RICHLAND MEMORIAL HOSPITAL INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: RICHLAND MEMORIAL HOSPITAL INC (EIN 37-1363001)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-15
IRS object ID: 202323199349319757
Schema version: 2022v5.0
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 I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-15T14:43:08+00:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	462045100	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	371363001	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	RICH	BusinessNameControlTxt
Phone	6183952131	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 EAST LOCUST STREET	AddressLine1Txt
City	OLNEY	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62450	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DENNIS HESCH	PersonNm
Person Title	EXEC VP & CFO	PersonTitleTxt
Phone	6183952131	PhoneNum
Signature	2023-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

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

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Jennifer D Rhoderick	PreparerPersonNm
PTIN	P00395735	PTIN
Phone	3176817000	PhoneNum
Preparation	2023-11-12	PreparationDt

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DENNIS HESCH EXEC VP & CFO	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$63,787,432	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://carle.org/LOCATIONS/CARLE-RICHLAND-MEMORIAL-HOSPITAL	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1953	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE EXCELLENT HEALTHCARE, PROMOTE WELLNESS, AND EDUCATE PATIENTS, STAFF, AND THE COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	507	TotalEmployeeCnt
Total Volunteers	54	TotalVolunteersCnt
Total Gross UBI	$463,992	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,055,880	PYContributionsGrantsAmt
CY Contributions Grants	$2,755,502	CYContributionsGrantsAmt
PY Program Service Revenue	$51,779,241	PYProgramServiceRevenueAmt
CY Program Service Revenue	$59,309,027	CYProgramServiceRevenueAmt
PY Investment Income	$87,875	PYInvestmentIncomeAmt
CY Investment Income	$40,627	CYInvestmentIncomeAmt
PY Other Revenue	$958,547	PYOtherRevenueAmt
CY Other Revenue	$724,228	CYOtherRevenueAmt
PY Total Revenue	$54,881,543	PYTotalRevenueAmt
CY Total Revenue	$62,829,384	CYTotalRevenueAmt
PY Grants And Similar Paid	$226,587	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$74,527	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$34,209,626	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$40,721,287	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$28,250,546	PYOtherExpensesAmt
CY Other Expenses	$31,003,925	CYOtherExpensesAmt
PY Total Expenses	$62,686,759	PYTotalExpensesAmt
CY Total Expenses	$71,799,739	CYTotalExpensesAmt
PY Revenues Less Expenses	-$7,805,216	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$8,970,355	CYRevenuesLessExpensesAmt
Total Assets BOY	$31,450,471	TotalAssetsBOYAmt
Total Assets EOY	$26,663,290	TotalAssetsEOYAmt
Total Liabilities BOY	$16,108,992	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$13,457,935	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$15,341,479	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$13,205,355	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE EXCELLENT HEALTHCARE, PROMOTE WELLNESS, AND EDUCATE PATIENTS, STAFF, AND THE COMMUNITY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$62,550,297	ExpenseAmt
Grant	$74,527	GrantAmt
Revenue	$59,359,220	RevenueAmt
Desc	RICHLAND MEMORIAL HOSPITAL, INC., DBA CARLE RICHLAND MEMORIAL HOSPITAL (RMH) IS A TAX-EXEMPT ILLINOIS NOT-FOR-PROFIT CORPORATION ESTABLISHED FOR THE PURPOSE OF OPERATING A HOSPITAL AND CONDUCTING PATIENT CARE RELATED ACTIVITIES. RICHLAND IS A 104 BED HOSPITAL PROVIDING A RANGE OF ANCILLARY AND SUPPORT SERVICES. THE HOSPITAL ADMITS APPROXIMATELY 1,200 PATIENTS ANNUALLY, IS FULLY ACCREDITED BY THE HEALTHCARE FACILITIES ACCREDITATION PROGRAM (HFAP), HAS AN EMERGENT STROKE READY DESIGNATION AND A LEVEL II NURSERY DESIGNATION BY THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH AND IS A CLINICAL HUB SITE FOR SOUTHERN ILLINOIS UNIVERSITY PHYSICIAN ASSISTANT PROGRAM. IN 2022, RMH RECORDED 10,386 PATIENT DAYS. IN ADDITION TO THE HOSPITAL, THE ORGANIZATION HAS THREE RURAL HEALTH CLINICS: - CARLE BRIDGEPORT IS LOCATED AT 100 INDUSTRY ROAD, BRIDGEPORT, IL, AND OFFERS AUDIOLOGY AND HEARING, BEHAVIORAL HEALTH, CARDIOVASCULAR MEDICINE, FAMILY MEDICINE, MIDWIFERY, ORTHOPEDICS, AND OTOLARYNGOLOGY (ENT: EAR, NOSE, AND THROAT) SERVICES MONDAY THROUGH FRIDAY, 8 A.M. TO 5 P.M. - CARLE OLNEY IS LOCATED AT 363 N. WEST STREET, OLNEY, IL, 1.3 MILES FROM THE HOSPITAL, WHICH OFFERS BEHAVIORAL HEALTH, CONVENIENT CARE, AND FAMILY MEDICINE SERVICES 8 A.M. - 8 P.M. SEVEN DAYS PER WEEK. - CARLE WEST SALEM IS LOCATED AT 100 S. MAIN STREET, WEST SALEM, IL, AND OFFERS FAMILY MEDICINE SERVICES MONDAY THROUGH FRIDAY, 8 A.M. TO 5 P.M. IN ADDITION TO THE RURAL HEALTH CLINICS, RICHLAND PROVIDES SERVICES UNDER THE FOLLOWING: - RMH PROFESSIONAL SERVICES LOCATED AT 605 E. MAIN STREET, OLNEY, IL ONE-HALF MILE FROM THE HOSPITAL AND OFFERS GENERAL SURGERY AND PODIATRY SERVICES. - THE APOTHECARY SHOPPE, LOCATED AT 108 S. MAIN STREET, WEST SALEM, IL, OFFERS RETAIL PHARMACY SERVICES MONDAY THROUGH FRIDAY FROM 9 A.M. TO 3 P.M., AND SATURDAYS FROM 9 A.M. TO NOON. RMH PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, DISABILITY, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THE MISSION OF RMH IS TO SERVE OUR COMMUNITY WITH RESPECT IN PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. THEREFORE, IN KEEPING WITH THE COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, WE OFFER: - FREE CARE TO QUALIFIED INDIVIDUALS UNDER THE RMH FINANCIAL ASSISTANCE PROGRAM - CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST; AND - HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT AND EDUCATE THE COMMUNITY. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, PROFESSIONAL EDUCATION PROGRAMS, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. RMH PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST. THE HOSPITAL ALSO PROVIDES CARE TO PERSONS COVERED BY COMMERCIAL INSURANCE AT BELOW COST. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, THE HOSPITAL RECOGNIZES THESE AMOUNTS AS COST INCURRED IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. FINANCIAL ASSISTANCE WAS ALSO PROVIDED THROUGH RMH'S FINANCIAL ASSISTANCE POLICY OFFERED IN 2022.	Desc
Total Program Service Expenses	$62,550,297	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	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	50	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	507	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
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
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DENNIS P HESCH EXEC VP & CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2173833311	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
GARY HOUCHIN
TREASURER OF BOARD	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
JENNIFER CUMMINS-ZUHER
CHAIR	3.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
MATTHEW KOLB JD MHA
TRUSTEE; EVP, CHIEF OPERATING OFFICER	1.0	39.0	Yes (X)	Yes (X)	$0	$1,363,262	$394,190
PATRICIA KESSLER-BOOKHOUT DDS
VICE CHAIR	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
BERNARD BRAUER
TRUSTEE (BEG 10/1/2022)	1.0	0.0	Yes (X)		$0	$0	$0
COLE DUKE
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JASON GLOVER
TRUSTEE (THU 9/30/2022)	1.0	0.0	Yes (X)		$0	$0	$0
LARRY DUNN
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
RAYMOND FISHER MD
TRUSTEE	40.0	0.0	Yes (X)		$492,079	$0	$53,171
ROB MCCLAIN
TRUSTEE (THU 9/30/2022)	1.0	0.0	Yes (X)		$0	$0	$0
SALLY SALMONS MD
TRUSTEE & PHYSICIAN	1.0	39.0	Yes (X)		$0	$456,156	$89,543
SHERRY GEIER
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
STEVEN THOMSON
TRUSTEE (BEG 10/1/2022)	2.0	0.0	Yes (X)		$0	$0	$0
TOMMIE FEHRENBACHER
TRUSTEE (THU 9/30/2022)	1.0	0.0	Yes (X)		$0	$0	$0
DENNIS HESCH
EVP, CHIEF FINANCE & STRATEGY OFFICER	2.0	38.0		Yes (X)	$0	$1,286,099	$414,800
JAMES C LEONARD MD
EX-OFFICIO, PRESIDENT & CEO	0.2	39.8		Yes (X)	$0	$2,140,109	$661,809
REGINA THOMAS
PRESIDENT, RICHLAND MEMORIAL HOSPITAL	40.0	0.0		Yes (X)	$0	$274,210	$66,893
KENNETH ARONSON MD
MEDICAL DIRECTOR - DIAGNOSTIC SERVICES	1.0	39.0			$0	$623,336	$63,263	Yes (X)
LAUREN SCHMID
EVP, CHIEF HUMAN RESOURCES OFFICER	1.0	39.0			$0	$772,322	$228,747	Yes (X)
NICHOLAS CROMPTON
VP, CONSTRUCTION & FACILITY SERVICES	1.0	40.0			$0	$281,961	$73,600	Yes (X)
TANNER MILLER MD
CRMH MEDICAL DIRECTOR	40.0	0.0			$0	$498,065	$49,931	Yes (X)
BENJAMIN CURTIS
CRNA - RMH ANESTHESIOLOGY	40.0	0.0			$275,825	$0	$49,335		Yes (X)
CHRISTINA BARE
DIRECTOR, RMH PRIMARY CARE & SPECIALTY SERVICES	40.0	0.0			$163,562	$0	$13,512		Yes (X)
JOHN ALLEN
CRNA - RMH ANESTHESIOLOGY	40.0	0.0			$298,367	$0	$49,414		Yes (X)
JOHN WALL
CRNA LEAD - RMH ANESTHESIOLOGY	40.0	0.0			$283,968	$0	$51,636		Yes (X)
THOMAS FALCONE
CRNA - RMH ANESTHESIOLOGY	40.0	0.0			$280,568	$0	$50,832		Yes (X)
HARRY BROCKUS
FORMER - OFFICER	0.0	0.0			$0	$162,492	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,794,369	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,858,012	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,310,676	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	45	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
RURAL PHYSICIANS GROUP
5575 DTC PARKWAY STE 225	GREENWOOD VILLAGE	CO	80111	STAFFING	$455,410
ALL STAR RECRUITING LOCUMS
PO BOX 936725	ATLANTA	GA	311936725	STAFFING	$271,466
SENTRY DATA SYSTEMS INC
PO BOX 505353	ST LOUIS	MO	631505353	PHARMACY SOFTWARE & MAINTENANCE	$262,755
QUEST DIAGNOSTICS
PO BOX 7755460	CHICAGO	IL	606775460	LAB SERVICES	$215,944
COMMERCIAL ELECTRIC INC
720 SOUTH 17TH STREET	MATTOON	IL	61938	MAINTENANCE & REPAIRS	$205,100	PO BOX 1157

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	11	CntrctRcvdGreaterThan100KCnt
Related Organizations	$159,045	RelatedOrganizationsAmt
Government Grants	$2,571,457	GovernmentGrantsAmt
All Other Contributions	$25,000	AllOtherContributionsAmt
Noncash Contributions	$11,971	NoncashContributionsAmt
Total Contributions	$2,755,502	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	622110	$59,297,962	$59,297,962
RENT FROM RELATED ORGS	523000	$10,176	$10,176
ALL OTHER PROGRAM SERVICES REVENUE	900099	$889	$889

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	$59,309,027	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$40,627	TotalRevenueColumnAmt
Exclusion	$40,627	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$66	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$66	OtherAmt

Gain Or Loss GainOrLossGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$1,378,534	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$957,982	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$420,552	TotalRevenueColumnAmt
Unrelated Business Revenue	$420,552	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA SERVICES	722331	$186,423	$186,423
LAUNDRY SERVICES	812331	$16,542		$16,542
CATERING REVENUE	722320	$26,898		$26,898

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$73,813	TotalRevenueColumnAmt
Related Or Exempt Func Income	$50,193	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$23,620	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$303,676	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$62,829,384	TotalRevenueColumnAmt
Related Or Exempt Func Income	$59,359,220	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$463,992	UnrelatedBusinessRevenueAmt
Exclusion	$250,670	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$74,527	TotalAmt
Program Services	$74,527	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$120,253	TotalAmt
Program Services	$120,253	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$33,736,175	TotalAmt
Program Services	$29,275,025	ProgramServicesAmt
Management And General	$4,461,150	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,599,509	TotalAmt
Program Services	$1,374,349	ProgramServicesAmt
Management And General	$225,160	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,141,765	TotalAmt
Program Services	$2,596,897	ProgramServicesAmt
Management And General	$544,868	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,123,585	TotalAmt
Program Services	$1,796,802	ProgramServicesAmt
Management And General	$326,783	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$25,440	TotalAmt
Management And General	$25,440	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,540,376	TotalAmt
Program Services	$2,464,518	ProgramServicesAmt
Management And General	$75,858	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$8,099	TotalAmt
Program Services	$2,934	ProgramServicesAmt
Management And General	$5,165	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$358,815	TotalAmt
Program Services	$193,326	ProgramServicesAmt
Management And General	$165,489	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,817,078	TotalAmt
Program Services	$2,137,648	ProgramServicesAmt
Management And General	$679,430	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,030,178	TotalAmt
Program Services	$667,288	ProgramServicesAmt
Management And General	$362,890	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$38,315	TotalAmt
Program Services	$22,380	ProgramServicesAmt
Management And General	$15,935	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$44,040	TotalAmt
Program Services	$35,152	ProgramServicesAmt
Management And General	$8,888	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$202,119	TotalAmt
Program Services	$168,462	ProgramServicesAmt
Management And General	$33,657	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,416,407	TotalAmt
Program Services	$1,656,182	ProgramServicesAmt
Management And General	$760,225	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$138,143	TotalAmt
Program Services	$114,809	ProgramServicesAmt
Management And General	$23,334	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
OTHER PURCHASED SERVICES	$357,727	$313,224	$44,503
PATIENT CARE SUPPLIES	$5,803,993	$5,803,993
INTERNAL PURCHASED SERVS	$12,066,228	$11,223,278	$842,950
PROVIDER ASSESSMENT TAX	$2,403,466	$2,403,466

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$753,501	TotalAmt
Program Services	$105,784	ProgramServicesAmt
Management And General	$647,717	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$71,799,739	TotalAmt
Program Services	$62,550,297	ProgramServicesAmt
Management And General	$9,249,442	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,100,567	BOYAmt
EOY	$1,377,471	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,974,379	BOYAmt
EOY	$4,231,585	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$411,380	BOYAmt
EOY	$232,045	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$893,708	BOYAmt
EOY	$1,724,548	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$239,268	BOYAmt
EOY	$212,171	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$64,582,776	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$45,946,580	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$19,634,086	BOYAmt
EOY	$18,636,196	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$197,083	BOYAmt
EOY	$249,274	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$31,450,471	BOYAmt
EOY	$26,663,290	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,553,156	BOYAmt
EOY	$4,204,867	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,307,829	BOYAmt
EOY	$998	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	$5,005,634	BOYAmt
EOY	$4,634,730	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,242,373	BOYAmt
EOY	$4,617,340	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$16,108,992	BOYAmt
EOY	$13,457,935	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$15,341,479	BOYAmt
EOY	$13,205,355	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$15,341,479	BOYAmt
EOY	$13,205,355	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$31,450,471	BOYAmt
EOY	$26,663,290	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$8,970,355	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$6,834,231	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$25,440	OtherActivitiesAmt
Total Lobbying Expenditures	$25,440	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	$25,440 - PORTION OF HEALTH CARE ORGANIZATION DUES ATTRIBUTABLE TO LOBBYING	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,005,119	OtherCostOrOtherBasisAmt
Book Value	$1,005,119	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,401,308	OtherCostOrOtherBasisAmt
Depreciation	$22,052,284	DepreciationAmt
Book Value	$11,349,024	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,227,626	OtherCostOrOtherBasisAmt
Depreciation	$23,286,445	DepreciationAmt
Book Value	$5,941,181	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$948,723	OtherCostOrOtherBasisAmt
Depreciation	$607,851	DepreciationAmt
Book Value	$340,872	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$18,636,196	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DUE TO BLUE CROSS	$1,239,198
ASSET RETIREMENT OBLIGATION	$3,378,142

Field	Value	IRS element (for citing)
Total Liability	$4,617,340	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION THERESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENTS RECOGNITION OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED OR RECORDED AS A LIABILITY AS OF DECEMBER 31, 2022 AND 2021.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,054,231	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,054,231	NetCommunityBenefitExpnsAmt
Total Expense	0.0147	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,166,091	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,724,675	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,441,416	NetCommunityBenefitExpnsAmt
Total Expense	0.0758	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	$17,220,322	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,724,675	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,495,647	NetCommunityBenefitExpnsAmt
Total Expense	0.0905	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,607	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,607	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$58,831	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$58,831	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,268,314	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,268,314	NetCommunityBenefitExpnsAmt
Total Expense	0.2405	TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,287	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$52,287	NetCommunityBenefitExpnsAmt
Total Expense	0.0007	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$17,387,039	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,387,039	NetCommunityBenefitExpnsAmt
Total Expense	0.2422	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$34,607,361	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,724,675	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,882,686	NetCommunityBenefitExpnsAmt
Total Expense	0.3326	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,240	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,240	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$14,240	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,240	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$744,750	BadDebtExpenseAmt
Bad Debt Expense Attributable	$372,375	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$21,436,973	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$31,023,184	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,586,211	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 EAST LOCUST	AddressLine1Txt
City	OLNEY	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62450	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://carle.org/locations/carle-richland-memorial-hospital	WebsiteAddressTxt
State License	0004200	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	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://carle.org/about-us/community-health-needs-assessments	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://carle.org/about-us/community-health-needs-assessments	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SCHEDULE H PART VI	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SCHEDULE H PART VI	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SCHEDULE H PART VI	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - RICHLAND MEMORIAL HOSPITAL. Provisions in the Affordable Care Act (ACA) require charitable hospitals to conduct a Community Health Needs Assessment (CHNA). The CHNA is a systematic process involving the community to identify and analyze community health needs as well as community assets and resources in order to plan and act upon priority community health needs. This assessment process results in a CHNA report which assists the hospital in planning, implementing, and evaluating hospital strategies and community benefit activities. The Community Health Needs Assessment was developed and conducted, in partnership with representatives from the community, by a consultant provided through the Illinois Critical Access Hospital Network (ICAHN). ICAHN is a not-for-profit 501(c)(3) corporation established in 2003 for the purposes of sharing resources, education, promoting operational efficiencies, and improving healthcare services for member critical access and rural hospitals and their communities. ICAHN, with 57 member hospitals, is an independent network governed by a nine-member board of directors, with standing and project development committees facilitating the overall activities of the network. ICAHN continually strives to strengthen the capacity and viability of its members and rural health providers. This Community Health Needs Assessment will serve as a guide for planning and implementation of healthcare initiatives that will allow the hospital and its partners to best serve the emerging health needs of Olney and the surrounding area. Three focus groups met through facilitated virtual conferencing on May 20, 2021, to discuss the state of overall health and wellness in the Carle Richland Memorial Hospital service area. They were also tasked with identifying health concerns and needs in the delivery of healthcare and health services in order to improve wellness and reduce chronic illness for all residents. The focus groups included representation of healthcare providers, community leaders, community services providers, schools, faith-based organizations, local elected officials, public health, and others. Several members of the groups provided services to underserved and unserved persons as all or part of their roles. The findings of the focus groups were presented along with secondary data analyzed by the consultant to a third group for identification and prioritization of the significant health needs facing the community through a virtual conference on June 28, 2021. The group consisted of representatives of public health, community leaders, healthcare providers, and community services providers.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - RICHLAND MEMORIAL HOSPITAL. 1. MENTAL HEALTH SERVICES FOR CHILDREN, ADOLESCENTS, AND ADULTS, INCLUDING: * YOUTH AND ADULT INPATIENT CARE FOR TREATMENT THROUGH RECOVERY * IMPROVED ACCESS TO COUNSELING FOR YOUTH, INCLUDING SERVICES AT SCHOOLS * INPATIENT BEHAVIORAL HEALTH AND SUBSTANCE USE CRISIS CARE * ADDICTION MEDICINE SERVICES, INCLUDING MEDICATION ASSISTED TREATMENT ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED: * CARLE RICHLAND MEMORIAL HOSPITAL WILL EXPLORE INCREASING ACCESS TO MEDICATION ASSISTED TREATMENT/RECOVERY RESOURCES * CARLE RICHLAND MEMORIAL HOSPITAL WILL EXPLORE INCREASING RELATIONSHIPS WITH INPATIENT BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER PROVIDERS * CARLE RICHLAND MEMORIAL HOSPITAL WILL PROVIDE REASONABLE AND APPROPRIATE SUPPORT TO DEVELOPMENT OF THE CRISIS PROGRAM AT LAWRENCE COUNTY HEALTH DEPARTMENT * CARLE RICHLAND MEMORIAL HOSPITAL WILL EXPLORE DEVELOPING TELE-COUNSELING * CARLE RICHLAND MEMORIAL HOSPITAL WILL EXPLORE NEW AVENUES TO INCREASE ACCESS TO COUNSELING * CARLE RICHLAND MEMORIAL HOSPITAL WILL CONTINUE AND EXPAND THE MENTAL HEALTH FIRST AID PROGRAM ANTICIPATED IMPACTS OF THESE ACTIONS: CARLE RICHLAND MEMORIAL HOSPITAL ANTICIPATES THAT THE STEPS SET OUT ABOVE WILL CREATE INCREASED ACCESS TO COUNSELING FOR YOUTH AND ADULTS, MEDICATION ASSISTED TREATMENT, AND INPATIENT AND CRISIS CARE FOR BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDERS. PROGRAMS AND RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEED: * ADMINISTRATIVE TEAM PLANNED COLLABORATION BETWEEN HOSPITAL AND OTHER FACILITIES OR ORGANIZATIONS: * SIU SCHOOL OF MEDICINE * PUBLIC HEALTH * INPATIENT PROVIDERS * LAW ENFORCEMENT * CARLE BEHAVIORAL HEALTH SERVICES EVALUATION OF PRIOR IMPACT: MENTAL AND BEHAVIORAL HEALTH CONTINUE TO BE AN IDENTIFIED HEALTH NEED FOR CARLE RICHLAND MEMORIAL HOSPITAL AND RICHLAND COUNTY, SIMILAR TO COUNTIES ACROSS ILLINOIS AND THE UNITED STATES. THE NUMBER OF MENTAL HEALTH PROVIDERS IN RICHLAND COUNTY IS ROUGHLY 210:1, ACCORDING TO THE MOST RECENTLY AVAILABLE DATA. THIS IS BETTER THAN BOTH THE ILLINOIS AND NATIONAL AVERAGE. IN THE MOST RECENTLY AVAILABLE SUICIDE DATA, THERE WERE 19 SUICIDES PER 100,000 PEOPLE IN RICHLAND COUNTY, WHICH IS HIGHER THAN BOTH THE STATE AND NATIONAL AVERAGE. IN RESPONSE, CARLE RICHLAND MEMORIAL HOSPITAL TOOK THE FOLLOWING ACTIONS IN 2022: * CARLE RICHLAND MEMORIAL HOSPITAL ADDED A BEHAVIORAL HEALTH ROOM IN OUR EMERGENCY DEPARTMENT SO WE CAN SAFELY KEEP PATIENTS WHO NEED TO BE TRANSFERRED TO A BEHAVIORAL FACILITY OR ARE ON SUICIDE PRECAUTIONS, SUPPORTED BY THE RICHLAND COUNTY BOARD IN RECOGNITION OF NEED, AND THE WORK CARLE RICHLAND MEMORIAL HOSPITAL DOES IN CARING FOR PATIENTS. * CARLE RICHLAND MEMORIAL HOSPITAL CONTINUES TO PUT PRIORITIZATION IN OFFERING MENTAL HEALTH FIRST AID TRAININGS, CLASSES, AND SUPPORT, EXPANDING TO INCREASE WORK WITH THE TEEN POPULATION. A COORDINATOR BEGAN GOING INTO THE SCHOOL IN CRAWFORD COUNTY AND 2022 WAS HER FIRST YEAR GOING INTO RICHLAND COUNTY HIGH SCHOOL TO TEACH TEEN MENTAL HEALTH FIRST AID. THE CLASS HELPS TEENS TO IDENTIFY IF A FRIEND OR CLASSMATE MAY BE HAVING A MENTAL HEALTH CRISIS OR ISSUE AND WHAT THEY CAN DO TO SAFELY GET THEM HELP. IT WAS ALSO INSTRUMENTAL IN IDENTIFYING TEENS WHO WERE IN MENTAL HEALTH DISTRESS. 2. FLEXIBLE TRANSPORTATION FOR LOCAL APPOINTMENTS AND ASSISTANCE WHEN NEEDED FOR PERSONS THAT HAVE LITTLE OR NO TRANSPORTATION AT HOME ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED: * CARLE RICHLAND MEMORIAL HOSPITAL WILL EXPLORE EXPANDING CARE COORDINATION SERVICES TO INCLUDE TRANSPORTATION ANTICIPATED IMPACTS OF THESE ACTIONS: CARLE RICHLAND MEMORIAL HOSPITAL ANTICIPATES THE EXPANDING OF CARE COORDINATION SERVICES TO INCLUDE TRANSPORTATION WILL IMPROVE COORDINATION OF TRANSPORTATION WITH APPOINTMENTS AND ADDRESS PATIENT NEEDS RELATED TO TRANSPORTATION. PROGRAMS AND RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEED: * ADMINISTRATIVE TEAM PLANNED COLLABORATION BETWEEN HOSPITAL AND OTHER FACILITIES OR ORGANIZATIONS: * RIDES MASS TRANSIT DISTRICT * EMBARRAS RIVER BASIN AREA AGENCY (ERBA) EVALUATION OF PRIOR IMPACT: LIKE MANY RURAL COMMUNITIES, PHYSICAL LANDMASS IS LARGE AND RELIABLE TRANSPORTATION TO ACCESS COMMUNITY SERVICES AND CARE IS NOT ALWAYS EASY TO ATTAIN. AS IS COMMON IN RURAL COMMUNITIES, THERE IS A LARGE AGING POPULATION. IN RICHLAND COUNTY, ADULTS AGED 65+ WITH AN INDEPENDENT LIVING DIFFICULTY (INCLUDING ACCESS TO TRANSPORTATION), IS ROUGHLY 15% HIGHER THAN THE STATE AND NATIONAL AVERAGE. IN RESPONSE TO THIS IDENTIFIED HEALTH NEED, CARLE RICHLAND MEMORIAL HOSPITAL TOOK THE FOLLOWING ACTIONS: * CARLE RICHLAND MEMORIAL HOSPITAL CONTINUES TO WORK TO INCREASE SERVICES FOR THOSE NEEDING TRANSPORTATION ASSISTANCE. INPATIENT CARE COORDINATION STAFF HAVE ACCESS TO HOSPITAL DISCHARGE SERVICE TRANSPORTATION FOR PATIENTS AS NEEDED - WHICH HELPS TAKE PATIENTS FROM BEING DISCHARGED FROM THE HOSPITAL TO THEIR HOME IF THEY ARE NEEDING HELP GETTING INTO THEIR HOME OR ARE GOING HOME WITH MEDICAL EQUIPMENT. WHEN PATIENTS DO NOT NEED ANY SPECIAL CIRCUMSTANCES UPON DISCHARGE, THE CARE COORDINATORS CONTINUE TO SCHEDULE RIDES FOR THEM THROUGH RIDES MASS TRANSIT DISTRICT. THE EMERGENCY DEPARTMENT ALSO UTILIZES BOTH SERVICES AS NEEDED FOR DISCHARGES FROM THE EMERGENCY DEPARTMENT. * CARLE RICHLAND MEMORIAL HOSPITAL CONTINUES TO WORK WITH THE MASS TRANSIT DISTRICT TO ADVOCATE FOR ASSISTANCE AND ROUTES FOR PATIENTS IN OUR RURAL COMMUNITIES - A COMMITMENT TO ONGOING DIALOGUE.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - RICHLAND MEMORIAL HOSPITAL (CONTINUED). 3. IMPROVED OPPORTUNITIES TO ACHIEVE WELLNESS THROUGH: * ACCESS TO HEALTH FOODS AND NUTRITION EDUCATION * ACCESS TO LOW COST OR FREE OPPORTUNITIES FOR RECREATION AND FITNESS ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED: * CARLE RICHLAND MEMORIAL HOSPITAL WILL EXPLORE DEVELOPMENT OF A COMMUNITY GARDEN PROGRAM * CARLE RICHLAND MEMORIAL HOSPITAL WILL CONTINUE THE DEMONSTRATION GARDEN FOR NUTRITION EDUCATION * CARLE RICHLAND MEMORIAL HOSPITAL WILL PROVIDE FUNDING FOR LIGHTING TO ENHANCE USE OF THE COMMUNITY WALKING PATH IN OLNEY * CARLE RICHLAND MEMORIAL HOSPITAL WILL EXPLORE EXPANDING SERVICES OF CARLE HEALTH'S MOBILE MARKET * CARLE RICHLAND MEMORIAL HOSPITAL WILL PARTNER WITH CARLE HEALTH TO PROVIDE THE COMMUNITY WITH ACCESS TO VIDEO WITH HEALTH AND WELLNESS CONTENT * CARLE RICHLAND MEMORIAL HOSPITAL WILL CONTINUE TO SUPPORT LOCAL YOUTH SPORTS ANTICIPATED IMPACTS OF THESE ACTIONS: CARLE RICHLAND MEMORIAL HOSPITAL ANTICIPATES THAT THE ADDITION OF THE PROGRAMS AND SERVICES TO BE UNDERTAKEN WILL IMPROVE OPPORTUNITIES TO ACHIEVE WELLNESS THROUGH ACCESS TO HEALTHY FOODS AND NUTRITION EDUCATION, AND ACCESS TO LOW COST OR FREE OPPORTUNITIES FOR RECREATION AND FITNESS. PROGRAMS AND RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEED: * ADMINISTRATIVE TEAM * ORGANIZATIONAL AND COMMUNITY DEVELOPMENT PLANNED COLLABORATION BETWEEN HOSPITAL AND OTHER FACILITIES OR ORGANIZATIONS: * VOLUNTEERS * CARLE HEALTH * CITY OF OLNEY * UNIVERSITY OF ILLINOIS EXTENSION * CARLE RICHLAND AUXILLARY EVALUATION OF PRIOR IMPACT: LIKE MANY COMMUNITIES IN THE UNITED STATES, OBESITY AND OBESITY-RELATED ILLNESSES CONTINUE TO BE A CONCERN IN RICHLAND COUNTY. OBESITY IS ASSOCIATED WITH POORER MENTAL HEALTH OUTCOMES, REDUCED QUALITY OF LIFE, AND IS THE LEADING CAUSE OF DEATH IN THE U.S. AND WORLDWIDE, THROUGH CONTRIBUTING TO HEART DISEASE, STROKE, DIABETES, AND SOME TYPES OF CANCER. ACCORDING TO 2022 COUNTY HEALTH RANKINGS, ADULT OBESITY IN RICHLAND COUNTY IS 35%, HIGHER THAN THAT STATE AND NATIONAL AVERAGE. ADDITIONALLY, ACCESS TO EXERCISE OPPORTUNITIES IS SIGNIFICANTLY LOWER THAN THE STAT AND NATIONAL AVERAGES, AT ONLY 63% OF PEOPLE LIVING NEAR A PARK OR RECREATIONAL FACILITY. IN RESPONSE TO THIS IDENTIFIED HEALTH NEED, CARLE RICHLAND MEMORIAL HOSPITAL TOOK THE FOLLOWING ACTIONS: * IN 2022, CARLE RICHLAND MEMORIAL HOSPITAL MADE A $10,000 DONATION TO PROJECT COMMUNITY FOR THE ADDITION OF A SPLASH PAD TO A LOCAL PARK, FREE FOR ALL RESIDENTS AND CHILDREN TO EXERCISE OUTDOORS AND ENJOY. * CARLE RICHLAND MEMORIAL HOSPITAL ALSO PLEDGED IN 2022 A $5,000 DONATION TO THE NEW CONSTRUCTION OF PICKLEBALL COURTS. PICKLEBALL IS A SPORT THAT IS ENJOYED BY INDIVIDUALS FROM AGE 8 THROUGH 80, AND THE NEW COURTS ALSO FEATURE A WHEELCHAIR ACCESSIBLE COURT TO ENCOURAGE RESIDENTS TO GET INVOLVED IN A VERY POPULAR NEW HEALTHY ACTIVITY. * IN 2022, CARLE RICHLAND MEMORIAL HOSPITAL CONTINUED IS SUPPORT OF LOCAL YOUTH SPORTS DONATION OR SPONSORING TEAMS THROUGH HIGH SCHOOL ATHLETICS AS WELL AS LOCAL ORGANIZATIONS, MAKING JOINING SPORTS TEAMS AND ACCESS TO EXERCISE MORE AFFORDABLE FOR FAMILIES IN OUR COMMUNITY. * IN 2022, CARLE RICHLAND MEMORIAL HOSPITAL ESTABLISHED A NEW COMMUNITY GARDEN IN SUPPORT WITH THE LOCAL HIGH SCHOOL, WHOSE STUDENTS HELP BUILD RAISED BEDS FOR OUR USE AND DONATED THEM AND VOLUNTEERS TENDED THE GARDEN THROUGHOUT THE WEEK. THE PRODUCE GROWN WAS GIVE OUT AT OUR LOCAL CLINIC LOCATION. * CARLE RICHLAND MEMORIAL HOSPITAL PLEDGED $50,000 OVER 5 YEARS TO THE WALKING TRAIL AT OLNEY CITY PARK TO PUT IN LIGHTING ALL AROUND THE TRAIL SO THAT COMMUNITY MEMBERS COULD WALK NO MATTER WHAT TIME OF MORNING OR EVENING THEY ARE ABLE. 4. DENTAL CARE FOR UNDERINSURED AND UNINSURED ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED: CARLE RICHLAND MEMORIAL HOSPITAL CONTINUES TO RECOGNIZE THE IMPORTANCE OF ACCESS TO DENTAL CARE AND THE IMPACT OF DENTAL CARE ON WELLNESS BUT OBSERVES THAT DENTAL CARE IS NOT A FUNCTION FOR WHICH THE HOSPITAL IS WELL-SUITED. CARLE RICHLAND MEMORIAL HOSPITAL RECOGNIZES THAT THE FEDERALLY QUALIFIED HEALTH CENTER (FQHC) MAY BE BETTER POSITIONED TO ADDRESS THIS ISSUE, AND THE HOSPITAL WILL PROMOTE PARTNERSHIPS BETWEEN DENTISTS, THE FQHC, AND ANY OTHER POTENTIAL PARTNERS AS REASONABLE POSSIBLE. ANTICIPATED IMPACTS OF THESE ACTIONS: ANY IMPACTS FROM ANY DEVELOPMENTS ON THIS ISSUE ARE DEPENDENT ON EXTERNAL PARTNERS AND SOLUTIONS THEY MAY OFFER. PROGRAMS AND RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEED: * ADMINISTRATIVE TEAM PLANNED COLLABORATION BETWEEN HOSPITAL AND OTHER FACILITIES OR ORGANIZATIONS: * FEDERALLY QUALIFIED HEALTH CENTER * DENTISTS * OTHERS THAT MAY BE INTERESTED IN THE EFFORT * PUBLIC HEALTH EVALUATION OF PRIOR IMPACT: ACCORDING TO THE MOST RECENTLY AVAILABLE DATA, RICHLAND COUNTY DOES HAVE A HIGHER PROPORTION OF DENTISTS TO THE POPULATION AT 3,950:1 THAN THE STATE AND NATIONAL AVERAGES, AND THE AVERAGE NUMBER OF ADULTS VISITING A DENTIST IS HIGHER THAN THE STATE AND NATIONAL AVERAGES. CARLE RICHLAND MEMORIAL HOSPITAL CONTINUES TO RECOGNIZE THE IMPORTANCE OF ACCESS TO DENTAL CARE AND THE IMPACT OF DENTAL CARE ON WELLNESS BUT OBSERVES THAT DENTAL CARE IS NOT A FUNCTION FOR WHICH THE HOSPITAL IS WELL-SUITED. CARLE RICHLAND MEMORIAL HOSPITAL RECOGNIZED THAT THE FEDERALLY QUALIFIED HEALTH CENTER (FQHC) MAY BE BETTER POSITIONED TO ADDRESS THIS ISSUE, AND THE HOSPITAL WILL PROMOTE PARTNERSHIPS BETWEEN DENTISTS, THE FQHC, AND ANY OTHER POTENTIAL PARTNERS AS REASONABLY POSSIBLE, AND WORKS TO CONTINUE TO ADVOCATE AND SUPPORT THESE COMMUNITY PARTNERS AS WE ARE ABLE.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3 FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA	PATIENTS MAY REQUEST AND COMPLETE A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME, INCLUDING BEFORE CARE IS RECEIVED. PATIENTS ARE INFORMED ABOUT FINANCIAL ASSISTANCE ON MULTIPLE OCCASIONS THROUGHOUT THE COLLECTION PROCESS. IN ADDITION TO PATIENTS COMPLETING APPLICATIONS FOR OUR FINANCIAL ASSISTANCE PROGRAM, WE HAVE ROBUST PRESUMPTIVE ELIGIBILITY PROCESSES IN PLACE. WE HAVE PARTNERED WITH EXPERIAN INFORMATION SOLUTIONS, INC. TO HELP US IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON KEY FINANCIAL INDICATORS. THESE PATIENTS MAY BE APPROVED WITHOUT EVER COMPLETING AN APPLICATION OR EXPRESSING A NEED FOR FINANCIAL ASSISTANCE. IN ADDITION, WE PRESUME ELIGIBILITY FOR PATIENTS WHO ARE VERIFIED HOMELESS, DECEASED WITH NO ESTATE, MENTALLY INCAPACITATED, ELIGIBLE FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) OR WOMEN, INFANTS, AND CHILDREN NUTRITION PROGRAM (WIC), TOWNSHIP ASSISTANCE, LOW INCOME ENERGY ASSISTANCE PROGRAM (LIHEAP), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM OR COVERED BY ILLINOIS MEDICAID.
Schedule H, Part II	OTHER COMMUNITY BENEFITS/COMMUNITY BUILDING: CASH AND IN-KIND: A LARGE PORTION OF CARLE'S COMMUNITY-BUILDING ACTIVITIES FOCUSED ON ECONOMIC DEVELOPMENT, INCLUDING CASH, IN-KIND DONATIONS, AND BUDGETED EXPENDITURES FOR THE CITY, BUSINESS ASSOCIATIONS, AND OTHER PROGRAMS IN RICHLAND COUNTY. IN ADDITION TO THE MORE THAN $22,000 IN CASH DONATIONS, LEADERSHIP PROVIDED IN-KIND SUPPORT OF OVER $29,000 BY SERVING ON NUMEROUS COMMUNITY BOARDS AND COMMITTEES. VOLUNTEER SERVICES: EMPLOYEE: CARLE RICHLAND MEMORIAL HOSPITAL ADMINISTRATORS AND LEADERS PROVIDED MORE THAN 95 HOURS ON BEHALF OF CARLE FOR PARTICIPATION IN COMMUNITY BOARDS, COMMITTEES, AND COMMUNITY FUNCTIONS. MOST OF THESE HOURS WERE SPENT BY SENIOR LEADERSHIP. NON-EMPLOYEE: IN 2022, NON-EMPLOYEE VOLUNTEERS PUT IN MORE THAN 6,950 HOURS AT CARLE RICHLAND MEMORIAL HOSPITAL, RECEIVING NO PAYMENT BUT CONTRIBUTING TO CARLE'S MISSION. AT A MINIMUM WAGE OF $12/HOUR, THIS EQUATES TO MORE THAN $83,000 OF POTENTIAL WAGES THAT CARLE SAVED BY HAVING SUCH A STRONG VOLUNTEER PROGRAM.
Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE	HTTPS://CARLE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE	HTTPS://DEV-CMS.CARLE.ORG/GETMEDIA/ADCADB9A-2903-478C-A4A7-06BCF9DB10BC/358-0123-CFAPAPPLICATION.PDF
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	HTTPS://CARLE.ORG/GETMEDIA/F7608F63-CB1C-4EB5-8F0B-02F00EAFEC74/X0873-0223-CFAP-PLAIN-LANGUAGE-SUMMARY.PDF
Schedule H, Part I, Line 7g Subsidized Health Services	SUBSIDIZED HEALTH SERVICES ARE NET COSTS FOR BILLED SERVICES THAT ARE SUBSIDIZED BY THE HOSPITAL. THESE INCLUDE SERVICES OFFERED DESPITE A FINANCIAL LOSS BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND EITHER OTHER PROVIDERS ARE UNWILLING TO PROVIDE THESE SERVICES OR THE SERVICES WOULD OTHERWISE NOT BE AVAILABLE IN A SUFFICIENT AMOUNT. WE INCLUDED AS UNREIMBURSED COSTS OF SUBSIDIZED HEALTH SERVICES: $115,153 FOR HOSPITAL OUTPATIENT SERVICES, $10,850,338 FOR EMERGENCY ROOM, AND $6,303,823 FOR SUBSIDIZED CONTINUING CARE.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	SEE NARRATIVE FOR SCHEDULE H, PART III, LINE 2
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	TO COMPUTE AND CONVERT FINANCIAL ASSISTANCE, UNREIMBURSED MEDICAID, MEANS-TESTED PROGRAMS, AND BAD DEBT CHARGES TO COST; A CONSISTENT GAAP (GENERALLY ACCEPTED ACCOUNTING PRINCIPLES) BASED COST-TO-CHARGE RATIO WAS USED ACROSS ALL PAYERS. ALTHOUGH THE METHODOLOGY WAS SIMILAR TO WORKSHEET #2, FOR SIMPLICITY PURPOSES CERTAIN IMMATERIAL VALUES WERE OMITTED. OTHER COMMUNITY BENEFITS COSTS WERE REPORTED AT THE ACTUAL EXPENSE INCURRED. PATIENT RECEIVABLE PAYMENTS AND RELATED DISCOUNTS WERE RECORDED AT ACTUAL AMOUNTS AT THE TIME OF PAYMENT RECEIPT. A SEPARATE GAAP BASED PROVISION FOR ESTIMATED BAD DEBTS AND DISCOUNTS WAS RECOGNIZED FOR ACCOUNTS IN PROCESS AND PENDING ADJUDICATION AND PAYMENT. THE ESTIMATED PORTION WAS BASED ON HISTORICAL TRENDS AND ADJUSTED TO ACTUAL WHEN ADJUDICATION AND PAYMENT OCCUR. ACCOUNTS DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE WERE PROCESSED IMMEDIATELY FOR FINANCIAL ASSISTANCE DISCOUNT WITH NO COLLECTION EFFORT. FOR ACCOUNTS WITH INSUFFICIENT INFORMATION AND DOCUMENTATION TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY, THE HOSPITAL CONSULTED WITH A VARIETY OF ALTERNATIVE SOURCES TO HELP DETERMINE AN INDIVIDUAL'S FINANCIAL MEANS (OR LACK OF MEANS) TO PAY. BASED ON RELATED TRENDS, THE HOSPITAL FURTHER DEVELOPED A GENERAL ESTIMATE OF FINANCIAL ASSISTANCE WHICH CONTINUED TO RESIDE WITHIN BAD DEBTS. THIS NARRATIVE ALSO PERTAINS TO SCHEDULE H, PART I, LINE 7 - EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	CARLE RICHLAND MEMORIAL HOSPITAL USES 50% AS A GENERAL ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE FOOTNOTE PERTAINING TO BAD DEBT EXPENSE CAN BE FOUND ON PAGE 28 OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE NUMERATOR (TOTAL EXPENSE) AND DENOMINATOR (TOTAL GROSS CHARGES) OF THE SIMPLE RATIO OF PATIENT CARE COST TO CHARGES IS ADJUSTED BY ELIMINATING NON-PATIENT CARE THAT GENERATES OTHER REVENUE, BAD DEBT EXPENSE, MEDICAID, AND OTHER PROVIDER TAXES AND THE TOTAL COST OF COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS. ALSO, ANY GROSS PATIENT CHARGES FOR PROGRAMS NOT RELYING ON THE RATIO ARE ELIMINATED FROM BOTH THE NUMERATOR AND DENOMINATOR OF THE RATIO. THESE ADJUSTMENTS ARE INTENDED TO ELIMINATE ANY POTENTIAL FOR DOUBLE COUNTING OF COMMUNITY BENEFIT EXPENSES. THE RESULTANT RATIO ALIGNS WITH SCHEDULE H REQUIREMENTS. ILLINOIS LAW DEFINES GOVERNMENTAL-SPONSORED INDIGENT HEALTH CARE AS THE UNREIMBURSED COST OF MEDICARE, MEDICAID, AND OTHER FEDERAL, STATE, OR LOCAL INDIGENT CARE PROGRAMS. WHEN THERE IS A SHORTFALL, WE DO BELIEVE THIS IS A COMMUNITY BENEFIT BECAUSE, AS A HOSPITAL, WE ARE STEPPING UP TO CARRY THE BURDEN OF THE GOVERNMENT, ASSURING CARE TO SENIORS, AND THOSE LESS FORTUNATE DEMOGRAPHICS THAT HAVE EXPERIENCED INCREASING COSTS OVER THE PAST DECADE WHILE LIVING ON FIXED INCOMES.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	CARLE RICHLAND MEMORIAL HOSPITAL APPLIES ITS COLLECTION PRACTICES EQUALLY TO ALL PATIENTS, BOTH THOSE ELIGIBLE FOR FINANCIAL ASSISTANCE AND THOSE THAT ARE NOT ELIGIBLE. THE PROCEDURES ARE AS FOLLOWS: 1. WE WILL SEND TWO STATEMENTS AND TWO COLLECTION LETTERS IN A TWENTY-EIGHT-DAY CYCLE. WE WILL SEND STATEMENTS BASED UPON PATIENT PORTION OF $10 OR GREATER. 2. THE PATIENT'S ACCOUNT WILL AGE THROUGH THE STATEMENT PROCESS BEFORE BEING WRITTEN OFF TO BAD DEBT. - PRIVATE PAY ACCOUNTS WILL RECEIVE A STATEMENT WITHIN NINE DAYS OF THE DISCHARGE DATE. - ACCOUNTS WITH A PATIENT PORTION AFTER INSURANCE WILL BE ELIGIBLE TO RECEIVE A STATEMENT APPROXIMATELY FOURTEEN DAYS AFTER THE INSURANCE PAYMENT HAS BEEN POSTED. - TWENTY-EIGHT DAYS LATER THE PATIENT IS MAILED A THIRD STATEMENT. - TWENTY-EIGHT DAYS LATER THE PATIENT IS MAILED THE FIRST COLLECTION LETTER. - TWENTY-EIGHT DAYS LATER THE PATIENT IS MAILED THE FINAL COLLECTION LETTER. - APPROXIMATELY FIFTEEN DAYS LATER THE PATIENT IS WRITTEN OFF TO BAD DEBT. 3. CARLE RICHLAND MEMORIAL HOSPITAL WILL ATTEMPT TO CONTACT THE GUARANTOR VIA PHONE AFTER THEY RECEIVE THE FIRST STATEMENT ON BALANCES GREATER THAN $1,000. 4. CARLE RICHLAND MEMORIAL HOSPITAL WILL ATTEMPT TO CONTACT THE GUARANTOR VIA PHONE AFTER THE SECOND STATEMENT ON BALANCES LESS THAN $1,000. 5. CARLE RICHLAND MEMORIAL HOSPITAL WILL MAKE A SECOND ATTEMPT TO CONTACT THE GUARANTOR VIA PHONE IF PAYMENT OR CONTACT HAS NOT BEEN MADE, USUALLY AROUND THE SAME TIME THE SECOND COLLECTION LETTER IS SENT. 6. CARLE RICHLAND MEMORIAL HOSPITAL WILL SEND TWO COLLECTION LETTERS TO THE PATIENT. THE PATIENT HAS FIFTEEN DAYS AFTER THE FINAL LETTER TO PAY BEFORE BEING WRITTEN OFF TO BAD DEBT.
Schedule H, Part V, Section B, Line 16a FAP website	- RICHLAND MEMORIAL HOSPITAL INC.: Line 16a URL: SEE SCHEDULE H PART VI;
Schedule H, Part V, Section B, Line 16b FAP Application website	- RICHLAND MEMORIAL HOSPITAL INC.: Line 16b URL: SEE SCHEDULE H PART VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- RICHLAND MEMORIAL HOSPITAL INC.: Line 16c URL: SEE SCHEDULE H PART VI;
Schedule H, Part VI, Line 2 Needs assessment	CARLE PRIMARILY ADDRESSES HEALTHCARE NEEDS IN OUR COMMUNITY BY BEING A PART OF THE AFOREMENTIONED CHNA. HOWEVER, CARLE IS ACUTELY AWARE OF THE NEED FOR ACCESS TO CARE, MAKING IT A MAINSTAY OF OUR COMMUNITY BENEFIT EFFORTS. WE HAVE A STRONG FINANCIAL ASSISTANCE PROGRAM BASED ON A PHILOSOPHY OF DOING THE RIGHT THING FOR THE COMMUNITY AND PATIENTS, BALANCED BY A CAREFUL STEWARDSHIP OF THE COMMUNITY'S RESOURCES. WHILE ACCESS TO CARE WAS NOT SELECTED AS A PRIORITY FOR THE 2022 CHNA, IT WILL CONTINUE TO BE A PRIORITY FOR CARLE. AS A TAX-EXEMPT ORGANIZATION, CARLE RICHLAND MEMORIAL HOSPITAL PROVIDES 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. TO ENSURE WE ARE ADDRESSING THE NEEDS OF THE COMMUNITY, THE FINANCE AND QUALITY COMMITTEES OF THE CARLE BOARD OF TRUSTEES REVIEW AND EVALUATE CHARITY CARE FIGURES ANNUALLY. WE DO NOT LIMIT THE AMOUNT OF FINANCIAL ASSISTANCE WE PROVIDE AT THIS TIME. OTHER WAYS TO HELP IMPROVE ACCESS TO CARE: IN ADDITION TO CHARITY CARE, CARLE SUPPORTS A WIDE RANGE OF PROGRAMS AND SERVICES TO INCREASE COMMUNITY CAPACITY, HEALTH CARE WORK FORCE EXPANSION, AND SOCIAL SERVICES THAT PROVIDE COMPLEMENTARY HEALTHCARE-RELATED SERVICES. CARLE RICHLAND MEMORIAL HOSPITAL HAS, AND WILL CONTINUE TO, PURSUE THESE INITIATIVES TO IMPROVE ACCESS TO CARE: 1. OFFER A CHARITY CARE PROGRAM 2. COMMUNICATE THE AVAILABILITY OF THE CHARITY CARE PROGRAM 3. RECRUIT MORE PROVIDERS INTO THE CARLE SYSTEM, THEREBY EXPANDING ACCESS/CAPACITY 4. SUPPORT LOCAL COMMUNITY CLINICS TO ENSURE ADDED LOCAL CAPACITY FOR HEALTH CARE 5. SUPPORT UNITED WAY AND OTHER AREA AGENCIES TO IMPROVE AVAILABILITY OF HEALTH SERVICES 6. DONATE TO EXISTING COMMUNITY HEALTH 7. PARTICIPATE IN POPULATION HEALTH INITIATIVES THAT ACTIVELY MANAGE THE HEALTH OF MEMBERS 8. PROMOTE PRESCRIPTION AFFORDABILITY AS A 340B PROVIDER 9. ENHANCE ACCESS-RELATED INITIATIVES THAT WILL IMPROVE PATIENT ACCESS AND ABILITY TO INTERFACE MORE EFFICIENTLY FOR NEEDED SERVICES - PATIENT CONTACT CENTER, PRESCRIPTION REFILL REQUEST PROCESS, E-VISITS, VIRTUAL VISITS, AND MORE 10. CONTINUE ACCESS TO CARE THROUGH SUBSIDIZED SERVICES, INCLUDING THE LTC SKILLED NURSING, THE EXTENDED CARE WING, THE EMERGENCY DEPARTMENT, CARDIAC REHAB, AND MORE.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	OUR PRACTICE IS TO LOOK AT EACH PATIENT'S FINANCIAL STATUS IN RELATION TO OUR CARLE FINANCIAL ASSISTANCE PROGRAM AND THE CRITERIA OF THE UNINSURED PATIENT DISCOUNT ACT, AND TO PROVIDE THE PATIENT WITH THE DEEPEST DISCOUNT AVAILABLE. BY EXPANDING THE PRESUMPTIVE ELIGIBILITY SCREENING PROCESSES AND DETERMINING THE FINANCIAL STATUS OF PATIENTS UP-FRONT, WE HAVE BEEN ABLE TO PINPOINT THOSE NEEDING ASSISTANCE EARLY IN THE PROCESS, MINIMIZING BAD DEBT AND OPTIMIZING OUR ABILITY TO HELP. STAFF IS ALSO DILIGENT IN FOLLOWING UP WITH PATIENTS DURING HOSPITALIZATION AND AFTER DISCHARGE IF THERE'S ANY REASON TO BELIEVE THE PATIENT COULD BENEFIT FROM FINANCIAL ASSISTANCE, AND WE AUTO-QUALIFY CERTAIN PATIENT POPULATIONS FOR CARLE FINANCIAL ASSISTANCE PROGRAM, SUCH AS THE HOMELESS, WIC, SNAP, MEDICAID, LIHEAP, AND TOWNSHIP ASSISTANCE RECIPIENTS. COMMUNICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE CARLE FOUNDATION HOSPITAL HAS MADE A CONCERTED, CONTINUOUS EFFORT TO BE SURE THAT PEOPLE HAVE ACCESS TO INFORMATION THAT WILL HELP THEM WITH THEIR MEDICAL BILLS. THESE INCLUDE: * ADVERTISING CARLE FINANCIAL ASSISTANCE PROGRAM; CONTINUED PRESENCE IN APPROPRIATE COMMUNITY PUBLICATIONS; AND ON-SITE VIA DISPLAYS THROUGHOUT THE HOSPITAL AND CLINICS * SIMPLIFIED APPLICATION FORM, INCLUDING A VERSION IN SPANISH, THAT CONTAINS INFORMATION REGARDING THE CARLE FINANCIAL ASSISTANCE PROGRAM * PUBLICATION OF A PLAIN LANGUAGE SUMMARY AND ALL OTHER FINANCIAL ASSISTANCE-RELATED INFORMATION ON CARLE.ORG/FINANCIALASSISTANCE * INFORMATION ABOUT THE CARLE FINANCIAL ASSISTANCE PROGRAM ON ALL STATEMENTS, COLLECTION LETTERS, AND HOSPITAL ADMISSION PACKETS * CARLE FINANCIAL ASSISTANCE PROGRAM INFORMATION AND APPLICATIONS AT ALL REGISTRATION POINTS, HOSPITAL MAIN LOBBIES, AND CARLE.ORG * MEETINGS WITH LOCAL LEGISLATORS TO HELP THEM ASSIST CONSTITUENTS WITH HEALTHCARE NEEDS, INCLUDING FINANCIAL ASSISTANCE
Schedule H, Part VI, Line 4 Community information	CARLE RICHLAND MEMORIAL HOSPITAL HAS DEFINED ITS PRIMARY SERVICE AREA AND POPULATIONS AS THE GENERAL POPULATION WITHIN THE GEOGRAPHIC AREA IN AND SURROUNDING RICHLAND COUNTY DEFINED IN DETAIL BELOW. THE HOSPITAL'S PATIENT POPULATION INCLUDES ALL WHO RECEIVE CARE WITHOUT REGARD TO INSURANCE COVERAGE OR ELIGIBILITY FOR ASSISTANCE. CARLE RICHLAND MEMORIAL HOSPITAL'S SERVICE AREA IS COMPRISED OF APPROXIMATELY 3,298.30 SQUARE MILES, WITH A POPULATION OF APPROXIMATELY 108,055 PEOPLE AND A POPULATION DENSITY OF 33 PEOPLE PER SQUARE MILE. THE SERVICE AREA CONSISTS OF THE FOLLOWING RURAL ILLINOIS COUNTIES: RICHLAND, LAWRENCE, EDWARDS, JASPER, CLAY, CRAWFORD, WABASH, AND WAYNE. POPULATION ESTIMATES FOR RICHLAND COUNTY AS OF 2022 IS 15,435, PREDOMINATELY WHITE (96.5%). 14.2% OF INDIVIDUALS LIVE IN POVERTY, WHILE THE PERSONS WITHOUT HEALTH INSURANCE UNDER 65 IS 6.7% OF THE POPULATION.
Schedule H, Part VI, Line 5 Promotion of community health	CARLE RICHLAND MEMORIAL HOSPITAL HAS AN OPEN MEDICAL STAFF AND IS GOVERNED BY A COMMUNITY BOARD THAT SERVES ON A VOLUNTEER BASIS. SURPLUS FUNDS ARE REINVESTED INTO THE ORGANIZATION FOR TECHNOLOGY REPLACEMENT AND ADVANCEMENT, CLINICAL SERVICE EXPANSION, AND QUALITY IMPROVEMENT. FUNDS ARE ALSO INVESTED INTO OUR COMMUNITIES TO MEET IDENTIFIED HEALTH NEEDS, WHICH CONTRIBUTE TO THE OVERALL WELL-BEING OF THE RESIDENTS OF THE COMMUNITIES WE SERVE.
Schedule H, Part VI, Line 6 Affiliated health care system	CARLE RICHLAND MEMORIAL HOSPITAL IS A 104 BED, NOT-FOR-PROFIT HEALTHCARE FACILITY LOCATED IN OLNEY, ILLINOIS AND BECAME PART OF THE CARLE HEALTH SYSTEM ON APRIL 1, 2017. AS PART OF THE CARLE HEALTH SYSTEM, IT CURRENTLY SERVES EIGHT SOUTHEASTERN ILLINOIS COUNTIES, WITH A TOTAL POPULATION OF MORE THAN 107,000 INDIVIDUALS. THE INTEGRATION OF CARLE AND CARLE RICHLAND MEMORIAL HOSPITAL ALLOWS FOR EXPANDED ACCESS TO HEALTHCARE IN THE REGION. THOUGH CARLE RICHLAND MEMORIAL HOSPITAL FALLS UNDER THE UMBRELLA OF THE CARLE FOUNDATION, IT MAINTAINS A SEPARATE BOARD OF DIRECTORS AND SENIOR LEADERSHIP. WHILE CARLE RICHLAND MEMORIAL HOSPITAL'S CHNA AND COMMUNITY BENEFIT REPORTING IS SEPARATE FROM THE CARLE FOUNDATION HOSPITAL, IT FOLLOWS THE SAME GUIDELINES AND PRINCIPLES. CARLE RICHLAND MEMORIAL HOSPITAL STAFF IS INVOLVED IN THE CHNA AND IMPLEMENTATION PLAN AND SERVE ON HUMAN SERVICES AGENCY BOARDS AND COMMITTEES TO PROVIDE SUPPORT TO HELP ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS.
Schedule H, Part VI, Line 7 State filing of community benefit report	IL

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
RICHLAND COUNTY HIGH SCHOOL
1200 EAST LAUREL STREET	OLNEY	IL	62450	376004449	GOV'T	$7,440	SPONSORSHIP
RICHLAND COUNTY DEVELOPMENT CORPORATION
315 WEST MAIN STREET	OLNEY	IL	62450	371201502	501(C)(3)	$10,000	PROGRAM SERVICES
CITY OF OLNEY
300 S WHITTLE AVE	OLNEY	IL	62450	376001911	GOV'T	$20,000	COMMUNITY IMPROVEMENT
PROJECT COMMUNITY INC
1702 COYOTE CROSSING	OLNEY	IL	62450	301200376	501(C)(3)	$10,600	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	ANY CHARITABLE ORGANIZATION WISHING TO REQUEST FUNDS IS ASKED TO SUBMIT THEIR REQUEST IN WRITING. EMAILED REQUESTS ARE ACCEPTABLE. THE REQUEST MUST INCLUDE A DESCRIPTION OF THE PURPOSE OF THE CONTRIBUTION AND OTHER RELEVANT INFORMATION SUCH AS REQUESTORS NAME, AMOUNT OF THE REQUEST, ETC. THE REQUESTS ARE REVIEWED, EVALUATED, AND ADMINISTERED BY THE MARKETING AND COMMUNICATIONS (PUBLIC RELATIONS) DEPARTMENT, SEEKING ADDITIONAL INFORMATION FROM THE REQUESTOR, AS NEEDED, AND INPUT FROM ANY APPROPRIATE CARLE ADMINISTRATOR OR DIRECTOR. A SET OF ESTABLISHED GUIDELINES DRIVE THESE DECISIONS WHILE MOST ARE MADE TO IMPROVE HEALTHCARE/ACCESS TO HEALTHCARE OR ARE IN LINE WITH OUR ROLE AS A CORPORATE CITIZEN. ASSESSED NEED IS A COMMON CRITERIA. IN THE CASE OF MOST DONATIONS OF $5,000 OR MORE, SUCH AS TO COLLEGES AND UNIVERSITIES OR COMMUNITY CLINICS, WRITTEN AGREEMENTS ARE IN PLACE AND WE HAVE REGULAR CONTACT WITH THOSE ORGANIZATIONS, OFTENTIMES THROUGH A CARLE CONTACT PERSON TO ASSURE THAT THE DONATIONS ARE BEING USED AS AGREED UPON. THE RECORDS ARE EITHER MAINTAINED IN ADMINISTRATION OR PUBLIC RELATIONS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	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
MATTHEW KOLB JD MHA
TRUSTEE; EVP, CHIEF OPERATING OFFICER	$0	$979,097	$0	$225,035	$0	$159,130	$0	$368,388	$0	$25,802	$0	$1,757,452	$0	$155,067
SALLY SALMONS MD
TRUSTEE & PHYSICIAN	$0	$396,944	$0	$56,199	$0	$3,013	$0	$69,824	$0	$19,719	$0	$545,699	$0	$8
RAYMOND FISHER MD
TRUSTEE	$490,202	$0	$0	$0	$1,877	$0	$45,010	$0	$8,161	$0	$545,250	$0	$0	$0
JAMES C LEONARD MD
EX-OFFICIO, PRESIDENT & CEO	$0	$1,607,032	$0	$528,517	$0	$4,560	$0	$643,876	$0	$17,933	$0	$2,801,918	$0	$497
DENNIS HESCH
EVP, CHIEF FINANCE & STRATEGY OFFICER	$0	$993,973	$0	$288,063	$0	$4,063	$0	$396,203	$0	$18,597	$0	$1,700,899	$0	$0
REGINA THOMAS
PRESIDENT, RICHLAND MEMORIAL HOSPITAL	$0	$239,629	$0	$32,572	$0	$2,009	$0	$52,840	$0	$14,053	$0	$341,103	$0	$0
LAUREN SCHMID
EVP, CHIEF HUMAN RESOURCES OFFICER	$0	$550,105	$0	$123,287	$0	$98,930	$0	$204,706	$0	$24,041	$0	$1,001,069	$0	$95,210
KENNETH ARONSON MD
MEDICAL DIRECTOR - DIAGNOSTIC SERVICES	$0	$509,212	$0	$111,911	$0	$2,213	$0	$45,010	$0	$18,253	$0	$686,599	$0	$0
TANNER MILLER MD
CRMH MEDICAL DIRECTOR	$0	$406,508	$0	$89,475	$0	$2,082	$0	$24,510	$0	$25,421	$0	$547,996	$0	$0
NICHOLAS CROMPTON
VP, CONSTRUCTION & FACILITY SERVICES	$0	$252,006	$0	$27,955	$0	$2,000	$0	$45,832	$0	$27,768	$0	$355,561	$0	$0
JOHN ALLEN
CRNA - RMH ANESTHESIOLOGY	$284,620	$0	$12,259	$0	$1,488	$0	$23,857	$0	$25,557	$0	$347,781	$0	$0	$0
JOHN WALL
CRNA LEAD - RMH ANESTHESIOLOGY	$269,419	$0	$12,753	$0	$1,796	$0	$24,510	$0	$27,126	$0	$335,604	$0	$0	$0
THOMAS FALCONE
CRNA - RMH ANESTHESIOLOGY	$266,821	$0	$12,259	$0	$1,488	$0	$23,443	$0	$27,389	$0	$331,400	$0	$0	$0
BENJAMIN CURTIS
CRNA - RMH ANESTHESIOLOGY	$262,078	$0	$12,259	$0	$1,488	$0	$23,515	$0	$25,820	$0	$325,160	$0	$0	$0
CHRISTINA BARE
DIRECTOR, RMH PRIMARY CARE & SPECIALTY SERVICES	$146,978	$0	$15,662	$0	$922	$0	$13,512	$0	$0	$0	$177,074	$0	$0	$0
HARRY BROCKUS
FORMER - OFFICER	$0	$0	$0	$0	$0	$162,492	$0	$0	$0	$0	$0	$162,492	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT COMPANY OF RICHLAND MEMORIAL HOSPITAL, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY-SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4a Severance or change-of-control payment	IN 2022, SEVERANCE PAYMENTS WERE PAID TO HARRY BROCKUS ($162,492).
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	THE 2022 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF RICHLAND MEMORIAL HOSPITAL, THAT ARE LISTED IN THE 990 PART VII INCLUDE MATTHEW KOLB, SALLY SALMONS, MD, DENNIS HESCH, JAMES LEONARD, MD, REGINA THOMAS, LAUREN SCHMID, AND NICHOLAS CROMPTON. IN 2022, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO MATTHEW KOLB ($155,067), SALLY SALMONS, MD ($8), JAMES LEONARD, MD ($497), AND LAUREN SCHMID ($95,210).
Schedule J, Part I, Line 7 Non-fixed payments	PART OF THE CEO'S COMPENSATION INCLUDES AN INCENTIVE COMPONENT WHICH IS DESIGNED TO ENCOURAGE AND PROMOTE THE ACHIEVEMENT OF CERTAIN QUALITY, OPERATIONAL, AND EFFICIENCY IMPROVEMENTS. ALTHOUGH THIS INCENTIVE COMPONENT IS BASED ON THE ORGANIZATION MEETING CERTAIN MINIMUM FINANCIAL THRESHOLDS, ALL PAYMENTS MUST BE APPROVED BY THE BOARD OF DIRECTORS PRIOR TO ANY INCENTIVE PAYOUT.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF TRUSTEE	RelationshipDescriptionTxt
Transaction	$120,253	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	MATTHEW KOLB (OFFICER), SALLY SALMONS, MD (TRUSTEE), AND JAMES LEONARD, MD (OFFICER) - Business relationship, DENNIS HESCH (OFFICER) AND JAMES LEONARD, MD (OFFICER) - Business relationship, DENNIS HESCH (OFFICER), JAMES LEONARD, MD (OFFICER), AND LAUREN SCHMID (KEY EMPLOYEE) - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholders	RICHLAND MEMORIAL HOSPITAL, INC. HAS ONE MEMBER WHICH IS THE PARENT COMPANY, THE CARLE FOUNDATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	RICHLAND MEMORIAL HOSPITAL INC.'S SOLE MEMBER, THE CARLE FOUNDATION, ACTING THROUGH ITS BOARD OF TRUSTEES, HAS THE EXCLUSIVE POWER TO ELECT AND REMOVE MEMBERS OF THE BOARD OF TRUSTEES FOR THE CORPORATION IN ADDITION TO FILLING VACANCIES.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	RICHLAND MEMORIAL HOSPITAL, INC. MUST HAVE THE APPROVAL OF ITS SOLE MEMBER, THE CARLE FOUNDATION, THROUGH ITS BOARD OF TRUSTEES, WHEN VOTING ON MATTERS INCLUDING THE AMENDING OF GOVERNING DOCUMENTS; RECOMMENDING THE CEO TO THE BOARD; APPROVING ANY ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGETS; APPROVING PAYMENT TO THE MEMBERS OF THE RICHLAND BOARD OF TRUSTEES FOR THEIR EXPENSES OR COMPENSATION FOR SERVICES; APPROVING ANY NEW, LONG-TERM OR MASTER INSTITUTIONAL PLANS OR CHANGES TO SUCH PLANS; APPROVING THE ADDITION OF ANY NEW MEMBER AND ANY DISSOLUTION, MERGER, CONSOLIDATION, OR SALE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL ASSETS 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 CHIEF EXECUTIVE OFFICER'S (CEO) AUTHORIZED SPENDING AUTHORITY.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 WAS PREPARED BY STAFF AND AN EXTERNAL TAX ADVISOR AND REVIEWED BY MANAGEMENT. PRIOR TO FILING THIS FORM 990, A FULL AND COMPLETE COPY WAS PROVIDED TO THE GOVERNING BODY. AT THEIR DISCRETION, THE GOVERNING MEMBERS HAVE THE OPPORTUNITY TO CONTACT MANAGEMENT OR DISCUSS AND ADDRESS CONCERNS AT SUBSEQUENT BOARD MEETINGS.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION'S ESTABLISHED CONFLICT OF INTEREST POLICIES REQUIRE ANNUAL DISCLOSURE OF ACTUAL AND POTENTIAL CONFLICTS OF INTEREST FOR OFFICERS, DIRECTORS, TRUSTEES, MEMBERS OF BOARD COMMITTEES, ADMINISTRATIVE AND MANAGERIAL EMPLOYEES AS WELL AS ALL EMPLOYEES OF THE PURCHASING DEPARTMENT. IF CIRCUMSTANCES CHANGE DURING THE COURSE OF A YEAR, INTERIM DISCLOSURE IS ALSO REQUIRED OF THE SAME INDIVIDUALS. THE DISCLOSURES OF EMPLOYEES ARE REVIEWED INITIALLY BY THE 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 TRUSTEES AND MEMBERS OF BOARD COMMITTEES ARE REVIEWED BY THE CHAIR OF THE BOARD. THE ENTIRE BOARD, ABSENT THE SUBJECT TRUSTEE OR COMMITTEE MEMBER DETERMINES WHETHER A CONFLICT EXISTS. TRUSTEES AND/OR BOARD COMMITTEE MEMBERS WITH IDENTIFIED CONFLICTS ARE REQUIRED TO RECUSE THEMSELVES FROM DELIBERATING AND VOTING ON MATTERS THAT MAY PRESENT A CONFLICT. THE ORGANIZATION ALSO MAINTAINS PURCHASING POLICIES REQUIRING COUNTER SIGNATURES TO FURTHER MINIMIZE THE RISK ASSOCIATED WITH ACTUAL AND/OR POTENTIAL CONFLICTS OF INTEREST.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF RICHLAND MEMORIAL HOSPITAL, THROUGH ITS COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT MEMBERS FREE OF CONFLICT, ANNUALLY REVIEWS EXECUTIVE COMPENSATION LEVELS AND ESTABLISHES APPROPRIATE SALARY RANGES AND OTHER FEATURES OF THE COMPENSATION PLAN IN ACCORDANCE WITH THE ORGANIZATION'S APPROVED COMPENSATION PHILOSOPHY AND STRATEGY: THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES; WHO ARE INDEPENDENT OF THE CARLE FOUNDATION MANAGEMENT; HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS; ARE NOT RELATED TO, OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED; AND HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH THE CARLE FOUNDATION. THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. *THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY-SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	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.
Form 990, Part VI, Line 19 Required documents available to the public	RICHLAND MEMORIAL HOSPITAL, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	OTHER REVENUE - Total Revenue: 73813, Related or Exempt Function Revenue: 50193, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 23620;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	INTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS - 6834231;
Form 990, Part XII, Line 2c Change of oversight process or selection process	FORM 990 PART XII, QUESTIONS 2A, B, C AND PART IV, QUESTION 12 THE FINANCIAL STATEMENTS FOR RICHLAND MEMORIAL HOSPITAL WERE REVIEWED ON A CONSOLIDATED BASIS UNDER THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE CARLE FOUNDATION HAS AN AUDIT COMMITTEE CONSISTING OF MEMBERS OF THE GOVERNING BOARD AND THE CHIEF FINANCIAL OFFICER WHO TOGETHER ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE REVIEW AND AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT OR AUDITOR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
THE CARLE FOUNDATION
611 W PARK ST	URBANA	IL	618012595	370673465	Parent/Inv Mgnt	IL	501(c)(3)	Type III-FI	NA	false
THE CARLE FOUNDATION HOSPITAL
611 W PARK ST	URBANA	IL	618012595	371119538	Hospital Services	IL	501(c)(3)	3	TCF	Yes (true)
CARLE DEVELOPMENT FOUNDATION
611 W PARK ST	URBANA	IL	618012595	371159978	Fundraising	IL	501(c)(3)	7	TCF	Yes (true)
CARLE RETIREMENT CENTERS INC
611 W PARK ST	URBANA	IL	618012595	371160033	Retirement Living	IL	501(c)(3)	10	TCF	Yes (true)
CARLE COMMUNITY HEALTH CORPORATION
611 W PARK ST	URBANA	IL	618012595	364458371	FNDN mission	IL	501(c)(3)	Type I	TCDF	Yes (true)
HOOPESTON COMMUNITY MEMORIAL HOSPITAL
701 E ORANGE ST	HOOPESTON	IL	609421801	363637465	Hospital Services	IL	501(c)(3)	3	TCF	Yes (true)
CARLE HEALTH CARE INCORPORATED
611 W PARK ST	URBANA	IL	618012595	371140016	Various Med Services	IL	501(c)(3)	10	TCF	Yes (true)
CARLE BROMENN MEDICAL CENTER
611 W PARK ST	URBANA	IL	618012595	850682363	Hospital Services	IL	501(c)(3)	3	TCF	Yes (true)
CARLE EUREKA HOSPITAL
611 W PARK ST	URBANA	IL	618012595	850688306	Hospital Services	IL	501(c)(3)	3	TCF	Yes (true)
CARLE CANCER INSTITUTE NORMAL LLC
407 E VERNON AVE	NORMAL	IL	61761	371363717	Cancer Treatment	IL	501(c)(3)	Type I	TCF	Yes (true)
CARLE WEST PHYSICIAN GROUP INC
611 W PARK ST	URBANA	IL	618012595	850703768	Physician Services	IL	501(c)(3)	10	CHCI	Yes (true)
CRIS HEALTHY AGING
309 N FRANKLIN ST	DANVILLE	IL	618324509	370948852	Senior Citizen Services	IL	501(c)(3)	7	CHCI	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	611 W PARK ST	AddressLine1Txt
City	URBANA	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	618012595	ZIPCd

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

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	N/A	PredominantIncomeTypeTxt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)

Address Line1ForeignAddress/AddressLine1Txt	Address Line2ForeignAddress/AddressLine2Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
HEALTH SYSTEMS INSURANCE LIMITED
Governors Square 2nd Floor Bldg 3	23 Line Tree Bay Ave	GRAND CAYMAN	CJ	KY11102	Insurance	CJ	NA	C Corporation	Yes (true)
CARLE RISK MANAGEMENT COMPANY
					Risk Management		NA	C Corporation	Yes (true)	611 W PARK ST	URBANA	IL	618012595	371217973	IL
EVALIDATA INC
					Physician Credentialing		NA	C Corporation	Yes (true)	611 W PARK ST	URBANA	IL	618012595	462022658	IL
CHA HOLDING INC
					Holding Co.		NA	C Corporation	Yes (true)	3310 SOUTH FIELDS DR	CHAMPAIGN	IL	61822	471854275	IL
CARLE HOLDING COMPANY INC
					Holding Co.		NA	C Corporation	Yes (true)	611 W PARK ST	URBANA	IL	618012595	371188284	IL
HEALTH ALLIANCE MEDICAL PLANS INC
					Health Coverage		NA	C Corporation	Yes (true)	3310 SOUTH FIELDS DR	CHAMPAIGN	IL	61822	371260731	IL
HEALTH ALLIANCE CONNECT INC
					Health Care Coordination		NA	C Corporation	Yes (true)	3310 SOUTH FIELDS DR	CHAMPAIGN	IL	61822	464796891	IL
HEALTH ALLIANCE NORTHWEST HOLDING INC
					Holding Co.		NA	C Corporation	Yes (true)	820 N CHELAN AVE	WENATCHEE	WA	98801	461717578	WA
HEALTH ALLIANCE NORTHWEST HEALTH PLAN INC
					Health Coverage		NA	C Corporation	Yes (true)	820 N CHELAN AVE	WENATCHEE	WA	98801	461966323	WA
HEALTH ALLIANCE-MIDWEST INC
					Health Coverage		NA	C Corporation	Yes (true)	3310 SOUTH FIELDS DR	CHAMPAIGN	IL	61822	371354502	IL
CARLE VENTURES INC
					Health Care Partnerships		NA	C Corporation	Yes (true)	611 W PARK ST	URBANA	IL	618012595	371313150	IL
CARLE HEALTH PHYSICIAN PARTNERS INC
					Physician Services		NA	C Corporation	Yes (true)	611 W PARK ST	URBANA	IL	618012595	850718392	IL
FIRST CAROLINA CARE INSURANCE COMPANY
					Insurance		NA	C Corporation	Yes (true)	42 Memorial Drive	PINEHURST	IL	28374	331160597	IL

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

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CARLE DEVELOPMENT FOUNDATION
C	$159,045	BOOK
HEALTH ALLIANCE CONNECT INC
L	$768,562	BOOK
HEALTH ALLIANCE MEDICAL PLANS INC
L	$1,637,687	BOOK
HEALTH SYSTEMS INSURANCE LIMITED
M	$133,684	BOOK
THE CARLE FOUNDATION
P	$11,918,347	BOOK
HOOPESTON COMMUNITY MEMORIAL HOSPITAL
S	$58,663	BOOK
THE CARLE FOUNDATION HOSPITAL
S	$255,698	BOOK
THE CARLE FOUNDATION
S	$113,283	BOOK
CARLE HEALTH CARE INCORPORATED
Q	$1,739,374	BOOK