2025-12-16T16:36:25+00:00 2025-05-31 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2024-06-01 364113692 RML Health Providers Limited Partnership RMLH 6302864000 5601 South County Line Road Hinsdale IL 605214875 James R Prister VP Finance and CFO 6302864000 2025-12-16 true JENNIFER BURKE P01342224 3128997000 2025-12-16 2024 2025-03-06 01:10:19Z RML Specialty Hospital James R Prister 5601 South County Line Road Hinsdale IL 605214875 105478165 false X www.rmlspecialtyhospital.org X 1996 IL RML SPECIALTY HOSPITAL IS A LONG-TERM ACUTE CARE HOSPITAL DESIGNED FOR PATIENTS WHO NEED INTENSE, EXTENDED CARE. (Continued on Schedule O) 4 4 925 4 0 1631035 137038 113326317 100778442 1804937 2774539 104864 158752 116867153 103848771 4378 0 0 65785516 64156759 0 9605 48399738 38047252 114189632 102204011 2677521 1644760 125072149 122610427 59838957 55231822 65233192 67378605 RML SPECIALTY HOSPITAL IS A LONG-TERM ACUTE CARE HOSPITAL DEDICATED TO PROVIDING QUALITY, COMPASSIONATE CARE TO PATIENTS WITH PROLONGED, SEVERE, AND MEDICALLY COMPLEX ILLNESS. RML SERVES PATIENTS TRANSFERRED FROM ABOUT 90 ACUTE-CARE FACILITIES ACROSS ILLINOIS, OFFERING INTENSIVE, INTERDISCIPLINARY TREATMENT THAT PROMOTES RECOVERY, INDEPENDENCE, AND IMPROVED QUALITY OF LIFE. false false 89946587 0 100778442 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. 89946587 true true false true false false false false false false true false false true true true true false false false false false false false false false true true false false true false false false false false false false false true false false false false false false true false false false false true 76 0 true 925 true false false false false false false false false false false false false X 4 4 false false false false true true true true true false false false true true true true true true true true false false IL X Thomas Pater 6302864000 5601 South County Line Road Hinsdale IL 605214875 Allison Wyler Chairperson 2.0 2.0 X X 0 0 0 Denise Keefe Assistant Secretary/Assistant Treasurer 2.0 2.0 X X 0 0 0 Melissa Lukasick Vice Chairperson 2.0 2.0 X X 0 0 0 Tad Gomez Secretary/Treasurer 2.0 2.0 X X 0 0 0 James Prister President/CEO 40.0 2.0 X 713489 0 54170 Thomas Pater VP Finance/CFO 40.0 2.0 X 371483 0 60503 Dale Hengensbach Executive Director Special Stategic Projects 40.0 X 268157 0 33189 John Brofman MD Chief Medical Officer 40.0 X 208059 0 46104 Karen Murtaugh Executive Director Human Resources 40.0 X 222620 0 51148 Laurie Forssberg Executive Director Chicago Operations and Clinical Services 40.0 X 179368 0 33168 Marti Edwards VP Patient Care Services/CNO 40.0 X 260289 0 33094 Matt Lloyd VP Operations 40.0 X 225126 0 47113 Patricia Vaisvila VP Business Development 40.0 X 191083 0 40530 Todd Prellberg Chief Information Officer 40.0 X 216816 0 43284 Collin Fizpatrick MD Physician 40.0 X 525738 0 58081 Daniel De Simone MD Physician 40.0 X 353130 0 39058 Earl Rudolph MD Physician 40.0 X 510338 0 24051 Mairaj Jaleel MD Physician 40.0 X 377333 0 21168 Muhammad Abushaer MD Physician 40.0 X 480106 0 54593 5103135 0 639254 136 false true false LINCOLN PARK DIALYSIS SERVICES PO BOX 781607 PHILADELPHIA PA 19178 CONTRACTED DIALYSIS 2132874 PROLINK HEALTHCARE LLC 4600 MONTGOMERY ROAD SUITE 300 CINCINNATI OH 45212 CONTRACTED NURSING 1769910 PULSE CLINICAL ALLIAMCE 6440 SOUTHPOINT PARKWAY SUITE 300 JACKSONVILLE FL 33216 CONTRACTED NURSING 1100692 MAXIM HEALTHCARE SERVICES 7223 LEE DERFOREST DR COLUMBIA MD 21046 CONTRACTED NURSING 968666 EMERGENCY MEDICAL SPECIALISTS SC 2530 CRAWFORD SUITE 307 EVANSTON IL 60201 CONTRACTED PHYSICIAN 858674 15 137038 137038 Medicare/Medicaid 900099 82524676 82524676 Non-Medicare/Medicaid 900099 18253766 18253766 0 0 0 0 100778442 1802993 1802993 24000 24000 0 24000 24000 2600940 0 1839055 -209661 761885 209661 971546 971546 Insurance claim reimbursement 524298 85350 85350 Cafeteria sales 624200 37163 37163 Vending revenue 900099 7960 7960 4279 0 0 4279 134752 103848771 100778442 0 2933291 3298793 760082 2538711 48444940 45167903 3277037 2493824 1967791 526033 6196946 5743485 453461 3722256 3371751 350505 229291 55579 173712 65786 65786 70283 70283 54990 54990 7142973 6545908 597065 0 55460 51323 4137 1039704 682828 356876 1560763 977830 580856 2077 50564 24312 26252 2232597 1596921 632285 3391 5408890 4207827 1201063 175039 51228 123811 IL Hospital Provider Assessment 7558672 7558672 Medical Supplies & Pharmaceuticals 7133640 7133640 Licenses 1782868 1422012 360856 Equipment Rental & Maintenance 1652258 962399 689859 1833474 1665096 168378 0 102204011 89946587 12247819 9605 60 60 11280063 14324307 23249466 19084596 0 0 0 0 602653 630407 2398502 2298639 59817488 40316321 21127379 19501167 33958657 35678704 205630 924376 0 32249739 30168171 125072149 122610427 14730942 12970282 0 0 33950437 32849863 11157578 9411677 59838957 55231822 X 65233192 67378605 65233192 67378605 125072149 122610427 X 1644760 500651 2 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 46200 false true 24083 70283 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LINE 1G - RML HAS RETAINED THE SERVICES OF MATT WERNER CONSULTING TO LOBBY THE ILLINOIS LEGISLATURE ON A VARIETY OF ISSUES RELATED TO THE STATE'S MEDICAID PROGRAM. LINE 1I - RML IS A DUES PAYING MEMBER OF CERTAIN HOSPITAL ASSOCIATIONS. A SMALL PERCENTAGE OF THESE DUES PAYMENTS ARE ALLOCATED TO LOBBYING ACTIVITIES BY THESE ASSOCIATIONS. 17920393 8324694 9595699 33116725 25574025 7542700 8780370 6417602 2362768 19501167 Other assets - Deferred Comp Life 62251 Insurance recovery receivables 674697 Deferred compensation 457(b) and SERP Plan 4315072 Workers Comp Gross up 609591 Accrued Interest Income Deposits 10000 Malpractice Insurance Gross up 90447 Estimated Settlement Due from Third Party 447216 Self Insurance Escrow Retention 23264 Right of Use Assets 23935633 Miscellaneous 30168171 Federal Income Taxes SERP Liability 218096 Insurance claim liabilities 674697 Deferred Rent Estimated settlements due to third-party payors 1011268 Due to affiliates 272282 Reserve for Professional Liability 3112104 Funded Deferred Compensation Liability 4123230 Partnership Distribution Payable 9411677 X 103812092 500651 -537330 -36679 103848771 0 0 103848771 101666679 0 0 101666679 537332 537332 102204011 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote RML is a not-for-profit limited partnership and has been recognized as a tax-exempt organization by the Internal Revenue Service pursuant to Section 501(c)(3) of the Code. Income earned in furtherance of RML's tax-exempt purpose is exempt from federal and state income taxes. The Code provides for taxation of unrelated business income; however, such status is subject to final determination upon examination of the related income tax returns by the appropriate taxing authority. U.S. GAAP prescribes recognition thresholds and measurement attributes for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Tax benefits will be recognized only if the tax position is more-likely-than-not to be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized will be the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the more-likely-than-not test, no tax benefit will be recorded. Management is not aware of any tax benefits or liabilities to be recognized May 31, 2025, and 2024. The Partnership does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. Due to its tax-exempt status, the Partnership is not subject to U.S. federal income tax or state income tax. The Partnership recognizes interest and/or penalties related to income tax matters in income tax expense. The Partnership did not have any amounts accrued for interest and penalties at May 31, 2025 or 2024. Tax returns filed by the Partnership are no longer subject to examination for the years ended May 31, 2020 and prior. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 PROVISION FOR BAD DEBT - -537328 MISCELLANEOUS - -2 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements PROVISION FOR BAD DEBT - 537328 MISCELLANEOUS - 4 true true X true X true X 600 104123 104123 0.00102 8705349 8705349 0 0.0 21487 21487 0.00021 0 0 8830959 8705349 125610 0.00123 132433 132433 0.00130 325227 325227 0.00318 131665 131665 0.00129 18938 18938 0.00019 7510 7510 0.00007 0 0 615773 0 615773 0.00602 0 0 9446732 8705349 741383 0.00725 0 0.0 0 0.0 3231 3231 0.00003 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 3231 0 3231 0.00003 true 537328 0 21376344 27517430 -6141086 X true true 2 1 RML Specialty Hospital 3435 West Van Buren Street Chicago IL 60624 WWW.RMLSPECIALTYHOSPITAL.ORG 0005678 X X LONG TERM ACUTE CARE FACILITY A 2 RML Specialty Hospital 5601 South County Line Road Hinsdale IL 605214875 WWW.RMLSPECIALTYHOSPITAL.ORG 0004804 X X LONG TERM ACUTE CARE FACILITY A A 2 false false true X X X X X X X X X 25 true true false true X https://www.rmlspecialtyhospital.org/about-rml/community-health-needs-assessment/ X true 25 true https://www.rmlspecialtyhospital.org/wp-content/uploads/2025/09/RML-CHNA-Implementation-Plan-Hinsdal false true X 200.0 600.0 X X X X true true X X X true X See Part VI X See Part VI X See Part VI X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. RML Specialty Hospital conducted its 2025 Community Health Needs Assessment (CHNA) in collaboration with Crowe LLP. The CHNA was conducted from February through May 2025 for both RML's Chicago and Hinsdale campuses. Input was obtained through in-person and electronic surveys of discharged patients, outreach to community organizations, and a key stakeholder survey conducted March 5-31, 2025, which included 27 participants representing patients, caregivers, healthcare providers, and community partners serving chronically ill populations in Chicago, Suburban Cook, DuPage, and Will Counties. Input represented the interests of low-income, minority, and medically underserved populations, including low-income individuals and families; minorities and communities of color; Medicaid and Medicare Advantage plan holders; seniors and elderly individuals; Spanish-speaking communities; and uninsured and underinsured individuals. Secondary data from the U.S. Census Bureau, the Centers for Medicare & Medicaid Services, and the Illinois Department of Public Health were analyzed to validate and prioritize community health needs. Written comments were invited through RML's public CHNA contact. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. RML SPECIALTY HOSPITAL (HINSDALE) CONDUCTED THEIR CHNA WITH RML HOSPITAL (CHICAGO). RML SPECIALTY HOSPITAL (CHICAGO) CONDUCTED THEIR CHNA WITH RML HOSPITAL (HINSDALE). Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. RML SPECIALTY HOSPITAL COMPLETED ITS 2025 CHNA IN MAY 2025 AND ADOPTED A CORRESPONDING IMPLEMENTATION PLAN APPROVED BY THE BOARD OF DIRECTORS IN AUGUST 2025. THE CHNA IDENTIFIED EIGHT SIGNIFICANT HEALTH NEEDS: (1) ACCESS TO SERVICES (FINANCIAL SUPPORT AND SUPPORTIVE SERVICES); (2) ENHANCE TRANSITIONAL CARE; (3) HEALTH LITERACY; (4) MENTAL AND EMOTIONAL HEALTH SUPPORT; (5) SPECIALIZED POST-ACUTE AND LONG-TERM CARE; (6) PREVENTATIVE CARE AWARENESS; (7) SOCIAL AND COMMUNITY SUPPORT; AND (8) AFFORDABILITY OF MEDICATIONS. DURING THE TAX YEAR, RML SPECIALTY HOSPITAL CONTINUED IMPLEMENTING STRATEGIES FROM ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT TO ADDRESS IDENTIFIED COMMUNITY PRIORITIES. EFFORTS CENTERED ON IMPROVING CAREGIVER EDUCATION, ENHANCING POST-DISCHARGE CARE COORDINATION, EXPANDING ACCESS TO SOCIAL SERVICES AND MEDICAL RESOURCES, AND STRENGTHENING TRANSITIONS TO COMMUNITY-BASED AND PRIMARY CARE PROVIDERS. THE FOLLOWING SUMMARIZES ACCOMPLISHMENTS AND MEASURABLE OUTCOMES ACHIEVED DURING THE REPORTING PERIOD: TRAINING AND EDUCATION FOR CAREGIVERS: * CONDUCTED A COMPREHENSIVE REVIEW AND STANDARDIZATION OF THE DISCHARGE EDUCATION PROCESS. * ENHANCED DISCHARGE DOCUMENTATION, ENSURING IT IS NEED-BASED WITH ADDITIONAL TIME AVAILABLE AS REQUESTED BY CAREGIVERS. * EXPANDED THE USE OF MATERIALS IN CAREGIVERS' NATIVE LANGUAGES AND INCREASED ACCESS TO LANGUAGE SERVICES TO IMPROVE COMMUNICATION DURING DISCHARGE TRAINING. POST-DISCHARGE CARE COORDINATION: * IMPLEMENTED UPDATES TO THE SOCIAL ASSESSMENT TO INCLUDE QUESTIONS ON SOCIAL DETERMINANTS OF HEALTH (SDOH), SUPPORTED BY A SCORING TOOL. THIS TOOL PROMPTS CARE COORDINATORS TO PROVIDE REFERRALS WHEN ADDITIONAL ASSISTANCE IS NEEDED. TO DATE, ONE REFERRAL HAS BEEN MADE BASED ON THIS ASSESSMENT, ALIGNING WITH THE JOINT COMMISSION'S NPSG.16.01.01 TO IMPROVE HEALTH EQUITY. POST-DISCHARGE SOCIAL SERVICES: * RML SPECIALTY HOSPITAL HAS PRIORITIZED STAFF TRAINING ON A SOCIAL SERVICES REFERRAL TOOL, THAT AIDS IN CONNECTING PATIENTS AND THEIR CAREGIVERS TO ESSENTIAL HEALTH AND SOCIAL SERVICE SUPPORT AND INFORMATION. AS NEEDS ARE DISCOVERED USING OUR SDOH SCORING TOOL OUR STAFF HAVE THE RESOURCES NEEDED TO MAKE APPROPRIATE REFERRALS TO SOCIAL SERVICES WHEN ADDITIONAL SUPPORT IS REQUIRED. POST-DISCHARGE ANSWERS TO MEDICAL QUESTIONS: * UPDATED OUR DISCHARGE FOLLOW-UP TOOL WITHIN THE EHR TO INCLUDE A DISCHARGE EDUCATION RATING SYSTEM. CAREGIVER SUPPORT: * RML HAS PARTNERED WITH LINCOLN AND IT'S EMPLOYEECONNECT PLUS SM PLATFORM. THIS CONFIDENTIAL EMPLOYEE ASSISTANCE PROGRAM PROVIDES THE ADVICE, RESOURCES AND REFERRALS FOR CAREGIVER NEEDS TO OVERCOME WORK, FAMILY AND PERSONAL ISSUES. HELP IS AVAILABLE 24/7 ACCESS TO EQUIPMENT, PRESCRIPTIONS, AND SUPPLIES: * RML WILL COLLABORATE WITH DME PROVIDERS AND OTHER ORGANIZATIONS TO WORK TO ENSURE PATIENTS HAVE ACCESS TO THE EQUIPMENT, PRESCRIPTIONS AND SUPPLIES UPON DISCHARGE. * RML PATIENTS AND THEIR FAMILIES IN NEED CAN APPLY FOR THE RML PATIENT AND FAMILY NEEDS FUND. THIS FUND IS USED FOR FAMILIES IN NEED TO COVER INCIDENTAL COSTS ASSOCIATED WITH TRANSPORTATION, HOUSING, MEALS AND EQUIPMENT. TRANSITION TO PRIMARY CARE PHYSICIANS: * RML CARE COORDINATION TEAM HAS INCREASED FOCUS ON FACILITATION OF PATIENTS TRANSITION TO PRIMARY CARE PHYSICIANS. WE HAVE BUILT RELATIONSHIPS WITH PHYSICIANS ACROSS THE CHICAGOLAND AREA TO FOR THOSE PATIENTS WITHOUT TRANSPORTATION WE HAVE BEEN USING MD AT HOME'S SERVICES FOR CONTINUED MEDICAL CARE AT HOME FOR HOMEBOUND THAT REQUIRE ONGOING MEDICAL ATTENTION. THE 2025 CHNA AND IMPLEMENTATION PLAN ARE POSTED ON RML'S WEBSITE IN ACCORDANCE WITH IRS AND ILLINOIS COMMUNITY-BENEFIT REPORTING REQUIREMENTS. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. PATIENTS ARE DEEMED PRESUMPTIVELY ELIGIBLE FOR FREE CARE IF THE PATIENT DEMONSTRATES ONE OR MORE OF THE FOLLOWING; 1) HOMELESSNESS; 2) DECEASED WITH NO ESTATE; 3) MENTAL INCAPACITATION WITH NO ONE TO ACT ON PATIENT'S BEHALF; 4) MEDICAID ELIGIBILITY, BUT NOT ON DATE OF SERVICE OR FOR NON-COVERED SERVICES; 5) ENROLLMENT IN ONE OF THE FOLLOWING ASSISTANCE PROGRAMS FOR LOW INCOME INDIVIDUALS HAVING ELIGIBILITY CRITERIA AT OR BELOW 200% OF THE FEDERAL POVERTY INCOME GUIDELINES: A) WOMEN, INFANTS AND CHILDREN NUTRITION PROGRAM (WIC); B) SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP); C) ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM; D) LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP); E) ENROLLMENT IN AN ORGANIZED COMMUNITY-BASED PROGRAM PROVIDING ACCESS TO MEDICAL CARE THAT ASSESSES AND DOCUMENTS LIMITED LOW INCOME FINANCIAL STATUS AS A CRITERION FOR MEMBERSHIP; F) RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICES. Schedule H, Part V, Section B, Line 20 Facility A, 1 Facility A, 1 - RML SPECIALTY HOSPITAL. RML DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AGAINST PATIENTS. 0 Schedule H, Part I FINANCIAL ASSISTANCE & COMMUNITY BENEFIT SUPPORTING STATEMENT RML SPECIALTY HOSPITAL IS LICENSED BY THE STATE OF ILLINOIS AS AN ACUTE CARE HOSPITAL. MEDICARE HAS DESIGNATED RML AS A LONG-TERM ACUTE CARE HOSPITAL (LTACH) BECAUSE IT HAS A LENGTH OF STAY GREATER THAN 25 DAYS. LTACHS ARE DESIGNED FOR PATIENTS WHO REQUIRE CONTINUED ACUTE-LEVEL CARE OVER AN EXTENDED PERIOD, OFTEN FOLLOWING TREATMENT AT A TRADITIONAL ACUTE-CARE FACILITY. THESE PATIENTS USUALLY HAVE MEDICALLY COMPLEX OR MULTIPLE MEDICAL CONDITIONS AND GENERALLY REQUIRE EXTENDED HOSPITALIZATION. OVER 90 PERCENT OF RML'S PATIENTS HAVE SPENT AT LEAST THREE DAYS IN THE INTENSIVE CARE UNITS OF APPROXIMATELY 90 ACUTE CARE FACILITIES THROUGHOUT ILLINOIS. RML SPECIALTY HOSPITAL PRIMARILY FOCUSES ON TREATING AND WEANING PATIENTS DEPENDENT ON MECHANICAL VENTILATORS AND IS RECOGNIZED AS ONE OF THE LARGEST VENTILATOR-WEANING HOSPITALS IN THE NATION. WITH LOCATIONS IN HINSDALE AND CHICAGO, RML HAS RECEIVED MULTIPLE AWARDS AND RECOGNITION FROM THE NATIONAL ASSOCIATION OF LONG-TERM CARE HOSPITALS (NALTH) FOR ITS INNOVATIVE METHODOLOGIES IN TREATING PATIENTS WITH COMPLEX MEDICAL CONDITIONS. RML IS IN COMPLIANCE WITH THE EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA); HOWEVER, PROVIDING EMERGENCY TREATMENT IS NOT ITS PRIMARY PURPOSE. MORE THAN 80 PERCENT OF RML'S REVENUE IS GENERATED BY SERVING MEDICARE AND MEDICAID PATIENTS. IN FY 2025, THE AVERAGE AGE OF AN RML PATIENT WAS 59 YEARS, AND THE AVERAGE LENGTH OF STAY WAS 41.68 DAYS. RML OFFERS FINANCIAL ASSISTANCE TO PATIENTS AND HELPS THEM QUALIFY FOR GOVERNMENT ASSISTANCE PROGRAMS SUCH AS MEDICAID. DURING THE FISCAL YEAR, RML'S PATIENT FINANCIAL SERVICES TEAM AND CONSULTANTS PROVIDED ONGOING SUPPORT TO UNINSURED AND UNDERINSURED PATIENTS, RESULTING IN SUCCESSFUL ENROLLMENT IN COVERAGE OR FINANCIAL ASSISTANCE FOR NEARLY ALL ELIGIBLE APPLICANTS. Schedule H, Part V, Section B, Line 16a Schedule H, Part V, Section B, Line 16a/16b/16c Website addresses for Financial Assistance Policy, Financial Assistance Application, and Plain Language Summary. Financial Assistance Policy https://www.rmlspecialtyhospital.org/wp-content/uploads/2024/06/Financial-Assistance-Policy-English-2024.pdf Financial Assistance Application https://www.rmlspecialtyhospital.org/wp-content/uploads/2021/12/Financial-Assistance-Application-English.pdf Plain Language Summary https://www.rmlspecialtyhospital.org/wp-content/uploads/2024/07/RML-Plain-Language-Summary-English.pdf Schedule H, Part I, Line 7g Subsidized Health Services THE HOSPITAL DOES NOT OPERATE ANY PHYSICIAN CLINICS. THEREFORE, NO COSTS REPORTED ON THIS LINE ARE ATTRIBUTABLE TO A PHYSICIAN CLINIC. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance MEDICAID COSTS ARE TAKEN DIRECTLY FROM RML'S FY25 FILED MEDICAID COST REPORT. RML OFFERS FINANCIAL ASSISTANCE TO PATIENTS AND HELPS THEM QUALIFY FOR GOVERNMENT ASSISTANCE PROGRAMS LIKE MEDICAID. DURING THE TAX YEAR, RML WAS 100% SUCCESSFUL IN SECURING ASSISTANCE FOR ALL OF ITS UNINSURED PATIENTS. Schedule H, Part II Community Building Activities RML SUPPORTED COMMUNITY-BUILDING INITIATIVES THAT ADVANCE HEALTH EQUITY, INCLUSION, AND COLLABORATION. ACTIVITIES INCLUDED PARTICIPATION IN THE HEALTHY CHICAGO HOSPITAL COLLABORATIVE, DEI INITIATIVES, AND HOLIDAY DRIVES BENEFITING LOCAL FAMILIES AND SOCIAL-SERVICE ORGANIZATIONS. THESE EFFORTS FOSTER CULTURAL AWARENESS, STRENGTHEN PARTNERSHIPS, AND PROMOTE WELL-BEING THROUGHOUT THE COMMUNITIES RML SERVES. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT REPORTED IN PART III, LINE 2, IS REPORTED AT NET REALIZABLE VALUE; WHICH IS THE SAME METHODOLOGY USED TO REPORT BAD DEBT IN THE AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE HOSPITAL IS UNABLE TO ESTIMATE ACCURATELY THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY. ALTHOUGH A PORTION OF BAD DEBT EXPENSES MAY RELATE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE, A REPORTABLE FIGURE CANNOT BE REASONABLY ESTIMATED. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote RML'S AUDITED FINANCIAL STATEMENTS CONTAIN AN "ACCOUNTS RECEIVABLE" FOOTNOTE. THE FOOTNOTE IS LOCATED ON PAGE 10 OF THE ATTACHED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE ENTIRE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN. THE SOURCE OF THIS INFORMATION IS RML'S FILED FY25 MEDICARE COST REPORT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance RML WILL NOT PURSUE LEGAL ACTION FOR NON-PAYMENT OF A HOSPITAL BILL AGAINST UNINSURED PATIENTS WHO HAVE CLEARLY DEMONSTRATED THAT THEY HAVE NEITHER SUFFICIENT INCOME NOR ASSETS TO MEET THEIR FINANCIAL OBLIGATIONS, PROVIDED THE PATIENT: 1. ACTS REASONABLY AND COOPERATES IN GOOD FAITH WITH RML. 2. PROVIDES RML WITH ALL REASONABLY REQUESTED FINANCIAL AND OTHER DOCUMENTATION NEEDED TO DETERMINE PATIENT ELIGIBILITY FOR FINANCIAL ASSISTANCE AND REASONABLE PAYMENT PLAN OPTIONS. 3. PROVIDES INFORMATION WITHIN 30 DAYS OF THE HOSPITAL'S REQUEST. 4. COMMUNICATES TO THE HOSPITAL ANY MATERIAL CHANGES IN FINANCIAL SITUATION THAT MAY AFFECT THE PATIENT'S ABILITY TO COMPLY WITH PAYMENT PLANS OR QUALIFY FOR HOSPITAL FINANCIAL ASSISTANCE WITHIN 30 DAYS OF SUCH CHANGE. Schedule H, Part V, Section B, Line 16a FAP website A - RML Specialty Hospital : Line 16a URL: See Part VI; Schedule H, Part V, Section B, Line 16b FAP Application website A - RML Specialty Hospital : Line 16b URL: See Part VI; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - RML Specialty Hospital : Line 16c URL: See Part VI; Schedule H, Part VI, Line 2 Needs assessment RML SPECIALTY HOSPITAL CONTINUOUSLY ASSESSES THE HEALTH NEEDS OF THE MEDICALLY COMPLEX POPULATION IT SERVES IN ADDITION TO THE FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) COMPLETED IN MAY 2025. AS A LONG-TERM ACUTE CARE HOSPITAL (LTACH), RML'S COMMUNITY IS DEFINED BY PATIENTS REFERRED FROM APPROXIMATELY 90 ACUTE-CARE HOSPITALS THROUGHOUT ILLINOIS, INCLUDING THE SURROUNDING COMMUNITIES OF CHICAGO, SUBURBAN COOK COUNTY, DUPAGE COUNTY, AND WILL COUNTY. IN ADDITION TO THE TRIENNIAL CHNA, RML EVALUATES COMMUNITY NEEDS THROUGH ONGOING COLLABORATION WITH REFERRING HOSPITALS, DISCHARGE PARTNERS, AND POST-ACUTE PROVIDERS. THE PATIENT FINANCIAL SERVICES, INTAKE, AND CARE COORDINATION TEAMS COLLECT DATA FROM ADMISSION, SOCIAL ASSESSMENTS, AND DISCHARGE FOLLOW-UP CALLS TO IDENTIFY BARRIERS TO CARE, UNMET SOCIAL NEEDS, AND OPPORTUNITIES FOR IMPROVEMENT. THIS INFORMATION IS REVIEWED BY LEADERSHIP AND INCORPORATED INTO HOSPITAL INITIATIVES SUCH AS HEALTH EQUITY, STAFF EDUCATION, AND CAREGIVER SUPPORT PROGRAMS. RML ALSO PARTICIPATES IN REGIONAL AND STATEWIDE COALITIONS, INCLUDING THE HEALTHY CHICAGO HOSPITAL COLLABORATIVE AND OTHER PROFESSIONAL NETWORKS FOCUSED ON TRANSITIONAL CARE AND POPULATION HEALTH. THESE ONGOING EFFORTS HELP RML ADAPT ITS PROGRAMS TO EMERGING TRENDS AND ENSURE ITS SERVICES CONTINUE TO MEET THE EVOLVING NEEDS OF PATIENTS AND FAMILIES RECOVERING FROM SEVERE ILLNESS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE AVAILABILITY OF THE HOSPITAL FINANCIAL ASSISTANCE AS DEFINED UNDER RML'S POLICY IS COMMUNICATED TO PATIENTS THROUGH THE POSTING OF SIGNS IN AREAS OF THE HOSPITAL COMMONLY UTILIZED FOR ADMISSION AND REGISTRATION OF PATIENTS WITH THE FOLLOWING NOTICE: "YOU MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE TERMS AND CONDITIONS THE HOSPITAL OFFERS TO QUALIFIED PATIENTS. FOR MORE INFORMATION, PLEASE CONTACT EITHER THE DIRECTOR OF PATIENT FINANCIAL SERVICES OR THE ADMITTING MANAGER." THE SIGNAGE CONTAINS A PHONE NUMBER AND RML'S WEBSITE. THE SAME INFORMATION IS ALSO INCLUDED ON BILLING STATEMENTS AND ON RML'S WEBSITE, WITH THE WEBSITE ALSO CONTAINING A LINK TO THE FINANCIAL ASSISTANCE POLICY AND THE FINANCIAL ASSISTANCE APPLICATION. BECAUSE 100% OF RML'S PATIENTS COME DIRECTLY FROM OTHER HOSPITALS AND UNDERGO A ROBUST ADVANCE INTAKE PROCESS BEFORE THEY CAN BE TRANSFERRED TO RML, RML ALSO PUBLICIZES THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THE ADVANCE EVALUATION AND INTAKE PROCESS (AND DIRECTLY WITH THE PATIENT/FAMILY IF THE NEED SUBSEQUENTLY ARISES AFTER THEIR ADMISSION TO RML). UPON PATIENT REFERRAL, IF A PATIENT HAS NO INSURANCE, THE SOCIAL WORKER FROM THE REFERRING ACUTE CARE HOSPITAL WILL REQUEST ON BEHALF OF THE PATIENT FINANCIAL ASSISTANCE FROM RML WHICH IN TURN RML'S INTAKE PERSONNEL PROVIDE THE CHARITY APPLICATION TO THE SOCIAL WORKER WHO HAS THE FAMILY COMPLETE IT ON BEHALF OF THE PATIENT AND FORWARD IT BACK TO RML. Schedule H, Part VI, Line 4 Community information RML SPECIALTY HOSPITAL SERVES A UNIQUE COMMUNITY DEFINED BY ITS ROLE AS A LONG-TERM ACUTE CARE HOSPITAL (LTACH) PROVIDING EXTENDED, INTENSIVE CARE FOR MEDICALLY COMPLEX PATIENTS WHO REQUIRE CONTINUED ACUTE-LEVEL TREATMENT OVER AN EXTENDED PERIOD OF TIME. RML'S PATIENTS ARE REFERRED FROM APPROXIMATELY 90 ACUTE-CARE HOSPITALS THROUGHOUT ILLINOIS, PRIMARILY WITHIN CHICAGO, SUBURBAN COOK COUNTY, DUPAGE COUNTY, AND WILL COUNTY. THE COMMUNITY RML SERVES INCLUDES INDIVIDUALS WITH SERIOUS, ONGOING MEDICAL CONDITIONS THAT REQUIRE EXTENDED HOSPITALIZATION AND COMPLEX CLINICAL MANAGEMENT BEYOND THE TYPICAL ACUTE-CARE STAY. MANY PATIENTS TRANSFER DIRECTLY FROM INTENSIVE CARE OR STEP-DOWN UNITS AT REFERRING HOSPITALS TO CONTINUE RECEIVING AN ACUTE LEVEL OF CARE IN A SETTING THAT PROVIDES THE ADDITIONAL TIME, EXPERTISE, AND INTERDISCIPLINARY SUPPORT NECESSARY FOR RECOVERY. RML'S CARE MODEL IS DESIGNED TO STABILIZE PATIENTS WITH MULTIPLE COMORBIDITIES, PROMOTE RECOVERY AND VENTILATOR LIBERATION WHEN POSSIBLE, AND PREPARE PATIENTS FOR THE SAFEST AND MOST APPROPRIATE NEXT LEVEL OF CARE. IN FY 2025, RML CARED FOR MORE THAN 1,000 PATIENTS BETWEEN ITS CHICAGO AND HINSDALE CAMPUSES. MORE THAN 350 PATIENTS RECEIVED CARE AT THE CHICAGO FACILITY, WHICH IS LOCATED IN A MEDICALLY UNDERSERVED, LOW-INCOME AREA, ENSURING ACCESS TO SPECIALIZED LONG-TERM ACUTE CARE FOR VULNERABLE POPULATIONS. THE AVERAGE AGE OF AN RML PATIENT IN FY 2025 WAS 59 YEARS, WITH AN AVERAGE LENGTH OF STAY OF 41.68 DAYS. APPROXIMATELY 30 PERCENT OF PATIENTS WERE COVERED BY MEDICAID, AND MORE THAN 80 PERCENT OF RML'S TOTAL REVENUE WAS DERIVED FROM MEDICARE AND MEDICAID PAYORS. RML'S COMMUNITY REFLECTS A DIVERSE MIX OF RACIAL AND SOCIOECONOMIC GROUPS, MANY OF WHOM FACE BARRIERS RELATED TO CHRONIC ILLNESS, FINANCIAL HARDSHIP, AND LIMITED ACCESS TO POST-ACUTE CARE. THROUGH ITS MISSION AND PROGRAMS, RML WORKS TO ENSURE EQUITABLE ACCESS TO COMPASSIONATE, HIGH-QUALITY CARE FOR ALL PATIENTS AND FAMILIES IT SERVES. Schedule H, Part VI, Line 5 Promotion of community health A MAJORITY OF RML SPECIALTY HOSPITAL'S GOVERNING BODY IS COMPRISED OF INDIVIDUALS WHO RESIDE WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF RML, NOR FAMILY MEMBERS THEREOF. RML MAINTAINS AN OPEN MEDICAL STAFF POLICY, ALLOWING ANY QUALIFIED PHYSICIAN TO APPLY FOR PRIVILEGES TO PRACTICE AT RML, PROVIDED THEY MEET THE ORGANIZATION'S CREDENTIALING REQUIREMENTS AND POSSESS THE EXPERTISE NECESSARY TO CARE FOR MEDICALLY COMPLEX, CHRONICALLY CRITICALLY ILL PATIENTS. RML APPLIES SURPLUS FUNDS TO ADVANCING ITS MISSION THROUGH IMPROVEMENTS IN FACILITIES AND EQUIPMENT, PATIENT CARE, MEDICAL EDUCATION, WORKFORCE DEVELOPMENT, AND RESEARCH. RML IS COMMITTED TO THE ADVANCEMENT OF MEDICAL CARE FOR LONG-TERM ACUTE CARE PATIENTS AND THE ACHIEVEMENT OF SUPERIOR CLINICAL OUTCOMES. THE HOSPITAL CONTINUES TO BE RECOGNIZED NATIONALLY FOR EXCELLENCE IN VENTILATOR LIBERATION AND THE MANAGEMENT OF COMPLEX MEDICAL CONDITIONS REQUIRING EXTENDED ACUTE-LEVEL HOSPITALIZATION. IN FY 2025, RML ACTIVELY PARTICIPATED IN A RANGE OF CLINICAL AND COLLABORATIVE RESEARCH INITIATIVES DESIGNED TO IMPROVE OUTCOMES FOR MEDICALLY COMPLEX PATIENTS. SPONSORED PROJECTS INCLUDED DEVICE AND FEASIBILITY STUDIES THROUGH PARTNERSHIPS WITH ACADEMIC, GOVERNMENTAL, AND INDUSTRY COLLABORATORS-SUCH AS THE CDC, RUSH UNIVERSITY, LOYOLA UNIVERSITY CHICAGO, AND STIMDIA, INC.-FOCUSED ON AREAS INCLUDING INFECTION PREVENTION, ANTIMICROBIAL RESISTANCE MONITORING, WOUND HEALING, AND RESPIRATORY MUSCLE STRENGTH TRAINING. THESE INITIATIVES ADVANCE EVIDENCE-BASED PRACTICES WITHIN LONG-TERM ACUTE CARE AND PROMOTE THE DEVELOPMENT OF INNOVATIVE TREATMENT MODALITIES. RML REMAINS COMMITTED TO ADDRESSING WORKFORCE SHORTAGES IN HEALTH CARE BY OFFERING EDUCATIONAL EXPERIENCES FOR STUDENTS AND PROFESSIONALS ACROSS MULTIPLE DISCIPLINES. IN FY 2025, MORE THAN 200 STUDENTS COMPLETED CLINICAL ROTATIONS OR PRACTICUMS AT RML'S CHICAGO AND HINSDALE CAMPUSES, GAINING EXPOSURE TO INTERDISCIPLINARY CARE FOR MEDICALLY COMPLEX PATIENTS IN A LONG-TERM ACUTE CARE ENVIRONMENT. RML STAFF ACTIVELY SUPPORT COMMUNITY BENEFIT INITIATIVES DESIGNED TO PROMOTE COMPASSION, INCLUSION, AND WELL-BEING. DURING THE FY 2025 HOLIDAY SEASON, EMPLOYEES PARTICIPATED IN FOOD DRIVES, HAT AND MITTEN COLLECTIONS, AND ADOPT-A-FAMILY PROGRAMS, AS WELL AS ON-SITE CAROLING FOR PATIENTS. THE ORGANIZATION ALSO ADVANCED ITS DIVERSITY, EQUITY, AND INCLUSION (DEI) INITIATIVES TO FOSTER BELONGING, CULTURAL AWARENESS, AND EQUITABLE CARE PRACTICES ACROSS BOTH CAMPUSES. RML CONTINUES TO SUPPORT ORGANIZATIONS THAT ALIGN WITH ITS MISSION TO IMPROVE HEALTH AND QUALITY OF LIFE. IN FY 2025, RML PROVIDED CASH AND IN-KIND DONATIONS TO NONPROFIT PARTNERS, INCLUDING ONGOING SUPPORT OF THE AMERICAN LUNG ASSOCIATION'S CLIMB THE TOWER EVENT AND OTHER COMMUNITY-BASED HEALTH INITIATIVES. RML IS DEDICATED TO CONTINUOUSLY IDENTIFYING OPPORTUNITIES TO USE RESOURCES EFFICIENTLY, IMPROVE CARE COORDINATION, AND ENHANCE HEALTH OUTCOMES FOR THE MOST CRITICALLY ILL AND MEDICALLY COMPLEX PATIENTS WITHIN THE COMMUNITIES IT SERVES. Schedule H, Part VI, Line 7 State filing of community benefit report IL X true false X X X false true false false false false false true false James Prister President/CEO 623206 0 0 0 90283 0 20700 0 33470 0 767659 0 0 0 Thomas Pater VP Finance/CFO 336634 0 0 0 34849 0 20700 0 39803 0 431986 0 0 0 Marti Edwards VP Patient Care Services/CNO 236562 0 0 0 23727 0 15329 0 17765 0 293383 0 0 0 Patricia Vaisvila VP Business Development 181247 0 0 0 9836 0 11668 0 28862 0 231613 0 0 0 Karen Murtaugh Executive Director Human Resources 212527 0 0 0 10093 0 13606 0 37542 0 273768 0 0 0 John Brofman MD Chief Medical Officer 196505 0 0 0 11554 0 12859 0 33245 0 254163 0 0 0 Matt Lloyd VP Operations 214853 0 0 0 10273 0 13797 0 33316 0 272239 0 0 0 Dale Hengensbach Executive Director Special Stategic Projects 245157 0 0 0 23000 0 15985 0 17204 0 301346 0 0 0 Todd Prellberg Chief Information Officer 207242 0 0 0 9574 0 12979 0 30305 0 260100 0 0 0 Laurie Forssberg Executive Director Chicago Operations and Clinical Services 170930 0 0 0 8438 0 10733 0 22435 0 212536 0 0 0 Mairaj Jaleel MD Physician 192870 0 184151 0 312 0 20700 0 468 0 398501 0 0 0 Muhammad Abushaer MD Physician 258583 0 219924 0 1599 0 20700 0 33893 0 534699 0 0 0 Collin Fizpatrick MD Physician 146711 0 378740 0 287 0 20700 0 37381 0 583819 0 0 0 Earl Rudolph MD Physician 287326 0 222455 0 557 0 20700 0 3351 0 534389 0 0 0 Daniel De Simone MD Physician 320009 0 31522 0 1599 0 20700 0 18358 0 392188 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments Per the CEO's employment contract, he is to receive 8% of the compensation as deferred compensation. The only deferred compensation vehicle available is the 457(b) Plan. Eight percent of compensation exceeds the statutory contribution limit into the 457(b) Plan. Therefore, the Board annually takes action to provide the excess as cash to the CEO, grossed up to simulate receiving it as deferred compensation. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The RML Health Providers, Limited Partnership ("RML") maintains a Supplemental Executive Retirement Plan that is a nonqualified deferred compensation plan subject to the provisions of Section 409A and 457(f) of the Internal Revenue Code of 1986, as amended. The plan is designed to provide benefits which, when combined with other retirement benefits, are reasonable and competitive for covered Executives. Eligibility for participation in the Plan is limited to a select group of management or highly compensated employees as determined by the Governing Body. Current participants, as designated by the Governing Body, and respective amounts are: James Prister, President/CEO - $46,157. Thomas Pater, Vice President Finance/CFO - $14,064. The distributed amounts are as follows: James Prister, President/CEO - $57,552. Thomas Pater, Vice President Finance/CFO - $14,871. Schedule J, Part I, Line 7 Non-fixed payments The executive Incentive Plan provides variable compensation based on the achievement of organization-wide goals. These goals represent key indications of success in the areas of finance, clinical quality, patient satisfaction and employee safety. They are approved by the Board for each fiscal year. Tanner Prellberg Family member of a Key Employee 19952 Employee Compensation false Form 990, Part VI, Line 1a Delegate broad authority to a committee The Board of Directors, by resolution adopted by a unanimous number of the directors entitled to vote, designated and elected the members of one or more committees, each of which consisted of at least one director elected by each member of the Corporation, to the extent not restricted by law, shall have and exercise the authority and act on behalf of the Board of Directors in the management of the Corporation; provided, however, that such Committee shall not have the authority to take any action set forth in Section 3.9 of the bylaws which require unanimous vote of all the directors entitled to vote; and provided, further, that the designation of such committees and the delegation thereto of authority shall not operate to relieve the Board of Directors, or any individual director, of any responsibility imposed upon it or him by law. Form 990, Part VI, Line 6 Classes of members or stockholders RML Health Providers, LP ("RML"), an IRC 501(c)(3) organization, is organized as a partnership under Illinois state law. RML has two equal limited partners, Advocate Health and Hospitals Corporation and Loyola University Medical Center; each limited partner is also an IRC 501(C)(3) organization and has a 49.5% interest in RML. RML's general partner is RMLHP Corporation; the general partner is also an IRC 501(C)(3) organization and has a 1% interest in RML. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Each of RML's limited partners (Advocate Health and Hospitals Corporation and Loyola University Medical Center) elects and designates two of the four members of the governing body. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders RML HEALTH PROVIDERS, LP ("RML"), AN IRC 501(C)(3) ORGANIZATION, IS ORGANIZED AS A PARTNERSHIP UNDER ILLINOIS STATE LAW. RML'S GENERAL PARTNER, RMLHP CORPORATION ("RMLHP"), HAS THE FULL, EXCLUSIVE, AND COMPLETE DISCRETION IN THE MANAGEMENT AND CONTROL OF THE BUSINESS AFFAIRS OF RML AND MAKES ALL DECISIONS AFFECTING RML'S BUSINESS AND AFFAIRS. EXCEPT AS OTHERWISE SET FORTH IN THE PARTNERSHIP AGREEMENT, SUBJECT TO AND CONSISTENT WITH THE CHARITABLE PURPOSES OF RML AS PROVIDED IN THE PARTNERSHIP AGREEMENT, RMLHP AS THE GENERAL PARTNER HAS THE RIGHT, POWER, AND AUTHORITY TO DO ON BEHALF OF RML ALL THINGS WHICH IN ITS JUDGMENT ARE NECESSARY, PROPER, OR DESIRABLE TO CARRY OUT ITS DUTIES AND RESPONSIBILITIES, INCLUDING BUT NOT LIMITED TO THE RIGHT, POWER, AND AUTHORITY TO: (A) INCUR ALL REASONABLE EXPENDITURES AND PAY ALL OBLIGATIONS OF THE PARTNERSHIP; (B) EXECUTE ANY AND ALL DOCUMENTS OR INSTRUMENTS OF ANY KIND WHICH THE GENERAL PARTNER MAY DEEM NECESSARY OR APPROPRIATE FOR CARRYING OUT THE PURPOSES OF THE PARTNERSHIP; (C) PURCHASE OR LEASE EQUIPMENT FOR PARTNERSHIP PURPOSES; (D) LEASE ALL OR ANY PORTION OF RML'S PROPERTY FOR ANY PURPOSE AND WITHOUT LIMIT AS TO THE TERM THEREOF, WHETHER OR NOT SUCH TERM (OR ANY RENEWALS THEREOF) MAY EXTEND BEYOND THE DATE OF TERMINATION OF THE PARTNERSHIP AND WHETHER OR NOT THE PORTION SO LEASED IS TO BE OCCUPIED BY THE LESSEE OR, IN TURN SUBLEASED IN WHOLE OR IN PART TO OTHERS; (E) BORROW MONEY FROM INDIVIDUALS, BANK AND OTHER LENDING INSTITUTIONS FOR ANY PARTNERSHIP PURPOSE; (F) PROCURE AND MAINTAIN AT THE EXPENSE OF THE PARTNERSHIP WITH RESPONSIBLE COMPANIES SUCH INSURANCE AS MAY BE AVAILABLE IN SUCH AMOUNTS AND COVERING SUCH RISKS AS ARE APPROPRIATE IN THE JUDGMENT OF THE GENERAL PARTNER; (G) HOLD TITLE TO PARTNERSHIP PROPERTY IN THE NAME OF A TRUSTEE OF NOMINEE CHOSEN BY THE GENERAL PARTNER IF IT SHALL SEEM SUCH APPROPRIATE; (H) RECEIVE AND DISBURSE PROCEEDS FROM THE SALE OF PARTNERSHIP PROPERTIES; SELL THE PARTNERSHIP PROPERTIES FOR AND ON BEHALF OF THE PARTNERSHIP ON SUCH TERMS AND CONDITIONS DEEMED SATISFACTORY TO THE GENERAL PARTNER; AND PAY ALL OBLIGATIONS OF THE PARTNERSHIP; (I) EMPLOY AND DISMISS FROM EMPLOYMENT ANY AND ALL PARTNERSHIP EMPLOYEES, AGENTS, INDEPENDENT CONTRACTORS, ATTORNEYS AND ACCOUNTANTS; (J) SUPERVISE THE PREPARATION AND FILING OF ALL PARTNERSHIP TAX RETURNS AND MAKE ON BEHALF OF THE PARTNERSHIP SUCH TAX ELECTIONS AND DETERMINATIONS AS APPEAR TO THEM APPROPRIATE; (K) PROVIDE OVERSIGHT OF THE OPERATIONS OF AND SERVICES PROVIDED AT THE HOSPITAL; (L) REVIEW ALL MATTERS RELATIVE TO THE GENERAL CARE OF PATIENTS IN THE HOSPITAL; (M) REVIEW RECOMMENDATIONS FROM THE HOSPITAL'S MEDICAL EXECUTIVE COMMITTEE ON CLINICAL PRIVILEGES; APPROVE APPOINTMENTS AND REAPPOINTMENTS TO THE MEDICAL STAFF; AND REVIEW MEDICAL CARE RENDERED TO HOSPITAL PATIENTS; (N) MAKE RECOMMENDATIONS FOR IMPROVEMENT OF PATIENT CARE IN THE HOSPITAL; (O) FORM AND PROVIDE OVERSIGHT TO HOSPITAL COMMITTEES; (P) PROVIDE FOR THE EFFECTIVE FUNCTIONING OF THE HOSPITAL ACTIVITIES RELATED TO PERFORMANCE IMPROVEMENT, RISK MANAGEMENT, FINANCIAL MANAGEMENT, AND PROFESSIONAL GRADUATE EDUCATION WHEN PROVIDED; (Q) PERFORM ANY AND ALL OTHER ACTS OR ACTIVITIES CUSTOMARY OR INCIDENT TO THE OPERATION OF THE HOSPITAL; (R) FACILITATE THE LEASE, SALE OR OTHER DISPOSITION OF THE HOSPITAL. IN ADDITION, RMLHP AS THE GENERAL PARTNER MAY DESIGNATE ONE OR MORE OF ITS AFFILIATES TO CARRY OUT ITS DUTIES AND RESPONSIBILITIES TO THE PARTNERSHIP OR TO RENDER THE PARTNERSHIP SUCH SERVICES AS THE GENERAL PARTNER DEEMS NECESSARY TO CARRY OUT THE PURPOSES OF THE PARTNERSHIP. Form 990, Part VI, Line 11b Review of form 990 by governing body Upon completion of RML Health Provider, LP's Form 990, it is reviewed by management responsible for filing the return, a group including but not limited to the RML's President/CEO and the VP Finance/CFO. It is then presented by the organization's management to RML's Board of Directors for their review at a regularly scheduled board meeting. After the board review, the return is then filed with the IRS. Form 990, Part VI, Line 12c Conflict of interest policy RML Health Providers, LP, requires all board members and persons of leadership to annually sign a statement identifying any potential conflicts of interest. This statement affirms that such a person has received a copy of the conflict of interest policy, has read and understands the policy, and has agreed to comply with the policy. This policy applies to all board members and senior management. The annual statements are reviewed by the Director of Risk Management, who is also the compliance officer. Potential conflicts of interest are presented by the compliance officer to the board of directors. After presentation of potential conflicts, the interested person shall leave the board or committee meeting while the transaction is discussed and voted upon; the remaining board members make the determination as to whether an actual conflict of interest exists. Corrective or disciplinary actions for non-compliance with the conflict of interest policy are at the discretion of the Board of Directors. Form 990, Part VI, Line 15a Process to establish compensation of top management official RML follows the requirements set forth in the IRS rebuttable presumption of reasonableness in determining compensation for the CEO. This function is performed by the governing board. CEO compensation is reviewed annually, with an external compensation consultant engaged to perform a detailed compensation study every other year. In the years during which the external compensation consultant is not engaged to perform a detailed compensation study, RML performs an analysis of CEO compensation internally. In addition to utilizing the most recent study performed by the external compensation consultant, this internal CEO compensation evaluation includes a review of comparability data, during which market data and compensation data of healthcare executives at similar organizations is reviewed and utilized in determining CEO compensation. The deliberation and decision of CEO compensation is contemporaneously documented through detailed minutes of the compensation committee and full board meetings where executive compensation is considered. The most recent total compensation bi-annual study performed by the external compensation consultant occurred in November 2022, and the most recent internal base compensation review was performed in June 2024. We are currently working on an updated total compensation study with Willis Towers Watson. Form 990, Part VI, Line 15b Process to establish compensation of other employees RML follows the requirements set forth in the IRS rebuttable presumption of reasonableness in determining compensation for its other officers and key employees. This function is performed by the governing board. Other officer and key employee compensation is reviewed annually, with an external compensation consultant engaged to perform a detailed compensation study every other year. In the years during which the external compensation consultant is not engaged to perform a detailed compensation study, RML performs an analysis of other officer and key employee compensation internally. In addition to utilizing the most recent study performed by the external compensation consultant, this internal other officer and key employee compensation evaluation includes a review of comparability data, during which market data and compensation data of healthcare executives at similar organizations is reviewed and utilized in determining other officer and key employee compensation. The deliberation and decision of other officer and key employee compensation is contemporaneously documented through detailed minutes of the compensation committee and full board meetings where executive compensation is considered. The most recent total compensation bi-annual study performed by the external compensation consultant occurred in November 2022, and the most recent internal base compensation review was performed in June 2024. We are currently working on an updated total compensation study with Willis Towers Watson. Form 990, Part VI, Line 19 Required documents available to the public AN ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON THE ILLINOIS ATTORNEY GENERAL'S WEBSITE. AS A HOSPITAL, THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE ALSO MADE AVAILABLE TO THE PUBLIC AS AN ATTACHMENT TO ITS FORM 990, WHICH IS A REQUIRED DISCLOSURE PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All other revenue - Total Revenue: 4279, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 4279; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Miscellaneous - 2; Total - 2; RMLHP CORPORATION 5601 SOUTH COUNTY LINE ROAD HINSDALE IL 605214875 364160869 GENERAL PARTNER AND MANAGER OF RML HEALTH PROVIDERS, LP IL 501(c)(3) Type III-FI NA false false false true false false false false false false false false false true true false false true false