West Sub's Ballooning $71M Debt to Illinois

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West Suburban Medical Center in Forest Park, Illinois, and its parent company Resilience Healthcare, now owe the state of Illinois a staggering $71 million. The state has started recouping a small portion of that debt by siphoning off $2.6 million in funding that would otherwise go to the hospital. Despite being offered a $50,000 monthly payment plan by the state last October, the hospital has chosen not to make any payments, with its CEO saying it will instead "provide care to the community instead of pay assessments to the state."

Why it matters

West Sub is a critical safety-net hospital serving the Forest Park community, but its mounting debt and refusal to engage with the state's payment plan raises concerns about its long-term viability and ability to continue providing care. The situation highlights the financial challenges facing many Illinois hospitals, especially those serving lower-income populations, in the wake of funding cuts from the Trump administration.

The details

West Sub's phones were temporarily disconnected, and state inspectors recently visited the hospital for a multi-day review, though the results have not been made public. The hospital's CEO, Manoj Prasad, claims the inspection went well and that West Sub is not alone among Illinois safety-net hospitals in failing to pay its state debts, but the hospital's lack of engagement with the state's payment plan suggests deeper financial troubles.

• On October 2025, the state of Illinois offered West Sub a $50,000 monthly payment plan to start paying down its debt.
• In February 2026, the state had already recouped $2.6 million from West Sub by siphoning off funding.

What they’re saying

What’s next

The Illinois Department of Public Health has not yet released the results of its recent multi-day inspection of West Suburban Medical Center, which could shed more light on the hospital's operations and financial situation.