHLAND MEMORIAL HOSPITAL INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: RICHLAND MEMORIAL HOSPITAL INC (EIN 37-1363001)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-15
IRS object ID: 202543199349302299
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-15T14:32:46+00:00	ReturnTs
Tax Period End	2024-12-31	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	835 N COLLEGE AVENUE	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	371363001	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RICHLAND MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	RICH	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	6183952131	PhoneNum
Signature	2025-11-15	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	2025-11-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Carle Richland Memorial 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	$76,636,192	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	1953	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	TO BE THE TRUSTED PARTNER IN ALL HEALTHCARE DECISIONS AND TO IMPROVE HEALTH BY PROVIDING HIGHLY ACCESSIBLE, WORLD-CLASS CARE AND SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	508	TotalEmployeeCnt
Total Volunteers	43	TotalVolunteersCnt
Total Gross UBI	$546,915	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$160,537	PYContributionsGrantsAmt
CY Contributions Grants	$113,409	CYContributionsGrantsAmt
PY Program Service Revenue	$62,991,249	PYProgramServiceRevenueAmt
CY Program Service Revenue	$73,796,704	CYProgramServiceRevenueAmt
PY Investment Income	$24,892	PYInvestmentIncomeAmt
CY Investment Income	-$129,202	CYInvestmentIncomeAmt
PY Other Revenue	$870,075	PYOtherRevenueAmt
CY Other Revenue	$1,354,032	CYOtherRevenueAmt
PY Total Revenue	$64,046,753	PYTotalRevenueAmt
CY Total Revenue	$75,134,943	CYTotalRevenueAmt
PY Grants And Similar Paid	$50,396	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$24,345	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$41,811,150	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$45,425,580	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$32,162,008	PYOtherExpensesAmt
CY Other Expenses	$34,362,993	CYOtherExpensesAmt
PY Total Expenses	$74,023,554	PYTotalExpensesAmt
CY Total Expenses	$79,812,918	CYTotalExpensesAmt
PY Revenues Less Expenses	-$9,976,801	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$4,677,975	CYRevenuesLessExpensesAmt
Total Assets BOY	$24,883,089	TotalAssetsBOYAmt
Total Assets EOY	$27,398,423	TotalAssetsEOYAmt
Total Liabilities BOY	$12,852,522	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$14,303,314	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$12,030,567	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$13,095,109	NetAssetsOrFundBalancesEOYAmt
Mission	TO BE THE TRUSTED PARTNER IN ALL HEALTHCARE DECISIONS AND TO IMPROVE HEALTH BY PROVIDING HIGHLY ACCESSIBLE, WORLD-CLASS CARE AND SERVICES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$70,497,344	ExpenseAmt
Grant	$24,345	GrantAmt
Revenue	$74,347,780	RevenueAmt
Desc	Richland Memorial Hospital, Inc., DBA Carle Richland Memorial Hospital (RMH) is a tax-exempt Illinois not-for-profit corporation established for the purpose of operating a hospital and conducting patient care related activities. Richland is a 25 bed hospital providing a range of ancillary and support services. iN 2024, cARLE RICHLAND MEMORIAL HOSPITAL TRANSITIONED from AN ACUTE CARE HOSPITAL TO A CRITICAL ACCESS HOSPITAL. for 2024, the hospital admitted 2,005 patients, is fully accredited by dnv, has an Emergent Stroke Ready Designation and a Level II Nursery Designation by the Illinois Department of Public Health, and is a clinical hub site for Southern Illinois University Physician Assistant Program. carle richland memorial hospital operates a 20-bed extended care wing for private-pay patients, which is part of the same legal entity, hospital tax identification number, and illinois department of public health hospital license. the extended care wing is not part of the medicare-enrolled critical access hospital. in 2024, RMH recorded 11,359 patient days. in addition to the hospital, the organization has tWO rural health clinics: -Carle Olney is located at 363 N. West Street, Olney, IL, 1.3 miles from the hospital, which offers behavioral health, convenient care, and family medicine services 8 a.m. - 8 p.m. seven days per week. -Carle West Salem is located at 100 S. Main Street, West Salem, IL, and offers family medicine services Monday through Friday, 8 a.m. to 5 p.m. In addition to the rural health clinics, RMH provides services under the following: -RMH Professional Services located at 605 E. Main Street, Olney, IL one-half mile from the hospital and offers general surgery and wound care services. -The Apothecary Shoppe, located at 108 S. Main Street, West Salem, IL, offers retail pharmacy services Monday through Friday from 9 a.m. to 12:45 p.m. AND 1:15 p.m. TO 5:30 P.M. -Carle Bridgeport is located at 100 Industry Road, Bridgeport, IL, and offers family medicine services Monday through Friday, 8 a.m. to 5 p.m. rmh provides quality medical healthcare regardless of race, creed, gender, national origin, disability, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of the hospital, it is recognized that not all individuals possess the ability to purchase essential medical services. The mission of RMH is to serve our community with respect in providing healthcare services and healthcare education. Therefore, in keeping with the commitment to serve all members of the community, we offer: -free care to qualified individuals under the Carle Rural health financial assistance Program -care provided to persons covered by governmental programs at below cost; and -health activities and programs to support and educate the community. These activities include wellness programs, community education programs, professional education programs, and a variety of broad community support activities. RMH provides care to persons covered by governmental programs at below cost. The hospital also provides care to persons covered by commercial insurance at below cost. Recognizing its mission to the community, services are provided to both Medicare and Medicaid patients. To the extent reimbursement is below cost, the hospital recognizes these amounts as cost incurred in meeting its mission to the entire community. Financial assistance was also provided through the Carle Rural Health financial assistance policy offered in 2024.	Desc
Total Program Service Expenses	$70,497,344	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
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	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
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	Yes (true)	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	38	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	508	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	10	GoverningBodyVotingMembersCnt
Independent Voting Member	7	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
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
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	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	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 (25 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
GARY HOUCHIN
SECRETARY/TREASURER	1.0	0.1	Yes (X)	Yes (X)	$0	$0	$0
JENNIFER CUMMINS-ZUBER
CHAIR	1.2	0.1	Yes (X)	Yes (X)	$0	$0	$0
PATRICIA KESSLER-BOOKHOUT DDS
VICE CHAIR	1.0	0.1	Yes (X)	Yes (X)	$0	$0	$0
BERNARD BRAUER
BOARD MEMBER	1.1	0.1	Yes (X)		$0	$0	$0
BRIAN ATWOOD MD
BOARD MEMBER	4.0	0.1	Yes (X)		$0	$0	$0
LARRY DUNN
BOARD MEMBER	0.9	0.1	Yes (X)		$0	$0	$0
RAYMOND FISHER MD
BOARD MEMBER // PHYSICIAN	39.9	0.1	Yes (X)		$0	$653,825	$41,107
SHERRY GEIER
BOARD MEMBER	1.2	0.1	Yes (X)		$0	$0	$0
STEVE THOMSON
BOARD MEMBER	1.2	0.1	Yes (X)		$0	$0	$0
TANNER MILLER MD
BOARD MEMBER // PHYSICIAN	39.9	0.1	Yes (X)		$0	$587,008	$57,945
DENNIS HESCH
OFFICER - EVP, CHIEF FINANCE & STRATEGY OFFICER	2.0	38.0		Yes (X)	$0	$1,175,111	$332,566
JAMES C LEONARD MD
OFFICER - PRESIDENT & CEO	0.5	39.5		Yes (X)	$0	$2,298,226	$50,256
MATTHEW KOLB JD MHA
EX OFFICIO, NON-VOTING // OFFICER - PRESIDENT, CARLE HEALTH REGIONS // EVP, COO	1.0	39.0		Yes (X)	$0	$1,418,629	$333,703
NAPOLEON KNIGHT MD MBA
OFFICER - EVP, CHIEF MEDICAL OFFICER	1.0	39.0		Yes (X)	$0	$1,091,552	$41,194
REGINA THOMAS DNP MBA
EX OFFICIO, NON-VOTING // OFFICER - PRESIDENT, CARLE HEALTH - SOUTH REGION	39.9	0.1		Yes (X)	$0	$303,634	$66,999
BROOK FISHER
DIRECTOR, REVENUE CYCLE DENIALS	3.0	37.0			$0	$172,634	$43,126	Yes (X)
CALEB MILLER
SVP, SURGICAL SERVICES & AMBULATORY CARE	1.0	39.0			$0	$540,975	$87,261	Yes (X)
LAUREN SCHMID MBA
EVP, CHIEF HUMAN RESOURCES OFFICER	1.0	39.0			$0	$878,588	$105,168	Yes (X)
NICHOLAS CROMPTON
VP, CONSTRUCTION & FACILITY SERVICES	1.0	39.0			$0	$303,209	$84,556	Yes (X)
ANDREW SHAJARI MD
PHYSICIAN - GENERAL SURGERY	40.0	0.0			$626,496	$0	$7,490		Yes (X)
HARRY GARRETT MD
PHYSICIAN - FAMILY MEDICINE	40.0	0.0			$658,259	$0	$50,545		Yes (X)
JUSTIN ORENICH DO
PHYSICIAN - GENERAL SURGERY	40.0	0.0			$720,070	$0	$48,812		Yes (X)
PARTH PATEL DO
PHYSICIAN - PAIN CLINIC	40.0	0.0			$602,377	$0	$24,440		Yes (X)
YEKATERINA FAYN MD
PHYSICIAN - CARDIOLOGY	40.0	0.0			$645,487	$0	$38,014		Yes (X)
KENNETH ARONSON MD
FORMER KEY EMPLOYEE	0.0	0.0			$0	$718,772	$50,376			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,252,689	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$10,142,163	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,463,558	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	76	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
PIVOT POINT CONSULTING
5501 VIRGINIA WAY 120	BRENTWOOD	TN	37027	CONSULTING SERVICES	$644,111
SENTRY DATA SYSTEMS INC
800 FAIRWAY DR	DEERFIELD BEACH	FL	33441	PHARMACY SOFTWARE MAINTENANCE	$175,749	STE 400
ARUP LABORATORIES
500 CHIPETA WAY	SALT LAKE CITY	UT	84108	MEDICAL LABORATORY SERVICES	$136,210
SIEMENS MEDICAL SOLUTIONS USA
2501 BARRINGTON RD	HOFFMAN ESTATES	IL	60192	LABORATORY TESTING	$120,577

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	4	CntrctRcvdGreaterThan100KCnt
Related Organizations	$76,381	RelatedOrganizationsAmt
Government Grants	$37,028	GovernmentGrantsAmt
Noncash Contributions	$15,404	NoncashContributionsAmt
Total Contributions	$113,409	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	622110	$73,561,772	$73,561,772
INTERNAL MEDICAL DIRECTOR REVENUE	622110	$225,078	$225,078
RENT FROM RELATED ORGS	523000	$9,731	$9,731
ALL OTHER PROGRAM SERVICE REVENUE	900099	$123	$123

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	$73,796,704	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$20,572	TotalRevenueColumnAmt
Exclusion	$20,572	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	$149,774	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$149,774	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$149,774	TotalRevenueColumnAmt
Exclusion	-$149,774	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$1,877,309	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$1,351,475	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$525,834	TotalRevenueColumnAmt
Unrelated Business Revenue	$525,834	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
ACCRETION FOR EXCESS COSTS	990009	$528,674	$528,674
CAFETERIA SERVICES	722331	$235,573		$235,573
CATERING REVENUE	722320	$10,785			$10,785

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$53,166	TotalRevenueColumnAmt
Related Or Exempt Func Income	$22,402	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$10,296	UnrelatedBusinessRevenueAmt
Exclusion	$20,468	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$828,198	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$75,134,943	TotalRevenueColumnAmt
Related Or Exempt Func Income	$74,347,780	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$546,915	UnrelatedBusinessRevenueAmt
Exclusion	$126,839	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$24,345	TotalAmt
Program Services	$24,345	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$110,551	TotalAmt
Program Services	$110,551	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$36,764,465	TotalAmt
Program Services	$32,461,702	ProgramServicesAmt
Management And General	$4,302,763	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,945,849	TotalAmt
Program Services	$1,707,729	ProgramServicesAmt
Management And General	$238,120	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,125,468	TotalAmt
Program Services	$3,488,678	ProgramServicesAmt
Management And General	$636,790	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,479,247	TotalAmt
Program Services	$2,048,852	ProgramServicesAmt
Management And General	$430,395	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$15,936	TotalAmt
Management And General	$15,936	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,291,521	TotalAmt
Program Services	$1,848,673	ProgramServicesAmt
Management And General	$442,848	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,080	TotalAmt
Program Services	$1,260	ProgramServicesAmt
Management And General	$1,820	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,426,531	TotalAmt
Program Services	$809,152	ProgramServicesAmt
Management And General	$617,379	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$230,900	TotalAmt
Program Services	$194,955	ProgramServicesAmt
Management And General	$35,945	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,040,377	TotalAmt
Program Services	$864,223	ProgramServicesAmt
Management And General	$176,154	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$58,391	TotalAmt
Program Services	$42,929	ProgramServicesAmt
Management And General	$15,462	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$74,560	TotalAmt
Program Services	$70,425	ProgramServicesAmt
Management And General	$4,135	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$172,276	TotalAmt
Program Services	$148,606	ProgramServicesAmt
Management And General	$23,670	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,102,456	TotalAmt
Program Services	$909,375	ProgramServicesAmt
Management And General	$1,193,081	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$538,153	TotalAmt
Program Services	$433,600	ProgramServicesAmt
Management And General	$104,553	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Internal Management Fees	$15,478,097	$14,593,194	$884,903
Patient Care Supplies	$7,534,600	$7,534,600
Provider Assessment Tax	$3,020,390	$3,020,390
DUES AND MEMBERSHIPS	$46,541	$14,248	$32,293

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$329,184	TotalAmt
Program Services	$169,857	ProgramServicesAmt
Management And General	$159,327	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$79,812,918	TotalAmt
Program Services	$70,497,344	ProgramServicesAmt
Management And General	$9,315,574	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,232,803	BOYAmt
EOY	$1,363,873	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,183,933	BOYAmt
EOY	$6,654,678	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	$64,183	BOYAmt
EOY	$396,215	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$835,852	BOYAmt
EOY	$938,109	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$223,229	BOYAmt
EOY	$161,635	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$67,768,586	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$50,024,620	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$18,258,680	BOYAmt
EOY	$17,743,966	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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$84,409	BOYAmt
EOY	$139,947	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$24,883,089	BOYAmt
EOY	$27,398,423	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,610,864	BOYAmt
EOY	$5,274,103	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$4,263,600	BOYAmt
EOY	$4,413,376	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,978,058	BOYAmt
EOY	$4,615,835	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,852,522	BOYAmt
EOY	$14,303,314	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	$12,030,567	BOYAmt
EOY	$13,095,109	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$12,030,567	BOYAmt
EOY	$13,095,109	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$24,883,089	BOYAmt
EOY	$27,398,423	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$4,677,975	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$5,742,517	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

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	$15,936	OtherActivitiesAmt
Total Lobbying Expenditures	$15,936	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	DUES & MEMBERSHIP FEES WERE PAID TO THE FOLLOWING ORGANIZATIONS A PORTION OF WHICH WAS ALLOCATED TO LOBBYING. ILLINOIS HEALTH & HOSPITAL ASSOCATION - $15,642 AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS - $75 ILLINOIS PHARMACIST'S ASSOCIATION - $50 AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS - $100 ACADEMY OF NUTRITION AND DIETETICS - $32 NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS - $22 AMERICAN ASSOCIATION OF NURSE PRACTITIONERS - $15	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,024,913	OtherCostOrOtherBasisAmt
Book Value	$1,024,913	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,595,969	OtherCostOrOtherBasisAmt
Depreciation	$23,685,773	DepreciationAmt
Book Value	$9,910,196	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$32,220,210	OtherCostOrOtherBasisAmt
Depreciation	$25,615,261	DepreciationAmt
Book Value	$6,604,949	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$927,494	OtherCostOrOtherBasisAmt
Depreciation	$723,586	DepreciationAmt
Book Value	$203,908	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$17,743,966	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Federal Income Taxes
ASSET RETIREMENT OBLIGATION	$3,007,357
DUE TO BLUE CROSS	$1,608,478

Field	Value	IRS element (for citing)
Total Liability	$4,615,835	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

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, 2024, AND 2023.	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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,134,409	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,134,409	NetCommunityBenefitExpnsAmt
Total Expense	0.01421	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,089,981	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,960,736	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,129,245	NetCommunityBenefitExpnsAmt
Total Expense	0.05174	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	$19,224,390	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,960,736	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,263,654	NetCommunityBenefitExpnsAmt
Total Expense	0.06595	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,572	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,572	NetCommunityBenefitExpnsAmt
Total Expense	0.00017	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$171,611	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$171,611	NetCommunityBenefitExpnsAmt
Total Expense	0.00215	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,355,788	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,355,788	NetCommunityBenefitExpnsAmt
Total Expense	0.05457	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	$14,777	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,777	NetCommunityBenefitExpnsAmt
Total Expense	0.00019	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$4,555,748	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,555,748	NetCommunityBenefitExpnsAmt
Total Expense	0.05708	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$23,780,138	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,960,736	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,819,402	NetCommunityBenefitExpnsAmt
Total Expense	0.12303	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)
Total Community Benefit Expns	$2,602	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,602	NetCommunityBenefitExpnsAmt
Total Expense	0.00003	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	$2,602	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,602	NetCommunityBenefitExpnsAmt
Total Expense	0.00003	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,332,898	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,666,449	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$29,768,216	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$36,803,778	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,035,562	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
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 Richland Memorial Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 East Locust Street	AddressLine1Txt
City	Olney	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62450	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://carle.org/locations/carle-richland-memorial-hospital	WebsiteAddressTxt
State License	0004200	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
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 Richland Memorial 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	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	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	https://carle.org/about-us/community-health-needs-assessments	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	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
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
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
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 (5 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 - RICHLAND MEMORIAL HOSPITAL. Provisions in the Affordable Care Act (ACA) require charitable hospitals to conduct a Community Health Needs Assessment (CHNA). The CHNA is a systematic process involving the community to identify and analyze community health needs as well as community assets and resources in order to plan and act upon priority community health needs. This assessment process results in a CHNA report which assists the hospital in planning, implementing, and evaluating hospital strategies and community benefit activities. The Community Health Needs Assessment was developed and conducted, in partnership with representatives from the community, by a consultant provided through the Illinois Critical Access Hospital Network (ICAHN). ICAHN is a not-for-profit 501(c)(3) corporation established in 2003 for the purposes of sharing resources, education, promoting operational efficiencies, and improving healthcare services for member critical access and rural hospitals and their communities. ICAHN, with 60 member hospitals, is an independent network governed by a nine-member board of directors, with standing and project development committees facilitating the overall activities of the network. ICAHN continually strives to strengthen the capacity and viability of its members and rural health providers. This Community Health Needs Assessment will serve as a guide for planning and implementation of healthcare initiatives that will allow the hospital and its partners to best serve the emerging health needs of Olney and the surrounding area. Three focus groups met to discuss the state of overall health and wellness in the Richland Memorial Hospital service area and to identify health concerns and needs in the delivery of healthcare and health services to improve wellness and reduce chronic illness for all residents. The focus groups included representation of healthcare providers, community leaders, community services providers, schools, faith-based organizations, local elected officials, public health, and others. Several members of these groups provided services to underserved and unserved persons as all or part of their roles. A community survey was also conducted to assess the needs of the larger population of the CRMH service area. The focus groups' findings, along with secondary data analyzed by the consultant, were presented to a focused group to identify and prioritize the community's significant health needs. The group consisted of representatives of public health, community leaders, healthcare providers, and community services providers.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - RICHLAND MEMORIAL HOSPITAL. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS DEVELOPED AND CONDUCTED, IN PARTNERSHIP WITH THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK .
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - RICHLAND MEMORIAL HOSPITAL. The Implementation Strategy was developed through a facilitated meeting involving key administrative staff at Richland Memorial Hospital in April 2024. The group reviewed the needs assessment process completed to that point and considered the prioritized significant needs and supporting documents. They discussed steps taken to address the previous Community Health Needs Assessment. They also considered the potential internal and external resources available to address the prioritized needs. The group then considered each of the prioritized needs. For each of the three priority areas, the actions the hospital intends to take were identified along with their anticipated impact, the resources the hospital intends to commit to, and the external collaborators the hospital plans to cooperate with to address the need. The plan will be evaluated by periodic review of measurable outcome indicators with annual review and reporting. Health Needs Selected: PRIORITY #1: Access to Care The priority under Access to Care is focused on the goal that everyone in the region has access to the resources and providers they need to improve their health, including primary and specialty care for physical and mental health needs. 86.21% of CHNA survey respondents identified access to providers in the community as the top choice in "things that help make us healthier." Chronic disease/management was identified by 71.92% of the community survey participants as one of the community's most important health concerns. Access to healthcare was identified as very important by 86.21% of the survey participants when asked about the importance of community resources. Over 90% of the survey participants stated they had someone they considered their provider, and 95% stated they had seen their primary care provider within the last year. 44% of participants stated they had not participated in any cancer screenings within the last 12 months. Carle Implementation Plan - Anticipated Impact & Plan to Evaluate: Carle Richland Memorial Hospital will pursue these initiatives to increase access to care: 1. Increase screening opportunities with a primary focus on common cancers and chronic diseases. 2. Develop targeted education that shows the incidence, risks, and available screenings for cancer and chronic diseases. 3. Develop additional support groups exploring the need for chronic disease and cancer support groups. 4. Continue to support the Jasper and Lawrence County Health Departments in their efforts to address mental health needs. 5. Continue the efforts to recruit social workers to improve access to mental health resources. 6. Ensure we are leveraging the Carle Health resources to assist with these actions. Evaluation of Prior Impact: According to 2024 County Health Rankings, Richland County has 1,720:1 primary care providers, which is higher than the state and national average, but 190:1 mental health providers, 3,830:1 dentists, which are lower than the state and national averages. Richland County has a lower uninsured rate at 7% than the state and national averages. However, there is still work to do in this area, and this was prioritized. In response, Carle Richland Memorial Hospital took the following actions in 2024: -Carle Richland Memorial Hospital's existence as a Critical Access Hospital in a rural community is a key contributor to access to healthcare. -In 2024, CRMH offered a charity care program and promoted the availability of the program. Recruited primary and specialty care providers, increasing access in the region. CRMH added a new Convenient Care APP in 2024. -In 2024, RMH worked to expand Healthfest, which focuses on access, screenings, vaccinations, and more for the community. In 2024, there were 40 exhibitor booths offering information about health services serving 277 attendees. -In 2024, RMH provided 85 patients with low-cost labs, and 396 total lab tests as part of Healthfest. -RMH continues to partner with the Lawrence County Health Department which offers crisis screenings. -RMH promoted prescription affordability as a 340B provider, increasing access to patients in the region. PRIORITY #2: Addressing Social Service Needs and Gaps The priority under Addressing Social Service Needs and Gaps is focused on the goal that everyone in the region will easily find help and access to agencies and providers to meet their social needs. 9% of CHNA survey participants have sought and used a food pantry in the past while another 7% state they needed that help but for some reason did not receive it. 2.41% of participants sought and received treatment in mental health/behavioral programs and another 23.4% needed this help but did not receive it. 59.59% of participants identified Basic needs: food, clothing, and transportation as one of the community's most important health issues. Carle Implementation Plan - Anticipated Impact & Plan to Evaluate: Carle Richland Memorial Hospital will pursue these initiatives to address social service needs and gaps: 1. Continue to develop the scope of the Community Health Initiatives Committee. This group includes both the board and leaders. The goal will be to create awareness of community health concerns and appropriation of resources accordingly. 2. Investigate ways to improve social service access for our employees. A daily pay option is available. Investigate ways to provide food from the Cafe for food-insecure employees (at a low cost). 3. Support local agencies that address social service needs, like Giving Hope Food Pantry. Investigate budgeting dollars for this and leveraging social media channels to raise awareness of these agencies and solicit potential donors. 4. Continue to support one-time assistance for needs (prescriptions, transportation, etc.) for patients. 5. Leverage the 340B program to assist uninsured patients with high-cost medications. 6. Carle Health will continue to recruit mental health providers to ensure resources are available for telehealth coverage. Evaluation of Prior Impact: According to 2024 County Health Rankings, 3% of the population has limited access to healthy foods, but 14% deals with food insecurity. Teen births are 27/1,000, which is significantly higher than the state average of 13 and national average of 16. The median household income is 57,000, well below state and national averages, and there is a reliance on social services. In response, Carle Richland Memorial Hospital took the following actions: -In 2024, RMH continued to utilize the hospital's current social worker to address SDOH and connect patients to resources to support care needs. RMH has an open position for an additional LCSW and will continue to recruit for the position. -In 2024, RMH expanded HealthFest, offering various health screening and reduced cost labs to increase access in the community and to share information on various social services in the community. -In 2024, RMH partnered with the National Kidney Foundation of Illinois to offer 70 Kidney screenings for patients in the region. -RMH continues to offer Sports Physicals to the local schools, which is an opportunity for increased access to social services and health discussions. -RMH continued to support one-time assistance for needs (prescriptions, transportation, etc.) for patients in 2024. -RMH designated a RIDES route around the hospital to assist the community in accessing health care. PRIORITY #3: Improved Health Knowledge and Literacy The priority under Improved Health Knowledge and Literacy is that community members will have better personal knowledge about the tools and tactics for healthier living. They will also have improved knowledge of the resources available within the community, including those internal to Carle Richland and other community partners. In CHNA Survey data, almost 25% of participants stated they needed help with their health insurance over the past year. Chronic disease management was noted as one of the top five most important community health issues by 71.92% of participants. In numerous categories of social service needs, participants reported they needed help or tried to find help for their need but could not find it. Obesity and lack of exercise opportunities were identified as the top six community health issues. Prevention services - such as violence and abuse prevention - were identified as very important community health resources. Carle Implementation Plan - Anticipated Impact & Plan to Evaluate: Carle Richland Memorial Hospital will pursue these initiatives to improve health knowledge and literacy:
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - RICHLAND MEMORIAL HOSPITAL (CONTINUED). 1. QR codes are being added to patient educational documents that take them to additional videos explaining their condition, care, and treatment. This is starting in med/surg and ED. Investigate other areas where this could be beneficial. Educate nursing staff to ensure the importance of this additional education is reinforced with patients. 2. Investigate partnerships with Managed Care Organizations (MCO) to educate their covered lives on disease conditions, health improvement/prevention strategies, and the benefits available to them for completing health screenings. 3. Leverage the Healthfest, held annually in October, to provide educational materials and free or low-cost screenings for chronic diseases and cancer. 4. Investigate a partnership with local schools utilizing employees to provide students with education on the benefits of diet and exercise, strategies to improve their physical and mental health, chronic diseases, and management, as well as exposure to health careers and job opportunities at Carle Richland Memorial Hospital. 5. Support and participate in the inter agency group meeting in the community to ensure agencies understand what each does and the priorities they are working on. This will potentially reduce duplication of services and allow more agency collaboration. The group recommends the development of a resource guide that would assist agencies and patients/residents in finding needed resources. Evaluation of Prior Impact: According to 2024 County Health Rankings, Richland County adults had 4.5 poor physical health days per month, and 5.6 poor mental health days per month, both of which are higher than the respective state and national averages. According to 2024 County Health Rankings, Adult Obesity is roughly 37%, which is also higher than state and national averages. 11.39% of the community does not have access to a computer (higher than the state and nation) and only 80.43% of the community has high-speed internet access which is significantly lower than the state and national average. 18.4% of households report no or slow internet. A larger than state or national percentage of the population is a tobacco user/current smoker (18.5%). Teen birth rates were significantly higher than the state or national norms. In response, Carle Richland Memorial Hospital took the following actions: -In 2024, RMH began offering outpatient dietary consultants and Diabetes Self Management Education and Support, to help patients learn practical skills, medication management, and monitoring education. -In 2024, RMH hosted monthly 'Dine with a Doc' opportunities, a monthly event organized by CRMH and hosted at the Olney Senior Center. CRMH provides a lunch meal and rotates providers through who provide education in their area of expertise (Cardiology- Heart Failure, Podiatry- diabetic foot exam, Primary Care- vaccination, etc. for educational purposes for the community and region. -In 2024, RMH added QR codes to patient educational documents, which take patients to additional videos explaining their condition, care, and treatment. Needs Not Addressed: There are no health needs prioritized by the CHNA that Carle Richland Memorial Hospital is not working to address.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CARLE OLNEY PRIMARY CARE
363 N WEST ST	OLNEY	IL	62450	RURAL HEALTH CLINIC
CARLE (OLNEY) SURGICAL SERVICES
605 E MAIN ST	OLNEY	IL	62450	SURGICAL SERVICES
CARLE WEST SALEM
100 S MAIN ST	WEST SALEM	IL	62476	RURAL HEALTH CLINIC
CARLE BRIDGEPORT
101 INDUSTRY RD	BRIDGEPORT	IL	624172242	OUTPATIENT CLINIC
RMH PROFESSIONAL SERVICES
605 E Main Street	Olney	IL	62450	GENERAL SURGERY AND PODIATRY SERVICES

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7 OTHER COMMUNITY BENEFITS / COMMUNITY BUILDING	Cash and In-kind: A large portion of Carle's community-building activities focused on economic development, including cash, in-kind donations and budgeted expenditures for the city, business associations and other programs in Richland County. In addition to the more than $7,000 in cash donations, leadership provided in-kind support of over $10,000 by serving on numerous community boards and committees.
Schedule H, Part I, Line 3 FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA	PATIENTS MAY REQUEST AND COMPLETE A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME, INCLUDING BEFORE CARE IS RECEIVED. PATIENTS ARE INFORMED ABOUT FINANCIAL ASSISTANCE ON MULTIPLE OCCASIONS THROUGHOUT THE COLLECTION PROCESS. IN ADDITION TO PATIENTS COMPLETING APPLICATIONS FOR OUR FINANCIAL ASSISTANCE PROGRAM, WE HAVE ROBUST PRESUMPTIVE ELIGIBILITY PROCESSES IN PLACE. WE HAVE PARTNERED WITH EXPERIAN INFORMATION SOLUTIONS, INC. TO HELP US IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON KEY FINANCIAL INDICATORS. THESE PATIENTS MAY BE APPROVED WITHOUT EVER COMPLETING AN APPLICATION OR EXPRESSING A NEED FOR FINANCIAL ASSISTANCE. IN ADDITION, WE PRESUME ELIGIBILITY FOR PATIENTS WHO ARE VERIFIED HOMELESS, DECEASED WITH NO ESTATE, MENTALLY INCAPACITATED, ELIGIBLE FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) OR WOMEN, INFANTS, AND CHILDREN NUTRITION PROGRAM (WIC), TOWNSHIP ASSISTANCE, LOW INCOME ENERGY ASSISTANCE PROGRAM (LIHEAP), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM OR COVERED BY ILLINOIS MEDICAID.
Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE	HTTPS://CARLE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE	HTTPS://DEV-CMS.CARLE.ORG/GETMEDIA/ADCADB9A-2903-478C-A4A7-06BCF9DB10BC/358-0123- CFAPAPPLICATION.PDF
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	HTTPS://CARLE.ORG/GETMEDIA/F7608F63-CB1C-4EB5-8F0B-02F00EAFEC74/X0873-0223-CFAP-PLAIN-LANGUAGE-SUMMARY.PDF
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFITS REPORT	AS A CRITICAL ACCESS HOSPITAL, RICHLAND MEMORIAL HOSPITAL IS NOT REQUIRED TO FILE A STATE COMMUNITY BENEFIT REPORT WITH THE ILLINOIS ATTORNEY GENERAL.
Schedule H, Part I, Line 7g Subsidized Health Services	SUBSIDIZED HEALTH SERVICES ARE NET COSTS FOR BILLED SERVICES THAT ARE SUBSIDIZED BY THE HOSPITAL. THESE INCLUDE SERVICES OFFERED DESPITE A FINANCIAL LOSS BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND EITHER OTHER PROVIDERS ARE UNWILLING TO PROVIDE THESE SERVICES OR THE SERVICES WOULD OTHERWISE NOT BE AVAILABLE IN A SUFFICIENT AMOUNT. WE INCLUDED AS UNREIMBURSED COSTS OF SUBSIDIZED CONTINUING CARE, $4,261,848 AND HOSPITAL OUTPATIENT SERVICES, $93,940.
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 II Community Building Activities	VOLUNTEER SERVICES: Non-employee: In 2024, non-employee volunteers put in more than 6,032 hours at the hospital, receiving no payment but contributing to Carle's mission. At a minimum wage of $14/hour, this equated to more than $85,000 of potential wages that Carle saved by having such a strong volunteer program.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	TO COMPUTE AND CONVERT FINANCIAL ASSISTANCE, UNREIMBURSED MEDICAID, MEANS-TESTED PROGRAMS, AND BAD DEBT CHARGES TO COST; A CONSISTENT GAAP (GENERALLY ACCEPTED ACCOUNTING PRINCIPLES) BASED COST-TO-CHARGE RATIO WAS USED ACROSS ALL PAYERS. ALTHOUGH THE METHODOLOGY WAS SIMILAR TO WORKSHEET #2, FOR SIMPLICITY PURPOSES CERTAIN IMMATERIAL VALUES WERE OMITTED. OTHER COMMUNITY BENEFITS COSTS WERE REPORTED AT THE ACTUAL EXPENSE INCURRED. PATIENT RECEIVABLE PAYMENTS AND RELATED DISCOUNTS WERE RECORDED AT ACTUAL AMOUNTS AT THE TIME OF PAYMENT RECEIPT. A SEPARATE GAAP BASED PROVISION FOR ESTIMATED BAD DEBTS AND DISCOUNTS WAS RECOGNIZED FOR ACCOUNTS IN PROCESS AND PENDING ADJUDICATION AND PAYMENT. THE ESTIMATED PORTION WAS BASED ON HISTORICAL TRENDS AND ADJUSTED TO ACTUAL WHEN ADJUDICATION AND PAYMENT OCCUR. ACCOUNTS DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE WERE PROCESSED IMMEDIATELY FOR FINANCIAL ASSISTANCE DISCOUNT WITH NO COLLECTION EFFORT. FOR ACCOUNTS WITH INSUFFICIENT INFORMATION AND DOCUMENTATION TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY, THE HOSPITAL CONSULTED WITH A VARIETY OF ALTERNATIVE SOURCES TO HELP DETERMINE AN INDIVIDUAL'S FINANCIAL MEANS (OR LACK OF MEANS) TO PAY. BASED ON RELATED TRENDS, THE HOSPITAL FURTHER DEVELOPED A GENERAL ESTIMATE OF FINANCIAL ASSISTANCE WHICH CONTINUED TO RESIDE WITHIN BAD DEBTS. THIS NARRATIVE ALSO PERTAINS TO SCHEDULE H, PART I, LINE 7 - EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	CARLE RICHLAND MEMORIAL HOSPITAL USES 50% AS A GENERAL ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0. PLEASE SEE SCHEDULE H, PART III, LINE 2 METHODOLOGY USED TO ESTIMATE BAD DEBT FOR 990 REPORTING PURPOSES.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE NUMERATOR (TOTAL EXPENSE) AND DENOMINATOR (TOTAL GROSS CHARGES) OF THE SIMPLE RATIO OF PATIENT CARE COST TO CHARGES IS ADJUSTED BY ELIMINATING NON-PATIENT CARE THAT GENERATES OTHER REVENUE, BAD DEBT EXPENSE, MEDICAID, AND OTHER PROVIDER TAXES AND THE TOTAL COST OF COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS. ALSO, ANY GROSS PATIENT CHARGES FOR PROGRAMS NOT RELYING ON THE RATIO ARE ELIMINATED FROM BOTH THE NUMERATOR AND DENOMINATOR OF THE RATIO. THESE ADJUSTMENTS ARE INTENDED TO ELIMINATE ANY POTENTIAL FOR DOUBLE COUNTING OF COMMUNITY BENEFIT EXPENSES. THE RESULTANT RATIO ALIGNS WITH SCHEDULE H REQUIREMENTS. ILLINOIS LAW DEFINES GOVERNMENTAL-SPONSORED INDIGENT HEALTH CARE AS THE UNREIMBURSED COST OF MEDICARE, MEDICAID, AND OTHER FEDERAL, STATE, OR LOCAL INDIGENT CARE PROGRAMS. WHEN THERE IS A SHORTFALL, WE DO BELIEVE THIS IS A COMMUNITY BENEFIT BECAUSE, AS A HOSPITAL, WE ARE STEPPING UP TO CARRY THE BURDEN OF THE GOVERNMENT, ASSURING CARE TO SENIORS, AND THOSE LESS FORTUNATE DEMOGRAPHICS THAT HAVE EXPERIENCED INCREASING COSTS OVER THE PAST DECADE WHILE LIVING ON FIXED INCOMES.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	THE CARLE FINANCIAL ASSISTANCE PROGRAM (CFAP) PROVIDES DISCOUNTED OR FREE CARE TO THOSE WHO NEED IT WITHIN THE CARLE HEALTH SYSTEM, INCLUDING THIS HOSPITAL. NOT ONLY DOES THIS RESULT IN A MORE TIMELY APPLICATION PROCESS, BUT MOST IMPORTANTLY, IT MEANS PATIENTS RECEIVE THE SAME DISCOUNT AT THE HOSPITAL AND CLINICS IF THEY MIGHT NEED AN ADDITIONAL LEVEL OF SPECIALTY OR HOSPITAL CARE. WITH THIS PROGRAM, THE HOSPITAL HAS A ROBUST PRESUMPTIVE ELIGIBILITY PROCESS. WE PRESUME ELIGIBILITY FOR VERIFIED HOMELESS, DECEASED WITH NO ESTATE, MENTAL INCAPACITATION, RECIPIENTS OF WIC (WOMEN, INFANTS AND CHILDREN NUTRITION PROGRAM), SNAP (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM), LIHEAP (LOW INCOME HOME ENERGY ASSISTANCE PROGRAM), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM, RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICE, FEDERALLY QUALIFIED HEALTH CLINIC (FQHC) DISCOUNT REFERRALS, MEDICAID TITLE XIX, XXI, AND IN-NETWORK MEDICAID MANAGED CARE PLANS. IN ADDITION, WE UTILIZE A VENDOR, EXPERIAN INFORMATION SOLUTIONS, INC., TO PROACTIVELY IDENTIFY PATIENTS WHO MAY BE PRESUMPTIVELY-QUALIFIED FOR ASSISTANCE - NOT ONLY FOR PUBLIC PROGRAMS LIKE MEDICAID, BUT ALSO BASED ON A NUMBER OF KEY FINANCIAL INDICATORS, INCLUDING CREDIT HISTORY, DEMOGRAPHICS AND GROSS INCOME. IDENTIFIED PATIENTS MAY BE PRESUMED ELIGIBLE AND AUTOMATICALLY ENROLLED IN THE PROGRAM, OR THEY MAY BE CONTACTED AND ENCOURAGED TO APPLY FOR ASSISTANCE. PATIENTS WHO ARE NOT DEEMED PRESUMPTIVELY ELIGIBLE WOULD NEED TO REQUEST AND COMPLETE AN APPLICATION. IF THE PATIENT DOES NOT REQUEST OR COMPLETE AND RETURN THE APPLICATION, THEN THE BALANCE IS DEEMED THEIR RESPONSIBILITY TO PAY. FOR PATIENTS THAT DO NOT QUALIFY FOR CARLE FINANCIAL ASSISTANCE AND WHO MAY BE UNINSURED OR UNDERINSURED, THE HOSPITAL HAS OTHER DISCOUNT OPTIONS AVAILABLE, SUCH AS PROMPT PAY, ILLINOIS UNINSURED DISCOUNT, AND CAPPED DISCOUNT - WHERE A PATIENT'S OUT-OF-POCKET MEDICAL EXPENSES ARE LIMITED TO 40% OF THEIR ANNUAL GROSS INCOME IF THEY EARN AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL. ONCE ALL APPLICABLE DISCOUNTS HAVE BEEN APPLIED, WE MAKE EVERY ATTEMPT TO WORK WITH THE PATIENT AND SET UP PAYMENT ARRANGEMENTS ON THE REMAINING BALANCE DUE. THE CURRENT MINIMUM IS 5% OF THE TOTAL BALANCE DUE OR $25.00 A MONTH. IF THEY CANNOT MEET THESE GUIDELINES, OUR IN-HOUSE BILLING STAFF MEMBERS WORK WITH THEM TO SET UP A TEMPORARY/SHORT TERM PAYMENT ARRANGEMENT UNTIL THEY CAN MAKE THE MINIMUM PAYMENT. IF THEY ARE UNABLE TO MAKE PAYMENT ON THE BALANCE DUE, THEN THE BALANCE MAY BE LISTED WITH AN OUTSIDE COLLECTION AGENCY. WHEN THE ACCOUNT IS STILL IN-HOUSE, THE MINIMUM NOTIFICATION IS MONTHLY ITEMIZED STATEMENTS. IF A PATIENT DOES NOT RESPOND, THE ACCOUNT IS GIVEN A FINAL NOTICE, EITHER BY LETTER OR PHONE, AND SENT TO AN OUTSIDE COLLECTION AGENCY. THE HOSPITAL WILL NOT FILE COLLECTION SUIT LIENS ON A PRIMARY RESIDENCE, NOR DO WE AUTHORIZE AN AGENCY TO USE SO-CALLED "BODY ATTACHMENTS". THE AGENCIES ARE AWARE OF OUR CFAP AND HAVE BEEN ADVISED TO REFER THE PATIENTS BACK TO CARLE IF THEY DEEM THE PATIENT IS UNABLE TO PAY. BILLING STAFF WILL THEN MAKE ONE MORE ATTEMPT TO WORK WITH THE PATIENT TO SEE IF HELP IS AVAILABLE. IF STAFF DETERMINES THAT THE PATIENT MIGHT QUALIFY, WE SEND THE PATIENT A CFAP APPLICATION AND INSTRUCT THE AGENCY TO PUT A HOLD ON THE ACCOUNT; THE AVERAGE HOLD IS 60 DAYS. IF THE PATIENT IS THEN APPROVED FOR DISCOUNTS AT 100% FOR FINANCIAL ASSISTANCE, THE BALANCE IS ADJUSTED AND THE ACCOUNT IS CLOSED WITH THE AGENCY. IF THE PATIENT IS APPROVED FOR LESS THAN 100%, THE ADJUSTMENTS ARE REPORTED TO THE AGENCY AND THE AGENCY WILL BEGIN COLLECTION EFFORTS ON ANY REMAINING BALANCE.
Schedule H, Part V, Section B, Line 16a FAP website	- Carle Richland Memorial Hospital: Line 16a URL: SEE SCHEDULE H PART VI;
Schedule H, Part V, Section B, Line 16b FAP Application website	- Carle Richland Memorial Hospital: Line 16b URL: SEE SCHEDULE H PART VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- Carle Richland Memorial Hospital: Line 16c URL: SEE SCHEDULE H PART VI;
Schedule H, Part VI, Line 2 Needs assessment	AS A TAX-EXEMPT ORGANIZATION, CARLE RICHLAND MEMORIAL HOSPITAL PROVIDES CARE TO PATIENTS REGARDLESS OF THE ABILITY TO PAY. CARLE'S GENEROUS FINANCIAL ASSISTANCE PROGRAM HAS RESULTED IN OUR ABILITY TO REACH MANY PEOPLE OVER THE YEARS. TO ENSURE WE ARE ADDRESSING THE NEEDS OF THE COMMUNITY, THE FINANCE AND QUALITY COMMITTEES OF THE CARLE BOARD OF TRUSTEES REVIEW AND EVALUATE CHARITY CARE FIGURES ANNUALLY. WE DO NOT LIMIT THE AMOUNT OF FINANCIAL ASSISTANCE WE PROVIDE, AT THIS TIME.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Our practice is to look at each patient's financial status in relation to our Carle Financial Assistance Program and the criteria of the Uninsured Patient Discount Act, and to provide the patient with the deepest discount available. By expanding the presumptive eligibility screening processes and determining the financial status of patients up-front, we have been able to pinpoint those needing assistance early in the process, minimizing bad debt and optimizing our ability to help. Staff is also diligent in following up with patients during hospitalization and after discharge if there's any reason to believe the patient could benefit from financial assistance, and we auto-qualify certain patient populations for Carle Financial Assistance Program, such as the homeless, WIC, SNAP (Supplemental Nutrition Assistance Program), Medicaid, Low Income Home Energy Assistance Program (LIHEAP), and Township Assistance recipients. Communicating that Financial Assistance is Available Carle Foundation 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 and French, 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/FinancialAssistance -Information about the Carle Financial Assistance Program on all statements, collection letters and Hospital admission packets -Carle Financial Assistance Program information and applications at all registration points, Hospital main lobby and carle.org -Meetings with local legislators to help them assist constituents with healthcare needs, including financial assistance
Schedule H, Part VI, Line 4 Community information	Carle Richland Memorial Hospital has defined its primary service area and populations as the general population within the geographic area in and surrounding Richland County. The hospital's patient population includes all who receive care without regard to insurance coverage or eligibility for assistance. A total of 106,132 people live in the 3,298 square mile report area defined for this assessment according to the U.S. Census Bureau American Community Survey 201020 10year estimates. The population density for this area, estimated at 32 persons per square mile, is less than the national average population density of 92 persons per square mile. The average household size of the area, at 2.3, is lower than both Illinois and the U.S. The median age is 43.7 years, which is higher than Illinois and the U.S. median ages. The largest education segment is high school graduates followed by those with some college. 10.2% of the population has no high school diploma or GED and 34.7% of the community's population have only a high school degree. Unemployment at the time of writing was 3.7%, roughly equivalent to the averages of the unemployment rate in Illinois and the United States. Employment in this community is 48.3% white collar, 33.6% blue collar, and 17.4% service sector. According to 2020 data from the Illinois Primary Healthcare Association, Carle Richland Memorial Hospital is the only hospital in Richland County; there is 1 hospital in Crawford County, Clay County, Lawrence County, Wayne County, and Wabash County; there are no hospitals in Jasper County or Wayne County. As is the case in much of rural Illinois, the median household income in the service area, $56,055, is lower than the statewide or national average.
Schedule H, Part VI, Line 5 Promotion of community health	RMH has an open medical staff and is governed by a community board that serves on a volunteer basis. Surplus funds are reinvested into the organization for technology replacement and advancement, clinical service expansion and quality improvement. Funds are also invested into our communities to meet identified health needs which contribute to the overall well-being of the residents of the communities we serve.
Schedule H, Part VI, Line 6 Affiliated health care system	RMH is a 25 bed critical access hospital, not-for-profit healthcare facility located in Olney, IL and became part of the Carle Health System on April 1, 2017. As part of the Carle Health System, it currently serves eight Southeastern Illinois counties, with a total population of more than 107,000 individuals. The integration of Carle and RMH allows for expanded access to healthcare in the region. RMH also operates a 20-bed extended care wing for private-pay patients, which is part of the same legal entity, hospital tax identification number, and Illinois department of public health hospital license. the extended care wing is not part of the Medicare-enrolled critical access hospital. Though RMH falls under the umbrella of The Carle Foundation, it maintains a separate board of directors and senior leadership. While RMH's CHNA and community benefit reporting is separate from the Carle Foundation Hospital, it follows the same guidelines and principles as Carle. RMH staff is involved in the CHNA and implementation plan, and serve on human services agency boards and committees to provide support to help address identified community health needs.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
CITY OF OLNEY
300 S WHITTLE AVE	OLNEY	IL	62450	376001911	GOVERNMENT	$12,000	PROGRAM SERVICES
RICHLAND COUNTY HIGH SCHOOL
1200 EAST LAUREL STREET	OLNEY	IL	62450	376004449	GOVERNMENT	$9,075	SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds	FormAndLineReferenceDesc
Explanation	ANY CHARITABLE ORGANIZATION WISHING TO REQUEST FUNDS IS ASKED TO SUBMIT THE REQUEST IN WRITING. EMAILED REQUESTS ARE ACCEPTABLE. THE REQUEST MUST INCLUDE A DESCRIPTION OF THE PURPOSE OF THE CONTRIBUTION AND OTHER RELEVANT INFORMATION SUCH AS THE REQUESTOR'S NAME, AND AMOUNT OF THE REQUEST. THE REQUESTS ARE REVIEWED, EVALUATED, AND ADMINISTERED BY THE PUBLIC RELATIONS DIRECTOR WHO MAY SEEK ADDITIONAL INFORMATION FROM THE REQUESTOR AS NEEDED AS WELL AS INPUT FROM ANY APPROPRIATE CARLE ADMINISTRATOR OR DIRECTOR. A SET OF ESTABLISHED GUIDELINES DRIVE THESE DECISIONS. MOST ARE MADE TO IMPROVE HEALTHCARE/ACCESS TO HEALTHCARE OR ARE CONSISTENT WITH THE ORGANIZATION'S ROLE AS A CORPORATE CITIZEN. ASSESSED NEED IS A COMMON CRITERIA. WRITTEN AGREEMENTS ARE IN PLACE AND THERE IS REGULAR CONTACT WITH ORGANIZATIONS, SUCH AS COLLEGES AND UNIVERSITIES, RECEIVING $5,000 OR MORE TO ENSURE THAT THE DONATIONS ARE BEING USED AS AGREED UPON. THE RECORDS ARE MAINTAINED IN ADMINISTRATION OR PUBLIC RELATIONS.	ExplanationTxt

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	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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
RAYMOND FISHER MD
BOARD MEMBER // PHYSICIAN	$0	$628,948	$0	$0	$0	$24,877	$0	$27,678	$0	$13,429	$0	$694,932	$0	$0
TANNER MILLER MD
BOARD MEMBER // PHYSICIAN	$0	$549,735	$0	$35,070	$0	$2,203	$0	$27,678	$0	$30,267	$0	$644,953	$0	$0
DENNIS HESCH
OFFICER - EVP, CHIEF FINANCE & STRATEGY OFFICER	$0	$1,145,424	$0	$0	$0	$29,687	$0	$306,265	$0	$26,301	$0	$1,507,677	$0	$0
JAMES C LEONARD MD
OFFICER - PRESIDENT & CEO	$0	$1,805,832	$0	$0	$0	$492,394	$0	$27,678	$0	$22,578	$0	$2,348,482	$0	$462,357
MATTHEW KOLB JD MHA
EX OFFICIO, NON-VOTING // OFFICER - PRESIDENT, CARLE HEALTH REGIONS // EVP, COO	$0	$1,119,849	$0	$0	$0	$298,780	$0	$302,587	$0	$31,116	$0	$1,752,332	$0	$269,019
NAPOLEON KNIGHT MD MBA
OFFICER - EVP, CHIEF MEDICAL OFFICER	$0	$832,803	$0	$0	$0	$258,749	$0	$27,678	$0	$13,516	$0	$1,132,746	$0	$229,062
REGINA THOMAS DNP MBA
EX OFFICIO, NON-VOTING // OFFICER - PRESIDENT, CARLE HEALTH - SOUTH REGION	$0	$301,284	$0	$0	$0	$2,350	$0	$49,189	$0	$17,810	$0	$370,633	$0	$0
KENNETH ARONSON MD
FORMER KEY EMPLOYEE	$0	$634,032	$0	$58,303	$0	$26,437	$0	$27,678	$0	$22,698	$0	$769,148	$0	$0
BROOK FISHER
DIRECTOR, REVENUE CYCLE DENIALS	$0	$165,259	$0	$0	$0	$7,375	$0	$10,854	$0	$32,272	$0	$215,760	$0	$0
CALEB MILLER
SVP, SURGICAL SERVICES & AMBULATORY CARE	$0	$438,377	$0	$0	$0	$102,598	$0	$56,043	$0	$31,218	$0	$628,236	$0	$74,056
LAUREN SCHMID MBA
EVP, CHIEF HUMAN RESOURCES OFFICER	$0	$711,410	$0	$0	$0	$167,178	$0	$74,631	$0	$30,537	$0	$983,756	$0	$137,552
NICHOLAS CROMPTON
VP, CONSTRUCTION & FACILITY SERVICES	$0	$299,356	$0	$0	$0	$3,853	$0	$50,322	$0	$34,234	$0	$387,765	$0	$0
ANDREW SHAJARI MD
PHYSICIAN - GENERAL SURGERY	$622,957	$0	$0	$0	$3,539	$0	$0	$0	$7,490	$0	$633,986	$0	$0	$0
HARRY GARRETT MD
PHYSICIAN - FAMILY MEDICINE	$594,113	$0	$38,933	$0	$25,213	$0	$27,678	$0	$22,867	$0	$708,804	$0	$0	$0
JUSTIN ORENICH DO
PHYSICIAN - GENERAL SURGERY	$682,857	$0	$35,000	$0	$2,213	$0	$27,678	$0	$21,134	$0	$768,882	$0	$0	$0
PARTH PATEL DO
PHYSICIAN - PAIN CLINIC	$600,164	$0	$0	$0	$2,213	$0	$0	$0	$24,440	$0	$626,817	$0	$0	$0
YEKATERINA FAYN MD
PHYSICIAN - CARDIOLOGY	$620,274	$0	$0	$0	$25,213	$0	$27,678	$0	$10,336	$0	$683,501	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation

THE GOVERNING BOARD OF THE CARLE FOUNDATION, THE SYSTEM PARENT ORGANIZATION OF RICHLAND MEMORIAL HOSPITAL, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY. - THE COMMITTEE IS COMPRISED OF MEMBERS OF THE GOVERNING BOARD WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT, HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS, ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED, AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. - THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. - THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. - THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR, WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE.

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

THE 2024 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE SYSTEM PARENT ORGANIZATION OF RICHLAND MEMORIAL HOSPITAL, LISTED ON FORM 990 PART VII INCLUDE MATTHEW KOLB, JD, MHA, DENNIS HESCH, JAMES C. LEONARD, MD, RAYMOND FISHER, MD, HARRY GARRETT, MD, YEKATERINA FAYN, MD, KENNETH ARONSON, MD, LAUREN SCHMID, MBA, NAPOLEON KNIGHT, MD, MBA, AND CALEB MILLER. IN 2024, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO JAMES LEONARD, MD ($462,357), MATTHEW KOLB, JD, MHA ($269,019), NAPOLEON KNIGHT, MD, MBA ($229,062), LAUREN SCHMID, MBA $137,552), AND CALEB MILLER ($74,056).

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Whitley Houchin	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF BOARD MEMBER	RelationshipDescriptionTxt
Transaction	$110,551	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part V FAMILY RELATIONSHIPS	FormAndLineReferenceDesc
Explanation	WHITLEY HOUCHIN IS AN EMPLOYEE OF RICHLAND MEMORIAL HOSPITAL INC. AND HAS A FAMILY RELATIONSHIP WITH GARY HOUCHIN (SECRETARY AND TREASURER OF BOARD).	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 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 Napoleon Knight, MD, MBA (Officer) - Business relationship, James C. Leonard, MD (Officer), Dennis Hesch (Officer), and Lauren Schmid, MBA (Key Employee) - Business relationship, Dennis Hesch (Officer), Matthew Kolb, JD, MHA (Officer), and Nicholas Crompton (Key Employee) - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholders	CARLE HEALTH - SOUTH REGION, A TAX-EXEMPT ILLINOIS NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	RICHLAND MEMORIAL HOSPITAL'S SOLE MEMBER, CARLE HEALTH - SOUTH REGION, ACTING THROUGH ITS GOVERNING BOARD, HAS THE EXCLUSIVE POWER TO ELECT AND REMOVE BOARD MEMBERS AS WELL AS FILL VACANCIES.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	RICHLAND MEMORIAL HOSPITAL MUST HAVE THE APPROVAL OF ITS SOLE MEMBER, CARLE HEALTH - SOUTH REGION, THROUGH ITS GOVERNING BOARD, WHEN VOTING ON MATTERS INCLUDING AMENDING 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 RICHLAND GOVERNING BOARD FOR THEIR EXPENSES OR COMPENSATION, APPROVING ANY NEW, LONG-TERM OR MASTER INSTITUTIONAL PLAN OR CHANGES TO SUCH PLANS, APPROVING THE ADDITION OF ANY NEW MEMBER AND ANY DISSOLUTION, MERGER, CONSOLIDATION, OR SALE OR OTHER DISPOSITION OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR ANY DISPOSITION OF REAL PROPERTY OR RELOCATION OF THE HOSPITAL AND/OR CLINIC, APPROVING ANY ORGANIZATION OR ACQUISITION OF A SUBSIDIARY OR AFFILIATE, APPROVING ANY INITIATIVE REQUIRING CERTIFICATE OF NEED APPROVAL, APPROVING ANY PLEDGE OF ALL OR ANY PART OF THE CORPORATION'S ASSETS AS SECURITY FOR A DEBT, LIABILITY OR OTHER OBLIGATION, APPROVING ANY LOAN TO OR FOR THE CORPORATION OR ANY OTHER INDEBTEDNESS, AND APPROVING NON-BUDGETED EXPENDITURES OR SALE EXCEEDING THE PRESIDENT'S AUTHORIZED SPENDING AUTHORITY.
Form 990, Part VI, Line 11b Review of form 990 by governing body	FORM 990 WAS PREPARED BY STAFF AND AN EXTERNAL TAX ADVISOR AND REVIEWED BY MANAGEMENT. PRIOR TO FILING THIS FORM 990, A FULL AND COMPLETE COPY WAS PROVIDED TO THE GOVERNING BODY BY POSTING TO THE ORGANIZATION'S DIRECTOR COMMUNICATION PORTAL. ALSO, BEFORE FILING, EACH BOARD MEMBER RECEIVED NOTIFICATION THAT THE FORM 990 WAS POSTED AND AVAILABLE FOR REVIEW AT HIS/HER DISCRETION. EACH BOARD MEMBER HAS THE OPPORTUNITY TO CONTACT MANAGEMENT OR DISCUSS AND ADDRESS CONCERNS AT SUBSEQUENT BOARD MEETINGS.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION'S ESTABLISHED CONFLICT OF INTEREST POLICIES REQUIRE ANNUAL DISCLOSURE OF ACTUAL AND POTENTIAL CONFLICTS OF INTEREST FOR OFFICERS, DIRECTORS, MEMBERS OF THE GOVERNING BOARD, MEMBERS OF BOARD COMMITTEES, ADMINISTRATIVE AND MANAGERIAL EMPLOYEES AS WELL AS ALL EMPLOYEES OF THE PURCHASING DEPARTMENT. IF CIRCUMSTANCES CHANGE DURING THE COURSE OF A YEAR, INTERIM DISCLOSURE IS ALSO REQUIRED OF THE SAME INDIVIDUALS. THE DISCLOSURES OF EMPLOYEES ARE REVIEWED INITIALLY BY THE COMPLIANCE DEPARTMENT AND ANY IDENTIFIED CONFLICTS ARE REFERRED TO AND ADDRESSED BY THE ORGANIZATION'S INTERNAL LEGAL COUNSEL AND/OR CORPORATE INTEGRITY OFFICER. THE DISCLOSURES OF MEMBERS OF THE GOVERNING BOARD AND MEMBERS OF THE BOARD COMMITTEES ARE REVIEWED BY THE CHAIR OF THE BOARD. THE ENTIRE BOARD, ABSENT THE SUBJECT BOARD OR COMMITTEE MEMBER DETERMINES WHETHER A CONFLICT EXISTS. BOARD MEMBERS AND/OR BOARD COMMITTEE MEMBERS WITH IDENTIFIED CONFLICTS ARE REQUIRED TO RECUSE THEMSELVES FROM DELIBERATING AND VOTING ON MATTERS THAT MAY PRESENT A CONFLICT. THE ORGANIZATION ALSO MAINTAINS PURCHASING POLICIES REQUIRING COUNTER SIGNATURES TO FURTHER MINIMIZE THE RISK ASSOCIATED WITH ACTUAL AND/OR POTENTIAL CONFLICTS OF INTEREST.
Form 990, Part VI, Line 19 Required documents available to the public	THE CARLE FOUNDATION, THE SYSTEM PARENT ORGANIZATION OF RICHLAND MEMORIAL HOSPITAL, PUBLISHES THROUGH WWW.DACBOND.COM AND https://emma.msrb.org/ ITS QUARTERLY UNAUDITED FINANCIAL STATEMENTS, ANNUAL AUDITED FINANCIAL STATEMENTS, A MANAGEMENT'S DISCUSSION & ANALYSIS TO ACCOMPANY THE FINANCIAL STATEMENTS, AND AN ANNUAL REPORT OF CERTAIN OPERATING AND FINANCIAL INFORMATION. ADDITIONALLY, OFFICIAL STATEMENTS FOR OUTSTANDING MUNICIPAL BOND ISSUES FOR WHICH THE CARLE FOUNDATION IS OBLIGATED ARE AVAILABLE AT THESE WEBSITES. THESE DOCUMENTS INCLUDE EXTENSIVE INFORMATION ABOUT THE ORGANIZATION'S HEALTH CARE DELIVERY SYSTEM MODEL, RECENT HIGHLIGHTS/ACCOMPLISHMENTS, GOVERNANCE AND ADMINISTRATION, STRATEGIC PLAN, FACILITIES, CLINICAL PROGRAMS, MEDICAL STAFF, SERVICE AREA, COMPETITIVE ENVIRONMENT, DEMOGRAPHIC DATA, UTILIZATION STATISTICS, SUMMARY FINANCIAL INFORMATION, ACADEMIC AFFILIATIONS AND EDUCATIONAL PROGRAMS, MEDICAL RESEARCH, ACCREDITATIONS, AND ITS EMPLOYEES. THIS INFORMATION IS AVAILABLE AT NO CHARGE TO THOSE WHO REGISTER AT THE WWW.DACBOND.COM WEBSITE OR BY SEARCHING AT HTTPS://EMMA.MSRB.ORG/. IN ADDITION, FORMS 990 OF THE ORGANIZATION'S FILING ENTITIES ARE AVAILABLE THROUGH DACBOND. QUARTERLY FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST DELIVERED TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE ALSO AVAILABLE UPON REQUEST TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES.
Form 990, Part VII, Section A COLUMN B	THE AVERAGE ESTIMATED HOURS PER WEEK LISTED FOR THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS ARE BASED ON A STANDARD 40-HOUR WEEK. MEMBERS MAY FREQUENTLY DEVOTE MORE THAN 40 HOURS OF SERVICE TO THE ENTIRE ORGANIZATION DURING AN AVERAGE WEEK.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	ALL OTHER REVENUE - Total Revenue: 42870, Related or Exempt Function Revenue: 22402, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 20468; LAUNDRY SERVICES - Total Revenue: 10296, Related or Exempt Function Revenue: , Unrelated Business Revenue: 10296, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	INTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS - 5742517; Total - 5742517;
Form 990, Part XII, Line 2c Change of Oversight Process or Selection Process	FORM 990 PART XII, QUESTION 2A, B, C AND PART IV, LINES 12, 12A THE FINANCIAL STATEMENTS FOR RICHLAND MEMORIAL HOSPITAL, WERE AUDITED ON A CONSOLIDATED BASIS. THE CARLE FOUNDATION HAS AN AUDIT COMMITTEE CONSISTING OF MEMBERS OF THE GOVERNING BOARD AND THE CHIEF FINANCIAL OFFICER WHO TOGETHER ASSUME RESPONSIBILITY FOR THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT OR AUDITOR.
Form 990, Part VI, Line 15 15A & 15B - Procces to establish compensation of top management official	RICHLAND MEMORIAL HOSPITAL DOES NOT COMPENSATE ITS OFFICERS. EMPLOYEE COMPENSATION FOR THESE INDIVIDUALS IS PAID BY THE SYSTEM PARENT ORGANIZATION, THE CARLE FOUNDATION. THE GOVERNING BOARD OF THE CARLE FOUNDATION, THE SYSTEM PARENT ORGANIZATION OF RICHLAND MEMORIAL HOSPITAL THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: - THE COMMITTEE IS COMPRISED OF MEMBERS OF THE GOVERNING BOARD; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. - THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. - THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. - THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR, WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 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
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	CDF	Yes (true)
CARLE DEVELOPMENT FOUNDATION
611 W PARK STREET	URBANA	IL	61801	371159978	FUNDRAISING	IL	501(c)(3)	7	TCF	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)
CRIS HEALTHY AGING
611 W PARK STREET	URBANA	IL	61801	370948852	SENIOR CITIZEN SERVICES	IL	501(c)(3)	7	CHCI	Yes (true)
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)
METHODIST MEDICAL CENTER FOUNDATION
611 W PARK STREET	URBANA	IL	61801	510186460	FUNDRAISING	IL	501(c)(3)	7	CHWR	Yes (true)
METHODIST MEDICAL CENTER OF ILLINOIS
611 W PARK STREET	URBANA	IL	61801	370661223	HOSPITAL SERVICES	IL	501(c)(3)	3	CHWR	Yes (true)
METHODIST SERVICES INC
611 W PARK STREET	URBANA	IL	61801	371111134	PROPERTY HOLDING CO.	IL	501(c)(3)	PF	CHWR	Yes (true)
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)
PRAIRIE VIEW VILLAS NO 1
611 W PARK STREET	URBANA	IL	61801	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)
PROCTOR HOSPITAL
611 W PARK STREET	URBANA	IL	61801	370681540	HOSPITAL SERVICES	IL	501(c)(3)	3	CHWR	Yes (true)
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 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 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)
TRILLIUM PLACE
611 W PARK STREET	URBANA	IL	61801	834051901	BEHAVIORAL HEALTH SERVICES	IL	501(c)(3)	Type II	CHWR	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Address Line2USAddress/AddressLine2Txt
CENTRAL ILLINOIS ENDOSCOPY CENTER LLC
611 W PARK STREET	URBANA	IL	61801	208243285	MEDICAL SERVICES	IL	NA	N/A
CHAMPAIGN SURGICENTER LLC
611 W PARK STREET	URBANA	IL	61801	201915925	SURGICAL CENTER	IL	NA	N/A
MOUPH LLC
611 W PARK STREET	URBANA	IL	61801	921791534	OUTPATIENT ORTHOPEDIC SERVICES	IL	NA	N/A
RAVEN EVERGREEN CREDIT OFFSHORE FUND II LP
75 SPRING STREET 6TH FLOOR	NEW YORK	NY	10012	981747373	INVESTMENTS		NA	N/A
REHABILITATION THERAPY SERVICES LLC
416 ST MARKS CT	PEORIA	IL	61603	810584193	REHABILITATION THERAPY	IL	NA	N/A	110
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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (20 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	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
BELCREST SERVICES LTD
611 W PARK STREET	URBANA	IL	61801	371196307	MEDICAL SERVICES	IL	NA	C Corporation	Yes (true)
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)
FIRSTCAROLINACARE INSURANCE COMPANY
42 MEMORIAL DR	PINEHURST	NC	28374	331160597	INSURANCE	IL	NA	C Corporation	Yes (true)
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
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)
PROVIDER RESOURCE MANAGEMENT INC
611 W PARK STREET	URBANA	IL	61801	371223550	PHYSICIAN SERVICES	IL	NA	C Corporation	Yes (true)

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	Yes (true)	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	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CARLE HEALTH CARE INCORPORATED
A	$9,600	BOOK
Health Alliance Medical Plans
A	$131	BOOK
CARLE DEVELOPMENT FOUNDATION
C	$76,789	BOOK
Health Alliance Connect Inc
L	$895,233	BOOK
Health Alliance Medical Plans
L	$2,428,378	BOOK
HEALTH SYSTEMS INSURANCE LIMITED
M	$532,313	BOOK
HOOPESTON COMMUNITY MEMORIAL HOSPITAL
S	$250,000	BOOK
THE CARLE FOUNDATION HOSPITAL
S	$116,049	BOOK