RICHLAND MEMORIAL HOSPITAL INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- RICHLAND MEMORIAL HOSPITAL INC (EIN 37-1363001)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-15
- IRS object ID
- 202403209349320720
- Schema version
- 2023v5.1
- 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 | 2024-11-15T15:19:24+00:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 462045100 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371363001 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RICHLAND MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RICH | BusinessNameControlTxt |
| Phone | 2173833311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W Park Street | AddressLine1Txt |
| City | Urbana | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DENNIS HESCH | PersonNm |
| Person Title | EXEC VP & CFO | PersonTitleTxt |
| Phone | 6183952131 | PhoneNum |
| Signature | 2024-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jennifer D Rhoderick | PreparerPersonNm |
| PTIN | P00395735 | PTIN |
| Phone | 3176817000 | PhoneNum |
| Preparation | 2024-11-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carle Richland Memorial Hospital | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENNIS HESCH EXEC VP & CFO | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W Park Street | AddressLine1Txt |
| City | Urbana | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $65,180,313 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.carle.org | 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 | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 514 | TotalEmployeeCnt |
| Total Volunteers | 53 | TotalVolunteersCnt |
| Total Gross UBI | $578,931 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,755,502 | PYContributionsGrantsAmt |
| CY Contributions Grants | $160,537 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $59,309,027 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $62,991,249 | CYProgramServiceRevenueAmt |
| PY Investment Income | $40,627 | PYInvestmentIncomeAmt |
| CY Investment Income | $24,892 | CYInvestmentIncomeAmt |
| PY Other Revenue | $724,228 | PYOtherRevenueAmt |
| CY Other Revenue | $870,075 | CYOtherRevenueAmt |
| PY Total Revenue | $62,829,384 | PYTotalRevenueAmt |
| CY Total Revenue | $64,046,753 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $74,527 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $50,396 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $40,721,287 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $41,811,150 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $31,003,925 | PYOtherExpensesAmt |
| CY Other Expenses | $32,162,008 | CYOtherExpensesAmt |
| PY Total Expenses | $71,799,739 | PYTotalExpensesAmt |
| CY Total Expenses | $74,023,554 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$8,970,355 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$9,976,801 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $26,663,290 | TotalAssetsBOYAmt |
| Total Assets EOY | $24,883,089 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,457,935 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,852,522 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,205,355 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,030,567 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE EXCELLENT HEALTHCARE, PROMOTE WELLNESS, AND EDUCATE PATIENTS, STAFF, AND THE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $66,039,785 | ExpenseAmt |
| Grant | $50,396 | GrantAmt |
| Revenue | $63,067,084 | RevenueAmt |
| Desc | Richland Memorial Hospital, Inc., DBA Carle Richland Memorial Hospital (CRMH) is a tax-exempt Illinois not-for-profit corporation established for the purpose of operating a hospital and conducting patient care related activities. Richland is a 25 bed hospital (45 bed during tax year 2023) providing a range of ancillary and support services. For 2023, the hospital admitted 1,652 patients, is fully accredited by the Healthcare Facilities Accreditation Program (HFAP), has an Emergent Stroke Ready Designation and a Level II Nursery Designation by the Illinois Department of Public Health and is a clinical hub site for Southern Illinois University Physician Assistant Program. In 2023, CRMH recorded 11,655 patient days. In addition to the hospital, the organization has three rural health clinics: -Carle Bridgeport is located at 100 Industry Road, Bridgeport, IL, and offers audiology and hearing, behavioral health, cardiovascular medicine, family medicine, midwifery, orthopedics, and otolaryngology (ENT: ear, nose, and throat) services Monday through Friday, 8 a.m. to 5 p.m. -Carle Olney is located at 363 N. West Street, Olney, IL, 1.3 miles from the hospital, which offers behavioral health, convenient care, and family medicine services 8 a.m. - 8 p.m. seven days per week. -Carle West Salem is located at 100 S. Main Street, West Salem, IL, and offers family medicine services Monday through Friday, 8 a.m. to 5 p.m. In addition to the rural health clinics, Richland provides services under the following: -CRMH Professional Services located at 605 E. Main Street, Olney, IL one-half mile from the hospital and offers general surgery and podiatry services. -The Apothecary Shoppe, located at 108 S. Main Street, West Salem, IL, offers retail pharmacy services Monday through Friday from 9 a.m. to 3 p.m., and Saturdays from 9 a.m. to noon. CRMH 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 CRMH 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 CRMH 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. CRMH 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 CRMH's financial assistance policy offered in 2023. | Desc |
| Total Program Service Expenses | $66,039,785 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 41 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 514 | 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | 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 |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENNIS HESCH EXEC VP & CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2173833311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 W PARK STREET | AddressLine1Txt |
| City | URBANA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61801 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Gary Houchin | ||||||||||
| Secretary / Treasurer | 1.5 | 1.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Jennifer Cummins-Zuber | ||||||||||
| Chair | 2.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Matthew Kolb JD MHA | ||||||||||
| Ex Officio // President, Carle Health Regions // EVP, COO // TRUSTEE THRU 3/08/2023 | 1.0 | 39.0 | Yes (X) | Yes (X) | $0 | $1,567,332 | $363,305 | |||
| Patricia Kessler-Bookhout DDS | ||||||||||
| Vice Chair | 1.5 | 1.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Tanner Miller MD | ||||||||||
| Trustee Beg 02/01/2023 // Physician | 1.0 | 39.0 | Yes (X) | $0 | $518,048 | $34,451 | Yes (X) | |||
| Bernard Brauer | ||||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Brian Atwood MD | ||||||||||
| Trustee Beg 02/01/2023 | 3.0 | 3.0 | Yes (X) | $0 | $0 | $0 | ||||
| Cole Duke | ||||||||||
| Trustee Thru 01/31/2023 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Larry Dunn | ||||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Raymond Fisher MD | ||||||||||
| Trustee // Physician | 1.0 | 39.0 | Yes (X) | $0 | $647,807 | $15,808 | ||||
| Sally Salmons MD | ||||||||||
| Trustee Thru 01/31/2023 // CHRH MEDICAL DIRECTOR | 1.0 | 39.0 | Yes (X) | $0 | $572,407 | $72,879 | ||||
| Sherry Geier | ||||||||||
| Trustee | 1.5 | 1.5 | Yes (X) | $0 | $0 | $0 | ||||
| Steve Thomson | ||||||||||
| Trustee | 4.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||||
| Dennis Hesch | ||||||||||
| Officer - EVP, Chief Finance & Strategy Officer | 2.0 | 38.0 | Yes (X) | $0 | $1,395,995 | $366,889 | ||||
| James C Leonard MD | ||||||||||
| Officer - President & CEO | 0.5 | 39.5 | Yes (X) | $0 | $5,690,001 | $36,885 | ||||
| Napoleon Knight MD MBA | ||||||||||
| Officer - EVP, Chief Medial Officer | 1.0 | 39.0 | Yes (X) | $0 | $940,875 | $115,459 | ||||
| Regina Thomas DNP MBA | ||||||||||
| Ex Officio, Non-Voting // Officer - President, Carle Health - South Region | 20.0 | 20.0 | Yes (X) | $0 | $379,780 | $52,557 | ||||
| Lauren Schmid MBA | ||||||||||
| EVP, Chief Human Resources Officer | 1.0 | 39.0 | $0 | $945,711 | $209,640 | Yes (X) | ||||
| Nicholas Crompton | ||||||||||
| VP, Construction & Facility Services | 1.0 | 39.0 | $0 | $364,372 | $68,059 | Yes (X) | ||||
| Benjamin Curtis | ||||||||||
| CRNA - CRMH Anesthesiology | 40.0 | 0.0 | $347,452 | $0 | $34,981 | Yes (X) | ||||
| John Allen | ||||||||||
| CRNA - CRMH Anesthesiology | 40.0 | 0.0 | $354,422 | $0 | $34,754 | Yes (X) | ||||
| John Wall | ||||||||||
| CRNA Lead - CRMH Anesthesiology | 40.0 | 0.0 | $358,840 | $0 | $37,074 | Yes (X) | ||||
| Mary Waller MD | ||||||||||
| Physician - Urology | 40.0 | 0.0 | $458,989 | $0 | $6,600 | Yes (X) | ||||
| Thomas Falcone | ||||||||||
| CRNA - CRMH Anesthesiology | 40.0 | 0.0 | $327,398 | $0 | $37,074 | Yes (X) | ||||
| Kenneth Aronson MD | ||||||||||
| Former - Key Employee | 0.0 | 40.0 | $0 | $674,881 | $36,405 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,847,101 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $13,697,209 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,522,820 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 56 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| Abbot Laboratories | ||||||
| 100 Abbot Park Rd | Abbot | IL | 60064 | Medical Laboratory Services | $307,908 | |
| Sentry Data Systems Inc | ||||||
| 800 Fairway Dr | Deerfield Beach | FL | 33441 | Pharmacy Software Maintenance | $233,216 | Ste 400 |
| Pioneer Pathology Sc | ||||||
| 4887 N Whitewater Rd | Olney | IL | 62450 | Pathology Services | $215,000 | |
| Arup Laboratories | ||||||
| 500 Chipeta Way | Salt Lake City | UT | 84108 | Medical Laboratory Services | $122,417 | |
| Hartz Lawn & Janitorial | ||||||
| 14267 Hartz Lane | Lawrenceville | IL | 62439 | Housekeeping Services | $111,950 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $111,768 | RelatedOrganizationsAmt |
| Government Grants | $48,769 | GovernmentGrantsAmt |
| Total Contributions | $160,537 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 622110 | $62,980,170 | $62,980,170 |
| RENT FROM RELATED ORGS | 523000 | $10,138 | $10,138 |
| ALL OTHER PROGRAM SERVICES REVENUE | 900099 | $941 | $941 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $62,991,249 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,892 | TotalRevenueColumnAmt |
| Exclusion | $24,892 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $1,670,908 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $1,133,560 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $537,348 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $537,348 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFETERIA SERVICES | 722331 | $204,728 | $204,728 | |
| CATERING REVENUE | 722320 | $27,550 | $27,550 | |
| LAUNDRY SERVICES | 812331 | $14,033 | $14,033 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $86,416 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $75,835 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,581 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $332,727 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $64,046,753 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $63,067,084 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $578,931 | UnrelatedBusinessRevenueAmt |
| Exclusion | $240,201 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,396 | TotalAmt |
| Program Services | $50,396 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,524 | TotalAmt |
| Program Services | $104,524 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,245,467 | TotalAmt |
| Program Services | $31,131,292 | ProgramServicesAmt |
| Management And General | $4,114,175 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $520,914 | TotalAmt |
| Program Services | $471,370 | ProgramServicesAmt |
| Management And General | $49,544 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,666,730 | TotalAmt |
| Program Services | $3,057,801 | ProgramServicesAmt |
| Management And General | $608,929 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,273,515 | TotalAmt |
| Program Services | $2,078,271 | ProgramServicesAmt |
| Management And General | $195,244 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,084 | TotalAmt |
| Management And General | $15,084 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,292,948 | TotalAmt |
| Program Services | $2,848,539 | ProgramServicesAmt |
| Management And General | $444,409 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,249 | TotalAmt |
| Program Services | $2,249 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,136,009 | TotalAmt |
| Program Services | $692,912 | ProgramServicesAmt |
| Management And General | $443,097 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $293,084 | TotalAmt |
| Program Services | $256,204 | ProgramServicesAmt |
| Management And General | $36,880 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $950,550 | TotalAmt |
| Program Services | $660,355 | ProgramServicesAmt |
| Management And General | $290,195 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,361 | TotalAmt |
| Program Services | $22,860 | ProgramServicesAmt |
| Management And General | $14,501 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,390 | TotalAmt |
| Program Services | $33,150 | ProgramServicesAmt |
| Management And General | $7,240 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,669 | TotalAmt |
| Program Services | $161,656 | ProgramServicesAmt |
| Management And General | $26,013 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,045,693 | TotalAmt |
| Program Services | $1,501,821 | ProgramServicesAmt |
| Management And General | $543,872 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $361,323 | TotalAmt |
| Program Services | $272,144 | ProgramServicesAmt |
| Management And General | $89,179 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Internal Management Fees | $12,858,453 | $12,307,580 | $550,873 |
| Patient Care Supplies | $7,237,480 | $7,237,480 | |
| Provider Assessment Tax | $2,999,979 | $2,999,979 | |
| Physician recruitment | $132,792 | $132,792 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $570,944 | TotalAmt |
| Program Services | $149,202 | ProgramServicesAmt |
| Management And General | $421,742 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,023,554 | TotalAmt |
| Program Services | $66,039,785 | ProgramServicesAmt |
| Management And General | $7,983,769 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,377,471 | BOYAmt |
| EOY | $2,232,803 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,231,585 | BOYAmt |
| EOY | $3,183,933 | 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 | $232,045 | BOYAmt |
| EOY | $64,183 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,724,548 | BOYAmt |
| EOY | $835,852 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $212,171 | BOYAmt |
| EOY | $223,229 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $66,250,953 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $47,992,273 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,636,196 | BOYAmt |
| EOY | $18,258,680 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $249,274 | BOYAmt |
| EOY | $84,409 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,663,290 | BOYAmt |
| EOY | $24,883,089 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,204,867 | BOYAmt |
| EOY | $4,610,864 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $998 | 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 | $4,634,730 | BOYAmt |
| EOY | $4,263,600 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,617,340 | BOYAmt |
| EOY | $3,978,058 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,457,935 | BOYAmt |
| EOY | $12,852,522 | 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 | $13,205,355 | BOYAmt |
| EOY | $12,030,567 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,205,355 | BOYAmt |
| EOY | $12,030,567 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,663,290 | BOYAmt |
| EOY | $24,883,089 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$9,976,801 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $8,802,013 | 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) |
|---|---|---|
| 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 | $15,084 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $15,084 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | $15,084 - PORTION OF DUES PAID TO AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS, ILLINOIS COUNCIL OF HEALTH-SYSTEM PHARMACISTS, AMERICAN ASSOCIATION OF NURSE ANESTHETISTS, AMERICAN ACADEMY OF ORHOPAEDIC SURGEONS, ILLINOIS ACADEMY OF PHYSICIANS ASSISTANTS, AND ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,017,266 | OtherCostOrOtherBasisAmt |
| Book Value | $1,017,266 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,664,105 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,874,444 | DepreciationAmt |
| Book Value | $10,789,661 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,270,870 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,449,909 | DepreciationAmt |
| Book Value | $5,820,961 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,298,712 | OtherCostOrOtherBasisAmt |
| Depreciation | $667,920 | DepreciationAmt |
| Book Value | $630,792 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $18,258,680 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO BLUE CROSS | $442,028 |
| ASSET RETIREMENT OBLIGATION | $3,536,030 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,978,058 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD 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, 2023 AND 2022. | 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 | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| 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 | $722,825 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $722,825 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0098 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,560,716 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,845,504 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,715,212 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0367 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $15,283,541 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,845,504 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,438,037 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0464 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,091 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,091 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $235,628 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $235,628 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0032 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,840,295 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,840,295 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1329 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $10,094,014 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,094,014 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1364 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $25,377,555 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,845,504 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,532,051 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1828 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,240 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,240 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $14,240 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,240 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $937,797 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $468,899 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $25,637,724 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $29,821,121 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,183,397 | 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 | Carle Richland Memorial Hospital | BusinessNameLine1Txt |
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) |
|---|---|---|
| Website Address | https://carle.org/locations/carle-richland-memorial-hospital | WebsiteAddressTxt |
| State License | 0004200 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carle Richland Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://carle.org/about-us/community-health-needs-assessments | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://carle.org/about-us/community-health-needs-assessments | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE SCHEDULE H PART VI | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE SCHEDULE H PART VI | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE SCHEDULE H PART VI | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3E | THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - Carle Richland Memorial Hospital. Provisions in the Affordable Care Act (ACA) require charitable hospitals to conduct a Community Health Needs Assessment (CHNA). The CHNA is a systematic process involving the community to identify and analyze community health needs as well as community assets and resources in order to plan and act upon priority community health needs. This assessment process results in a CHNA report which assists the hospital in planning, implementing, and evaluating hospital strategies and community benefit activities. The Community Health Needs Assessment was developed and conducted, in partnership with representatives from the community, by a consultant provided through the Illinois Critical Access Hospital Network (ICAHN). ICAHN is a not-for-profit 501(c)(3) corporation established in 2003 for the purposes of sharing resources, education, promoting operational efficiencies, and improving healthcare services for member critical access and rural hospitals and their communities. ICAHN, with 57 member hospitals, is an independent network governed by a nine-member board of directors, with standing and project development committees facilitating the overall activities of the network. ICAHN continually strives to strengthen the capacity and viability of its members and rural health providers. This Community Health Needs Assessment will serve as a guide for planning and implementation of healthcare initiatives that will allow the hospital and its partners to best serve the emerging health needs of Olney and the surrounding area. Three focus groups met through facilitated virtual conferencing on May 20, 2021, to discuss the state of overall health and wellness in the Carle Richland Memorial Hospital service area. They were also tasked with identifying health concerns and needs in the delivery of healthcare and health services in order to improve wellness and reduce chronic illness for all residents. The focus groups included representation of healthcare providers, community leaders, community services providers, schools, faith-based organizations, local elected officials, public health, and others. Several members of the groups provided services to underserved and unserved persons as all or part of their roles. The findings of the focus groups were presented along with secondary data analyzed by the consultant to a third group for identification and prioritization of the significant health needs facing the community through a virtual conference on June 28, 2021. The focus group consisted of representatives from Richland County Ministerial Alliance, The Master's Hands, Richland County Housing Authority, Stopping Woman Abuse Now, Department of Human Services, Richland County Community Unit 1 Schools, Richland County Addiction Prevention Coalition, Community Unit School District 20, Olney Central College, Carle Richland Memorial Hospital, Richland County TB and Public Health Office, Arrow Ambulance, SIHF, Jasper County Health Department and Wayne County Health Department. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - Carle Richland Memorial Hospital. Health Needs Selected 1. Mental health services for children, adolescents, and adults, including: - Youth and adult inpatient care for treatment through recovery - Improved access to counseling for youth, including services at schools - Inpatient behavioral health and substance use crisis care - Addiction medicine services, including Medication Assisted Treatment Actions the hospital intends to take to address the health need: - Carle Richland Memorial Hospital will explore increasing access to Medication Assisted Treatment/recovery resources - Carle Richland Memorial Hospital will explore increasing relationships with inpatient behavioral health and substance use disorder providers - Carle Richland Memorial Hospital will provide reasonable and appropriate support to development of the crisis program at Lawrence County Health Department - Carle Richland Memorial Hospital will explore developing tele-counseling - Carle Richland Memorial Hospital will explore new avenues to increase access to counseling - Carle Richland Memorial Hospital will continue and expand the Mental Health First Aid program Anticipated impacts of these actions: Carle Richland Memorial Hospital anticipates that the steps set out above will create increased access to counseling for youth and adults, medication assisted treatment, and inpatient and crisis care for behavioral health and substance use disorder. Programs and resources the hospital plans to commit to address health need: - Administrative team Planned collaboration between hospital and other facilities or organizations: - SIU School of Medicine - Public Health - Inpatient providers - Law enforcement - Carle Behavioral Health services Evaluation of Prior Impact: Mental and behavioral health continue to be an identified health needs for Carle Richland and Richland County, similar to counties across Illinois and the United States. In 2023, the number of mental health providers in Richland County is roughly 190:1, according to most recently available data, and increase from 210:1 in recent years. This is better than both the Illinois and national average. In most recent available suicide data, there were 15 suicides per 100,000 people in Richland County, which is higher than both the statewide and national average. In response, Carle Richland Memorial Hospital took the following actions in 2023: - CRMH began the Little Spot of Emotion program with all 2nd graders in Richland County. This program helps the children to recognize the feelings they are having and talk about them. This started during the 2023-24 school year. - CRMH team members were recognized for their work with Mental Health First Aid at the annual conference held by Illinois Critical Access Hospital Network (ICAHN), with a team member being recognized as winner of the Community Project Award for her behavioral health work with both adult organizations and in the local high schools. - CRMH added an additional PMHNP to the medical staff, making that 2 full-time psychiatric practitioners that are available to see patients. - CRMH maintained a behavioral health room in our ED so we can safely keep patients who need to be transferred to a behavioral facility or are on suicide precautions, supported by the Richland County Board in recognition of need, and the work Carle Richland Memorial Hospital does in caring for patients. 2. Flexible transportation for local appointments and assistance when needed for persons that have little or no transportation at home Actions the hospital intends to take to address the health need: - Carle Richland Memorial Hospital will explore expanding care coordination services to include transportation Anticipated impacts of these actions: Carle Richland Memorial Hospital anticipates the expanding care coordination services to include transportation will improve coordination of transportation with appointments and address patient needs related to transportation. Programs and resources the hospital plans to commit to address health need: - Administration Planned collaboration between hospital and other facilities or organizations: - RIDES Mass Transit District - Embarras River Basin Area Agency (ERBA) Evaluation of Prior Impact: Like many rural communities, physical landmass is large and reliable transportation to access community services and care is not always easy to attain. As with often common in rural communities, there is a large aging population. In Richland County, adults aged 65+ with an independent living difficulty (including access to transportation), is roughly 15%, higher than the statewide and national average. In response to this identified health need, Carle Richland Memorial Hospital took the following actions: - Carle Richland Memorial Hospital continues to work to increase services for those needing transportation assistance. Inpatient Care Coordination staff have access to hospital discharge service transportation for patients as needed - which helps take patients being discharged from the hospital home if they are needing help getting into their home or are going home with medical equipment. When patients do not need any special circumstances upon discharge, the care coordinators continue to schedule rides for them through Rides Mass Transit. ED also utilizes both services as needed for discharges from the ED. - Carle Richland Memorial Hospital continues to work with the Mass Transit District to advocate for assistance and routes for patients in our rural communities - a commitment to ongoing dialogue. 3. Improved opportunities to achieve wellness through: - Access to healthy foods and nutrition education - Access to low cost or free opportunities for recreation and fitness Actions the hospital intends to take to address the health need: - Carle Richland Memorial Hospital will explore development of a community garden program - Carle Richland Memorial Hospital will continue the demonstration garden for nutrition education - Carle Richland Memorial Hospital will provide funding for lighting to enhance use of the community walking path in Olney - Carle Richland Memorial Hospital will explore expanding services of Carle Health's Mobile Market - Carle Richland Memorial Hospital will partner with Carle Health to provide the community with access to video with health and wellness content - Carle Richland Memorial Hospital will continue to support local youth sports Anticipated impacts of these actions: Carle Richland Memorial Hospital anticipates that the addition of the programs and services to be undertaken will improve opportunities to achieve wellness through access to healthy foods and nutrition education, and access to low cost or free opportunities for recreation and fitness. Programs and resources the hospital plans to commit to address health need: - Administrative team - Organizational and community development Planned collaboration between hospital and other facilities or organizations: - Volunteers - Carle Health - City of Olney - University of Illinois Extension - Carle Richland Auxiliary Evaluation of Prior Impact: Like many communities in the United States, obesity and obesity related illnesses continue to be a concern in Richland County. Obesity is associated with poorer mental health outcomes, reduced quality of life, and the leading cause of death in the U.S. and worldwide, through contributing to heart disease, stroke, diabetes and some types of cancer. According to 2023 County Health Rankings, adult obesity in Richland County is 37%, higher than the statewide and national average, and higher than recent years. Additionally, Access to Exercise Opportunities is significantly lower than the statewide and national averages, at only 67% of people living near a park or recreation facility. In response to this identified health need, Carle Richland Memorial Hospital took the following actions: - In 2023, CRMH Respiratory Therapy brought back the Better Breather's Club. This group has not met since before COVID. They now meet monthly again for those with COPD and other breathing issues. - In 2023, CRMH added new specialties, including full-time Pain Management and full-time Podiatry services. We had been without podiatry services for close to a year and Pain Management is a completely new service for Richland. Both providers have been well-received and are continuing to get more referrals and new patients. - CRMH started a walking group that encouraged residents to get out and walk on Saturday mornings. A representative would meet residents and walk with them for up to an hour at various outdoor locations in town. The group disbanded once the weather got too cold to walk outdoors, but did meet for 3-4 months. |
| Schedule H, Part V, Section B, Line 11 Facility , 2 | Facility , 2 - Carle Richland Memorial Hospital (Continued). - CRMH also added a Urology and Cardiology APP to our medical staff. While we already had established Urology and Cardiology practices, the volume for both areas was in need of additional providers. 4. Dental care for underinsured and uninsured Actions the hospital intends to take to address the health need: Carle Richland Memorial Hospital continues to recognize the importance of access to dentalcare and the impact of dental care on wellness but observes that dental care is not a function for which the hospital is well-suited. Carle Richland Memorial Hospital recognizes that the Federally Qualified Health Center (FQHC) may be better positioned to address this issue, and the hospital will promote partnerships between dentists, the FQHC, and any other potential partners as reasonably possible. Anticipated impacts of these actions: Any impacts from any developments on this issue are dependent on external partners and solutions they may offer. Programs and resources the hospital plans to commit to address health need: - Administration Planned collaboration between hospital and other facilities or organizations: - Federally Qualified Health Center - Dentists - Others that may be interested in the effort - Public Health Evaluation of Prior Impact: According to most recently available data, Richland County does have a higher proportion of dentists to the population at 3,950:1 than the statewide and national averages, and the average number of adults visiting a dentist is higher than the statewide and national averages. Carle Richland Memorial Hospital continues to recognize the importance of access to dentalcare and the impact of dental care on wellness but observes that dental care is not a function for which the hospital is well-suited. Carle Richland Memorial Hospital recognizes that the Federally Qualified Health Center (FQHC) may be better positioned to address this issue, and the hospital will promote partnerships between dentists, the FQHC, and any other potential partners as reasonably possible, and works to continue to advocate and support these community partners as we are able. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| CARLE OLNEY PRIMARY CARE | ||||
| 363 N WEST ST | OLNEY | IL | 62450 | RURAL HEALTH CLINIC |
| CARLE (OLNEY) SURGICAL SERVICES | ||||
| 605 E MAIN ST | OLNEY | IL | 62450 | SURGICAL SERVICES |
| CARLE WEST SALEM | ||||
| 100 S MAIN ST | WEST SALEM | IL | 62476 | RURAL HEALTH CLINIC |
| CARLE BRIDGEPORT | ||||
| 101 INDUSTRY RD | BRIDGEPORT | IL | 624172242 | OUTPATIENT CLINIC |
| RMH PROFESSIONAL SERVICES | ||||
| 605 E Main Street | Olney | IL | 62450 | GENERAL SURGERY AND PODIATRY SERVICES |
Supplemental Information Detail SupplementalInformationDetail (21 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3 FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA | PATIENTS MAY REQUEST AND COMPLETE A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME, INCLUDING BEFORE CARE IS RECEIVED. PATIENTS ARE INFORMED ABOUT FINANCIAL ASSISTANCE ON MULTIPLE OCCASIONS THROUGHOUT THE COLLECTION PROCESS. IN ADDITION TO PATIENTS COMPLETING APPLICATIONS FOR OUR FINANCIAL ASSISTANCE PROGRAM, WE HAVE ROBUST PRESUMPTIVE ELIGIBILITY PROCESSES IN PLACE. WE HAVE PARTNERED WITH EXPERIAN INFORMATION SOLUTIONS, INC. TO HELP US IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON KEY FINANCIAL INDICATORS. THESE PATIENTS MAY BE APPROVED WITHOUT EVER COMPLETING AN APPLICATION OR EXPRESSING A NEED FOR FINANCIAL ASSISTANCE. IN ADDITION, WE PRESUME ELIGIBILITY FOR PATIENTS WHO ARE VERIFIED HOMELESS, DECEASED WITH NO ESTATE, MENTALLY INCAPACITATED, ELIGIBLE FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) OR WOMEN, INFANTS, AND CHILDREN NUTRITION PROGRAM (WIC), TOWNSHIP ASSISTANCE, LOW INCOME ENERGY ASSISTANCE PROGRAM (LIHEAP), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM OR COVERED BY ILLINOIS MEDICAID. |
| Schedule H, Part II Describe How Community Building Activities Promote the Health of the Community | VOLUNTEER SERVICES: Employee: Carle Richland administrators and leaders provided more than 75 hours on behalf of Carle for participation in community boards, committees and community functions in 2023. Most of these hours were spent by senior leadership. Non-employee: In 2023, non-employee volunteers put in more than 6,032 hours at the hospital, receiving no payment but contributing to Carle's mission. At a minimum wage of $13/hour, this equated to more than $78,000 of potential wages that Carle saved by having such a strong volunteer program. |
| Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE | HTTPS://CARLE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE |
| Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE | HTTPS://DEV-CMS.CARLE.ORG/GETMEDIA/ADCADB9A-2903-478C-A4A7-06BCF9DB10BC/358-0123-CFAPAPPLICATION.PDF |
| Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE | HTTPS://CARLE.ORG/GETMEDIA/F7608F63-CB1C-4EB5-8F0B-02F00EAFEC74/X0873-0223-CFAP-PLAIN-LANGUAGE-SUMMARY.PDF |
| Schedule H, Part I, Line 7 OTHER COMMUNITY BENEFITS | CASH AND IN-KIND: A LARGE PORTION OF CARLE'S COMMUNITY-BUILDING ACTIVITIES FOCUSED ON ECONOMIC DEVELOPMENT, INCLUDING CASH, IN-KIND DONATIONS AND BUDGETED EXPENDITURES FOR THE CITY, BUSINESS ASSOCIATIONS AND OTHER PROGRAMS IN RICHLAND COUNTY. IN ADDITION TO THE MORE THAN $8,000 IN CASH DONATIONS, LEADERSHIP PROVIDED IN-KIND SUPPORT OF OVER $20,000 BY SERVING ON NUMEROUS COMMUNITY BOARDS AND COMMITTEES. |
| Schedule H, Part I, Line 7g Subsidized Health Services | SUBSIDIZED HEALTH SERVICES ARE NET COSTS FOR BILLED SERVICES THAT ARE SUBSIDIZED BY THE HOSPITAL. THESE INCLUDE SERVICES OFFERED DESPITE A FINANCIAL LOSS BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND EITHER OTHER PROVIDERS ARE UNWILLING TO PROVIDE THESE SERVICES OR THE SERVICES WOULD OTHERWISE NOT BE AVAILABLE IN A SUFFICIENT AMOUNT. WE INCLUDED AS UNREIMBURSED COSTS OF SUBSIDIZED HEALTH SERVICES: $84,235 FOR HOSPITAL OUTPATIENT SERVICES, $3,461,723 FOR EMERGENCY AND TRAUMA SERVICES, AND $6,114,247 FOR SUBSIDIZED CONTINUING CARE. |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | SEE NARRATIVE FOR SCHEDULE H, PART III, LINE 2 |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | TO COMPUTE AND CONVERT FINANCIAL ASSISTANCE, UNREIMBURSED MEDICAID, MEANS-TESTED PROGRAMS, AND BAD DEBT CHARGES TO COST; A CONSISTENT GAAP (GENERALLY ACCEPTED ACCOUNTING PRINCIPLES) BASED COST-TO-CHARGE RATIO WAS USED ACROSS ALL PAYERS. ALTHOUGH THE METHODOLOGY WAS SIMILAR TO WORKSHEET #2, FOR SIMPLICITY PURPOSES CERTAIN IMMATERIAL VALUES WERE OMITTED. OTHER COMMUNITY BENEFITS COSTS WERE REPORTED AT THE ACTUAL EXPENSE INCURRED. PATIENT RECEIVABLE PAYMENTS AND RELATED DISCOUNTS WERE RECORDED AT ACTUAL AMOUNTS AT THE TIME OF PAYMENT RECEIPT. A SEPARATE GAAP BASED PROVISION FOR ESTIMATED BAD DEBTS AND DISCOUNTS WAS RECOGNIZED FOR ACCOUNTS IN PROCESS AND PENDING ADJUDICATION AND PAYMENT. THE ESTIMATED PORTION WAS BASED ON HISTORICAL TRENDS AND ADJUSTED TO ACTUAL WHEN ADJUDICATION AND PAYMENT OCCUR. ACCOUNTS DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE WERE PROCESSED IMMEDIATELY FOR FINANCIAL ASSISTANCE DISCOUNT WITH NO COLLECTION EFFORT. FOR ACCOUNTS WITH INSUFFICIENT INFORMATION AND DOCUMENTATION TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY, THE HOSPITAL CONSULTED WITH A VARIETY OF ALTERNATIVE SOURCES TO HELP DETERMINE AN INDIVIDUAL'S FINANCIAL MEANS (OR LACK OF MEANS) TO PAY. BASED ON RELATED TRENDS, THE HOSPITAL FURTHER DEVELOPED A GENERAL ESTIMATE OF FINANCIAL ASSISTANCE WHICH CONTINUED TO RESIDE WITHIN BAD DEBTS. THIS NARRATIVE ALSO PERTAINS TO SCHEDULE H, PART I, LINE 7 - EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | CARLE RICHLAND MEMORIAL HOSPITAL USES 50% AS A GENERAL ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0. PLEASE SEE SCHEDULE H, PART III, LINE 2 METHODOLOGY USED TO ESTIMATE BAD DEBT FOR 990 REPORTING PURPOSES. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | THE NUMERATOR (TOTAL EXPENSE) AND DENOMINATOR (TOTAL GROSS CHARGES) OF THE SIMPLE RATIO OF PATIENT CARE COST TO CHARGES IS ADJUSTED BY ELIMINATING NON-PATIENT CARE THAT GENERATES OTHER REVENUE, BAD DEBT EXPENSE, MEDICAID, AND OTHER PROVIDER TAXES AND THE TOTAL COST OF COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS. ALSO, ANY GROSS PATIENT CHARGES FOR PROGRAMS NOT RELYING ON THE RATIO ARE ELIMINATED FROM BOTH THE NUMERATOR AND DENOMINATOR OF THE RATIO. THESE ADJUSTMENTS ARE INTENDED TO ELIMINATE ANY POTENTIAL FOR DOUBLE COUNTING OF COMMUNITY BENEFIT EXPENSES. THE RESULTANT RATIO ALIGNS WITH SCHEDULE H REQUIREMENTS. ILLINOIS LAW DEFINES GOVERNMENTAL-SPONSORED INDIGENT HEALTH CARE AS THE UNREIMBURSED COST OF MEDICARE, MEDICAID, AND OTHER FEDERAL, STATE, OR LOCAL INDIGENT CARE PROGRAMS. WHEN THERE IS A SHORTFALL, WE DO BELIEVE THIS IS A COMMUNITY BENEFIT BECAUSE, AS A HOSPITAL, WE ARE STEPPING UP TO CARRY THE BURDEN OF THE GOVERNMENT, ASSURING CARE TO SENIORS, AND THOSE LESS FORTUNATE DEMOGRAPHICS THAT HAVE EXPERIENCED INCREASING COSTS OVER THE PAST DECADE WHILE LIVING ON FIXED INCOMES. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | THE CARLE FINANCIAL ASSISTANCE PROGRAM (CFAP) PROVIDES DISCOUNTED OR FREE CARE TO THOSE WHO NEED IT WITHIN THE CARLE HEALTH SYSTEM, INCLUDING THIS HOSPITAL. NOT ONLY DOES THIS RESULT IN A MORE TIMELY APPLICATION PROCESS, BUT MOST IMPORTANTLY, IT MEANS PATIENTS RECEIVE THE SAME DISCOUNT AT THE HOSPITAL AND CLINICS IF THEY MIGHT NEED AN ADDITIONAL LEVEL OF SPECIALTY OR HOSPITAL CARE. WITH THIS PROGRAM, THE HOSPITAL HAS A ROBUST PRESUMPTIVE ELIGIBILITY PROCESS. WE PRESUME ELIGIBILITY FOR VERIFIED HOMELESS, DECEASED WITH NO ESTATE, MENTAL INCAPACITATION, RECIPIENTS OF WIC (WOMEN, INFANTS AND CHILDREN NUTRITION PROGRAM), SNAP (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM), LIHEAP (LOW INCOME HOME ENERGY ASSISTANCE PROGRAM), ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM, RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICE, FEDERALLY QUALIFIED HEALTH CLINIC (FQHC) DISCOUNT REFERRALS, MEDICAID TITLE XIX, XXI, AND IN-NETWORK MEDICAID MANAGED CARE PLANS. IN ADDITION, WE UTILIZE A VENDOR, EXPERIAN INFORMATION SOLUTIONS, INC., TO PROACTIVELY IDENTIFY PATIENTS WHO MAY BE PRESUMPTIVELY-QUALIFIED FOR ASSISTANCE - NOT ONLY FOR PUBLIC PROGRAMS LIKE MEDICAID, BUT ALSO BASED ON A NUMBER OF KEY FINANCIAL INDICATORS, INCLUDING CREDIT HISTORY, DEMOGRAPHICS AND GROSS INCOME. IDENTIFIED PATIENTS MAY BE PRESUMED ELIGIBLE AND AUTOMATICALLY ENROLLED IN THE PROGRAM, OR THEY MAY BE CONTACTED AND ENCOURAGED TO APPLY FOR ASSISTANCE. PATIENTS WHO ARE NOT DEEMED PRESUMPTIVELY ELIGIBLE WOULD NEED TO REQUEST AND COMPLETE AN APPLICATION. IF THE PATIENT DOES NOT REQUEST OR COMPLETE AND RETURN THE APPLICATION, THEN THE BALANCE IS DEEMED THEIR RESPONSIBILITY TO PAY. FOR PATIENTS THAT DO NOT QUALIFY FOR CARLE FINANCIAL ASSISTANCE AND WHO MAY BE UNINSURED OR UNDERINSURED, THE HOSPITAL HAS OTHER DISCOUNT OPTIONS AVAILABLE, SUCH AS PROMPT PAY, ILLINOIS UNINSURED DISCOUNT, AND CAPPED DISCOUNT - WHERE A PATIENT'S OUT-OF-POCKET MEDICAL EXPENSES ARE LIMITED TO 40% OF THEIR ANNUAL GROSS INCOME IF THEY EARN AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL. ONCE ALL APPLICABLE DISCOUNTS HAVE BEEN APPLIED, WE MAKE EVERY ATTEMPT TO WORK WITH THE PATIENT AND SET UP PAYMENT ARRANGEMENTS ON THE REMAINING BALANCE DUE. THE CURRENT MINIMUM IS 5% OF THE TOTAL BALANCE DUE OR $25.00 A MONTH. IF THEY CANNOT MEET THESE GUIDELINES, OUR IN-HOUSE BILLING STAFF MEMBERS WORK WITH THEM TO SET UP A TEMPORARY/SHORT TERM PAYMENT ARRANGEMENT UNTIL THEY CAN MAKE THE MINIMUM PAYMENT. IF THEY ARE UNABLE TO MAKE PAYMENT ON THE BALANCE DUE, THEN THE BALANCE MAY BE LISTED WITH AN OUTSIDE COLLECTION AGENCY. WHEN THE ACCOUNT IS STILL IN-HOUSE, THE MINIMUM NOTIFICATION IS MONTHLY ITEMIZED STATEMENTS. IF A PATIENT DOES NOT RESPOND, THE ACCOUNT IS GIVEN A FINAL NOTICE, EITHER BY LETTER OR PHONE, AND SENT TO AN OUTSIDE COLLECTION AGENCY. THE HOSPITAL WILL NOT FILE COLLECTION SUIT LIENS ON A PRIMARY RESIDENCE, NOR DO WE AUTHORIZE AN AGENCY TO USE SO-CALLED "BODY ATTACHMENTS". THE AGENCIES ARE AWARE OF OUR CFAP AND HAVE BEEN ADVISED TO REFER THE PATIENTS BACK TO CARLE IF THEY DEEM THE PATIENT IS UNABLE TO PAY. BILLING STAFF WILL THEN MAKE ONE MORE ATTEMPT TO WORK WITH THE PATIENT TO SEE IF HELP IS AVAILABLE. IF STAFF DETERMINES THAT THE PATIENT MIGHT QUALIFY, WE SEND THE PATIENT A CFAP APPLICATION AND INSTRUCT THE AGENCY TO PUT A HOLD ON THE ACCOUNT; THE AVERAGE HOLD IS 60 DAYS. IF THE PATIENT IS THEN APPROVED FOR DISCOUNTS AT 100% FOR FINANCIAL ASSISTANCE, THE BALANCE IS ADJUSTED AND THE ACCOUNT IS CLOSED WITH THE AGENCY. IF THE PATIENT IS APPROVED FOR LESS THAN 100%, THE ADJUSTMENTS ARE REPORTED TO THE AGENCY AND THE AGENCY WILL BEGIN COLLECTION EFFORTS ON ANY REMAINING BALANCE. |
| Schedule H, Part V, Section B, Line 16a FAP website | - Carle Richland Memorial Hospital: Line 16a URL: SEE SCHEDULE H PART VI; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - Carle Richland Memorial Hospital: Line 16b URL: SEE SCHEDULE H PART VI; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - Carle Richland Memorial Hospital: Line 16c URL: SEE SCHEDULE H PART VI; |
| Schedule H, Part VI, Line 2 Needs assessment | Carle primarily addresses healthcare needs in our community by being a part of the aforementioned CHNA. However, Carle is acutely aware of the need for Access to Care, making it a mainstay of our community benefit efforts. We have a strong financial assistance program based on a philosophy of doing the right thing for the community and patients, balanced by a careful stewardship of the community's resources. While Access to Care was not selected as a priority for the 2021 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. 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. Donate to existing community health 6. Participate in population health initiatives that actively manage the health of members 7. Promote prescription affordability as a 340B provider 8. Continue access to care through subsidized services, including the LTC Skilled Nursing, the Extended Care Wing, the Emergency Department, Cardiac Rehab, and more. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | Our practice is to look at each patient's financial status in relation to our Carle Financial Assistance Program and the criteria of the Uninsured Patient Discount Act, and to provide the patient with the deepest discount available. By expanding the presumptive eligibility screening processes and determining the financial status of patients up-front, we have been able to pinpoint those needing assistance early in the process, minimizing bad debt and optimizing our ability to help. Staff is also diligent in following up with patients during hospitalization and after discharge if there's any reason to believe the patient could benefit from financial assistance, and we auto-qualify certain patient populations for Carle Financial Assistance Program, such as the homeless, WIC, SNAP (Supplemental Nutrition Assistance Program), Medicaid, Low Income Home Energy Assistance Program (LIHEAP), and Township Assistance recipients. Communicating that Financial Assistance is Available Carle Richland Memorial Hospital has made a concerted, continuous effort to be sure that people have access to information that will help them with their medical bills. These include: - Advertising Carle Financial Assistance Program; continued presence in appropriate community publications; and on-site via displays throughout the hospital and clinics - Simplified application form, including a version in Spanish, that contains information regarding the Carle Financial Assistance Program - Publication of a Plain Language Summary and all other financial assistance-related information on carle.org/patients-visitors/financial-assistance - Information about the Carle Financial Assistance Program on all statements, collection letters and Hospital admission packets - Carle Financial Assistance Program information and applications at all registration points, Hospital main lobby and carle.org - Meetings with local legislators to help them assist constituents with healthcare needs, including financial assistance |
| Schedule H, Part VI, Line 4 Community information | Carle Richland Memorial Hospital has defined its primary service area and populations as the general population within the geographic area in and surrounding Richland County defined in detail below. The hospital's patient population includes all who receive care without regard to insurance coverage or eligibility for assistance. Carle Richland Memorial Hospital's service area is comprised of approximately 3,298.30 square miles, with a population of approximately 108,055 people and a population density of 33 people per square mile. The service area consists of the following rural Illinois counties: Richland, Lawrence, Edwards, Jasper, Clay, Crawford, Wabash, and Wayne. The average household size of the area, at 2.3, is lower than both Illinois (3) and the U.S. (2.5). Median age is over 43.5 years, which is higher than Illinois and the U.S. The largest education segment is reported as some college, followed by high school graduates. College graduates in the area exceed the number of residents that did not complete high school. The unemployment rate is typical of surrounding counties and other rural counties in Illinois and is better than national and statewide numbers. Also, as is the case in much of rural Illinois, income by households in the service area is lower than statewide In the report area, 41.23%, or 11,937 families report a total annual income of $75,000 or greater. Total income includes all reported income from wages and salaries as well as income from selfemployment, interest or dividends, public assistance, retirement, and other sources. As defined by the US Census Bureau, a family household is any housing unit in which the householder is living with one or more individuals related to him or her by birth, marriage, or adoption. A non family household is any household occupied by the householder alone, or by the householder and one or more unrelated individuals. Within the report area 13.74% or 14,051 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, health food, and other necessities that contribute to poor health status. In addition to Carle Richland Memorial Hospital, Richland County is served by Lawrence County Memorial Hospital, Wabash General Hospital, Crawford Memorial Hospital, Clay County Hospital, and Fairfield Memorial Hospital. There are also other clinics within our service areas from hospitals and health systems outside our service area. |
| Schedule H, Part VI, Line 5 Promotion of community health | CARLE RICHLAND MEMORIAL HOSPITAL has an open medical staff and is governed by a community board that serves on a volunteer basis. Surplus funds are reinvested into the organization for technology replacement and advancement, clinical service expansion and quality improvement. Funds are also invested into our communities to meet identified health needs which contribute to the overall well-being of the residents of the communities we serve. |
| Schedule H, Part VI, Line 6 Affiliated health care system | CARLE RICHLAND MEMORIAL HOSPITAL is a 25 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 CRMH allows for expanded access to healthcare in the region. Though CRMH falls under the umbrella of The Carle Foundation, it maintains a separate board of trustees and senior leadership. While CRMH's CHNA and community benefit reporting is separate from the Carle Foundation Hospital, it follows the same guidelines and principles as Carle. CRMH staff is involved in the CHNA and implementation plan, and serve on human services agency boards and committees to provide support to help address identified community health needs |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Richland County High School | |||||||
| 1200 East Laurel Street | Olney | IL | 62450 | 376004449 | Government | $7,826 | Sponsorship |
| Richland County Development Corporation | |||||||
| 315 West Main Street | Olney | IL | 62450 | 371201502 | 501(c)(3) | $13,500 | Program Services |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | ANY CHARITABLE ORGANIZATION WISHING TO REQUEST FUNDS IS ASKED TO SUBMIT THEIR REQUEST IN WRITING. EMAILED REQUESTS ARE ACCEPTABLE. THE REQUEST MUST INCLUDE A DESCRIPTION OF THE PURPOSE OF THE CONTRIBUTION AND OTHER RELEVANT INFORMATION SUCH AS REQUESTORS NAME, AMOUNT OF THE REQUEST, ETC. THE REQUESTS ARE REVIEWED, EVALUATED, AND ADMINISTERED BY THE MARKETING AND COMMUNICATIONS (PUBLIC RELATIONS) DEPARTMENT, SEEKING ADDITIONAL INFORMATION FROM THE REQUESTOR, AS NEEDED, AND INPUT FROM ANY APPROPRIATE CARLE ADMINISTRATOR OR DIRECTOR. A SET OF ESTABLISHED GUIDELINES DRIVE THESE DECISIONS WHILE MOST ARE MADE TO IMPROVE HEALTHCARE/ACCESS TO HEALTHCARE OR ARE IN LINE WITH OUR ROLE AS A CORPORATE CITIZEN. ASSESSED NEED IS A COMMON CRITERIA. IN THE CASE OF MOST DONATIONS OF $5,000 OR MORE, SUCH AS TO COLLEGES AND UNIVERSITIES OR COMMUNITY CLINICS, WRITTEN AGREEMENTS ARE IN PLACE AND WE HAVE REGULAR CONTACT WITH THOSE ORGANIZATIONS, OFTENTIMES THROUGH A CARLE CONTACT PERSON TO ASSURE THAT THE DONATIONS ARE BEING USED AS AGREED UPON. THE RECORDS ARE EITHER MAINTAINED IN ADMINISTRATION OR PUBLIC RELATIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Matthew Kolb JD MHA | ||||||||||||||
| Ex Officio // President, Carle Health Regions // EVP, COO // TRUSTEE THRU 3/08/2023 | $0 | $1,092,613 | $0 | $219,047 | $0 | $255,672 | $0 | $335,494 | $0 | $27,811 | $0 | $1,930,637 | $0 | $226,485 |
| Tanner Miller MD | ||||||||||||||
| Trustee Beg 02/01/2023 // Physician | $0 | $424,496 | $0 | $91,289 | $0 | $2,263 | $0 | $6,600 | $0 | $27,851 | $0 | $552,499 | $0 | $0 |
| Raymond Fisher MD | ||||||||||||||
| Trustee // Physician | $0 | $623,380 | $0 | $0 | $0 | $24,427 | $0 | $6,600 | $0 | $9,208 | $0 | $663,615 | $0 | $0 |
| Sally Salmons MD | ||||||||||||||
| Trustee Thru 01/31/2023 // CHRH MEDICAL DIRECTOR | $0 | $446,923 | $0 | $46,250 | $0 | $79,234 | $0 | $50,708 | $0 | $22,171 | $0 | $645,286 | $0 | $0 |
| Dennis Hesch | ||||||||||||||
| Officer - EVP, Chief Finance & Strategy Officer | $0 | $1,104,200 | $0 | $262,608 | $0 | $29,187 | $0 | $346,286 | $0 | $20,603 | $0 | $1,762,884 | $0 | $0 |
| Napoleon Knight MD MBA | ||||||||||||||
| Officer - EVP, Chief Medial Officer | $0 | $775,491 | $0 | $136,231 | $0 | $29,153 | $0 | $103,114 | $0 | $12,345 | $0 | $1,056,334 | $0 | $0 |
| James C Leonard MD | ||||||||||||||
| Officer - President & CEO | $0 | $1,690,975 | $0 | $443,047 | $0 | $3,555,979 | $0 | $16,500 | $0 | $20,385 | $0 | $5,726,886 | $0 | $3,526,792 |
| Regina Thomas DNP MBA | ||||||||||||||
| Ex Officio, Non-Voting // Officer - President, Carle Health - South Region | $0 | $293,950 | $0 | $30,968 | $0 | $54,862 | $0 | $36,601 | $0 | $15,956 | $0 | $432,337 | $0 | $0 |
| Kenneth Aronson MD | ||||||||||||||
| Former - Key Employee | $0 | $548,487 | $0 | $100,157 | $0 | $26,237 | $0 | $16,500 | $0 | $19,905 | $0 | $711,286 | $0 | $0 |
| Nicholas Crompton | ||||||||||||||
| VP, Construction & Facility Services | $0 | $291,871 | $0 | $30,843 | $0 | $41,658 | $0 | $37,180 | $0 | $30,879 | $0 | $432,431 | $0 | $0 |
| Lauren Schmid MBA | ||||||||||||||
| EVP, Chief Human Resources Officer | $0 | $674,332 | $0 | $113,339 | $0 | $158,040 | $0 | $182,309 | $0 | $27,331 | $0 | $1,155,351 | $0 | $128,983 |
| John Allen | ||||||||||||||
| CRNA - CRMH Anesthesiology | $334,029 | $0 | $10,951 | $0 | $9,442 | $0 | $6,267 | $0 | $28,487 | $0 | $389,176 | $0 | $0 | $0 |
| Benjamin Curtis | ||||||||||||||
| CRNA - CRMH Anesthesiology | $324,071 | $0 | $10,951 | $0 | $12,430 | $0 | $6,231 | $0 | $28,750 | $0 | $382,433 | $0 | $0 | $0 |
| Thomas Falcone | ||||||||||||||
| CRNA - CRMH Anesthesiology | $314,937 | $0 | $10,951 | $0 | $1,510 | $0 | $6,195 | $0 | $30,879 | $0 | $364,472 | $0 | $0 | $0 |
| John Wall | ||||||||||||||
| CRNA Lead - CRMH Anesthesiology | $345,882 | $0 | $11,389 | $0 | $1,569 | $0 | $6,458 | $0 | $30,616 | $0 | $395,914 | $0 | $0 | $0 |
| Mary Waller MD | ||||||||||||||
| Physician - Urology | $455,237 | $0 | $1,721 | $0 | $2,031 | $0 | $6,600 | $0 | $0 | $0 | $465,589 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | THE BOARD OF TRUSTEES OF THE CARLE FOUNDATION, THE PARENT 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. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | THE 2023 PARTICIPANTS IN THE 457(F) PLAN OFFERED BY THE CARLE FOUNDATION, THE PARENT ORGANIZATION OF RICHLAND MEMORIAL HOSPITAL, THAT ARE LISTED IN THE 990 PART VII INCLUDE MATTHEW KOLB, JD, MHA, SALLY SALMONS, MD, DENNIS HESCH, JAMES C. LEONARD, MD, REGINA THOMAS, DNP, MBA, LAUREN SCHMID, MBA, AND NICHOLAS CROMPTON. IN 2023, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO MATTHEW KOLB, JD, MHA ($226,485), JAMES C. LEONARD, MD ($3,526,792), AND LAUREN SCHMID, MBA ($128,983). |
| Schedule J, Part I, Line 7 Non-fixed payments | PART OF THE CEO'S COMPENSATION INCLUDES AN INCENTIVE COMPONENT WHICH IS DESIGNED TO ENCOURAGE AND PROMOTE THE ACHIEVEMENT OF CERTAIN QUALITY, OPERATIONAL, AND EFFICIENCY IMPROVEMENTS. ALTHOUGH THIS INCENTIVE COMPONENT IS BASED ON THE ORGANIZATION MEETING CERTAIN MINIMUM FINANCIAL THRESHOLDS, ALL PAYMENTS MUST BE APPROVED BY THE BOARD OF TRUSTEES PRIOR TO ANY INCENTIVE PAYOUT. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Whitley Houchin | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY MEMBER OF TRUSTEE | RelationshipDescriptionTxt |
| Transaction | $104,524 | TransactionAmt |
| Transaction | EMPLOYMENT | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part V FAMILY RELATIONSHIPS | FormAndLineReferenceDesc |
| Explanation | Whitley Houchin IS AN EMPLOYEE OF Richland Memorial Hospital Inc. AND HAS A FAMILY RELATIONSHIP WITH Gary Houchin (SECRETARY AND TREASURER OF BOARD). | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 2 Family/business relationships amongst interested persons | James C. Leonard, MD (Officer), Matthew Kolb, JD, MHA (Officer), Napoleon Knight, MD, MBA (Officer), and Sally Salmons, MD (Trustee) - Business relationship, James C. Leonard, MD (Officer) and Napoleon Knight, MD, MBA (Officer) - Business relationship, James C. Leonard, MD (Officer), Dennis Hesch (Officer), and Lauren Schmid, MBA (Key Employee) - Business relationship, Dennis Hesch (Officer), Matthew Kolb, JD, MHA (Officer), and Nicholas Crompton (Key Employee) - Business relationship |
| Form 990, Part VI, Line 4 Significant changes to organizational documents | DURING 2023, THE CARLE FOUNDATION D/B/A THE CARLE HEALTH SYSTEM AND PARENT ORGANIZATION OF THE CARLE FOUNDATION HOSPITAL, FORMED THREE SUBSIDIARY REGIONAL GOVERNING ENTITIES KNOWN AS CARLE HEALTH - EAST REGION, CARLE HEALTH - CENTRAL REGION, AND CARLE HEALTH - SOUTH REGION. EACH REGIONAL ENTITY BECAME THE SOLE MEMBER OF THE HOSPITALS WITHIN THE ORGANIZATION BASED ON THE GEOGRAPHICAL REGIONS. THE GOVERNING DOCUMENTS OF RICHLAND MEMORIAL HOSPITAL INC ARE TO BE AMENDED TO LIST THE SOLE MEMBER AS CARLE HEALTH - SOUTH REGION. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | Richland Memorial Hospital, Inc. DBA Carle Richland Memorial Hospital has one member which is Carle Health - South Region. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | Richland Memorial Hospital Inc.'s sole member, Carle Health - South Region, acting through its board of trustees, has the exclusive power to elect and remove members of the board of trustees for the corporation in addition to filling vacancies. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | RICHLAND MEMORIAL HOSPITAL, INC. MUST HAVE THE APPROVAL OF ITS SOLE MEMBER, CARLE HEALTH - SOUTH REGION, THROUGH ITS BOARD OF TRUSTEES, WHEN VOTING ON MATTERS INCLUDING THE AMENDING OF GOVERNING DOCUMENTS; RECOMMENDING THE CEO TO THE BOARD; APPROVING ANY ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGETS; APPROVING PAYMENT TO THE MEMBERS OF THE RICHLAND BOARD OF TRUSTEES FOR THEIR EXPENSES OR COMPENSATION FOR SERVICES; APPROVING ANY NEW, LONG-TERM OR MASTER INSTITUTIONAL PLANS OR CHANGES TO SUCH PLANS; APPROVING THE ADDITION OF ANY NEW MEMBER AND ANY DISSOLUTION, MERGER, CONSOLIDATION, OR SALE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL ASSETS OR ANY DISPOSITION OF REAL PROPERTY OR RELOCATION OF THE HOSPITAL AND/OR CLINIC; APPROVING ANY ORGANIZATION OR ACQUISITION OF A SUBSIDIARY OR AFFILIATE; APPROVING ANY INITIATIVE REQUIRING CERTIFICATE OF NEED (CON) APPROVAL; APPROVING ANY PLEDGE OF ALL OR ANY PART OF THE CORPORATION'S ASSETS AS SECURITY FOR A DEBT, LIABILITY OR OTHER OBLIGATION; APPROVING ANY LOAN TO OR FOR THE CORPORATION OR ANY OTHER INDEBTEDNESS; AND APPROVING NON-BUDGETED EXPENDITURES OR SALE EXCEEDING THE CHIEF EXECUTIVE OFFICER'S (CEO) AUTHORIZED SPENDING AUTHORITY. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 WAS PREPARED BY STAFF AND AN EXTERNAL TAX ADVISOR AND REVIEWED BY MANAGEMENT. PRIOR TO FILING THIS FORM 990, A FULL AND COMPLETE COPY WAS PROVIDED TO THE GOVERNING BODY. AT THEIR DISCRETION, THE GOVERNING MEMBERS HAVE THE OPPORTUNITY TO CONTACT MANAGEMENT OR DISCUSS AND ADDRESS CONCERNS AT SUBSEQUENT BOARD MEETINGS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | THE ORGANIZATION'S ESTABLISHED CONFLICT OF INTEREST POLICIES REQUIRE ANNUAL DISCLOSURE OF ACTUAL AND POTENTIAL CONFLICTS OF INTEREST FOR OFFICERS, DIRECTORS, TRUSTEES, MEMBERS OF BOARD COMMITTEES, ADMINISTRATIVE AND MANAGERIAL EMPLOYEES AS WELL AS ALL EMPLOYEES OF THE PURCHASING DEPARTMENT. IF CIRCUMSTANCES CHANGE DURING THE COURSE OF A YEAR, INTERIM DISCLOSURE IS ALSO REQUIRED OF THE SAME INDIVIDUALS. THE DISCLOSURES OF EMPLOYEES ARE REVIEWED INITIALLY BY THE COMPLIANCE DEPARTMENT AND ANY IDENTIFIED CONFLICTS ARE REFERRED TO, AND ADDRESSED BY, THE ORGANIZATION'S INTERNAL LEGAL COUNSEL AND/OR CORPORATE INTEGRITY OFFICER. THE DISCLOSURES OF TRUSTEES AND MEMBERS OF BOARD COMMITTEES ARE REVIEWED BY THE CHAIR OF THE BOARD. THE ENTIRE BOARD, ABSENT THE SUBJECT TRUSTEE OR COMMITTEE MEMBER DETERMINES WHETHER A CONFLICT EXISTS. TRUSTEES AND/OR BOARD COMMITTEE MEMBERS WITH IDENTIFIED CONFLICTS ARE REQUIRED TO RECUSE THEMSELVES FROM DELIBERATING AND VOTING ON MATTERS THAT MAY PRESENT A CONFLICT. THE ORGANIZATION ALSO MAINTAINS PURCHASING POLICIES REQUIRING COUNTER SIGNATURES TO FURTHER MINIMIZE THE RISK ASSOCIATED WITH ACTUAL AND/OR POTENTIAL CONFLICTS OF INTEREST. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE CARLE FOUNDATION PUBLISHES THROUGH WWW.DACBOND.COM AND HTTPS://EMMA.MSRB.ORG/ ITS QUARTERLY UNAUDITED FINANCIAL STATEMENTS, ANNUAL AUDITED FINANCIAL STATEMENTS, A MANAGEMENT'S DISCUSSION & ANALYSIS TO ACCOMPANY THE FINANCIAL STATEMENTS, AND AN ANNUAL REPORT OF CERTAIN OPERATING AND FINANCIAL INFORMATION. ADDITIONALLY, OFFICIAL STATEMENTS FOR OUTSTANDING MUNICIPAL BOND ISSUES FOR WHICH THE CARLE FOUNDATION IS OBLIGATED ARE AVAILABLE AT THIS WEBSITE. THESE DOCUMENTS INCLUDE EXTENSIVE INFORMATION ABOUT THE ORGANIZATION'S HEALTH CARE DELIVERY SYSTEM MODEL, RECENT HIGHLIGHTS/ACCOMPLISHMENTS, GOVERNANCE AND ADMINISTRATION, STRATEGIC PLAN, FACILITIES, CLINICAL PROGRAMS, MEDICAL STAFF, SERVICE AREA, COMPETITIVE ENVIRONMENT, DEMOGRAPHIC DATA, UTILIZATION STATISTICS, SUMMARY FINANCIAL INFORMATION, ACADEMIC AFFILIATIONS AND EDUCATIONAL PROGRAMS, MEDICAL RESEARCH, ACCREDITATIONS, AND ITS EMPLOYEES. THIS INFORMATION IS AVAILABLE AT NO CHARGE TO THOSE WHO REGISTER AT THE WWW.DACBOND.COM WEBSITE. IN ADDITION, THE FORM 990S OF THE ORGANIZATION'S FILING ENTITIES ARE AVAILABLE THROUGH DACBOND. QUARTERLY FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST DELIVERED TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE ALSO AVAILABLE UPON REQUEST TO THE ORGANIZATION'S ADMINISTRATIVE OFFICES. |
| Form 990, Part VII, Section A COLUMN B | THE AVERAGE ESTIMATED HOURS PER WEEK LISTED FOR THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS ARE BASED ON A STANDARD 40 HOUR WEEK. MEMBERS MAY FREQUENTLY DEVOTE MORE THAN 40 HOURS OF SERVICE TO THE ENTIRE ORGANIZATION DURING AN AVERAGE WEEK. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Other - Total Revenue: 86416, Related or Exempt Function Revenue: 75835, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 10581; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | INTERCOMPANY RECEIVABLE/PAYABLE SETTLEMENTS - 8802013; |
| Form 990, Part XII, Line 2c Change of Oversight Process or Selection Process | FORM 990 PART XII, QUESTION 2A, B, C AND PART IV, QUESTION 12 THE FINANCIAL STATEMENTS FOR RICHLAND MEMORIAL HOSPITAL WERE REVIEWED ON A CONSOLIDATED BASIS UNDER THE PARENT ORGANIZATION, THE CARLE FOUNDATION. THE CARLE FOUNDATION HAS AN AUDIT COMMITTEE CONSISTING OF MEMBERS OF THE GOVERNING BOARD AND THE CHIEF FINANCIAL OFFICER WHO TOGETHER ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE REVIEW AND AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT OR AUDITOR. |
| Form 990, Part VI, Line 15 15A & 15B - Procces to establish compensation of top management official | RICHLAND MEMORIAL HOSPITAL DOES NOT COMPENSATE ITS OFFICERS. EMPLOYEE COMPENSATION FOR THESE INDIVIDUALS IS COMPENSATED BY THE PARENT ORGANIZATION, THE CARLE FOUNDATION. 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CARLE BROMENN MEDICAL CENTER | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 850682363 | Hospital Services | IL | 501(c)(3) | 3 | CHCR | Yes (true) |
| CARLE COMMUNITY HEALTH CORPORATION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 364458371 | FNDN Mission | IL | 501(c)(3) | Type I | TCDF | Yes (true) |
| CARLE EUREKA HOSPITAL | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 850688306 | Hospital Services | IL | 501(c)(3) | 3 | CHCR | Yes (true) |
| CARLE HEALTH - CENTRAL REGION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 990548510 | Governance/Oversight | IL | 501(c)(3) | Type III-FI | TCF | Yes (true) |
| CARLE HEALTH - EAST REGION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 990582680 | Governance/Oversight | IL | 501(c)(3) | Type III-FI | TCF | Yes (true) |
| CARLE HEALTH - SOUTH REGION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 990614340 | Governance/Oversight | IL | 501(c)(3) | Type III-FI | TCF | Yes (true) |
| CARLE HEALTH - WEST REGION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371111135 | Governance/Oversight | IL | 501(c)(3) | Type III-FI | TCF | Yes (true) |
| CARLE HEALTH CARE INCORPORATED | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371140016 | Various Medical Services | IL | 501(c)(3) | 10 | TCF | Yes (true) |
| CARLE RETIREMENT CENTERS INC | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371160033 | Retirement Living | IL | 501(c)(3) | 10 | TCF | Yes (true) |
| CARLE WEST PHYSICIAN GROUP INC | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 850703768 | Physician Services | IL | 501(c)(3) | 10 | CHCI | Yes (true) |
| CRIS HEALTHY AGING | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 370948852 | Senior Citizen Services | IL | 501(c)(3) | 7 | CHCI | Yes (true) |
| HOOPESTON COMMUNITY MEMORIAL HOSPITAL | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 363637465 | Hospital Services | IL | 501(c)(3) | 3 | CHER | Yes (true) |
| HULT CENTER FOR HEALTHY LIVING INC | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 363510390 | Wellness Services | IL | 501(c)(3) | 7 | PH | Yes (true) |
| HUMAN SERVICE CENTER | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371004882 | Behavioral Health Services | IL | 501(c)(3) | 7 | TP | Yes (true) |
| METHODIST MEDICAL CENTER FOUNDATION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 510186460 | Fundraising | IL | 501(c)(3) | 7 | CHWR | Yes (true) |
| METHODIST SERVICES INC | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371111134 | Property Holding Co. | IL | 501(c)(3) | 10 | CHWR | Yes (true) |
| PARK COURT LIMITED | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371178386 | Property Holding Co. | IL | 501(c)(3) | Type II | CHWR | Yes (true) |
| PEKIN MEMORIAL HOSPITAL | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 370692351 | Hospital Services | IL | 501(c)(3) | 3 | CHWR | Yes (true) |
| PEKIN MEMORIAL HOSPITAL FOUNDATION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371200267 | Fundraising | IL | 501(c)(3) | 7 | CHWR | Yes (true) |
| PRAIRIE VIEW VILLAS NO 1 | ||||||||||
| 1900 SPRING ROAD STE 300 | OAK BROOK | IL | 605231480 | 261755679 | Housing Services | IL | 501(c)(3) | 7 | TMHC | Yes (true) |
| PROCTOR HEALTH SYSTEMS | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 364147437 | Physician Services | IL | 501(c)(3) | 3 | CHWR | Yes (true) |
| PROCTOR HOSPITAL | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 370681540 | Hospital Services | IL | 501(c)(3) | 3 | CHWR | Yes (true) |
| TAZWOOD MENTAL HEALTH CENTER INC | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371278969 | Behavioral Health Services | IL | 501(c)(3) | 7 | TP | Yes (true) |
| THE CARLE DEVELOPMENT FOUNDATION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371159978 | Fundraising | IL | 501(c)(3) | 7 | TCF | Yes (true) |
| THE CARLE FOUNDATION | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 370673465 | Parent/Inv Mgmt | IL | 501(c)(3) | Type III-FI | NA | false |
| THE CARLE FOUNDATION HOSPITAL | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371119538 | Hospital Services | IL | 501(c)(3) | 3 | CHER | Yes (true) |
| THE METHODIST MEDICAL CENTER OF ILLINOIS | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 370661223 | Hospital Services | IL | 501(c)(3) | 3 | CHWR | Yes (true) |
| THE METHODIST MEDICAL CENTER OF ILLINOIS SELF INSURANCE TRUST AGREEMENT | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 376181831 | Self Insurance | IL | 501(c)(3) | Type I | MMCI | Yes (true) |
| TRILLIUM PLACE | ||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 834051901 | Behavioral Health Services | IL | 501(c)(3) | 10 | CHWR | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|
| CHAMPAIGN SURGICENTER LLC | ||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 201915925 | Surgical Center | IL | NA | N/A |
| FIELDS SOUTH LLC | ||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 823187698 | Property & Facility Management | IL | NA | N/A |
| MOUPH LLC | ||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 921791534 | Outpatient Orthopedic Services | IL | NA | N/A |
| REHABILITATION THERAPY SERVICES LLC | ||||||||
| 416 ST MARKS CT 110 | PEORIA | IA | 61603 | 810584193 | Rehabilitation Therapy | IL | NA | N/A |
| THE CENTER FOR ORTHOPEDIC MEDICINE LLC RECOVERY CARE CENTER | ||||||||
| 2502B E EMPIRE ST | BLOOMINGTON | IL | 61704 | 270934895 | Outpatient Orthopedic Services | IL | NA | N/A |
| THE CENTER FOR ORTHOPEDIC MEDICINE LLC SURGERY CENTER | ||||||||
| 2502B E EMPIRE ST | BLOOMINGTON | IL | 61704 | 371356453 | Outpatient Orthopedic Services | IL | NA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (20 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | Address Line2ForeignAddress/AddressLine2Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BELCREST SERVICES LTD | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371196307 | Medical Services | IL | NA | C Corporation | Yes (true) | ||||||
| CARLE HEALTH JUNCTION MEDICAL LLC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 814609769 | Care Coordination | IL | NA | C Corporation | Yes (true) | ||||||
| CARLE HEALTH PHYSICIAN PARTNERS INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 850718392 | Physician Services | IL | NA | C Corporation | Yes (true) | ||||||
| CARLE HOLDING COMPANY INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371188284 | Holding Co. | IL | NA | C Corporation | Yes (true) | ||||||
| CARLE RESEARCH PRODUCTS INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 999999999 | Medical Research - INACTIVE | IL | NA | C Corporation | Yes (true) | ||||||
| CARLE RISK MANAGEMENT COMPANY | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371217973 | Risk Management | IL | NA | C Corporation | Yes (true) | ||||||
| CARLE VENTURES INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371313150 | Health Care Partnerships | IL | NA | C Corporation | Yes (true) | ||||||
| CHA HOLDING INC | |||||||||||||||
| 3310 SOUTH FIELDS DR | CHAMPAIGN | IL | 61822 | 471854275 | Holding Co. | IL | NA | C Corporation | Yes (true) | ||||||
| FIRSTCAROLINACARE INSURANCE COMPANY | |||||||||||||||
| 42 MEMORIAL DR | PINEHURST | NC | 28374 | 331160597 | Insurance | IL | NA | C Corporation | Yes (true) | ||||||
| HEALTH ALLIANCE CONNECT INC | |||||||||||||||
| 3310 SOUTH FIELDS DR | CHAMPAIGN | IL | 61822 | 464796891 | Health Care Coordination | IL | NA | C Corporation | Yes (true) | ||||||
| HEALTH ALLIANCE MEDICAL PLANS INC | |||||||||||||||
| 3310 SOUTH FIELDS DR | CHAMPAIGN | IL | 61822 | 371260731 | Health Coverage | IL | NA | C Corporation | Yes (true) | ||||||
| HEALTH ALLIANCE MIDWEST INC | |||||||||||||||
| 3310 SOUTH FIELDS DR | CHAMPAIGN | IL | 61822 | 371354502 | Health Coverage | IL | NA | C Corporation | Yes (true) | ||||||
| HEALTH ALLIANCE NORTHWEST HEALTH PLAN | |||||||||||||||
| 820 N CHELAN AVE | WENATCHEE | WA | 98801 | 461966323 | Health Coverage | WA | NA | C Corporation | Yes (true) | ||||||
| HEALTH ALLIANCE NORTHWEST HOLDING | |||||||||||||||
| 820 N CHELAN AVE | WENATCHEE | WA | 98801 | 461717578 | Holding Co. | WA | NA | C Corporation | Yes (true) | ||||||
| HEALTH PLUS INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371295532 | Contracting | IL | NA | C Corporation | Yes (true) | ||||||
| HEALTH SYSTEMS INSURANCE LIMITED | |||||||||||||||
| 980638449 | Insurance | NA | C Corporation | Yes (true) | Governors Square 2nd Floor Bldg 3 | 23 Lime Tree Bay Ave | Grand Cayman | CJ | KY11102 | CJ | |||||
| METHODIST HEALTH VENTURES INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371140939 | Holding Co. | IL | NA | C Corporation | Yes (true) | ||||||
| OPTIMUM HEALTH SOLUTIONS INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 205430137 | Care Coordination - INACTIVE | IL | NA | C Corporation | Yes (true) | ||||||
| PEKIN PROHEALTH INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371117052 | Clinical Operations | IL | NA | C Corporation | Yes (true) | ||||||
| PROVIDER RESOURCE MANAGEMENT INC | |||||||||||||||
| 611 W PARK STREET | URBANA | IL | 61801 | 371223550 | Physician Services | IL | NA | C Corporation | Yes (true) | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Carle Health Care Incorporated | ||
| A | $9,600 | Book |
| Health Alliance Medical Plans Inc | ||
| A | $538 | Book |
| Carle Development Foundation | ||
| C | $111,768 | Book |
| Health Alliance Connect Inc | ||
| L | $536,117 | Book |
| Health Alliance Medical Plans Inc | ||
| L | $2,265,205 | Book |
| Methodist Medical Center of Illinois | ||
| L | $98,850 | Book |
| Health Systems Insurance Limited | ||
| M | $291,201 | Book |
| Hoopeston Community Memorial Hospital | ||
| S | $87,087 | Book |
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