RML Specialty Hospital

What it reported doing in 2024

In the most recent fiscal year (fy 2025), rml specialty hospital delivered on its mission to provide quality, compassionate care to patients from our referring community who suffer from prolonged, severe illness. Our care programs included the care and weaning of patients who require prolonged mechanical ventilation, the care and treatment of patients with complex wounds, and the management of patients requiring extended acute hospitalization. Rml is recognized nationally as a leader in long-term acute care and is one of the largest ventilator-weaning hospitals in the nation. Rml served approximately 90 referral sources throughout Illinois, including partner organizations, major tertiary care centers, and community hospitals. Nearly 90% percent of inpatient admissions were direct transfers from these hospital referral sources. Rml operates a facility located in a low-income area of chicago and, despite fluctuations in census, continues to sustain the viability of an entity that provides quality health care and well-paying jobs for the inner-city community. Long-term acute care was provided to more than 1,038 patients across both rml facilities, including over 354-primarily minority-patients at the chicago location. To support the specialized needs of our patients and community, rml utilizes a physician-led interdisciplinary team to deliver comprehensive treatment for acute or catastrophic illness complicated by multiple co-morbidities. Our commitment to excellence and superior clinical outcomes has allowed us to maintain low hospital-acquired infection and pressure-ulcer rates and a low rate of adverse outcomes, defined as expirations and transfers to acute-care hospitals.

Financial Efficiency

• Mission deployment rate: 87.7%; rating input score 88
• Program expense ratio: 88%; rating input score 88
• Fundraising efficiency: $14.27 raised per $1 spent on fundraising; rating input score 50; 50th percentile among comparable filings

Transparency & Controls

• Consistency checks: 92.9%; rating input score 93; 17th percentile among comparable filings
• Pay-setting controls: 3 of 6 controls in place; rating input score 50
  • Compensation committee: Missing
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 1.6%; rating input score 40; 40th percentile among comparable filings
• Total-asset coverage ratio: 1.2; rating input score 46; 46th percentile among comparable filings
• Liabilities to assets ratio: 0.45; rating input score 40; 40th percentile among comparable filings
• Officer compensation ratio: 5.6%; rating input score 13; 13th percentile among comparable filings

Growth

• Program expense growth: 3.2% per year; rating input score 100; 24th percentile among comparable filings
• Revenue growth: 4% per year; rating input score 100; 33rd percentile among comparable filings
• Asset growth: 7.7% per year; rating input score 100; 57th percentile among comparable filings