RML HEALTH PROVIDERS LIMITED PARTNERSHIP: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: RML HEALTH PROVIDERS LIMITED PARTNERSHIP (EIN 36-4113692)
Tax period: 2023-06-01 to 2024-05-31
Filed: 2025-01-17
IRS object ID: 202520179349300437
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-01-17T09:48:23+00:00	ReturnTs
Tax Period End	2024-05-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	225 West Wacker Drive Suite 2600	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	606061224	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-06-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	364113692	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RML Health Providers Limited Partnership	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	RMLH	BusinessNameControlTxt
Phone	6302864000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5601 South County Line Road	AddressLine1Txt
City	Hinsdale	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	605214875	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	James R Prister	PersonNm
Person Title	VP Finance and CFO	PersonTitleTxt
Phone	6302864000	PhoneNum
Signature	2025-01-17	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JENNIFER BURKE	PreparerPersonNm
PTIN	P01342224	PTIN
Phone	3128997000	PhoneNum
Preparation	2025-01-17	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	RML Specialty Hospital	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	James R Prister	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5601 South County Line Road	AddressLine1Txt
City	Hinsdale	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	605214875	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$116,636,990	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.rmlspecialtyhospital.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1996	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	RML SPECIALTY HOSPITAL IS A LONG-TERM ACUTE CARE HOSPITAL DESIGNED FOR PATIENTS WHO NEED INTENSE, EXTENDED CARE. OUR MISSION IS TO PROVIDE QUALITY, COMPASSIONATE CARE TO PATIENTS WHO SUFFER FROM PROLONGED, SEVERE ILLNESS. WE SERVE PATIENTS TRANSFERRED FROM APPROXIMATELY 90 ACUTE CARE FACILITIES THROUGHOUT ILLINOIS.	ActivityOrMissionDesc
Voting Members Governing Body	4	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	906	TotalEmployeeCnt
Total Volunteers	4	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$284,068	PYContributionsGrantsAmt
CY Contributions Grants	$1,631,035	CYContributionsGrantsAmt
PY Program Service Revenue	$116,991,777	PYProgramServiceRevenueAmt
CY Program Service Revenue	$113,326,317	CYProgramServiceRevenueAmt
PY Investment Income	$1,190,108	PYInvestmentIncomeAmt
CY Investment Income	$1,804,937	CYInvestmentIncomeAmt
PY Other Revenue	$58,574	PYOtherRevenueAmt
CY Other Revenue	$104,864	CYOtherRevenueAmt
PY Total Revenue	$118,524,527	PYTotalRevenueAmt
CY Total Revenue	$116,867,153	CYTotalRevenueAmt
PY Grants And Similar Paid	$15,529	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$4,378	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$61,633,183	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$65,785,516	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$12,656	CYTotalFundraisingExpenseAmt
PY Other Expenses	$54,480,428	PYOtherExpensesAmt
CY Other Expenses	$48,399,738	CYOtherExpensesAmt
PY Total Expenses	$116,129,140	PYTotalExpensesAmt
CY Total Expenses	$114,189,632	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,395,387	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,677,521	CYRevenuesLessExpensesAmt
Total Assets BOY	$124,799,937	TotalAssetsBOYAmt
Total Assets EOY	$125,072,149	TotalAssetsEOYAmt
Total Liabilities BOY	$63,562,822	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$59,838,957	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$61,237,115	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$65,233,192	NetAssetsOrFundBalancesEOYAmt
Mission	RML SPECIALTY HOSPITAL IS A LONG-TERM ACUTE CARE HOSPITAL DESIGNED FOR PATIENTS WHO NEED INTENSE, EXTENDED CARE. OUR MISSION IS TO PROVIDE QUALITY, COMPASSIONATE CARE TO PATIENTS WHO SUFFER FROM PROLONGED, SEVERE ILLNESS. WE SERVE PATIENTS TRANSFERRED FROM APPROXIMATELY 90 ACUTE CARE FACILITIES THROUGHOUT ILLINOIS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$101,419,353	ExpenseAmt
Grant	$4,378	GrantAmt
Revenue	$113,326,317	RevenueAmt
Desc	IN THE MOST RECENT FISCAL YEAR (FY24), RML DELIVERED ON ITS MISSION TO PROVIDE QUALITY, COMPASSIONATE CARE TO PATIENTS FROM OUR REFERRING COMMUNITY WHO SUFFER FROM PROLONGED, SEVERE ILLNESS. OUR CARE PROGRAMS INCLUDED THE CARE AND WEANING OF PATIENTS WHO REQUIRE PROLONGED MECHANICAL VENTILATION, THE CARE AND TREATMENT OF PATIENTS WITH COMPLEX WOUNDS, AND THE CARE AND TREATMENT OF PATIENTS THAT REQUIRED PROLONGED ACUTE CARE HOSPITALIZATION. RML IS RECOGNIZED AS A LEADER IN LONG-TERM ACUTE CARE AND IS ONE OF THE LARGEST VENTILATOR WEANING HOSPITALS IN THE NATION. RML SERVED APPROXIMATELY 90 REFERRAL SOURCES THROUGHOUT ILLINOIS, INCLUDING OUR PARTNER ORGANIZATIONS, MAJOR TERTIARY CARE CENTERS, AND COMMUNITY HOSPITALS. NEARLY 100% OF RML'S INPATIENT ADMISSIONS ARE DIRECT TRANSFERS FROM THESE HOSPITAL REFERRAL SOURCES. RML OPERATES A FACILITY LOCATED IN A LOW-INCOME AREA OF CHICAGO. OVER THE YEAR, DESPITE DECREASED VOLUME, WE HAVE MANAGED TO SUSTAIN THE VIABILITY OF AN ENTITY THAT PROVIDES QUALITY HEALTH CARE AND WELL-PAYING JOBS FOR THE INNER-CITY COMMUNITY. LONG-TERM ACUTE CARE WAS PROVIDED TO MORE THAN 1,075 PATIENTS BETWEEN BOTH RML FACILITIES, INCLUDING MORE THAN 375 MOSTLY MINORITY PATIENTS AT THE CHICAGO FACILITY. IN ORDER TO SUPPORT THE SPECIALIZED NEEDS OF OUR PATIENTS AND COMMUNITY, RML UTILIZES A PHYSICIAN-LED INTERDISCIPLINARY TEAM TO PROVIDE TREATMENT TO PATIENTS WITH ACUTE OR CATASTROPHIC ILLNESSES AND INJURIES COMPLICATED BY COMPLEX OR MULTIPLE CO-MORBIDITIES. OUR COMMITMENT TO EXCELLENCE AND SUPERIOR CLINICAL OUTCOMES HAS ALLOWED US TO IMPROVE ON OUR ALREADY-LOW HOSPITAL-ACQUIRED INFECTION AND PRESSURE ULCER RATES, AS WELL AS MAINTAIN A LOW RATE OF ADVERSE OUTCOMES (DEFINED AS EXPIRATIONS AND TRANSFERS TO ACUTE CARE HOSPITALS)	Desc
Total Program Service Expenses	$101,419,353	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	68	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	906	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	4	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	6302864000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5601 South County Line Road	AddressLine1Txt
City	Hinsdale	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	605214875	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Allison Wyler
Vice Chairperson	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Denise Keefe
Assistant Secretary/Assistant Treasurer	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Melissa Lukasick
Secretary/Treasurer	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Tad Gomez
Chairperson	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
James Prister
President/CEO	40.0	2.0		Yes (X)	$675,228	$0	$88,282
Thomas Pater
VP Finance/CFO	40.0	2.0		Yes (X)	$357,695	$0	$64,042
Dale Hengesbach
Executive Director Special Stategic Projects	40.0				$241,694	$0	$27,155	Yes (X)
John Brofman MD
Chief Medical Officer	40.0				$253,132	$0	$40,828	Yes (X)
Karen Murtaugh
Executive Director Human Resources	40.0				$197,045	$0	$45,356	Yes (X)
Kenneth Pawola
VP/Chief Operating Officer	40.0				$226,104	$0	$26,401	Yes (X)
Laurie Forssberg
Executive Director Chicago Operations and Clinical Services	40.0				$172,798	$0	$29,152	Yes (X)
Marti Edwards
VP Patient Care Services/CNO	40.0				$251,532	$0	$30,548	Yes (X)
Matt Lloyd
VP Operations	40.0				$204,563	$0	$43,912	Yes (X)
Patricia Vaisvila
VP Business Development	40.0				$183,801	$0	$34,037	Yes (X)
Todd Prellberg
Chief Information Officer	40.0				$214,034	$0	$36,007	Yes (X)
Collin Fizpatrick MD
Physician	40.0				$435,606	$0	$49,798		Yes (X)
Earl Rudolph MD
Physician	40.0				$272,410	$0	$10,289		Yes (X)
Mairaj Jaleel MD
Physician	40.0				$314,849	$0	$13,668		Yes (X)
Muhammad Abushaer MD
Physician	40.0				$254,291	$0	$26,269		Yes (X)
Sejal Thaker MD
Physician	40.0				$302,734	$0	$28,983		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,557,516	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$594,727	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	157	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PULSE CLINICAL ALLIAMCE
6440 SOUTHPOINT PARKWAY	SUITE 300	JACKSONVILLE	FL	33216	CONTRACTED NURSING	$3,279,104
PROLINK HEALTHCARE LLC
4600 MONTGOMERY ROAD	SUITE 300	CINCINNATI	OH	45212	CONTRACTED NURSING	$2,812,120
LINCOLN PARK DIALYSIS SERVICES
PO BOX 781607		PHILADELPHIA	PA	19178	CONTRACTED DIALYSIS	$2,362,261
FAVORITE HEALTHCARE STAFFING INC
9800 METCALF AVE	FLOOR 4	OVERLAND PARK	KS	66212	CONTRACTED NURSING	$1,446,195
AC2L SERVICES LLC
C/O ACCOUNTING DEPARTMENT	POBOX 341880	MILWAUKEE	WI	532341880	CONTRACTED LAB	$1,135,905

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	11	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,600,000	GovernmentGrantsAmt
All Other Contributions	$31,035	AllOtherContributionsAmt
Total Contributions	$1,631,035	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Medicare/Medicaid	900099	$90,776,006	$90,776,006
Non-Medicare/Medicaid	900099	$22,550,311	$22,550,311

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$113,326,317	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,569,541	TotalRevenueColumnAmt
Exclusion	$1,569,541	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$15,500	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$15,500	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,500	TotalRevenueColumnAmt
Exclusion	$15,500	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$5,233	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	-$63,998	SecuritiesAmt
Other	-$166,165	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$69,231	SecuritiesAmt
Other	$166,165	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$235,396	TotalRevenueColumnAmt
Exclusion	$235,396	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
Insurance deductible claim reimbursement	524298	$50,000	$50,000
Cafeteria sales	624200	$36,006	$36,006
Leasing cost true up	900099	$1,858	$1,858

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,500	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,500	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$89,364	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$116,867,153	TotalRevenueColumnAmt
Related Or Exempt Func Income	$113,326,317	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,909,801	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$4,378	TotalAmt
Program Services	$4,378	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,385,402	TotalAmt
Program Services	$777,990	ProgramServicesAmt
Management And General	$2,607,412	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$50,638,152	TotalAmt
Program Services	$47,445,843	ProgramServicesAmt
Management And General	$3,192,309	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,220,538	TotalAmt
Program Services	$1,692,641	ProgramServicesAmt
Management And General	$527,897	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,706,102	TotalAmt
Program Services	$5,314,212	ProgramServicesAmt
Management And General	$391,890	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,835,322	TotalAmt
Program Services	$3,485,103	ProgramServicesAmt
Management And General	$350,219	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$206,827	TotalAmt
Program Services	$157,067	ProgramServicesAmt
Management And General	$49,760	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$159,774	TotalAmt
Management And General	$159,774	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$73,039	TotalAmt
Management And General	$73,039	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$55,010	TotalAmt
Management And General	$55,010	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,132,444	TotalAmt
Program Services	$14,543,212	ProgramServicesAmt
Management And General	$589,232	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$64,649	TotalAmt
Program Services	$60,507	ProgramServicesAmt
Fundraising	$4,142	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$984,761	TotalAmt
Program Services	$524,319	ProgramServicesAmt
Management And General	$459,970	ManagementAndGeneralAmt
Fundraising	$472	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,524,845	TotalAmt
Program Services	$1,145,677	ProgramServicesAmt
Management And General	$377,145	ManagementAndGeneralAmt
Fundraising	$2,023	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$69,925	TotalAmt
Program Services	$29,897	ProgramServicesAmt
Management And General	$40,028	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,283,868	TotalAmt
Program Services	$1,633,594	ProgramServicesAmt
Management And General	$646,805	ManagementAndGeneralAmt
Fundraising	$3,469	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,546,187	TotalAmt
Program Services	$3,503,625	ProgramServicesAmt
Management And General	$2,040,012	ManagementAndGeneralAmt
Fundraising	$2,550	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$989,418	TotalAmt
Program Services	$936,564	ProgramServicesAmt
Management And General	$52,854	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies & Pharmaceuticals	$7,781,432	$7,781,432
IL Hospital Provider Assessment	$7,519,007	$7,519,007
Licenses	$1,746,390	$1,397,663	$348,727
Equipment Rental & Maintenance	$1,596,264	$913,457	$682,807

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,665,898	TotalAmt
Program Services	$2,553,165	ProgramServicesAmt
Management And General	$112,733	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$114,189,632	TotalAmt
Program Services	$101,419,353	ProgramServicesAmt
Management And General	$12,757,623	ManagementAndGeneralAmt
Fundraising	$12,656	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$60	BOYAmt
EOY	$60	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,348,081	BOYAmt
EOY	$11,280,063	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$24,225,424	BOYAmt
EOY	$23,249,466	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$723,948	BOYAmt
EOY	$602,653	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,767,267	BOYAmt
EOY	$2,398,502	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$57,892,219	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$36,764,840	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$23,600,023	BOYAmt
EOY	$21,127,379	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$32,254,656	BOYAmt
EOY	$33,958,657	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$429,766	BOYAmt
EOY	$205,630	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$34,450,712	BOYAmt
EOY	$32,249,739	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$124,799,937	BOYAmt
EOY	$125,072,149	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$17,065,255	BOYAmt
EOY	$14,730,942	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$34,898,081	BOYAmt
EOY	$33,950,437	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,599,486	BOYAmt
EOY	$11,157,578	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$63,562,822	BOYAmt
EOY	$59,838,957	EOYAmt

Field	Value	IRS element (for citing)
Org Does Not Follow FASB117	Yes (X)	OrgDoesNotFollowFASB117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$61,237,115	BOYAmt
EOY	$65,233,192	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$61,237,115	BOYAmt
EOY	$65,233,192	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$124,799,937	BOYAmt
EOY	$125,072,149	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,677,521	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,318,553	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$3	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$50,480	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$22,559	OtherActivitiesAmt
Total Lobbying Expenditures	$73,039	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	LINE 1G - RML HAS RETAINED THE SERVICES OF MATT WERNER CONSULTING TO LOBBY THE ILLINOIS LEGISLATURE ON A VARIETY OF ISSUES RELATED TO THE STATE'S MEDICAID PROGRAM. LINE 1I - RML IS A DUES PAYING MEMBER OF CERTAIN HOSPITAL ASSOCIATIONS. A SMALL PERCENTAGE OF THESE DUES PAYMENTS ARE ALLOCATED TO LOBBYING ACTIVITIES BY THESE ASSOCIATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,580,341	OtherCostOrOtherBasisAmt
Depreciation	$6,940,137	DepreciationAmt
Book Value	$10,640,204	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,929,020	OtherCostOrOtherBasisAmt
Depreciation	$23,760,119	DepreciationAmt
Book Value	$8,168,901	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,382,858	OtherCostOrOtherBasisAmt
Depreciation	$6,064,584	DepreciationAmt
Book Value	$2,318,274	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$21,127,379	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (11 entries)

DescDesc	Book ValueBookValueAmt
Other assets - Deferred Comp Life	$59,609
Insurance recovery receivables	$853,322
Deferred compensation 457(b) and SERP Plan	$4,139,239
Workers Comp Gross up	$690,197
Accrued Interest Income
Deposits	$10,000
Malpractice Insurance Gross up	$266,123
Estimated Settlement Due from Third Party	$313,279
Self Insurance Escrow Retention	$24,073
Right of Use Assets	$25,893,897
Miscellaneous

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$32,249,739	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
SERP Liability	$237,800
Insurance claim liabilities	$853,323
Deferred Rent
Estimated settlements due to third-party payors	$1,506,728
Due to affiliates
Reserve for Professional Liability	$4,632,737
Funded Deferred Compensation Liability	$3,926,990
Partnership Distribution Payable

Field	Value	IRS element (for citing)
Total Liability	$11,157,578	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$116,777,128	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$1,318,553	NetUnrealizedGainsInvstAmt
Other Revenue	-$1,408,578	OtherRevenueAmt
Revenue Not Reported	-$90,025	RevenueNotReportedAmt
Revenue Subtotal	$116,867,153	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$116,867,153	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$112,781,051	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$112,781,051	ExpensesSubtotalAmt
Other Expenses Not Included	$1,408,581	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,408,581	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$114,189,632	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	RML is a not-for-profit limited partnership and has been recognized as a tax-exempt organization by the Internal Revenue Service pursuant to Section 501(c)(3) of the Code. Income earned in furtherance of RML's tax-exempt purpose is exempt from federal and state income taxes. The Code provides for taxation of unrelated business income; however, such status is subject to final determination upon examination of the related income tax returns by the appropriate taxing authority. U.S. GAAP prescribes recognition thresholds and measurement attributes for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Tax benefits will be recognized only if the tax position is more-likely-than-not to be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized will be the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the more-likely-than-not test, no tax benefit will be recorded. Management is not aware of any tax benefits or liabilities to be recognized May 31, 2024, and 2023. The Partnership does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. Due to its tax-exempt status, the Partnership is not subject to U.S. federal income tax or state income tax. The Partnership recognizes interest and/or penalties related to income tax matters in income tax expense. The Partnership did not have any amounts accrued for interest and penalties at May 31, 2024 or 2023. Tax returns filed by the Partnership are no longer subject to examination for the years ended May 31, 2020 and prior.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	Provision for Bad Debt - -1408581 Rounding - 3
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	Provision for Bad Debt - 1408581

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	600	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,871,986	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,871,986	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$10,871,986	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,871,986	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$123,353	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$123,353	NetCommunityBenefitExpnsAmt
Total Expense	0.0011	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$121,432	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$121,432	NetCommunityBenefitExpnsAmt
Total Expense	0.0011	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$143,873	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$143,873	NetCommunityBenefitExpnsAmt
Total Expense	0.0013	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,581	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,581	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,056	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,056	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$420,295	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$420,295	NetCommunityBenefitExpnsAmt
Total Expense	0.0037	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$11,292,281	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,871,986	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$420,295	NetCommunityBenefitExpnsAmt
Total Expense	0.0037	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,813	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,813	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$14,813	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,813	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,408,581	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$22,903,493	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$27,209,004	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,305,511	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	Research FacilityResearchFacilityInd	OtherOtherDesc	Facility Reporting GroupFacilityReportingGroupCd
RML Specialty Hospital
1	3435 West Van Buren Street	Chicago	IL	60624	WWW.RMLSPECIALTYHOSPITAL.ORG	0005678	Yes (X)	Yes (X)	LONG TERM ACUTE CARE FACILITY	A
RML Specialty Hospital
2	5601 South County Line Road	Hinsdale	IL	605214875	WWW.RMLSPECIALTYHOSPITAL.ORG	0004804	Yes (X)	Yes (X)	LONG TERM ACUTE CARE FACILITY	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	2	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.rmlspecialtyhospital.org/about-rml/community-health-needs-assessment/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.rmlspecialtyhospital.org/wp-content/uploads/2022/12/CHNA-Implementation-Plan-FY22-FINAL.	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	600.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.rmlspecialtyhospital.org/why-choose-rml/financial-information/#el-f612af20	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.rmlspecialtyhospital.org/why-choose-rml/financial-information/#el-f612af20	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.rmlspecialtyhospital.org/why-choose-rml/financial-information/#el-f612af20	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. THE COMMUNITY INPUT DATA FOR THE MOST RECENT RML CHNA WAS COLLECTED BETWEEN MARCH AND APRIL 2022. CROWE, LLP (CROWE) WORKED WITH RML TO CONDUCT KEY INFORMANT INTERVIEWS AND ANALYZE DATA. PARTICIPANTS INCLUDED FORMER PATIENTS, PROVIDERS IN OTHER POST ACUTE SETTINGS, AND MEMBERS OF COMMUNITY ORGANIZATIONS THAT TREAT AND PROVIDE ASSISTANCE TO CHRONICALLY, CRITICALLY-ILL PATIENTS IN RML'S COMMUNITY. AS THE ELDERLY AND LOW-INCOME ARE LEAST LIKELY TO HAVE THE RESOURCES TO RECEIVE TREATMENT AS A CHRONICALLY, CRITICALLY-ILL PATIENT, RML FOCUSED ON THESE POPULATIONS. THE CHNA WAS ALSO INFORMED BY SECONDARY DATA ON THE COMMUNITY FROM SOURCES LIKE U.S. CENSUS DATA, THE DARTMOUTH ATLAS OF HEALTHCARE, AND THE CENTERS FOR MEDICARE AND MEDICAID SERVICES.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. RML SPECIALTY HOSPITAL (HINSDALE) CONDUCTED THEIR CHNA WITH RML HOSPITAL (CHICAGO). RML SPECIALTY HOSPITAL (CHICAGO) CONDUCTED THEIR CHNA WITH RML HOSPITAL (HINSDALE).
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. IN THE SPRING OF 2022, RML CONDUCTED ITS FOURTH COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). RML RECOGNIZES THAT AS THE FIRST STOP IN THE POST-ACUTE CARE CONTINUUM, IT IS WELL POSITIONED TO ADDRESS THE NEEDS OF CHRONICALLY, CRITICALLY ILL PATIENTS AFTER THEY LEAVE THE HOSPITAL AND RETURN TO THE COMMUNITY. FOCUSING ON THESE NEEDS PRESENTS UNIQUE OPPORTUNITIES FOR RML TO ADVANCE OUR MISSION BY ENHANCING THE CARE WE PROVIDE TO THE UNIQUE PATIENT POPULATION WE SERVE. DURING THE CHNA PROCESS, RML'S CHNA TEAM, COMPRISED OF EIGHT RML LEADERS FACILITIATED BY A CONSULTANT, CROWE, LLP (CROWE), IDENTIFIED FOUR HIGH-PRIORITY NEEDS: TRAINING AND EDUCATION FOR CAREGIVERS, POST-DISCHARGE CARE COORDINATION, POST-DISCHARGE SOCIAL SERVICES, AND POST-DISCHARGE ANSWERS TO MEDICAL QUESTIONS. HIGH PRIORITY IMPLEMENTATION: TRANING AND EDUCATION FOR CAREGIVERS: - CONDUCTED A COMPREHENSIVE REVIEW AND STANDARDIZATION OF THE DISCHARGE EDUCATION PROCESS. - ENHANCED DISCHARGE DOCUMENTATION, ENSURING IT IS NEED-BASED WITH ADDITIONAL TIME AVAILABLE AS REQUESTED BY CARE GIVERS. - EXPANDED THE USE OF MATERIALS IN CAREGIVERS' NATIVE LANGUAGES AND INCREASED ACCESS TO LANGUAGE SERVICES TO IMPROVE COMMUNICATION DURING DISCHARGE TRAINING. POST-DISCHARGE CARE-COORDINATION: - IMPLEMENTED UPDATES TO THE SOCIAL ASSESSMENT TO INCLUDE QUESTIONS ON SOCIAL DETERMINANTS OF HEALTH (SDOH), SUPPORTED BY A SCORING TOOL. THIS TOOL PROMPTS CARE COORDINATORS TO PROVIDE REFERRALS WHEN ADDITIONAL ASSISTANCE IS NEEDED. POST-DISCHARGE ANSWERS TO MEDICAL QUESTIONS: - UPDATED OUR DISCHARGE FOLLOW-UP TOOL WITHIN MEDITECH EXPANSE TO INCLUDE A DISCHARGE EDUCATION RATING SYSTEM (1-4 SCALE, WITH 4 BEING THE HIGHEST). FOLLOW-UP CALLS WERE MADE TO PATIENTS DISCHARGED TO HOME, YIELDING AN AVERAGE SCORE OF 3.75 OUT OF 4 AT HINSDALE AND 3.9 OUT OF 4 AT CHICAGO, WITH 42 OUT OF 44 DISCHARGED PATIENTS PARTICIPATING. TRAINING FOR CARE COORDINATION TEAMS: - CARE COORDINATION TEAMS UNDERWENT MULTIPLE TRAINING SESSIONS FOCUSING ON DIVERSITY, EQUITY, AND INCLUSION (DEI) AND THE USE OF NEW SDOH TOOLS. - PROVIDED TEAMS WITH AN EXTENSIVE DATABASE OF RESOURCES TO FACILITATE REFERRALS AS NEEDED. ADDITIONAL PROGRESS SUMMARY: - DOCUMENTATION STANDARDIZATION: IMPROVED CAREGIVER SATISFACTION AND COMMUNICATION THROUGH TAILORED AND LANGUAGE-ACCESSIBLE DISCHARGE TRAINING. - PATIENT ASSESSMENTS: ENHANCED SOCIAL ASSESSMENTS HAVE PROVEN EFFECTIVE, TRIGGERING APPROPRIATE INTERVENTIONS AND ALIGNING WITH NATIONAL PATIENT SAFETY GOALS. - DISCHARGE FOLLOW-UP AND FEEDBACK: HIGH AVERAGE SATISFACTION RATINGS DEMONSTRATE EFFECTIVE EDUCATION DELIVERY AND PATIENT READINESS POST-DISCHARGE.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. PATIENTS ARE DEEMED PRESUMPTIVELY ELIGIBLE FOR FREE CARE IF THE PATIENT DEMONSTRATES ONE OR MORE OF THE FOLLOWING; 1) HOMELESSNESS; 2) DECEASED WITH NO ESTATE; 3) MENTAL INCAPACITATION WITH NO ONE TO ACT ON PATIENT'S BEHALF; 4) MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICES; 5) ENROLLMENT IN ONE OF THE FOLLOWING ASSISTANCE PROGRAMS FOR LOW INCOME INDIVIDUALS HAVING ELIGIBILITY CRITERIA AT OR BELOW 200% OF THE FEDERAL POVERTY INCOME GUIDELINES: A) WOMEN, INFANTS AND CHILDREN NUTRITION PROGRAM (WIC); B) SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP); C) ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM; D) LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP); E) ENROLLMENT IN AN ORGANIZED COMMUNITY-BASED PROGRAM PROVIDING ACCESS TO MEDICAL CARE THAT ASSESSES AND DOCUMENTS LIMITED LOW INCOME FINANCIAL STATUS AS A CRITERION FOR MEMBERSHIP; F) RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICES.
Schedule H, Part V, Section B, Line 20 Facility A, 1	Facility A, 1 - RML SPECIALTY HOSPITAL. RML DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AGAINST PATIENTS.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I FINANCIAL ASSISTANCE & COMMUNITY BENEFIT SUPPORTING STATEMENT	RML IS LICENSED BY THE STATE OF ILLINOIS AS AN ACUTE CARE HOSPITAL. MEDICARE HAS DESIGNATED RML AS A LONG-TERM ACUTE CARE HOSPITAL (LTCH) BECAUSE IT HAS A LENGTH OF STAY GREATER THAN 25 DAYS. LTCHS ARE DESIGNED FOR PATIENTS WHO NEED INTENSE, EXTENDED CARE FOLLOWING TREATMENT AT A TRADITIONAL ACUTE CARE FACILITY. THESE PATIENTS USUALLY HAVE MEDICALLY COMPLEX OR MULTIPLE MEDICAL CONDITIONS AND GENERALLY REQUIRE EXTENDED HOSPITALIZATION. OVER 90% OF RML'S PATIENTS HAVE SPENT AT LEAST THREE DAYS IN THE INTENSIVE CARE UNITS OF APPROXIMATELY 90 ACUTE CARE FACILITIES LOCATED THROUGHOUT THE STATE OF ILLINOIS. RML SPECIALTY HOSPITAL PRIMARILY FOCUSES ON TREATING AND WEANING PATIENTS DEPENDENT ON MECHANICAL VENTILATORS, AND TODAY IS ONE OF THE LARGEST VENTILATOR WEANING HOSPITALS IN THE NATION. WITH LOCATIONS IN HINSDALE AND CHICAGO, RML SPECIALTY HOSPITAL HAS RECEIVED MULTIPLE AWARDS AND RECOGNITION FROM THE NATIONAL ASSOCIATION OF LONG-TERM CARE HOSPITALS (NALTH) FOR ITS INNOVATIVE METHODOLOGIES IN TREATING PATIENTS WITH COMPLEX MEDICAL CONDITIONS. RML IS IN COMPLIANCE WITH THE EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA), HOWEVER PROVIDING EMERGENCY MEDICAL TREATMENT IS NOT THEIR PRIMARY PURPOSE. OVER 80% OF RML'S REVENUE IS GENERATED BY SERVING MEDICARE/MEDICAID PATIENTS. THE AVERAGE AGE OF AN RML PATIENT IS 61 AND THE AVERAGE LENGTH OF STAY IS 46 DAYS. RML OFFERS FINANCIAL ASSISTANCE TO PATIENTS AND HELPS THEM QUALIFY FOR GOVERNMENT ASSISTANCE PROGRAMS LIKE MEDICAID. DURING THE TAX YEAR, RML WAS 100% SUCCESSFUL IN SECURING ASSISTANCE FOR ALL OF ITS UNINSURED PATIENTS.
Schedule H, Part I, Line 7g Subsidized Health Services	THE HOSPITAL DOES NOT OPERATE ANY PHYSICIAN CLINICS. THEREFORE, NO COSTS REPORTED ON THIS LINE ARE ATTRIBUTABLE TO A PHYSICIAN CLINIC.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	MEDICAID COSTS ARE TAKEN DIRECTLY FROM RML'S FY24 FILED MEDICAID COST REPORT. RML OFFERS FINANCIAL ASSISTANCE TO PATIENTS AND HELPS THEM QUALIFY FOR GOVERNMENT ASSISTANCE PROGRAMS LIKE MEDICAID. DURING THE TAX YEAR, RML WAS 100% SUCCESSFUL IN SECURING ASSISTANCE FOR ALL OF ITS UNINSURED PATIENTS.
Schedule H, Part II Community Building Activities	RML HAS ESTABLISHED A NUMBER OF PARTNERSHIPS TO HELP SUPPORT THE COMMUNITY. RML HAS WORKED CLOSELY WITH THE EMERGENCY RESPONSE NETWORKS IN CHICAGO AND THE WESTERN SUBURBS TO IMPROVE THESE COMMUNITIES' DISASTER PREPAREDNESS.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	BAD DEBT REPORTED IN PART III, LINE 2, IS REPORTED AT NET REALIZABLE VALUE; WHICH IS THE SAME METHODOLOGY USED TO REPORT BAD DEBT IN THE AUDITED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE HOSPITAL IS UNABLE TO ESTIMATE ACCURATELY THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY. ALTHOUGH A PORTION OF BAD DEBT EXPENSES MAY RELATE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE, A REPORTABLE FIGURE CANNOT BE REASONABLY ESTIMATED.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	RML'S AUDITED FINANCIAL STATEMENTS CONTAIN AN "ACCOUNTS RECEIVABLE" FOOTNOTE. THE FOOTNOTE IS LOCATED ON PAGE 10 OF THE ATTACHED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE ENTIRE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN. THE SOURCE OF THIS INFORMATION IS RML'S FILED FY24 MEDICARE COST REPORT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	RML WILL NOT PURSUE LEGAL ACTION FOR NON-PAYMENT OF A HOSPITAL BILL AGAINST UNINSURED PATIENTS WHO HAVE CLEARLY DEMONSTRATED THAT THEY HAVE NEITHER SUFFICIENT INCOME NOR ASSETS TO MEET THEIR FINANCIAL OBLIGATIONS, PROVIDED THE PATIENT: 1. ACTS REASONABLY AND COOPERATES IN GOOD FAITH WITH RML. 2. PROVIDES RML WITH ALL REASONABLY REQUESTED FINANCIAL AND OTHER DOCUMENTATION NEEDED TO DETERMINE PATIENT ELIGIBILITY FOR FINANCIAL ASSISTANCE AND REASONABLE PAYMENT PLAN OPTIONS. 3. PROVIDES INFORMATION WITHIN 30 DAYS OF THE HOSPITAL'S REQUEST. 4. COMMUNICATES TO THE HOSPITAL ANY MATERIAL CHANGES IN FINANCIAL SITUATION THAT MAY AFFECT THE PATIENT'S ABILITY TO COMPLY WITH PAYMENT PLANS OR QUALIFY FOR HOSPITAL FINANCIAL ASSISTANCE WITHIN 30 DAYS OF SUCH CHANGE.
Schedule H, Part V, Section B, Line 16a FAP website	A - RML Specialty Hospital : Line 16a URL: https://www.rmlspecialtyhospital.org/why-choose-rml/financial-information/#el-f612af20;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - RML Specialty Hospital : Line 16b URL: https://www.rmlspecialtyhospital.org/why-choose-rml/financial-information/#el-f612af20;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - RML Specialty Hospital : Line 16c URL: https://www.rmlspecialtyhospital.org/why-choose-rml/financial-information/#el-f612af20;
Schedule H, Part VI, Line 2 Needs assessment	RML WAS ESTABLISHED IN 1996 AS A PARTNERSHIP BETWEEN TAX EXEMPT ACUTE CARE HOSPITALS. PRESENTLY, ADVOCATE HEALTH CARE AND LOYOLA UNIVERSITY MEDICAL CENTER ARE THE LIMITED PARTNERS AND RMLHP CORPORATION THE GENERAL PARTNER, ALL 501(C)3 ORGANIZATIONS. WITH QUALITY AS ITS PRIMARY FOCUS, RML WAS ESTABLISHED TO PROVIDE INTENSE, EXTENDED CARE TO THOSE PATIENTS WITH MEDICALLY COMPLEX OR MULTIPLE MEDICAL CONDITIONS. THE AVERAGE AGE OF AN RML PATIENT IS 61 YEARS AND THE AVERAGE LENGTH OF STAY IS 46 DAYS. RML PATIENTS ARE DIRECT TRANSFERS FROM THE INTENSIVE CARE UNITS OF APPROXIMATELY 90 ACUTE CARE FACILITIES THROUGHOUT ILLINOIS. NEARLY ONE-THIRD OF THE TRANSFERS ARE FROM RML'S PARTNER HOSPITALS -- ADVOCATE AND LOYOLA. TO ENSURE THE FURTHERANCE OF THE PARTNERS' EXEMPT PURPOSE, THE GOVERNING BODY IS APPOINTED BY THE EXEMPT PARTNERS. RML IS A LONG-TERM ACUTE CARE HOSPITAL (LTCH). THE DEFINITION OF "COMMUNITY" TO AN LTCH IS DIFFERENT THAN THAT OF A TRADITIONAL ACUTE CARE HOSPITAL. RML'S PURPOSE IS TO SERVE MEDICALLY COMPLEX PATIENTS REQUIRING EXTENDED CARE. RML'S "COMMUNITY" IS DEFINED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS PEOPLE IN CHICAGO, SUBURBAN COOK COUNTY, DUPAGE COUNTY AND WILL COUNTY WHO HAVE SUFFERED A SEVERE, LIFE-CHANGING, DEBILITATING ILLNESS REQUIRING EXTENSIVE PSYCHO-SOCIAL AND HEALTH SUPPORT SERVICES WHEN THEY RETURN HOME. AS THE ELDERLY AND LOW INCOME ARE LEAST LIKELY TO HAVE THE RESOURCES TO ADAPT WELL TO THESE CIRCUMSTANCES, WE PAY SPECIAL ATTENTION TO THESE POPULATIONS. RML ASSESSES THE NEEDS OF ITS COMMUNITY THROUGH CONSTANT DISCUSSIONS AND COLLABORATIONS WITH ITS REFERRAL HOSPITALS AND ITS DISCHARGE LOCATIONS. RML SUPPORTS A STAFF OF SKILLED HEALTHCARE PRACTITIONERS WHO VISIT THE REFERRAL HOSPITALS TO EVALUATE THE COMPLEX MEDICAL CONDITIONS PRIOR TO TRANSFER TO RML. IN ADDITION, RML STAFF DISCUSS THE NEEDS AND OUTCOMES OF DISCHARGED PATIENTS WITH PATIENTS AND CAREGIVERS AT DISCHARGE LOCATIONS. IN THIS WAY, RML PRACTITIONERS ARE ASSESSING THE NEEDS OF ITS COMMUNITY AND RML'S ROLE IN A PATIENT'S CONTINUUM OF CARE. THESE SAME HEALTHCARE PRACTITIONERS COLLABORATE WITH THE REFERRAL HOSPITALS AND DISCHARGE LOCATIONS IN IDENTIFYING AND ANTICIPATING THE NEEDS OF OTHER MEDICAL CONDITIONS. IF THE PRACTITIONERS IDENTIFY A NEED IN THE COMMUNITY, THIS NEED IS SHARED WITH RML SENIOR LEADERSHIP TO DETERMINE RML'S CONTINUING ROLE. RML ALSO COLLECTS DATA FROM OUR PATIENTS AND CAREGIVERS VIA OUR SOCIAL AND DISCHARGE FOLLOW UP ASSESSMENTS. DATA COLLECTED FROM THOSE ASSESSMENTS ARE USED TO REFER PATIENTS IN NEED TO DEDICATED RESOURCES FOR ASSISTANCE WHEN NEEDED.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE AVAILABILITY OF THE HOSPITAL FINANCIAL ASSISTANCE AS DEFINED UNDER RML'S POLICY IS COMMUNICATED TO PATIENTS THROUGH THE POSTING OF SIGNS IN AREAS OF THE HOSPITAL COMMONLY UTILIZED FOR ADMISSION AND REGISTRATION OF PATIENTS WITH THE FOLLOWING NOTICE: "YOU MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE TERMS AND CONDITIONS THE HOSPITAL OFFERS TO QUALIFIED PATIENTS. FOR MORE INFORMATION, PLEASE CONTACT EITHER THE DIRECTOR OF PATIENT FINANCIAL SERVICES OR THE ADMITTING MANAGER." THE SIGNAGE CONTAINS A PHONE NUMBER AND RML'S WEBSITE. THE SAME INFORMATION IS ALSO INCLUDED ON BILLING STATEMENTS AND ON RML'S WEBSITE, WITH THE WEBSITE ALSO CONTAINING A LINK TO THE FINANCIAL ASSISTANCE POLICY AND THE FINANCIAL ASSISTANCE APPLICATION. BECAUSE 100% OF RML'S PATIENTS COME DIRECTLY FROM OTHER HOSPITALS AND UNDERGO A ROBUST ADVANCE INTAKE PROCESS BEFORE THEY CAN BE TRANSFERRED TO RML, RML ALSO PUBLICIZES THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THE ADVANCE EVALUATION AND INTAKE PROCESS (AND DIRECTLY WITH THE PATIENT/FAMILY IF THE NEED SUBSEQUENTLY ARISES AFTER THEIR ADMISSION TO RML). UPON PATIENT REFERRAL, IF A PATIENT HAS NO INSURANCE, THE SOCIAL WORKER FROM THE REFERRING ACUTE CARE HOSPITAL WILL REQUEST ON BEHALF OF THE PATIENT FINANCIAL ASSISTANCE FROM RML WHICH IN TURN RML'S INTAKE PERSONNEL PROVIDE THE CHARITY APPLICATION TO THE SOCIAL WORKER WHO HAS THE FAMILY COMPLETE IT ON BEHALF OF THE PATIENT AND FORWARD IT BACK TO RML.
Schedule H, Part VI, Line 4 Community information	AT RML WE SERVE A UNIQUE COMMUNITY COMPOSED OF APPROXIMATELY 90 REFERRAL SOURCES THROUGHOUT ILLINOIS, OUR PARTNER ORGANIZATIONS, AND THE COMMUNITIES IMMEDIATELY SURROUNDING OUR TWO FACILITIES. RML PLAYS A UNIQUE AND INTEGRAL ROLE IN THE CONTINUUM OF CARE. RML PROVIDES TREATMENT TO THOSE PATIENTS WITH CATASTROPHIC, ACUTE ILLNESSES; INJURIES COMPLICATED BY MULTIPLE COMORBIDITIES; AND THOSE PATIENTS THAT REQUIRE AGGRESSIVE, SPECIALIZED INTERDISCIPLINARY CARE. OUR PATIENT POPULATION IS LARGELY GERIATRIC WITH HIGH ACUITY AND REQUIRES PROLONGED LENGTHS OF STAY IN AN ACUTE SETTING. MEDICAID IS THE PRIMARY INSURER FOR OVER 30% OF RML'S POPULATION. WE RECOGNIZE THAT THIS COMPLICATES DISCHARGE PLANNING AND WE HAVE ATTEMPTED TO ADDRESS THIS THROUGH SEVERAL OF THE INITIATIVES IDENTIFIED IN OUR CHNA IMPLEMENTATION PLAN.
Schedule H, Part VI, Line 5 Promotion of community health	A MAJORITY OF RML'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEE NOR INDEPENDENT CONTRACTORS OF RML, NOR FAMILY MEMBERS THEREOF. RML HAS AN OPEN MEDICAL STAFF, MEANING ANY QUALIFIED PHYSICIAN CAN APPLY FOR PRIVILEGES TO PRACTICE AT RML, AS LONG AS THEY MEET RML'S CREDENTIALING REQUIREMENTS AND SPECIFIC EXPERTISE NEEDED FOR THE TREATMENT OF CHRONICALLY CRITICALLY ILL PATIENTS. RML APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN FACILITIES AND EQUIPMENT, PATIENT CARE, MEDICAL TRAINING, EDUCATION, AND RESEARCH. RML IS COMMITTED TO THE ADVANCEMENT OF MEDICAL CARE FOR LONG-TERM ACUTE CARE PATIENTS AND THE ACHIEVEMENT OF SUPERIOR CLINICAL OUTCOMES. WE BELIEVE IT IS IMPERATIVE TO CONDUCT CLINICAL RESEARCH TO REALIZE OUR VISION OF BECOMING A NATIONAL CENTER FOR EXCELLENCE IN LONG-TERM ACUTE CARE, RECOGNIZED FOR SUPERIOR CLINICAL OUTCOMES AND PATIENT SATISFACTION, AND FOR VALUED CONTRIBUTIONS TO THE ADVANCEMENT OF MEDICAL CARE. RML OVERSEES AND PARTICIPATES IN NUMEROUS CLINICAL RESEARCH STUDIES FOCUSED ON THE TREATMENT AND CARE OF VENTILATED PATIENTS, PATIENTS WITH INFECTIOUS DISEASES AND MEDICALLY COMPLEX CONDITIONS. RML SUPPORTS CLINICAL RESEARCH STUDIES BY ALLOWING THE USE OF ITS FACILITIES FOR PATIENT TRIALS AND PROVIDING ADMINISTRATIVE ASSISTANCE TO RESEARCHERS. RESEARCH EFFORTS DURING FY24 INCLUDED 12 PROJECTS AT RML INCLUDING FIVE SPONSORED PROJECTS, WHICH CONSIST OF MULTI-CENTER AND DEVICE TRIALS AS WELL AS PILOT STUDIES, THREE COLLABORATIVE STUDIES INVOLVING SURVEILLANCE OF MULTI-DRUG-RESISTANT ORGANISMS AND 2 INTERNAL INITIATIVES ASSOCIATED WITH MIST THERAPY AND WEANING. ACROSS THE COUNTRY AND IN THE STATE OF ILLINOIS, THE HEALTH CARE INDUSTRY IS FACING STARTLING SHORTAGES OF QUALIFIED HEALTH PROFESSIONALS. TO ADDRESS THIS NEED, RML IS COMMITTED TO PROVIDING OPPORTUNITIES FOR STUDENTS AND HEALTH PROFESSIONALS TO GAIN HANDS-ON CLINICAL EXPERIENCE. EACH YEAR, RML PROUDLY WELCOMES STUDENTS AND HEALTH PROFESSIONALS IN THE FIELDS OF MEDICINE, NURSING, RESPIRATORY THERAPY, RADIOLOGY TECHNOLOGY, REHABILITATION THERAPY, AND OTHER DISCIPLINES TO OUR FACILITIES TO COLLABORATE WITH OUR STAFF AND ADVANCE THEIR SKILLS THROUGH PRACTICE AND MENTORSHIP. DURING FY24, RML WELCOMED OVER 200 STUDENTS TO STUDY IN ITS UNIQUE LONG-TERM ACUTE CARE ENVIRONMENT. RML ROUTINELY MAKES CASH AND IN-KIND DONATIONS TO OTHER NON-PROFIT ORGANIZATIONS ACTIVELY INVOLVED IN IMPROVING THE HEALTH OF THE COMMUNITY. RML'S LARGEST RECIPIENT DURING THE PAST YEAR WAS THE AMERICAN LUNG ASSOCIATION (ALA). IN ADDITION TO A DIRECT GIFT, RML STAFF ALSO PARITICIPATED IN FUND-RAISING FOR THE ALA THROUGH THEIR ANNUAL CLIMB-THE-TOWER EVENT. RML IS CONTINUOUSLY WORKING TO IDENTIFY MORE EFFICIENT USES OF RESOURCES, PROVIDE GREATER CONTINUITY AND COORDINATION OF CARE, AND IMPROVE HEALTH OUTCOMES FOR THE MOST CRITICALLY ILL AND INJURED PATIENTS.
Schedule H, Part VI, Line 7 State filing of community benefit report	IL

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	false	SubstantiationRequiredInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
James Prister
President/CEO	$587,220	$0	$0	$0	$88,008	$0	$57,582	$0	$30,700	$0	$763,510	$0	$50,928	$0
Thomas Pater
VP Finance/CFO	$326,643	$0	$0	$0	$31,052	$0	$26,762	$0	$37,280	$0	$421,737	$0	$13,518	$0
John Brofman MD
Chief Medical Officer	$241,695	$0	$0	$0	$11,437	$0	$10,265	$0	$30,563	$0	$293,960	$0	$0	$0
Marti Edwards
VP Patient Care Services/CNO	$228,304	$0	$0	$0	$23,228	$0	$9,873	$0	$20,675	$0	$282,080	$0	$0	$0
Dale Hengesbach
Executive Director Special Stategic Projects	$218,923	$0	$0	$0	$22,771	$0	$11,088	$0	$16,067	$0	$268,849	$0	$0	$0
Kenneth Pawola
VP/Chief Operating Officer	$222,941	$0	$0	$0	$3,163	$0	$9,168	$0	$17,233	$0	$252,505	$0	$11,631	$0
Todd Prellberg
Chief Information Officer	$204,713	$0	$0	$0	$9,321	$0	$8,523	$0	$27,484	$0	$250,041	$0	$0	$0
Matt Lloyd
VP Operations	$194,676	$0	$0	$0	$9,887	$0	$8,354	$0	$35,558	$0	$248,475	$0	$0	$0
Karen Murtaugh
Executive Director Human Resources	$187,932	$0	$0	$0	$9,113	$0	$8,073	$0	$37,283	$0	$242,401	$0	$0	$0
Patricia Vaisvila
VP Business Development	$174,205	$0	$0	$0	$9,596	$0	$7,462	$0	$26,575	$0	$217,838	$0	$0	$0
Laurie Forssberg
Executive Director Chicago Operations and Clinical Services	$164,877	$0	$0	$0	$7,921	$0	$6,903	$0	$22,249	$0	$201,950	$0	$0	$0
Collin Fizpatrick MD
Physician	$132,621	$0	$300,767	$0	$2,218	$0	$13,200	$0	$36,598	$0	$485,404	$0	$0	$0
Sejal Thaker MD
Physician	$153,027	$0	$149,278	$0	$429	$0	$13,200	$0	$15,783	$0	$331,717	$0	$0	$0
Mairaj Jaleel MD
Physician	$166,131	$0	$148,396	$0	$322	$0	$13,200	$0	$468	$0	$328,517	$0	$0	$0
Earl Rudolph MD
Physician	$180,710	$0	$91,366	$0	$334	$0	$8,251	$0	$2,038	$0	$282,699	$0	$0	$0
Muhammad Abushaer MD
Physician	$168,582	$0	$85,084	$0	$625	$0	$7,622	$0	$18,647	$0	$280,560	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	Per the CEO's employment contract, he is to receive 8% of the compensation as deferred compensation. The only deferred compensation vehicle available is the 457(b) Plan. Eight percent of compensation exceeds the statutory contribution limit into the 457(b) Plan. Therefore, the Board annually takes action to provide the excess as cash to the CEO, grossed up to simulate receiving it as deferred compensation.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	The RML Health Providers, Limited Partnership ("RML") maintains a Supplemental Executive Retirement Plan that is a nonqualified deferred compensation plan subject to the provisions of Section 409A and 457(f) of the Internal Revenue Code of 1986, as amended. The plan is designed to provide benefits which, when combined with other retirement benefits, are reasonable and competitive for covered Executives. Eligibility for participation in the Plan is limited to a select group of management or highly compensated employees as determined by the Governing Body. Current participants, as designated by the Governing Body, and respective amounts are: James Prister, President/CEO - $44,382. Thomas Pater, Vice President Finance/CFO - $13,562. The distributed amounts are as follows: James Prister, President/CEO - $50,528. Thomas Pater, Vice President Finance/CFO - $13,518. Kenneth Pawola, Vice President/Chief Operating Officer-$11,631
Schedule J, Part I, Line 7 Non-fixed payments	The executive Incentive Plan provides variable compensation based on the achievement of organization-wide goals. These goals represent key indications of success in the areas of finance, clinical quality, patient satisfaction and employee safety. They are approved by the Board for each fiscal year.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Relationship Description	Family member of a Key Employee	RelationshipDescriptionTxt
Transaction	$21,660	TransactionAmt
Transaction	Employee Compensation	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 1a Delegate broad authority to a committee	The Board of Directors, by resolution adopted by a unanimous number of the directors entitled to vote, designated and elected the members of one or more committees, each of which consisted of at least one director elected by each member of the Corporation, to the extent not restricted by law, shall have and exercise the authority and act on behalf of the Board of Directors in the management of the Corporation; provided, however, that such Committee shall not have the authority to take any action set forth in Section 3.9 of the bylaws which require unanimous vote of all the directors entitled to vote; and provided, further, that the designation of such committees and the delegation thereto of authority shall not operate to relieve the Board of Directors, or any individual director, of any responsibility imposed upon it or him by law.
Form 990, Part VI, Line 6 Classes of members or stockholders	RML Health Providers, LP ("RML"), an IRC 501(c)(3) organization, is organized as a partnership under Illinois state law. RML has two equal limited partners, Advocate Health and Hospitals Corporation and Loyola University Medical Center; each limited partner is also an IRC 501(C)(3) organization and has a 49.5% interest in RML. RML's general partner is RMLHP Corporation; the general partner is also an IRC 501(C)(3) organization and has a 1% interest in RML.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	Each of RML's limited partners (Advocate Health and Hospitals Corporation and Loyola University Medical Center) elects and designates two of the four members of the governing body.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	RML HEALTH PROVIDERS, LP ("RML"), AN IRC 501(C)(3) ORGANIZATION, IS ORGANIZED AS A PARTNERSHIP UNDER ILLINOIS STATE LAW. RML'S GENERAL PARTNER, RMLHP CORPORATION ("RMLHP"), HAS THE FULL, EXCLUSIVE, AND COMPLETE DISCRETION IN THE MANAGEMENT AND CONTROL OF THE BUSINESS AFFAIRS OF RML AND MAKES ALL DECISIONS AFFECTING RML'S BUSINESS AND AFFAIRS. EXCEPT AS OTHERWISE SET FORTH IN THE PARTNERSHIP AGREEMENT, SUBJECT TO AND CONSISTENT WITH THE CHARITABLE PURPOSES OF RML AS PROVIDED IN THE PARTNERSHIP AGREEMENT, RMLHP AS THE GENERAL PARTNER HAS THE RIGHT, POWER, AND AUTHORITY TO DO ON BEHALF OF RML ALL THINGS WHICH IN ITS JUDGMENT ARE NECESSARY, PROPER, OR DESIRABLE TO CARRY OUT ITS DUTIES AND RESPONSIBILITIES, INCLUDING BUT NOT LIMITED TO THE RIGHT, POWER, AND AUTHORITY TO: (A) INCUR ALL REASONABLE EXPENDITURES AND PAY ALL OBLIGATIONS OF THE PARTNERSHIP; (B) EXECUTE ANY AND ALL DOCUMENTS OR INSTRUMENTS OF ANY KIND WHICH THE GENERAL PARTNER MAY DEEM NECESSARY OR APPROPRIATE FOR CARRYING OUT THE PURPOSES OF THE PARTNERSHIP; (C) PURCHASE OR LEASE EQUIPMENT FOR PARTNERSHIP PURPOSES; (D) LEASE ALL OR ANY PORTION OF RML'S PROPERTY FOR ANY PURPOSE AND WITHOUT LIMIT AS TO THE TERM THEREOF, WHETHER OR NOT SUCH TERM (OR ANY RENEWALS THEREOF) MAY EXTEND BEYOND THE DATE OF TERMINATION OF THE PARTNERSHIP AND WHETHER OR NOT THE PORTION SO LEASED IS TO BE OCCUPIED BY THE LESSEE OR, IN TURN SUBLEASED IN WHOLE OR IN PART TO OTHERS; (E) BORROW MONEY FROM INDIVIDUALS, BANK AND OTHER LENDING INSTITUTIONS FOR ANY PARTNERSHIP PURPOSE; (F) PROCURE AND MAINTAIN AT THE EXPENSE OF THE PARTNERSHIP WITH RESPONSIBLE COMPANIES SUCH INSURANCE AS MAY BE AVAILABLE IN SUCH AMOUNTS AND COVERING SUCH RISKS AS ARE APPROPRIATE IN THE JUDGMENT OF THE GENERAL PARTNER; (G) HOLD TITLE TO PARTNERSHIP PROPERTY IN THE NAME OF A TRUSTEE OF NOMINEE CHOSEN BY THE GENERAL PARTNER IF IT SHALL SEEM SUCH APPROPRIATE; (H) RECEIVE AND DISBURSE PROCEEDS FROM THE SALE OF PARTNERSHIP PROPERTIES; SELL THE PARTNERSHIP PROPERTIES FOR AND ON BEHALF OF THE PARTNERSHIP ON SUCH TERMS AND CONDITIONS DEEMED SATISFACTORY TO THE GENERAL PARTNER; AND PAY ALL OBLIGATIONS OF THE PARTNERSHIP; (I) EMPLOY AND DISMISS FROM EMPLOYMENT ANY AND ALL PARTNERSHIP EMPLOYEES, AGENTS, INDEPENDENT CONTRACTORS, ATTORNEYS AND ACCOUNTANTS; (J) SUPERVISE THE PREPARATION AND FILING OF ALL PARTNERSHIP TAX RETURNS AND MAKE ON BEHALF OF THE PARTNERSHIP SUCH TAX ELECTIONS AND DETERMINATIONS AS APPEAR TO THEM APPROPRIATE; (K) PROVIDE OVERSIGHT OF THE OPERATIONS OF AND SERVICES PROVIDED AT THE HOSPITAL; (L) REVIEW ALL MATTERS RELATIVE TO THE GENERAL CARE OF PATIENTS IN THE HOSPITAL; (M) REVIEW RECOMMENDATIONS FROM THE HOSPITAL'S MEDICAL EXECUTIVE COMMITTEE ON CLINICAL PRIVILEGES; APPROVE APPOINTMENTS AND REAPPOINTMENTS TO THE MEDICAL STAFF; AND REVIEW MEDICAL CARE RENDERED TO HOSPITAL PATIENTS; (N) MAKE RECOMMENDATIONS FOR IMPROVEMENT OF PATIENT CARE IN THE HOSPITAL; (O) FORM AND PROVIDE OVERSIGHT TO HOSPITAL COMMITTEES; (P) PROVIDE FOR THE EFFECTIVE FUNCTIONING OF THE HOSPITAL ACTIVITIES RELATED TO PERFORMANCE IMPROVEMENT, RISK MANAGEMENT, FINANCIAL MANAGEMENT, AND PROFESSIONAL GRADUATE EDUCATION WHEN PROVIDED; (Q) PERFORM ANY AND ALL OTHER ACTS OR ACTIVITIES CUSTOMARY OR INCIDENT TO THE OPERATION OF THE HOSPITAL; (R) FACILITATE THE LEASE, SALE OR OTHER DISPOSITION OF THE HOSPITAL. IN ADDITION, RMLHP AS THE GENERAL PARTNER MAY DESIGNATE ONE OR MORE OF ITS AFFILIATES TO CARRY OUT ITS DUTIES AND RESPONSIBILITIES TO THE PARTNERSHIP OR TO RENDER THE PARTNERSHIP SUCH SERVICES AS THE GENERAL PARTNER DEEMS NECESSARY TO CARRY OUT THE PURPOSES OF THE PARTNERSHIP.
Form 990, Part VI, Line 11b Review of form 990 by governing body	Upon completion of RML Health Provider, LP's Form 990, it is reviewed by management responsible for filing the return, a group including but not limited to the RML's President/CEO and the VP Finance/CFO. It is then presented by the organization's management to RML's Board of Directors for their review at a regularly scheduled board meeting. After the board review, the return is then filed with the IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	RML Health Providers, LP, requires all board members and persons of leadership to annually sign a statement identifying any potential conflicts of interest. This statement affirms that such a person has received a copy of the conflict of interest policy, has read and understands the policy, and has agreed to comply with the policy. This policy applies to all board members and senior management. The annual statements are reviewed by the Chief Operating Officer, who is also the compliance officer. Potential conflicts of interest are presented by the compliance officer to the board of directors. After presentation of potential conflicts, the interested person shall leave the board or committee meeting while the transaction is discussed and voted upon; the remaining board members make the determination as to whether an actual conflict of interest exists. Corrective or disciplinary actions for non-compliance with the conflict of interest policy are at the discretion of the Board of Directors.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	RML follows the requirements set forth in the IRS rebuttable presumption of reasonableness in determining compensation for the CEO. This function is performed by the governing board. CEO compensation is reviewed annually, with an external compensation consultant engaged to perform a detailed compensation study every other year. In the years during which the external compensation consultant is not engaged to perform a detailed compensation study, RML performs an analysis of CEO compensation internally. In addition to utilizing the most recent study performed by the external compensation consultant, this internal CEO compensation evaluation includes a review of comparability data, during which market data and compensation data of healthcare executives at similar organizations is reviewed and utilized in determining CEO compensation. The deliberation and decision of CEO compensation is contemporaneously documented through detailed minutes of the compensation committee and full board meetings where executive compensation is considered. The most recent total compensation bi-annual study performed by the external compensation consultant occurred in November 2022, and the most recent internal base compensation review was performed in May 2023. In June of 2024 the external compensation consultant provided updated information regarding base compensation.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	RML follows the requirements set forth in the IRS rebuttable presumption of reasonableness in determining compensation for its other officers and key employees. This function is performed by the governing board. Other officer and key employee compensation is reviewed annually, with an external compensation consultant engaged to perform a detailed compensation study every other year. In the years during which the external compensation consultant is not engaged to perform a detailed compensation study, RML performs an analysis of other officer and key employee compensation internally. In addition to utilizing the most recent study performed by the external compensation consultant, this internal other officer and key employee compensation evaluation includes a review of comparability data, during which market data and compensation data of healthcare executives at similar organizations is reviewed and utilized in determining other officer and key employee compensation. The deliberation and decision of other officer and key employee compensation is contemporaneously documented through detailed minutes of the compensation committee and full board meetings where executive compensation is considered. The most recent total compensation bi-annual study performed by the external compensation consultant occurred in November 2022, and the most recent internal base compensation review was performed in May 2023. In June of 2024 the external compensation consultant provided updated information regarding base compensation.
Form 990, Part VI, Line 19 Required documents available to the public	AN ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON THE ILLINOIS ATTORNEY GENERAL'S WEBSITE. AS A HOSPITAL, THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE ALSO MADE AVAILABLE TO THE PUBLIC AS AN ATTACHMENT TO ITS FORM 990, WHICH IS A REQUIRED DISCLOSURE PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	- Total Revenue: 1500, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1500;
Form 990, Part IX, Line 11g Other Fees	Consulting - Total Expense: 289263, Program Service Expense: 102120, Management and General Expenses: 187143, Fundraising Expenses: ; Purchased Services - Total Expense: 4731535, Program Service Expense: 4329446, Management and General Expenses: 402089, Fundraising Expenses: ; Laboratory Fees - Total Expense: 647778, Program Service Expense: 647778, Management and General Expenses: , Fundraising Expenses: ; Purchased Personnel - Total Expense: 9463868, Program Service Expense: 9463868, Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Miscellaneous - 3;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5601 SOUTH COUNTY LINE ROAD	AddressLine1Txt
City	HINSDALE	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	605214875	ZIPCd

Field	Value	IRS element (for citing)
EIN	364160869	EIN
Primary Activities	GENERAL PARTNER AND MANAGER OF RML HEALTH PROVIDERS, LP	PrimaryActivitiesTxt
Legal Domicile State	IL	LegalDomicileStateCd
Exempt Code Section	501(c)(3)	ExemptCodeSectionTxt
Public Charity Status	Type III-FI	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd