TY 2018 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) DAVID W HECHT MD CHAIRPERSON	2.0 ................. 2.0	X	X			0	0
(2) DENISE KEEFE VICE CHAIRPERSON	2.0 ................. 2.0	X	X			0	0
(3) DAN POST SECRETARY/TREASURER	2.0 ................. 2.0	X	X			0	0
(4) RICHARD HEIM ASST. SECRETARY/TREASURER	2.0 ................. 2.0	X	X			0	0
(5) JAMES R PRISTER PRESIDENT/CEO	40.0 ................. 2.0		X			878,437	97,768
(6) THOMAS PATER VP FINANCE/CFO	40.0 ................. 2.0		X			374,314	61,048
(7) KENNETH PAWOLA VP/CHIEF OPERATING OFFICER	40.0 .................			X		322,755	51,255
(8) MARTI EDWARDS VP PATIENT CARE SERVICES/CNO	40.0 .................			X		265,434	28,373
(9) PATRICIA VAISVILA VP BUSINESS DEVELOPMENT	40.0 .................			X		189,738	31,365
(10) JOHN LANDSTROM VP HUMAN RESOURCES	40.0 .................			X		240,939	31,649
(11) JOHN D BROFMAN MD CHIEF MEDICAL OFFICER	40.0 .................			X		301,524	32,395
(12) JAMIE HINTON CHIEF QUALITY OFFICER	40.0 .................			X		153,062	9,964
(13) STEPHEN MILLS EXECUTIVE DIRECTOR CHICAGO OPERATIONS	40.0 .................			X		208,241	9,096
(14) DALE HENGENSBACH EXECUTIVE DIRECTOR SPECIAL STRATEGIC PROJECTS	40.0 .................				X	233,475	24,213
(15) SEJAL THAKER MD PHYSICIAN	40.0 .................				X	213,738	22,962
(16) MAIRAJ JALEEL MD PHYSICIAN	40.0 .................				X	211,928	9,043
(17) MARK L GOODE MD PHYSICIAN	40.0 .................				X	201,681	28,368

(A) Name and business address	(B) Description of services	(C) Compensation
LINCOLN PARK DIALYSIS SERVICES PO BOX 8500-1607 PHILADELPHIA,PA19178	CONTRACTED DIALYSIS	1,888,017
ACL LABORATORIES 8901 W LINCOLN AVE WEST ALLIS,WI53227	CONTRACTED LAB	1,258,218
EMS SC 1012 LAKE SHORE BLVD EVANSTON,IL60202	CONTRACTED PHYSICIANS	833,664
METRO INFECTIOUSE DISEASE CONSULTANT 901 MCCLINTOCK DR SUITE 203 BURR RIDGE,IL60527	CONTRACTED PHYSICIANS	454,000
METRO PRIMARY CARE ASSOCIATES 13755 S CICERO AVE CRESTWOOD,IL60463	CONTRACTED PHYSICIANS	150,000
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 8

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

RML Health Providers Limited Partnership

Employer identification number

36-4113692

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

RML Health Providers Limited Partnership

Employer identification number

36-4113692

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization RML Health Providers Limited Partnership

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization RML Health Providers Limited Partnership		Employer identification number 36-4113692

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization RML Health Providers Limited Partnership			Employer identification number 36-4113692
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

RML Health Providers Limited Partnership

Employer identification number

36-4113692

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................
d	Other exempt purpose expenditures ........................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

44,204

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

18,346

Total. Add lines 1c through 1i ....................................................................................................

62,550

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
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.

Schedule C (Form 990 or 990EZ) 2018

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

RML Health Providers Limited Partnership

Employer identification number

36-4113692

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....
b	Buildings ....	39,390,234	5,797,023	33,593,211
c	Leasehold improvements	2,557,900	533,096	2,024,804
d	Equipment ....	28,234,733	22,741,198	5,493,535
e	Other .....	8,851,471		8,851,471
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				49,963,021

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
SERP Liability	309,891
Insurance claim liabilities	1,579,952
Deferred Rent	24,714
Estimated settlements due to third-party payors	868,824
Due to affiliates	7,500
Reserve for Professional Liability	2,343,506
Funded Deferred Compensation Liability	1,996,045
Partnership Distribution Payable	12,695,647
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	19,826,079
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	111,042,617
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-2,265,823
e	Add lines 2a through 2d .....................			2e	-2,265,823
3	Subtract line 2e from line 1..................			3	113,308,440
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	-54,934
c	Add lines 4a and 4b....................			4c	-54,934
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	113,253,506

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	95,719,252
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	54,934
e	Add lines 2a through 2d....................			2e	54,934
3	Subtract line 2e from line 1...................			3	95,664,318
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b	2,265,823
c	Add lines 4a and 4b.....................			4c	2,265,823
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	97,930,141

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
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 at May 31, 2019 and 2018. 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's Form 990 has not been subject to examination by the Internal Revenue Service or the state of Illinois for the last three years. 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, 2019 and 2018. Tax returns filed by the Partnership are no longer subject to examination for the years ended May 31, 2015 and prior.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	PROVISION FOR BAD DEBT - -2265823
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	FUNDRAISING EVENT EXPENSES - -54934
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	FUNDRAISING EVENT EXPENSES - 54934
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	PROVISION FOR BAD DEBT - 2265823

Schedule D (Form 990) 2018

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
RML Health Providers Limited Partnership

Employer identification number

36-4113692

Part I

Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2018

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 GOLF EVENT (event type)	(b) Event #2 (event type)	(c) Other events (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	174,196			174,196
2	Less: Contributions . . . .	153,796			153,796
3	Gross income (line 1 minus line 2) . . . . . .	20,400	0	0	20,400

4	Cash prizes . . . . .
5	Noncash prizes . . . .	10,677	10,677
6	Rent/facility costs . . . .	14,472	14,472
7	Food and beverages . . .	12,097	12,097
8	Entertainment . . . .
9	Other direct expenses . . .	17,688	17,688
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .		54,934
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .		-34,534

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2018

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2018

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

RML Health Providers Limited Partnership

Employer identification number

36-4113692

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 60000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			149,718		149,718	0.16 %
b	Medicaid (from Worksheet 3, column a) . . . . .			8,669,930	8,669,930	0	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .					0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	8,819,648	8,669,930	149,718	0.16 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).			121,210		121,210	0.13 %
f	Health professions education (from Worksheet 5) . . .			281,677		281,677	0.29 %
g	Subsidized health services (from Worksheet 6) . . . .			116,064		116,064	0.12 %
h	Research (from Worksheet 7) .			24,225		24,225	0.03 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .			63,713		63,713	0.07 %
j	Total. Other Benefits . .	0	0	606,889	0	606,889	0.63 %
k	Total. Add lines 7d and 7j .	0	0	9,426,537	8,669,930	756,607	0.79 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing					0	0 %
2	Economic development					0	0 %
3	Community support			14,771		14,771	0.02 %
4	Environmental improvements					0	0 %
5	Leadership development and training for community members					0	0 %
6	Coalition building					0	0 %
7	Community health improvement advocacy					0	0 %
8	Workforce development					0	0 %
9	Other			51,058		51,058	0.05 %
10	Total	0	0	65,829	0	65,829	0.07 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

2,265,823

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

31,829,197

Enter Medicare allowable costs of care relating to payments on line 5.....

32,942,346

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-1,113,149

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)				Other (describe)	Facility reporting group
1	RML Specialty Hospital 3435 West Van Buren Street Chicago,IL60624 WWW.RMLSPECIALTYHOSPITAL.ORG 0005678	X	X	LONG TERM ACUTE CARE FACILITY	A
2	RML Specialty Hospital 5601 South County Line Road Hinsdale,IL605214875 WWW.RMLSPECIALTYHOSPITAL.ORG 0004804	X	X	LONG TERM ACUTE CARE FACILITY	A

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): http://www.rmlspecialtyhospital.org/about/community-health-needs-assessment/

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTP://WWW.RMLSPECIALTYHOSPITAL.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.0% and FPG family income limit for eligibility for discounted care of 600.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

https://www.rmlspecialtyhospital.org/discharge-planners/financial-information/#financial

The FAP application form was widely available on a website (list url):

https://www.rmlspecialtyhospital.org/discharge-planners/financial-information/#financial

A plain language summary of the FAP was widely available on a website (list url):
https://www.rmlspecialtyhospital.org/discharge-planners/financial-information/#financial

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	A
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
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. THE COMMUNITY INPUT DATA FOR THE MOST RECENT RML CHNA WAS COLLECTED BETWEEN MARCH AND APRIL 2019. THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) WORKED WITH RML TO APPLY SEVERAL METHODS FOR COLLECTING PRIMARY COMMUNITY INPUT DATA, INCLUDING FOCUS GROUPS, KEY INFORMANT INTERVIEWS, AND THE FORMATION OF A CHRONICALLY CRITICALLY ILL ACTION TEAM (CCIAT). THE FOCUS GROUPS AND INTERVIEWS WERE CONDUCTED BY IPHI FOLLOWING A SEMI-STRUCTURED FORMAT, AND RML AND IPHI TAILORED QUESTIONS FOR EACH GROUP. PARTICIPANTS INCLUDED FORMER PATIENTS, PROVIDERS IN OTHER POST ACUTE SETTINGS, AND MEMBERS OF COMMUNITY ORGANIZATIONS THAT TREAT AND PROVIDE ASSISTANCE TO CHRONICALLY, CRITICALLY-ILL PATIENTS IN RML'S COMMUNITY. JOINING RML ON THE CCIAT ARE LEADERS IN THE POST-ACUTE PROVIDER COMMUNITY, INSURANCE PAYERS, COMMUNITY ORGANIZATIONS, TERTIARY CARE CENTERS AND ACADEMIC MEDICAL CENTERS, AS WELL AS FORMER PATIENTS AND THEIR FAMILIES. THE CCIAT IS DEVELOPING PLANS TO IMPROVE THE LIVES OF CHRONICALLY, CRITICALLY ILL PATIENTS AFTER THEY ARE DISCHARGED FROM A POST-ACUTE CARE PROVIDER INTO A COMMUNITY SETTING. THE CHNA WAS ALSO INFORMED BY SECONDARY DATA ON THE COMMUNITY FROM SOURCES LIKE U.S. CENSUS DATA, THE DARTMOUTH ATLAS OF HEALTHCARE, AND THE ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES.
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. IN THE SPRING OF 2019, RML CONDUCTED ITS THIRD COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). RML RECOGNIZES THAT AS THE FIRST STOP IN THE POST-ACUTE CARE CONTINUUM, IT IS WELL-POSITIONED TO ADDRESS THE NEEDS OF CHRONICALLY, CRITICALLY ILL PATIENTS AFTER THEY LEAVE THE HOSPITAL AND RETURN TO THE COMMUNITY. FOCUSING ON THESE NEEDS PRESENTS UNIQUE OPPORTUNITIES FOR RML TO ADVANCE OUR MISSION BY ENHANCING THE CARE WE PROVIDE TO THE UNIQUE PATIENT POPULATION WE SERVE. TO EXTEND OUR EFFECTIVENESS, TWENTY-TWO MEMBERS OF RML'S COMMUNITY (INCLUDING LEADERS IN THE POST-ACUTE PROVIDER COMMUNITY, INSURANCE PAYERS, COMMUNITY ORGANIZATIONS, TERTIARY CARE CENTERS AND ACADEMIC MEDICAL CENTERS, AS WELL AS FORMER PATIENTS AND THEIR FAMILIES) WERE INVITED TO WORK ALONGSIDE THREE MEMBERS OF RML'S LEADERSHIP TEAM ON A "CHRONICALLY, CRITICALLY ILL ACTION TEAM (CCIAT)". THE CCIAT SUPPORTED THE DEVELOPMENT OF THE CHNA AND THE IMPLEMENTATION PLAN. THE CCIAT RECENTLY FINALIZED AN IMPLEMENTATION PLAN TO ADDRESS THE COMMUNITY HEALTH NEEDS IDENTIFIED AS PRIORITIES IN THE CHNA. WITH THE HELP OF THE CCIAT, RML WILL STRIVE TO IMPLEMENT THE ACTION PLAN. THE CCIAT IDENTIFIED TWO PRIORITIES. THE FIRST PRIORITY WAS TO IMPROVE COORDINATION OF CARE ACROSS THE CARE CONTINUUM. THE ACTION TEAM'S GOAL IS TO IMPROVE CHRONICALLY, CRITICALLY ILL PATIENTS' QUALITY OF LIFE AND OUTCOMES THROUGH ACCESS TO LONG-TERM CARE MANAGEMENT AND COMMUNITY RESOURCES. THE OBJECTIVES ARE TO INCREASE LINKAGE TO RESOURCES TO ADDRESS PATIENT SOCIAL DETERMINANTS OF HEALTH AND THE BEST NEXT SITE OF CARE, IMPLEMENT STANDARDIZED POST-DISCHARGE CARE MANAGEMENT PROCESSES, AND INCREASE AWARENESS AND USE OF PALLIATIVE CARE AMONG PATIENTS AND CAREGIVERS. THE SECOND PRIORITY WAS TO PROVIDE SUPPORT TO THE CAREGIVERS OF CHRONICALLY, CRITICALLY ILL PATIENTS. THE TEAM SEEKS TO DO THIS IN TWO WAYS: IMPROVING THE QUALITY OF CARE PROVIDED BY CAREGIVERS AND BY IMPROVING THE QUALITY OF CAREGIVERS' LIVES THROUGH SUPPORTIVE SERVICES. THE CCIAT WILL DO THIS BY DEVELOPING AND INCREASING ACCESS TO QUALITY EDUCATIONAL RESOURCES AND INCREASING EMOTIONAL SUPPORT, INCLUDING ACCESS TO RESPITE SERVICES.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - . 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 (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?0
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Schedule H, Part I FINANCIAL ASSISTANCE & COMMUNITY BENEFIT SUPPORTING STATEMENT	RML IS LICENSED BY THE STATE OF ILLINOIS AS AN ACUTE CARE HOSPITAL. MEDICARE HAS DESIGNATED RML AS A LONG-TERM ACUTE CARE HOSPITAL (LTCH) BECAUSE IT HAS A LENGTH OF STAY GREATER THAN 25 DAYS. LTCHS ARE DESIGNED FOR PATIENTS WHO NEED INTENSE, EXTENDED CARE FOLLOWING TREATMENT AT A TRADITIONAL ACUTE CARE FACILITY. THESE PATIENTS USUALLY HAVE MEDICALLY COMPLEX OR MULTIPLE MEDICAL CONDITIONS AND GENERALLY REQUIRE EXTENDED HOSPITALIZATION. ABOUT 93% OF RML'S PATIENTS HAVE SPENT AT LEAST THREE DAYS IN THE INTENSIVE CARE UNITS OF APPROXIMATELY 90 ACUTE CARE FACILITIES LOCATED THROUGHOUT THE STATE OF ILLINOIS. RML SPECIALTY HOSPITAL PRIMARILY FOCUSES ON TREATING AND WEANING PATIENTS DEPENDENT ON MECHANICAL VENTILATORS, AND TODAY IS ONE OF THE LARGEST VENTILATOR WEANING HOSPITALS IN THE NATION. WITH LOCATIONS IN HINSDALE AND CHICAGO, RML SPECIALTY HOSPITAL 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 MEDICAL TREATMENT IS NOT THEIR PRIMARY PURPOSE. OVER 75% OF RML'S REVENUE IS GENERATED BY SERVING MEDICARE/MEDICAID PATIENTS. THE AVERAGE AGE OF AN RML PATIENT IS OVER 60 AND THE AVERAGE LENGTH OF STAY IS 38 DAYS.
Schedule H, Part I, Line 7 Other Community Benefit	In addition to amounts reported on Part I, Line 7 relating to financial assistance and certain other community benefits, RML made distributions in the amount of $12,695,647 to its limited partners (Advocate Health and Hospitals Corporation and Loyola University Medical Center) in furtherance of healthcare purposes.
Schedule H, Part V, Section B, Line 9 Implementation Strategy	The implementation strategy was not adopted by October 15, 2019, however it was subsequently approved and adopted by the Board on November 6, 2019.
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 Bad Debt Expense excluded from financial assistance calculation	2265823
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	CHARITY CARE COSTS ARE DERIVED USING COST-TO-CHARGE RATIOS OBTAINED FROM RML FILED MEDICARE COST REPORTS AND APPLYING THEM TO THE RELATED CHARGES. MEDICAID COSTS ARE TAKEN DIRECTLY FROM RML'S FY19 FILED MEDICAID COST REPORT.
Schedule H, Part II Community Building Activities	RML'S COMMUNITY BUILDING ACTIVITIES SUPPORT THE COMMUNITY AS RML ENCOURAGES AND PROMOTES COMMUNITY ACTIVITY BY ALLOWING EMPLOYEES TO DONATE RML PAID TIME TO ASSISTING OTHERS. RML HAS ESTABLISHED A NUMBER OF PARTNERSHIPS TO HELP SUPPORT THE COMMUNITY. RML HAS WORKED CLOSELY WITH THE EMERGENCY RESPONSE NETWORKS IN CHICAGO AND THE WESTERN SUBURBS TO IMPROVE THESE COMMUNITIES' DISASTER PREPAREDNESS. RML PARTICIPATES IN THE CHICAGO PROTECT PROJECT, WHICH IS CO-SPONSORED BY THE CENTERS FOR DISEASE CONTROL, THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH, AND THE CHICAGO DEPARTMENT OF PUBLIC HEALTH. CHICAGO PROTECT AIMS TO STOP THE SPREAD OF MULTI-DRUG RESISTANT MICROORGANISMS.
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 4 Bad debt expense - financial statement footnote	RML'S AUDITED FINANCIAL STATEMENTS CONTAIN AN "ALLOWANCE FOR DOUBTFUL ACCOUNTS" 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 FY19 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: https://www.rmlspecialtyhospital.org/discharge-planners/financial-information/#financial;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - RML Specialty Hospital : Line 16b URL: https://www.rmlspecialtyhospital.org/discharge-planners/financial-information/#financial;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - RML Specialty Hospital : Line 16c URL: https://www.rmlspecialtyhospital.org/discharge-planners/financial-information/#financial;
Schedule H, Part VI, Line 2 Needs assessment	RML WAS ESTABLISHED IN 1996 AS A PARTNERSHIP BETWEEN TAX EXEMPT ACUTE CARE HOSPITALS. PRESENTLY, ADVOCATE HEALTH CARE AND LOYOLA UNIVERSITY MEDICAL CENTER ARE THE LIMITED PARTNERS AND RMLHP CORPORATION THE GENERAL PARTNER, ALL 501(C)3 ORGANIZATIONS. WITH QUALITY AS ITS PRIMARY FOCUS, RML WAS ESTABLISHED TO PROVIDE INTENSE, EXTENDED CARE TO THOSE PATIENTS WITH MEDICALLY COMPLEX OR MULTIPLE MEDICAL CONDITIONS. THE AVERAGE AGE OF AN RML PATIENT IS OVER 60 YEARS AND THE AVERAGE LENGTH OF STAY IS 38 DAYS. RML PATIENTS ARE DIRECT TRANSFERS FROM THE INTENSIVE CARE UNITS OF APPROXIMATELY 90 ACUTE CARE FACILITIES THROUGHOUT ILLINOIS. NEARLY ONE-THIRD OF THE TRANSFERS ARE FROM RML'S PARTNER HOSPITALS -- ADVOCATE AND LOYOLA. TO ENSURE THE FURTHERANCE OF THE PARTNERS' EXEMPT PURPOSE, THE GOVERNING BODY IS APPOINTED BY THE EXEMPT PARTNERS. RML IS A LONG-TERM ACUTE CARE HOSPITAL (LTCH). THE DEFINITION OF "COMMUNITY" TO AN LTCH IS DIFFERENT THAN THAT OF A TRADITIONAL ACUTE CARE HOSPITAL. RML'S PURPOSE IS TO SERVE MEDICALLY COMPLEX PATIENTS REQUIRING EXTENDED CARE. RML'S "COMMUNITY" IS DEFINED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS PEOPLE IN CHICAGO, SUBURBAN COOK COUNTY, DUPAGE COUNTY AND WILL COUNTY WHO HAVE SUFFERED A SEVERE, LIFE-CHANGING, DEBILITATING ILLNESS REQUIRING EXTENSIVE PSYCHO-SOCIAL AND HEALTH SUPPORT SERVICES WHEN THEY RETURN HOME. AS THE ELDERLY AND LOW INCOME ARE LEAST LIKELY TO HAVE THE RESOURCES TO ADAPT WELL TO THESE CIRCUMSTANCES, WE PAY SPECIAL ATTENTION TO THESE POPULATIONS. RML ASSESSES THE NEEDS OF ITS COMMUNITY THROUGH CONSTANT DISCUSSIONS AND COLLABORATIONS WITH ITS REFERRAL HOSPITALS AND ITS DISCHARGE LOCATIONS. RML SUPPORTS A STAFF OF SKILLED HEALTHCARE PRACTITIONERS WHO VISIT THE REFERRAL HOSPITALS TO EVALUATE THE COMPLEX MEDICAL CONDITIONS PRIOR TO TRANSFER TO RML. IN ADDITION, RML STAFF DISCUSS THE NEEDS AND OUTCOMES OF DISCHARGED PATIENTS WITH PATIENTS AND CAREGIVERS AT DISCHARGE LOCATIONS. IN THIS WAY, RML PRACTITIONERS ARE ASSESSING THE NEEDS OF ITS COMMUNITY AND RML'S ROLE IN A PATIENT'S CONTINUUM OF CARE. THESE SAME HEALTHCARE PRACTITIONERS COLLABORATE WITH THE REFERRAL HOSPITALS AND DISCHARGE LOCATIONS IN IDENTIFYING AND ANTICIPATING THE NEEDS OF OTHER MEDICAL CONDITIONS. IF THE PRACTITIONERS IDENTIFY A NEED IN THE COMMUNITY, THIS NEED IS SHARED WITH RML SENIOR LEADERSHIP TO DETERMINE RML'S CONTINUING ROLE.
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 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.
Schedule H, Part VI, Line 4 Community information	AT RML WE SERVE A UNIQUE COMMUNITY COMPOSED OF APPROXIMATELY 90 REFERRAL SOURCES THROUGHOUT ILLINOIS, OUR PARTNER ORGANIZATIONS, AND THE COMMUNITIES IMMEDIATELY SURROUNDING OUR TWO FACILITIES. RML PLAYS A UNIQUE AND INTEGRAL ROLE IN THE CONTINUUM OF CARE. RML PROVIDES TREATMENT TO THOSE PATIENTS WITH CATASTROPHIC, ACUTE ILLNESSES; INJURIES COMPLICATED BY MULTIPLE CO-MORBIDITIES; AND THOSE PATIENTS THAT REQUIRE AGGRESSIVE, SPECIALIZED INTERDISCIPLINARY CARE. OUR PATIENT POPULATION IS LARGELY GERIATRIC WITH HIGH ACUITY AND REQUIRES PROLONGED LENGTHS OF STAY IN AN ACUTE SETTING. MEDICAID IS THE PRIMARY INSURER FOR OVER 30% OF RML'S POPULATION. WE RECOGNIZE THAT THIS COMPLICATES DISCHARGE PLANNING AND WE HAVE ATTEMPTED TO ADDRESS THIS THROUGH SEVERAL OF THE INITIATIVES IDENTIFIED IN OUR CHNA IMPLEMENTATION PLAN.
Schedule H, Part VI, Line 5 Promotion of community health	RML IS COMMITTED TO THE ADVANCEMENT OF MEDICAL CARE FOR LONG-TERM ACUTE CARE PATIENTS AND THE ACHIEVEMENT OF SUPERIOR CLINICAL OUTCOMES. WE BELIEVE IT IS IMPERATIVE TO CONDUCT CLINICAL RESEARCH TO REALIZE OUR VISION OF BECOMING A NATIONAL CENTER FOR EXCELLENCE IN LONG TERM ACUTE CARE, RECOGNIZED FOR SUPERIOR CLINICAL OUTCOMES AND PATIENT SATISFACTION, AND FOR VALUED CONTRIBUTIONS TO THE ADVANCEMENT OF MEDICAL CARE. RML OVERSEES AND PARTICIPATES IN NUMEROUS CLINICAL RESEARCH STUDIES FOCUSED ON THE TREATMENT AND CARE OF VENTILATED PATIENTS, PATIENTS WITH INFECTIOUS DISEASES AND MEDICALLY COMPLEX CONDITIONS. RML SUPPORTS CLINICAL RESEARCH STUDIES BY ALLOWING THE USE OF ITS FACILITIES FOR PATIENT TRIALS AND PROVIDING ADMINISTRATIVE ASSISTANCE TO RESEARCHERS. RESEARCH EFFORTS HAVE INCLUDED THE BEST METHOD FOR WEANING PATIENTS FROM MECHANICAL VENTILATION, WHETHER VENTILATED PATIENTS BENEFIT FROM ELECTRICAL STIMULATION OF THE DIAPHRAGM AND OTHER ABDOMINAL MUSCLES INVOLVED IN THE BREATHING PROCESS, AND EVALUATING IF WHITE NOISE IMPROVES THE QUALITY OF SLEEP LEADING TO IMPROVED CLINICAL OUTCOMES. ACROSS THE COUNTRY AND IN THE STATE OF ILLINOIS, THE HEALTH CARE INDUSTRY IS FACING STARTLING SHORTAGES OF QUALIFIED HEALTH PROFESSIONALS. TO ADDRESS THIS NEED, RML IS COMMITTED TO PROVIDING OPPORTUNITIES FOR STUDENTS AND HEALTH PROFESSIONALS TO GAIN HANDS-ON CLINICAL EXPERIENCE. EACH YEAR, RML PROUDLY WELCOMES STUDENTS AND HEALTH PROFESSIONALS IN THE FIELDS OF MEDICINE, NURSING, RESPIRATORY THERAPY, RADIOLOGY TECHNOLOGY, REHABILITATION THERAPY, AND OTHER DISCIPLINES TO OUR FACILITIES TO COLLABORATE WITH OUR STAFF AND ADVANCE THEIR SKILLS THROUGH PRACTICE AND MENTORSHIP. DURING FY2019, RML WELCOMED NEARLY 400 STUDENTS TO STUDY IN ITS UNIQUE LONG-TERM ACUTE CARE ENVIRONMENT. RML ROUTINELY MAKES CASH AND IN-KIND DONATIONS TO OTHER NON-PROFIT ORGANIZATIONS ACTIVELY INVOLVED IN IMPROVING THE HEALTH OF THE COMMUNITY. RECIPIENTS THIS PAST YEAR HAVE INCLUDED THE AMERICAN LUNG ASSOCIATION, THE ADVOCATE CHARITABLE FOUNDATION, ADVOCATE CHRIST MEDICAL CENTER, THE CHICAGO COMMUNITY ALLIANCE, THE MERCY FOUNDATION, LOYOLA UNIVERSITY HEALTH SYSTEM, AND NORTHWESTERN MEMORIAL HOSPITAL. RML IS CONTINUOUSLY WORKING TO IDENTIFY MORE EFFICIENT USES OF RESOURCES, PROVIDE GREATER CONTINUITY AND COORDINATION OF CARE, AND IMPROVE HEALTH OUTCOMES FOR THE MOST CRITICALLY ILL AND INJURED PATIENTS. A MAJORITY OF RML'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF RML, NOR FAMILY MEMBERS THEREOF.
Schedule H, Part VI, Line 7 State filing of community benefit report	IL

Schedule H (Form 990) 2018

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
RML Health Providers Limited Partnership

Employer identification number
36-4113692

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) LOYOLA UNIVERSITY CHICAGO-STRITCH SCHOOL OF MEDICINE 2160 S FIRST AVE CTRE BLDG 353 MAYWOOD,IL60153	36-1408475	501(C)(3)	10,000	N/A	N/A	GENERAL SUPPORT
(2) NORTHWESTERN MEMORIAL FOUNDATION 0S050 WINFIELD RD SUITE 200 WINFIELD,IL60190	36-3155315	501(C)(3)	8,000	N/A	N/A	GENERAL SUPPORT
(3) ADVOCATE CHARITABLE FOUNDATION 3075 Highland Pkwy 600 Downers Grove,IL60515	36-3297360	501(C)(3)	5,250	N/A	N/A	GENERAL SUPPORT
(4) AMERICAN LUNG ASSOCIATION 55 W WACKER DR SUITE,IL60601	13-1632524	501(C)(3)	6,085	N/A	N/A	GENERAL SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	The hospital grants funds to other local organizations in support of the community programs and services provided. All recipients are tax-exempt organizations; funds granted are unrestricted and can be used in any way the organizations sees fit to further their mission and tax-exempt purposes.

Schedule I (Form 990) 2018

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

RML Health Providers Limited Partnership

Employer identification number

36-4113692

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2018

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JAMES R PRISTER PRESIDENT/CEO	(i) (ii)	477,508 ------------- 0	265,927 ------------- 0	135,002 ------------- 0	70,243 ------------- 0	27,525 ------------- 0	976,205 ------------- 0	54,461 ------------- 0
2THOMAS PATER VP FINANCE/CFO	(i) (ii)	263,056 ------------- 0	77,514 ------------- 0	33,744 ------------- 0	25,231 ------------- 0	35,817 ------------- 0	435,362 ------------- 0	12,089 ------------- 0
3KENNETH PAWOLA VP/CHIEF OPERATING OFFICER	(i) (ii)	229,038 ------------- 0	66,794 ------------- 0	26,923 ------------- 0	23,209 ------------- 0	28,046 ------------- 0	374,010 ------------- 0	10,248 ------------- 0
4MARTI EDWARDS VP PATIENT CARE SERVICES/CNO	(i) (ii)	205,851 ------------- 0	59,194 ------------- 0	389 ------------- 0	11,000 ------------- 0	17,373 ------------- 0	293,807 ------------- 0	0 ------------- 0
5PATRICIA VAISVILA VP BUSINESS DEVELOPMENT	(i) (ii)	139,525 ------------- 0	41,148 ------------- 0	9,065 ------------- 0	7,709 ------------- 0	23,656 ------------- 0	221,103 ------------- 0	0 ------------- 0
6JOHN LANDSTROM VP HUMAN RESOURCES	(i) (ii)	174,282 ------------- 0	51,431 ------------- 0	15,226 ------------- 0	9,758 ------------- 0	21,891 ------------- 0	272,588 ------------- 0	0 ------------- 0
7JOHN D BROFMAN MD CHIEF MEDICAL OFFICER	(i) (ii)	263,740 ------------- 0	29,054 ------------- 0	8,730 ------------- 0	10,660 ------------- 0	21,735 ------------- 0	333,919 ------------- 0	0 ------------- 0
8JAMIE HINTON CHIEF QUALITY OFFICER	(i) (ii)	136,092 ------------- 0	16,863 ------------- 0	107 ------------- 0	0 ------------- 0	9,964 ------------- 0	163,026 ------------- 0	0 ------------- 0
9STEPHEN MILLS EXECUTIVE DIRECTOR CHICAGO OPERATIONS	(i) (ii)	172,904 ------------- 0	24,952 ------------- 0	10,385 ------------- 0	0 ------------- 0	9,096 ------------- 0	217,337 ------------- 0	0 ------------- 0
10DALE HENGENSBACH EXECUTIVE DIRECTOR SPECIAL STRATEGIC PROJECTS	(i) (ii)	195,864 ------------- 0	27,456 ------------- 0	10,155 ------------- 0	9,271 ------------- 0	14,942 ------------- 0	257,688 ------------- 0	0 ------------- 0
11SEJAL THAKER MD PHYSICIAN	(i) (ii)	213,461 ------------- 0	0 ------------- 0	277 ------------- 0	9,013 ------------- 0	13,949 ------------- 0	236,700 ------------- 0	0 ------------- 0
12MAIRAJ JALEEL MD PHYSICIAN	(i) (ii)	211,720 ------------- 0	0 ------------- 0	208 ------------- 0	8,476 ------------- 0	567 ------------- 0	220,971 ------------- 0	0 ------------- 0
13MARK L GOODE MD PHYSICIAN	(i) (ii)	201,044 ------------- 0	0 ------------- 0	637 ------------- 0	8,167 ------------- 0	20,201 ------------- 0	230,049 ------------- 0	0 ------------- 0
14KATHLEEN MIKRUT DIRECTOR PHARMACY	(i) (ii)	170,844 ------------- 0	12,301 ------------- 0	7,908 ------------- 0	7,378 ------------- 0	12,123 ------------- 0	210,554 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	Each year the Board approves making an employer contribution into the 457(b) Plan for specified executives. These amounts are FICA taxable and the practice has been to gross up the amount of the Executive's FICA liability. Additionally, 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 - $59,243; Thomas Pater, Vice President Finance/CFO - $14,231; Kenneth Pawola, Chief Operating Officer - $12,209. The distributed amounts are as follows: James Prister, President/CEO - $54,461; Thomas Pater, Vice President Finance/CFO - $12,089; Kenneth Pawola, Chief Operating Officer - $10,248.
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.

Schedule J (Form 990) 2018

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

RML Health Providers Limited Partnership

Employer identification number

36-4113692

Return Reference	Explanation
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 Chief Operating Officer, 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 bi-annual study performed by the external compensation consultant occurred in 2019, and the most recent internal compensation review was performed in 2018.
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 other officers and executive leaders of the corporation. This function is performed by the governing board. Compensation of other officers and executive leaders 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 officer/executive compensation internally. In addition to utilizing the most recent study performed by the external compensation consultant, this internal officer/executive 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 officer/executive compensation. The deliberation and decision of officer/executive compensation is contemporaneously documented through detailed minutes of the compensation committee and full board meetings where executive compensation is considered. The most recent bi-annual study performed by the external compensation consultant occurred in 2019, and the most recent internal compensation review was performed in 2018.
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	Other Revenue - Total Revenue: 1406, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1406;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Partnership distributions - -12695647;

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

RML Health Providers Limited Partnership

Employer identification number

36-4113692

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)RMLHP CORPORATION 5601 SOUTH COUNTY LINE ROAD HINSDALE,IL605214875 36-4160869	GENERAL PARTNER AND MANAGER OF RML HEALTH PROVIDERS, LP	IL	501(c)(3)	Type III-FI	NA		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2018

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No

Schedule R (Form 990) 2018

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2018

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2018

Additional Data

Software ID:	18007697
Software Version:	2018v3.1

1	Briefly describe the organization’s mission or most significant activities: RML SPECIALTY HOSPITAL IS A LONG-TERM ACUTE CARE HOSPITAL DESIGNED FOR PATIENTS WHO NEED INTENSE, EXTENDED CARE. OUR MISSION IS TO PROVIDE QUALITY, COMPASSIONATE CARE TO PATIENTS WHO SUFFER FROM PROLONGED, SEVERE ILLNESS. WE SERVE PATIENTS TRANSFERRED FROM APPROXIMATELY 90 ACUTE CARE FACILITIES THROUGHOUT ILLINOIS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	4
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	4
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	975
6	Total number of volunteers (estimate if necessary) .............	6	15
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,520,543	486,804
9	Program service revenue (Part VIII, line 2g) .........	105,527,204	111,070,999
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,316,651	1,519,084
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	188,499	176,619
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	108,552,897	113,253,506
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	39,605	38,157
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	57,132,566	58,732,318
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 19,215
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	37,680,858	39,159,666
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	94,853,029	97,930,141
19	Revenue less expenses. Subtract line 18 from line 12.......	13,699,868	15,323,365
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	120,435,840	129,469,365
21	Total liabilities (Part X, line 26).............	61,304,852	67,553,129
22	Net assets or fund balances. Subtract line 21 from line 20.....	59,130,988	61,916,236

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 86,155,742 including grants of $ 38,157 ) (Revenue $ 111,070,999 )
	IN THE MOST RECENT FISCAL YEAR (FY19), RML 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 CARE AND TREATMENT OF PATIENTS THAT REQUIRED PROLONGED ACUTE CARE HOSPITALIZATION. RML IS RECOGNIZED 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 OUR PARTNER ORGANIZATIONS, MAJOR TERTIARY CARE CENTERS, AND COMMUNITY HOSPITALS. NEARLY 100% OF RML'S INPATIENT ADMISSIONS ARE DIRECT TRANSFERS FROM THESE HOSPITAL REFERRAL SOURCES. RML OPERATES A FACILITY LOCATED IN A LOW-INCOME AREA OF CHICAGO. OVER THE YEAR, WE HAVE INCREASED VOLUME SIGNIFICANTLY AND IMPROVED OPERATIONS, STRENGTHENING THE VIABILITY OF AN ENTITY THAT PROVIDES QUALITY HEALTH CARE AND ADDITIONAL JOBS FOR THE INNER-CITY COMMUNITY. LONG-TERM ACUTE CARE WAS PROVIDED TO MORE THAN 1,400 PATIENTS BETWEEN BOTH RML FACILITIES, INCLUDING APPROXIMATELY 600 MOSTLY MINORITY PATIENTS AT THE CHICAGO FACILITY. IN ORDER TO SUPPORT THE SPECIALIZED NEEDS OF OUR PATIENTS AND COMMUNITY, RML UTILIZES A PHYSICIAN-LED INTERDISCIPLINARY TEAM TO PROVIDE TREATMENT TO PATIENTS WITH ACUTE OR CATASTROPHIC ILLNESSES AND INJURIES COMPLICATED BY COMPLEX OR MULTIPLE CO-MORBIDITIES. OUR COMMITMENT TO EXCELLENCE AND SUPERIOR CLINICAL OUTCOMES HAS ALLOWED US TO IMPROVE ON OUR ALREADY-LOW HOSPITAL-ACQUIRED INFECTION AND PRESSURE ULCER RATES, AS WELL AS MAINTAIN A LOW RATE OF ADVERSE OUTCOMES (DEFINED AS EXPIRATIONS AND TRANSFERS TO ACUTE CARE HOSPITALS).

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses86,155,742

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	3,986,319	0	457,000

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) KATHLEEN MIKRUT DIRECTOR PHARMACY	40.0 .......................	X	191,053	0	19,501

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	153,796
d	Related organizations		1d	61,487
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	271,521

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		486,804

		Business Code
2a	Medicare/Medicaid	900099	86,195,810	86,195,810
b	Non-Medicare/Medicaid	900099	24,875,189	24,875,189
c
d
e
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f ....		111,070,999

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,309,756			1,309,756
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		93,000
b	Less: rental expenses
c	Rental income or (loss)	0	93,000
d	Net rental income or (loss)......			93,000			93,000
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		65,776,237
b	Less: cost or other basis and sales expenses		65,566,909
c	Gain or (loss)	0	209,328
d	Net gain or (loss).....			209,328			209,328
8a	Gross income from fundraising events (not including $ 153,796of contributions reported on line 1c). See Part IV, line 18 ....
	a		20,400
b	Less: direct expenses ...b		54,934
c	Net income or (loss) from fundraising events..			-34,534			-34,534
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	Cafeteria Revenue		624200	106,773			106,773
b	Vending Revenue		900099	8,678			8,678
c	Medical Records Copying		900099	1,296			1,296
d	All other revenue ....			1,406	0	0	1,406
e	Total. Add lines 11a–11d ......			118,153
12	Total revenue. See Instructions......			113,253,506	111,070,999	0	1,695,703

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	38,157	38,157
2	Grants and other assistance to domestic individuals. See Part IV, line 22
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members	0	0
5	Compensation of current officers, directors, trustees, and key employees ....	3,287,357	627,726	2,659,631
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	44,940,202	42,013,201	2,927,001
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,420,893	1,123,248	297,645
9	Other employee benefits .......	5,686,529	5,249,942	436,587
10	Payroll taxes ...........	3,397,337	3,109,801	287,536
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	121,705	12,000	109,705
c	Accounting ...........	109,363		109,363
d	Lobbying ...........	62,550		62,550
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	103,290		103,290
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	7,867,105	7,078,893	788,212	0
12	Advertising and promotion ....	125,831	99,081	17,177	9,573
13	Office expenses .......	1,463,551	708,031	753,661	1,859
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	1,171,729	688,815	481,451	1,463
17	Travel ............	133,709	18,881	114,828
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	2,379,191	1,701,776	673,801	3,614
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	3,478,336	2,893,132	585,204
23	Insurance ...	1,469,819	1,432,838	36,981
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Medical Supplies & Pharmaceuticals	8,913,646	8,913,646
b	Bad debt expense	2,265,823	2,265,823
c	IL Hospital Provider Assessment	5,655,280	5,655,280
d	Equipment Rental & Maintenance	2,448,331	1,668,620	779,711
e	All other expenses	1,390,407	856,851	530,850	2,706
25	Total functional expenses. Add lines 1 through 24e	97,930,141	86,155,742	11,755,184	19,215
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			2,370	1	2,350
2	Savings and temporary cash investments .........			5,305,349	2	20,666,317
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			21,864,424	4	19,969,266
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
					6	0
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			536,973	8	593,672
9	Prepaid expenses and deferred charges ......			1,714,428	9	2,081,439
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	79,034,338
b	Less: accumulated depreciation	10b	29,071,317	43,822,991	10c	49,963,021
11	Investments—publicly traded securities .			41,349,826	11	30,088,534
12	Investments—other securities. See Part IV, line 11 .....			62,631	12	66,439
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			5,776,848	15	6,038,327
16	Total assets. Add lines 1 through 15 (must equal line 34)...			120,435,840	16	129,469,365

17	Accounts payable and accrued expenses .....	12,207,345	17	12,368,015
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22	0
23	Secured mortgages and notes payable to unrelated third parties ..	35,501,258	23	35,359,035
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	13,596,249	25	19,826,079
26	Total liabilities. Add lines 17 through 25..	61,304,852	26	67,553,129

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets		27
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds	59,130,988	32	61,916,236
33	Total net assets or fund balances ...........	59,130,988	33	61,916,236
34	Total liabilities and net assets/fund balances ........	120,435,840	34	129,469,365