Skip to content
Nonprofiteer
← RICHLAND MEMORIAL HOSPITAL INC

Form 990 for tax year 2022

Filed by RICHLAND MEMORIAL HOSPITAL INC.

Totals

Total revenue
$62,829,384
Total expenses
$71,799,739
Contributions and grants received
$2,755,502
Grants paid
$74,527
Program service revenue
$59,309,027
Investment income
$40,627
Other revenue
$724,228
Total assets, end of year
$26,663,290
Total liabilities, end of year
$13,457,935
Net assets or fund balances, end of year
$13,205,355
Program services expenses (Part IX)
$62,550,297
Management and general expenses
$9,249,442
Fundraising expenses
$0
Program service expenses (Part III)
$62,550,297

Program services were 87.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $159,045

  • 1e · Government grants (contributions)

    $2,571,457

  • 1f · All other contributions, gifts and grants

    $25,000

  • 1g · Noncash contributions included above

    $11,971

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $59,297,962 · related or exempt $59,297,962

  • 2b · Program service revenue: RENT FROM RELATED ORGS

    total $10,176 · related or exempt $10,176

  • 2c · Program service revenue: ALL OTHER PROGRAM SERVICES REVENUE

    total $889 · related or exempt $889

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $40,627 · excluded $40,627

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    other assets $66

  • 7b · Less cost or other basis and sales expenses

    other assets $66

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 10a · Gross sales of inventory

    $1,378,534

  • 10b · Cost of goods sold

    $957,982

  • 10c · Net income from sales of inventory

    total $420,552 · unrelated business $420,552

  • 11a · Other revenue: CAFETERIA SERVICES

    total $186,423 · excluded $186,423

  • 11b · Other revenue: LAUNDRY SERVICES

    total $16,542 · unrelated business $16,542

  • 11c · Other revenue: CATERING REVENUE

    total $26,898 · unrelated business $26,898

  • 11d · All other revenue

    total $73,813 · related or exempt $50,193 · unrelated business $0 · excluded $23,620

  • 11e · Other revenue, total

    $303,676

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $74,527 · program services $74,527

  • 6 · Compensation of disqualified persons

    total $120,253 · program services $120,253

  • 7 · Other salaries and wages

    total $33,736,175 · program services $29,275,025 · management and general $4,461,150

  • 8 · Pension plan contributions

    total $1,599,509 · program services $1,374,349 · management and general $225,160

  • 9 · Other employee benefits

    total $3,141,765 · program services $2,596,897 · management and general $544,868

  • 10 · Payroll taxes

    total $2,123,585 · program services $1,796,802 · management and general $326,783

  • 11d · Fees: lobbying

    total $25,440 · management and general $25,440

  • 11g · Fees: other

    total $2,540,376 · program services $2,464,518 · management and general $75,858 · fundraising $0

  • 12 · Advertising and promotion

    total $8,099 · program services $2,934 · management and general $5,165

  • 13 · Office expenses

    total $358,815 · program services $193,326 · management and general $165,489

  • 14 · Information technology

    total $2,817,078 · program services $2,137,648 · management and general $679,430

  • 16 · Occupancy

    total $1,030,178 · program services $667,288 · management and general $362,890

  • 17 · Travel

    total $38,315 · program services $22,380 · management and general $15,935

  • 19 · Conferences, conventions and meetings

    total $44,040 · program services $35,152 · management and general $8,888

  • 20 · Interest

    total $202,119 · program services $168,462 · management and general $33,657

  • 22 · Depreciation, depletion and amortization

    total $2,416,407 · program services $1,656,182 · management and general $760,225

  • 23 · Insurance

    total $138,143 · program services $114,809 · management and general $23,334

  • 24a · Other expenses: OTHER PURCHASED SERVICES

    total $357,727 · program services $313,224 · management and general $44,503

  • 24b · Other expenses: PATIENT CARE SUPPLIES

    total $5,803,993 · program services $5,803,993

  • 24c · Other expenses: INTERNAL PURCHASED SERVS

    total $12,066,228 · program services $11,223,278 · management and general $842,950

  • 24d · Other expenses: PROVIDER ASSESSMENT TAX

    total $2,403,466 · program services $2,403,466

  • 24e · All other expenses

    total $753,501 · program services $105,784 · management and general $647,717 · fundraising $0

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $4,100,567 · end of year $1,377,471

  • 4 · Accounts receivable

    beginning of year $5,974,379 · end of year $4,231,585

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $411,380 · end of year $232,045

  • 8 · Inventories for sale or use

    beginning of year $893,708 · end of year $1,724,548

  • 9 · Prepaid expenses and deferred charges

    beginning of year $239,268 · end of year $212,171

  • 10a · Land, buildings and equipment: cost or other basis

    $64,582,776

  • 10b · Land, buildings and equipment: accumulated depreciation

    $45,946,580

  • 10c · Land, buildings and equipment, net

    beginning of year $19,634,086 · end of year $18,636,196

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $197,083 · end of year $249,274

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,553,156 · end of year $4,204,867

  • 19 · Deferred revenue

    beginning of year $2,307,829 · end of year $998

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $5,005,634 · end of year $4,634,730

  • 25 · Other liabilities

    beginning of year $4,242,373 · end of year $4,617,340

  • 27 · Net assets without donor restrictions

    beginning of year $15,341,479 · end of year $13,205,355

Mission and programs · 2022

Mission

TO PROVIDE EXCELLENT HEALTHCARE, PROMOTE WELLNESS, AND EDUCATE PATIENTS, STAFF, AND THE COMMUNITY.

  • 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 104 BED HOSPITAL PROVIDING A RANGE OF ANCILLARY AND SUPPORT SERVICES. THE HOSPITAL ADMITS APPROXIMATELY 1,200 PATIENTS ANNUALLY, 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 2022, RMH RECORDED 10,386 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: - RMH 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. 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 RMH 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 RMH'S FINANCIAL ASSISTANCE POLICY OFFERED IN 2022.

    Expenses $62,550,297 · Grants $74,527 · Revenue $59,359,220

As filed on the 2022 return.

Listed in Part VII

  • Gary Houchin

    TREASURER OF BOARD

    Total calculated
    $0
    Hours/week
    2

  • Jennifer Cummins-Zuher

    CHAIR

    Total calculated
    $0
    Hours/week
    3

  • Matthew Kolb JD Mha

    TRUSTEE; EVP, CHIEF OPERATING OFFICER

    Total calculated
    $1,757,452
    From this org
    $0
    From related orgs
    $1,363,262
    Other
    $394,190
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $979,097 related
    Bonus
    $0 + $225,035 related
    Other
    $0 + $159,130 related
    Deferred
    $0 + $368,388 related
    Nontaxable benefits
    $0 + $25,802 related
    Filer's total
    $0 + $1,757,452 related

  • Patricia Kessler-Bookhout DDS

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    2

  • Bernard Brauer

    TRUSTEE (BEG 10/1/2022)

    Total calculated
    $0
    Hours/week
    1

  • Cole Duke

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Jason Glover

    TRUSTEE (THU 9/30/2022)

    Total calculated
    $0
    Hours/week
    1

  • Larry Dunn

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Raymond Fisher MD

    TRUSTEE

    Total calculated
    $545,250
    From this org
    $492,079
    From related orgs
    $0
    Other
    $53,171
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $490,202
    Bonus
    $0
    Other
    $1,877
    Deferred
    $45,010
    Nontaxable benefits
    $8,161
    Filer's total
    $545,250

  • Rob McClain

    TRUSTEE (THU 9/30/2022)

    Total calculated
    $0
    Hours/week
    1

  • Sally Salmons MD

    TRUSTEE & PHYSICIAN

    Total calculated
    $545,699
    From this org
    $0
    From related orgs
    $456,156
    Other
    $89,543
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $396,944 related
    Bonus
    $0 + $56,199 related
    Other
    $0 + $3,013 related
    Deferred
    $0 + $69,824 related
    Nontaxable benefits
    $0 + $19,719 related
    Filer's total
    $0 + $545,699 related

  • Sherry Geier

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Steven Thomson

    TRUSTEE (BEG 10/1/2022)

    Total calculated
    $0
    Hours/week
    2

  • Tommie Fehrenbacher

    TRUSTEE (THU 9/30/2022)

    Total calculated
    $0
    Hours/week
    1

  • Dennis Hesch

    EVP, CHIEF FINANCE & STRATEGY OFFICER

    Total calculated
    $1,700,899
    From this org
    $0
    From related orgs
    $1,286,099
    Other
    $414,800
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $993,973 related
    Bonus
    $0 + $288,063 related
    Other
    $0 + $4,063 related
    Deferred
    $0 + $396,203 related
    Nontaxable benefits
    $0 + $18,597 related
    Filer's total
    $0 + $1,700,899 related

  • James C Leonard MD

    EX-OFFICIO, PRESIDENT & CEO

    Total calculated
    $2,801,918
    From this org
    $0
    From related orgs
    $2,140,109
    Other
    $661,809
    Hours/week
    0.2 + 39.8 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,607,032 related
    Bonus
    $0 + $528,517 related
    Other
    $0 + $4,560 related
    Deferred
    $0 + $643,876 related
    Nontaxable benefits
    $0 + $17,933 related
    Filer's total
    $0 + $2,801,918 related

  • Regina Thomas

    PRESIDENT, RICHLAND MEMORIAL HOSPITAL

    Total calculated
    $341,103
    From this org
    $0
    From related orgs
    $274,210
    Other
    $66,893
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $239,629 related
    Bonus
    $0 + $32,572 related
    Other
    $0 + $2,009 related
    Deferred
    $0 + $52,840 related
    Nontaxable benefits
    $0 + $14,053 related
    Filer's total
    $0 + $341,103 related

  • Kenneth Aronson MD

    MEDICAL DIRECTOR - DIAGNOSTIC SERVICES

    Total calculated
    $686,599
    From this org
    $0
    From related orgs
    $623,336
    Other
    $63,263
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $509,212 related
    Bonus
    $0 + $111,911 related
    Other
    $0 + $2,213 related
    Deferred
    $0 + $45,010 related
    Nontaxable benefits
    $0 + $18,253 related
    Filer's total
    $0 + $686,599 related

  • Lauren Schmid

    EVP, CHIEF HUMAN RESOURCES OFFICER

    Total calculated
    $1,001,069
    From this org
    $0
    From related orgs
    $772,322
    Other
    $228,747
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $550,105 related
    Bonus
    $0 + $123,287 related
    Other
    $0 + $98,930 related
    Deferred
    $0 + $204,706 related
    Nontaxable benefits
    $0 + $24,041 related
    Filer's total
    $0 + $1,001,069 related

  • Nicholas Crompton

    VP, CONSTRUCTION & FACILITY SERVICES

    Total calculated
    $355,561
    From this org
    $0
    From related orgs
    $281,961
    Other
    $73,600
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $252,006 related
    Bonus
    $0 + $27,955 related
    Other
    $0 + $2,000 related
    Deferred
    $0 + $45,832 related
    Nontaxable benefits
    $0 + $27,768 related
    Filer's total
    $0 + $355,561 related

  • Tanner Miller MD

    CRMH MEDICAL DIRECTOR

    Total calculated
    $547,996
    From this org
    $0
    From related orgs
    $498,065
    Other
    $49,931
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $406,508 related
    Bonus
    $0 + $89,475 related
    Other
    $0 + $2,082 related
    Deferred
    $0 + $24,510 related
    Nontaxable benefits
    $0 + $25,421 related
    Filer's total
    $0 + $547,996 related

  • Benjamin Curtis

    CRNA - RMH ANESTHESIOLOGY

    Total calculated
    $325,160
    From this org
    $275,825
    From related orgs
    $0
    Other
    $49,335
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $262,078
    Bonus
    $12,259
    Other
    $1,488
    Deferred
    $23,515
    Nontaxable benefits
    $25,820
    Filer's total
    $325,160

  • Christina Bare

    DIRECTOR, RMH PRIMARY CARE & SPECIALTY SERVICES

    Total calculated
    $177,074
    From this org
    $163,562
    From related orgs
    $0
    Other
    $13,512
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $146,978
    Bonus
    $15,662
    Other
    $922
    Deferred
    $13,512
    Nontaxable benefits
    $0
    Filer's total
    $177,074

  • John Allen

    CRNA - RMH ANESTHESIOLOGY

    Total calculated
    $347,781
    From this org
    $298,367
    From related orgs
    $0
    Other
    $49,414
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $284,620
    Bonus
    $12,259
    Other
    $1,488
    Deferred
    $23,857
    Nontaxable benefits
    $25,557
    Filer's total
    $347,781

  • John Wall

    CRNA LEAD - RMH ANESTHESIOLOGY

    Total calculated
    $335,604
    From this org
    $283,968
    From related orgs
    $0
    Other
    $51,636
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $269,419
    Bonus
    $12,753
    Other
    $1,796
    Deferred
    $24,510
    Nontaxable benefits
    $27,126
    Filer's total
    $335,604

  • Thomas Falcone

    CRNA - RMH ANESTHESIOLOGY

    Total calculated
    $331,400
    From this org
    $280,568
    From related orgs
    $0
    Other
    $50,832
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $266,821
    Bonus
    $12,259
    Other
    $1,488
    Deferred
    $23,443
    Nontaxable benefits
    $27,389
    Filer's total
    $331,400

  • Harry Brockus

    FORMER - OFFICER

    Total calculated
    $162,492
    From this org
    $0
    From related orgs
    $162,492
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $162,492 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $162,492 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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 COMPANY 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 4a Severance or change-of-control payment
IN 2022, SEVERANCE PAYMENTS WERE PAID TO HARRY BROCKUS ($162,492).
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
THE 2022 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, SALLY SALMONS, MD, DENNIS HESCH, JAMES LEONARD, MD, REGINA THOMAS, LAUREN SCHMID, AND NICHOLAS CROMPTON. IN 2022, PAYMENTS FROM THE 457(F) PLAN WERE MADE TO MATTHEW KOLB ($155,067), SALLY SALMONS, MD ($8), JAMES LEONARD, MD ($497), AND LAUREN SCHMID ($95,210).
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 DIRECTORS PRIOR TO ANY INCENTIVE PAYOUT.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • CHAMPAIGN SURGICENTER LLC

    N/A · Surgical Center · IL

    Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • HEALTH SYSTEMS INSURANCE LIMITED

    C Corporation · Insurance · CJ · controlled entity

    Directly controlled by NA

  • CARLE RISK MANAGEMENT COMPANY

    C Corporation · Risk Management · IL · controlled entity

    Directly controlled by NA

  • EVALIDATA INC

    C Corporation · Physician Credentialing · IL · controlled entity

    Directly controlled by NA

  • CHA HOLDING INC

    C Corporation · Holding Co. · IL · controlled entity

    Directly controlled by NA

  • CARLE HOLDING COMPANY INC

    C Corporation · Holding Co. · IL · controlled entity

    Directly controlled by NA

  • HEALTH ALLIANCE MEDICAL PLANS INC

    C Corporation · Health Coverage · IL · controlled entity

    Directly controlled by NA

  • HEALTH ALLIANCE CONNECT INC

    C Corporation · Health Care Coordination · IL · controlled entity

    Directly controlled by NA

  • HEALTH ALLIANCE NORTHWEST HOLDING INC

    C Corporation · Holding Co. · WA · controlled entity

    Directly controlled by NA

  • HEALTH ALLIANCE NORTHWEST HEALTH PLAN INC

    C Corporation · Health Coverage · WA · controlled entity

    Directly controlled by NA

  • HEALTH ALLIANCE-MIDWEST INC

    C Corporation · Health Coverage · IL · controlled entity

    Directly controlled by NA

  • CARLE VENTURES INC

    C Corporation · Health Care Partnerships · IL · controlled entity

    Directly controlled by NA

  • CARLE HEALTH PHYSICIAN PARTNERS INC

    C Corporation · Physician Services · IL · controlled entity

    Directly controlled by NA

  • FIRST CAROLINA CARE INSURANCE COMPANY

    C Corporation · Insurance · IL · controlled entity

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202323199349319757

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.