2011-07-28T09:20:46-05:00 2010-09-30 KERBER ECK & BRAECKEL LLP 1116 W MAIN ST CARBONDALE IL 629012335 990 2009-10-01 371363001 RICHLAND MEMORIAL HOSPITAL RICH 6183952131 800 EAST LOCUST STREET OLNEY IL 624502598 MIKE STOVERINK 6183952131 2011-07-19 true DAVID SCHNAKE 6185291040 2011-07-28 2009 2016-02-24 21:20:13Z DAVID ALLEN 800 EAST LOCUST STREET OLNEY IL 62450 42376879 false X WWW.RICHLANDMEMORIAL.COM X 1953 IL TO PROVIDE EXCELLENT HEALTHCARE, PROMOTE WELLNESS, AND EDUCATE PATIENTS, STAFF, AND THE COMMUNITY. 13 11 560 0 12139 77228 36849371 41049311 123386 90959 1263104 1159381 38248000 42376879 0 0 20164533 22315744 0 0 16678471 19184656 36843004 41500400 1404996 876479 28265080 29408545 12653454 13009013 15611626 16399532 TO PROVIDE EXCELLENT HEALTHCARE, PROMOTE WELLNESS, AND EDUCATE PATIENTS, STAFF, AND THE COMMUNITY. false false 41500400 42376880 RICHLAND MEMORIAL HOSPITAL, INC., D/B/A RICHLAND MEMORIAL HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF RICHLAND MEMORIAL HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THE MISSION OF RMH IS TO SERVE OUR COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. THEREFORE, IN KEEPING WITH THE COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, WE OFFER > FREE CARE > CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST; AND > HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT AND EDUCATE THE COMMUNITY. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, PROFESSIONAL EDUCATION PROGRAMS, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. DURING FISCAL YEAR 2010, RICHLAND MEMORIAL HOSPITAL RECORDED 21,343 PATIENT DAYS. RICHLAND MEMORIAL HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST. THE HOSPITAL ALSO PROVIDES CARE TO PERSONS COVERED BY COMMERCIAL INSURANCE AT BELOW COST. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, RICHLAND MEMORIAL HOSPITAL RECOGNIZES THESE AMOUNTS AS COSTS INCURRED IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. CHARITY CARE IS ALSO PROVIDED THROUGH THE HOSPITAL'S INTERNAL POLICY OFFERED IN FY 2010. RICHLAND MEMORIAL HOSPITAL ALSO OFFERS AND PARTICIPATES IN PROGRAMS THROUGHOUT THE COMMUNITY. THESE INCLUDE: 1. AMBULANCE COVERAGE 2. MEETINGS/CONFERENCE FACILITIES 3. SCHOLARSHIPS 4. SUPPORT OF COMMUNITY ORGANIZATIONS/EVENTS/ACTIVITIES: > AMERICAN CANCER SOCIETY RELAY FOR LIFE OF RICHLAND COUNTY > AMERICAN HEART ASSOCIATION AMERICAN HEART WALK > AMERICAN RED CROSS BLOOD DRIVES > BIG BROTHERS/BIG SISTERS OF RICHLAND COUNTY > EAST RICHLAND HIGH SCHOOL ATHLETICS, YEARBOOK, HEALTH OCCUPATIONS CLASS AND AFTER PROM ACTIVITIES > EDWARDS COUNTY FAIR > FARM SAFETY FOR JUST KIDS FARM SAFETY DAY CAMP > ILLINOIS STATE UNIVERSITY LABORATORY MED. TECH TRAINING SITE > IVY TECH (TERRE HAUTE) LABORATORY MED. TECH TRAINING SITE > IMMANUEL UNITED METHODIST CHURCH OUTREACH THANKSGIVING/CHRISTMAS MEALS > KASKASKIA COLLEGE PHYSICAL THERAPY STUDENT TRAINING SITE > LAKELAND COLLEGE PHYSICAL THERAPY STUDENT TRAINING SITE > OLNEY ARTS COUNCIL > OLNEY CENTRAL COLLEGE BLUE KNIGHTS TIP OFF CLUB > OLNEY CENTRAL COLLEGE LADIES' SOFTBALL > OLNEY CENTRAL COLLEGE NURSING, RADIOGRAPHY AND PHLEBOTOMY PROGRAMS TRAINING SITE > OLNEY AND THE GREATER RICHLAND COUNTY CHAMBER OF COMMERCE > OLNEY FIRE DEPARTMENT/SCHOOL FIRE SAFETY (K-6 GRADE) > OLNEY "LIGHTS FANTASIA" CHRISTMAS PARADE > OLNEY LITTLE LEAGUE > OLNEY TIGERSHARKS SWIM TEAM > RED HILL HIGH SCHOOL YEARBOOK > RICHLAND COUNTY DEVELOPMENT CORPORATION > RICHLAND COUNTY FARM AND FAIR ASSOCIATION > RICHLAND COUNTY RECREATIONAL COUNCIL > RICHLAND COUNTY TENNIS ASSOCIATION > ROTARY CLUB OF OLNEY/RICHLAND COUNTY > STOPPING WOMEN ABUSE NOW (SWAN) > SOUTHERN ILLINOIS UNIVERSITY PHYSICIAN ASSISTANT CLINICAL HUB SITE > UNIVERSITY OF SOUTHERN INDIANA OCCUPATIONAL THERAPY STUDENT TRAINING SITE > VINCENNES UNIVERSITY PHYSICAL THERAPY TRAINING SITE > WEST RICHLAND HIGH SCHOOL YEARBOOK, PTO, AND AFTER PROM > OLNEY FFA > ARC COMMUNITY SUPPORT SYSTEMS > RICHLAND COUNTY SHERIFF'S "SHOP WITH A COP" PROGRAM > RICHLAND COUNTY FARM BUREAU > SOUTHEASTERN ILLINOIS CONCERT FOUNDATION > OLNEY CENTRAL COLLEGE FOUNDATION > EAST RICHLAND FOUNDATION FOR ACADEMIC EXCELLENCE (ERFAE) > SHRINERS > OLNEY ELK'S > DUNDAS RURITAN 5. WELLNESS EVENTS/COMMUNITY CLINICS/SUPPORT GROUPS/ OUTREACH/EDUCATION > BLOOD PRESSURE SCREENING CLINICS > DIABETIC EDUCATION DAY > HEALTHFEST > NATIONAL HOSPITAL WEEK CHOLESTEROL/PSA SCREENING CLINIC > OLNEY SENIOR EXPO > SUPPORT GROUPS/EDUCATION A. BREAST CANCER SUPPORT GROUP - TICKET FOR THE CURE B. BREAST HEALTH OUTREACH/EDUCATION - TICKET FOR THE CURE C. CPR CLASSES D. DIABETES SUPPORT GROUP E. FIRST AID CLASSES F. INFECTION CONTROL IN-SERVICES TO LOCAL SCHOOLS G. LIFE SMART FOR WOMEN EDUCATIONAL CLASSES H. PREPARED CHILDBIRTH CLASSES I. REGIONAL PSYCHIATRIC CENTER PATIENT SUPPORT GROUP 6. SPECIAL ASSISTANCE PROGRAMS > MAMMOGRAPHY ASSISTANCE - IL BREAST AND CERVICAL CANCER PROGRAM SERVICE PROVIDER (LITTLE EGYPT & EAST CENTRAL REGION) > MAMMOGRAPHY ASSISTANCE - SUSAN G. KOMEN FOR THE CURE GRANT 41500400 true false false false false false false false false true true false false false false false false false false false true false false true false false false false false true true false false false false false false false false false false true 32 0 true 560 true false false false false false false false false false false false 13 11 false false false false false false false true true false false true true true true true true true true false X MIKE STOVERINK 6183952131 800 EAST LOCUST ST OLNEY IL 62450 PAT BURKE 3.00 X 0 0 0 ANDY SCHUETZ 6.00 X 0 0 0 RICK BUSSARD 1.00 X 0 0 0 DENNIS GRAVES 1.00 X 0 0 0 HERBERT BROKHOF 1.00 X 0 0 0 LUIS DE VENECIA MD 1.00 X 0 0 0 JESSICA SLATER 2.00 X 0 0 0 DON HATTEN MD 1.00 X 0 0 0 BRAD HOUSTON MD 7.50 X 0 0 0 LOUISE LYBARGER 2.00 X 0 0 0 DOUG TOMPSON 4.00 X 0 0 0 KRISTI URFER 1.50 X 0 0 0 HERMAN ZUBER 2.00 X 0 0 0 DAVE ALLEN 60.00 X 135190 0 9504 MIKE STOVERINK 40.00 X 105264 0 7537 NIRANAT DEJTIRANUKUL 40.00 X 248574 0 9768 BILLY ROSS 40.00 X 192049 0 9420 JOHN WALL 40.00 X 188028 0 11543 JOHN ALLEN 40.00 X 178501 0 14185 MARY WALLER 40.00 X 130776 0 55 1178382 62012 8 false true false PRAIRE EMERGENCY GROUP LTD 1 JODI LANE BLOOMINGTON IL 61701 ER PHYSICIANS 925518 SODEXHO 4880 PAYSPHERE CIRCLE CHICAGO IL 60674 FOOD SERVICE PR 787494 PHARMACY SYSTEMS INC PO BOX 71-0716 COLUMBUS OH 43217 PHARMACY MANAGE 224532 INSIGHT IMAGING PO BOX 71-0716 DALLAS TX 75284 MRI SERVICE 203610 SAJJAN K NEMANI MD MRCP 1054 ML KING DRIVE SUITE 124 CENTRALIA IL 62801 SLEEP STUDIES 201750 7 77228 77228 NET PAT REVENUE LESS MED/MEDC 41049311 41049311 41049311 90959 90959 MISC. OTHER REVENUE 403587 403587 PROPERTY TAX 349204 349204 LAUNDRY SERVICES 214221 214221 192369 192369 1159381 42376879 41140270 1159381 240454 240454 16468132 16468132 541742 541742 3892997 3892997 1172419 1172419 59548 59548 4657778 4657778 226623 226623 3496267 3496267 725873 725873 102319 102319 78924 78924 417568 417568 1612028 1612028 443309 443309 PROVISION FOR BAD DEBTS 3658040 3658040 PROVIDER TAX ASSESSMENT 1164620 1164620 PURCHASE OF DRUGS 1108556 1108556 REPAIRS/MAINTENANCE 884725 884725 OTHER EXPENSES 548478 548478 41500400 41500400 0 0 2352854 618280 5144599 6213129 333821 355345 686391 771883 39464711 26763689 12788596 12701022 5974297 7949842 984522 799044 28265080 29408545 3426965 4278874 9226489 8730139 12653454 13009013 X 15233757 16110237 377869 289295 15611626 16399532 28265080 29408545 X false true true X false X false false false false false false false false false false 39483 39483 23498467 15231884 8266583 462487 457128 5359 15464274 11074677 4389597 12701022 CD'S AND MONEY MARKET ACCOUNTS 7949842 F 7949842 42376879 41500400 876479 876479 42376879 42376879 42376879 41500400 41500400 41500400 LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X FOLLOWING IS THE LIABILITY FOR UNCERTAIN TAX POSITIONS EXACTLY AS IT APPEARS IN THE FISCAL YEAR 2010 FINANCIAL STATEMENTS. THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM INCOME TAXES. THE HOSPITAL ADOPTED THE PROVISIONS OF ASC TOPIC 740-10-25, "INCOME TAXES RECOGNITION". WHEN TAX RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHER POSITIONS TAKEN OR THE AMOUNT OF THE POSITION TAKEN WOULD NOT BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HOSPITALS INCLUDE THE ENTITY TAKING A POSITION OF TAX-EXEMPT STATUS WITHOUT CORRESPONDING PROOF FROM FEDERAL AND STATE TAXING AUTHORITIES AND THERE IS MATERIAL NET INCOME GENERATED BY THE ENTITY OR PRIVATE INUREMENT THAT COULD CAUSE REVOCATION OF THE EXEMPT STATUS. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. TAX POSITIONS TAKEN ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE-LIKELY-THAN-NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50 PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNCERTAIN TAX BENEFITS IN THE ACCOMPANYING BALANCE SHEETS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY UPON THE ADOPTION OF ASC TOPIC 740-10-25 OR AT SEPTEMBER 30, 2010. true true true X true X true true true false true true 1053000 1053000 0.02540 8498143 6914143 1584000 0.03820 9551143 6914143 2637000 0.06350 100000 100000 0.00240 3746812 2849200 897612 0.02160 3846812 2849200 997612 0.02400 13397955 9763343 3634612 0.08760 true 1214469 607235 13280277 16399482 -3119205 X true true RICHLAND MEMORIAL HOSPITAL

800 EAST LOCUST OLNEY IL 62450

X WE USED A COST-TO-CHARGE RATIO AS CALCULATED UTILIZING DATA FROM AN INTERNAL COST ACCOUNTING SYSTEM AND USING A METHODOLOGY CONSISTENT WITH SCEDULE H INSTRUCTIONS TO DETERMINE THE AMOUNTS ON LINES 7A AND 7B OF PART I OF SCHEDULE H. WE USED ACTUAL COSTS AS REPORTED IN THE GENERAL LEDGER SYSTEM TO DETERMINE THE AMOUNTS ON LINES 7E AND 7I OF SCHEDULE H PART I. SCHEDULE H, PART I, LINE 7G WAS DETERMINED USING BOTH ACTUAL AMOUNTS FROM THE GENERAL LEDGER AND A COST-TO-CHARGE RATIO SPECIFIC TO EACH PROGRAM. WE INCLUDED AS SUBSIDIZED HEALTH SERVICES,14,767, IN COSTS ATTRIBUTABLE TO PHYSICIAN CLINIC. WE CALCULATED BAD DEBT EXPENSE AT COST USING A COST-TO-CHARGE RATIO AS CALCULATED UTILIZING DATA FROM AN INTERNAL COST ACCOUNTING SYSTEM AND USING A METHODOLOGY CONSISTENT WITH SCEDULE H INSTRUCTIONS. AFTER EXHAUSTING ALL COLLECTION PROCEDURES PATIENT ACCOUNTS ARE THEN WRITTEN OFF TO BAD DEBT EXPENSE. WE ESTIMATE THAT 50% OF OUR PATIENT ACCOUNTS WRITTEN OFF TO BAD DEBT WOULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE BUT THE PATIENTS CHOSE NOT TO APPLY. THE FOLLOWING IS THE FOOTNOTE RELATING TO BAD DEBT EXPENSE EXACTLY AS IT APPEARS IN THE FOOTNOTES TO OUR AUDITED FINANCIAL STATEMENTS: THE HOSPITAL ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE FOR PATIENTS WHICH IS NOT INCLUDED ABOVE, BUT IS REPORTED ON THE STATEMENT OF OPERATIONS AS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANY OF THOSE PATIENTS ARE UNINSURED OR UNDERINSURED, BUT DID NOT APPLY FOR OR QUALIFY FOR CHARITY CARE. DURING THE YEAR ENDED SEPTEMBER 30, 2010 THE HOSPITAL REPORTED PROVISIONS FOR UNCOLLECTIBLE ACCOUNTS OF 3,658,040. TOTAL TOTAL UNREIMBURSED REIMBURSEMENT COST COST PER MEDICARE COST REPORT 13,216,369 14,903,982 (1,687,613) OTHER MEDICARE REVENUES/COSTS 63,908 1,495,500 (1,431,592) TOTAL MEDICARE SHORTFALL 13,280,277 16,399,482 (3,119,205) THE HOSPITAL UTILIZED THE INTERNAL COST ACCOUNTING SYSTEM TO CALCULATE UNREIMBURSED MEDICARE COSTS. SOME MEDICARE CHARGES NOT ASSOCIATED WITH ITEMS PAID ON THE COST REPORT, THE COSTS ASSOCIATED WITH THOSE CHARGES, AND OTHER COST PER THE HOSPITAL'S COST ACCOUNTING SYSTEM HAVE BEEN INCLUDED. RICHLAND MEMORIAL HOSPITAL (RMH) APPLIES ITS COLLECTION PRACTICES EQUALLY TO ALL PATIENTS, BOTH CHARITY CARE ELIGIBLE AND NON-CHARITY CARE PATIENTS. THE PROCEDURES ARE AS FOLLOWS: 1. WE WILL SEND 3 STATEMENTS AND 2 COLLECTION LETTERS IN A 28 DAY CYCLE. WE WILL SEND STATEMENTS BASED UPON PATIENT PORTION OF 10 OR GREATER. 2. THE PATIENT'S ACCOUNT WILL AGE THROUGH THE STATEMENT PROCESS BEFORE BEING WRITTEN OFF TO BAD DEBT. A.PRIVATE PAY ACCOUNTS WILL RECEIVE A STATEMENT WITHIN 9 DAYS OF THE DISCHARGE DATE. B.ACCOUNTS WITH A PATIENT PORTION AFTER INSURANCE WILL BE ELIGIBLE TO RECEIVE A STATEMENT APPROXIMATELY 14 DAYS AFTER THE INSURANCE PAYMENT HAS BEEN POSTED. C.28 DAYS LATER THE PATIENT IS MAILED A THIRD STATEMENT D.28 DAYS LATER THE PATIENT IS MAILED A FORTH STATEMENT E.28 DAYS LATER THE PATIENT IS MAILED THE FIRST COLLECTION LETTER F.28 DAYS LATER THE PATIENT IS MAILED THE FINAL COLLECTION LETTER G.APPROXIMATELY 15 DAYS LATER THE PATIENT IS WRITTEN OFF TO BAD DEBT. 3. RMH WILL ATTEMPT TO CONTACT THE GUARANTOR VIA PHONE AFTER THEY RECEIVE THE FIRST STATEMENT ON BALANCES GREATER THAN 1,000. 4. RMH WILL ATTEMPT TO CONTACTTHE GUARANTOR VIA PHONE AFTER THE SECOND STATEMENT ON BALANCES LESS THAN 1,000 5. RMH WILL MAKE A SECOND ATTEMPT TO CONTACT THE GUARANTOR VIA PHONE IF PAYMENT OR CONTACT HAS NOT BEEN MADE USUALLY AROUND THE SAME TIME THE SECOND COLLECTION LETTER IS SENT. 6. RMH WILL SEND 2 COLLECTION LETTERS TO THE PATIENT. PATIENT HAS 15 DAYS AFTER THE FINAL LETTER TO PAY BEFORE BEING WRITTEN OFF TO BAD DEBT. THE DETERMINATION OF CURRENT AND FUTURE HEALTHCARE NEEDS OF THE COMMUNITIES SERVED ARE BASED ON THE FOLLOWING FACTORS: EXISTENCE OR NONEXISTENCE OF SERVICES, OPPORTUNITY, SUPPLY, DEMONSTRATED NEED, REQUESTS FROM PATIENTS, AND/OR COMBINED EFFORTS WITH OUTSIDE ENTITIES THAT WOULD HELP FILL A NEED OR STRENGTHEN A CURRENT SERVICE. WE ARE CONSTANTLY COLLECTING DATA THAT WOULD HELP MAKE THESE DECISIONS AND OFTEN CONSULT WITH VARIOUS DEPARTMENTS WITHIN THE HOSPITAL INCLUDING NURSING, INFORMATION TECHNOLOGY, FINANCE, AND PHYSICIANS. THIS INFORMATION IS THEN REVIEWED AND THE HOSPITAL'S ADMINISTRATIVE TEAM WOULD INCORPORATE THE NEWLY IDENTIFIED HEALTH CARE NEEDS INTO THE STRATEGIC PLAN. ALL PATIENT BILLING STATEMENTS INCLUDE A STATEMENT THAT MENTIONS CONTACTING THE HOSPITAL IF THEY WISH TO APPLY FOR FINANCIAL ASSISTANCE OR WOULD LIKE TO SET UP PAYMENTS ON THE ACCOUNT. IF A PATIENT CONTACTS THE PATIENT FINANCIAL SERVICES DEPARTMENT ABOUT THE INABILITY TO PAY, THEY ARE INFORMED OF THE AVAILABLE OPTIONS, INCLUDING FINANCIAL ASSISTANCE, MEDICARE, AND MEDICAID APPLICATIONS. THEY WILL ALSO EXPLAIN HOW THE PATIENT CAN APPLY FOR ASSISTANCE. RICHLAND MEMORIAL HOSPITAL'S PRIMARY SERVICE AREA INCLUDES PORTIONS OF EIGHT SOUTHEASTERN ILLINOIS COUNTIES WITH A TOTAL PATIENT POPULATION OF ABOUT 60,000. THERE ARE EIGHT COUNTIES WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA. RMH FURTHER EXTENDS HOME HEALTH AND HOSPICE SERVICES TO INDIVIDUALS LIVING IN FIVE ADDITIONAL COUNTIES. WE PROVIDE SERVICES TO PATIENTS WITHOUT REGARD TO AGE, SEX, RACE, COLOR, NATIONAL ORIGIN, RELIGIOUS CREED, GENDER IDENTITY, SEXUAL ORIENTATION, DISABILITY, INSURANCE COVERAGE OR ABILITY TO PAY. THE POPULATION OF RICHLAND MEMORIAL HOSPITAL'S SERVICE AREA IS ECONOMICALLY DISADVANTAGED MAKING IT MORE DIFFICULT TO AFFORD HEALTHCARE. FURTHERMORE, THERE IS NO HEALTH DEPARTMENT IN RICHLAND COUNTY MAKING THE HOSPITAL THE PRIMARY SOURCE FOR HEALTHCARE SERVICES AND HEALTH EDUCATION. ACCORDING TO THE 2000 UNITED STATES CENSUS, THE MEDIAN HOUSEHOLD INCOME IN THE HOSPITAL'S SERVICE AREA FALLS WELL BELOW THE STATE MEDIAN OF 46,950, RANGING BETWEEN 30,361 (LOW MEDIAN) AND 34,721 (HIGH MEDIAN). THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH CENTER FOR RURAL HEALTH INDICATES ON ITS WEB SITE THAT ALL OF THE COUNTIES IN THE HOSPITAL'S SERVICE AREA HAVE AT LEAST A PARTIAL FEDERAL HPSA DESIGNATION, WITH THE LOW-INCOME POPULATION BEING A PRIMARY CONCERN. X X X false false false false false false false false false NIRANAT DEJTIRANUKUL 248574 9111 657 258342 BILLY ROSS 192049 8763 657 201469 JOHN WALL 187878 150 10886 657 199571 JOHN ALLEN 178351 150 12855 1330 192686 WAYNE SCHUETZ HBS INC FAMILY MEMBER 52356 CONSTRUCTION false FIRST ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A OFFER > FREE CARE > CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST; AND > HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT AND EDUCATE THE COMMUNITY. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, PROFESSIONAL EDUCATION PROGRAMS, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. DURING FISCAL YEAR 2010, RICHLAND MEMORIAL HOSPITAL RECORDED 21,343 PATIENT DAYS. RICHLAND MEMORIAL HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST. THE HOSPITAL ALSO PROVIDES CARE TO PERSONS COVERED BY COMMERCIAL INSURANCE AT BELOW COST. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, RICHLAND MEMORIAL HOSPITAL RECOGNIZES THESE AMOUNTS AS COSTS INCURRED IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. CHARITY CARE IS ALSO PROVIDED THROUGH THE HOSPITAL'S INTERNAL POLICY OFFERED IN FY 2010. RICHLAND MEMORIAL HOSPITAL ALSO OFFERS AND PARTICIPATES IN PROGRAMS THROUGHOUT THE COMMUNITY. THESE INCLUDE: 1. AMBULANCE COVERAGE 2. MEETINGS/CONFERENCE FACILITIES 3. SCHOLARSHIPS 4. SUPPORT OF COMMUNITY ORGANIZATIONS/EVENTS/ACTIVITIES: > AMERICAN CANCER SOCIETY RELAY FOR LIFE OF RICHLAND COUNTY > AMERICAN HEART ASSOCIATION AMERICAN HEART WALK > AMERICAN RED CROSS BLOOD DRIVES > BIG BROTHERS/BIG SISTERS OF RICHLAND COUNTY > EAST RICHLAND HIGH SCHOOL ATHLETICS, YEARBOOK, HEALTH OCCUPATIONS CLASS AND AFTER PROM ACTIVITIES > EDWARDS COUNTY FAIR > FARM SAFETY FOR JUST KIDS FARM SAFETY DAY CAMP > ILLINOIS STATE UNIVERSITY LABORATORY MED. TECH TRAINING SITE > IVY TECH (TERRE HAUTE) LABORATORY MED. TECH TRAINING SITE > IMMANUEL UNITED METHODIST CHURCH OUTREACH THANKSGIVING/CHRISTMAS MEALS > KASKASKIA COLLEGE PHYSICAL THERAPY STUDENT TRAINING SITE > LAKELAND COLLEGE PHYSICAL THERAPY STUDENT TRAINING SITE > OLNEY ARTS COUNCIL > OLNEY CENTRAL COLLEGE BLUE KNIGHTS TIP OFF CLUB > OLNEY CENTRAL COLLEGE LADIES' SOFTBALL > OLNEY CENTRAL COLLEGE NURSING, RADIOGRAPHY AND PHLEBOTOMY PROGRAMS TRAINING SITE > OLNEY AND THE GREATER RICHLAND COUNTY CHAMBER OF COMMERCE > OLNEY FIRE DEPARTMENT/SCHOOL FIRE SAFETY (K-6 GRADE) > OLNEY "LIGHTS FANTASIA" CHRISTMAS PARADE > OLNEY LITTLE LEAGUE > OLNEY TIGERSHARKS SWIM TEAM > RED HILL HIGH SCHOOL YEARBOOK > RICHLAND COUNTY DEVELOPMENT CORPORATION > RICHLAND COUNTY FARM AND FAIR ASSOCIATION > RICHLAND COUNTY RECREATIONAL COUNCIL > RICHLAND COUNTY TENNIS ASSOCIATION > ROTARY CLUB OF OLNEY/RICHLAND COUNTY > STOPPING WOMEN ABUSE NOW (SWAN) > SOUTHERN ILLINOIS UNIVERSITY PHYSICIAN ASSISTANT CLINICAL HUB SITE > UNIVERSITY OF SOUTHERN INDIANA OCCUPATIONAL THERAPY STUDENT TRAINING SITE > VINCENNES UNIVERSITY PHYSICAL THERAPY TRAINING SITE > WEST RICHLAND HIGH SCHOOL YEARBOOK, PTO, AND AFTER PROM > OLNEY FFA > ARC COMMUNITY SUPPORT SYSTEMS > RICHLAND COUNTY SHERIFF'S "SHOP WITH A COP" PROGRAM > RICHLAND COUNTY FARM BUREAU > SOUTHEASTERN ILLINOIS CONCERT FOUNDATION > OLNEY CENTRAL COLLEGE FOUNDATION > EAST RICHLAND FOUNDATION FOR ACADEMIC EXCELLENCE (ERFAE) > SHRINERS > OLNEY ELK'S > DUNDAS RURITAN 5. WELLNESS EVENTS/COMMUNITY CLINICS/SUPPORT GROUPS/ OUTREACH/EDUCATION > BLOOD PRESSURE SCREENING CLINICS > DIABETIC EDUCATION DAY > HEALTHFEST > NATIONAL HOSPITAL WEEK CHOLESTEROL/PSA SCREENING CLINIC > OLNEY SENIOR EXPO > SUPPORT GROUPS/EDUCATION A. BREAST CANCER SUPPORT GROUP - TICKET FOR THE CURE B. BREAST HEALTH OUTREACH/EDUCATION - TICKET FOR THE CURE C. CPR CLASSES D. DIABETES SUPPORT GROUP E. FIRST AID CLASSES F. INFECTION CONTROL IN-SERVICES TO LOCAL SCHOOLS G. LIFE SMART FOR WOMEN EDUCATIONAL CLASSES H. PREPARED CHILDBIRTH CLASSES I. REGIONAL PSYCHIATRIC CENTER PATIENT SUPPORT GROUP 6. SPECIAL ASSISTANCE PROGRAMS > MAMMOGRAPHY ASSISTANCE - IL BREAST AND CERVICAL CANCER PROGRAM SERVICE PROVIDER (LITTLE EGYPT & EAST CENTRAL REGION) > MAMMOGRAPHY ASSISTANCE - SUSAN G. KOMEN FOR THE CURE GRANT ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11 990 IS REVIEWED BY ALL BOARD MEMBERS DURING SCHEDULED MEETINGS BEFORE IT IS FILED. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C 1. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY BOARD MEMBER SHOULD BE DISCLOSED TO THE OTHER MEMBERS OF THE BOARD BY THE BOARD MEMBER WHO HAS THE CONFLICT, AND MADE A MATTER OF RECORD, THROUGH THE BOARD'S ANNUAL FILING OF CONFLICT OF INTEREST STATEMENTS OR WHEN THE INTERET BECOMES A MATTER OF BOARD ACTION. 2. ANY BOARD MEMBER HAVING A DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHOULD NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE ON THE MATTER, AND HE/SHE SHOULD NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHERE PERMITTED BY LAW. THE MINUTES OF THE MEETING SHOULD REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THE QUORUM SITUATION. 3. THE FOREGOING REQUIREMENTS SHOULD NOT BE CONSTRUED AS PREVENTING THE BOARD MEMBER FROM ANSWERING PERTINENT QUESTIONS OF OTHER BOARD MEMBERS, SINCE HIS/HER KNOWLEDGE MAY BE OF GREAT ASSISTANCE. HOWEVER, THE MEMBER WITH A CONFLICT MUST ABSTAIN FROM MAKING MOTIONS, PARTICIPATING IN RELEVANT DELIBERATIOINS, VOTING, EXECUTING AGREEMENTS, ATTEMPTING TO INFLUENCE OTHERS VOTES, OR TAKING ANY SIMILAR DIRECT ACTION ON BEHALF OF THE CORPORATION WHERE THE CONFLICT OF INTEREST MIGHT PERTAIN. 4. ALL MEMBERS OF THE BOARD (INCLUDING EX-OFFICIO MEMBERS) ARE REQUIRED TO COMPLETE AND RETURN THE CONFLICT OF INTEREST DISCLOSURE STATEMENT NO LATER THAN NOVEMBER 30TH OF EACH YEAR OR WITHIN 30 DAYS OF THE CREATION OR OCCURRENCE OF ANY NEW CONFLICT. MEMBER(S) WHO DO NOT RETURN THE CONFLICT OF INTEREST STATEMENT WILL BE ADDRESSED IN ACCORDANCE WITH THE BYLAWS. 5. RESPONSES MAY BE COMPILED INTO PACKETS FOR DISTRIBUTION AND DISCUSSION ANNUALLY - AT THE NEXT BOARD MEETING FOLLOWING THE DUE DATE SEMI-ANNUALLY - SIX MONTHS FOLLOWING THE INITIAL REVIEW; AND, AS ANY NEW CONFLICT IS IDENTIFIED. 6. THE POLICY ON CONFLICT OF INTEREST WILL BE DISCUSSED WITH CANDIDATES FOR BOARD POSITIONS DURING THEIR INTERVIEW WITH THE NOMINATING COMMITTEE. THE IMPORATANCE OF AVOIDING CONFLICT OF INTEREST SITUATIONS WILL BE EMPHASIZED. 7. WHEN A CONFLICT OF INTEREST SITUATION IS IDENTIFIED: THE INDIVIDUAL BOARD MEMBER HAS THE PRIMARY RESPONSIBILITY TO BRING A POTENTIAL OR ACTUAL CONFLICT OF INTEREST SITUATION TO THE ATTENTION OF THE BOARD A CONFLICT OF INTEREST SITUATION MAY ALSO COME TO THE ATTENTION OF THE BOARD DUE TO THE CONCERNS OF A BOARD MEMBER WHO MAY NOT BE INVOLVED IN THE SITUATION. THAT BOARD MEMBER SHOULD NOTIFY THE CHAIRPERSON OF THE CONFLICT OF INTEREST CONCERN AND THE BOARD CHAIRPERSON SHOULD BRING THE SITUATION TO THE ATTENTION OF THE FULL BOARD. REGARDLESS OF THE METHOD BY WHICH THE CONFLICT IS BROUGHT UP, THERE SHOULD BE FULL AND OPEN DISCUSSION BY BOARD MEMBERS OF THE POTENTIAL OR ACTUAL CONFLICT OF INTEREST SITUATION. THE FURTHER PARTICIPATION OF THE BOARD MEMBER IN THE DISCUSSION SHOULD BE AGREED UPON AND APPROVED BY THE BOARD. 8. AS A RESULT OF DISCUSSIONS ON CONFLICT OF INTEREST SITUATIONS, THERE MAY BE CONSIDERATIONS FOR A BOARD MEMBER'S RESIGNATION. THE BOARD MEMBER MAY WISH TO RESIGN TO AVOID A FUTURE CONFLICT OF INTEREST SITUATION DUE TO A DESIRE TO BID ON A PARTICULAR BOARD PROJECT OR TO AVOID A FURTHER CONFLICT OF INTEREST CONCERN. IN THE EVENT THAT THE BOARD MEMBER DOES NOT LEAVE AND A CONFLICT OF INTEREST SITUATION EXISTS, IN ACCORDANCE WITH BYLAWS SECTION III.11 "REMOVAL OF DIRECTORS" THE BOARD MAY ASK THE BOARD MEMBER TO RESIGN IF NINE OF THE THIRTEEN VOTING MEMBERS VOTE AFFIRMATIVELY ON A MOTION OF REMOVAL. 9. THIS POLICY WILL BE REVIEWED ANNUALLY FOR THE INFORMATION AND GUIDANCE OF BOARD MEMBERS. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE HR DEPARTMENT USES AN EXECUTIVE SURVEY FROM THE ILLINOIS HOSPITAL ASSOCIATION (IHA) TO GET A STARTING POINT FOR THE SALARY. THEN THEY FACTOR IN YEARS OF EXPERIENCE AND NEGOTIATIONS ON BOTH ENDS. ULTIMATELY THE BOARD DETERMINES THE SALARY AND THE CONTRACT IS SET ANNUALLY. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B SALARIES ARE BASED OFF OF THE SOUTHERN ILLINOIS HUMAN RESOURCE SURVEY. YEARS OF EXPERIENCE AND NEGOTIATION ARE FACTORS THAT ARE CONSIDERED. ONCE A SALARY IS SET A % INCREASE IS GIVEN ANNUALLY DETERMINED BY THE CEO. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 RICHLAND MEMORIAL HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AFTER A REQUEST IS MADE TO ADMINISTRATION.