Carlinville Area Hospital & Clinics

What it reported doing in 2024

Carlinville Area Hospital Association is a 25-bed acute care hospital located in Carlinville, Illinois. The Hospital provides inpatient, outpatient and emergency care services for residents of Central Illinois.During fiscal year 2025, we carried out our exempt purpose in the following ways:1) Provided quality short term acute care medical services to 404 inpatients, of which 72.8% were eligible for Medicare. Without our services, these elderly patients would have had to travel over 20 miles to receive similar services. (Continued on Schedule O) 2) Provided quality short-term skilled care to 154 patients in our swing bed unit, with an Average Length of Stay of 12.2 days.3) Provided 24-hour a day emergency room services. Our emergency room treated 7,139 patients during fiscal year 2025. We treat everyone who presents themselves to our emergency room regardless of their medical condition or ability to pay. We provide 24-hour physician service so people residing in the Carlinville area do not have to travel long distances for emergency medical care.4) In addition to the inpatient and emergency services we provide, we also had 40,318 visits in our outpatient departments. These services range from preventative care items such as mammograms and lab tests to rehabilitative services such as Physical and Occupational therapy.5) The hospital also had 12,007 visits to the specialty clinic. These clinics bring specialists from metropolitan areas to Carlinville on a rotating basis. This provides access to specialty services not otherwise offered in the area.6) The hospital also had 23,191 visits in our Rural Health Clinics (of which 3,600 were seen in our newly constructed Virden RHC). These clinics allow for patients to stay closer to home and get in to see a medical provider.The hospital provides health care services to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Since the hospital does not pursue collection on these amounts, they are not reported as patient service revenue. The estimated costs of providing these services was $70,000 for the year ended July 31, 2025, calculated by multiplying the ratio of cost to gross charges for the Hospital by the gross uncompensated charges associated with providing charity care to its patients.

Financial Efficiency

• Mission deployment rate: 76.5%; rating input score 76
• Program expense ratio: 79.8%; rating input score 80
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 85.7%; rating input score 86; 32nd percentile among comparable filings
• Governance controls: 6 of 8 controls in place; rating input score 75
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Fail
  • Other executive compensation review process: NotApplicable
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 4.5%; rating input score 55; 55th percentile among comparable filings
• Total-asset coverage ratio: 0.85; rating input score 34; 34th percentile among comparable filings
• Liabilities to assets ratio: 0.44; rating input score 41; 41st percentile among comparable filings
• Officer compensation ratio: 3.9%; rating input score 27; 27th percentile among comparable filings

Growth

• Program expense growth: 9.3% per year; rating input score 100; 71st percentile among comparable filings
• Revenue growth: 7.6% per year; rating input score 100; 64th percentile among comparable filings
• Asset growth: 1.8% per year; rating input score 100; 13th percentile among comparable filings