Carle Health

What it reported doing in 2024

Richland Memorial Hospital, Inc., DBA Carle Richland Memorial Hospital (RMH) 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 providing a range of ancillary and support services. iN 2024, cARLE RICHLAND MEMORIAL HOSPITAL TRANSITIONED from AN ACUTE CARE HOSPITAL TO A CRITICAL ACCESS HOSPITAL. for 2024, the hospital admitted 2,005 patients, is fully accredited by dnv, 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. carle richland memorial hospital operates a 20-bed extended care wing for private-pay patients, which is part of the same legal entity, hospital tax identification number, and illinois department of public health hospital license. the extended care wing is not part of the medicare-enrolled critical access hospital. in 2024, RMH recorded 11,359 patient days. in addition to the hospital, the organization has tWO rural health clinics: -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, RMH provides services under the following: -RMH Professional Services located at 605 E. Main Street, Olney, IL one-half mile from the hospital and offers general surgery and wound care 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 12:45 p.m. AND 1:15 p.m. TO 5:30 P.M. -Carle Bridgeport is located at 100 Industry Road, Bridgeport, IL, and offers family medicine services Monday through Friday, 8 a.m. to 5 p.m. rmh provides quality medical healthcare regardless of race, creed, gender, national origin, disability, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of the hospital, it is recognized that not all individuals possess the ability to purchase essential medical services. The mission of RMH is to serve our community with respect in providing healthcare services and healthcare education. Therefore, in keeping with the commitment to serve all members of the community, we offer: -free care to qualified individuals under the Carle Rural health 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. RMH 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 the Carle Rural Health financial assistance policy offered in 2024.

Financial Efficiency

• Mission deployment rate: 94.3%; rating input score 94
• Program expense ratio: 88.3%; rating input score 88
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
• Pay-setting controls: 1 of 6 controls in place; rating input score 17
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 86.6%; rating input score 87; 20th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 70%; rating input score 70; 21st percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Fail
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -6.2%; rating input score 11; 11th percentile among comparable filings
• Total-asset coverage ratio: 0.34; rating input score 12; 12th percentile among comparable filings
• Liabilities to assets ratio: 0.52; rating input score 34; 34th percentile among comparable filings
• Officer compensation ratio: 5.9%; rating input score 11; 11th percentile among comparable filings

Growth

• Program expense growth: 3.5% per year; rating input score 100; 26th percentile among comparable filings
• Revenue growth: 3.5% per year; rating input score 100; 27th percentile among comparable filings
• Asset growth: -0.4% per year; rating input score 0; 6th percentile among comparable filings