CARLE BROMENN MEDICAL CENTER: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: CARLE BROMENN MEDICAL CENTER (EIN 85-0682363)
Tax period: 2020-04-29 to 2020-12-31
Filed: 2021-11-15
IRS object ID: 202123199349325742
Schema version: 2020v4.1
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-15T16:56:57-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE 4000	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46204	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-04-29	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	850682363	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Carle BroMenn Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% DENNIS HESCH EXEC VP & CFO	InCareOfNm
Business Name Control	CARL	BusinessNameControlTxt
Phone	2173833311	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	611 W Park St	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	2173836702	PhoneNum
Signature	2021-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	DENNIS	PersonFirstNm
Person Last	HESCH	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JENNIFER D RHODERICK	PreparerPersonNm
PTIN	P00395735	PTIN
Phone	3176817000	PhoneNum
Preparation	2021-11-10	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Initial Return	Yes (X)	InitialReturnInd
Principal Officer	DENNIS HESCH EXEC VP CFO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	611 W Park St	AddressLine1Txt
City	Urbana	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61801	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$108,794,100	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	2020	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	CARLE BROMENN MEDICAL CENTER'S MISSION IS TO BE THE TRUSTED PARTNER IN ALL HEALTHCARE DECISIONS AND IMPROVE HEALTH BY PROVIDING HIGHLY ACCESSIBLE, WORLD-CLASS CARE AND SERVICE.	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	1416	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$2,554,762	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$21,440,479	CYContributionsGrantsAmt
PY Program Service Revenue	$0	PYProgramServiceRevenueAmt
CY Program Service Revenue	$83,575,216	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$900	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$3,777,505	CYOtherRevenueAmt
PY Total Revenue	$0	PYTotalRevenueAmt
CY Total Revenue	$108,794,100	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$71,065	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$0	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$44,691,150	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$0	PYOtherExpensesAmt
CY Other Expenses	$44,018,964	CYOtherExpensesAmt
PY Total Expenses	$0	PYTotalExpensesAmt
CY Total Expenses	$88,781,179	CYTotalExpensesAmt
PY Revenues Less Expenses	$0	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$20,012,921	CYRevenuesLessExpensesAmt
Total Assets BOY	$0	TotalAssetsBOYAmt
Total Assets EOY	$29,415,464	TotalAssetsEOYAmt
Total Liabilities BOY	$0	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$10,491,491	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$0	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$18,923,973	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	CARLE BROMENN MEDICAL CENTER'S MISSION IS TO BE THE TRUSTED PARTNER IN ALL HEALTHCARE DECISIONS AND IMPROVE HEALTH BY PROVIDING HIGHLY ACCESSIBLE, WORLD-CLASS CARE AND SERVICE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$75,362,997	ExpenseAmt
Grant	$71,065	GrantAmt
Revenue	$84,791,206	RevenueAmt
Desc	CARLE BROMENN MEDICAL CENTER ("CBMC") IS A TAX-EXEMPT ILLINOIS NOT-FOR-PROFIT CORPORATION ESTABLISHED FOR THE PURPOSE OF OPERATING A HOSPITAL AND CONDUCTING PATIENT CARE RELATED ACTIVITIES. THE HEALTHCARE LEADER IN MCLEAN COUNTY, ILLINOIS, CBMC PROVIDES WORLD-CLASS CARE IN NEUROLOGY, CARDIOLOGY, ORTHOPEDICS, OBSTETRICS, BEHAVORIAL HEALTH SERVICES, AND MORE. CBMC IS ALSO A TEACHING FACILITY OFFERING RESIDENCY PROGRAMS IN NEUROSURGERY, NEUROLOGY, FAMILY MEDICINE, AND CLINICAL PASTORAL EDUCATION. CBMC IS A 221 BED HOSPITAL LOCATED AT 1304 FRANKLIN AVENUE, NORMAL, IL PROVIDING A RANGE OF ANCILLARY AND SUPPORT SERVICES. CBMC IS ACCREDITED BY DNV GL HEALTHCARE AND HAS ACHIEVED MAGNET DESIGNATION, THE NATION'S HIGHEST DESIGNATION FOR NURSING CARE. CBMC MAINTAINS ACCREDITATIONS AS A LEVEL II TRAUMA CENTER, CHEST PAIN CENTER, PRIMARY STROKE CENTER AND LEVEL II PERINATAL CENTER, AND IS IPDH EMERGENCY DEPARTMENT APPROVED FOR PEDIATRICS. CBMC CONTINUES A NEARLY 125-YEAR HISTORY OF PROVIDING CHARITABLE, NOT-FOR-PROFIT HOSPITAL CARE FOR BLOOMINGTON-NORMAL, AND THEIR SURROUNDING COMMUNITY. THIS HISTORY BEGAN WITH DEACONESS HOSPITAL, WHICH WAS FORMED IN 1896 AND WHICH LATER CHANGED ITS NAME TO BROKAW HOSPITAL, AND THEN TO BROMENN MEDICAL CENTER AFTER A MERGER WITH MENNONITE HEALTH CARE ASSOCIATION. IN 2010, THE HOSPITAL AND ITS SISTER HOSPITAL, EUREKA HOSPITAL, MERGED INTO ADVOCATE HEALTH AND HOSPITAL CORPORATION (ADVOCATE) AND WAS OPERATED AS A DIVISION OF ADVOCATE, UNTIL JULY 1, 2020 WHEN ACQUIRED BY CARLE HEALTH. FOR THE SIX MONTHS ENDING DECEMBER 31, 2020, CBMC HAD APPROXIMATELY 66,565 INPATIENT AND OUTPATIENT VISITS WITH APPROXIMATELY 12,320 EMERGENCY DEPARTMENT VISITS AND 674 BIRTHS.	Desc
Total Program Service Expenses	$75,362,997	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	false	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	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
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	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	56	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1416	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	6	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
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

Field	Value	IRS element (for citing)
Person	DENNIS HESCH EXEC VP CFO	PersonNm
Phone	2173833311	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	611 W PARK ST	AddressLine1Txt
City	Urbana	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61801	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
James C Leonard MD
Ex-Officio, President & CEO	1.0	39.0	Yes (X)	$0	$4,774,129	$512,006
Dennis Hesch
Exec VP & CFO	2.0	38.0	Yes (X)	$0	$1,470,712	$354,224
Matthew Kolb
Exec VP & COO	5.0	35.0	Yes (X)	$0	$975,723	$292,435
Charles Dennis MD
Exec VP, Chief Medical Officer	1.0	39.0	Yes (X)	$0	$778,734	$118,194
Lauren Schmid
Exec VP, Chief HR Officer	1.0	39.0		$0	$561,506	$148,044	Yes (X)
Uretz Oliphant MD
Director	1.0	39.0		$0	$472,248	$20,781		Yes (X)
Linda Fred
VP, Pharmacy Services	1.0	39.0		$0	$255,713	$40,113	Yes (X)
Colleen Kannaday
Service Area President	26.0	14.0	Yes (X)	$247,066	$0	$43,043
James Nevin Jr MD
Assoc Chief Medical Officer	38.0	2.0		$194,745	$0	$26,506	Yes (X)
Todd Kettering
Dir Medical Education	40.0	0.0		$141,671	$0	$23,205			Yes (X)
John Hesse
VP, Business Development	40.0	0.0		$100,058	$0	$16,328			Yes (X)
Jon Stewart
Director	1.0	6.0		$0	$30,000	$0		Yes (X)
Karl Appelquist
Chair of Board	1.0	6.0	Yes (X)	$0	$0	$0		Yes (X)
Paul Tucker PhD
Vice Chair of Board	1.0	6.0	Yes (X)	$0	$0	$0		Yes (X)
Mark Czys
Director	0.3	5.0		$0	$0	$0		Yes (X)
Guy Hall
Director	1.0	5.0		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$683,540	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,318,765	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,594,879	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	6	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Field	Value	IRS element (for citing)
Person	NONE	PersonNm

Field	Value	IRS element (for citing)
Contractor Address		ContractorAddress

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$21,436,583	RelatedOrganizationsAmt
Government Grants	$3,896	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Noncash Contributions	$21,384,884	NoncashContributionsAmt
Total Contributions	$21,440,479	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICE REVENUE	Desc
Business	621110	BusinessCd
Total Revenue Column	$83,575,216	TotalRevenueColumnAmt
Related Or Exempt Func Income	$83,575,216	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$83,575,216	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$6,753	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$6,753	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,753	TotalRevenueColumnAmt
Exclusion	$6,753	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$900	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$900	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$900	TotalRevenueColumnAmt
Exclusion	$900	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MANAGEMENT FEE REVENUE	900099	$2,206,321	$234,137	$1,972,184
PHARMACY INCOME	446110	$497,277		$497,277
THRIFT SHOP INCOME	453310	$268,624	$268,624

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$798,530	TotalRevenueColumnAmt
Related Or Exempt Func Income	$713,229	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$85,301	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,770,752	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$108,794,100	TotalRevenueColumnAmt
Related Or Exempt Func Income	$84,791,206	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,554,762	UnrelatedBusinessRevenueAmt
Exclusion	$7,653	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$71,065	TotalAmt
Program Services	$71,065	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$517,767	TotalAmt
Program Services	$517,767	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$35,791,629	TotalAmt
Program Services	$28,629,642	ProgramServicesAmt
Management And General	$7,161,987	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,805,338	TotalAmt
Program Services	$1,416,193	ProgramServicesAmt
Management And General	$389,145	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,005,475	TotalAmt
Program Services	$3,132,075	ProgramServicesAmt
Management And General	$873,400	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,570,941	TotalAmt
Program Services	$2,106,243	ProgramServicesAmt
Management And General	$464,698	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$30,000	TotalAmt
Management And General	$30,000	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$15,326	TotalAmt
Management And General	$15,326	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,526,726	TotalAmt
Program Services	$3,250,065	ProgramServicesAmt
Management And General	$276,661	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$50,093	TotalAmt
Program Services	$67	ProgramServicesAmt
Management And General	$50,026	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,536,180	TotalAmt
Program Services	$4,807,810	ProgramServicesAmt
Management And General	$728,370	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,121,277	TotalAmt
Program Services	$929,647	ProgramServicesAmt
Management And General	$191,630	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,457,471	TotalAmt
Program Services	$754,816	ProgramServicesAmt
Management And General	$702,655	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$27,136	TotalAmt
Program Services	$19,725	ProgramServicesAmt
Management And General	$7,411	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$28,077	TotalAmt
Program Services	$23,627	ProgramServicesAmt
Management And General	$4,450	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$125	TotalAmt
Program Services	$125	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PATIENT CARE SUPPLIES	$17,039,055	$17,039,055
INTERNAL MANAGEMENT FEES	$8,287,207	$7,179,170	$1,108,037
OTHER TAXES	$3,886,518	$2,869,621	$1,016,897
OTHER PURCHASED SERVICES	$2,975,418	$2,589,270	$386,148

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$38,355	TotalAmt
Program Services	$27,014	ProgramServicesAmt
Management And General	$11,341	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$88,781,179	TotalAmt
Program Services	$75,362,997	ProgramServicesAmt
Management And General	$13,418,182	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$58,077	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$11,876,784	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	$0	BOYAmt
EOY	$102,249	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$3,712,757	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,024,856	EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

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

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$12,640,741	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$29,415,464	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$10,426,630	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

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	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$64,861	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$10,491,491	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	$0	BOYAmt
EOY	$18,923,973	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$18,923,973	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$29,415,464	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$20,012,921	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$1,088,948	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
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	$15,326	OtherActivitiesAmt
Total Lobbying Expenditures	$15,326	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART IV	FormAndLineReferenceDesc
Explanation	$15,326 - PORTION OF MEMBERSHIP DUES, INCLUDING FOR ILLINOIS HOSPITAL ASSOCIATION, ATTRIBUTABLE TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp
Land		LandGrp
Buildings		BuildingsGrp
Leasehold Improvements		LeaseholdImprovementsGrp
Equipment		EquipmentGrp
Other Land Buildings		OtherLandBuildingsGrp

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	BLUE CROSS PPO RECEIVABLE	Desc
Book Value	$12,640,741	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$12,640,741	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	ACCOUNTS PAYABLE - MEDICARE	Desc
Amt	$64,861	Amt

Field	Value	IRS element (for citing)
Total Liability	$64,861	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART X, LINE 2	FormAndLineReferenceDesc
Explanation	FIN48 ASC740 FOOTNOTE THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION THERESHOLD 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, 2020 AND 2019.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$394,465	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$394,465	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,248,299	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,523,110	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,725,189	NetCommunityBenefitExpnsAmt
Total Expense	0.01980	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,642,764	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,523,110	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,119,654	NetCommunityBenefitExpnsAmt
Total Expense	0.02430	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,278,237	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,278,237	NetCommunityBenefitExpnsAmt
Total Expense	0.01470	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$646,376	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$90,002	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$556,374	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,633,971	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,633,971	NetCommunityBenefitExpnsAmt
Total Expense	0.04180	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$118,401	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$118,401	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,676,985	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$90,002	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,586,983	NetCommunityBenefitExpnsAmt
Total Expense	0.06430	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,319,749	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,613,112	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,706,637	NetCommunityBenefitExpnsAmt
Total Expense	0.08860	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,339	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,339	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,868	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,868	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,225	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,225	NetCommunityBenefitExpnsAmt

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,635	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$90,635	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$115,067	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$115,067	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,856,973	BadDebtExpenseAmt
Bad Debt Expense Attributable	$928,487	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$20,794,469	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$24,705,346	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,910,877	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 BROMENN MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1304 FRANKLIN AVENUE	AddressLine1Txt
City	NORMAL	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61761	ZIPCd

Field	Value	IRS element (for citing)
Website Address	SEE PART V, SECTION C	WebsiteAddressTxt
State License	0006189	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CARLE BROMENN MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	Yes (true)	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	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://CARLE.ORG/CHNA	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	20	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://CARLE.ORG/CHNA	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.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V, Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V, Section C	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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, SECTION A, LINE 1	https://carle.org/locations/carle-bromenn-medical-center COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 2) EFFECTIVE JULY 1, 2020, THE FOUNDATION COMPLETED AN ASSET PURCHASE TRANSACTION WITH ADVOCATEAURORA HEALTH COMPRISING ESSENTIALLY ALL OF THE ASSETS OF BROMENN MEDICAL CENTER. CARLE BROMENN MEDICAL CENTER IS A NEWLY FORMED ENTITY WITH A NEW HOSPITAL LICENSE. FOR TRANSPARENCY, THE HOSPITAL IS PROVIDING INFORMATION ON THE CHNA CONDUCTED UNDER THE PRIOR LEGAL ENTITY AND HOSPITAL LICENSE.
COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 5)	ADVOCATE BROMENN MEDICAL CENTER (CARLE BROMENN MEDICAL CENTER AS OF JULY 1, 2020), CHESTNUT HEALTH SYSTEMS (A FEDERALLY QUALIFIED HEALTH CENTER), THE MCLEAN COUNTY HEALTH DEPARTMENT AND OSF ST. JOSEPH MEDICAL CENTER COLLABORATED WITH REPRESENTATIVES FROM 39 OTHER ORGANIZATIONS ON THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL TO CONDUCT A JOINT 2019 MCLEAN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ADOPT A JOINT 2020-2022 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). PARTICIPANTS INCLUDED A BROAD CROSS-SECTOR OF REPRESENTATIVES FROM 39 ORGANIZATIONS INCLUDING HEALTHCARE, COUNTY AND CITY GOVERNMENT, PUBLIC HEALTH, SOCIAL SERVICES, HOUSING, EDUCATION, FAITH AND OTHERS. ELEVEN OF THESE ORGANIZATIONS ARE SOCIAL SERVICES ORGANIZATIONS REPRESENTING THE UNDERSERVED, INCLUDING THE BABY FOLD, BLOOMINGTON NORMAL GIRLS AND BOYS CLUB, CHILDREN'S HOME AND AID, EAST CENTRAL ILLINOIS AREA AGENCY ON AGING, HEARTLAND HEAD START, HOME SWEET HOME MINISTRIES (HOMELESS), MARCFIRST SPICE, MCLEAN COUNTY CENTER FOR HUMAN SERVICES, MID CENTRAL COMMUNITY ACTION, PROJECT OZ (YOUTH) AND UNITED WAY OF MCLEAN COUNTY. THERE WERE ALSO REPRESENTATIVES FROM TWO HEALTH CARE CLINICS-CHESTNUT HEALTH SYSTEMS AND THE COMMUNITY HEALTH CARE CLINIC-SERVING LOW-INCOME AND UNDERSERVED RESIDENTS OF MCLEAN COUNTY. CONDUCTING A JOINT CHNA IS POSSIBLE AS ALL FOUR ENTITIES DEFINE THEIR SERVICE AREA AS MCLEAN COUNTY. THE PROCESS OF COLLECTING AND ANALYZING DATA AND PRIORITIZING SIGNIFICANT NEEDS WAS OVERSEEN BY AN EXECUTIVE STEERING COMMITTEE OF THE COUNCIL COMPRISED OF ONE REPRESENTATIVE FROM BOTH HOSPITALS, CHESTNUT HEALTH SYSTEMS AND THE MCLEAN COUNTY HEALTH DEPARTMENT. IN THE FALL/WINTER OF 2018-2019, THE COMMITTEE ANALYZED DATA FROM A VARIETY OF SOURCES, INCLUDING EXISTING SECONDARY DATA SOURCES AND PRIMARY DATA FROM A SURVEY ADMINISTERED TO MCLEAN COUNTY RESIDENTS IN JULY-SEPTEMBER 2018. OF THE 675 RESIDENTS THAT RESPONDED, 102 WERE FROM THE LOW-INCOME POPULATION. THE EXECUTIVE STEERING COMMITTEE IDENTIFIED THE SIGNIFICANT HEALTH NEEDS TO PRESENT TO THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL FOR PRIORITIZATION BY UTILIZING THE FOLLOWING CRITERIA: SIZE OF ISSUE, RATES WORSE THAN OTHER COUNTIES IN ILLINOIS OR THE STATE RATE; DISPARITIES BY RACE/ETHNICITY, AGE, GENDER OR ZIP CODE; AND DOES NOT MEET THE HEALTHY PEOPLE 2020 TARGET. THE SIX SIGNIFICANT HEALTH NEEDS IDENTIFIED BY THE EXECUTIVE STEERING COMMITTEE FOR PRIORITIZATION BY THE COUNCIL WERE ACCESS TO CARE; BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE); HEALTHY EATING AND ACTIVE LIVING (EXERCISE, NUTRITION, OBESITY, FOOD ACCESS/INSECURITY); HEART DISEASE; ORAL HEALTH; AND RESPIRATORY DISEASE. THE EXECUTIVE STEERING COMMITTEE FACILITATED THREE MEETINGS OF THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL FROM JANUARY THROUGH FEBRUARY 2019. THE PURPOSE OF THE MEETINGS WAS TO REVIEW OUTCOMES FROM THE MCLEAN COUNTY 2017-2019 CHIP, TO PRESENT DATA FOR THE SIX SIGNIFICANT HEALTH NEEDS IDENTIFIED BY THE EXECUTIVE STEERING COMMITTEE AND TO PRIORITIZE THE NEEDS, USING THE HANLON METHOD, IN ORDER TO SELECT THE THREE SIGNIFICANT HEALTH NEEDS FOR THE 2019 MCLEAN COUNTY CHNA AND THE 2020-2022 MCLEAN COUNTY CHIP. THE ADVOCATE BROMENN MEDICAL CENTER - EUREKA HOSPITAL GOVERNING COUNCIL (CARLE BROMENN MEDICAL CENTER -EUREKA HOSPITAL GOVERNING COUNCIL AS OF JULY 1, 2020) APPROVED THE 2019 MCLEAN COUNTY CHNA REPORT ON JULY 23, 2019, FOLLOWED BY APPROVAL OF THE 2020-2022 MCLEAN COUNTY CHIP ON JANUARY 28, 2020. THE MCLEAN COUNTY 2019 CHNA WAS POSTED IN AUGUST 2019 AND INCLUDED A MECHANISM FOR THE COMMUNITY TO PROVIDE FEEDBACK EITHER BY A FORM OR VIA EMAIL. POSTING OF THE MCLEAN COUNTY 2020-2022 CHIP OCCURRED IN FEBRUARY 2020. AS OF DECEMBER 31, 2020, THERE WAS NO ADDITIONAL FEEDBACK FROM THE COMMUNITY RELATED TO THE 2019 MCLEAN COUNTY CHNA, THE 2020-2022 MCLEAN COUNTY CHIP, OR THE PREVIOUS 2016 MCLEAN COUNTY CHNA OR THE 2017-2019 MCLEAN COUNTY CHIP.
COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 6A)	OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER, BLOOMINGTON, ILLINOIS
COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 6B)	CHESTNUT HEALTH SYSTEMS, CHESTNUT FAMILY HEALTH CENTER, BLOOMINGTON, ILLINOIS, AND MCLEAN COUNTY HEALTH DEPARTMENT, BLOOMINGTON, ILLINOIS
COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 7A)	https://carle.org/chna
COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 7B)	MCLEAN COUNTY HEALTH DEPARTMENT: http://health.mcleancountyil.gov OSF ST JOSEPH MEDICAL CENTER: http://www.osfhealthcare.org/st-joseph/ CHESTNUT HEALTH SYSTEMS: https://www.chestnutfamilyhealth.org/about-us/data-reports/
COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 7D)	AN OVERVIEW OF THE PROCESS AND RESULTS OF THE 2019 MCLEAN COUNTY CHNA WERE GIVEN TO THE JOHN M. SCOTT HEALTH COMMISSION, CITY OF BLOOMINGTON PLANNING COMMISSION, MCLEAN COUNTY BOARD OF HEALTH, CHESTNUT HEALTH SYSTEMS BOARD OF DIRECTORS, ADVOCATE BROMENN DELEGATE CHURCH ASSOCIATION (CARLE BROMENN AND EUREKA DELEGATE CHURCH ASSOCIATION AS OF JULY 1, 2020), ADVOCATE BROMENN-EUREKA GOVERNING COUNCIL (CARLE BROMENN-EUREKA GOVERNING COUNCIL AS OF JULY 1, 2020); OSF HEALTHCARE SYSTEMS BOARD OF DIRECTORS AND ADVOCATE BROMENN NURSING LEADERSHIP.
COMMUNITY HEALTH NEEDS ASSESSMENT (PART V, SECT B, LINE 11)	2017-2019 CHNA THE 2020-2022 MCLEAN COUNTY CHIP IS A JOINT PLAN FOR THE ENTIRE COUNTY AND CONSISTS OF INTERVENTIONS AND RESOURCES TO BE PROVIDED BY THE HOSPITALS, HEALTH DEPARTMENT, FAMILY HEALTH CENTER AND NUMEROUS SOCIAL SERVICE OR OTHER COMMUNITY ORGANIZATIONS. PRIORITY ACTION TEAMS MET DURING 2019 AND INTO 2020 TO COORDINATE EFFORTS. ADVOCATE BROMENN TRANSITION CARLE HEALTH ACQUIRED ADVOCATE BROMENN MEDICAL CENTER ON JULY 1, 2020. THE IMPLEMENTATION PLAN EFFORTS FOR EACH HEALTH NEED BELOW REFERS TO THE TIME OF JULY 1 - DECEMBER 31, 2020, WHEN CARLE BROMENN MEDICAL CENTER WAS A PART OF CARLE HEALTH. COVID-19 ON MARCH 9, 2020, GOVERNOR JB PRITZKER DECLARED ALL COUNTIES IN THE STATE OF ILLINOIS AS A DISASTER AREA IN RESPONSE TO THE OUTBREAK OF COVID-19. A STAY-AT-HOME ORDER WAS ISSUED ON MARCH 21, 2020 AND EXTENDED ON APRIL 30, 2020. ALTHOUGH EFFORTS WERE MADE TO CONTINUE WITH AS MANY IMPLEMENTATION PLAN INTERVENTIONS AS POSSIBLE IN 2020, COVID-19 AFFECTED THE IMPLEMENTATION STRATEGIES AND INTERVENTIONS OUTLINED IN THE 2020-2022 MCLEAN COUNTY CHIP. HEALTH NEEDS SELECTED ACCESS TO CARE WAS SELECTED AS A SIGNIFICANT HEALTH NEED TO ADDRESS GIVEN THERE ARE SIGNIFICANT GEOGRAPHIC AND RACIAL/ETHNIC DISPARITIES IN MCLEAN COUNTY THAT MAY BE RELATED TO ACCESS TO CARE, AND IMPROVING ACCESS IN CERTAIN AREAS AND FOR CERTAIN POPULATIONS CAN HAVE A WIDESPREAD IMPACT ON A VARIETY OF HEALTH OUTCOMES RANGING FROM ORAL HEALTH TO RESPIRATORY DISEASE. HIGHLIGHTS FOR STEPS TAKEN FROM JULY 1 - DECEMBER 31, 2020, AS A PART OF THE 2020-2022 MCLEAN COUNTY CHIP TO ADDRESS ACCESS TO CARE ARE AS FOLLOWS: CARLE BROMENN MEDICAL CENTER AND OSF ST. JOSEPH MEDICAL CENTER COLLABORATED WITH THE COMMUNITY HEALTH CARE CLINIC FOR COORDINATING APPROPRIATE ACCESS TO COMPREHENSIVE CARE (CAATCH). CAATCH IS AN EMERGENCY ROOM NAVIGATION PROGRAM FOR NAVIGATORS AND/OR CARE COORDINATORS TO ENGAGE THOSE WITHOUT A PRIMARY CARE HOME. FROM JULY 1 - DECEMBER 31, 2020, THERE WERE 137 CAATCH REFERRALS. OUTCOMES FOR 2020 INCLUDE 353 PATIENTS SERVED, A ZERO PERCENT 30-DAY HOSPITAL READMISSION RATE FOR CAATCH PATIENTS, AN 80% REDUCTION IN EMERGENCY DEPARTMENT VISITS POST INVOLVEMENT IN CAATCH AND A $2,119,500 YEARLY ESTIMATED COST SAVINGS. CARLE BROMENN MEDICAL CENTER CONTINUED LEADING THE MONTHLY LGBTQ+ ADVISORY COUNCIL MEETINGS, WHICH BEGAN IN DECEMBER 2019. THE COUNCIL FOSTERS INCREASED ACCESS TO CARE BY GIVING A VOICE TO THE LGBTQ+ COMMUNITY AND ALLIES TO PROVIDE SENSITIVE AND RESPECTFUL CARE. THE HOSPITAL ALSO PAID FOR THREE ADVISORY COUNCIL MEMBERS FROM THE COMMUNITY TO ATTEND THE VIRTUAL MIDWEST LGBTQ+ HEALTH SYMPOSIUM. THE COMMUNITY HEALTH DIRECTOR AND COORDINATOR OF CHURCH RELATIONS FOR CARLE BROMENN MEDICAL CENTER ALSO PARTICIPATED IN THE SYMPOSIUM. IN SEPTEMBER 2020, CARLE HEALTH EXPANDED A DIVERSITY, EQUITY, AND INCLUSION EFFORT BY FORMING FOUR SUBCOMMITTEES COMPRISED OF EMPLOYEES FOR THE VARIOUS CARLE HEALTH LOCATIONS. THE COMMUNITY HEALTH DIRECTOR FOR CARLE BROMENN MEDICAL CENTER WAS A MEMBER OF THE CULTURALLY COMPETENT CARE AND COMMUNITY ENGAGEMENT SUBCOMMITTEE. CARLE BROMENN MEDICAL CENTER CONTINUES TO OFFER TELEPSYCHIATRY CONSULTS TO INCREASE ACCESS TO MENTAL HEALTH SERVICES FOR PATIENTS. FROM JULY 1 - DECEMBER 31, 2020, THERE WERE 528 HOURS OF TELEPSYCHIATRY CONSULTS. IN 2020, APPROXIMATELY 75% OF THE 4,351 VISITS AT THE CARLE BROMENN FAMILY HEALTH CLINIC WERE PROVIDED VIRTUALLY. A MAJORITY OF THE VISITS OCCURRED AFTER THE PANDEMIC BEGAN AND THE CLINIC SWITCHED TO OFFERING VIRTUAL VISITS TO MAINTAIN ACCESS TO CARE FOR PATIENTS. IN OCTOBER 2020, CARLE BROMENN MEDICAL CENTER OPENED A $4.8 MILLION NEWLY RENOVATED SPACE FOR INPATIENT BEHAVIORAL HEALTH. THE HOSPITAL CONTRIBUTED $4.35 MILLION TOWARDS THE RENOVATION WITH THE REST COMING FROM PRIVATE AND CORPORATE DONATIONS. WITH THE NEW SPACE CONFIGURATION, CAPACITY IN THE MENTAL HEALTH AREA INCREASED FROM 13 TO 19 BEDS. THE HOSPITAL IS ACTIVELY RECRUITING PSYCHIATRISTS AND WHEN SUCCESSFUL, WILL UTILIZE THE ADDITIONAL BEDS. THIS WILL INCREASE ACCESS TO SERVICES FOR THE COMMUNITY AS CARLE BROMENN MEDICAL CENTER HAS THE ONLY INPATIENT MENTAL HEALTH UNIT IN MCLEAN COUNTY. THE ADDICTION RECOVERY SERVICE LINE PROVIDES INPATIENT MEDICAL DETOX AS WELL AS OUTPATIENT LEVELS OF TREATMENT. THE OUTPATIENT LEVELS AVAILABLE INCLUDE IN PERSON PARTIAL HOSPITALIZATION, INTENSIVE OUTPATIENT AND CONTINUING CARE SERVICES. ADDITIONALLY, AN ONSITE PSYCHIATRIST AND ADDICTIONOLOGIST PROVIDE CONSULTATION TO THE MEDICAL TEAM FOR INPATIENT DUAL TREATMENT NEEDS. WITH INCREASED VISITOR RESTRICTIONS DUE TO COVID-19 IN 2020, CARLE BROMENN MEDICAL CENTER INITIATED THE USE OF IPADS FOR VIRTUAL VISITS WITH LOVED ONES OF DYING PATIENTS. THE 2020-2022 MCLEAN COUNTY CHIP WAS POSTED IN FEBRUARY 2020. INTERVENTIONS FOR ACCESS TO CARE OUTLINED IN THE PLAN CAN BE VIEWED AT: https://carle.org/chna BEHAVIORAL HEALTH WAS SELECTED AS A SIGNIFICANT HEALTH NEED TO ADDRESS GIVEN THERE ARE NUMEROUS HEALTH DISPARITIES IN BLOOMINGTON ZIP CODE 61701 FOR BOTH MENTAL HEALTH AND SUBSTANCE ABUSE. THERE HAS ALSO BEEN A GREAT DEAL OF PUBLIC SUPPORT AND MOMENTUM BEHIND MENTAL HEALTH AND THE COUNTY IS WELL SITUATED TO CONTINUE TO COLLABORATE ON MENTAL HEALTH DUE TO THE ON-GOING EFFORTS OF NUMEROUS ORGANIZATIONS AND THE MCLEAN COUNTY GOVERNMENT. MENTAL HEALTH HAD ALSO BEEN SELECTED AS A SIGNIFICANT HEALTH NEED FOR THE 2016 MCLEAN COUNTY CHNA GIVING FURTHER MOMENTUM TO THE EFFORTS OF IMPROVING MENTAL HEALTH FOR COUNTY RESIDENTS. HIGHLIGHTS FOR STEPS TAKEN FROM JULY 1 - DECEMBER 31, 2020, AS A PART OF THE 2020-2022 MCLEAN COUNTY CHIP TO ADDRESS BEHAVIORAL HEALTH ARE AS FOLLOWS: THE COMMUNITY HEALTH DIRECTOR FOR CARLE BROMENN MEDICAL CENTER FACILITATED THREE VIRTUAL MEETINGS WITH THE MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN BEHAVIORAL HEALTH PRIORITY ACTION TEAM. APPROXIMATELY THIRTY KEY BEHAVIORAL HEALTH STAKEHOLDERS PARTICIPATED IN EACH OF THE MEETINGS CENTERED ON CREATING A SYSTEM APPROACH TO BEHAVIORAL HEALTH IN MCLEAN COUNTY, ACHIEVING THE GOALS OUTLINED IN THE 2020 - 2022 MCLEAN COUNTY CHIP AND SHARING RESOURCES TO INCREASE COLLABORATION. THE ASSISTANT CLINICAL MANAGER OF MENTAL HEALTH SERVICES FOR CARLE BROMENN MEDICAL CENTER SERVED ON THE MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN BEHAVIORAL HEALTH PRIORITY ACTION TEAM. THE HOSPITAL CONTINUES TO HAVE THE ONLY INPATIENT MENTAL HEALTH UNIT AND THE ONLY HOSPITAL-BASED SUBSTANCE USE PROGRAM IN MCLEAN COUNTY, WHICH ADDRESSES BOTH THE BEHAVIORAL HEALTH AND ACCESS TO CARE SIGNIFICANT HEALTH NEEDS. THE INPATIENT MENTAL HEALTH UNIT AND THE ADDICTION AND RECOVERY UNIT PROVIDE (THE NEWLY REMODELED BEHAVIORAL HEALTH UNIT IS DESCRIBED ABOVE UNDER ACCESS TO CARE) CRITICAL SERVICES TO THOSE ADULTS NEEDING INPATIENT PSYCHIATRIC OR ADDICTION AND RECOVERY SERVICES. THE INPATIENT MENTAL HEALTH UNIT OPERATED AT A LOSS OF $ 1,001,567 AND THE ADDICTION AND RECOVERY UNIT OPERATED AT A LOSS $477,799 FROM JULY 1 - DECEMBER 31, 2020. THE COORDINATOR OF BEHAVIORAL HEALTH, CARLE BROMENN MEDICAL CENTER CHEMICAL DEPENDENCY, SERVED ON THE MCLEAN COUNTY RECOVERY ORIENTED SYSTEM OF CARE COUNCIL. AS A RESULT OF A PARTNERSHIP BETWEEN CARLE WEST PHYSICIAN GROUP (CWPG) BEHAVIORAL HEALTH, TRI-COUNTY SPECIAL EDUCATION ASSOCIATION AND ILLINOIS STATE UNIVERSITY'S PSYCHOLOGICAL SERVICES CENTER, DOCTORAL PSYCHOLOGY INTERNS PROVIDED FOUR DAYS OF INTEGRATED BEHAVIORAL HEALTH SERVICES ACROSS THREE CWPG SETTINGS-CARLE BROMENN OUTPATIENT CENTER - PEDIATRICS, EL PASO FAMILY PRACTICE AND EUREKA FAMILY PRACTICE. SERVICES BEGAN ON OCTOBER 5, 2020. FORTY-THREE PEOPLE WERE SEEN FOR 105 UNIQUE SESSIONS. INTERVENTIONS FOR BEHAVIORAL HEALTH OUTLINED IN THE 2020-2022 MCLEAN COUNTY CHIP CAN BE VIEWED AT: https://carle.org/chna HEALTHY EATING/ACTIVE LIVING WAS SELECTED AS A SIGNIFICANT HEALTH NEED TO BE ADDRESSED GIVEN THAT BY FOCUSING ON HEALTHY EATING/ACTIVE LIVING, MANY OTHER HEALTH OUTCOMES RELATED TO HEART DISEASE, CANCER, AND DIABETES, MAY ALSO BE POSITIVELY IMPACTED. IT WAS ALSO SELECTED BECAUSE OBESITY IS A WIDESPREAD ISSUE AFFECTING SO MANY PEOPLE AND IT DOES NOT DISCRIMINATE. FOOD INSECURITY AND FOOD ACCESS ARE ALSO AREAS NEEDING IMPROVEMENT IN MCLEAN COUNTY. HIGHLIGHTS FOR STEPS TAKEN FROM JULY 1 - DECEMBER 31, 2020, AS A PART OF THE 2020-2022 MCLEAN COUNTY CHIP, TO ADDRESS HEALTHY EATING/ACTIVE LIVING ARE AS FOLLOWS: THE PARTNERSHIP FOR HEALTH PILOT PROGRAM, WHICH BEGAN IN APRIL 2017, CONTINUED IN 2020. THE PROGRAM IS A PRIVATE-PUBLIC PARTNERSHIP TO IMPROVE THE HEALTH AND FITNESS OF PEOPLE WITH DEVELOPMENTAL AND INTELLECTUAL DISABILITIES AND THEIR SUPPORT WORKERS. PARTNERS INCLUDE CARLE HEALTH AND FITNESS CENTER, MARCFIRST, CARLE BROMENN MEDICAL CENTER, CARLE CENTER FOR PHILANTHROPY, THE MCLEAN COUNTY HEALTH DEPARTMENT AND THE MCLEAN COUNTY BOARD FOR THE CARE AND TREATMENT OF PERSONS WITH A DEVELOPMENTAL DISABILITY (377 BOARD). FROM JULY 1 - DECEMBER 31, 2020, FIFTY-ONE PEOPLE PARTICIPATED IN THE PROGRAM. WITH THE ONSET OF COVID-19, SERVICES WERE CONTINUED VIRTUA

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MEDICAL OFFICE CENTER 1
1302 FRANKLIN AVE	NORMAL	IL	61704	RURAL HEALTH CLINIC
CARLE BROMENN OUTPATIENT CENTER
3024 E EMPIRE ST	NORMAL	IL	61704	RURAL HEALTH CLINIC
MEDICAL OFFICE CENTER 2
1300 FRANKLIN AVE	NORMAL	IL	61761	RURAL HEALTH CLINIC
ADULT DAY CARE AND ENT CLINIC
207 LANDMARK DRIVE	NORMAL	IL	61704	RURAL HEALTH CLINIC
COMMUNITY HEALTH CARE CLINIC
900 FRANKLIN AVE	NORMAL	IL	61761	RURAL HEALTH CLINIC
CARLE EL PASO CLINIC
385 S ORANGE ST	EL PASO	IL	61738	RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

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FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA (PART I, LINE 3C)	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 CARLE'S FINANCIAL ASSISTANCE PROGRAM, ROBUST PRESUMPTIVE ELIGIBILITY PROCESSES ARE IN PLACE. CARLE HAS PARTNERED WITH EXPERIAN INFORMATION SOLUTIONS, INC. TO HELP 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, CARLE PRESUMES ELIGIBILITY FOR PATIENTS WHO ARE VERIFIED HOMELESS, DECEASED WITH NO ESTATE, MENTALLY INCAPACITATED, ELIGIBLE FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) OR WOMEN, INFANTS, AND CHILDREN NUTRITION PROGRAM (WIC), TOWNSHIP ASSISTANCE, LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM OR COVERED BY ILLINOIS MEDICAID. EXPLANATION OF COSTING METHODOLOGY (PART I, LINE 7 AND PART III, LINE 2) 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 BE RECORDED WITHIN BAD DEBTS.
COMMUNITY BUILDING ACTIVITIES (PART VI AND PART II)	ALTHOUGH COMMUNITY-BUILDING ITEMS ARE NOT COUNTED AS COMMUNITY BENEFIT, THIS SUPPORT IS AN IMPORTANT ASPECT OF CONTRIBUTING TO THE ECONOMIC VIABILITY OF THE COMMUNITY. IN TOTAL, CARLE BROMENN MEDICAL CENTER CONTRIBUTED MORE THAN $24,000 IN COMMUNITY BUILDING ACTIVITIES FROM JULY 1 -DECEMBER 31, 2020. THE CONTRIBUTIONS ARE OUTLINED BELOW. ECONOMIC DEVELOPMENT: A PORTION OF CARLE BROMENN MEDICAL CENTER'S COMMUNITY-BUILDING ACTIVITIES FOCUSED ON ECONOMIC DEVELOPMENT CASH DONATIONS AND IN-KIND DONATIONS. THE HOSPITAL GAVE THE BLOOMINGTON-NORMAL ECONOMIC DEVELOPMENT COUNCIL A $15,000 CASH DONATION IN OCTOBER 2020. LEADERSHIP ALSO PROVIDED IN-KIND SUPPORT BY SERVING ON BOARDS FOR THE MCLEAN COUNTY CHAMBER OF COMMERCE AND THE BLOOMINGTON-NORMAL ECONOMIC DEVELOPMENT COUNCIL. DISASTER READINESS: CARLE BROMENN MEDICAL CENTER, LIKE MANY OTHER HEALTH ORGANIZATIONS ACROSS THE COUNTRY, FOCUSED EFFORTS AND RESOURCES TO SERVE ITS COMMUNITY AGAINST THE COVID-19 PANDEMIC. WHILE IT IS CHALLENGING TO EQUATE THE NUMEROUS HOURS LEADERS AND STAFF SPENT PREPARING, COMMUNICATING ABOUT AND TREATING COVID-19, CARLE HEALTH CONSERVATIVELY REPORTED ONLY A VERY SMALL NUMBER OF PUBLIC INFORMATION ITEMS- IN WHICH CARLE BROMENN MEDICAL CENTER STAFF WORKED TO EDUCATE THE COMMUNITY ON COVID-19, WITH NO EXPECTATION OF ANY BUSINESS IN RETURN. WORKFORCE DEVELOPMENT: A MEMBER OF CARLE BROMENN MEDICAL CENTER'S EXECUTIVE LEADERSHIP TEAM SERVED ON UNITED WAY'S WORKFORCE DEVELOPMENT COALITION FROM JULY 1 - DECEMBER 31, 2020. THE COALITION DEVELOPED WORKFORCE 180, WHICH IS A COMMUNITY SOLUTION THAT BRINGS TRUSTED COMMUNITY LEADERS, EMPLOYERS AND SOCIAL SERVICES TOGETHER TO MAP OUT A CAREER PATHWAY FOR YOUNG ADULTS FOR SUSTAINED EMPLOYMENT AND INCOME.
BAD DEBT, MEDICARE, & COLLECTION PRACTICES (PART III, LINE 3)	CARLE BROMENN MEDICAL CENTER USES 50% AS A GENERAL ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
BAD DEBT FOOTNOTE (PART III, LINE 4)	THE FOOTNOTES PERTAINING TO BAD DEBT EXPENSE CAN BE FOUND ON PAGE 28 OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENTS.
EXPLANATION OF MEDICARE COST REPORT COSTING METHODOLOGY (PART III, LINE 8)	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 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, MANAGEMENT BELIEVES THIS IS A COMMUNITY BENEFIT BECAUSE, AS A HOSPITAL, CARLE IS STEPPING UP TO CARRY THE BURDEN OF THE GOVERNMENT, ASSURING CARE TO SENIORS, AND THOSE WITHIN LESS FORTUNATE DEMOGRAPHICS THAT HAVE EXPERIENCED INCREASING COSTS OVER THE PAST DECADE WHILE LIVING ON FIXED INCOMES.
COLLECTION PRACTICES (PART III, LINE 9B)	THE CARLE FINANCIAL ASSISTANCE PROGRAM (CFAP) PROVIDES DISCOUNTED OR FREE CARE TO THOSE WHO NEED IT WITHIN THE CARLE HEALTH SYSTEM, INCLUDING CARLE BROMENN MEDICAL CENTER. NOT ONLY DOES THIS RESULT IN A MORE TIMELY APPLICATION PROCESS, BUT MOST IMPORTANTLY, IT MEANS PATIENTS RECEIVE THE SAME DISCOUNT AT THE HOSPITAL AND CLINICS IF THEY MIGHT NEED AN ADDITIONAL SPECIALTY OR HIGHER ACUITY HOSPITAL CARE AT THE CARLE FOUNDATION HOSPITAL IN URBANA, ILLINOIS. WITH THIS PROGRAM, CARLE BROMENN MEDICAL CENTER HAS A ROBUST PRESUMPTIVE ELIGIBILITY PROCESS. CARLE PRESUMES 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, CARLE UTILIZES 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 THAT INDIVIDUAL'S RESPONSIBILITY TO PAY. FOR PATIENTS WHO DO NOT QUALIFY FOR CARLE FINANCIAL ASSISTANCE AND WHO MAY BE UNINSURED OR UNDERINSURED, CARLE BROMENN MEDICAL CENTER HAS OTHER DISCOUNT OPTIONS AVAILABLE, SUCH AS PROMPT PAY, ILLINOIS UNINSURED DISCOUNT, AND CAPPED DISCOUNT - WHERE PATIENTS' 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, MANAGEMENT MAKES EVERY ATTEMPT TO WORK WITH PATIENTS AND SET UP PAYMENT ARRANGEMENTS ON THE REMAINING BALANCES 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 PAYMENTS ON THE BALANCE DUE, THEN THAT BALANCE MAY BE LISTED WITH AN OUTSIDE COLLECTION AGENCY. WHEN THE ACCOUNT IS STILL IN-HOUSE, THE MINIMUM NOTIFICATION IS MONTHLY ITEMIZED STATEMENTS. IF A PATIENT DOES NOT RESPOND, THE ACCOUNT IS GIVEN A FINAL NOTICE, EITHER BY LETTER OR PHONE, AND SENT TO AN OUTSIDE COLLECTION AGENCY. CARLE BROMENN MEDICAL CENTER WILL NOT FILE COLLECTION SUIT LIENS ON A PRIMARY RESIDENCE, NOR DOES CARLE AUTHORIZE AN AGENCY TO USE SO-CALLED "BODY ATTACHMENTS." THE CONTRACTED 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 DETERMINE IF HELP IS AVAILABLE. IF STAFF DETERMINES THE PATIENT MIGHT QUALIFY, CARLE SENDS THE PATIENT A CFAP APPLICATION AND INSTRUCTS 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 VI, LINE 2	NEEDS ASSESSMENT CARLE BROMENN MEDICAL CENTER USES EXISTING DATA, INFORMAL DISCUSSIONS, AND A COMPREHENSIVE QUALITATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO DETERMINE IF EXISTING PROGRAMS ARE ON TRACK; WHAT NEEDS TO BE ADDED, DELETED OR ENHANCED; AND WHERE CARLE'S FOCUS NEEDEDS TO BE PLACED IN THE FUTURE. THE CHNA INCLUDES DISCUSSIONS WITH COMMUNITY LEADERS, INCLUDING HUMAN SERVICE AGENCY ADMINISTRATORS, PUBLIC HEALTH REPRESENTATIVES AND HOSPITAL LEADERSHIP.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION FOR ELIGIBILITY FOR ASSISTANCE THE PRACTICE OF CARLE BROMENN MEDICAL CENTER IS TO REVIEW EACH PATIENT'S FINANCIAL STATUS IN RELATION TO CARLE'S FINANCIAL ASSISTANCE PROGRAM AND THE CRITERIA OF THE UNINSURED PATIENT DISCOUNT ACT, AND TO PROVIDE THE PATIENT WITH THE DEEPEST ELIGIBLE DISCOUNT. BY EXPANDING THE PRESUMPTIVE ELIGIBILITY SCREENING PROCESSES AND DETERMINING THE FINANCIAL STATUS OF PATIENTS UP-FRONT, CARLE HAS BEEN ABLE TO PINPOINT THOSE NEEDING ASSISTANCE EARLY IN THE PROCESS, MINIMIZING BAD DEBT AND OPTIMIZING THE 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 CARLE AUTO-QUALIFIES CERTAIN PATIENT POPULATIONS FOR CARLE'S 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. CARLE BROMENN MEDICAL CENTER HAS MADE A CONCERTED, CONTINUOUS EFFORT TO BE SURE PEOPLE HAVE ACCESS TO INFORMATION THAT WILL HELP THEM WITH THEIR MEDICAL BILLS. THESE EFFORTS INCLUDE: - ADVERTISING THE CARLE FINANCIAL ASSISTANCE PROGRAM, USING PRINT, BILLBOARDS AND WEB; CONTINUED PRESENCE IN APPROPRIATE COMMUNITY PUBLICATIONS; AND ON-SITE VIA DISPLAYS THROUGHOUT THE HOSPITAL AND CLINICS - SIMPLIFIED APPLICATION FORM, INCLUDING A VERSION IN SPANISH, THAT CONTAINS INFORMATION REGARDING THE CARLE FINANCIAL ASSISTANCE PROGRAM - PUBLICATION OF A PLAIN LANGUAGE SUMMARY AND ALL OTHER FINANCIAL ASSISTANCE RELATED INFORMATION ON CARLE.ORG/BILLING/FINANCIAL-ASSISTANCE - INFORMATION ABOUT THE CARLE FINANCIAL ASSISTANCE PROGRAM ON ALL STATEMENTS, COLLECTION LETTERS AND HOSPITAL ADMISSION PACKETS - CARLE FINANCIAL ASSISTANCE PROGRAM INFORMATION AND APPLICATIONS AT ALL REGISTRATION POINTS, HOSPITAL MAIN LOBBY AND CARLE.ORG - MEETINGS WITH LOCAL LEGISLATORS TO HELP THEM ASSIST CONSTITUENTS WITH HEALTHCARE NEEDS, INCLUDING FINANCIAL ASSISTANCE
SCHEDULE H, PART VI, LINE 4	DESCRIPTION OF THE COMMUNITY/POPULATION THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL DEFINED THE COMMUNITY AS MCLEAN COUNTY, THE PRIMARY SERVICE AREA FOR ADVOCATE BROMENN, THE MCLEAN COUNTY HEALTH DEPARTMENT, OSF ST. JOSEPH MEDICAL CENTER AND CHESTNUT FAMILY HEALTH CENTER. THIS AREA INCLUDES THE FOLLOWING CITIES AND TOWNS: ANCHOR, ARROWSMITH, BELLFLOWER, BLOOMINGTON, CARLOCK, CHENOA, COLFAX, COOKSVILLE, DANVERS, DOWNS, ELLSWORTH, GRIDLEY, HEYWORTH, HUDSON, LE ROY, LEXINGTON, MCLEAN, MERNA, NORMAL, SAYBROOK, STANFORD AND TOWANDA. THE THEN TOTAL POPULATION OF MCLEAN COUNTY WAS 172,052 WITH BLOOMINGTON HAVING THE LARGEST POPULATION IN THE COUNTY WITH 78,368 AND NORMAL THE SECOND LARGEST POPULATION WITH 54,534. THE POPULATION IN MCLEAN COUNTY INCREASED BY 1.46 PERCENT FROM 2010 TO 2019 (CONDUENT HEALTHY COMMUNITIES INSTITUTE, 2019). SOCIAL DETERMINANTS OF HEALTH (SDOH) THE SOCIONEEDS INDEX IS A CONDUENT HEALTHY COMMUNITIES INSTITUTE TOOL THAT IS A MEASURE OF SOCIOECONOMIC NEED, WHICH IS CORRELATED WITH POOR HEALTH OUTCOMES. THE INDEX IS CALCULATED FROM SIX INDICATORS, ONE EACH FROM THE FOLLOWING TOPICS: POVERTY, INCOME, UNEMPLOYMENT, OCCUPATION, EDUCATION AND LANGUAGE. THE INDICATORS ARE WEIGHTED TO MAXIMIZE THE CORRELATION OF THE INDEX WITH PREMATURE DEATH RATES AND PREVENTABLE HOSPITALIZATION RATES. ALL ZIP CODES, COUNTIES AND COUNTY EQUIVALENTS IN THE U.S. ARE GIVEN AN INDEX VALUE FROM ZERO (LOW NEED) TO 100 (HIGH NEED). TO HELP IDENTIFY THE AREAS OF HIGHEST NEED WITHIN A DEFINED GEOGRAPHIC AREA, THE SELECTED ZIP CODES ARE RANKED FROM 1 (LOW NEED) TO 5 (HIGH NEED) BASED ON THEIR INDEX VALUE. THESE VALUES ARE SORTED FROM LOW TO HIGH AND DIVIDED INTO FIVE RANKS USING NATURAL BREAKS. MCLEAN COUNTY HAS SEVERAL COMMUNITIES THAT HAVE GREATER SOCIOECONOMIC NEEDS COMPARED TO OTHER COMMUNITIES IN THE COUNTY. ONE ZIP CODE WITH A RANKING OF 5, BLOOMINGTON 61701, AND EIGHT ZIP CODES WITH A RANKING OF 4, REPRESENT THE AREAS WITH THE HIGHEST SOCIOECONOMIC NEED IN MCLEAN COUNTY. THE EIGHT COMMUNITIES WITH A RANKING OF 4 ARE NORMAL, COLFAX, FUNKS GROVE/MCLEAN, SAYBROOK, STANFORD, BELLFLOWER AND COOKSVILLE. DEMOGRAPHICS THE MEDIAN AGE IN MCLEAN COUNTY IS 33.7 YEARS OF AGE, WHICH IS LESS THAN THE MEDIAN AGE IN ILLINOIS AT 38.5. TWENTY-TWO PERCENT OF PERSONS IN MCLEAN COUNTY ARE LESS THAN 18 YEARS OF AGE AND 24 PERCENT ARE 45 TO 64 YEARS OF AGE. THIRTEEN PERCENT OF PERSONS ARE OVER THE AGE OF 65. FORTY-NINE PERCENT OF THE POPULATION IN MCLEAN COUNTY IS MALE AND 51 PERCENT IS FEMALE. THE RACE/ETHNICITY OF THE COUNTY'S POPULATION IS 81.7 PERCENT WHITE, 7.7 PERCENT BLACK OR AFRICAN AMERICAN, 5.8 PERCENT ASIAN, 5.1 PERCENT HISPANIC OR LATINO, 0.25 PERCENT AMERICAN INDIAN AND ALASKA NATIVE, AND .05 PERCENT NATIVE HAWAIIAN OR PACIFIC ISLANDER. THERE ARE 66,336 HOUSEHOLDS IN MCLEAN COUNTY. THE AVERAGE HOUSEHOLD SIZE IS 2.43. APPROXIMATELY 25 PERCENT OF THE HOUSEHOLDS IN MCLEAN COUNTY ARE SINGLE PARENT HOUSEHOLDS COMPARED TO 32.4 PERCENT FOR ILLINOIS (CONDUENT HEALTHY COMMUNITIES INSTITUTE, 2019). THE MEDIAN HOUSEHOLD INCOME FOR MCLEAN COUNTY IS $67,065. THIS IS HIGHER THAN THE MEDIAN HOUSEHOLD INCOME FOR ILLINOIS OF $66,487. IN MCLEAN COUNTY, THE PERCENT OF PEOPLE LIVING BELOW THE FEDERAL POVERTY LINE (FPL) IS 14.5 PERCENT. WITHIN MCLEAN COUNTY, THE MEDIAN HOUSEHOLD INCOME VARIES WITH NATIVE HAWAIIAN/PACIFIC ISLANDERS HAVING THE HIGHEST MEDIAN HOUSEHOLD INCOME OF $114,583 AND BLACKS/AFRICAN AMERICANS HAVING THE LOWEST AT $34,463. HOWEVER, NATIVE HAWAIIAN/PACIFIC ISLANDERS REPRESENT ONLY .05 PERCENT OF THE POPULATION IN MCLEAN COUNTY. THEREFORE, SMALL CHANGES CAN GREATLY AFFECT THE DATA. THE PERCENTAGE OF THE CIVILIAN LABOR FORCE AGES 16 YEARS AND OVER THAT IS UNEMPLOYED IN MCLEAN COUNTY IS 3.73 PERCENT, LOWER THAN ILLINOIS AT 6.7 PERCENT. THE THREE COMMON INDUSTRIES OF EMPLOYMENT ARE THE FINANCIAL OR INSURANCE INDUSTRY AT 18.2 PERCENT, EDUCATIONAL SERVICES AT 13.9 PERCENT AND HEALTHCARE AT 13.1 PERCENT. AS FAR AS LEVEL OF EDUCATION, NINETY-SIX PERCENT OF THE POPULATION AGES 25 AND OVER IN MCLEAN COUNTY POSSESSES A HIGH SCHOOL DIPLOMA OR HIGHER AND 44.7 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER. THE STATE PERCENTAGE FOR A BACHELOR'S DEGREE OR HIGHER IS 33.4 PERCENT. ILLINOIS STATE UNIVERSITY, ILLINOIS WESLEYAN UNIVERSITY, HEARTLAND COMMUNITY COLLEGE AND LINCOLN COLLEGE ARE ALL LOCATED IN MCLEAN COUNTY. THE FOUR-YEAR HIGH SCHOOL GRADUATION RATE FOR MCLEAN COUNTY IS 88.1 PERCENT. THIS IS HIGHER THAN THE GRADUATION RATE FOR ILLINOIS OF 85.6 PERCENT. ONE-HUNDRED-AND-ONE PERCENT OF RESPONDENTS OF THE 2018 MCLEAN COUNTY COMMUNITY HEALTH SURVEY REPORTED HAVING EITHER PRIVATE INSURANCE, MEDICARE OR MEDICAID, WHILE TEN PERCENT REPORTED NOT HAVING ANY INSURANCE. THIS PERCENTAGE IS GREATER THAN 100 PERCENT BECAUSE RESPONDENTS COULD CHOOSE MORE THAN ONE ANSWER. THE INDEX OF MEDICAL UNDERSERVICE (IMU) SCORE FOR THE MCLEAN COUNTY SERVICE AREA IS 49.2. THE LOWEST SCORE (HIGHEST NEED) IS 0; THE HIGHEST SCORE (LOWEST NEED) IS 100. TO QUALIFY FOR DESIGNATION, THE IMU SCORE MUST BE LESS THAN OR EQUAL TO 62.0. THIS SCORE APPLIES TO THE MEDICALLY UNDERSERVED AREA (MUA) OR MEDICALLY UNDERSERVED POPULATIONS (MUP) AS A WHOLE, AND NOT TO INDIVIDUAL PORTIONS OF IT. HEALTHCARE RESOURCES IN THE DEFINED COMMUNITY MCLEAN COUNTY HAS TWO HOSPITALS, CARLE BROMENN MEDICAL CENTER LOCATED IN NORMAL AND OSF ST. JOSEPH MEDICAL CENTER LOCATED IN BLOOMINGTON. THERE IS ALSO A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), THE CHESTNUT FAMILY HEALTH CENTER, LOCATED IN BLOOMINGTON. IN ADDITION, THERE ARE THREE COMMUNITY CLINICS. THE COMMUNITY HEALTH CARE CLINIC AND THE COMMUNITY CANCER CENTER ARE BOTH LOCATED IN NORMAL, AND MCLEAN COUNTY CENTER FOR HUMAN SERVICES IS LOCATED IN BLOOMINGTON. TWO ADDITIONAL HEALTH CARE RESOURCES IN MCLEAN COUNTY ARE THE CLINIC WITHIN THE MCLEAN COUNTY HEALTH DEPARTMENT AND A CRISIS STABILIZATION UNIT, WHICH IS A PART OF CHESTNUT HEALTH SYSTEMS. IN THE 2019 COUNTY HEALTH RANKINGS, MCLEAN COUNTY RANKED 2ND OUT OF 102 ILLINOIS COUNTIES FOR CLINICAL CARE, WHICH COMPARES 7 INDICATORS: PERCENT UNINSURED; RATIO OF PRIMARY CARE PHYSICIANS, DENTISTS, AND MENTAL HEALTH PROVIDERS TO THE POPULATION; PREVENTABLE HOSPITAL STAYS; PERCENT COMPLETING MAMMOGRAM SCREENINGS; AND PERCENT OF FLU VACCINATIONS.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH CARLE BROMENN MEDICAL CENTER'S DEDICATION TO PROMOTING THE HEALTH OF THE COMMUNITY IS EXEMPLIFIED IN NUMEROUS WAYS. THE CARLE BROMENN MEDICAL CENTER AND EUREKA HOSPITAL GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SEVENTY-ONE PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES. A VAST MAJORITY OF THE HOSPITAL'S EXECUTIVE AND LEADERSHIP TEAM SERVES ON MULTIPLE COMMUNITY BOARDS THAT HELP EITHER DIRECTLY OR INDIRECTLY IMPROVE THE HEALTH OF THE COMMUNITY, SUCH AS THE COMMUNITY HEALTH CARE CLINIC, MCLEAN COUNTY CHAMBER OF COMMERCE, MCLEAN COUNTY COMPACT, MULTICULTURAL LEADERSHIP, FAITH IN ACTION, UNITED WAY'S WORKFORCE DEVELOPMENT COALITION, HABITAT FOR HUMANITY, MCLEAN COUNTY INTERFAITH ALLIANCE, NOT IN OUR TOWN, ECONOMIC DEVELOPMENT COUNCIL, RECOVERY COURT AND PROMISE COUNCIL. IN ADDITION, CARLE BROMENN MEDICAL CENTER'S PRESIDENT IS INVOLVED IN MANY OTHER BOARDS IMPACTING THE COMMUNITY, SUCH AS THE COMMERCE BANK ADVISORY BOARD, ILLINOIS WESLEYAN UNIVERSITY BOARD AND THE PANDEMIC ADVISORY COUNCIL. AS BRIEFLY MENTIONED EARLIER, THE COMMUNITY HEALTH CARE CLINIC ALSO CONTRIBUTES TO THE HEALTH OF THE COMMUNITY AND FURTHERS THE MEDICAL CENTER'S CHARITABLE, TAX-EXEMPT STATUS. IN 1993, CARLE BROMENN MEDICAL CENTER (BROMENN MEDICAL CENTER AT THE TIME) COLLABORATED WITH OSF ST. JOSEPH MEDICAL CENTER TO OPEN THE CLINIC. THE CLINIC PROVIDES SERVICES TO THE MEDICALLY UNDERSERVED POPULATION OF MCLEAN COUNTY TO ENSURE ALL POPULATIONS IN THE COMMUNITY HAVE ACCESS TO HEALTHCARE. EMERGENCY ROOM VISITS, DIAGNOSTIC TESTING AND MEDICAL CENTER SERVICES ARE PROVIDED FREE-OF-CHARGE BY CARLE BROMENN MEDICAL CENTER AND OSF ST. JOSEPH MEDICAL CENTER. FROM JULY 1 - DECEMBER 31, 2020, THE COMMUNITY HEALTH CARE CLINIC SAW 949 UNIQUE PATIENTS, PROVIDED 1,808 PATIENT VISITS AND PRESCRIBED OVER 13,521 PRESCRIPTION MEDICATIONS AT NO CHARGE TO UNINSURED INDIVIDUALS. DURING THE SAME PERIOD, THE CHCC SAW 154 DENTAL PATIENTS FOR 681 VISITS. THE CLINIC IS IN A BUILDING OWNED BY CARLE BROMENN MEDICAL CENTER FOR WHICH THE HOSPITAL PAID $53,067 FOR UPKEEP AND MAINTENANCE OF THE FACILITY FROM JULY 1 - DECEMBER 31, 2020. IN ADDITION TO THE ABOVE, CARLE BROMENN MEDICAL CENTER OFFERS SEVERAL SERVICES TO PATIENTS AND THE COMMUNITY WHICH OPERATE AT A LOSS TO THE HOSPITAL. A SAMPLING OF THESE SERVICES IS OUTLINED BELOW. CARLE BROMENN MEDICAL CENTER SERVES AS AN EMERGENCY MEDICAL SERVICES (EMS) RESOURCE FOR MCLEAN COUNTY EDUCATION AND TRAINING, PROVIDING THIS BENEFIT TO THE COMMUNITY AT A COST OF $61,446 FROM JULY 1 - DECEMBER 31, 2020. CARLE BROMENN MEDICAL CENTER IS AN AMERICAN HEART ASSOCIATION (AHA) TRAINING CENTER. THE AMERICAN HEART ASSOCIATION (AHA) TRAINING CENTER OFFERS FRIENDS & FAMILY CPR/AED, BLS (BASIC LIFE SUPPORT), HEARTSAVER FIRST AID/CPR/AED, ADVANCED CARDIAC LIFE SUPPORT (ACLS) AND PEDIATRIC ADVANCED LIFE SUPPORT (PALS, TO STAFF, AS WELL AS THE COMMUNITY. FROM JULY 1 - DECEMBER 31, 2020, 2,597 INDIVIDUALS WERE TRAINED THROUGH THE TRAINING CENTER AT A COST OF $21,086 TO THE MEDICAL CENTER. CARLE BROMENN MEDICAL CENTER PROVIDES STAFF AND COMMUNITY MEMBERS ACCESS TO THE A.E. LIVINGSTON HEALTH SERVICES LIBRARY AT NO COST. THE LIBRARY WAS MAINTAINED AT A COST OF $17,568 TO THE MEDICAL CENTER FROM JULY 1 - DECEMBER 31, 2020. CARLE BROMENN MEDICAL CENTER'S ACUTE REHAB SERVICES TREATS PATIENTS WHO REQUIRE INPATIENT REHABILITATION SERVICES RESULTING FROM A VARIETY OF CONDITIONS INCLUDING STROKE, TRAUMATIC AND NON-TRAUMATIC BRAIN AND SPINAL CORD INJURY, NEUROLOGICAL DISORDERS, HIP FRACTURE, AMPUTATION, BURNS, ARTHRITIS, JOINT REPLACEMENT AND OTHER CONDITIONS. THE GOAL OF TREATMENT, PROVIDED BY THE CARE TEAMS, IS TO HELP INDIVIDUALS REGAIN THEIR INDEPENDENCE AND REACH THEIR REHABILITATION GOALS. DEPENDING ON THE CUSTOMIZED CARE PLAN, A CARE TEAM MAY INCLUDE NURSES, PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS, SPEECH THERAPISTS, SOCIAL WORKERS/CASE MANAGERS AND DIETITIANS. CARLE BROMENN MEDICAL CENTER OPERATED ACUTE REHAB SERVICES FROM JULY 1 - DECEMBER 31 AT A LOSS OF $1,259,272. OTHER SERVICES OFFERED BY THE MEDICAL CENTER THAT BENEFIT THE HEALTH OF THE COMMUNITY INCLUDE CLINICAL PASTORAL EDUCATION PROGRAMS AND BEING A TEACHING HOSPITAL FOR BOTH FAMILY PRACTICE, NEUROLOGY AND NEUROSURGERY RESIDENTS.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM IN JULY 2020, CARLE BROMENN MEDICAL CENTER BECAME PART OF THE CARLE HEALTH SYSTEM. THOUGH CARLE BROMENN MEDICAL CENTER IS UNDER THE UMBRELLA OF THE CARLE FOUNDATION STRUCTURE, IT MAINTAINS A SEPARATE BOARD OF STET AND SENIOR LEADERSHIP. WHILE CARLE BROMENN MEDICAL CENTER'S CHNA AND COMMUNITY BENEFIT REPORTING IS SEPARATE FROM OTHER HOSPITALS IN THE HEALTH SYSTEM, IT FOLLOWS THE SAME GUIDELINES AND PRINCIPLES AS OTHER CARLE ENTITIES. CARLE BROMENN MEDICAL CENTER'S STAFF IS INVOLVED IN THE CHNA AND IMPLEMENTATION PLAN, AND SERVES ON HUMAN SERVICES AGENCY BOARDS AND COMMITTEES TO PROVIDE SUPPORT TO HELP ADDRESS IDENTIFIED LOCAL COMMUNITY NEEDS.
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT ILLINOIS

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
REDBIRDS SPORTS PROPERTY
PO Box 843038	Kansas City	MO	641843038	470911648	501(c)(3)	$9,625	ILLINOIS STATE SPONSORSHIP 2020-2021
CHILDREN'S DISCOVERY MUSEUM
11 Uptown Circle	Normal	IL	61761	371288369	501(c)(3)	$20,000	HEALTHY ME! MEDICAL EXHIBIT
ILLINOIS STATE UNIVERSITY
					501(c)(3)	$25,000	BROMENN ENDOWED PROFESSORSHIP IN NURSING PLEDGE
BLOOMINGTON-NORMAL ECONOMIC DEVELOPMENT COU
					501(C)(3)	$15,000	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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
James C Leonard MD
Ex-Officio, President & CEO	$0	$1,419,366	$0	$486,297	$0	$2,868,466	$0	$512,006	$0	$0	$0	$5,286,135	$0	$2,824,169
Dennis Hesch
Exec VP & CFO	$0	$885,848	$0	$286,489	$0	$298,375	$0	$335,530	$0	$18,694	$0	$1,824,936	$0	$272,173
Matthew Kolb
Exec VP & COO	$0	$760,841	$0	$138,991	$0	$75,891	$0	$266,294	$0	$26,141	$0	$1,268,158	$0	$52,128
Charles Dennis MD
Exec VP, Chief Medical Officer	$0	$626,645	$0	$139,197	$0	$12,892	$0	$96,404	$0	$21,790	$0	$896,928	$0	$2,881
Lauren Schmid
Exec VP, Chief HR Officer	$0	$405,864	$0	$86,659	$0	$68,983	$0	$123,893	$0	$24,151	$0	$709,550	$0	$45,789
Uretz Oliphant MD
Director	$0	$430,327	$0	$1,000	$0	$40,921	$0	$17,196	$0	$3,585	$0	$493,029	$0	$0
Linda Fred
VP, Pharmacy Services	$0	$226,834	$0	$26,490	$0	$2,389	$0	$20,701	$0	$19,412	$0	$295,826	$0	$0
Colleen Kannaday
Service Area President	$245,132	$0	$75	$0	$1,859	$0	$30,691	$0	$12,352	$0	$290,109	$0	$0	$0
James Nevin Jr MD
Assoc Chief Medical Officer	$181,721	$0	$0	$0	$13,024	$0	$22,644	$0	$3,862	$0	$221,251	$0	$0	$0
Todd Kettering
Dir Medical Education	$140,765	$0	$0	$0	$906	$0	$10,283	$0	$12,922	$0	$164,876	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, QUESTION 3	THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT COMPANY OF CARLE BROMENN MEDICAL CENTER, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY-SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE.
SCHEDULE J, PART I, QUESTION 4B	THE 2020 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE BROMENN MEDICAL CENTER, THAT ARE LISTED IN THE 990 PART VII INCLUDE CHARLES DENNIS, MD, DENNIS HESCH, JOHN HESSE, COLLEEN KANNADAY, MATTHEW KOLB, JAMES LEONARD, MD , JAMES NEVIM, JR., MD, AND LAUREN SCHMIDT. IN 2020, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO CHARLES DENNIS, MD ($2,881), DENNIS HESCH ($272,173), MATTHEW KOLB ($52,128), JAMES LEONARD, MD ($2,824,169), AND LAUREN SCHMIDT ($45,789).
SCHEDULE J, PART I, QUESTION 7	PART OF THE CEO'S COMPENSATION INCLUDES AN INCENTIVE COMPONENT WHICH IS DESIGNED TO ENCOURAGE AND PROMOTE THE ACHIEVEMENT OF CERTAIN QUALITY, OPERATIONAL, AND EFFICIENCY IMPROVEMENTS. ALTHOUGH THIS INCENTIVE COMPONENT IS BASED ON THE ORGANIZATION MEETING CERTAIN MINIMUM FINANCIAL THRESHOLDS, ALL PAYMENTS MUST BE APPROVED BY THE BOARD OF DIRECTORS PRIOR TO ANY INCENTIVE PAYOUT.

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	SEE ATTACHED	Desc
Contribution	3	ContributionCnt
Noncash Contributions Rpt F990	$21,384,884	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, LINE 25	FormAndLineReferenceDesc
Explanation	THE AMOUNT IN COLUMN B IS THE NUMBER OF CONTRIBUTIONS NONCASH CONTRIBUTIONS FROM THE CARLE FOUNDATION INCLUDED PATIENT AND NON-PATIENT SUPPLIES, MAINTENANCE SUPPLIES, AND EQUIPMENT. NONCASH CONTRIBUTIONS FROM THE CARLE DEVELOPMENT FOUNDATION INCUDED A PATIENT SENSORY GYM AND COMMUNITY HEALTH/FITNESS EDUCATION PROGRAM SUPPORT.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, QUESTION 2	GUY HALL (DIRECTOR), JON STEWART (DIRECTOR), KARL APPELQUIST (CHAIR OF BOARD), MARK CZYS (DIRECTOR), PAUL TUCKER, PHD (VICE CHAIR OF BOARD), AND URETZ OLIPHANT, MD (DIRECTOR) HAD BUSINESS RELATIONSHIPS. DENNIS HESCH (OFFICER) AND JON STEWART (DIRECTOR) HAD A BUSINESS RELATIONSHIP. JAMES LEONARD, MD (OFFICER), DENNIS HESCH (OFFICER), AND MATTHEW KOLB (OFFICER) HAD BUSINESS RELATIONSHIPS. JAMES LEONARD, MD (OFFICER), CHARLES DENNIS, MD (OFFICER), AND MATTHEW KOLB (OFFICER) HAD BUSINESS RELATIONSHIPS.
FORM 990, PART VI, QUESTION 6	CARLE BROMENN MEDICAL CENTER HAS ONE MEMBER WHICH IS THE PARENT COMPANY, THE CARLE FOUNDATION.
FORM 990, PART VI, QUESTION 7A	CARLE BROMENN MEDICAL CENTER'S SOLE MEMBER, THE CARLE FOUNDATION, ACTING THROUGH ITS BOARD OF TRUSTEES, HAS THE EXCLUSIVE POWER TO ELECT AND REMOVE MEMBERS OF THE BOARD OF TRUSTEES FOR THE CORPORATION IN ADDITION TO FILLING VACANCIES.
FORM 990, PART VI, QUESTION 7B	CARLE BROMENN MEDICAL CENTER MUST HAVE THE APPROVAL OF ITS SOLE MEMBER, THE CARLE FOUNDATION, THROUGH ITS BOARD OF TRUSTEES, WHEN VOTING ON MATTERS INCLUDING THE AMENDING OF GOVERNING DOCUMENTS; RECOMMENDING THE PRESIDENT TO THE BOARD; APPROVING ANY ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGETS; APPROVING PAYMENT TO THE MEMBERS OF THE BROMENN BOARD OF DIRECTORS FOR THEIR EXPENSES OR COMPENSATION FOR SERVICES; APPROVING ANY NEW, LONG-TERM OR MASTER INSTITUTIONAL PLAN OR CHANGES TO SUCH PLANS; APPROVING THE ADDITION OF ANY NEW MEMBER AND ANY DISSOLUTION, MERGER, CONSOLIDATION, OR SALE OR OTHER DISPOSITION OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR ANY DISPOSITION OF REAL PROPERTY OR RELOCATION OF THE HOSPITAL AND/OR CLINIC; APPROVING ANY ORGANIZATION OR ACQUISITION OF A SUBSIDIARY OR AFFILIATE; APPROVING ANY INITIATIVE REQUIRING CERTIFICATE OF NEED (CON) APPROVAL; APPROVING ANY PLEDGE OF ALL OR ANY PART OF THE CORPORATION'S ASSETS AS SECURITY FOR A DEBT, LIABILITY OR OTHER OBLIGATION; APPROVING ANY LOAN TO OR FOR THE CORPORATION OR ANY OTHER INDEBTEDNESS; AND APPROVING NON-BUDGETED EXPENDITURES OR SALE EXCEEDING THE PRESIDENT'S AUTHORIZED SPENDING AUTHORITY.
FORM 990, PART VI, QUESTION 11B	THE FORM 990 WAS PREPARED BY STAFF AND AN EXTERNAL TAX ADVISOR AND REVIEWED BY MANAGEMENT. PRIOR TO FILING THIS FORM 990, A FULL AND COMPLETE COPY WAS PROVIDED TO THE GOVERNING BODY. AT THEIR DISCRETION, THE GOVERNING MEMBERS HAVE THE OPPORTUNITY TO CONTACT MANAGEMENT OR DISCUSS AND ADDRESS CONCERNS AT SUBSEQUENT BOARD MEETINGS.
FORM 990, PART VI, QUESTION 12C	THE ORGANIZATION'S ESTABLISHED CONFLICT OF INTEREST POLICIES REQUIRE ANNUAL DISCLOSURE OF ACTUAL AND POTENTIAL CONFLICTS OF INTEREST FOR OFFICERS, DIRECTORS, TRUSTEES, MEMBERS OF BOARD COMMITTEES, ADMINISTRATIVE AND MANAGERIAL EMPLOYEES AS WELL AS ALL EMPLOYEES OF THE PURCHASING DEPARTMENT. IF CIRCUMSTANCES CHANGE DURING THE COURSE OF A YEAR, INTERIM DISCLOSURE IS ALSO REQUIRED OF THE SAME INDIVIDUALS. THE DISCLOSURES OF EMPLOYEES ARE REVIEWED INITIALLY BY THE HUMAN RESOURCES DEPARTMENT AND ANY IDENTIFIED CONFLICTS ARE REFERRED TO, AND ADDRESSED BY, THE ORGANIZATION'S INTERNAL LEGAL COUNSEL AND/OR CORPORATE INTEGRITY OFFICER. THE DISCLOSURES OF TRUSTEES AND MEMBERS OF BOARD COMMITTEES ARE REVIEWED BY THE CHAIR OF THE BOARD. THE ENTIRE BOARD, ABSENT THE SUBJECT TRUSTEE OR COMMITTEE MEMBER DETERMINES WHETHER A CONFLICT EXISTS. TRUSTEES AND/OR BOARD COMMITTEE MEMBERS WITH IDENTIFIED CONFLICTS ARE REQUIRED TO RECUSE THEMSELVES FROM DELIBERATING AND VOTING ON MATTERS THAT MAY PRESENT A CONFLICT. THE ORGANIZATION ALSO MAINTAINS PURCHASING POLICIES REQUIRING COUNTER SIGNATURES TO FURTHER MINIMIZE THE RISK ASSOCIATED WITH ACTUAL AND/OR POTENTIAL CONFLICTS OF INTEREST.
FORM 990, PART VI, QUESTION 15B	THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE BROMENN MEDICAL CENTER, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY-SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE.
FORM 990, PART VI, QUESTIONS 18 & 19	THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF CARLE BROMENN MEDICAL CENTER, PUBLISHES THROUGH www.dacbond.com AND https://emma.msrb.org/ ITS QUARTERLY UNAUDITED FINANCIAL STATEMENTS, ANNUAL AUDITED FINANCIAL STATEMENTS, A MANAGEMENT'S DISCUSSION & ANALYSIS TO ACCOMPANY THE FINANCIAL STATEMENTS, AND AN ANNUAL REPORT OF CERTAIN OPERATING AND FINANCIAL INFORMATION. ADDITIONALLY, OFFICIAL STATEMENTS FOR OUTSTANDING MUNICIPAL BOND ISSUES FOR WHICH THE CARLE FOUNDATION IS OBLIGATED ARE AVAILABLE AT THIS WEBSITE. THESE DOCUMENTS INCLUDE EXTENSIVE INFORMATION ABOUT THE ORGANIZATION'S HEALTH CARE DELIVERY SYSTEM MODEL, RECENT HIGHLIGHTS/ACCOMPLISHMENTS, GOVERNANCE AND ADMINISTRATION, STRATEGIC PLAN, FACILITIES, CLINICAL PROGRAMS, MEDICAL STAFF, SERVICE AREA, COMPETITIVE ENVIRONMENT, DEMOGRAPHIC DATA, UTILIZATION STATISTICS, SUMMARY FINANCIAL INFORMATION, ACADEMIC AFFILIATIONS AND EDUCATIONAL PROGRAMS, MEDICAL RESEARCH, ACCREDITATIONS, AND ITS EMPLOYEES. THIS INFORMATION IS AVAILABLE AT NO CHARGE TO THOSE WHO REGISTER AT THE WWW.DACBOND.COM WEBSITE. IN ADDITION, THE FORM 990S OF THE ORGANIZATION'S FILING ENTITIES ARE AVAILABLE THROUGH DACBOND.COM.
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 XI, LINE 9	CARLE BROMENN MEDICAL CENTER SETTLED VARIOUS INTERCOMPANY RECEIVABLE/PAYABLE BALANCES THROUGH EQUAL OFFSETTING EQUITY TRANSFERS IN THE AMOUNT OF $1,088,948. THESE INTERCOMPANY RECEIVABLE/PAYABLE BALANCES RESULT FROM THE NORMAL COURSE OF OPERATIONS AND WERE PRIMARILY ATTRIBUTABLE TO CENTRALIZED CASH MANAGEMENT AND DISBURSEMENT ACTIVITIES. THESE INTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS HELPED PROVIDE SUPPLEMENTAL FUNDING FOR CERTAIN RELATED ORGANIZATIONS TO FURTHER THEIR EXEMPT PURPOSE.
FORM 990, PART XII, LINES 2A, B, C AND PART IV, LINES 12,12A	THE FINANCIAL STATEMENTS FOR CARLE BROMENN MEDICAL CENTER WERE REVIEWED ON A CONSOLIDATED BASIS UNDER THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE CARLE FOUNDATION HAS AN AUDIT COMMITTEE CONSISTING OF MEMBERS OF THE GOVERNING BOARD AND THE CHIEF FINANCIAL OFFICER WHO TOGETHER ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE REVIEW AND AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT OR AUDITOR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 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
THE CARLE FOUNDATION
611 W Park Street	Urbana	IL	618012595	370673465	PARENT/INVMGT	IL	501C(3)	12c, III-FI	NA	false
THE CARLE FOUNDATION HOSPITAL
611 W Park Street	Urbana	IL	618012595	371119538	HOSPITAL SVCS	IL	501C(3)	3	TCF	Yes (true)
CARLE HEALTH CARE INCORPORATED
611 W Park Street	Urbana	IL	618012595	371140016	VAR MED SVCS	IL	501C(3)	10	TCF	Yes (true)
CARLE RETIREMENT CENTERS INC
611 W Park Street	Urbana	IL	618012595	371160033	RTRMT LIVING	IL	501C(3)	10	TCF	Yes (true)
THE CARLE DEVELOPMENT FOUNDATION
611 W Park Street	Urbana	IL	618012595	371159978	Fundraising	IL	501C(3)	7	TCF	Yes (true)
HOOPESTON COMMUNITY MEMORIAL HOSPITAL
701 E ORANGE ST	HOOPESTON	IL	609421801	363637465	HOSPITAL SVCS	IL	501C(3)	3	TCF	Yes (true)
CARLE COMMUNITY HEALTH CORPORATION
611 W Park Street	Urbana	IL	618012595	364458371	FNDN mission	IL	501C(3)	12a, Type I	TCDF	Yes (true)
CARLE EUREKA HOSPITAL
611 W Park Street	Urbana	IL	618012595	850688306	HOSPITAL SVCS	IL	501c(3)	3	TCF	Yes (true)
Carle Cancer Institute Normal LLC
407 E VERNON AVE	NORMAL	IL	61761	371363717	CANCER TRMT	IL	501c(3)	12a, Type I	TCF	Yes (true)
COMMUNITY CANCER CENTER FOUNDATION
407 E VERNON AVE	NORMAL	IL	61761	364425147	Fundraising	IL	501c(3)	7	CCC LLC	Yes (true)
CARLE WEST PHYSICIAN GROUP INC
611 W Park Street	Urbana	IL	618012595	850703768	Phys Services	IL	501c(3)	10	CHCI	Yes (true)
RICHLAND MEMORIAL HOSPITAL INC
800 EAST LOCUST STREET	OLNEY	IL	62450	371363001	HOSPITAL SVCS	IL	501c(3)	3	TCF	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CHAMPAIGN SURGICENTER LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	611 W Park St	AddressLine1Txt
City	Urbana	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	618012595	ZIPCd

Field	Value	IRS element (for citing)
EIN	201915925	EIN
Primary Activities	SURGICAL CTR	PrimaryActivitiesTxt
Legal Domicile State	IL	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)

Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
HEALTH SYSTEMS INSURANCE LIMITED
GOVERNORS SQ 2ND FL BLDG 3	GRAND CAYMAN	CJ	KY1-1102	Insurance	CJ	NA	C Corp	Yes (true)
CARLE RISK MANAGEMENT COMPANY
				RISK MANAGEMENT		NA	C Corp	Yes (true)	611 W Park Street	Urbana	IL	618012595	371217973	IL
EVALIDATA INC
				PHYS CREDENTI		NA	C Corp	Yes (true)	611 W Park Street	Urbana	IL	618012595	462022658	IL
CHA HOLDING INC
				Holding Co.		NA	C Corp	Yes (true)	3310 SOUTH FIELDS DR	CHAMPAIGN	IL	61822	471854275	IL
CARLE HOLDING COMPANY INC
				Holding Co.		NA	C Corp	Yes (true)	611 W Park Street	Urbana	IL	618012595	371188284	IL
HEALTH ALLIANCE MEDICAL PLANS INC
				Health Coverage		NA	C Corp	Yes (true)	3310 SOUTH FIELDS DR	CHAMPAIGN	IL	61822	371260731	IL
HEALTH ALLIANCE CONNECT INC
				HEALTH CARE COORD		NA	C Corp	Yes (true)	3310 SOUTH FIELDS DR	CHAMPAIGN	IL	61822	464796891	IL
HEALTH ALLIANCE NORTHWEST HOLDING INC
				Holding Co.		NA	C Corp	Yes (true)	820 N CHELAN AVE	WENATCHEE	WA	98801	461717578	WA
HEALTH ALLIANCE NORTHWEST HEALTH PLAN I
				Health Coverage		NA	C Corp	Yes (true)	820 N CHELAN AVE	WENATCHEE	WA	98801	461966323	WA
HEALTH ALLIANCE-MIDWEST INC
				Health Coverage		NA	C Corp	Yes (true)	3310 SOUTH FIELDS DR	CHAMPAIGN	IL	61822	371354502	IL
CARLE VENTURES INC
				Health Care Pship		TCF	C Corp	Yes (true)	611 W Park Street	Urbana	IL	618012595	371313150	IL
CARLE HEALTH PHYSICIAN PARTNERS INC
				Physician Svcs		TCF	C Corp	Yes (true)	611 W Park Street	Urbana	IL	618012595	850718392	IL
FIRST CAROLINA CARE INSURANCE COMPANY
				Insurance		CHA Holding	C Corp	Yes (true)	42 Memorial Drive	Pinehurst	NC	28374	331160597	IL

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	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	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
The Carle Development Foundation
c	$110,021	BOOK
Carle Eureka Hospital
l	$176,000	BOOK
Health Alliance Connect Inc
l	$1,387,386	BOOK
Health Alliance Medical Plans Inc
l	$4,471,626	BOOK
Carle West Physician Group
m	$620,523	BOOK