RICHLAND MEMORIAL HOSPITAL INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- RICHLAND MEMORIAL HOSPITAL INC (EIN 37-1363001)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202203199349321790
- Schema version
- 2021v4.2
- 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 | 2022-11-15T15:25:23-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 4000 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | 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) |
|---|---|---|
| In Care Of | % DENNIS HESCH | InCareOfNm |
| 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 | 2022-11-15 | 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 |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Dennis Hesch Exec VP CFO | PrincipalOfficerNm |
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 | $55,839,614 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | See Schedule O | 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 | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 508 | TotalEmployeeCnt |
| Total Volunteers | 45 | TotalVolunteersCnt |
| Total Gross UBI | $716,260 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,928,295 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,055,880 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $45,322,924 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $51,779,241 | CYProgramServiceRevenueAmt |
| PY Investment Income | $120,538 | PYInvestmentIncomeAmt |
| CY Investment Income | $87,875 | CYInvestmentIncomeAmt |
| PY Other Revenue | $518,657 | PYOtherRevenueAmt |
| CY Other Revenue | $958,547 | CYOtherRevenueAmt |
| PY Total Revenue | $54,890,414 | PYTotalRevenueAmt |
| CY Total Revenue | $54,881,543 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $26,017 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $226,587 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $28,430,416 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $34,209,626 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $31,659,047 | PYOtherExpensesAmt |
| CY Other Expenses | $28,250,546 | CYOtherExpensesAmt |
| PY Total Expenses | $60,115,480 | PYTotalExpensesAmt |
| CY Total Expenses | $62,686,759 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$5,225,066 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$7,805,216 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $53,443,489 | TotalAssetsBOYAmt |
| Total Assets EOY | $31,450,471 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $18,464,663 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $16,108,992 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $34,978,826 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $15,341,479 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| 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 | $54,026,939 | ExpenseAmt |
| Grant | $226,587 | GrantAmt |
| Revenue | $51,844,932 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $54,026,939 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 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 | 56 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 508 | 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DENNIS HESCH | PersonNm |
| Phone | 2173833311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W PARK ST | AddressLine1Txt |
| City | URBANA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| James C Leonard MD | ||||||||||
| Ex-Officio, President & CEO | 1.0 | 39.0 | Yes (X) | $0 | $2,558,835 | $641,658 | ||||
| JOHN SNYDER | ||||||||||
| Officer - Former | 0.0 | 0.0 | $0 | $1,942,803 | $14,339 | Yes (X) | ||||
| Dennis Hesch | ||||||||||
| Exec VP & CFO | 1.0 | 39.0 | Yes (X) | $0 | $1,566,892 | $375,816 | ||||
| MATTHEW KOLB | ||||||||||
| Trustee, EVP, & COO | 1.0 | 39.0 | Yes (X) | $0 | $1,159,563 | $337,604 | Yes (X) | |||
| HARRY BROCKUS | ||||||||||
| CEO TERM 3/2021 | 40.0 | 0.0 | Yes (X) | $0 | $695,134 | $207,122 | ||||
| LAUREN SCHMID | ||||||||||
| EXEC VP, CHIEF HR OFFICER | 1.0 | 39.0 | $0 | $657,819 | $185,334 | Yes (X) | ||||
| JARROD ALMAROAD MD | ||||||||||
| TRUSTEE - FORMER | 0.0 | 40.0 | $0 | $786,301 | $38,945 | Yes (X) | ||||
| KENNETH ARONSON MD | ||||||||||
| MED DIR - DIAGNOSTIC SERVICES | 1.0 | 39.0 | $0 | $568,392 | $36,812 | Yes (X) | ||||
| SALLY SALMONS MD | ||||||||||
| TRUSTEE & PHYSICIAN | 2.0 | 38.0 | $0 | $491,634 | $81,599 | Yes (X) | ||||
| RAYMOND FISHER MD | ||||||||||
| TRUSTEE & PHYSICIAN | 40.0 | 0.0 | $521,074 | $0 | $33,828 | Yes (X) | ||||
| TANNER MILLER MD | ||||||||||
| RMH MEDICAL DIRECTOR | 2.0 | 39.0 | $0 | $382,552 | $50,451 | Yes (X) | ||||
| John Allen | ||||||||||
| CRNA - RMH Anesth | 40.0 | 0.0 | $262,531 | $0 | $50,982 | Yes (X) | ||||
| John Wall | ||||||||||
| CRNA LEAD - RMH ANESTH | 40.0 | 0.0 | $264,583 | $0 | $47,684 | Yes (X) | ||||
| Thomas Falcone | ||||||||||
| CRNA - RMH Anesth | 40.0 | 0.0 | $253,578 | $0 | $45,715 | Yes (X) | ||||
| Benjamin Curtis | ||||||||||
| CRNA - RMH Anesth | 40.0 | 0.0 | $250,133 | $0 | $47,231 | Yes (X) | ||||
| Regina Thomas | ||||||||||
| PRESIDENT OF RMH | 40.0 | 0.0 | Yes (X) | $249,919 | $0 | $35,746 | ||||
| MELISSA KUENSTLER NP | ||||||||||
| NP - RICHLAND CONVENIENT CARE | 40.0 | 0.0 | $183,476 | $0 | $13,933 | Yes (X) | ||||
| CHRISTINA BARE | ||||||||||
| Key Employee - Former | 40.0 | 0.0 | $171,985 | $0 | $13,190 | Yes (X) | ||||
| DAN EICHELBERGER | ||||||||||
| CHAIR OF THE BOARD TERM 9/2021 | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| GARY HOUCHIN | ||||||||||
| VICE CHAIR OF BOARD | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| JASON GLOVER | ||||||||||
| SECRETARY OF BOARD | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Jennifer Cummins-Zuber | ||||||||||
| CHAIR OF BOARD | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| ROB MCCLAIN | ||||||||||
| TREASURER OF BOARD | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| TOMMIE FEHRENBACHER | ||||||||||
| TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| PATRICIA KESSLER-BOOKHOUTDDS | ||||||||||
| TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| COLE DUKE | ||||||||||
| TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| LARRY DUNN | ||||||||||
| TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| SHERRY GEIER | ||||||||||
| TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,157,279 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $10,809,925 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,257,989 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 37 | 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 |
|---|---|---|---|---|---|
| RURAL PHYSICIANS GROUP | |||||
| 5575 DTC PARKWAY STE 225 | GREENWOOD VILLAGE | CO | 80111 | STAFFING | $861,042 |
| ALL STAR RECRUITING LOCUMS | |||||
| 800 FAIRWAY DRIVE | DEERFIELD | FL | 33441 | STAFFING | $501,798 |
| GRUNLOH CONSTRUCTION INC | |||||
| 101 W TEMPLE AVE | EFFINGHAM | IL | 62401 | CONSTRUCTION | $284,663 |
| QUEST DIAGNOSTICS | |||||
| PO BOX 775460 | CHICAGO | IL | 606775460 | LAB SERVICES | $224,495 |
| COMPHEALTH INC | |||||
| PO BOx 872651 | DALLAS | TX | 753972651 | STAFFING | $184,206 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $77,844 | RelatedOrganizationsAmt |
| Government Grants | $1,978,036 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Noncash Contributions | $11,897 | NoncashContributionsAmt |
| Total Contributions | $2,055,880 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 622110 | $51,768,268 | $51,768,268 |
| RENT FROM RELATED ORGS | 523000 | $10,176 | $10,176 |
| ALL OTHER PROGRAM SERVICES REVENUE | 900099 | $797 | $797 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $51,779,241 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $87,875 | TotalRevenueColumnAmt |
| Exclusion | $87,875 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $1,531,800 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $958,071 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $573,729 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $573,729 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFETERIA SERVICES | 722331 | $155,564 | $155,564 | |
| LAUNDRY SERVICES | 812331 | $121,966 | $121,966 | |
| CATERING REVENUE | 722320 | $20,565 | $20,565 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $86,723 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $65,691 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $21,032 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $384,818 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $54,881,543 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $51,844,932 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $716,260 | UnrelatedBusinessRevenueAmt |
| Exclusion | $264,471 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,587 | TotalAmt |
| Program Services | $226,587 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $851,112 | TotalAmt |
| Program Services | $851,112 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,128 | TotalAmt |
| Program Services | $107,128 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,202,482 | TotalAmt |
| Program Services | $22,750,532 | ProgramServicesAmt |
| Management And General | $4,451,950 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,484,894 | TotalAmt |
| Program Services | $1,224,855 | ProgramServicesAmt |
| Management And General | $260,039 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,781,223 | TotalAmt |
| Program Services | $2,369,210 | ProgramServicesAmt |
| Management And General | $412,013 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,782,787 | TotalAmt |
| Program Services | $1,465,190 | ProgramServicesAmt |
| Management And General | $317,597 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,122 | TotalAmt |
| Management And General | $38,122 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,680 | TotalAmt |
| Management And General | $1,680 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,062,197 | TotalAmt |
| Program Services | $1,878,850 | ProgramServicesAmt |
| Management And General | $183,347 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,540 | TotalAmt |
| Management And General | $5,540 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,412,972 | TotalAmt |
| Program Services | $1,052,734 | ProgramServicesAmt |
| Management And General | $360,238 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,831 | TotalAmt |
| Program Services | $154,552 | ProgramServicesAmt |
| Management And General | $25,279 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $889,136 | TotalAmt |
| Program Services | $688,775 | ProgramServicesAmt |
| Management And General | $200,361 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,882 | TotalAmt |
| Program Services | $30,295 | ProgramServicesAmt |
| Management And General | $12,587 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,686 | TotalAmt |
| Program Services | $28,169 | ProgramServicesAmt |
| Management And General | $4,517 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $243,547 | TotalAmt |
| Program Services | $195,972 | ProgramServicesAmt |
| Management And General | $47,575 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,502,948 | TotalAmt |
| Program Services | $1,714,897 | ProgramServicesAmt |
| Management And General | $788,051 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,556 | TotalAmt |
| Program Services | $113,571 | ProgramServicesAmt |
| Management And General | $24,985 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OTHER PURCHASED SERVICES | $1,928,148 | $1,335,662 | $592,486 |
| PATIENT CARE SUPPLIES | $5,136,366 | $5,136,366 | |
| INTERNAL PURCHASED SERVS | $10,761,682 | $10,107,496 | $654,186 |
| PROVIDER ASSESSMENT TAX | $2,519,613 | $2,519,613 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $354,640 | TotalAmt |
| Program Services | $75,373 | ProgramServicesAmt |
| Management And General | $279,267 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,686,759 | TotalAmt |
| Program Services | $54,026,939 | ProgramServicesAmt |
| Management And General | $8,659,820 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,021,800 | BOYAmt |
| EOY | $4,100,567 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,527,209 | BOYAmt |
| EOY | $5,974,379 | 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 | $658,741 | BOYAmt |
| EOY | $411,380 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $893,260 | BOYAmt |
| EOY | $893,708 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $211,758 | BOYAmt |
| EOY | $239,268 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $63,164,224 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $43,530,138 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,912,708 | BOYAmt |
| EOY | $19,634,086 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $218,013 | BOYAmt |
| EOY | $197,083 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,443,489 | BOYAmt |
| EOY | $31,450,471 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,610,116 | BOYAmt |
| EOY | $4,553,156 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,985,272 | BOYAmt |
| EOY | $2,307,829 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,355,558 | BOYAmt |
| EOY | $5,005,634 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,513,717 | BOYAmt |
| EOY | $4,242,373 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,464,663 | BOYAmt |
| EOY | $16,108,992 | 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 | $34,978,826 | BOYAmt |
| EOY | $15,341,479 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,978,826 | BOYAmt |
| EOY | $15,341,479 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,443,489 | BOYAmt |
| EOY | $31,450,471 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$7,805,216 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$11,832,131 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $1,680 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,680 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART IV | FormAndLineReferenceDesc |
| Explanation | $1,680 - PORTION OF HEALTH CARE ORGANIZATION DUES ATTRIBUTABLE TO LOBBYING | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| 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 | $33,223,219 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,226,154 | DepreciationAmt |
| Book Value | $11,997,065 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,807,603 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,740,419 | DepreciationAmt |
| Book Value | $6,067,184 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,128,283 | OtherCostOrOtherBasisAmt |
| Depreciation | $563,565 | DepreciationAmt |
| Book Value | $564,718 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $19,634,086 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO BLUE CROSS | $1,136,780 |
| ASSET RETIREMENT OBLIGATION | $3,105,593 |
| OPERATING LEASE LIABILITY | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,242,373 | 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(ASC740) 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, 2021 AND 2020. | 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 | $1,009,926 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,009,926 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01610 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,129,562 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,113,264 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,016,298 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12790 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,139,488 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,113,264 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,026,224 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14400 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,020 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,020 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $91,570 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $91,570 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,144,464 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,144,464 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09800 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $235,717 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $235,717 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00380 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,474,771 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,474,771 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10330 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,614,259 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,113,264 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,500,995 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.24730 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,899 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,899 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,899 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,899 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $610,845 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $305,423 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $15,588,420 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $21,928,555 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,340,135 | 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 | 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 | See Part V, Section C | 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 | 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 | SEE PART V, SECTION C | 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 | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 5 - COMMUNITY HEALTH NEEDS ASSESSMENT | 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 RICHLAND MEMORIAL HOSPITAL (RMH) 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. PART V, SECTION B, LINES 7a & 10 - COMMUNITY HEALTH NEEDS ASSESSMENT THE CHNA AND IMPLEMENTATION STRATEGY ARE AVAILABLE AT HTTPS://CARLE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS. |
| PART V, SECTION B, LINE 11 - COMMUNITY HEALTH NEEDS ASSESSMENT | |
| PART V, SECTION C, LINE 16 | THE NEEDS IDENTIFIED AND PRIORITIZED THROUGHOUT THE 2021 CHNA CARRIED FORWARD VARIANTS OF PREVIOUS CHNAS AND ADDED OTHERS. THE IDENTIFIED AND PRIORITIZED NEEDS SELECTED INCLUDE: 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: - RMH WILL EXPLORE INCREASING ACCESS TO MEDICATION ASSISTED TREATMENT/RECOVERY RESOURCES - RMH WILL EXPLORE INCREASING RELATIONSHIPS WITH INPATIENT BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER PROVIDERS - RMH WILL PROVIDE REASONABLE AND APPROPRIATE SUPPORT TO DEVELOPMENT OF THE CRISIS PROGRAM AT LAWRENCE COUNTY HEALTH DEPARTMENT - RMH WILL EXPLORE DEVELOPING TELEPHONE COUNSELING - RMH WILL EXPLORE NEW AVENUES TO INCREASE ACCESS TO COUNSELING - RMH WILL CONTINUE AND EXPAND THE MENTAL HEALTH FIRST AID PROGRAM (MHFA) ANTICIPATED IMPACTS OF THESE ACTIONS: RMH 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 DISORDER. PROGRAMS AND RESOURCES THE HOSPITAL PLANS TO COMMIT TO ADDRESS HEALTH NEED: - ADMINISTRATIVE TEAM PLANNED COLLABORATION BETWEEN HOSPITAL AND OTHER FACILITIES OR ORGANIZATIONS: - SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE - PUBLIC HEALTH - INPATIENT PROVIDERS - LAW ENFORCEMENT - CARLE BEHAVIORAL HEALTH SERVICES 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: - RMH WILL EXPLORE EXPANDING CARE COORDINATION SERVICES TO INCLUDE TRANSPORTATION ANTICIPATED IMPACTS OF THESE ACTIONS: RMH ANTICIPATES EXPANDING 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 HEALTH NEED: - ADMINISTRATION PLANNED COLLABORATION BETWEEN HOSPITAL AND OTHER FACILITIES OR ORGANIZATIONS: - MASS TRANSIT DISTRICT RIDES - EMBARRAS RIVER BASIN AREA AGENCY (ERBA) 3. IMPROVED OPPORTUNITIES TO ACHIEVE WELLNESS THROUGH: - ACCESS TO HEALTHY 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: - RMH WILL EXPLORE DEVELOPMENT OF A COMMUNITY GARDEN PROGRAM - RMH WILL CONTINUE THE DEMONSTRATION GARDEN FOR NUTRITION EDUCATION - RMH WILL PROVIDE FUNDING FOR LIGHTING TO ENHANCE USE OF THE COMMUNITY WALKING PATH IN OLNEY - RMH WILL EXPLORE EXPANDING SERVICES OF CARLE HEALTH'S MOBILE MARKET - RMH WILL PARTNER WITH CARLE HEALTH TO PROVIDE THE COMMUNITY WITH ACCESS TO VIDEO WITH HEALTH AND WELLNESS CONTENT - RMH WILL CONTINUE TO SUPPORT LOCAL YOUTH SPORTS ANTICIPATED IMPACTS OF THESE ACTIONS: RMH 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 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 AUXILIARY 4. DENTAL CARE FOR UNDERINSURED AND UNINSURED ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEED: RMH 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. RMH 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 REASONABLY 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 HEALTH NEED: - ADMINISTRATION PLANNED COLLABORATION BETWEEN HOSPITAL AND OTHER FACILITIES OR ORGANIZATIONS: - FEDERALLY QUALIFIED HEALTH CENTER - DENTISTS - OTHERS THAT MAY BE INTERESTED IN THE EFFORT - PUBLIC HEALTH ADDITIONAL ACTION TAKEN SINCE LAST CHNA: THE COMMUNITY HEALTH NEEDS PROCESS IS CONDUCTED EVERY THREE YEARS. IN RESPONSE TO ISSUES IDENTIFIED AND PRIORITIZED AND THE IMPLEMENTATION STRATEGY DEVELOPED TO ADDRESS THEM, RMH HAS TAKEN THESE STEPS SINCE THE LAST CHNA. MENTAL HEALTH - HAVE IMPLEMENTED A FULL-TIME MHFA PROGRAM FOR BOTH ADULT AND YOUTH MHFA - CONTINUE RECRUITMENT OF BEHAVIORAL HEALTH PROVIDERS - HAVE HIRED AN Licensed Clinical Professional Counselor (LCPC) - SUPPORT COMMUNITY INITIATIVES TO BRING ADDITIONAL MONIES TO THIS AREA FOR MENTAL HEALTH SERVICES BY PROVIDING A LETTER OF SUPPORT FOR GRANT MONEY - ENTERED INTO AN AGREEMENT FOR TELEHEALTH SERVICES FROM PAVILION BEHAVIORAL HEALTH FOR TELE-MENTAL HEALTH SERVICES TO THE HOSPITAL'S EMERGENCY DEPARTMENT PATIENTS DENTAL HEALTH RMH STANDS READY TO PARTNER WITH THE LOCAL FQHC TO PROMOTE THESE SERVICES IF NEEDED. THIS WAS IDENTIFIED AS A NEED THAT RMH IS NOT BEST SUITED TO PROVIDE AT THIS TIME. ACCESS TO CARE MANAGERS HIRED A SOCIAL WORKER. THIS PERSON WILL MAINLY TAKE CARE OF INPATIENTS, BUT COULD ALSO ASSIST IN ED. TRANSPORTATION: - ADDED ADDITIONAL STOPS WITH RIDES MASS TRANSIT AND HAVE AN AGREEMENT WITH THEM TO PROVIDE DISCHARGE PATIENTS A RIDE DURING SERVICE HOURS REGARDLESS OF ABILITY TO PAY. - RICHLAND COUNTY NOW HAS A LYFT SERVICE AVAILABLE ON A LIMITED BASIS. IMPROVED ACCESS TO SERVICES FOR ADDICTION/RECOVERY/PREVENTION - A MEMBER OF THE RMH ADMINISTRATIVE TEAM SERVES ON THE RICHLAND COUNTY ADDICTION PREVENTION COALITION. THIS GROUP WAS FORMED IN THE LAST FEW YEARS TO HELP BRING AWARENESS TO THE NEED FOR ADDICTION PREVENTION SERVICES. - RMH HAS ADDED A "TAKE BACK" BOX IN THE HOSPITAL'S MAIN LOBBY FOR THE PUBLIC TO OUTDATED PRESCRIPTION DRUGS FOR SAFE DISPOSAL AT ANY TIME. ACCESS TO WEEKEND AND AFTER-HOURS CARE - OPENED CONVENIENT CARE. ORIGINAL HOURS AT OPENING WERE 10 AM - 8 PM, SEVEN DAYS A WEEK. CONVENIENT CARE HAS SINCE EXPANDED THOSE HOURS TO 8 AM -8 PM EACH DAY, CLOSED HOLIDAYS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 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 |
| CARLE NEWTON | ||||
| 500 S SCOTT AVE | NEWTON | IL | 62448 | PRIMARY CARE |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 HOME ENERGY ASSISTANCE PROGRAM (LIHEAP), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM OR COVERED BY ILLINOIS MEDICAID. PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION 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 THE SERVICES OR THE SERVICES WOULD OTHERWISE NOT BE AVAILABLE IN SUFFICIENT AMOUNT. WE INCLUDED AS UNREIMBURSED COSTS OF SUBSIDIZED HEALTH SERVICES: $96,448 FOR HOSPITAL OUTPATIENT SERVICES, $632,783 FOR EMERGENCY ROOM, AND $5,415,233 FOR SUBSIDIZED CONTINUING CARE. PART I, LINE 7 AND PART III, LINE 2 - COSTING METHODOLOGY EXPLANATION 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. 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 $218,000 IN CASH DONATIONS, LEADERSHIP PROVIDED IN-KIND SUPPORT OF OVER $17,000 BY SERVING ON NUMEROUS COMMUNITY BOARDS AND COMMITTEES. VOLUNTEER SERVICES: EMPLOYEE: CARLE RICHLAND ADMINISTRATORS AND LEADERS PROVIDED MORE THAN 120 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 2021, NON-EMPLOYEE VOLUNTEERS PUT IN MORE THAN 2,500 HOURS AT THE HOSPITAL, RECEIVING NO PAYMENT BUT CONTRIBUTING TO CARLE'S MISSION. AT A MINIMUM WAGE OF $11/HOUR, THIS EQUATED TO MORE THAN $28,000 OF POTENTIAL WAGES THAT CARLE SAVED BY HAVING SUCH A STRONG VOLUNTEER PROGRAM. PART III, LINE 3 - BAD DEBT, MEDICARE, & COLLECTION PRACTICES RMH USES 50% AS A GENERAL ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PART III, LINE 4 - BAD DEBT FOOTNOTE THE FOOTNOTE PERTAINING TO BAD DEBT EXPENSE CAN BE FOUND ON PAGE 28 OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENTS. |
| PART III, LINE 8 - MEDICARE EXPLANATION | 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. |
| PART III, LINE 9 B - COLLECTION PRACTICES EXPLANATION | RMH APPLIES ITS COLLECTION PRACTICES EQUALLY TO ALL PATIENTS, BOTH THOSE ELIGIBLE FOR FINANICAL ASSISTANCE AND THOSE THAT AREN'T ELIGIBLE. THE PROCEDURES ARE AS FOLLOWS: 1. WE WILL SEND TWO STATEMENTS AND TWO COLLECTION LETTERS IN A 28 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. RMH WILL ATTEMPT TO CONTACT THE GUARANTOR VIA PHONE AFTER THEY RECEIVE THE FIRST STATEMENT ON BALANCES GREATER THAN $1,000. 4. RMH WILL ATTEMPT TO CONTACT THE GUARANTOR VIA PHONE AFTER THE SECOND STATEMENT ON BALANCES LESS THAN $1,000. 5. RMH 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. RMH 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. |
| 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 2021 CHNA IT WILL CONTINUE TO BE A PRIORITY FOR CARLE. AS A TAX-EXEMPT ORGANIZATION, RMH PROVIDES CARE TO PATIENTS REGARDLESS OF THE 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. RMH 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. |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSITANCE | OUR PRACTICE IS TO LOOK AT EACH PATIENT'S FINANCIAL STATUS IN RELATION TO OUR CARLE FINANCIAL ASSISTANCE PROGRAM AND THE CRITERIA OF THE UNINSURED PATIENT DISCOUNT ACT, AND TO PROVIDE THE PATIENT WITH THE DEEPEST DISCOUNT AVAILABLE. BY EXPANDING THE PRESUMPTIVE ELIGIBILITY SCREENING PROCESSES AND DETERMINING THE FINANCIAL STATUS OF PATIENTS UP-FRONT, WE HAVE BEEN ABLE TO PINPOINT THOSE NEEDING ASSISTANCE EARLY IN THE PROCESS, MINIMIZING BAD DEBT AND OPTIMIZING OUR ABILITY TO HELP. STAFF IS ALSO DILIGENT IN FOLLOWING UP WITH PATIENTS DURING HOSPITALIZATION AND AFTER DISCHARGE IF THERE'S ANY REASON TO BELIEVE THE PATIENT COULD BENEFIT FROM FINANCIAL ASSISTANCE, AND WE AUTO-QUALIFY CERTAIN PATIENT POPULATIONS FOR CARLE FINANCIAL ASSISTANCE PROGRAM, SUCH AS THE HOMELESS, WIC, SNAP (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM), MEDICAID, LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP), AND TOWNSHIP ASSISTANCE RECIPIENTS. COMMUNICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE CARLE 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 LOBBY AND CARLE.ORG - MEETINGS WITH LOCAL LEGISLATORS TO HELP THEM ASSIST CONSTITUENTS WITH HEALTHCARE NEEDS, INCLUDING FINANCIAL ASSISTANCE |
| PART VI, LINE 4 - COMMUNITY INFORMATION | DESCRIPTION OF THE COMMUNITY/POPULATION RMH 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. RMH'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. THE AVERAGE HOUSEHOLD SIZE OF THE AREA, AT 2.3, IS LOWER THAN BOTH ILLINOIS (3) AND THE U.S. (2.5). MEDIAN AGE IS OVER 43.5 YEARS, WHICH IS HIGHER THAN ILLINOIS AND THE U.S. THE LARGEST EDUCATION SEGMENT IS REPORTED AS SOME COLLEGE, FOLLOWED BY HIGH SCHOOL GRADUATES. COLLEGE GRADUATES IN THE AREA EXCEED THE NUMBER OF RESIDENTS THAT DID NOT COMPLETE HIGH SCHOOL. THE UNEMPLOYMENT RATE IS TYPICAL OF SURROUNDING COUNTIES AND OTHER RURAL COUNTIES IN ILLINOIS AND IS BETTER THAN NATIONAL AND STATEWIDE NUMBERS. ALSO, AS IS THE CASE IN MUCH OF RURAL ILLINOIS, INCOME BY HOUSEHOLDS IN THE SERVICE AREA IS LOWER THAN STATEWIDE. OF THE 84,721 RESIDENTS OVER THE AGE OF 18, 7014 ARE VETERANS. THIS REPRESENTS 8.28% OF THE ELIGIBLE POPULATION. |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | RMH 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. |
| PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM | RMH IS A 104 BED, NOT-FOR-PROFIT HEALTHCARE FACILITY LOCATED IN OLNEY, IL 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 RMH ALLOWS FOR EXPANDED ACCESS TO HEALTHCARE IN THE REGION. THOUGH RMH FALLS UNDER THE UMBRELLA OF THE CARLE FOUNDATION, IT MAINTAINS A SEPARATE BOARD OF DIRECTORS AND SENIOR LEADERSHIP. WHILE RMH'S CHNA AND COMMUNITY BENEFIT REPORTING IS SEPARATE FROM THE CARLE FOUNDATION HOSPITAL, IT FOLLOWS THE SAME GUIDELINES AND PRINCIPLES AS CARLE. RMH 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. |
| PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | RMH FILES AN ILLINOIS COMMUNITY BENEFIT REPORT. |
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 | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| RICHLAND COUNTY HIGH SCHOOL | ||||||||||
| 1200 EAST LAUREL STREET | OLENY | IL | 62450 | 376004449 | 501(C)(3) | $6,000 | 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 | $10,000 | COMMUNITY IMPROVEMENT | |||
| SOUTH EASTERN SPECIAL EDUCATION | ||||||||||
| 111 W Mound St | Ste Marie | IL | 62459 | 371111065 | 501(C)(3) | PROGRAM SERVICES | $184,877 | BOOK | REAL ESTATE | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE I | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS 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 (18 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JARROD ALMAROAD MD | ||||||||||||||
| TRUSTEE - FORMER | $0 | $773,537 | $0 | $0 | $0 | $12,764 | $0 | $23,244 | $0 | $15,701 | $0 | $825,246 | $0 | $0 |
| JOHN SNYDER | ||||||||||||||
| Officer - Former | $0 | $0 | $0 | $0 | $0 | $1,942,803 | $0 | $0 | $0 | $14,339 | $0 | $1,957,142 | $0 | $1,928,464 |
| CHRISTINA BARE | ||||||||||||||
| Key Employee - Former | $156,620 | $0 | $15,048 | $0 | $317 | $0 | $12,594 | $0 | $596 | $0 | $185,175 | $0 | $0 | $0 |
| HARRY BROCKUS | ||||||||||||||
| CEO TERM 3/2021 | $0 | $66,896 | $0 | $49,009 | $0 | $579,229 | $0 | $199,406 | $0 | $7,716 | $0 | $902,256 | $0 | $243,978 |
| Regina Thomas | ||||||||||||||
| PRESIDENT OF RMH | $213,751 | $0 | $27,476 | $0 | $8,692 | $0 | $20,202 | $0 | $15,544 | $0 | $285,665 | $0 | $0 | $0 |
| Dennis Hesch | ||||||||||||||
| Exec VP & CFO | $0 | $928,295 | $0 | $275,474 | $0 | $363,123 | $0 | $357,272 | $0 | $18,544 | $0 | $1,942,708 | $0 | $329,498 |
| James C Leonard MD | ||||||||||||||
| Ex-Officio, President & CEO | $0 | $1,484,721 | $0 | $505,818 | $0 | $568,296 | $0 | $621,615 | $0 | $20,043 | $0 | $3,200,493 | $0 | $524,075 |
| John Allen | ||||||||||||||
| CRNA - RMH Anesth | $233,780 | $0 | $6,817 | $0 | $21,934 | $0 | $20,922 | $0 | $30,060 | $0 | $313,513 | $0 | $0 | $0 |
| Benjamin Curtis | ||||||||||||||
| CRNA - RMH Anesth | $233,780 | $0 | $6,452 | $0 | $9,901 | $0 | $20,592 | $0 | $26,639 | $0 | $297,364 | $0 | $0 | $0 |
| MATTHEW KOLB | ||||||||||||||
| Trustee, EVP, & COO | $0 | $868,994 | $0 | $197,972 | $0 | $92,597 | $0 | $311,540 | $0 | $26,064 | $0 | $1,497,167 | $0 | $68,733 |
| SALLY SALMONS MD | ||||||||||||||
| TRUSTEE & PHYSICIAN | $0 | $367,823 | $0 | $54,828 | $0 | $68,983 | $0 | $65,944 | $0 | $15,655 | $0 | $573,233 | $0 | $36,484 |
| LAUREN SCHMID | ||||||||||||||
| EXEC VP, CHIEF HR OFFICER | $0 | $468,482 | $0 | $107,632 | $0 | $81,705 | $0 | $161,242 | $0 | $24,092 | $0 | $843,153 | $0 | $58,248 |
| Thomas Falcone | ||||||||||||||
| CRNA - RMH Anesth | $239,782 | $0 | $6,452 | $0 | $7,344 | $0 | $20,403 | $0 | $25,312 | $0 | $299,293 | $0 | $0 | $0 |
| John Wall | ||||||||||||||
| CRNA LEAD - RMH ANESTH | $246,916 | $0 | $7,018 | $0 | $10,649 | $0 | $21,470 | $0 | $26,214 | $0 | $312,267 | $0 | $0 | $0 |
| KENNETH ARONSON MD | ||||||||||||||
| MED DIR - DIAGNOSTIC SERVICES | $0 | $488,249 | $0 | $35,100 | $0 | $45,043 | $0 | $23,244 | $0 | $13,568 | $0 | $605,204 | $0 | $0 |
| RAYMOND FISHER MD | ||||||||||||||
| TRUSTEE & PHYSICIAN | $478,465 | $0 | $0 | $0 | $42,609 | $0 | $23,244 | $0 | $10,584 | $0 | $554,902 | $0 | $0 | $0 |
| MELISSA KUENSTLER NP | ||||||||||||||
| NP - RICHLAND CONVENIENT CARE | $176,644 | $0 | $6,461 | $0 | $371 | $0 | $13,623 | $0 | $310 | $0 | $197,409 | $0 | $0 | $0 |
| TANNER MILLER MD | ||||||||||||||
| RMH MEDICAL DIRECTOR | $0 | $377,749 | $0 | $4,200 | $0 | $603 | $0 | $23,244 | $0 | $27,207 | $0 | $433,003 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Question 3 | 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, Question 4a | IN 2021, SEVERANCE PAYMENTS WERE PAID TO HARRY BROCKUS ($262,065) AND JOHN SNYDER ($773,686). |
| Schedule J, Part I, Question 4B | THE 2021 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 HARRY BROCKUS, DENNIS HESCH, MATTHEW KOLB, JAMES LEONARD, MD, SALLY SALMONS, MD, LAUREN SCHMID, AND GINA THOMAS. IN 2021, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO HARRY BROCKUS ($243,978), DENNIS HESCH ($329,498), MATTHEW KOLB ($68,733), JAMES LEONARD, MD ($524,075), SALLY SALMONS, MD ($36,484), AND LAUREN SCHMID ($58,248), AND JOHN SNYDER ($1,154,778). |
| Schedule J, Part I, Question 7 | PART OF THE CEO'S COMPENSATION INCLUDES AN INCENTIVE COMPONENT WHICH IS DESIGNED TO ENCOURAGE AND PROMOTE THE ACHIEVEMENT OF CERTAIN QUALITY, OPERATIONAL, AND EFFICIENCY IMPROVEMENTS. ALTHOUGH THIS INCENTIVE COMPONENT IS BASED ON THE ORGANIZATION MEETING CERTAIN MINIMUM FINANCIAL THRESHOLDS, ALL PAYMENTS MUST BE APPROVED BY THE BOARD OF DIRECTORS PRIOR TO ANY INCENTIVE PAYOUT. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WHITLEY HOUCHIN | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY MEMBER OF TRUSTEE | RelationshipDescriptionTxt |
| Transaction | $107,128 | 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 WHO SERVES AS A TRUSTEE OF THE BOARD. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, Box J | Website - https://carle.org/locations/carle-richland-memorial-hospital FORM 990, PART III, LINE 4A 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 2021, 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 2021. |
| FORM 990, PART VI, QUESTION 2 | JAMES C. LEONARD, MD (OFFICER), LAUREN SCHMID (KEY EMPLOYEE), AND DENNIS HESCH (OFFICER) HAD BUSINESS RELATIONSHIPS. JAMES C. LEONARD, MD (OFFICER), MATTHEW KOLB (OFFICER), AND SALLY SALMONS, MD (TRUSTEE) HAD BUSINESS RELATIONSHIPS. |
| FORM 990, PART VI, QUESTION 6 | RICHLAND MEMORIAL HOSPITAL, INC. HAS ONE MEMBER WHICH IS THE PARENT COMPANY, THE CARLE FOUNDATION. |
| FORM 990, PART VI, QUESTION 7A | 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, QUESTION 7B | 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, QUESTION 11B | THE FORM 990 WAS PREPARED BY STAFF AND AN EXTERNAL TAX ADVISOR AND REVIEWED BY MANAGEMENT. PRIOR TO FILING THIS FORM 990, A FULL AND COMPLETE COPY WAS PROVIDED TO THE GOVERNING BODY. AT THEIR DISCRETION, THE GOVERNING MEMBERS HAVE THE OPPORTUNITY TO CONTACT MANAGEMENT OR DISCUSS AND ADDRESS CONCERNS AT SUBSEQUENT BOARD MEETINGS. |
| FORM 990, PART VI, QUESTION 12C | THE ORGANIZATION'S ESTABLISHED CONFLICT OF INTEREST POLICIES REQUIRE ANNUAL DISCLOSURE OF ACTUAL AND POTENTIAL CONFLICTS OF INTEREST FOR OFFICERS, DIRECTORS, TRUSTEES, MEMBERS OF BOARD COMMITTEES, ADMINISTRATIVE AND MANAGERIAL EMPLOYEES AS WELL AS ALL EMPLOYEES OF THE PURCHASING DEPARTMENT. IF CIRCUMSTANCES CHANGE DURING THE COURSE OF A YEAR, INTERIM DISCLOSURE IS ALSO REQUIRED OF THE SAME INDIVIDUALS. THE DISCLOSURES OF EMPLOYEES ARE REVIEWED INITIALLY BY THE 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, QUESTION 15B | 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 CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE IN RELATION TO APPROPRIATE COMPARABILITY DATA. COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS DEVELOPED BY THE CEO, EVALUATED AGAINST MARKET DATA, AND REVIEWED AND APPROVED BY THE COMMITTEE. *THE COMMITTEE APPROVES ALL ANNUAL COMPENSATION DECISIONS IN ADVANCE OF THEIR IMPLEMENTATION AND DOCUMENTS ITS DETERMINATIONS AND DISCUSSIONS. *THE COMPENSATION COMMITTEE RELIES UPON A NUMBER OF EXTERNAL RESOURCES AND COMPARISONS, AND ITS ANALYSIS INCLUDES TOTAL COMPENSATION (CASH COMPENSATION PLUS BENEFITS PROVIDED BY THE CARLE FOUNDATION) IN RELATION TO ORGANIZATIONAL PERFORMANCE AND PREVAILING INDUSTRY PRACTICES FOR LIKE RESPONSIBILITIES AT COMPARABLY-SIZED ORGANIZATIONS. THE COMMITTEE HAS ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM SPECIALIZING IN THE NOT-FOR-PROFIT SECTOR WHICH HAS WORKED WITH THE CARLE FOUNDATION AND MAKES ITS REPORTS DIRECTLY AVAILABLE TO THE COMPENSATION COMMITTEE. |
| FORM 990, PART VI, QUESTION 19 | 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 XI, LINE 9 | RICHLAND MEMORIAL HOSPITAL, INC. SETTLED VARIOUS INTERCOMPANY RECEIVABLE/PAYABLE BALANCES THROUGH EQUAL OFFSETTING EQUITY TRANSFERS IN THE AMOUNT OF $-11,832,131. THESE INTERCOMPANY RECEIVABLE/PAYABLE BALANCES RESULT FROM THE NORMAL COURSE OF OPERATIONS AND WERE PRIMARILY ATTRIBUTABLE TO CENTRALIZED CASH MANAGEMENT AND DISBURSEMENT ACTIVITIES. THESE INTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS HELPED PROVIDE SUPPLEMENTAL FUNDING FOR CERTAIN RELATED ORGANIZATIONS TO FURTHER THEIR EXEMPT PURPOSE. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 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 | 61801 | 370673465 | PARENT/INVMGT | IL | 501(c)(3) | 12C, III-FI | NA | false |
| THE CARLE FOUNDATION HOSPITAL | ||||||||||
| 611 W PARK ST | URBANA | IL | 61801 | 371119538 | HOSPITAL SVCS | IL | 501(c)(3) | 3 | TCF | Yes (true) |
| THE CARLE DEVELOPMENT FOUNDATION | ||||||||||
| 611 W PARK ST | URBANA | IL | 61801 | 371159978 | Fundraising | IL | 501(c)(3) | 7 | TCF | Yes (true) |
| CARLE RETIREMENT CENTERS INC | ||||||||||
| 611 W PARK ST | URBANA | IL | 61801 | 371160033 | Retirement | IL | 501(c)(3) | 10 | TCF | Yes (true) |
| CARLE COMMUNITY HEALTH CORPORATION | ||||||||||
| 611 W PARK ST | URBANA | IL | 61801 | 364458371 | FNDN MISSION | IL | 501(c)(3) | 12A, TYPE I | TCDF | Yes (true) |
| HOOPESTON COMMUNITY MEMORIAL HOSPITAL | ||||||||||
| 701 E ORANGE ST | HOOPESTON | IL | 60942 | 363637465 | HOSPITAL SVCS | IL | 501(c)(3) | 3 | TCF | Yes (true) |
| CARLE HEALTH CARE INCORPORATED | ||||||||||
| 611 W PARK ST | URBANA | IL | 61801 | 371140016 | VAR MED SVCS | IL | 501(c)(3) | 10 | TCF | Yes (true) |
| CARLE BROMENN MEDICAL CENTER | ||||||||||
| 611 W Park St | Urbana | IL | 61801 | 850682363 | Hospital svcs | IL | 501c(3) | 3 | TCF | Yes (true) |
| CARLE EUREKA HOSPITAL | ||||||||||
| 611 W Park St | Urbana | IL | 61801 | 850688306 | Hospital SVCS | IL | 501c(3) | 3 | TCF | Yes (true) |
| CARLE CANCER INSTITUTE NORMAL LLC | ||||||||||
| 407 E VERNON AVE | NORMAL | IL | 61761 | 371363717 | Cancer TMNT | IL | 501c(3) | 12a, Type I | TCF | Yes (true) |
| CARLE WEST PHYSICIAN GROUP INC | ||||||||||
| 611 W PARK ST | URBANA | IL | 61801 | 850703768 | Physic. svcs | IL | 501c(3) | 10 | CHCI | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHAMPAIGN SURGICNTR | 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 | SURG CNTR | 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 | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTH SYSTEMS INSURANCE LIMITED | ||||||||||||||
| Governors Square 2nd Floor Bldg 3 | GRAND CAYMEN | CJ | INSURANCE | CJ | N/A | C Corp | Yes (true) | |||||||
| CARLE RISK MANAGEMENT COMPANY | ||||||||||||||
| RISK MANAGEME | N/A | C Corp | Yes (true) | 611 W PARK ST | URBANA | IL | 618012595 | 371217973 | IL | |||||
| EVALIDATA INC | ||||||||||||||
| PHYS CREDENTI | N/A | C Corp | Yes (true) | 611 W PARK ST | URBANA | IL | 618012595 | 462022658 | IL | |||||
| CHA HOLDING INC | ||||||||||||||
| HOLDING COMPA | N/A | C Corp | Yes (true) | 3310 SOUTH FIELDS DR | CHAMPAIGN | IL | 61822 | 471854275 | IL | |||||
| CARLE HOLDING COMPANY INC | ||||||||||||||
| HOLDING COMPA | N/A | C Corp | Yes (true) | 611 W PARK ST | URBANA | IL | 618012595 | 371188284 | IL | |||||
| HEALTH ALLIANCE MEDICAL PLANS INC | ||||||||||||||
| HEALTH COVERA | N/A | C Corp | Yes (true) | 3310 SOUTH FIELDS DR | CHAMPAIGN | IL | 61822 | 371260731 | IL | |||||
| HEALTH ALLIANCE CONNECT INC | ||||||||||||||
| HEALTH CARE C | N/A | C Corp | Yes (true) | 3310 SOUTH FIELDS DR | CHAMPAIGN | IL | 61822 | 464796891 | IL | |||||
| HEALTH ALLIANCE NORTHWEST HOLDING INC | ||||||||||||||
| HOLDING COMPA | N/A | C Corp | Yes (true) | 820 N CHELAN AVE | WENATCHEE | WA | 98801 | 461717578 | WA | |||||
| HEALTH ALLIANCE NORTHWEST HLTH PLAN INC | ||||||||||||||
| HEALTH COVERA | N/A | C Corp | Yes (true) | 820 N CHELAN AVE | WENATCHEE | WA | 98801 | 461966323 | WA | |||||
| HEALTH ALLIANCE-MIDWEST INC | ||||||||||||||
| HEALTH COVERA | N/A | C Corp | Yes (true) | 3310 SOUTH FIELDS DR | CHAMPAIGN | IL | 61822 | 371354502 | IL | |||||
| CARLE VENTURES INC | ||||||||||||||
| HC PARTNERSHI | C-CORP | Yes (true) | 611 W PARK ST | URBANA | IL | 618012595 | 371313150 | IL | TCF | |||||
| CARLE HEALTH PHYSICIAN PARTNERS INC | ||||||||||||||
| PHYSICIAN SVC | C-CORP | Yes (true) | 611 W PARK ST | URBANA | IL | 618012595 | 850718392 | IL | TCF | |||||
| FIRST CAROLINA CARE INSURANCE COMPANY | ||||||||||||||
| INSURANCE | C-CORP | Yes (true) | 42 Memorial Drive | Pinehurst | NC | 28374 | 331160597 | IL | CHA Holding | |||||
| 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 | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| THE CARLE DEVELOPMENT FOUNDATION | ||
| C | $77,844 | BOOK |
| HEALTH ALLIANCE MEDICAL PLANS | ||
| L | $462,434 | BOOK |
| HEALTH ALLIANCE MEDICAL PLANS | ||
| L | $1,271,602 | BOOK |
| HEALTH SYSTEMS INSURANCE LIMITED | ||
| M | $136,729 | BOOK |
| CHAMPAIGN SURGICENTER LLC | ||
| R | $72,236 | BOOK |
| THE CARLE FOUNDATION HOSPITAL | ||
| S | $193,835 | BOOK |