RICHLAND MEMORIAL HOSPITAL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: RICHLAND MEMORIAL HOSPITAL INC (EIN 37-1363001)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-15
IRS object ID: 201933199349315013
Schema version: 2018v3.1
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 J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-15T16:29:23-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE SUITE 4000	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46204	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	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 P HESCH	PersonNm
Person Title	Director of Business	PersonTitleTxt
Phone	6183952131	PhoneNum
Signature	2019-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JENNIFER D RHODERICK	PreparerPersonNm
PTIN	P00395735	PTIN
Phone	3176817000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	164.57.159.254	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	35057220193195000022	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	6DFBA33F1DAEE8CAFFEB9AC40683ECF49AA6169A	AtSubmissionCreationDeviceId
At Submission Filing Device Id	42D26865FF540D3EA6F803EEB3CCA5BB79F92251	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-04-17 16:48:07Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Christina Bare	PrincipalOfficerNm

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

Field	Value	IRS element (for citing)
Gross Receipts	$52,809,084	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.richlandmemorial.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1953	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	To provide excellent healthcare, promote wellness, and educate patients, staff, and the community.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	650	TotalEmployeeCnt
Total Volunteers	144	TotalVolunteersCnt
Total Gross UBI	$274,311	TotalGrossUBIAmt
PY Contributions Grants	$5,000	PYContributionsGrantsAmt
CY Contributions Grants	$25,000	CYContributionsGrantsAmt
PY Program Service Revenue	$10,937,326	PYProgramServiceRevenueAmt
CY Program Service Revenue	$50,984,712	CYProgramServiceRevenueAmt
PY Investment Income	$163,019	PYInvestmentIncomeAmt
CY Investment Income	$385,742	CYInvestmentIncomeAmt
PY Other Revenue	$287,795	PYOtherRevenueAmt
CY Other Revenue	$1,413,630	CYOtherRevenueAmt
PY Total Revenue	$11,393,140	PYTotalRevenueAmt
CY Total Revenue	$52,809,084	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$8,709,299	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$35,230,505	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$5,154,130	PYOtherExpensesAmt
CY Other Expenses	$24,332,726	CYOtherExpensesAmt
PY Total Expenses	$13,863,429	PYTotalExpensesAmt
CY Total Expenses	$59,563,231	CYTotalExpensesAmt
PY Revenues Less Expenses	-$2,470,289	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$6,754,147	CYRevenuesLessExpensesAmt
Total Assets BOY	$38,080,288	TotalAssetsBOYAmt
Total Assets EOY	$33,259,131	TotalAssetsEOYAmt
Total Liabilities BOY	$12,846,862	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$15,111,238	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$25,233,426	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$18,147,893	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	$45,263,746	ExpenseAmt
Revenue	$51,148,866	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$45,263,746	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
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
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	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	45	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	650	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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 (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CAROL SCHAFER
SECRETARY/TREASURER	2.0	0.0	Yes (X)	$0	$0	$0
DAN EICHELBERGER
CHAIR OF THE BOARD	2.0	0.0	Yes (X)	$0	$0	$0
Dennis Graves
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
Gary Houchin
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
HERBERT BROKHOF DDS
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
HERMAN ZUBER
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
JARROD ALMAROAD MD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
JASON GLOVER
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
Jennifer Cummins-Zuber
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
JOHN SNYDER
TRUSTEE, EXEC VP & COO	5.0	35.0	Yes (X)	$0	$1,550,531	$353,891
ROB MCCLAIN
VICE CHAIR OF BOARD	2.0	0.0	Yes (X)	$0	$0	$0
ROBERT ANNISS
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
TOMMIE FEHRENBACHER
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
H TIMOTHY GARRETT DO
TRUSTEE & PHYSICIAN	40.0	0.0	Yes (X)	$325,323	$0	$41,036
CHRISTINA BARE
DIRECTOR OF BUSINESS OPS	40.0	0.0		$128,608	$0	$16,707	Yes (X)
HARRY BROCKUS
CEO	36.0	4.0		$374,472	$0	$85,619	Yes (X)
JENNIFER EMMONS
INTERIM CEO (UNTIL 5/2018)	20.0	0.0		$82,362	$0	$14,925	Yes (X)
Regina Thomas
CNO & DIR PATIENT CARE SVS	40.0	0.0		$170,109	$0	$20,134		Yes (X)
MARY WALLER MD
PHYSICIAN	40.0	0.0		$363,074	$0	$29,947			Yes (X)
Paul Sutherland MD
PHYSICIAN	40.0	0.0		$341,410	$0	$43,238			Yes (X)
Phillip Rosett MD
PHYSICIAN	40.0	0.0		$322,591	$0	$36,898			Yes (X)
PRASHANTH ANAND MD
PHYSICIAN	40.0	0.0		$462,218	$0	$38,118			Yes (X)
STEPHEN REID MD
PHYSICIAN	40.0	0.0		$341,181	$0	$41,863			Yes (X)
DAVID ALLEN
CEO - FORMER	0.0	0.0		$300,530	$0	$4,023				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,211,878	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,550,531	TotReportableCompRltdOrgAmt
Total Other Compensation	$726,399	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	30	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
Carle Health Care Incorporated
611 W Park St	Urbana	IL	61801	Physician Services	$2,423,787
Sodexho
4880 Paysphere Circle	Chicago	IL	60674	Food Services	$881,926
The Carle Foundation Hospital
611 W Park St	Urbana	IL	61801	Internal MNGMT SVCS	$520,732
Quest Diagnostics
PO Box 772976	Chicago	IL	606770276	Lab Services	$334,761
Pharmacy Systems Inc
5050 Bradenton Avenue	Dublin	OH	43017	Pharmacy Mngmt Labor	$259,750

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	37	CntrctRcvdGreaterThan100KCnt
Government Grants	$25,000	GovernmentGrantsAmt
Total Contributions	$25,000	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	622110	BusinessCd
Total Revenue Column	$50,984,712	TotalRevenueColumnAmt
Related Or Exempt Func Income	$50,984,712	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$50,984,712	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$381,242	TotalRevenueColumnAmt
Exclusion	$381,242	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$4,500	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

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

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$4,500	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,500	TotalRevenueColumnAmt
Exclusion	$4,500	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	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
AMBULANCE REVENUE FROM PROPERTY TAX	900099	$427,452	$0	$0	$427,452
Cafeteria Services	722331	$250,795	$0	$0	$250,795
Laundry Services	812331	$248,680	$0	$248,680	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$486,703	TotalRevenueColumnAmt
Related Or Exempt Func Income	$164,154	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$25,631	UnrelatedBusinessRevenueAmt
Exclusion	$296,918	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,413,630	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$52,809,084	TotalRevenueColumnAmt
Related Or Exempt Func Income	$51,148,866	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$274,311	UnrelatedBusinessRevenueAmt
Exclusion	$1,360,907	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	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,290,775	TotalAmt
Program Services	$580,265	ProgramServicesAmt
Management And General	$710,510	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$674,480	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$674,480	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$24,478,718	TotalAmt
Program Services	$21,003,259	ProgramServicesAmt
Management And General	$3,475,459	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$715,506	TotalAmt
Program Services	$618,508	ProgramServicesAmt
Management And General	$96,998	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,396,074	TotalAmt
Program Services	$5,267,607	ProgramServicesAmt
Management And General	$1,128,467	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,674,952	TotalAmt
Program Services	$1,401,637	ProgramServicesAmt
Management And General	$273,315	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$8,565	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$8,565	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$54,588	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$54,588	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$17,123	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$17,123	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$170,929	TotalAmt
Program Services	$138,329	ProgramServicesAmt
Management And General	$32,600	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$372,083	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$372,083	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,159,671	TotalAmt
Program Services	$3,404,391	ProgramServicesAmt
Management And General	$755,280	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$464,730	TotalAmt
Program Services	$398,201	ProgramServicesAmt
Management And General	$66,529	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$808,823	TotalAmt
Program Services	$716,988	ProgramServicesAmt
Management And General	$91,835	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$238,840	TotalAmt
Program Services	$130,606	ProgramServicesAmt
Management And General	$108,234	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$130,851	TotalAmt
Program Services	$92,848	ProgramServicesAmt
Management And General	$38,003	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$249,836	TotalAmt
Program Services	$210,755	ProgramServicesAmt
Management And General	$39,081	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,462,923	TotalAmt
Program Services	$1,681,389	ProgramServicesAmt
Management And General	$781,534	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$850,267	TotalAmt
Program Services	$795,925	ProgramServicesAmt
Management And General	$54,342	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
OTHER PURCHASED SERVICES	$3,358,147	$1,657,119	$1,701,028	$0
PATIENT CARE SUPPLIES	$2,618,125	$2,616,537	$1,588	$0
INTERNAL PURCHASED SERVS	$2,730,204	$2,490,022	$240,182	$0
PROVIDER ASSESSMENT TAX	$2,053,534	$2,053,534	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,583,487	TotalAmt
Program Services	$5,826	ProgramServicesAmt
Management And General	$3,577,661	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$59,563,231	TotalAmt
Program Services	$45,263,746	ProgramServicesAmt
Management And General	$14,299,485	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

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	$6,445,516	BOYAmt
EOY	$3,742,281	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	$5,464,603	BOYAmt
EOY	$6,708,982	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	$1,508,325	BOYAmt
EOY	$1,130,170	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$767,402	BOYAmt
EOY	$728,221	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$929,753	BOYAmt
EOY	$790,799	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$53,788,684	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$38,569,814	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$14,156,994	BOYAmt
EOY	$15,218,870	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$7,969,645	BOYAmt
EOY	$3,900,579	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	$838,050	BOYAmt
EOY	$1,039,229	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$38,080,288	BOYAmt
EOY	$33,259,131	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,735,161	BOYAmt
EOY	$4,866,146	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	$0	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	$6,111,701	BOYAmt
EOY	$6,025,709	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	$0	BOYAmt
EOY	$4,219,383	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,846,862	BOYAmt
EOY	$15,111,238	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$24,913,332	BOYAmt
EOY	$17,754,145	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$320,094	BOYAmt
EOY	$393,748	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$25,233,426	BOYAmt
EOY	$18,147,893	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$38,080,288	BOYAmt
EOY	$33,259,131	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$6,754,147	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$322,699	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	-$77,340	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$68,653	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	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
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
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$17,123	OtherActivitiesAmt
Total Lobbying Expenditures	$17,123	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	$17,123 - PORTION OF ILLINOIS HOSPITAL ASSOCIATION (IHA) AND AMERICAN HOSPITAL ASSOCIATION (AHA) 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	$447,601	OtherCostOrOtherBasisAmt
Book Value	$447,601	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,679,979	OtherCostOrOtherBasisAmt
Depreciation	$19,126,557	DepreciationAmt
Book Value	$7,553,422	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$487,119	OtherCostOrOtherBasisAmt
Depreciation	$390,810	DepreciationAmt
Book Value	$96,309	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,173,985	OtherCostOrOtherBasisAmt
Depreciation	$19,052,447	DepreciationAmt
Book Value	$7,121,538	BookValueAmt

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildingsGrp
Total Book Value Land Buildings	$15,218,870	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
INTERCOMPANY PAYABLES	$180,522
DUE TO BLUE CROSS	$1,158,161
ASSET RETIREMENT OBLIGATION	$2,880,700

Field	Value	IRS element (for citing)
Total Liability	$4,219,383	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	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, 2018 AND 2017.	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
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,420,577	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,420,577	NetCommunityBenefitExpnsAmt
Total Expense	0.02380	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,607,838	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,108,588	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,499,250	NetCommunityBenefitExpnsAmt
Total Expense	0.12590	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,028,415	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,108,588	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,919,827	NetCommunityBenefitExpnsAmt
Total Expense	0.14970	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$112,320	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$112,320	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,834,273	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,673,978	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,160,295	NetCommunityBenefitExpnsAmt
Total Expense	0.03630	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,946,593	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,673,978	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,272,615	NetCommunityBenefitExpnsAmt
Total Expense	0.03820	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,975,008	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,782,566	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,192,442	NetCommunityBenefitExpnsAmt
Total Expense	0.18790	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,274,403	BadDebtExpenseAmt
Bad Debt Expense Attributable	$637,202	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$11,181,556	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$26,422,136	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$15,240,580	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	WWW.CARLERMH.COM	WebsiteAddressTxt
State License	0004788	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
Strategy Attached	false	StrategyAttachedInd
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	300.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
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

Field	Value	IRS element (for citing)
Form And Line Reference	FACILITY 1, RICHLAND MEMORIAL HOSPITAL, PART V, LINE 2	FormAndLineReferenceDesc
Explanation	RICHLAND MEMORIAL HOSPITAL, INC. (RMH) INTEGRATED INTO THE CARLE FOUNDATION THROUGH A MEMBERSHIP SUBSTITUTION EFFECTIVE APRIL 1, 2017. THE ORGANIZATION CONTINUES TO BE ORGANIZED AND EXCLUSIVELY OPERATED AS A NOT-FOR-PROFIT CORPORATION FOR CHARITABLE, BENEVOLENT, SCIENTIFIC, AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE OF 1986. 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 COMMUNITY HEALTH NEEDS ASSESSMENT PROVISIONS IN THE AFFORDABLE CARE ACT (ACA) REQUIRE CHARITABLE HOSPITALS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA IS A SYSTEMATIC PROCESS INVOLVING THE COMMUNITY TO IDENTIFY AND ANALYZE COMMUNITY HEALTH NEEDS AS WELL AS COMMUNITY ASSETS AND RESOURCES IN ORDER TO PLAN AND ACT UPON PRIORITY COMMUNITY HEALTH NEEDS. 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: - RICHLAND COUNTY SHERIFF DEPARTMENT - RICHLAND COUNTY ADDICTIONS PREVENTION COALITION - OLNEY CENTRAL COLLEGE - RICHLAND COUNTY SCHOOL DISTRICT, SOCIAL SERVICES - RICHLAND COUNTY MINISTERIAL ASSOCIATION - EMBARRASS RIVER BASIN AGENCY - STOPPING WOMEN ABUSE NOW (SWAN) - DEPARTMENT OF HUMAN SERVICES - RICHLAND COUNTY HOUSING AUTHORITY - RICHLAND COUNTY TB & HEALTH OFFICE - CRAWFORD COUNTY HEALTH DEPARTMENT - LINCOLN TRAIL COLLEGE - WABASH COUNTY HEALTH DEPARTMENT - JASPER COUNTY SCHOOL DISTRICT - JASPER COUNTY HEALTH DEPARTMENT - THE MASTER'S HANDS - LAWRENCE COUNTY HEALTH DEPARTMENT - RIDES MASS TRANSIT DISTRICT - CARLE HEALTH SYSTEM - RICHLAND MEMORIAL HOSPITAL, INC. - JASPER COUNTY HEALTH DEPARTMENT - HOME HEALTH/HOSPICE OF SE IL PART V, SECTION C, LINES 5 AND 7 THE CHNA AND IMPLEMENTATION STRATEGY ARE AVAILABLE AT HTTPS://WWW.CARLERMH.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, SECTION C, LINE 11 THE FIRST CHNA WAS CONDUCTED IN 2013 AND IDENTIFIED THREE SIGNIFICANT NEEDS: - MENTAL HEALTH AND RELATED SERVICES - ACCESS TO HEALTH SERVICES - HEALTH PROVIDERS, HEALTH DEPARTMENT - CHRONIC DISEASE THE SECOND CHNA WAS CONDUCTED IN 2016 AND IDENTIFIED: - BEHAVIORAL HEALTH - INCREASING ACCESS TO HEALTHCARE SERVICES - CHRONIC DISEASE 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). THE HOSPITAL IS CURRENTLY RECRUITING MORE PNPS AND ANTICIPATES OPENING AN OUTPATIENT PSYCHIATRIC CLINIC IN 2019. 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. THE HOSPITAL ALSO RECENTLY ADDED A FAMILY PRACTICE/OBSTETRICS PHYSICIAN AND AN INTERNAL MEDICINE PHYSICIAN TO THE CLINIC. 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. AS OF SEPTEMBER 2018, THE CLINIC IS BACK TO ONE PHYSICIAN AND ONE FNP. 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 WILL BE A SIGNIFICANT ASSET TO THE COMMUNITY, AND WILL PROVIDE A LONG-SOUGHT SOLUTION TO AN IDENTIFIED NEED OF PAST AND CURRENT CHNAS. TO ADDRESS CHRONIC DISEASE MANAGEMENT, THE HOSPITAL ADDED A TRANSITION CARE NURSE. SHE MEETS WITH PATIENTS WHO HAVE CHRONIC DISEASES SUCH AS COPD, CONGESTIVE HEART FAILURE, DIABETES, AND PNEUMONIA, AND TALKS WITH THEM ABOUT WHAT THEY NEED TO KNOW AND DO ONCE THEY RETURN HOME. SHE ALSO FOLLOWS UP WITH THEM AFTER THEY RETURN HOME. THE HOSPITAL ALSO STARTED A 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." THE HOSPITAL ADDED A CARDIOLOGY CLINIC IN 2017 WITH THE ARRIVAL OF A NEW CARDIOLOGIST IN NOVEMBER OF 2018. IN JANUARY OF 2018, DOCTORS FOR THE EMERGENCY ROOM TRANSITIONED TO A GROUP PROVIDED BY CARLE HEALTH SYSTEM. THE TRANSITION APPEARS 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. IT IS ANTICIPATED THAT THE NEW CARLE RELATIONSHIP WILL CONTINUE TO IMPROVE LOCAL HEALTH CIRCUMSTANCES FOR ALL PATIENTS, ESPECIALLY THOSE WHO MAY HAVE BEEN UNDERSERVED IN THE PAST. 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, ESPECIALL	ExplanationTxt

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, $1,452,791 FOR PHYSICIAN CLINICS, $183,964 FOR EMERGENCY ROOM, AND $523,540 FOR AMBULANCE SERVICE. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION RMH CALCULATED BAD DEBT EXPENSE AT COST USING A COST-TO-CHARGE RATIO AS CALCULATED UTILIZING DATA FROM AN INTERNAL COST ACCOUNTING SYSTEM AND USING A METHODOLOGY CONSISTENT WITH SCHEDULE H INSTRUCTIONS. AFTER EXHAUSTING ALL COLLECTION PROCEDURES PATIENT ACCOUNTS ARE THEN WRITTEN OFF TO BAD DEBT EXPENSE. 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 27 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 FINANICAL ASSISTANCE AND THOSE THAT AREN'T ELIGIBLE. THE PROCEDURES ARE AS FOLLOWS: 1. WE WILL SEND TWO STATEMENTS AND TWO COLLECTION LETTERS IN A 28 DAY CYCLE. WE WILL SEND STATEMENTS BASED UPON PATIENT PORTION OF $10 OR GREATER. 2. THE PATIENT'S ACCOUNT WILL AGE THROUGH THE STATEMENT PROCESS BEFORE BEING WRITTEN OFF TO BAD DEBT. 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	THE DETERMINATION OF CURRENT AND FUTURE HEALTH CARE NEEDS OF THE COMMUNITIES SERVED ARE BASED ON THE FOLLOWING FACTORS: EXISTENCE OR NONEXISTENCE OF SERVICES, OPPORTUNITY, SUPPLY, DEMONSTRATED NEED, REQUESTS FROM PATIENTS, AND/OR COMBINED EFFORTS WITH OUTSIDE ENTITIES THAT WOULD HELP FILL A NEED OR STRENGTHEN A CURRENT SERVICE. WE ARE CONSTANTLY COLLECTING DATA THAT WOULD HELP MAKE THESE DECISIONS AND OFTEN CONSULT WITH VARIOUS DEPARTMENTS WITHIN THE HOSPITAL INCLUDING NURSING, INFORMATION TECHNOLOGY, FINANCE, AND PHYSICIANS. THIS INFORMATION IS THEN REVIEWED AND THE HOSPITAL'S ADMINISTRATIVE TEAM INCORPORATES THE IDENTIFIED HEALTH CARE NEEDS INTO THE STRATEGIC PLAN.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSITANCE	ALL PATIENT BILLING STATEMENTS INCLUDE A STATEMENT THAT MENTIONS CONTACTING THE HOSPITAL IF THEY WISH TO APPLY FOR FINANCIAL ASSISTANCE OR WOULD LIKE TO SET UP PAYMENTS ON THE ACCOUNT. IF A PATIENT CONTACTS THE PATIENT FINANCIAL SERVICES DEPARTMENT ABOUT THE INABILITY TO PAY, THEY ARE INFORMED OF THE AVAILABLE OPTIONS, INCLUDING FINANCIAL ASSISTANCE, MEDICARE, AND MEDICAID APPLICATIONS. PATIENT FINANCIAL SERVICES WILL ALSO EXPLAIN HOW THE PATIENT CAN APPLY FOR 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 HOSPITAL'S PATIENT POPULATION INCLUDES ALL WHO RECEIVE CARE, WITHOUT REGARD TO INSURANCE COVERAGE OR ELIGIBILITY FOR ASSISTANCE. RMH'S SERVICE AREA IS COMPRISED OF APPROXIMATELY 3,178 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 134 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 TRUSTEES AND SENIOR LEADERSHIP. WHILE RMH'S CHNA AND COMMUNITY BENEFIT REPORTING IS SEPARATE FROM THE CARLE FOUNDATION HOSPITAL (TCFH), IT FOLLOWS THE SAME GUIDELINES AND PRINCIPLES AS TCFH. 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 J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	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 (10 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
JOHN SNYDER
TRUSTEE, EXEC VP & COO	$0	$961,660	$0	$243,554	$0	$345,317	$0	$338,446	$0	$15,445	$0	$1,904,422	$0	$306,629
HARRY BROCKUS
CEO	$260,507	$0	$29,625	$0	$84,340	$0	$63,361	$0	$22,258	$0	$460,091	$0	$41,939	$0
Regina Thomas
CNO & DIR PATIENT CARE SVS	$149,822	$0	$0	$0	$20,287	$0	$15,767	$0	$4,367	$0	$190,243	$0	$0	$0
MARY WALLER MD
PHYSICIAN	$362,412	$0	$0	$0	$662	$0	$29,051	$0	$896	$0	$393,021	$0	$0	$0
Paul Sutherland MD
PHYSICIAN	$340,748	$0	$0	$0	$662	$0	$35,457	$0	$7,781	$0	$384,648	$0	$0	$0
Phillip Rosett MD
PHYSICIAN	$321,929	$0	$0	$0	$662	$0	$31,696	$0	$5,202	$0	$359,489	$0	$0	$0
PRASHANTH ANAND MD
PHYSICIAN	$461,556	$0	$0	$0	$662	$0	$29,702	$0	$8,416	$0	$500,336	$0	$0	$0
STEPHEN REID MD
PHYSICIAN	$340,519	$0	$0	$0	$662	$0	$35,451	$0	$6,412	$0	$383,044	$0	$0	$0
DAVID ALLEN
CEO - FORMER	$0	$0	$21,326	$0	$279,204	$0	$4,023	$0	$0	$0	$304,553	$0	$0	$0
H TIMOTHY GARRETT DO
TRUSTEE & PHYSICIAN	$324,661	$0	$0	$0	$662	$0	$41,036	$0	$0	$0	$366,359	$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	DAVID ALLEN RECEIVED SEVERANCE PAYMENTS IN 2018 IN THE AMOUNT OF $255,122.
Schedule J, Part I, Question 4B	THE 2018 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 AND JOHN SNYDER. IN 2018, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO HARRY BROCKUS ($41,939) AND JOHN SNYDER ($306,629).
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 TRUSTEES PRIOR TO ANY INCENTIVE PAYOUT.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Marcia Vaughn
Family member secretary/treasurer	$97,434	Employment	false
Ray Vaughn
Family member secretary/treasurer	$195,872	Legal Services	false
Susan Zuber
Family Member trustee	$64,024	Employment	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part V	FormAndLineReferenceDesc
Explanation	RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION SUSAN ZUBER IS AN EMPLOYEE OF RICHLAND MEMORIAL HOSPITAL AND HAS A FAMILY RELATIONSHIP WITH HERMAN ZUBER WHO SERVES AS A TRUSTEE FOR THE HOSPITAL. RAY VAUGHN PROVIDES LEGAL SERVICES TO RICHLAND MEMORIAL HOSPITAL AND HAS A FAMILY RELATIONSHIP WITH CAROL SCHAFER WHO SERVES AS SECRETARY/TREASURER OF THE BOARD. MARCIA VAUGHN IS AN EMPLOYEE OF RICHLAND MEMORIAL HOSPITAL AND HAS A FAMILY RELATIONSHIP WITH CAROL SCHAFER WHO SERVES AS SECRETARY/TREASURER OF THE BOARD.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A - FIRST ACCOMPLISHMENT	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, 2018 THROUGH DECEMBER 31, 2018, RMH RECORDED 14,072 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 IS ALSO PROVIDED THROUGH RMH'S FINANCIAL ASSISTANCE POLICY OFFERED IN 2018. 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: - APERION CARE - OLNEY - AMERICAN CANCER SOCIETY - BIG BROTHERS BIG SISTERS - BLUE KNIGHT TIP OFF CLUB - FLORA HIGH SCHOOL ATHLETIC DEPARTMENT - FRIENDS OF OLNEY - ILLINOIS HOSPITAL RESEARCH & EDUCATIONAL FOUNDATION - JASPER COUNTY CREATING ENTREPRENEURIAL OPPORTUNITIES (CEO) PROGRAM - JASPER COUNTY EXTENSION COUNCIL - JASPER COUNTY FAIR ASSOCIATION - JASPER COUNTY COMMUNITY FOUNDATION - JASPER COUNTY CHAMBER OF COMMERCE - JASPER COUNTY SCHOOL DISTRICT - MUSCULAR DYSTROPHY ASSOCIATION - NATIONAL CHILD SAFETY COUNCIL - NATIONAL FIRE SAFETY COUNCIL, INC. - OLNEY COUNTY COLLEGE FOUNDATION - OLNEY ARTS COUNCIL - OLNEY ELKS CLUB - OLNEY LADY TIGERS SOFTBALL - OLNEY LITTLE LEAGUE - OLNEY LIONS CLUB FOUNDATION - OLNEY TIGER FOOTBALL - OLNEY TIGER SHARKS SWIM TEAM - OUTREACH MISSIONS - FOOD PANTRY - RICHLAND COUNTY 4-H FOUNDATION - RICHLAND COUNTY CREATING ENTREPRENEURIAL OPPORTUNITIES (CEO) PROGRAM - RICHLAND COUNTY ELEMENTARY SCHOOL - RICHLAND COUNTY FARM & FAIR ASSOCIATION - RICHLAND COUNTY SOCCER ASSOCIATION - RICHLAND COUNTY HIGH SCHOOL - ST. THOMAS SCHOOL - SWAN - U.S. ROUTE 50 FOUR-LANE COALITION - VOLUNTEER FIREMAN'S ASSOCIATION OF WEST SALEM - WEST SALEM GRADE SCHOOL PTO - WEST SALEM DEVELOPMENT ASSOCIATION 5. VARIOUS WELLNESS EVENTS, COMMUNITY CLINICS, SUPPORT GROUPS, MEDICAL OUTREACH AND EDUCATION INCLUDING: - BLOOD PRESSURE SCREENING CLINICS - DIABETIC EDUCATION DAY - HEALTHFEST - NATIONAL HOSPITAL WEEK CHOLESTEROL / PSA SCREENING CLINIC - OLNEY SENIOR EXPO - SUPPORT GROUPS A. BREAST CANCER SUPPORT GROUP - TICKET FOR THE CURE B. BREAST HEALTH OUTREACH/EDUCATION - TICKET FOR THE CURE C. CPR CLASSES D. DIABETES SUPPORT GROUP E. FIRST AID CLASSES F. INFECTION CONTROL IN-SERVICES TO LOCAL SCHOOLS G. LIFE SMART FOR WOMEN EDUCATIONAL CLASSES H. PREPARED CHILDBIRTH CLASSES I. 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) - MAMMOGRAPHY ASSISTANCE IN THE FORM OF A SUSAN G. KOMAN FOR THE CURE GRANT. 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, LINE 7A - ELECTION OF MEMBERS AND THEIR RIGHTS	RICHLAND MEMORIAL HOSPITAL INC.'S SOLE MEMBER, THE CARLE FOUNDATION, ACTING THROUGH ITS BOARD OF TRUSTEES, HAS THE EXCLUSIVE POWER TO ELECT AND REMOVE MEMBERS OF THE BOARD OF TRUSTEES FOR THE CORPORATION IN ADDITION TO FILLING VACANCIES. FORM 990, PART VI, LINE 7B - DECISIONS SUBJECT TO APPROVAL OF MEMBERS RICHLAND MEMORIAL HOSPITAL, INC. MUST HAVE THE APPROVAL OF ITS SOLE MEMBER, THE CARLE FOUNDATION, THROUGH ITS BOARD OF TRUSTEES, WHEN VOTING ON MATTERS INCLUDING THE AMENDING OF GOVERNING DOCUMENTS; RECOMMENDING THE CEO TO THE BOARD; APPROVING ANY ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGETS; APPROVING PAYMENT TO THE MEMBERS OF THE RICHLAND BOARD OF TRUSTEES FOR THEIR EXPENSES OR COMPENSATION FOR SERVICES; APPROVING ANY NEW, LONG-TERM OR MASTER INSTITUTIONAL PLANS OR CHANGES TO SUCH PLANS; APPROVING THE ADDITION OF ANY NEW MEMBER AND ANY DISSOLUTION, MERGER, CONSOLIDATION, OR SALE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL ASSETS OR ANY DISPOSITION OF REAL PROPERTY OR RELOCATION OF THE HOSPITAL AND/OR CLINIC; APPROVING ANY ORGANIZATION OR ACQUISITION OF A SUBSIDIARY OR AFFILIATE; APPROVING ANY INITIATIVE REQUIRING CERTIFICATE OF NEED (CON) APPROVAL; APPROVING ANY PLEDGE OF ALL OR ANY PART OF THE CORPORATION'S ASSETS AS SECURITY FOR A DEBT, LIABILITY OR OTHER OBLIGATION; APPROVING ANY LOAN TO OR FOR THE CORPORATION OR ANY OTHER INDEBTEDNESS; AND APPROVING NON-BUDGETED EXPENDITURES OR SALE EXCEEDING THE CHIEF EXECUTIVE OFFICER'S (CEO) AUTHORIZED SPENDING AUTHORITY.
FORM 990, PART VI, LINE 11B - ORGANIZATION'S PROCESS TO REVIEW FORM 990	THE FORM 990 WAS PREPARED BY STAFF AND AN EXTERNAL TAX ADVISOR AND REVIEWED BY MANAGEMENT. PRIOR TO FILING THIS FORM 990, A FULL AND COMPLETE COPY WAS PROVIDED TO THE GOVERNING BODY. AT THEIR DISCRETION, THE GOVERNING MEMBERS HAVE THE OPPORTUNITY TO CONTACT MANAGEMENT OR DISCUSS AND ADDRESS CONCERNS AT SUBSEQUENT BOARD MEETINGS.
FORM 990, PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS POLICY	1. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY BOARD MEMBER IS DISCLOSED TO THE OTHER MEMBERS OF THE BOARD BY THE BOARD MEMBER WHO HAS THE CONFLICT AND MADE A MATTER OF RECORD THROUGH THE BOARD'S ANNUAL FILING OF CONFLICT OF INTEREST STATEMENTS OR WHEN THE INTEREST BECOMES A MATTER OF BOARD ACTION. 2. ANY BOARD MEMBER HAVING A DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER DOES NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE ON THE MATTER, AND HE/SHE IS NOT TO BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHERE PERMITTED BY LAW. THE MINUTES OF THE MEETING REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THE QUORUM SITUATION. 3. THE FOREGOING REQUIREMENTS SHOULD NOT BE CONSTRUED AS PREVENTING THE BOARD MEMBER FROM ANSWERING PERTINENT QUESTIONS OF OTHER BOARD MEMBERS, SINCE HIS/HER KNOWLEDGE MAY BE OF GREAT ASSISTANCE. HOWEVER, THE MEMBER WITH THE CONFLICT MUST ABSTAIN FROM MAKING MOTIONS, PARTICIPATING IN RELEVANT DELIBERATIONS, VOTING, EXECUTING AGREEMENTS, ATTEMPTING TO INFLUENCE OTHERS VOTES, OR TAKING ANY SIMILAR DIRECT ACTION ON BEHALF OF THE CORPORATION WHERE THE CONFLICT OF INTEREST MIGHT PERTAIN. 4. ALL MEMBERS OF THE BOARD (INCLUDING EX-OFFICIO MEMBERS) ARE REQUIRED TO COMPLETE AND RETURN THE CONFLICT OF INTEREST DISCLOSURE STATEMENT NO LATER THAN NOVEMBER 30TH OF EACH YEAR OR WITHIN 30 DAYS OF THE CREATION OR OCCURRENCE OF ANY NEW CONFLICT. MEMBERS(S) WHO DO NOT RETURN THE CONFLICT OF INTEREST STATEMENT WILL BE ADDRESSED IN ACCORDANCE WITH THE BYLAWS. 5. RESPONSES MAY BE COMPLIED INTO PACKETS FOR DISTRIBUTION AND DISCUSSION ANNUALLY (AT THE NEXT BOARD MEETING FOLLOWING THE DUE DATE), SEMI-ANNUALLY (SIX MONTHS FOLLOWING THE INITIAL REVIEW), AND AS ANY NEW CONFLICT IS IDENTIFIED. 6. THE POLICY ON CONFLICT OF INTEREST WILL BE DISCUSSED WITH CANDIDATES FOR BOARD POSITIONS DURING THEIR INTERVIEW WITH THE NOMINATING COMMITTEE. THE IMPORTANCE OF AVOIDING CONFLICT OF INTEREST SITUATIONS WILL BE EMPHASIZED. 7. WHEN A CONFLICT OF INTEREST SITUATION IS IDENTIFIED, THE INDIVIDUAL BOARD MEMBER HAS THE PRIMARY RESPONSIBILITY TO BRING A POTENTIAL OR ACTUAL CONFLICT OF INTEREST SITUATION TO THE ATTENTION OF THE BOARD. A CONFLICT OF INTEREST SITUATION MAY ALSO COME TO THE ATTENTION OF THE BOARD DUE TO THE CONCERNS OF A BOARD MEMBER WHO MAY NOT BE INVOLVED IN THE SITUATION. THAT BOARD MEMBER SHOULD NOTIFY THE CHAIRPERSON OF THE CONFLICT OF INTEREST CONCERN AND THE BOARD CHAIRPERSON SHOULD BRING THE SITUATION TO THE ATTENTION OF THE FULL BOARD. REGARDLESS OF THE METHOD BY WHICH THE CONFLICT IS BROUGHT UP, THERE SHOULD BE FULL AND OPEN DISCUSSION BY BOARD MEMBERS OF THE POTENTIAL OR ACTUAL CONFLICT OF INTEREST SITUATION. THE FURTHER PARTICIPATION OF THE BOARD MEMBER IN THE DISCUSSION SHOULD BE AGREED UPON AND APPROVED BY THE BOARD. 8. AS A RESULT OF DISCUSSIONS ON CONFLICT OF INTEREST SITUATIONS, THERE MAY BE CONSIDERATIONS FOR A BOARD MEMBER'S RESIGNATION. THE BOARD MEMBER MAY WISH TO RESIGN TO AVOID A FUTURE CONFLICT OF INTEREST SITUATION DUE TO A DESIRE TO BID ON A PARTICULAR BOARD PROJECT OR TO AVOID A FURTHER CONFLICT OF INTEREST CONCERN. IN THE EVENT THAT THE BOARD MEMBER DOES NOT LEAVE AND A CONFLICT OF INTEREST SITUATION EXISTS, IN ACCORDANCE WITH ORGANIZATION'S BYLAWS ARTICLE VI, SECTION 5, THE BOARD MAY ASK THE BOARD MEMBER TO RESIGN. 9. THE POLICY IS REVIEWED ANNUALLY FOR THE INFORMATION AND GUIDANCE OF BOARD MEMBERS
FORM 990, PART VI, LINE 15B - COMPENSATION PROCESS FOR OFFICERS	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, LINE 19 - GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	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	Other Changes in Net Assets of Fund Balances Interest in Richland Memorial Hospital Foundation - $68,653

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
THE CARLE FOUNDATION
611 W PARK ST	URBANA	IL	618012595	370673465	PARENT/INVMGT	IL	501(c)(3)	12C, III-FI	NA	false
THE CARLE FOUNDATION HOSPITAL
611 W PARK ST	URBANA	IL	618012595	371119538	HOSPITAL SVCS	IL	501(c)(3)	3	TCF	Yes (true)
THE CARLE DEVELOPMENT FOUNDATION
611 W PARK ST	URBANA	IL	618012595	371159978	Fundraising	IL	501(c)(3)	7	TCF	Yes (true)
CARLE RETIREMENT CENTERS INC
611 W PARK ST	URBANA	IL	618012595	371160033	Retirement	IL	501(c)(3)	10	TCF	Yes (true)
CARLE COMMUNITY HEALTH CORPORATION
611 W PARK ST	URBANA	IL	618012595	364458371	FNDN MISSION	IL	501(c)(3)	12A, TYPE I	TCDF	Yes (true)
HOOPESTON COMMUNITY MEMORIAL HOSPITAL
701 E ORANGE ST	HOOPESTON	IL	609421801	363637465	HOSPITAL SVCS	IL	501(c)(3)	3	TCF	Yes (true)
CARLE HEALTH CARE INCORPORATED
611 W PARK ST	URBANA	IL	618012595	371140016	VAR MED SVCS	IL	501(c)(3)	10	TCF	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	201915925	EIN
Primary Activities	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)
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
HEALTH SYSTEMS INSURANCE LIMITED
Governors Square 2nd Floor Bldg 3	GRAND CAYMEN	CJ	INSURANCE	CJ	C Corp	Yes (true)
CARLE RISK MANAGEMENT COMPANY
			RISK MANAGEMENT		C Corp	Yes (true)	611 W PARK ST	URBANA	IL	618012595	371217973	IL
EVALIDATA INC
			PHYS CREDENTIALS		C Corp	Yes (true)	611 W PARK ST	URBANA	IL	618012595	462022658	IL
CHA HOLDING INC
			HOLDING COMPANY		C Corp	Yes (true)	3310 SOUTH FIELDS DR	CHAMPAIGN	IL	61822	471854275	IL
CARLE HOLDING COMPANY INC
			HOLDING COMPANY		C Corp	Yes (true)	611 W PARK ST	URBANA	IL	618012595	371188284	IL
HEALTH ALLIANCE MEDICAL PLANS INC
			HEALTH COVERAGE		C Corp	Yes (true)	3310 SOUTH FIELDS DR	CHAMPAIGN	IL	61822	371260731	IL
HEALTH ALLIANCE CONNECT INC
			HEALTH CARE COORD		C Corp	Yes (true)	3310 SOUTH FIELDS DR	CHAMPAIGN	IL	61822	464796891	IL
HEALTH ALLIANCE NORTHWEST HOLDING INC
			HOLDING COMPANY		C Corp	Yes (true)	820 N CHELAN AVE	WENATCHEE	WA	98801	461717578	WA
HEALTH ALLIANCE NORTHWEST
			Health Coverage		C Corp	Yes (true)	820 N CHELAN AVE	WENATCHEE	WA	98801	461966323	WA
HEALTH ALLIANCE-MIDWEST INC
			HEALTH COVERAGE		C Corp	Yes (true)	3310 SOUTH FIELDS DR	CHAMPAIGN	IL	61822	371354502	IL

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	false	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	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HEALTH ALLIANCE MEDICAL PLANS INC
l	$968,222	BOOK
HEALTH ALLIANCE CONNECT INC
l	$82,921	BOOK
HEALTH ALLIANCE MEDICAL PLANS INC
m	$460,008	BOOK
CARLE HEALTH CARE INCORPORATED
m	$2,562,715	BOOK