PROCTOR HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
PROCTOR HOSPITAL (EIN 37-0681540)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-15
IRS object ID
202533199349302858
Schema version
2024v5.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-15T14:39:01+00:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1835 N COLLEGE AVENUEAddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN370681540EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Proctor HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPROCBusinessNameControlTxt
Phone2173833311PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDENNIS HESCHPersonNm
Person TitleEXEC VP & CFOPersonTitleTxt
Phone2173833311PhoneNum
Signature2025-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJennifer D RhoderickPreparerPersonNm
PTINP00395735PTIN
Phone3176817000PhoneNum
Preparation2025-11-13PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Carle Health Proctor HospitalBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1611 W PARK STREETAddressLine1Txt
CityURBANACityNm
State AbbreviationILStateAbbreviationCd
ZIP61801ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$172,221,732GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.carle.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1958FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTO BE THE TRUSTED PARTNER IN ALL HEALTHCARE DECISIONS AND TO IMPROVE HEALTH BY PROVIDING HIGHLY ACCESSIBLE, WORLD-CLASS CARE AND SERVICES.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee725TotalEmployeeCnt
Total Volunteers65TotalVolunteersCnt
Total Gross UBI$236,852TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$900,334PYContributionsGrantsAmt
CY Contributions Grants$930,153CYContributionsGrantsAmt
PY Program Service Revenue$136,000,302PYProgramServiceRevenueAmt
CY Program Service Revenue$169,782,751CYProgramServiceRevenueAmt
PY Investment Income-$16,217PYInvestmentIncomeAmt
CY Investment Income$705CYInvestmentIncomeAmt
PY Other Revenue$1,442,880PYOtherRevenueAmt
CY Other Revenue$1,503,959CYOtherRevenueAmt
PY Total Revenue$138,327,299PYTotalRevenueAmt
CY Total Revenue$172,217,568CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$34,252,375PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$42,292,787CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$92,829,422PYOtherExpensesAmt
CY Other Expenses$101,131,694CYOtherExpensesAmt
PY Total Expenses$127,081,797PYTotalExpensesAmt
CY Total Expenses$143,424,481CYTotalExpensesAmt
PY Revenues Less Expenses$11,245,502PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$28,793,087CYRevenuesLessExpensesAmt
Total Assets BOY$184,506,452TotalAssetsBOYAmt
Total Assets EOY$194,171,137TotalAssetsEOYAmt
Total Liabilities BOY$31,655,316TotalLiabilitiesBOYAmt
Total Liabilities EOY$22,264,099TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$152,851,136NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$171,907,038NetAssetsOrFundBalancesEOYAmt
MissionTO BE THE TRUSTED PARTNER IN ALL HEALTHCARE DECISIONS AND TO IMPROVE HEALTH BY PROVIDING HIGHLY ACCESSIBLE, WORLD-CLASS CARE AND SERVICES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$106,124,345ExpenseAmt
Grant$0GrantAmt
Revenue$157,792,871RevenueAmt
DescHEALTH-CARE SERVICES PROCTOR HOSPITAL IS AN IMPORTANT ELEMENT OF THE HEALTHCARE DELIVERY SYSTEM FOR PEORIA, IL, AND SURROUNDING COMMUNITIES. IT IS COMMITTED TO PROVIDING QUALITY HEALTHCARE AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT. PROCTOR HOSPITAL PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES TO TREAT INDIVIDUALS WITH DISEASES, ILLNESS, AND INJURIES OF VARYING COMPLEXITIES. IT PROVIDES SERVICES TO IMPROVE THE HEALTH OF PATIENTS AND TO IMPROVE THEIR QUALITY OF LIFE. ALL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S RACE, CREED, SEX, NATIONALITY, HANDICAP, AGE, OR ABILITY TO COMPENSATE FOR SERVICES RENDERED. SERVICES INCLUDE, BUT ARE NOT LIMITED TO, GENERAL ACUTE CARE, SURGERIES, HOME HEALTH, INTENSIVE CARE, CRITICAL CARE, MENTAL HEALTH CARE, CARDIOLOGY, ONCOLOGY, REHABILITATION, SKILLED NURSING, BEHAVIORAL DISORDER PROGRAMS, MATERNAL/CHILD CARE, LABORATORY, PALLIATIVE CARE, PHARMACEUTICAL DRUGS, EMERGENCY SERVICES, OUTPATIENT CLINICS, CHECK-UPS, AND RADIOLOGY AS WELL AS A NATIONALLY UNIQUE ADDICTION RECOVERY CENTER. SOME SERVICES PROVIDED DO NOT GENERATE ENOUGH INCOME TO OFFSET THEIR COST. IN THE FISCAL PERIOD ENDED DECEMBER 31, 2024, PROCTOR HOSPITAL ADMITTED 3,451 PATIENTS RESULTING IN A TOTAL OF 23,163 PATIENT DAYS. OUTPATIENT VISITS TOTALED 57,353 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS FOR THE SAME PERIOD WERE 8,644. THERE WERE ALSO 21,194 EMERGENCY ROOM VISITS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$16,789,158ExpenseAmt
Grant$0GrantAmt
Revenue$12,450,270RevenueAmt
DescPROCTOR HOSPITAL, A MAGNET-DESIGNATED 205-BED FACILITY IN PEORIA, ILLINOIS, PROVIDES HEALTHCARE SERVICES TO PEORIA AND SURROUNDING COMMUNITIES BY OFFERING THE ONLY BEHAVIORAL HEALTH FACILITY IN THE REGION DESIGNATED FOR OLDER ADULTS AND HAS A STATE-OF THE-ART OUTPATIENT DIALYSIS CENTER AND CARDIOPULMONARY REHABILITATION CENTER. PROCTOR HOSPITAL ALSO PROVIDES SEVERAL OTHER BENEFITS THAT ASSIST THE COMMUNITY. PROGRAMS INCLUDE, BUT ARE NOT LIMITED TO, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS SUCH AS PREVENTION AND HEALTH SCREENINGS, CONTINUING EDUCATION FOR HEALTH PROFESSIONALS, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CONTRIBUTIONS (BOTH CASH AND IN-KIND) TO COMMUNITY GROUPS. PROCTOR HOSPITAL COLLABORATES WITH COMMUNITY STAKEHOLDERS TO IMPROVE COMMUNITY HEALTH AND ACCESS TO HEALTH CARE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$122,913,503TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document21IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee725EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Policies Reference ChaptersfalsePoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DENNIS HESCH EXEC VP & CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2173833311PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Anthony Stanowski DHA FACHE
Ex Officio, Voting1.03.0Yes (X)Yes (X)$0$0$0
Debbie Simon
Vice Chair1.09.0Yes (X)Yes (X)$0$0$0
Dennis Triggs JD
Secretary/Treasurer0.12.7Yes (X)Yes (X)$0$0$0
James Stevenson
Chair0.14.9Yes (X)Yes (X)$0$0$0
Keith Knepp MD
Ex Officio, Voting // Officer - President, Carle Health - West Region1.039.0Yes (X)Yes (X)$0$712,994$117,438
Terry Waters
Ex Officio, Voting1.05.0Yes (X)Yes (X)$0$0$0
Aaron Kilgore
BOARD MEMBER1.03.0Yes (X)$0$0$0
Amy Darling
BOARD MEMBER THRU 04/16/20241.05.0Yes (X)$0$0$0
Brandon Moss
BOARD MEMBER1.03.0Yes (X)$0$0$0
David Mueller
BOARD MEMBER5.04.0Yes (X)$0$0$0
Dirk Roecker
BOARD MEMBER0.41.4Yes (X)$0$0$0
Jeffrey Leman MD
BOARD MEMBER // PHYSICIAN0.139.9Yes (X)$0$450,836$61,894
Keila Sierra-Cintron MD
BOARD MEMBER // PHYSICIAN1.039.0Yes (X)$0$479,149$27,678
Kevin Barbier
BOARD MEMBER0.61.2Yes (X)$0$0$0
Melissa Yoder CPA
BOARD MEMBER1.22.8Yes (X)$0$0$0
Rich Kriegsman
BOARD MEMBER0.11.4Yes (X)$0$0$0
Rusty Dunn
BOARD MEMBER THRU 02/04/20241.04.0Yes (X)$0$0$0
Dennis Hesch
Officer - EVP, Chief Finance & Strategy Officer1.039.0Yes (X)$0$1,175,110$332,566
James C Leonard MD
Officer - President & CEO0.539.5Yes (X)$0$2,298,226$50,256
Ken Dicken MBA
VP, Finance - West Region1.039.0Yes (X)$0$375,119$72,807
Matthew Kolb JD MHA
Ex Officio, Non-Voting // Officer - President, Carle Health Regions // EVP, COO1.039.0Yes (X)$0$1,418,629$333,703
Napoleon Knight MD MBA
Officer - EVP, Chief Medical Officer1.039.0Yes (X)$0$1,091,552$41,194
Brook Fisher
Director, Revenue Cycle Denials3.037.0$0$172,633$43,126Yes (X)
Caleb Miller
SVP, Surgical Services & Ambulatory Care1.039.0$0$540,975$87,261Yes (X)
Jeanette Murray
VP, Greater Peoria Hospital Operations1.039.0$0$404,826$84,750Yes (X)
Lauren Schmid MBA
EVP, Chief Human Resources Officer1.039.0$0$878,588$105,168Yes (X)
Nicholas Crompton
VP, Construction & Facility Services1.039.0$0$303,209$84,556Yes (X)
Diana Jones
Nursing Supervisor40.00.0$234,701$0$26,654Yes (X)
Sharae Licklider
Registered Nurse CTP ARC40.00.0$202,758$0$30,202Yes (X)
Solivian Dismuke
Registered Nurse - Supervisor40.00.0$170,641$0$29,730Yes (X)
Theresa Skibba
Registered Nurse - Cardiac40.00.0$316,138$0$57,417Yes (X)
Vilma Plemons
Registered Nurse - Cardiac40.00.0$173,275$0$28,463Yes (X)
John Wieland MD
Former Officer0.040.0$0$619,107$57,598Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,097,513TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$10,920,953TotReportableCompRltdOrgAmt
Total Other Compensation$1,672,461TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K48IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Professional Therapy Services
2900 Frank Scott Pkwy West Ste 928BellevilleIL62223Staffing services$1,623,421
Emergency Physician Staffing
12528 DR 78HavanaIL62644Staffing services$967,859
Midwest Healthcare Linen Svc
1600 E Washington AveDes MoinesIA50316Housekeeping services$337,791
Weatherby Locums
PO Box 972633DallasTX75397Staffing services$335,612
Mechanical Service
1144 Monmouth BlvdGalesburgIL61401Fire inspections$290,886
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K15CntrctRcvdGreaterThan100KCnt
Related Organizations$161,065RelatedOrganizationsAmt
Government Grants$417,890GovernmentGrantsAmt
All Other Contributions$351,198AllOtherContributionsAmt
Total Contributions$930,153TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE621110$167,672,373$167,672,373
RENTAL INCOME531120$105,554$105,554
MOUPH, LLC Revenue621400$2,004,824$2,004,824

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$169,782,751TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$43TotalRevenueColumnAmt
Exclusion$43ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$4,826OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$4,164OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$662OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$662TotalRevenueColumnAmt
Exclusion$662ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CHILDCARE SERVICES624410$481,886$236,852$245,034
CAFETERIA/FOOD SVCS722514$561,683$561,683
EMPLOYEE LEASING561330$266,891$266,891

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$193,499TotalRevenueColumnAmt
Related Or Exempt Func Income$193,499RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,503,959OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$172,217,568TotalRevenueColumnAmt
Related Or Exempt Func Income$170,243,141RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$236,852UnrelatedBusinessRevenueAmt
Exclusion$807,422ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$34,048,922TotalAmt
Program Services$32,457,605ProgramServicesAmt
Management And General$1,591,317ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,757,715TotalAmt
Program Services$1,668,633ProgramServicesAmt
Management And General$89,082ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,974,073TotalAmt
Program Services$3,717,938ProgramServicesAmt
Management And General$256,135ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,512,077TotalAmt
Program Services$2,395,557ProgramServicesAmt
Management And General$116,520ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$24,462TotalAmt
Management And General$24,462ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$18,057,685TotalAmt
Program Services$17,777,120ProgramServicesAmt
Management And General$280,565ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,785TotalAmt
Management And General$2,785ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,053,986TotalAmt
Program Services$428,196ProgramServicesAmt
Management And General$625,790ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$199,521TotalAmt
Program Services$186,793ProgramServicesAmt
Management And General$12,728ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,021,316TotalAmt
Program Services$1,353,471ProgramServicesAmt
Management And General$1,667,845ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$19,775TotalAmt
Program Services$8,141ProgramServicesAmt
Management And General$11,634ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$676TotalAmt
Program Services$676ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,940,909TotalAmt
Program Services$3,629,628ProgramServicesAmt
Management And General$3,311,281ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,273,473TotalAmt
Management And General$2,273,473ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PATIENT CARE SUPPLIES$36,441,505$36,441,505
INTERNAL MANAGEMENT FEES$26,909,088$17,156,907$9,752,181
PROVIDER ASSESSMENT TAX & OTHER TAXES$5,169,805$4,677,005$492,800
ACO SHARED SERVICE ADJUSTSMENTS$522,567$522,567

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$494,141TotalAmt
Program Services$491,761ProgramServicesAmt
Management And General$2,380ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$143,424,481TotalAmt
Program Services$122,913,503ProgramServicesAmt
Management And General$20,510,978ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$380,743BOYAmt
EOY-$2,107EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$117,294,999BOYAmt
EOY$27,920,585EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$7,663,373BOYAmt
EOY$3,357,318EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,406,039BOYAmt
EOY$3,517,606EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$713,952BOYAmt
EOY$717,067EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$55,283,512LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,503,554LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$48,323,821BOYAmt
EOY$42,779,958EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$6,500,961BOYAmt
EOY$6,861,416EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$222,564BOYAmt
EOY$109,019,294EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$184,506,452BOYAmt
EOY$194,171,137EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,069,491BOYAmt
EOY$5,513,277EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$24,585,825BOYAmt
EOY$16,750,822EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,655,316BOYAmt
EOY$22,264,099EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$147,096,539BOYAmt
EOY$165,420,839EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,754,597BOYAmt
EOY$6,486,199EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$152,851,136BOYAmt
EOY$171,907,038EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$184,506,452BOYAmt
EOY$194,171,137EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$28,793,087ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$9,737,185OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$24,462OtherActivitiesAmt
Total Lobbying Expenditures$24,462TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationDUES & MEMBERSHIP FEES WERE PAID TO THE FOLLOWING ORGANIZATIONS A PORTION OF WHICH WAS ALLOCATED TO LOBBYING: ILLINOIS HEALTH & HOSPITAL ASSOCIATION: $26,462ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,697,776OtherCostOrOtherBasisAmt
Book Value$5,697,776BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,080,650OtherCostOrOtherBasisAmt
Depreciation$5,154,835DepreciationAmt
Book Value$24,925,815BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,349,809OtherCostOrOtherBasisAmt
Depreciation$6,713,133DepreciationAmt
Book Value$11,636,676BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,155,277OtherCostOrOtherBasisAmt
Depreciation$635,586DepreciationAmt
Book Value$519,691BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$42,779,958TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Due From Affiliates
Due From Other Third Party Payers
Due From Medicare
Physician Receivables
Due from UnityPoint$109,019,294
FieldValueIRS element (for citing)
Total Book Value Other Assets$109,019,294TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
Federal Income Taxes
DUE TO BLUE CROSS$10,522,603
SELF-INSURANCE RESERVE$5,830,219
ASSET RETIREMEMENT OBLIGATION$334,100
ACCRUED REAL ESTATE TAX$63,900
DUE TO AFFILIATES
DUE TO UNITYPOINT HEALTH
SALES TAX PAYABLE
FieldValueIRS element (for citing)
Total Liability$16,750,822TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$0RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$0TotalRevenuePerForm990Amt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$0ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$0TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationTHE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENTS RECOGNITION OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED OR RECORDED AS A LIABILITY AS OF DECEMBER 31, 2024, AND 2023.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$233,690TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$233,690NetCommunityBenefitExpnsAmt
Total Expense0.00163TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,278,428TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,450,270DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,828,158NetCommunityBenefitExpnsAmt
Total Expense0.02669TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$16,512,118TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,450,270DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,061,848NetCommunityBenefitExpnsAmt
Total Expense0.02832TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$116,859TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$116,859NetCommunityBenefitExpnsAmt
Total Expense0.00081TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$39,893TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$39,893NetCommunityBenefitExpnsAmt
Total Expense0.00028TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$120,288TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$120,288NetCommunityBenefitExpnsAmt
Total Expense0.00084TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$277,040TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$277,040NetCommunityBenefitExpnsAmt
Total Expense0.00193TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$16,789,158TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,450,270DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,338,888NetCommunityBenefitExpnsAmt
Total Expense0.03025TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,641,677BadDebtExpenseAmt
Bad Debt Expense Attributable$820,839BadDebtExpenseAttributableAmt
Reimbursed By Medicare$37,656,930ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$44,176,178CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$6,519,248MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1MOUPH LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesORTHOPEDIC SERVICE LINE MANAGEMENTPrimaryActivitiesTxt
Org Profit Or Ownership0.3333OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.0OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.6667PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CARLE HEALTH PROCTOR HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15409 N KNOXVILLE AVENUEAddressLine1Txt
CityPEORIACityNm
State AbbreviationILStateAbbreviationCd
ZIP61614ZIPCd
FieldValueIRS element (for citing)
Website AddressCARLE.ORG/LOCATIONS/CARLE-HEALTH-PROCTOR-HOSPITALWebsiteAddressTxt
State License0001925StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CARLE HEALTH PROCTOR HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SCHEDULE H, PART VIOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt23ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://carle.org/about-us/community-health-needs-assessmentsStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SCHEDULE H, PART VIFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SCHEDULE H, PART VIFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SCHEDULE H, PART VIFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - CARLE HEALTH PROCTOR HOSPITAL. The CHNA process for the Tri-County was initiated in the first quarter of 2022 by the Partnership for a Healthy Community. An ad hoc committee consisting of a diverse group of community organizations creating a collaborative team to facilitate a community health needs assessment. The collaboration included members from Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, Carle Eureka Hospital, Bradley University, Heart of Illinois United Way, Heartland Health Services, Hopedale Medical Complex, OSF Saint Francis Medical Center, Peoria City/County Health Department, Tazewell County Health Department, and Woodford County Health Department. During the assessment phase the use of focus groups, surveys using online, written and focus group settings to data collect, hospitals and local health departments provided health data as well as the use of State health data. Methods for collecting data included multiple sources. Secondary statistical data were used to assess the community profile, morbidity rates and causes of mortality. Additionally, a study was completed to examine perceptions of the community health-related issues, healthy behaviors, behavioral health, food security, social determinants of health and access to healthcare.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - CARLE HEALTH PROCTOR HOSPITAL. Carle Health Methodist Hospital, Carle Health Pekin Hospital, Carle Health Eureka Hospital and OSF Saint Francis Medical Center
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - CARLE HEALTH PROCTOR HOSPITAL. Peoria City/County Health Department, Peoria, IL, Tazewell County Health Department, Tremont, IL Woodford County Health Department, Eureka, IL Greater Peoria Economic Development Council University of Illinois Extension, Peoria, IL, American Cancer Society, Peoria, IL Heart of Illinois United Way, Peoria, IL
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - CARLE HEALTH PROCTOR HOSPITAL. 1) Healthy Eating Healthy Living Strategy 1 - Support tri-county Partnership for a Healthy Community's (PFHC) Community Health Improvement Plan (CHIP) efforts: Gardening Interventions and Social Support. TASK 1: Identify key staff to participate in PFHC HEAL Action Team. Carle Health West Region designated the Hult Center for Healthy Living's program coordinators and health educators to serve on the PFHC HEAL Action Team. Team members actively participated in HEAL Action Team meetings and documented all hours contributed on behalf of Carle Health West Region. TASK 2: Disseminate PFHC campaign and recruitment messages to promote Gardening Interventions and Social Support Interventions. -To support PFHC's Social Support Interventions, Carle Health's Hult Center team assisted with the promotion of one tri-county HEAL event in 2024 by sharing the event information on Hult Center's Facebook page. The event was posted on Facebook on 9/4/24, and 9/17/24 and in total, these posts reached 1,082 people/8 reactions/4 shares. Carle Health Hult Center also shared weekly efforts promoted by the HEAL Action Team on Facebook and Instagram, such as "Let's Move Tri County "Nourish Your Neighbor." TASK 3: Partner with PFHC and community resources to promote intervention strategies. -The Tri-County Hunger Walk, organized by Partnership for a Healthy Community and HEAL Action Team, took place on September 28, 2024. Four Carle Health Hult Center staff members attended the event and hosted a health fair table and a youth friendly obstacle course to educate attendees about healthy living. There were 75 participants at the event, and 1,150 pounds of food were donated to three local food pantries. TASK 4: Support community garden in region of concern at Family Medical Center (FMC). -As part of the PFHC's Gardening Interventions, Family Medical Center (FMC) continued its gardening efforts, producing and distributing over 550 pounds of fresh produce. The majority of the harvest was donated to Sophia's Kitchen, a food pantry serving Peoria's low-income zip codes, and was also distributed during a mobile food pantry event hosted at FMC. Strategy 2 - Increase HEAL education and fitness opportunities for youth. TASK 1: Identify internal regional HEAL education resources and collect baseline data - Hult Center, Methodist College, Nursing Education, FMC, etc. -Carle Health identified Hult Center for Healthy Living's community health education programs as the main resource to provide HEAL education opportunities to youth. TASK 2: Identify external regional HEAL partners/resources. -Carle Health staff members engaged in the HEAL Action Team efforts worked closely with external community partners in 2024 including Tazewell County Health Department, University of Illinois Extension, Peoria Grown, and others. TASK 3: Provide HEAL community health education to target populations. -Hult Center for Healthy Living's team provided education to 9,759 children in 2024 by providing interactive field trips on-site at Hult Center and as outreach programming within the schools and community agencies. -In 2024, Hult Center for Healthy Living's Early Education Program Coordinator delivered nutrition education and conducted readings of Lulu and the Hunger Monster at a local school, supporting community health initiatives focused on food security. As part of Hunger Action Month in September, readings were provided by Hult and community partners across the Tri-County area, raising awareness of childhood hunger and promoting healthy eating behaviors among young children. -In 2024, Hult Center for Healthy Living staff participated in PNC Worldwide Day of Play, engaging families in fun, developmentally appropriate physical activity. Staff designed and facilitated an obstacle course accessible to all ages, promoting movement and active play as a family activity. The event reached approximately 5,000 participants, including youth, adolescents, and adults. -Hult Center for Healthy Living's health coaches provided 1:1 nutrition education to 85 adolescents in 2024. TASK 4: Utilize American Academy of Pediatrics (AAP) Bright Futures Guidelines to screen for HEAL and connect families with resources to address food insecurity and other social determinants of health (SDOH). -School-Based Health Center providers at three health centers (located at Peoria High, Manual High, and Trewyn School) used the AAP Guidelines for children and adolescent healthcare visits. -Carle Health School-Based Health Center's healthcare providers used the AAP Bright Futures Guidelines during well-child visits in 2024 and will continue to use these guidelines moving forward. A total of 279 well child visits were provided in 2024 among three School-Based Health Centers located in Peoria's low-income zip codes. -Providers at the Carle School-Based Health Centers, alongside medical residents from the Family Medical Center, employed the Bright Futures Guidelines to screen for social determinants of health (SDOH) and other barriers to food security. These screenings yielded valuable insights, enabling providers to offer additional support to patients and facilitate connections to essential community resources, such as food pantries. TASK 5: Share success stories of the HEAL efforts within the tri-county area. -In 2024, Hult Center for Healthy Living staff partnered with the local nonprofit Peoria Grown to provide food vouchers for students participating in the Hult Center for Healthy Living's health coaching program. Through this collaboration, 20 participants received vouchers to purchase fresh produce at Peoria Grown's weekly market, located in a high-risk zip code, increasing access to healthy foods and supporting community wellness. Strategy 3 - Increase physical activity among adult residents and staff. TASK 1: Establish internal regional HEAL team to collect baseline data and create action plan for community and worksite wellness activities. -In 2024, this work transitioned to Carle Health's Cultural Ambassador Team, which now leads action planning and worksite wellness initiatives as part of a broader regional effort. As a result, these activities are no longer directed by Carle Health West Region but are aligned within Carle Health's systemwide approach to promoting health and wellness. TASK 2: Provide physical activity programming through WellMobile service line to promote increase in physical activity in leisure time. -In 2024, the Hult Center for Healthy Living partnered with Methodist College to deliver A Matter of Balance, an eight-week, evidence-based program designed to support older adults in reducing their fear of falling and increasing physical activity. Offered at no cost, the program combined fall prevention education with guided strength and balance exercises, while also fostering intergenerational connections by providing nursing students with valuable hands-on experience in promoting physical activity within the community. TASK 3: Provide worksite wellness to increase physical activity and HEAL for all employees. -In 2024, a Hult Center for Healthy Living Health Educator engaged 164 Carle Health staff and members of the Cultural Ambassador Team in education on self-compassion and the role of physical activity in promoting both individual and community well-being. The educator also provided strategies to enhance worksite wellness initiatives, distributed walking maps for each Greater Peoria campus, and highlighted food resources available throughout the Greater Peoria community. -In 2024, the Carle Health Cultural Ambassador Team organized a kickball tournament that encouraged staff to engage in physical activity through friendly competition. Nearly 90 Carle Health employees participated as part of registered teams, promoting wellness and physical activity. 2) Mental Health Strategy 1 - Support tri-county PFHC's CHIP interventions: Culturally Adaptive Health Care and Telemedicine. TASK 1: Identify key staff to participate in PFHC Mental Health Action Team. -Trillium Place Director of Outpatient Behavioral Health, Tricia Larson, and Executive Director of Finance, Ann Campen, served on the Partnership for a Health Community Board. During his employment with Trillium Place from January to June 2024, Jonathan Gauerke co-chaired the Partnership for a Healthy Community's Mental Health Action Team and led the Mental Health Action Team's Steering Committee and Telepsych Sub-Committee. Rachel Baetns, Behavioral Health Patient Navigator, and Matt Collins, Project Director - SOC, attend these meetings monthly, providing updates and receiving updates from the community, as well as interacting with the Action Team to work toward outcomes.
Schedule H, Part V, Section B, Line 11 Facility , 2Facility , 2 - CARLE HEALTH PROCTOR HOSPITAL (CONTINUED). TASK 2: Partner with PFHC and community resources to promote intervention strategies. -2023 was the first year in the Community Health Improvement Plan (CHIP) 3-year cycle, therefore, Year 1 was dedicated to building a sustainable Action Team that represented diverse members and agencies contributing to good mental health in the tri-county area. This action team will be responsible for promoting the chosen intervention strategies. Carle Health was active in community events and presentations throughout 2024 to promote mental health, reduce stigma, and increase awareness of available services and resources. Katie Yesis, Manager of Community Based Behavioral Health, Rachel Baetns, Behavioral Health Patient Navigator, and Matt Collins, Project Director - SOC have all provided presentations to the Partnership for a Healthy Community Mental Health Committee & Action Team in 2024-2025, detailing Trillium Place programming, including Community Based Behavioral Health, Young Minds Center, and the Children's Mental Health Initiative Systems of Care. TASK 3: Identify trauma-informed care trainings for providers and mental health employees and create training implementation plan. -Trillium Place continued to offer trauma-informed care training, ACEs Are Not Destiny, from the National Council for Mental Wellbeing through mid 2024. 263 Trillium Place team members completed the ACEs Are Not Destiny training. The organization is working to implement ongoing trauma informed care training for all behavioral health team members utilizing our electronic training platform. Work has also been completed to align the revised ASAM criteria with trauma informed care principles and provide training to staff. -Trillium Place System of Care began focusing on increased trauma informed care training for the community. Efforts to plan in 2024 led to the provision of training in 2025. -Trillium Place provided Mental Health First Aid training to a variety of community partners and team members in 2024. A total of 219 individuals completed the training. TASK 4: Identify and coordinate regular meetings with supervisors for trauma-informed care and systemwide sustainability. Trillium Place supervisors participated in a National Council for Mental Wellbeing Supervision Cohort that met monthly from May 2023-April 2024. The cohort focused on building trauma informed care as a competency for all leaders and identifying ways to implement in their supervision with staff. Trillium Place leaders continue to utilize these strategies in supervision. Trillium Place holds daily safety huddles to ensure leaders and staff have a way to report any safety concerns to senior leadership for immediate response. These safety huddles have provided an opportunity to check in with staff on significant events, including trauma involved events, that have occurred in any community or hospital-based program. TASK 5: Share success stories of the program within the tri-county area and with senior leadership/board. Sharing success stories, referred to as Mission Moments, is a core activity for Carle Health. Behavioral health mission moments are shared monthly with the Trillium Place governing board by leaders or team members involved with the success story. The governing board sends a personalized letter of recognition to the involved team members homes. Success stories are also an integral part of the daily safety huddle, shared with Trillium Place leadership during monthly meetings, and in department team meetings. Strategy 2 - Increase access to comprehensive behavioral health services, care coordination, and resources and supports. TASK 1: Identify regional mental health access points and collect baseline data - Access Center Call Line, Systems of Care, Young Minds Center, High ED Utilizers, etc. -The Trillium Place Access Center is a centralized, reliable resource for community members to seek information about available behavioral health services. Due to system transitions, Access Center call data is only available for April-December 2024. During this timeframe, the Access Center received 14,326 calls, processing 40-70 referrals daily. -In October 2024, Trillium Place added a new access point for care for children and adolescents, the Young Minds Center Assessment Center. The assessment center offers an alternative to the emergency department for families seeking walk-in behavioral health care that does not require medical intervention. -The Trillium Place led System of Care acts as a System and Data Manager in IRIS, a digital referral tool utilized by 76 agencies in the tri-county area. Between January 1, 2024, and August 14, 2025, IRIS has been used by over 70 agencies to make 3,380 referrals. TASK 2: Distribute patient experience surveys to patients utilizing mental health services and create an action plan for continuous improvement. A variety of patient surveys are utilized across the Carle Health behavioral health service line. Community Mental Health Center departments provide surveys to patients quarterly. In 2024, 94% of patients surveyed (N=867) responded positively that they were highly likely to recommend Trillium Place. The hospital based behavioral health departments utilize NRC for survey collection. This system allows departments to benchmark across the Carle Health system. The strategies below are utilized to encourage return rates and positively impact patient experiences. -Survey optimization -Implemented e-surveys (text/ email) -Later added IVR (iterative voice recorded) -Scripting for staff to promote filling out the survey and sharing feedback -Manager Rounding -Assigned a Patient Experience Liaison -Service recovery efforts TASK 3: Launch Young Minds Center to increase access to care & provide more resources for children, adolescents, & families; Continue providing and increasing services for Telemedicine, Access Center Call Line, Systems of Care, and High ED Utilizers management. -Access to care is a high priority for Carle Health. Many resources have been dedicated to improving access to care including recruitment efforts and increased staffing, coordination of care techniques, project management, and ongoing education with community partners. -Carle Health directors each identified an annual BEST project that would improve access to care. Behavioral Health BEST projects included improved access to outpatient substance use services, streamlining admission processes for inpatient services and substance use residential, increasing mental health residential service programming, and reducing processing time for new referrals. -Young Minds Center hosted a ribbon cutting event on September 12, 2024. The facility opened for outpatient services later that month and inpatient services opened in October 2024. Young Minds Center is a state-of-the-art facility that increased access to behavioral health care for youth and adolescents, including additional inpatient services. -System of Care partnered with other organizations to increase awareness of services and referral processes. SOC facilitated monthly implementation meetings with an average of 35 organizations attending, supported 18 organizations in utilizing the electronic referral system IRIS, and hosted and attended community outreach events. TASK 4: Disseminate marketing and recruitment messages to promote mental health resources for youth and adults in Tri-County Region. -In 2024, marketing and public relations efforts led by Carle Health and Trillium Place made a meaningful impact in our Tri-County communities by providing education and sharing essential resources to support positive youth mental health. The focus of many of these initiatives concentrated on keeping the community informed about the opening of the new, dedicated child and adolescent behavioral health center, Trillium Place Young Minds Center, an affiliate of Carle Health - bringing more services and support to the youth and families in our communities. This was accomplished primarily through local media interviews, a ribbon cutting event and social media outreach. Our teams also welcomed elected officials on several occasions to visit the new center and discuss ongoing efforts to support youth mental health.
Schedule H, Part V, Section B, Line 11 Facility , 3Facility , 3 - CARLE HEALTH PROCTOR HOSPITAL (CONTINUED). -Another key area of focus was for community awareness is a collaboration program with the Peoria Police Department called the Co-Responder Social Services Unit. Several media opportunities, a ribbon cutting and social media posts were shared to spread information about this important service. The marketing team also launched several ad campaigns to highlight our local mental health resources for all ages. Each initiative raised visibility around available services and also helped reduce stigma, encourage early intervention, and foster more open and supportive conversations about mental health. TASK 5: Share success stories of the mental health efforts within the tri-county area. -In 2024, Trillium Place saw an 11% reduction in BH ED visits for the general population and a 43% reduction for individuals receiving services from Trillium Place. -Trillium Place incorporated a daily meeting known as the Regional Behavioral Health Daily Patient Planning Huddle, which continues to be held Monday through Friday each week. This huddle discusses service needs for individuals who are entering the EDs of Carle Methodist, Proctor, and Pekin locations. The huddle involves managers from Carle Health ED and Inpatient Units along with the Trillium Place departments for community services. This collaboration of supports and service identification has been active since February 2023. Results from 2024 with the Trillium Place Strategic Plan have looked at reducing Behavioral Health ED visits by 5% for enrolled clients of Trillium Place Community Programs and non-enrolled clients. Trillium Place continues to track these two metrics and continues to report to the Board and community partners about progress. Strategy 3 - Increase mental health prevention education and awareness to improve mental health. TASK 1: Identify regional mental health prevention community education resources and collect baseline data - Hult Center for Healthy Living, Methodist College, Nursing Education, Family Medical Center, etc. -Carle Health identified key prevention education resources including Hult Center for Healthy Living, Trillium Place, and Carle Health Eureka Hospital. These three Carle Health entities directly provide prevention and education services in the community and also partner with other community organizations. -Trillium Place has a community training space available for internal and external use. The organization seeks and responds to opportunities to provide mental health awareness education and to expand knowledge of available resources and how to access. -In 2024, Trillium Place provided Mental Health First Aid training to 219 community members representing colleges, the healthcare workforce, Peoria County, first responders, and behavioral health and substance use professionals. -The System of Care participated in seven community partnership collaboratives and six community events promoting resources. TASK 2: Establish partners to provide suicide prevention education and training opportunities to providers, medical students, medical staff and community members. -System of Care established a partnership with six individuals to provide or support suicide prevention education and training. -Carle Health (Hult Center for Healthy Living) provided suicide prevention education in 2024 to 6,272 community members including 814 attending Hult Center for Healthy Living's "Mega Brain" fieldtrip. -Hult Center for Healthy Living provided no cost QPR (Question, Persuade, Refer) Suicide Prevention Gatekeeper training to: -8 Heart of Illinois United Way Big Brother Big Sisters staff members on March 4, 2024 -53 University of Illinois College of Medicine Medical Residents and Medical Students on January 5, 2024. -28 Peoria Public Schools staff members on February 8, 2024. TASK 3: Disseminate marketing and recruitment messages to promote mental health prevention education for youth and adults in the tri-county region. -Carle Health provided regular diversity, equity, and inclusion education and training opportunities for staff and leaders. -In 2024, Hult Center for Healthy Living provided Safe Zone training to 94 staff members from the Peoria Regional Office of Education, along with educators and staff from surrounding schools. Safe Zone is an evidence-informed training program that increases awareness, knowledge, and skills to support LGBTQ+ youth and colleagues. TASK 4: Support regional DEI efforts that include LGBTQ+ supports for community and staff. -Carle Health provided regular diversity, equity, and inclusion education and training opportunities for staff and leaders. -In 2024, Hult Center for Healthy Living provided Safe Zone training to 94 staff members from the Peoria Regional Office of Education, along with educators and staff from surrounding schools. Safe Zone is an evidence-informed training program that increases awareness, knowledge, and skills to support LGBTQ+ youth and colleagues. TASK 5: Share success stories of the mental health prevention education efforts within the tri-county area. -Trillium Place Young Minds Center hosted a behavioral health symposium on September 12, 2024. The symposium brought together national and local experts to discuss youth mental health, evolving research, and innovations in care. More than 100 professionals from diverse disciplines attended this youth-centered event. The symposium successfully increased awareness of the expanded child and adolescent services, increased professional knowledge of key factors affecting youth, and brought together multiple partner organizations. -Hult Center for Healthy Living for Healthy Living is dedicated to empowering people in Central Illinois to live healthier lives. A key component of their mission is a comprehensive mental health program that aims to improve well-being across all ages. Their mental health programming focuses on education and prevention, providing tailored, evidence-based curriculum to youth and adults across Central Illinois to foster help-seeking behaviors, reduce stigma, and promote resilience. The following success story took place at a local public school in Peoria during the spring of 2024: -During a Youth Mental Health education session at a local middle school, a teacher shared a noteworthy observation with Hult Center for Healthy Living staff. Following one of the sessions, he saw a student - who often struggled with conflict - begin to escalate during a disagreement at lunch. Instead of reacting as usual, the student paused, used the "five-finger breathing" technique introduced that morning, and calmly walked away. The teacher noted that this was the first time he had seen the student respond in such a positive way. He expressed appreciation for the program and shared that he plans to use the breathing technique in his classroom to help other students manage and de-escalate challenging situations. 3) Obesity Strategy 1 - Support tri-county PFHC's CHIP efforts: Digital Health Interventions and Strong People - Healthy Weight. TASK 1: Identify key staff to participate in PFHC Obesity Action Team. -Hult Center and the Weight Loss Clinic have been actively engaged in the PFHC Obesity Action Team meetings. They are tracking their time on their efforts for community benefit. Conversations are ongoing, and efforts are being made to improve coordination and capacity. A total of 49 staff hours were dedicated to PFHC's Obesity Action Team in 2024. TASK 2: Disseminate PFHC campaign and recruitment messages to promote Digital Health Interventions and Strong People - Healthy Weight. -In 2024, Hult Center for Healthy Living staff promoted the PFHC campaign and the Hult Center for Healthy Living Health Coaching program at multiple community-focused events. Outreach included adolescent health events at three Peoria schools, reaching more than 700 students. At these events, staff disseminated materials on health coaching and available resources, supporting recruitment efforts for implementation plan interventions. TASK 3: Partner with PFHC and community resources to promote intervention strategies. -In 2024, Hult Center for Healthy Living staff collaborated with the Community Health Improvement Plan Obesity Action Team to develop a confidential survey aimed at understanding pediatric primary care providers' experiences in managing adolescent obesity. The survey was distributed in 2025, and the findings will inform the development of enhanced resources and evidence-based tools to support clinical practices in addressing adolescent obesity.
Schedule H, Part V, Section B, Line 11 Facility , 4Facility , 4 - CARLE HEALTH PROCTOR HOSPITAL (CONTINUED). Strategy 2 - Reduce the proportion of adolescents with obesity through individualized health coaching for adolescents with overweight and obesity. TASK 1: Collect baseline data. Hult Center for Healthy Living's WELL Program at Hult Center for Healthy Living reached over 85 youth and adolescents last year providing individual health coaching sessions for those diagnosed as at risk for type two diabetes or obese. Health coaching took place at all three Carle Hospital School Based Health Centers and at Hult Center for Healthy Living. Referrals to the program were received from Carle pediatric primary care providers, medical residents at Family Medical Center, and School Based Health Center providers. TASK 2: Develop recruitment campaign in tri-county area. -Hult Center for Healthy Living Leadership and the WELL program coordinator actively engaged in meetings with providers in 2024 and maintained ongoing conversations to ensure a steady flow of referrals. Also, Hult Center for Healthy Living Health educators have participated in numerous youth and adolescent health events throughout 2024 promoting the program to the target demographic. TASK 3: Establish provider referral protocol. -Adolescents participating in the WELL one-on-one health coaching program were referred to through the EPIC EMR system. Eligibility criteria included being diagnosed as at-risk for type 2 diabetes or having a BMI at or above the 98th percentile. In 2024, the program expanded the end age range from 17 to 18, allowing continued support for participants transitioning to adult healthcare and providing additional guidance to help students succeed after program completion. TASK 4: Partner with community resources to educate about the Hult Center WELL (Wellness Education and Lifestyle Learning) adolescent health coaching program to increase referrals and establish coaching locations. -In 2024 Hult Center for Healthy Living staff continued collaborations with various community partners to enhance the visibility of the WELL program and to facilitate the establishment of coaching sessions. Notable partnerships were established with Peoria School District 150, Peoria Grown, Bradley University, and the Family Medical Center. TASK 5: Provide individualized health coaching to adolescents at risk for developing type 2 diabetes. -Hult Center for Healthy Living's WELL Program reached over 85 youth and adolescents last year providing individual health coaching sessions for those diagnosed as at risk for type two diabetes or obese. TASK 6: Share success stories of the program with the tri-county area. -In 2024, Hult Center for Healthy Living staff worked with an 8th-grade student enrolled in the WELL health coaching program who was experiencing challenges with maintaining a healthy body weight while also coping with the loss of a parent to chronic illness. Through the support of a health coach, the student set achievable health goals and gained knowledge about nutrition. Previously, bringing prepared chicken nuggets for lunch each day, the student gradually began incorporating more fruits and vegetables into meals both at school and at home. In addition, the student connected with a school counselor for ongoing support in managing grief and emotions, highlighting the importance of integrating nutrition education with emotional well-being in supporting long-term health. Strategy 3 - Reduce the proportion of adults with obesity through individualized support for weight loss. TASK 1: Collect baseline data. -Carle Health's Weight Loss Clinic was launched and operated in 2023; however, services concluded in December 2023. -In 2024, Carle Health Diabetes Education Clinic outcomes were used as a proxy to measure progress toward reducing obesity and related chronic conditions. Program participants demonstrated an overall 2.0% reduction in A1c, with 87% achieving improvement. Additionally, the percentage of participants with an A1c below 8% increased from 46% to 80%, establishing a strong baseline for monitoring future impact on chronic disease prevention. TASK 2: Launch weight loss clinic for adults. -Carle Health's Weight Loss Clinic was launched and operated in 2023; however, services concluded in December 2023. -Although the dedicated weight loss clinic closed, adult obesity prevention and related chronic diseases remain a community priority. Efforts have shifted toward leveraging existing diabetes education and nutrition programs through the Carle Health Diabetes Education Clinic. These services continue to support adults in reducing obesity-related health risks. TASK 3: Launch outreach body-composition scanning program to tri-county area. -Body composition scanning was launched in 2023; however, Well Mobile services concluded in Fall 2023. -Although formal body composition scanning was not implemented in 2024, patients participating in the Carle Health Diabetes Education Clinic benefited from individualized sessions that emphasized measurable health indicators, such as A1c levels. These indicators provide valuable data for tracking health improvements, serving as effective alternatives to body composition measures. TASK 4: Develop recruitment campaign in tri-county area. -In 2024 recruitment efforts transitioned to promoting participation in existing evidence-based programs, including Carle Health diabetes self-management education. TASK 5: Share success stories of the programs within the tri-county area. -Success stories from the Carle Health Diabetes Education clinic highlight individuals who achieved meaningful health improvements through education and lifestyle changes. For example, programming completers reduced their A1c by nearly 2% on average, with many moving from high-risk categories (A1c >9%) to healthier ranges. These narratives demonstrate the positive impact of community-based programs in preventing and reducing obesity-related conditions. Cancer remained on the radar for community health however it was not one of the target initiatives; Strategy 1 - Support tri-county PFHC's Cancer Performance Management efforts - routine cancer screenings, improving community health, and reducing transportation and lodging barriers for active cancer patients. The Tri-County Illinois Tobacco-Free Communities team, based at Hult Center for Healthy Living, advanced lung health initiatives by promoting the Illinois Tobacco Quitline and supporting smoke-free and tobacco-free policies to reduce exposure to secondhand smoke. In March and April 2024, the team coordinated a six-week local radio campaign with consistent messaging across all partners, including Hult Center for Healthy Living, Woodford County Health Department, Peoria City/County Health Department, Tazewell County Health Department, and the Partnership for a Healthy Community (PFHC). Additionally, Hult Center supported oncology prevention efforts by participating in National Cancer Screening Days held in May and August 2024. Hult Center for Healthy Living partnered with the Illinois Tobacco-Free Communities tri-county coalition-including the Peoria City/County, Tazewell County, and Woodford County Health Departments-to advance smoking restrictions and policies aimed at reducing community risk for lung cancer. In addition, the Center collaborated with the American Cancer Society to promote increased lung cancer screening rates and partnered with Heartland Health Services to expand access to breast cancer screenings. Strategy 2 - Increase the number of cancer screenings (breast, colorectal, and lung) to decrease cancer deaths. Carle Health collected baseline data to determine community areas of concern. Data included death rates among individuals with breast, colorectal, and lung cancer. Data includes: -Breast cancer baseline rates from 2018 were 19.7 per 100,000 females. -Colorectal cancer rates from 2018 were 13.4 per 100,000 individuals in 2018 -Lung cancer rates from 2018 were 34.8 per 100,000 individuals in 2018 In 2024, Carle Health Oncology benefited from $40,000 in support from the Theresa Tracy Strive to Survive organization, raised through the annual Theresa Tracy Trot in East Peoria. These funds are directly supporting patients with pancreatic cancer by helping reduce financial barriers such as transportation costs and medical expenses, while also contributing to research and early detection efforts.
Schedule H, Part V, Section B, Line 11 Facility , 5Facility , 5 - CARLE HEALTH PROCTOR HOSPITAL (CONTINUED). Strategy 3 - Collaborate with community partner agencies to offer community-wide cancer screening events and education. 2024 Pink & Pearl Screening Cancer Event - Pekin Hospital & North Allen -Breast Cancer Screenings - 184 total, 43 abnormal requiring follow-ups 2024 Girls Night Out: -Breast Cancer Screenings - 39 total, 10 abnormal requiring follow-ups 2024 Free Mammo Day: -Breast Cancer Screenings - 13 total, 2 abnormal requiring follow-ups -Cervical Cancer Screenings - 10 total, 2 abnormal with follow-ups, and 1 patient for HPV -Skin Cancer Screenings - 60 total, 17 abnormal with follow-ups -Colorectal Cancer Screenings - 19 FIT Kits distributed -Lung Cancer Screenings - 15 total, 6 abnormal requiring follow-ups; 1 patient referred to SOC; 3 patients referred to Lung Nodule Clinic -Breast Cancer Screenings- 25 total, 3 abnormal requiring follow-ups, 1+ cancer diagnosis May 2024 Cancer Screening Event: -Skin Cancer Screenings - 43 total, 24 abnormal with follow-ups -Colorectal Cancer Screenings - 8 FIT Kits Distributed -Lung Cancer Screenings - 18 total, 2 abnormal requiring follow-ups -Breast Cancer Screenings - 15 total, 3 abnormal requiring follow-ups -Genetic Cancer Screenings - 20 prescreened, 7 scheduled follow-ups August 2024 Cancer Screening Event: -Skin Cancer Screenings - 47 total, 26 abnormal with follow-ups -Colorectal Cancer Screenings - 11 FIT Kits Distributed -Lung Cancer Screenings - 14 total, 3 abnormal requiring follow-ups -Breast Cancer Screenings - 17 total, 1 abnormal requiring follow-up -Genetic Cancer Screenings - 16 prescreened, 4 scheduled follow-ups
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Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITEHTTPS://CARLE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITEHTTPS://DEV-CMS.CARLE.ORG/GETMEDIA/ADCADB9A-2903-478C-A4A7-06BCF9DB10BC/358-0123-CFAPAPPLICATION.PDF
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITEHTTPS://CARLE.ORG/GETMEDIA/F7608F63-CB1C-4EB5-8F0B-02F00EAFEC74/X0873-0223-CFAP-PLAINLANGUAGE-SUMMARY.PDF
Schedule H, Part I, Line 3 Assistance Eligibility CriteriaPATIENTS MAY REQUEST AND COMPLETE A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME, INCLUDING BEFORE CARE IS RECEIVED. PATIENTS ARE INFORMED ABOUT FINANCIAL ASSISTANCE ON MULTIPLE OCCASIONS THROUGHOUT THE COLLECTION PROCESS. IN ADDITION TO PATIENTS COMPLETING APPLICATIONS FOR OUR FINANCIAL ASSISTANCE PROGRAM, WE HAVE ROBUST PRESUMPTIVE ELIGIBILITY PROCESSES IN PLACE. WE HAVE PARTNERED WITH EXPERIAN INFORMATION SOLUTIONS, INC. TO HELP US IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON KEY FINANCIAL INDICATORS. THESE PATIENTS MAY BE APPROVED WITHOUT EVER COMPLETING AN APPLICATION OR EXPRESSING A NEED FOR FINANCIAL ASSISTANCE. IN ADDITION, WE PRESUME ELIGIBILITY FOR PATIENTS WHO ARE VERIFIED HOMELESS, DECEASED WITH NO ESTATE, MENTALLY INCAPACITATED, ELIGIBLE FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) OR WOMEN, INFANTS, AND CHILDREN NUTRITION PROGRAM (WIC), TOWNSHIP ASSISTANCE, LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM OR COVERED BY ILLINOIS MEDICAID.
Schedule H, Part V, Section B, Line 7 A - HOSPITAL FACILITY'S WEBSITE (LIST URL)https://carle.org/about-us/community-health-needs-assessments
Schedule H, Part I, Line 6a Community benefit report prepared by related organizationTHE HOSPITAL'S COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE METHODIST HEALTH SERVICES CORPORATION (NOW CARLE HEALTH - WEST REGION) COMMUNITY BENEFIT REPORT.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountTO COMPUTE AND CONVERT FINANCIAL ASSISTANCE, UNREIMBURSED MEDICAID, MEANS-TESTED PROGRAMS, AND BAD DEBT CHARGEST TO COST, A CONSISTENT GAAP (GENERALLY ACCEPTED ACCOUNTING PRINCIPLES) BASED COST-TO-CHARGE RATIO WAS USED ACROSS ALL PAYERS. ALTHOUGH THE METHODOLOGY WAS SIMILAR TO WORKSHEET #2, FOR SIMPLICITY PURPOSES CERTAIN IMMATERIAL VALUES WERE OMITTED. OTHER COMMUNITY BENEFITS COSTS WERE REPORTED AT THE ACTUAL EXPENSE INCURRED. PATIENT RECEIVABLE PAYMENTS AND RELATED DISCOUNTS WERE RECORDED AT ACTUAL AMOUNTS AT THE TIME OF PAYMENT RECEIPT. A SEPARATE GAAP-BASED PROVISION FOR ESTIMATED BAD DEBTS AND DISCOUNTS WAS RECOGNIZED FOR ACCOUNTS IN PROCESS AND PENDING ADJUDICATION AND PAYMENT. THE ESTIMATED PORTION WAS BASED ON HISTORICAL TRENDS AND ADJUSTED TO ACTUAL WHEN ADJUDICATION AND PAYMENT OCCURRED. ACCOUNTS DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE WERE PROCESSED IMMEDIATELY FOR FINANCIAL ASSISTANCE DISCOUNT WITH NO COLLECTION EFFORT. FOR ACCOUNTS WITH INSUFFICIENT INFORMATION AND DOCUMENTATION TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY, THE HOSPITAL CONSULTED WITH A VARIETY OF ALTERNATIVE SOURCES TO HELP DETERMINE AN INDIVIDUAL'S FINANCIAL MEANS (OR LACK OF MEANS) TO PAY. BASED ON RELATED TRENDS, THE HOSPITAL FURTHER DEVELOPED A GENERAL ESTIMATE OF FINANCIAL ASSISTANCE, WHICH CONTINUED TO RESIDE WITHIN BAD DEBTS. THIS NARRATIVE ALSO PERTAINS TO SCHEDULE H, PART I, LINE 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyTHE HOSPITAL USES 50% AS A GENERAL ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT'S ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteAS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0. PLEASE SEE SCHEDULE H, PART III, LINE 2 METHODOLOGY USED TO ESTIMATE BAD DEBT FOR 990 REPORTING PURPOSES.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsTHE NUMERATOR (TOTAL EXPENSE) AND DENOMINATOR (TOTAL GROSS CHARGES) OF THE SIMPLE RATIO OF PATIENT CARE COST TO CHARGES IS ADJUSTED BY ELIMINATING NON-PATIENT CARE THAT GENERATES OTHER REVENUE, BAD DEBT EXPENSE, MEDICAID AND OTHER PROVIDER TAXES AND THE TOTAL COST OF COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS. ALSO, ANY GROSS PATIENT CHARGES FOR PROGRAMS NOT RELYING ON THE RATIO ARE ELIMINATED FROM BOTH THE NUMERATOR AND DENOMINATOR OF THE RATIO. THESE ADJUSTMENTS ARE INTENDED TO ELIMINATE ANY POTENTIAL FOR DOUBLE COUNTING OF COMMUNITY BENEFIT EXPENSES. THE RESULTANT RATIO ALIGNS WITH SCHEDULE H REQUIREMENTS. ILLINOIS LAW DEFINES GOVERNMENTAL-SPONSORED INDIGENT HEALTH CARE AS THE UNREIMBURSED COST OF MEDICARE, MEDICAID AND OTHER FEDERAL, STATE OR LOCAL INDIGENT CARE PROGRAMS. WHEN THERE IS A SHORTFALL, WE DO BELIEVE THIS IS A COMMUNITY BENEFIT BECAUSE, AS A HOSPITAL, WE ARE STEPPING UP TO CARRY THE BURDEN OF THE GOVERNMENT, ASSURING CARE TO SENIORS, AND THOSE LESS FORTUNATE DEMOGRAPHICS THAT HAVE EXPERIENCED INCREASING COSTS OVER THE PAST DECADE WHILE LIVING ON FIXED INCOMES.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceTHE CARLE FINANCIAL ASSISTANCE PROGRAM (CFAP) PROVIDES DISCOUNTED OR FREE CARE TO THOSE WHO NEED IT WITHIN THE CARLE HEALTH SYSTEM, INCLUDING THIS HOSPITAL. NOT ONLY DOES THIS RESULT IN A TIMELIER APPLICATION PROCESS, BUT MOST IMPORTANTLY, IT MEANS PATIENTS RECEIVE THE SAME DISCOUNT AT THE HOSPITAL AND CLINICS IF THEY MIGHT NEED AN ADDITIONAL LEVEL OF SPECIALTY OR HOSPITAL CARE. WITH THIS PROGRAM, THE HOSPITAL HAS A ROBUST PRESUMPTIVE ELIGIBILITY PROCESS. WE PRESUME ELIGIBILITY FOR VERIFIED HOMELESS, DECEASED WITH NO ESTATE, MENTAL INCAPACITATION, RECIPIENTS OF WIC (WOMEN, INFANTS AND CHILDREN NUTRITION PROGRAM), SNAP (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM), LIHEAP (LOW INCOME HOME ENERGY ASSISTANCE PROGRAM), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM, RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICE, FEDERALLY QUALIFIED HEALTH CLINIC (FQHC) DISCOUNT REFERRALS, MEDICAID TITLE XIX, XXI, AND IN-NETWORK MEDICAID MANAGED CARE PLANS. IN ADDITION, WE UTILIZE A VENDOR, EXPERIAN INFORMATION SOLUTIONS, INC., TO PROACTIVELY IDENTIFY PATIENTS WHO MAY BE PRESUMPTIVELY QUALIFIED FOR ASSISTANCE - NOT ONLY FOR PUBLIC PROGRAMS LIKE MEDICAID, BUT ALSO BASED ON A NUMBER OF KEY FINANCIAL INDICATORS, INCLUDING CREDIT HISTORY, DEMOGRAPHICS AND GROSS INCOME. IDENTIFIED PATIENTS MAY BE PRESUMED ELIGIBLE AND AUTOMATICALLY ENROLLED IN THE PROGRAM, OR THEY MAY BE CONTACTED AND ENCOURAGED TO APPLY FOR ASSISTANCE. PATIENTS WHO ARE NOT DEEMED PRESUMPTIVELY ELIGIBLE WOULD NEED TO REQUEST AND COMPLETE AN APPLICATION. IF THE PATIENT DOES NOT REQUEST OR COMPLETE AND RETURN THE APPLICATION, THEN THE BALANCE IS DEEMED THEIR RESPONSIBILITY TO PAY. FOR PATIENTS THAT DO NOT QUALIFY FOR CARLE FINANCIAL ASSISTANCE AND WHO MAY BE UNINSURED OR UNDERINSURED, THE HOSPITAL HAS OTHER DISCOUNT OPTIONS AVAILABLE, SUCH AS PROMPT PAY, ILLINOIS UNINSURED DISCOUNT, AND CAPPED DISCOUNT - WHERE A PATIENT'S OUT-OF-POCKET MEDICAL EXPENSES ARE LIMITED TO 40% OF THEIR ANNUAL GROSS INCOME IF THEY EARN AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL. ONCE ALL APPLICABLE DISCOUNTS HAVE BEEN APPLIED, WE MAKE EVERY ATTEMPT TO WORK WITH THE PATIENT AND SET UP PAYMENT ARRANGEMENTS ON THE REMAINING BALANCE DUE. THE CURRENT MINIMUM IS 5% OF THE TOTAL BALANCE DUE OR $25.00 A MONTH. IF THEY CANNOT MEET THESE GUIDELINES, OUR IN-HOUSE BILLING STAFF MEMBERS WORK WITH THEM TO SET UP A TEMPORARY/SHORT TERM PAYMENT ARRANGEMENT UNTIL THEY CAN MAKE THE MINIMUM PAYMENT. IF THEY ARE UNABLE TO MAKE PAYMENT ON THE BALANCE DUE, THEN THE BALANCE MAY BE LISTED WITH AN OUTSIDE COLLECTION AGENCY. WHEN THE ACCOUNT IS STILL IN-HOUSE, THE MINIMUM NOTIFICATION IS MONTHLY ITEMIZED STATEMENTS. IF A PATIENT DOES NOT RESPOND, THE ACCOUNT IS GIVEN A FINAL NOTICE, EITHER BY LETTER OR PHONE, AND SENT TO AN OUTSIDE COLLECTION AGENCY. THE HOSPITAL WILL NOT FILE COLLECTION SUIT LIENS ON A PRIMARY RESIDENCE, NOR DO WE AUTHORIZE AN AGENCY TO USE SO-CALLED "BODY ATTACHMENTS". THE AGENCIES ARE AWARE OF OUR CFAP AND HAVE BEEN ADVISED TO REFER THE PATIENTS BACK TO CARLE IF THEY DEEM THE PATIENT IS UNABLE TO PAY. BILLING STAFF WILL THEN MAKE ONE MORE ATTEMPT TO WORK WITH THE PATIENT TO SEE IF HELP IS AVAILABLE. IF STAFF DETERMINES THAT THE PATIENT MIGHT QUALIFY, WE SEND THE PATIENT A CFAP APPLICATION AND INSTRUCT THE AGENCY TO PUT A HOLD ON THE ACCOUNT; THE AVERAGE HOLD IS 60 DAYS. IF THE PATIENT IS THEN APPROVED FOR DISCOUNTS AT 100% FOR FINANCIAL ASSISTANCE, THE BALANCE IS ADJUSTED AND THE ACCOUNT IS CLOSED WITH THE AGENCY. IF THE PATIENT IS APPROVED FOR LESS THAN 100%, THE ADJUSTMENTS ARE REPORTED TO THE AGENCY AND THE AGENCY WILL BEGIN COLLECTION EFFORTS ON ANY REMAINING BALANCE.
Schedule H, Part V, Section B, Line 16a FAP website- CARLE HEALTH PROCTOR HOSPITAL: Line 16a URL: SEE SCHEDULE H, PART VI;
Schedule H, Part V, Section B, Line 16b FAP Application website- CARLE HEALTH PROCTOR HOSPITAL: Line 16b URL: SEE SCHEDULE H, PART VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- CARLE HEALTH PROCTOR HOSPITAL: Line 16c URL: SEE SCHEDULE H, PART VI;
Schedule H, Part VI, Line 2 Needs assessmentTHE COMMUNITY BENEFITS PLAN ADOPTED BY CARLE IS ABOUT IMPROVING HEALTH; THE HEALTH OF EACH INDIVIDUAL, AND THE HEALTH OF THE COMMUNITY. IN DEVELOPING THE PLAN, SEVERAL SOURCES OF INFORMATION WERE UTILIZED TO HELP IDENTIFY SPECIFIC HEALTHCARE NEEDS. FIRST, ONE OF THE MORE COMPREHENSIVE LOCAL ASSESSMENTS IS LED BY THE THREE LOCAL HEALTH DEPARTMENTS IN CENTRAL IL: PEORIA CITY COUNTY HEALTH DEPARTMENT, TAZEWELL COUNTY HEALTH DEPARTMENT AND WOODFORD COUNTY HEALTH DEPARTMENT AS CARLE HEALTH SERVES THE RESIDENTS OF THESE COUNTIES. AS A TRI-COUNTY COLLABORATIVE, THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED LOCAL HEALTH PRIORITIES AS HEALTHY EATING, MENTAL HEALTH, OBESITY, AND CANCER MANAGEMENT. THE SECOND SOURCE WAS HEALTHY PEOPLE 2010. HEALTHY PEOPLE 2010 SET OUT NATIONAL OBJECTIVES FOR HEALTH IMPROVEMENT AND ARE BUILT AROUND THE CONCEPTS OF DISEASE PREVENTION AND HEALTH PROMOTION. OTHER SOURCES OF DATA WERE REVIEWED, HEARTLAND ALLIANCE MID-AMERICA INSTITUTE ON POVERTY, UNITED STATES CENSUS BUREAU DATA, ILLINOIS BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY DATA, CARLE ACCESS DATA AND CENSUS BUREAU DATA. COLLECTIVELY, THESE DATA SOURCES HAVE SUPPORTED OUR ASSESSMENT OF THE COMMUNITIES NEEDS. OTHER SOURCES OF HEALTH DATA WAS PROVIDED BY THE UNIVERSITY OF IL COLLEGE OF MEDICINE AT PEORIA, IL AND THE UNTED WAY. THE HOSPITALS EACH REVIEW THEIR OWN PATIENT HEALTH DATA CAPTURED WITH INPATIENTAND OUTPATIENT VISITS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceCarle Financial Assistance Program (CFAP): As a tax-exempt organization, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital provide care to patients regardless of their ability to pay. Carle's generous Financial Assistance Program has resulted in our ability to reach many people over the years. Our practice is to look at each patient's financial status in relation to our Carle Financial Assistance Program and the criteria of the Uninsured Patient Discount Act, and to provide the patient with the deepest discount available. By expanding the presumptive eligibility screening processes and determining the financial status of patients up-front, we have been able to pinpoint those needing assistance early in the process, minimizing bad debt and optimizing our ability to help. Staff is also diligent in following up with patients during hospitalization and after discharge if there's any reason to believe the patient could benefit from financial assistance, and we auto-qualify certain patient populations for Carle Financial Assistance Program, such as the homeless, WIC, SNAP (Supplemental Nutrition Assistance Program), Medicaid, Low Income Home Energy Assistance Program (LIHEAP), and Township Assistance recipients. Communicating that Financial Assistance is Available Carle Health has made a concerted, continuous effort to be sure that people have access to information that will help them with their medical bills. These include: -Simplified application form, including a version in Spanish and French, that contains information regarding the Carle Financial Assistance Program -Publication of a Plain Language Summary and all other financial assistance-related information on CARLE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE -Information about the Carle Financial Assistance Program on all statements, collection letters and Hospital admission packets -Carle Financial Assistance Program information and applications at all registration points, Hospital main lobby and carle.org -Staff at Frances Nelson Health Center operated by Promise Healthcare, the local FQHC, and community free clinics equipped with a supply of applications and knowledge to assist their patients in completing them -Meetings with local legislators to help them assist constituents with healthcare needs, including financial assistance
Schedule H, Part VI, Line 4 Community informationPROCTOR HOSPITAL IS A GENERAL MEDICAL AND SURGICAL HOSPITAL IN PEORIA, IL, WITH 205 BEDS. FROM A DEMOGRAPHIC STANDPOINT, PROCTOR SERVES A POPULATION THAT DIFFERS SIGNIFICANTLY FROM ITS LARGER DOWNTOWN COMPETITORS. THE RACIAL AND ETHNIC MIX OF PROCTOR PATIENTS IS IMPACTED BY THE HOSPITAL'S NORTHSIDE LOCATION. IN THE FISCAL PERIOD ENDED DECEMBER 31, 2024, PROCTOR HOSPITAL ADMITTED 3,451 PATIENTS RESULTING IN A TOTAL OF 23,163 PATIENT DAYS. OUTPATIENT VISITS TOTALED 57,353 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS FOR THE SAME PERIOD WERE 8,644. THERE WERE ALSO 21,194 EMERGENCY ROOM VISITS.
Schedule H, Part VI, Line 5 Promotion of community healthCarle Health West Region has an open medical staff and is governed by a community board. Surplus funds are reinvested into the organization for technology replacement and advancement, building renovation or construction, clinical service expansion and quality improvement. Surplus funds are also invested into our communities to meet identified health needs which contribute to the overall well-being of the residents of the communities we serve.
Schedule H, Part VI, Line 6 Affiliated health care systemProctor Hospital is a 205-bed, not-for-profit healthcare facility located in Peoria, IL and became part of the Carle Health System on April 1, 2023. As part of the Carle Health System, it currently serves the needs of Peoria, IL and the surrounding communities throughout central Illinois. The integration of Carle and Proctor Hospital allows for expanded access to healthcare in the region. Though Proctor Hospital falls under the umbrella of the Carle Foundation, it maintains a separate board of directors and senior leadership. While Proctor Hospital's CHNA and Community Benefit Reporting is separate from the Carle Foundation Hospital, it follows the same guidelines and principles. Proctor Hospital staff is involved in the CHNA and implementation plan and serve on human services agency boards and committees to provide support and help address identified community health needs.
Schedule H, Part VI, Line 7 State filing of community benefit reportIL

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Keith Knepp MD
Ex Officio, Voting // Officer - President, Carle Health - West Region$0$622,733$0$63,506$0$26,755$0$86,254$0$31,184$0$830,432$0$0
Jeffrey Leman MD
BOARD MEMBER // PHYSICIAN$0$448,856$0$0$0$1,980$0$27,678$0$34,216$0$512,730$0$0
Keila Sierra-Cintron MD
BOARD MEMBER // PHYSICIAN$0$476,954$0$0$0$2,195$0$27,678$0$0$0$506,827$0$0
John Wieland MD
Former Officer$0$568,791$0$25,000$0$25,316$0$27,678$0$29,920$0$676,705$0$0
James C Leonard MD
Officer - President & CEO$0$1,805,832$0$0$0$492,394$0$27,678$0$22,578$0$2,348,482$0$462,357
Matthew Kolb JD MHA
Ex Officio, Non-Voting // Officer - President, Carle Health Regions // EVP, COO$0$1,119,849$0$0$0$298,780$0$302,587$0$31,116$0$1,752,332$0$269,019
Dennis Hesch
Officer - EVP, Chief Finance & Strategy Officer$0$1,145,423$0$0$0$29,687$0$306,265$0$26,301$0$1,507,676$0$0
Napoleon Knight MD MBA
Officer - EVP, Chief Medical Officer$0$832,803$0$0$0$258,749$0$27,678$0$13,516$0$1,132,746$0$229,062
Ken Dicken MBA
VP, Finance - West Region$0$372,492$0$0$0$2,627$0$38,835$0$33,972$0$447,926$0$0
Lauren Schmid MBA
EVP, Chief Human Resources Officer$0$711,410$0$0$0$167,178$0$74,631$0$30,537$0$983,756$0$137,552
Caleb Miller
SVP, Surgical Services & Ambulatory Care$0$438,377$0$0$0$102,598$0$56,043$0$31,218$0$628,236$0$74,056
Jeanette Murray
VP, Greater Peoria Hospital Operations$0$349,207$0$29,871$0$25,748$0$59,068$0$25,682$0$489,576$0$0
Nicholas Crompton
VP, Construction & Facility Services$0$299,356$0$0$0$3,853$0$50,322$0$34,234$0$387,765$0$0
Brook Fisher
Director, Revenue Cycle Denials$0$165,258$0$0$0$7,375$0$10,854$0$32,272$0$215,759$0$0
Theresa Skibba
Registered Nurse - Cardiac$312,200$0$0$0$3,938$0$23,783$0$33,634$0$373,555$0$0$0
Diana Jones
Nursing Supervisor$234,132$0$0$0$569$0$16,173$0$10,481$0$261,355$0$0$0
Sharae Licklider
Registered Nurse CTP ARC$202,367$0$0$0$391$0$12,818$0$17,384$0$232,960$0$0$0
Vilma Plemons
Registered Nurse - Cardiac$169,676$0$0$0$3,599$0$10,344$0$18,119$0$201,738$0$0$0
Solivian Dismuke
Registered Nurse - Supervisor$168,264$0$0$0$2,377$0$11,251$0$18,479$0$200,371$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATIONTHE GOVERNING BOARD OF THE CARLE FOUNDATION, THE SYSTEM PARENT ORGANIZATION OF PROCTOR HOSPITAL, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY. -THE COMMITTEE IS COMPRISED OF MEMBERS OF THE GOVERNING BOARD WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT, HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS, ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED, AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. -THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. -THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. -THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR, WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4b SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANTHE 2024 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF PROCTOR HOSPITAL, LISTED ON FORM 990 PART VII INCLUDE DENNIS HESCH, MATTHEW KOLB, JAMES LEONARD, MD, KEITH KNEPP, LAUREN SCHMID, NAPOLEON KNIGHT, MD, CALEB MILLER, JOHN WIELAND, MD, AND JANETTE MURRAY. IN 2024, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO JAMES C. LEONARD, MD ($462,357), MATTHEW KOLB, JD, MHA ($269,019), NAPOLEON KNIGHT, MD, MBA (229,062), LAUREN SCHMID, MBA ($137,552), AND CALEB MILLER ($74,056).

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 2 Family/business relationships amongst interested personsJames C. Leonard, MD (Officer), Matthew Kolb, JD, MHA (Officer), and Napoleon Knight, MD, MBA (Officer) - Business relationship, James C. Leonard, MD (Officer) and James Stevenson (Board Chair) - Business relationship, James C. Leonard, MD (Officer) and Napoleon Knight, MD, MBA (Officer) - Business relationship, James C. Leonard, MD (Officer), Dennis Hesch (Officer), and Lauren Schmid, MBA (Key Employee) - Business relationship, Dennis Hesch (Officer), Matthew Kolb, JD, MHA (Officer), and Nicholas Crompton (Key Employee) - Business relationship, KEITH KNEPP, MD (OFFICER), DEBBIE SIMON (BOARD VICE CHAIR), DENNIS TRIGGS, JD (BOARD SECRETARY/TREASURER), DIRK ROECKER (Board Member), JAMES STEVENSON (BOARD CHAIR), AND MELISSA YODER, CPA (Board Member)) - Business relationship, Keith Knepp, MD (Officer), Ken Dicken, MBA (Officer), and Jeannette Murray (Key Employee) - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholdersCARLE HEALTH - WEST REGION, A TAX-EXEMPT ILLINOIS NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyPROCTOR HOSPITAL'S sole member, carle health - WEST region, acting through its governing board, has the exclusive power to elect and remove board members as well as fill vacancies.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersPROCTOR HOSPITAL must have the approval of its sole member, carle health - WEST region, through its governing board, when voting on matters including the amending of governing documents, recommending the president to the Board, approving any annual or long-term capital or operational budgets, approving payment to the members of the proctor hospital governing Board for their expenses or compensation, approving any new, long-term or master institutional plan or changes to such plans, approving the addition of any new member and any dissolution, merger, consolidation, or sale or other disposition or encumbrance of all or substantially all of the assets of the corporation or any disposition of real property or relocation of the hospital and/or clinic, approving any organization or acquisition of a subsidiary or affiliate, approving any initiative requiring certificate of need (CON) approval, approving any pledge of all or any part of the corporation's assets as security for a debt, liability or other obligation, approving any loan to or for the corporation or any other indebtedness; and approving non-budgeted expenditures or sale exceeding the president's authorized spending authority.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyFORM 990 WAS PREPARED BY STAFF AND AN EXTERNAL TAX ADVISOR AND REVIEWED BY MANAGEMENT. PRIOR TO FILING THIS FORM 990, A FULL AND COMPLETE COPY WAS PROVIDED TO THE GOVERNING BODY BY POSTING TO THE ORGANIZATION'S DIRECTOR COMMUNICATION PORTAL. ALSO, BEFORE FILING, EACH BOARD MEMBER RECEIVED NOTIFICATION THAT THE FORM 990 WAS POSTED AND AVAILABLE FOR REVIEW AT HIS/HER DISCRETION. EACH BOARD MEMBER HAS THE OPPORTUNITY TO CONTACT MANAGEMENT OR DISCUSS AND ADDRESS CONCERNS AT SUBSEQUENT BOARD MEETINGS.
Form 990, Part VI, Line 12c Conflict of interest policyTHE ORGANIZATION'S ESTABLISHED CONFLICT OF INTEREST POLICIES REQUIRE ANNUAL DISCLOSURE OF ACTUAL AND POTENTIAL CONFLICTS OF INTEREST FOR OFFICERS, DIRECTORS, MEMBERS OF THE GOVERNING BOARD, MEMBERS OF BOARD COMMITTEES, ADMINISTRATIVE AND MANAGERIAL EMPLOYEES AS WELL AS ALL EMPLOYEES OF THE PURCHASING DEPARTMENT. IF CIRCUMSTANCES CHANGE DURING THE COURSE OF A YEAR, INTERIM DISCLOSURE IS ALSO REQUIRED OF THE SAME INDIVIDUALS. THE DISCLOSURES OF EMPLOYEES ARE REVIEWED INITIALLY BY THE COMPLIANCE DEPARTMENT AND ANY IDENTIFIED CONFLICTS ARE REFERRED TO AND ADDRESSED BY THE ORGANIZATION'S INTERNAL LEGAL COUNSEL AND/OR CORPORATE INTEGRITY OFFICER. THE DISCLOSURES OF MEMBERS OF THE GOVERNING BOARD AND MEMBERS OF THE BOARD COMMITTEES ARE REVIEWED BY THE CHAIR OF THE BOARD. THE ENTIRE BOARD, ABSENT THE SUBJECT BOARD OR COMMITTEE MEMBER DETERMINES WHETHER A CONFLICT EXISTS. BOARD MEMBERS AND/OR BOARD COMMITTEE MEMBERS WITH IDENTIFIED CONFLICTS ARE REQUIRED TO RECUSE THEMSELVES FROM DELIBERATING AND VOTING ON MATTERS THAT MAY PRESENT A CONFLICT. THE ORGANIZATION ALSO MAINTAINS PURCHASING POLICIES REQUIRING COUNTER SIGNATURES TO FURTHER MINIMIZE THE RISK ASSOCIATED WITH ACTUAL AND/OR POTENTIAL CONFLICTS OF INTEREST.
Form 990, Part VI, Line 19 Required documents available to the publicTHE CARLE FOUNDATION, THE SYSTEM PARENT ORGANIZATION OF PROCTOR HOSPITAL, PUBLISHES THROUGH WWW.DACBOND.COM AND HTTPS://EMMA.MSRB.ORG/ ITS QUARTERLY UNAUDITED FINANCIAL STATEMENTS, ANNUAL AUDITED FINANCIAL STATEMENTS, A MANAGEMENT'S DISCUSSION & ANALYSIS TO ACCOMPANY THE FINANCIAL STATEMENTS, AND AN ANNUAL REPORT OF CERTAIN OPERATING AND FINANCIAL INFORMATION. ADDITIONALLY, OFFICIAL STATEMENTS FOR OUTSTANDING MUNICIPAL BOND ISSUES FOR WHICH THE CARLE FOUNDATION IS OBLIGATED ARE AVAILABLE AT THESE WEBSITES. THESE DOCUMENTS INCLUDE EXTENSIVE INFORMATION ABOUT THE ORGANIZATION'S HEALTH CARE DELIVERY SYSTEM MODEL, RECENT HIGHLIGHTS/ACCOMPLISHMENTS, GOVERNANCE AND ADMINISTRATION, STRATEGIC PLAN, FACILITIES, CLINICAL PROGRAMS, MEDICAL STAFF, SERVICE AREA, COMPETITIVE ENVIRONMENT, DEMOGRAPHIC DATA, UTILIZATION STATISTICS, SUMMARY FINANCIAL INFORMATION, ACADEMIC AFFILIATIONS AND EDUCATIONAL PROGRAMS, MEDICAL RESEARCH, ACCREDITATIONS, AND ITS EMPLOYEES. THIS INFORMATION IS AVAILABLE AT NO CHARGE TO THOSE WHO REGISTER AT THE WWW.DACBOND.COM WEBSITE OR BY SEARCHING AT HTTPS://EMMA.MSRB.ORG/. IN ADDITION, FORMS 990 OF THE ORGANIZATION'S FILING ENTITIES ARE AVAILABLE THROUGH DACBOND. QUARTERLY FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST DELIVERED TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE ALSO AVAILABLE UPON REQUEST TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES.
Form 990, Part VII, Section A Column BTHE AVERAGE ESTIMATED HOURS PER WEEK LISTED FOR THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS ARE BASED ON A STANDARD 40-HOUR WEEK. MEMBERS MAY FREQUENTLY DEVOTE MORE THAN 40 HOURS OF SERVICE TO THE ENTIRE ORGANIZATION DURING AN AVERAGE WEEK.
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueAll other revenue - Total Revenue: 193499, Related or Exempt Function Revenue: 193499, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other FeesBilling Fees - Total Expense: 2312, Program Service Expense: 2312, Management and General Expenses: , Fundraising Expenses: ; Document Storage & Destruction - Total Expense: 1789, Program Service Expense: 1789, Management and General Expenses: , Fundraising Expenses: ; External Contract Labor - Total Expense: 7568198, Program Service Expense: 7568198, Management and General Expenses: , Fundraising Expenses: ; External Physician Contract Labor - Total Expense: 1645328, Program Service Expense: 1645328, Management and General Expenses: , Fundraising Expenses: ; External Printing Services - Total Expense: 202, Program Service Expense: 202, Management and General Expenses: , Fundraising Expenses: ; Interpreters - Total Expense: 300, Program Service Expense: 300, Management and General Expenses: , Fundraising Expenses: ; Outsourced Linen - Total Expense: 365882, Program Service Expense: 365850, Management and General Expenses: 32, Fundraising Expenses: ; Lab Services - Total Expense: 1008120, Program Service Expense: 1005310, Management and General Expenses: 2810, Fundraising Expenses: ; Physician Leadership Fees - Total Expense: -2000, Program Service Expense: -2000, Management and General Expenses: , Fundraising Expenses: ; Other Professional Fees - Total Expense: 1087, Program Service Expense: 1087, Management and General Expenses: , Fundraising Expenses: ; Other Purchased Services - Total Expense: 7466467, Program Service Expense: 7188744, Management and General Expenses: 277723, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesINTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS - -9737185; Total - -9737185;
Form 990, Part XII, Line 2c CHANGE OF OVERSIGHT PROCESS OR SELECTION PROCESSFORM 990 PART XII, QUESTION 2A, B, C AND PART IV, LINES 12, 12A THE FINANCIAL STATEMENTS FOR PROCTOR HOSPITAL WERE AUDITED ON A CONSOLIDATED BASIS. THE CARLE FOUNDATION HAS AN AUDIT COMMITTEE CONSISTING OF MEMBERS OF THE GOVERNING BOARD AND THE CHIEF FINANCIAL OFFICER WHO TOGETHER ASSUME RESPONSIBILITY FOR THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT OR AUDITOR.
Form 990, Part VI, Line 15 15a & 15b - Process to Establish Compensation of Top Management OfficialPROCTOR HOSPITAL DOES NOT COMPENSATE ITS OFFICERS. EMPLOYEE COMPENSATION FOR THESE INDIVIDUALS IS PAID BY THE SYSTEM PARENT ORGANIZATION, THE CARLE FOUNDATION. THE GOVERNING BOARD OF THE CARLE FOUNDATION, THE SYSTEM PARENT ORGANIZATION OF PROCTOR HOSPITAL THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: -THE COMMITTEE IS COMPRISED OF MEMBERS OF THE GOVERNING BOARD; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. -THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. -THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. -THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR, WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CARLE BROMENN MEDICAL CENTER
611 W PARK STREETURBANAIL61801850682363HOSPITAL SERVICESIL501(c)(3)3CHCRYes (true)
CARLE COMMUNITY HEALTH CORPORATION
611 W PARK STREETURBANAIL61801364458371FNDN MISSIONIL501(c)(3)Type ICDFYes (true)
CARLE DEVELOPMENT FOUNDATION
611 W PARK STREETURBANAIL61801371159978FUNDRAISINGIL501(c)(3)7TCFYes (true)
CARLE EUREKA HOSPITAL
611 W PARK STREETURBANAIL61801850688306HOSPITAL SERVICESIL501(c)(3)3CHCRYes (true)
CARLE HEALTH - CENTRAL REGION
611 W PARK STREETURBANAIL61801990548510GOVERNANCE/OVERSIGHTIL501(c)(3)Type III-FITCFYes (true)
CARLE HEALTH - EAST REGION
611 W PARK STREETURBANAIL61801990582680GOVERNANCE/OVERSIGHTIL501(c)(3)Type III-FITCFYes (true)
CARLE HEALTH - SOUTH REGION
611 W PARK STREETURBANAIL61801990614340GOVERNANCE/OVERSIGHTIL501(c)(3)Type III-FITCFYes (true)
CARLE HEALTH - WEST REGION
611 W PARK STREETURBANAIL61801371111135GOVERNANCE/OVERSIGHTIL501(c)(3)Type III-FITCFYes (true)
CARLE HEALTH CARE INCORPORATED
611 W PARK STREETURBANAIL61801371140016VARIOUS MEDICAL SERVICESIL501(c)(3)10TCFYes (true)
CARLE RETIREMENT CENTERS INC
611 W PARK STREETURBANAIL61801371160033RETIREMENT LIVINGIL501(c)(3)10TCFYes (true)
CARLE WEST PHYSICIAN GROUP INC
611 W PARK STREETURBANAIL61801850703768PHYSICIAN SERVICESIL501(c)(3)10CHCIYes (true)
CRIS HEALTHY AGING
611 W PARK STREETURBANAIL61801370948852SENIOR CITIZEN SERVICESIL501(c)(3)7CHCIYes (true)
HOOPESTON COMMUNITY MEMORIAL HOSPITAL
611 W PARK STREETURBANAIL61801363637465HOSPITAL SERVICESIL501(c)(3)3CHERYes (true)
HULT CENTER FOR HEALTHY LIVING INC
611 W PARK STREETURBANAIL61801363510390WELLNESS SERVICESIL501(c)(3)7PHYes (true)
HUMAN SERVICE CENTER
611 W PARK STREETURBANAIL61801371004882BEHAVIORAL HEALTH SERVICESIL501(c)(3)7TPYes (true)
METHODIST MEDICAL CENTER FOUNDATION
611 W PARK STREETURBANAIL61801510186460FUNDRAISINGIL501(c)(3)7CHWRYes (true)
METHODIST MEDICAL CENTER OF ILLINOIS
611 W PARK STREETURBANAIL61801370661223HOSPITAL SERVICESIL501(c)(3)3CHWRYes (true)
METHODIST SERVICES INC
611 W PARK STREETURBANAIL61801371111134PROPERTY HOLDING CO.IL501(c)(3)PFCHWRYes (true)
PARK COURT LIMITED
611 W PARK STREETURBANAIL61801371178386PROPERTY HOLDING CO.IL501(c)(3)Type IICHWRYes (true)
PEKIN MEMORIAL HOSPITAL
611 W PARK STREETURBANAIL61801370692351HOSPITAL SERVICESIL501(c)(3)3CHWRYes (true)
PRAIRIE VIEW VILLAS NO 1
611 W PARK STREETURBANAIL61801261755679HOUSING SERVICESIL501(c)(3)7TMHCYes (true)
PROCTOR HEALTH SYSTEMS
611 W PARK STREETURBANAIL61801364147437PHYSICIAN SERVICESIL501(c)(3)3CHWRYes (true)
RICHLAND MEMORIAL HOSPITAL INC
611 W PARK STREETURBANAIL61801371363001HOSPITAL SERVICESIL501(c)(3)3CHSRYes (true)
TAZWOOD MENTAL HEALTH CENTER INC
611 W PARK STREETURBANAIL61801371278969BEHAVIORAL HEALTH SERVICESIL501(c)(3)7TPYes (true)
THE CARLE FOUNDATION
611 W PARK STREETURBANAIL61801370673465PARENT/INV MGMTIL501(c)(3)Type III-FINAfalse
THE CARLE FOUNDATION HOSPITAL
611 W PARK STREETURBANAIL61801371119538HOSPITAL SERVICESIL501(c)(3)3CHERYes (true)
THE METHODIST MEDICAL CENTER OF ILLINOIS SELF INSURANCE TRUST AGREEMENT
611 W PARK STREETURBANAIL61801376181831SELF INSURANCEIL501(c)(3)Type IMMCIYes (true)
TRILLIUM PLACE
611 W PARK STREETURBANAIL61801834051901BEHAVIORAL HEALTH SERVICESIL501(c)(3)Type IICHWRYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctAddress Line2USAddress/AddressLine2Txt
CENTRAL ILLINOIS ENDOSCOPY CENTER LLC
611 W PARK STREETURBANAIL61801208243285MEDICAL SERVICESILNAN/A
CHAMPAIGN SURGICENTER LLC
611 W PARK STREETURBANAIL61801201915925SURGICAL CENTERILNAN/A
MOUPH LLC
611 W PARK STREETURBANAIL61801921791534OUTPATIENT ORTHOPEDIC SERVICESILPHRelated$2,004,824$497,140falseYes (true)0.3333
RAVEN EVERGREEN CREDIT OFFSHORE FUND II LP
75 SPRING STREETNEW YORKNY10012981747373INVESTMENTSNAN/A6TH FLOOR
REHABILITATION THERAPY SERVICES LLC
416 ST MARKS CTPEORIAIL61603810584193REHABILITATION THERAPYILNAN/A110
THE CENTER FOR ORTHOPEDIC MEDICINE LLC RECOVERY CARE CENTER
2502B E EMPIRE STBLOOMINGTONIL61704270934895OUTPATIENT ORTHOPEDIC SERVICESILNAN/A
THE CENTER FOR ORTHOPEDIC MEDICINE LLC SURGERY CENTER
2502B E EMPIRE STBLOOMINGTONIL61704371356453OUTPATIENT ORTHOPEDIC SERVICESILNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtAddress Line2ForeignAddress/AddressLine2TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
BELCREST SERVICES LTD
611 W PARK STREETURBANAIL61801371196307MEDICAL SERVICESILNAC CorporationYes (true)
CARLE HEALTH JUNCTION MEDICAL LLC
611 W PARK STREETURBANAIL61801814609769CARE COORDINATIONILNAC CorporationYes (true)
CARLE HEALTH PHYSICIAN PARTNERS INC
611 W PARK STREETURBANAIL61801850718392PHYSICIAN SERVICESILNAC CorporationYes (true)
CARLE HOLDING COMPANY INC
611 W PARK STREETURBANAIL61801371188284HOLDING CO.ILNAC CorporationYes (true)
CARLE RESEARCH PRODUCTS INC
611 W PARK STREETURBANAIL61801999999999MEDICAL RESEARCH - INACTIVEILNAC CorporationYes (true)
CARLE RISK MANAGEMENT COMPANY
611 W PARK STREETURBANAIL61801371217973RISK MANAGEMENTILNAC CorporationYes (true)
CARLE VENTURES INC
611 W PARK STREETURBANAIL61801371313150HEALTH CARE PARTNERSHIPSILNAC CorporationYes (true)
CHA HOLDING INC
3310 SOUTH FIELDS DRCHAMPAIGNIL61822471854275HOLDING CO.ILNAC CorporationYes (true)
FIRSTCAROLINACARE INSURANCE COMPANY
42 MEMORIAL DRPINEHURSTNC28374331160597INSURANCEILNAC CorporationYes (true)
HEALTH ALLIANCE CONNECT INC
3310 SOUTH FIELDS DRCHAMPAIGNIL61822464796891HEALTH CARE COORDINATIONILNAC CorporationYes (true)
HEALTH ALLIANCE MEDICAL PLANS INC
3310 SOUTH FIELDS DRCHAMPAIGNIL61822371260731HEALTH COVERAGEILNAC CorporationYes (true)
HEALTH ALLIANCE MIDWEST INC
3310 SOUTH FIELDS DRCHAMPAIGNIL61822371354502HEALTH COVERAGEILNAC CorporationYes (true)
HEALTH ALLIANCE NORTHWEST HEALTH PLAN
820 N CHELAN AVEWENATCHEEWA98801461966323HEALTH COVERAGEWANAC CorporationYes (true)
HEALTH ALLIANCE NORTHWEST HOLDING
820 N CHELAN AVEWENATCHEEWA98801461717578HOLDING CO.WANAC CorporationYes (true)
HEALTH PLUS INC
611 W PARK STREETURBANAIL61801371295532CONTRACTINGILNAC CorporationYes (true)
HEALTH SYSTEMS INSURANCE LIMITED
980638449INSURANCENAC CorporationYes (true)GOVERNORS SQUARE 2ND FLOOR BLDG 323 LIME TREE BAY AVEGRAND CAYMANCJKY11102CJ
METHODIST HEALTH VENTURES INC
611 W PARK STREETURBANAIL61801371140939HOLDING CO.ILNAC CorporationYes (true)
OPTIMUM HEALTH SOLUTIONS INC
611 W PARK STREETURBANAIL61801205430137CARE COORDINATION - INACTIVEILNAC CorporationYes (true)
PEKIN PROHEALTH INC
611 W PARK STREETURBANAIL61801371117052CLINICAL OPERATIONSILNAC CorporationYes (true)
PROVIDER RESOURCE MANAGEMENT INC
611 W PARK STREETURBANAIL61801371223550PHYSICIAN SERVICESILNAC CorporationYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HEALTH ALLIANCE MEDICAL PLANS Inc
A$183BOOK
CARLE DEVELOPMENT FOUNDATION
C$161,065BOOK
METHODIST SERVICES INC
K$885,533BOOK
HEALTH SYSTEMS INSURANCE LIMITED
M$415,382BOOK
METHODIST MEDICAL CENTER OF ILLINOIS
R$67,525BOOK
MOUPH LLC
S$2,258,732BOOK

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