RICHLAND MEMORIAL HOSPITAL INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: RICHLAND MEMORIAL HOSPITAL INC (EIN 37-1363001)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-15
IRS object ID: 202103199349325605
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

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

Return header
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	2021-11-15T16:45:11-06:00	ReturnTs
Tax Period End	2020-12-31	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 CIRCLE4000	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46204	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	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	EVP/CFO	PersonTitleTxt
Phone	6183952131	PhoneNum
Signature	2021-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

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

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JENNIFER D RHODERICK	PreparerPersonNm
PTIN	P00395735	PTIN
Phone	3176817000	PhoneNum
Preparation	2021-11-10	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2020	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	$56,853,422	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	11	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	582	TotalEmployeeCnt
Total Volunteers	49	TotalVolunteersCnt
Total Gross UBI	$216,167	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$25,000	PYContributionsGrantsAmt
CY Contributions Grants	$8,928,295	CYContributionsGrantsAmt
PY Program Service Revenue	$54,499,558	PYProgramServiceRevenueAmt
CY Program Service Revenue	$45,322,924	CYProgramServiceRevenueAmt
PY Investment Income	$78,830	PYInvestmentIncomeAmt
CY Investment Income	$120,538	CYInvestmentIncomeAmt
PY Other Revenue	$918,823	PYOtherRevenueAmt
CY Other Revenue	$518,657	CYOtherRevenueAmt
PY Total Revenue	$55,522,211	PYTotalRevenueAmt
CY Total Revenue	$54,890,414	CYTotalRevenueAmt
PY Grants And Similar Paid	$45,584	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$26,017	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$38,718,242	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$28,430,416	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$27,450,692	PYOtherExpensesAmt
CY Other Expenses	$31,659,047	CYOtherExpensesAmt
PY Total Expenses	$66,214,518	PYTotalExpensesAmt
CY Total Expenses	$60,115,480	CYTotalExpensesAmt
PY Revenues Less Expenses	-$10,692,307	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$5,225,066	CYRevenuesLessExpensesAmt
Total Assets BOY	$29,782,143	TotalAssetsBOYAmt
Total Assets EOY	$53,443,489	TotalAssetsEOYAmt
Total Liabilities BOY	$21,945,001	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$18,464,663	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$7,837,142	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$34,978,826	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	$47,659,223	ExpenseAmt
Grant	$26,017	GrantAmt
Revenue	$45,433,203	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$47,659,223	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	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	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	58	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	582	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	6	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	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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 (23 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	$4,774,129	$512,006
Dennis Hesch
Exec VP & CFO	1.0	39.0	Yes (X)	$0	$1,470,712	$354,224
JOHN SNYDER
Officer - Former	0.0	0.0		$0	$1,249,113	$19,119	Yes (X)
MATTHEW KOLB
Trustee, EVP, & COO	5.0	35.0	Yes (X)	$0	$975,723	$292,435		Yes (X)
LAUREN SCHMID
EXEC VP, CHIEF HR OFFICER	1.0	39.0		$0	$561,506	$148,044			Yes (X)
HARRY BROCKUS
CEO	39.0	1.0	Yes (X)	$0	$423,935	$110,230
SALLY SALMONS MD
TRUSTEE & PHYSICIAN	2.0	38.0		$0	$434,280	$80,286		Yes (X)
H TIMOTHY GARRETT DO
TRUSTEE & PHYSICIAN	40.0	0.0		$0	$384,654	$42,081		Yes (X)
John Wall
CRNA LEAD - RMH ANESTH	40.0	0.0		$243,405	$0	$46,337				Yes (X)
John Allen
CRNA - RMH Anesth	40.0	0.0		$236,797	$0	$45,337				Yes (X)
Benjamin Curtis
CRNA - RMH Anesth	40.0	0.0		$226,499	$0	$43,802				Yes (X)
Thomas Falcone
CRNA - RMH Anesth	40.0	0.0		$219,402	$0	$47,665				Yes (X)
Regina Thomas
CNO & DIR PATIENT CARE SVS	40.0	0.0		$209,856	$0	$31,577			Yes (X)
Ruth Madawick
Interim Director-Reg Devl	40.0	0.0		$173,865	$0	$13,693				Yes (X)
CHRISTINA BARE
DIRECTOR OF BUSINESS OPS	40.0	0.0		$165,330	$0	$12,848			Yes (X)
CAROL SCHAFER
TRUSTEE	1.0	0.0		$0	$0	$0		Yes (X)
DAN EICHELBERGER
CHAIR OF THE BOARD	1.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
Gary Houchin
TRUSTEE	1.0	0.0		$0	$0	$0		Yes (X)
JASON GLOVER
SECRETARY/ TREASURER	1.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
Jennifer Cummins-Zuber
TRUSTEE	1.0	0.0		$0	$0	$0		Yes (X)
ROB MCCLAIN
VICE CHAIR 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-BOOKHOUT DDS
TRUSTEE	1.0	0.0		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,475,154	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$10,274,052	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,799,684	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	32	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
GRUNLOH CONSTRUCTION INC
PO Box 684	EFFINGHAM	IL	62401	Construction	$2,519,957
RESOLUTION CONSULTING INC
PO Box 270903	LOUISVILLE	CO	80027	AR Collections	$854,451
SODEXHO
PO Box 360170	PITTSBURGH	PA	152516170	CONSULTING SERVICES	$679,193
OTIS ELEVATOR COMPANY
PO BOX 73579	CHICAGO	IL	606737579	ELEVATOR SERVICES	$287,372
QUEST DIAGNOSTICS
PO Box 772976	CHICAGO	IL	606770276	lab SERVICES	$275,484

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	19	CntrctRcvdGreaterThan100KCnt
Related Organizations	$5,382	RelatedOrganizationsAmt
Government Grants	$8,922,913	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Noncash Contributions	$1,757	NoncashContributionsAmt
Total Contributions	$8,928,295	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	622110	$45,312,317	$45,312,317
RENT FROM RELATED ORGS	523000	$10,264	$10,264
ALL OTHER PROGRAM SERVICES REVENUE	900099	$343	$343

Field	Value	IRS element (for citing)
Total Program Service Revenue	$45,322,924	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$106,097	TotalRevenueColumnAmt
Exclusion	$106,097	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

Less Rental Expenses LessRentalExpensesGrp

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

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$804,851	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$790,410	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$14,441	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,441	TotalRevenueColumnAmt
Exclusion	$14,441	ExclusionAmt

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	$1,260,430	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$1,172,598	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$87,832	TotalRevenueColumnAmt
Unrelated Business Revenue	$87,832	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA SERVICES	722331	$175,001	$175,001
LAUNDRY SERVICES	812331	$106,467		$106,467
CATERING REVENUE	722320	$21,868		$21,868

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$127,489	TotalRevenueColumnAmt
Related Or Exempt Func Income	$110,279	RelatedOrExemptFuncIncomeAmt
Exclusion	$17,210	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$430,825	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$54,890,414	TotalRevenueColumnAmt
Related Or Exempt Func Income	$45,433,203	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$216,167	UnrelatedBusinessRevenueAmt
Exclusion	$312,749	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	$17,017	TotalAmt
Program Services	$17,017	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$9,000	TotalAmt
Program Services	$9,000	ProgramServicesAmt

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	$442,125	TotalAmt
Program Services	$442,125	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$206,226	TotalAmt
Program Services	$206,226	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$22,332,695	TotalAmt
Program Services	$17,595,741	ProgramServicesAmt
Management And General	$4,736,954	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,461,383	TotalAmt
Program Services	$956,149	ProgramServicesAmt
Management And General	$505,234	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,178,552	TotalAmt
Program Services	$1,756,717	ProgramServicesAmt
Management And General	$421,835	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,809,435	TotalAmt
Program Services	$1,313,531	ProgramServicesAmt
Management And General	$495,904	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	$79,000	TotalAmt
Management And General	$79,000	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$5,054	TotalAmt
Management And General	$5,054	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$2,698	TotalAmt
Management And General	$2,698	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	$1,274,957	TotalAmt
Program Services	$246,353	ProgramServicesAmt
Management And General	$1,028,604	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,619	TotalAmt
Management And General	$1,619	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,004,450	TotalAmt
Program Services	$1,329,666	ProgramServicesAmt
Management And General	$674,784	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$93,205	TotalAmt
Program Services	$57,166	ProgramServicesAmt
Management And General	$36,039	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$895,980	TotalAmt
Program Services	$674,018	ProgramServicesAmt
Management And General	$221,962	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$88,767	TotalAmt
Program Services	$69,146	ProgramServicesAmt
Management And General	$19,621	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	$52,332	TotalAmt
Program Services	$30,290	ProgramServicesAmt
Management And General	$22,042	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$301,635	TotalAmt
Program Services	$208,659	ProgramServicesAmt
Management And General	$92,976	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,586,758	TotalAmt
Program Services	$1,300,565	ProgramServicesAmt
Management And General	$1,286,193	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$329,964	TotalAmt
Program Services	$303,687	ProgramServicesAmt
Management And General	$26,277	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
OTHER PURCHASED SERVICES	$3,193,353	$1,326,062	$1,867,291
PATIENT CARE SUPPLIES	$3,810,369	$3,810,369
INTERNAL PURCHASED SERVS	$5,819,377	$5,815,377	$4,000
PROVIDER ASSESSMENT TAX	$2,343,847	$2,343,847

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,775,682	TotalAmt
Program Services	$7,847,512	ProgramServicesAmt
Management And General	$928,170	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$60,115,480	TotalAmt
Program Services	$47,659,223	ProgramServicesAmt
Management And General	$12,456,257	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	$1,317,147	BOYAmt
EOY	$23,021,800	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	$7,303,754	BOYAmt
EOY	$7,527,209	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	$1,103,347	BOYAmt
EOY	$658,741	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$873,309	BOYAmt
EOY	$893,260	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$446,922	BOYAmt
EOY	$211,758	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$62,297,038	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$41,384,330	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$18,054,179	BOYAmt
EOY	$20,912,708	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	$683,485	BOYAmt
EOY	$218,013	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$29,782,143	BOYAmt
EOY	$53,443,489	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$9,019,392	BOYAmt
EOY	$5,610,116	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	$0	BOYAmt
EOY	$1,985,272	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	$5,696,073	BOYAmt
EOY	$5,355,558	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	$7,229,536	BOYAmt
EOY	$5,513,717	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$21,945,001	BOYAmt
EOY	$18,464,663	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	$7,425,293	BOYAmt
EOY	$34,978,826	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$411,849	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,837,142	BOYAmt
EOY	$34,978,826	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$29,782,143	BOYAmt
EOY	$53,443,489	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$5,225,066	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$32,366,750	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	$2,698	OtherActivitiesAmt
Total Lobbying Expenditures	$2,698	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	$2,021 - PORTION OF ILLINOIS HOSPITAL ASSOCIATION (IHA) DUES ATTRIBUTABLE TO LOBBYING. $677 - PORTION OF MISCELLANEOUS 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	$33,064,433	OtherCostOrOtherBasisAmt
Depreciation	$20,472,672	DepreciationAmt
Book Value	$12,591,761	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,347,322	OtherCostOrOtherBasisAmt
Depreciation	$20,386,425	DepreciationAmt
Book Value	$6,960,897	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$880,164	OtherCostOrOtherBasisAmt
Depreciation	$525,233	DepreciationAmt
Book Value	$354,931	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$20,912,708	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO BLUE CROSS	$2,471,622
OPERATING LEASE LIABILITY	$24,335
ASSET RETIREMENT OBLIGATION	$3,017,760

Field	Value	IRS element (for citing)
Total Liability	$5,513,717	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, 2020 AND 2019.	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	$991,348	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$991,348	NetCommunityBenefitExpnsAmt
Total Expense	0.01650	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,708,127	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,192,405	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,515,722	NetCommunityBenefitExpnsAmt
Total Expense	0.14170	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,699,475	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,192,405	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,507,070	NetCommunityBenefitExpnsAmt
Total Expense	0.15820	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,101	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,101	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$170,941	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$170,941	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,498,399	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,498,399	NetCommunityBenefitExpnsAmt
Total Expense	0.09150	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,250	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$40,250	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,713,691	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,713,691	NetCommunityBenefitExpnsAmt
Total Expense	0.09510	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,413,166	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,192,405	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,220,761	NetCommunityBenefitExpnsAmt
Total Expense	0.25330	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,250	TotalCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,250	TotalCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	-$581,303	BadDebtExpenseAmt
Bad Debt Expense Attributable	-$290,652	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$14,081,083	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$21,447,235	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,366,152	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	18	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	18	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
FACILITY 1, RICHLAND MEMORIAL HOSPITAL, PART V, Section A, Line 1	Primary Website - https://carle.org/locations/carle-richland-memorial-hospital FACILITY 1, RICHLAND MEMORIAL HOSPITAL, PART V, LINE 3E The needs identified and prioritized throughout the 2018 CHNA carried forward variants of previous CHNAs and added others. The identified and prioritized needs selected include: 1) Access to mental health services 2) Access to dental care for youth and adults 3) Improved access to prevention, treatment, and recovery resources for substance abuse for youth and adults. 4) Access to case managers 5) Transportation 6) After hour and weekend access to care FACILITY 1, RICHLAND MEMORIAL HOSPITAL - PART V, SECTION B, LINE 5 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. Richland Memorial Hospital, Inc. (RMH) conducted its first CHNA in 2013 and second in 2016. The 2018 CHNA was conducted in June, July, and august of 2018. This community health needs assessment and implementation plan of RMH was approved by the board of trustees on the 13th day of October, 2018. RMH led the planning, implementation, and completion of the community health needs assessment through a consulting arrangement with the Illinois critical access hospital network. Terry Madsen, an ICAHN consultant, attorney, and former educator and community development specialist, met with hospital executive staff to define the community, scope of the project, and special needs and concerns. An internal working group, possible local sources for secondary data and key external contacts were identified, and a timeline was established. For the 2018 CHNA, qualitative data was reviewed to help validate the selection of health priorities. In alignment with IRS treasury notice 2011-52,2 and the subsequent final rules reported at 79 FR 78953, the qualitative/primary data received and reviewed included primary input from (1) at least one state, local, tribal, or regional governmental public health department (or equivalent department or agency) with knowledge, information, or expertise relevant to the health needs of the community and, (2) members of medically underserved, low-income, and minority populations in the community, or individuals or organizations serving or representing the interests of such populations. Data was also gathered representing the broad interests of the community. The hospital took into account input from persons who represent the broad interests of the community served by the hospital, including those with special knowledge of, or expertise in public health (local, regional, state and/or tribal). Members of medically underserved, low-income, and minority populations served by the hospital or individuals or organizations representing the interests of such populations also provided input. The medically underserved are members of a population who experience health disparities, are at risk of not receiving adequate medical care as a result of being uninsured or underinsured, and/or experiencing barriers to health care due to geographic, language, financial or other barriers. Members of the CHNA steering committee, those who both participated in focus groups and the needs identification and prioritization process, were chosen based on their unique expertise and experience, informed perspectives and involvement with the community. The organizations and persons that participated are: NAPOLEON KNIGHT, MD - EMERGENCY MEDICAL DIRECTOR, CARLE FELICIA NOHREN - RICHLAND COUNTY SHERIFF DEPARTMENT SARA BUEHNERKEMPER - RICHLAND COUNTY ADDICTIONS PREVENTION COALITION ANDI PAMPE - OLNEY CENTRAL COLLEGE SHERRY SLANKARD - RICHLAND COUNTY SCHOOL DISTRICT, SOCIAL SERVICES TIM LOOMIS - RICHLAND COUNTY MINISTERIAL ASSOCIATION SYLVIA LANCASTER - EMBARRASS RIVER BASIN AGENCY PAT STALEY - EMBARRASS RIVER BASIN AGENCY LINDA BOOKWALTER - STOPPING WOMEN ABUSE NOW (SWAN) LISA TOTTEN - DEPARTMENT OF HUMAN SERVICES DEANNA MITCHELL - RICHLAND COUNTY HOUSING AUTHORITY DEBORAH LAMB - RICHLAND COUNTY TB & HEALTH OFFICE LEEANN HYDER - CRAWFORD COUNTY HEALTH DEPARTMENT BRENT TODD - LINCOLN TRAIL COLLEGE KENDRA GROUNDS - WABASH COUNTY HEALTH DEPARTMENT MELISSA SEMPLE - JASPER COUNTY SCHOOL DISTRICT ANDREW JOHNSON - JASPER COUNTY SCHOOL DISTRICT JEANNIE JOHNSON - JASPER COUNTY HEALTH DEPARTMENT WILLARD ANDERSON - THE MASTER'S HANDS AMY MARLEY - LAWRENCE COUNTY HEALTH DEPARTMENT KAYCEE MILLER - RIDES MASS TRANSIT DISTRICT DANA HAGERSTROM - CARLE HEALTH SYSTEM JENNIFER HENDRICKS-KAUFMANN - CARLE HEALTH SYSTEM TARA LEMKE - RICHLAND MEMORIAL HOSPITAL, INC. ERIC TOLIVER - RICHLAND MEMORIAL HOSPITAL, INC. DEBORAH RIDDLE - JASPER COUNTY HEALTH DEPARTMENT HOLLY O'BRIEN - HOME HEALTH/HOSPICE OF SE IL PART V, SECTION C, LINES 7a & 10 The CHNA and implementation strategy are available at https://www.carle.org/chna
PART V, SECTION C, LINE 11	HEALTH NEEDS SELECTED THE NEEDS IDENTIFIED AND PRIORITIZED THROUGHOUT THE 2018 CHNA CARRIED FORWARD VARIANTS OF PREVIOUS CHNAS AND ADDED OTHERS. THE IDENTIFIED AND PRIORITIZED NEEDS SELECTED INCLUDE: 1) ACCESS TO MENTAL HEALTH SERVICES 2) ACCESS TO DENTAL CARE FOR YOUTH AND ADULTS 3) IMPROVED ACCESS TO PREVENTION, TREATMENT, AND RECOVERY RESOURCES FOR SUBSTANCE ABUSE FOR YOUTH AND ADULTS. 4) ACCESS TO CASE MANAGERS 5) TRANSPORTATION 6) AFTER HOUR AND WEEKEND ACCESS TO CARE Behavioral health has been considered a major need in the hospital's service area. Until 2017, RMH had an inpatient psychiatric unit, but due to lack of a psychiatrist, it had to be closed. Since then, the hospital has been working on finding outpatient psychiatric providers. In 2018, RMH hired a psychiatric nurse practitioner (PNP). In 2019, RMH hired an additional psychiatric nurse practitioner (PNP) to continue its commitment to the field. The hospital is currently recruiting more PNPs and anticipates adjusting space meant for mental health services in 2020 to a 'private suite' model in order to focus on safety and security of patients. In 2019, RMH also began offering mental health first aid programs to local businesses and organizations. To address the need for improved access to healthcare services, the RMH opened the Newton Clinic in Jasper County in 2013. When it opened, it employed a family nurse practitioner (FNP), a nurse practitioner (NP), a women's health NP, and over the last few years, has added a pediatric NP, general surgery consults, and orthopedic consults. In 2019, the newton clinic provided family practice and pediatrics services. In 2015, RMH purchased the West Salem Rural Health Clinic in Edwards County. The clinic was already established in the area with a family practice physician and a FNP, and the hospital added another FNP. In 2019 the clinic is housed one physician and two FNPs. The hospital opened a primary care clinic on main street in Olney in 2017. It has been successful utilizing one family medicine/OB physician and one FNP. Both providers are natives of the community. This location is also where a convenient care clinic opened at the beginning of September 2017, providing walk-in only care to patients seven days a week. This clinic has proven to be a significant asset to the community, and continues to provide a long-sought solution to an identified need of past and current CHNAs. In 2019, RMH expanded hours, and added a full time nurse practitioner to the location to meet the growing needs and utilization of the community. RMH has continued to care for needs of the community through the better breathers club, which is hosted monthly by the respiratory therapy department. Those with COPD are encouraged to attend and learn ways they can best manage their disease, including "harmonica therapy." RMH works to check in regularly with the members of this club to ensure ongoing best practices and safety. The hospital added a cardiology clinic in 2017 which in 2019 housed a cardiologist and a cardiology NP. This service has allowed RMH to bring a service to the community that had not previously been available. In 2019, patients travelled from across RMH's service area and beyond to access this care. In January of 2018, doctors for the emergency room transitioned to a group provided by Carle health system. 2019 continues to show the transition to have improved services, according to patients and staff. Integration with the Carle health System in April 2017 has led to many partnerships and easier transition of care for patients who have health issues that require further evaluation. This integration has also helped resolve many identified local health needs in significant ways. In 2019, the new Carle relationship continued to improve local health circumstances for all patients, especially those who may have been underserved in the past. RMH also contributed a significant amount of cash and in-kind donations to the community in 2019. Community-building activities focused on economic development, 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 more than $28,000 in cash donation in 2019, RMH leadership provided in-kind support of over $19,000 by serving on numerous community boards and committees. The CHNA is influenced by circumstances and conditions that existed prior to the integration with the Carle Health System. The CHNA is also influenced by the large rural service area of RMH. In addition, it is noted that local health conditions are possibly impacted by the fact that Richland County and Edwards County are the only counties in Illinois that have no local health department. The needs identified and prioritized throughout the 2018 CHNA carried forward variants of previous CHNAs and added others. The identified and prioritized needs selected include: 1) access to mental health services, including: A. Access to inpatient mental health care, especially for patients that rely on Illinois Medicaid B. Access to all levels of mental health services for youth, especially youth on medical cards C. Better public information about available mental health services and resources, especially for college age young adults D. Local access to a psychiatrist E. Access to outpatient mental health services, including counselors 2) access to dental care for youth and adults that are uninsured, underinsured, or reliant on Medicaid or medical card; 3) improved access to prevention, treatment, and recovery resources for substance abuse for youth and adults; 4) access to case managers to help patients with transition of care, transportation, and other issues 5) transportation, including; A. Addressing transportation needs of patients that arrive at the hospital via ambulance or another means that is not available to return them home B. Better information about how to obtain transportation to and from healthcare 6) after hour and weekend access to care. The implementation plan developed by the senior staff at RMH is specific and thorough. The plan, set out in the report, includes these highlights: 1. Partnering with Carle Foundation Hospital to provide mental healthcare at the pavilion behavioral health system, begin tele-psychiatry services, and to improve mental health services for youth 2. Encouraging a dental care partnership among outside local providers 3. Continuing to support local substance abuse prevention coalitions and other community-based efforts to address substance misuse and disorders, recovery, And rehabilitation 4. Working with community groups to sponsor substance abuse awareness events 5. Continuing to utilize the Carle addiction recovery center 6. Exploring additional case manager services 7. Partnering with public transportation to improve access information 8. Creating evening and weekend clinic services While there are a number of additional concerns identified by the focus groups including adult day cares, non-emergency transportation, diabetes, and vision care, RMH will not focus on addressing those challenges at this time. The hospital and implementation committee determined these issues are lower priority because the needs are not as significant, they are not central to the hospital's mission, and/or RMH does not have the ability to make a measurable impact in those areas. have the ability to make a measurable impact in those areas.
PART V, SECTION C, LINE 16	The financial assistance policy, application form, and plain language summary is available at https://www.carle.org/chna

Field	Value	IRS element (for citing)
Facility	10	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
OUTPATIENT THERAPY
800 E LOCUST ST	OLNEY	IL	62450	OUTPATIENT THERAPY
HOME HEALTH
800 E LOCUST ST	OLNEY	IL	62450	HOME HEALTH AGENCY
RMH PROFESSIONAL SERVICES
1200 N EAST ST	OLNEY	IL	62450	PHYSICIAN PRACTICE (GENERAL SURGERY)
HOSPICE
800 E LOCUST ST	OLNEY	IL	62450	HOSPICE SERVICES
RMH PROFESSIONAL SERVICES - ENT
800 E LOCUST ST	OLNEY	IL	62450	PHYSICIAN PRACTICE (EAR, NOSE THROAT)
RMH PROFESSIONAL SERVICES
1200 N EAST ST	OLNEY	IL	62450	PHYSICIAN PRACTICE (UROLOGY, ORTHO, FAMILY Practice)
RMH PROFESSIONAL SERVICES - PRIMARY
800 E LOCUST ST	OLNEY	IL	62450	PRIMARY CARE PHYSICIANS
WEST SALEM HEALTH CLINIC
100 S MAIN ST	WEST SALEM	IL	62476	RURAL HEALTH CLINIC
JASPER COUNTY MEDICAL CENTER
500 S SCOTT AVE	NEWTON	IL	62448	PRIMARY CARE
CARLE - RICHLAND PRIMARY CARE
605 E MAIN ST	OLNEY	IL	62450	PRIMARY CARE

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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: $90,164 FOR HOSPITAL OUTPATIENT SERVICES, $1,760,370 FOR EMERGENCY ROOM, AND $3,647,865 FOR WOMEN'S AND CHILDREN'S CARE. PART I, LINE 7 - 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 OCCURRED. ACCOUNTS DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE WERE PROCESSED IMMEDIATELY FOR FINANCIAL ASSISTANCE DISCOUNT WITH NO COLLECTION EFFORT. FOR ACCOUNTS WITH INSUFFICIENT INFORMATION AND DOCUMENTATION TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY, THE RICHLAND MEMORIAL 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 RICHLAND MEMORIAL HOSPITAL FURTHER DEVELOPED A GENERAL ESTIMATE OF FINANCIAL ASSISTANCE WHICH CONTINUED TO RESIDE WITHIN BAD DEBTS. SCHEDULE H, PART II A LARGE PORTION OF RICHLAND MEMORIAL HOSPITAL'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 $28,000 IN CASH DONATIONS, LEADERSHIP PROVIDED IN-KIND SUPPORT OF OVER $11,000 BY SERVING ON NUMEROUS COMMUNITY BOARDS AND COMMITTEES. Part III, Lines 2 & 3 Due to correction of a billing issue within Revenue Cycle activities, patient accounts previously generating bad debt expense were corrected and properly recorded as Medicaid contractuals. 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 9B - COLLECTION PRACTICES EXPLANATION	RMH applies its collection practices equally to all patients, both those eligible for financial assistance and those that arent 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. A. Private pay accounts will receive a statement within nine days of the discharge date. B. Accounts with a patient portion after insurance will be eligible to receive a statement approximately fourteen days after the insurance payment has been posted. C. Twenty-eight days later the patient is mailed a third statement D. Twenty-eight days later the patient is mailed the first collection letter E. Twenty-eight days later the patient is mailed the final collection letter F. 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 2018 CHNA IT WILL CONTINUE TO BE A PRIORITY FOR CARLE. AS A TAX-EXEMPT ORGANIZATION, CARLE RICHLAND MEMORIAL HOSPITAL PROVIDES CARE TO PATIENTS REGARDLESS OF 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 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. REPRESENTATIVES FROM CARLE HEALTH PUBLIC RELATIONS, PATIENT FINANCIAL SERVICES, REGISTRATION, CASE MANAGEMENT AND INSURANCE CONTRACTING DEPARTMENTS CONTINUED TO MEET WITH THE LOCAL COMMUNITY COALITION OF THE CHAMPAIGN COUNTY HEALTH CARE CONSUMERS - SIX TIMES IN 2020 - INCLUDING REPRESENTATION FROM THE LAND OF LINCOLN LEGAL ASSISTANCE FOUNDATION. WE VALUE THIS REGULAR OPPORTUNITY FOR COMMUNITY DIALOGUE, WHICH WAS INITIATED MORE THAN A DECADE AGO. WE ALSO CONTINUED MEETING ON A REGULAR BASIS WITH REPRESENTATIVES OF THE LOCAL FREE CLINICS AND FQHC TO DISCUSS OPERATIONAL ISSUES. THIS DIALOGUE IS AN EFFECTIVE CHANNEL FOR LEARNING MORE ABOUT THEIR PATIENTS' EXPERIENCE IN OBTAINING FREE AND DISCOUNTED CARE. OTHER WAYS TO HELP IMPROVE ACCESS TO CARE: IN ADDITION TO CHARITY CARE, CARLE SUPPORTS A WIDE RANGE OF PROGRAMS AND SERVICES TO INCREASE COMMUNITY CAPACITY, HEALTH CARE WORK FORCE EXPANSION, AND SOCIAL SERVICES THAT PROVIDE COMPLEMENTARY HEALTHCARE-RELATED SERVICES. CARLE RICHLAND MEMORIAL HOSPITAL HAS, AND WILL CONTINUE TO, PURSUE THESE INITIATIVES TO IMPROVE ACCESS TO CARE: 1. OFFER A CHARITY CARE PROGRAM 2. COMMUNICATE THE AVAILABILITY OF THE CHARITY CARE PROGRAM 3. RECRUIT MORE PROVIDERS INTO THE CARLE SYSTEM, THEREBY EXPANDING ACCESS/CAPACITY 4. SUPPORT LOCAL COMMUNITY CLINICS TO ENSURE ADDED LOCAL CAPACITY FOR HEALTH CARE 5. SUPPORT PROMISE HEALTH TO ENSURE CAPACITY FOR DENTAL CARE AND PRIMARY CARE 6. SUPPORT UNITED WAY AND OTHER AREA AGENCIES TO IMPROVE AVAILABILITY OF HEALTH SERVICES 7. DONATE TO EXISTING COMMUNITY HEALTH AND DENTAL PROGRAMS 8. PARTICIPATE IN POPULATION HEALTH INITIATIVES THAT ACTIVELY MANAGE THE HEALTH OF MEMBERS 9. SUPPORT OF ECHO/CAOS HEARING PROGRAMS TO EXPAND ACCESS TO THESE SERVICES 10. SUPPORT PARKLAND STUDENTS IN HEALTH CARE FIELDS; GME PROGRAMS TO GROW NUMBER OF FUTURE PHYSICIANS 11. PROMOTE PRESCRIPTION AFFORDABILITY AS A 340B PROVIDER 12. 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 13. CONTINUE ACCESS TO CARE THROUGH SUBSIDIZED SERVICES, INCLUDING THE FAITH COMMUNITY NURSE PROGRAM, BREASTFEEDING CLINIC AND LANGUAGE ASSISTANCE SERVICES
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 USING PRINT, BILLBOARDS AND WEB; 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 STAFF AT FRANCES NELSON HEALTH CENTER OPERATED BY PROMISE HEALTHCARE, THE LOCAL FQHC, AND COMMUNITY FREE CLINICS EQUIPPED WITH A SUPPLY OF APPLICATIONS AND KNOWLEDGE TO ASSIST THEIR PATIENTS IN COMPLETING THEM MEETINGS WITH LOCAL LEGISLATORS TO HELP THEM ASSIST CONSTITUENTS WITH HEALTHCARE NEEDS, INCLUDING FINANCIAL ASSISTANCE
PART VI, LINE 4 - COMMUNITY INFORMATION	RMH defined its primary service area and populations as the general population within the geographic area in and surrounding the city of Olney including eight southeastern Illinois counties. The hospitals patient population includes all who receive care, without regard to insurance coverage or eligibility for assistance. RMHs service area is comprised of approximately 3,178 square miles, with a population of approximately 107,185 and a population density of 34 people per square mile. We provide services to patients without regard to age, sex, race, color, national origin, religious creed, gender identity, sexual orientation, disability, insurance coverage or ability to pay. The population of RMH 's service area is economically disadvantaged making it more difficult to afford healthcare. Furthermore, there is no health department in Richland County making the hospital the primary source for healthcare services and health education. Poverty is considered a key driver of health status. In the RMH service area, 13.34% or 13,346 individuals are living in households with income below the federal poverty level (FPL). This indicator is relevant because poverty creates barriers to access including health services, healthy food, and other necessities that contribute to poor health status.
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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Health Care Career Awards	GrantTypeTxt
Recipient	9	RecipientCnt
Cash Grant	$9,000	CashGrantAmt
Valuation Method Used	CASH	ValuationMethodUsedDesc

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 (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JARROD ALMAROAD MD
TRUSTEE & PHYSICIAN	$0	$952,921	$0	$1,000	$0	$2,502	$0	$22,896	$0	$20,819	$0	$1,000,138	$0	$0
JOHN SNYDER
Officer - Former	$0	$0	$0	$148,498	$0	$1,100,615	$0	$0	$0	$19,119	$0	$1,268,232	$0	$1,081,496
CHRISTINA BARE
DIRECTOR OF BUSINESS OPS	$150,478	$0	$14,568	$0	$284	$0	$12,100	$0	$748	$0	$178,178	$0	$0	$0
HARRY BROCKUS
CEO	$0	$321,561	$0	$46,717	$0	$55,657	$0	$87,567	$0	$22,663	$0	$534,165	$0	$45,046
Regina Thomas
CNO & DIR PATIENT CARE SVS	$179,787	$0	$26,588	$0	$3,481	$0	$16,125	$0	$15,452	$0	$241,433	$0	$0	$0
Dennis Hesch
Exec VP & CFO	$0	$885,848	$0	$286,489	$0	$298,375	$0	$335,530	$0	$18,694	$0	$1,824,936	$0	$272,173
James C Leonard MD
Ex-Officio, President & CEO	$0	$1,419,366	$0	$486,297	$0	$2,868,466	$0	$512,006	$0	$0	$0	$5,286,135	$0	$2,824,169
John Allen
CRNA - RMH Anesth	$212,623	$0	$6,630	$0	$17,544	$0	$19,101	$0	$26,236	$0	$282,134	$0	$0	$0
Benjamin Curtis
CRNA - RMH Anesth	$209,184	$0	$6,132	$0	$11,183	$0	$17,792	$0	$26,010	$0	$270,301	$0	$0	$0
H TIMOTHY GARRETT DO
TRUSTEE & PHYSICIAN	$0	$340,864	$0	$37,050	$0	$6,740	$0	$22,896	$0	$19,185	$0	$426,735	$0	$0
MATTHEW KOLB
Trustee, EVP, & COO	$0	$760,841	$0	$138,991	$0	$75,891	$0	$266,294	$0	$26,141	$0	$1,268,158	$0	$52,128
SALLY SALMONS MD
TRUSTEE & PHYSICIAN	$0	$358,708	$0	$53,491	$0	$22,081	$0	$64,554	$0	$15,732	$0	$514,566	$0	$14,923
LAUREN SCHMID
EXEC VP, CHIEF HR OFFICER	$0	$405,864	$0	$86,659	$0	$68,983	$0	$123,893	$0	$24,151	$0	$709,550	$0	$45,789
Thomas Falcone
CRNA - RMH Anesth	$205,343	$0	$6,121	$0	$7,938	$0	$17,827	$0	$29,838	$0	$267,067	$0	$0	$0
Ruth Madawick
Interim Director-Reg Devl	$56,040	$0	$15,484	$0	$102,341	$0	$6,289	$0	$7,404	$0	$187,558	$0	$0	$0
John Wall
CRNA LEAD - RMH ANESTH	$225,810	$0	$6,957	$0	$10,638	$0	$19,692	$0	$26,645	$0	$289,742	$0	$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	JOHN SNYDER RECEIVED SEVERANCE PAYMENTS IN 2020 IN THE AMOUNT OF $1,081,496. RUTH MADAWICK RECEIVED SEVERANCE PAYMENTS IN 2020 IN THE AMOUNT OF $80,413.
Schedule J, Part I, Question 4B	THE 2020 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 (OFFICER), DENNIS HESCH (OFFICER), MATTHEW KOLB (TRUSTEE), JAMES LEONARD, MD (OFFICER), SALLY SALMONS, MD (TRUSTEE), AND LAUREN SCHMIDT (KEY EMPLOYEE). IN 2020, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO HARRY BROCKUS ($45,046), DENNIS HESCH ($272,173), MATTHEW KOLB ($52,128), JAMES LEONARD, MD ($2,824,169), SALLY SALMONS, MD ($14,923), AND LAUREN SCHMIDT ($45,789).
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 (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MARCIA VAUGHN
FAMILY MEMBER OF TRUSTEE	$109,760	Employment	false
WHITLEY HOUCHIN
FAMILY MEMBER OF TRUSTEE	$96,467	Employment	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part V	FormAndLineReferenceDesc
Explanation	MARCIA VAUGHN IS AN EMPLOYEE OF RICHLAND MEMORIAL HOSPITAL AND HAS A FAMILY RELATIONSHIP WITH CAROL SCHAFER WHO SERVES AS A TRUSTEE OF THE BOARD. 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 (11 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) 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. DURING THE PERIOD JANUARY 1, 2020 THROUGH DECEMBER 31, 2020, RMH RECORDED 14,400 PATIENT DAYS. THE HOSPITAL 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 2020. THE HOSPITAL ALSO OFFERS AND PARTICIPATES IN PROGRAMS THROUGHOUT THE COMMUNITY. THESE INCLUDE: 1. AMBULANCE COVERAGE 2. MEETINGS / CONFERENCE FACILITIES 3. SCHOLARSHIPS 4. SUPPORT OF COMMUNITY ORGANIZATIONS, EVENTS AND ACTIVITIES INCLUDING: AMERICAN CANCER SOCIETY BIG BROTHERS/BIG SISTERS BLUE KNIGHT TIP OFF CLUB CLAREMONT-BONPAS FIRE PROTECTION DISTRICT FLORA HIGH SCHOOL ATHLETIC DEPT. FRIENDS OF FR.JERRY 5K FRIENDS OF OLNEY JASPER COUNTY CHAMBER OF COMMERCE JASPER COUNTY FAIR LAWRENCE COUNTY JR FAIR ASSOCIATION LAWRENCE COUNTY YOUTH LIVESTOCK AUCTION LINCOLN'S PLACE FUND MISS RICHLAND COUNTY FAIR QUEEN PAGEANT MS "JOIN THE MOVEMENT" NATONAL FIRE SAFETY COUNCIL, INC NEWTON COMMUNITY HIGH SCHOOL CHORUS NEWTON COMMUNITY HIGH SCHOOL NICK'S RACE OLNEY & RICHLAND COUNTY CHAMBER OF COMMERCE OLNEY ARTS COUNCIL FINE ARTS SHOWCASE OLNEY CENTRAL COLLEGE FOUNDATION OLNEY ELKS CLUB OLNEY LITTLE LEAGUE OLNEY ROTARY CLUB OLNEY TIGER SHARKS OLNEY TIGER WRESTLING OUTREACH MISSIONS IMMAN UNITED METH CHURCH RED HILL FUTURE FARMERS OF AMERICA RICHLAND COUNTY 4-H FOUNDATION RICHLAND COUNTY FARM AND FAIR ASSOCIATION RICHLAND COUNTY HIGH AFTER PROM RICHLAND COUNTY HIGH SCHOOL AGRICULTURE DEPARTMENT RICHLAND COUNTY HIGH SCHOOL INTERACT CLUB RICHLAND COUNTY HIGH SCHOOL LADY TIGERS SOFTBALL RICHLAND COUNTY HIGH SCHOOL TENNIS RICHLAND COUNTY HIGH SCHOOL THEATER DEPT RICHLAND COUNTY SOCCER ASSOCIATION ST JOSEPH SCHOOL ST. THOMAS SCHOOL DUCK RACE SWAN ANNUAL GOLF OUTING VOLUNTEER FIREMAN'S ASSOC OF WEST SALEM WEST SALEM DEVELOPMENT ASSOCIATION WEST SALEM GRADE SCHOOL PTO 5. VARIOUS WELLNESS EVENTS, COMMUNITY CLINICS, SUPPORT GROUPS, MEDICAL OUTREACH AND EDUCATION INCLUDING: BLOOD PRESSURE SCREENING CLINICS DIABETIC EDUCATION DAY HEALTHFEST NATIONAL HOSPITAL WEEK SCREENING CLINIC OLNEY SENIOR EXPO SUPPORT GROUPS BREAST CANCER SUPPORT GROUP - TICKET FOR THE CURE BREAST HEALTH OUTREACH/EDUCATION - TICKET FOR THE CURE CPR CLASSES DIABETES SUPPORT GROUP FIRST AID CLASSES INFECTION CONTROL IN-SERVICES TO LOCAL SCHOOLS LIFE SMART FOR WOMEN EDUCATIONAL CLASSES PREPARED CHILDBIRTH CLASSES REGIONAL PSYCHIATRIC CENTER PATIENT SUPPORT GROUP 6. SPECIAL ASSISTANCE PROGRAMS INCLUDING: - MAMMOGRAPHY ASSISTANCE (ILLINOIS BREAST AND CERVICAL CANCER PROGRAM SERVICE PROVIDER - LITTLE EGYPT AND EAST CENTRAL REGION)
FORM 990, PART VI, QUESTION 2	JAMES LEONARD, MD (OFFICER), MATTHEW KOLB (OFFICER), AND DENNIS HESCH (OFFICER) HAD A BUSINESS RELATIONSHIP. HARRY BROCKUS (OFFICER) AND MATTHEW KOLB (OFFICER) HAD A BUSINESS RELATIONSHIP.
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 HUMAN RESOURCES 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 $32,778,599. 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. THE OTHER CHANGES IN NET ASSETS INCLUDES THE DECREASE BY $411,849 IN TEMPORARILY RESTRICTED NET ASSETS.
FORM 990 PART IX LINE 24 - OTHER EXPENSES	DESCRIPTION:OTHER EXPENSES TOTAL EXPENSES:8775682 PROGRAM SERVICES:7847512 MANAGEMENT AND GENERAL:928170

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
THE CARLE FOUNDATION
611 W PARK ST	URBANA	IL	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)
COMMUNITY CANCER CENTER FOUNDATION
407 E VERNON AVE	NORMAL	IL	61761	364425147	Fundraising	IL	501c(3)	7	CCC LLC	Yes (true)
CARLE WEST PHYSICIAN GROUP INC
611 W PARK ST	URBANA	IL	618012595	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 MANAGEMENT		N/A	C Corp	Yes (true)	611 W PARK ST	URBANA	IL	618012595	371217973	IL
EVALIDATA INC
			PHYS CREDENTIALS		N/A	C Corp	Yes (true)	611 W PARK ST	URBANA	IL	618012595	462022658	IL
CHA HOLDING INC
			HOLDING COMPANY		N/A	C Corp	Yes (true)	3310 SOUTH FIELDS DR	CHAMPAIGN	IL	61822	471854275	IL
CARLE HOLDING COMPANY INC
			HOLDING COMPANY		N/A	C Corp	Yes (true)	611 W PARK ST	URBANA	IL	618012595	371188284	IL
HEALTH ALLIANCE MEDICAL PLANS INC
			HEALTH COVERAGE		N/A	C Corp	Yes (true)	3310 SOUTH FIELDS DR	CHAMPAIGN	IL	61822	371260731	IL
HEALTH ALLIANCE CONNECT INC
			HEALTH CARE COORD		N/A	C Corp	Yes (true)	3310 SOUTH FIELDS DR	CHAMPAIGN	IL	61822	464796891	IL
HEALTH ALLIANCE NORTHWEST HOLDING INC
			HOLDING COMPANY		N/A	C Corp	Yes (true)	820 N CHELAN AVE	WENATCHEE	WA	98801	461717578	WA
HEALTH ALLIANCE NORTHWEST HLTH PLAN INC
			HEALTH COVERAGE		N/A	C Corp	Yes (true)	820 N CHELAN AVE	WENATCHEE	WA	98801	461966323	WA
HEALTH ALLIANCE-MIDWEST INC
			HEALTH COVERAGE		N/A	C Corp	Yes (true)	3310 SOUTH FIELDS DR	CHAMPAIGN	IL	61822	371354502	IL
CARLE VENTURES INC
			HC PARTNERSHIPS			C-CORP	Yes (true)	611 W PARK ST	URBANA	IL	618012595	371313150	IL	TCF
CARLE HEALTH PHYSICIAN PARTNERS INC
			PHYSICIAN SVCS			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	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	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	false	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
HEALTH ALLIANCE CONNECT INC
L	$229,337	BOOK
HEALTH ALLIANCE MEDICAL PLANS
L	$960,135	BOOK
CARLE HEALTH CARE INCORPORATED
M	$5,805,577	BOOK
THE CARLE FOUNDATION HOSPITAL
R	$237,241	BOOK
THE CARLE FOUNDATION HOSPITAL
S	$72,631	BOOK
HEALTH SYSTEMS INSURANCE LIMITED
M	$164,138	BOOK