STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

JAVON BEA HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
JAVON BEA HOSPITAL (EIN 36-2167847)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-15
IRS object ID
202411369349317701
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-15T17:52:46+00:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 MIDLAND COURT PO BOX 8130AddressLine1Txt
CityJANESVILLECityNm
State AbbreviationWIStateAbbreviationCd
ZIP535478130ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362167847EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Javon Bea HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJAVOBusinessNameControlTxt
Phone8159715000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18201 E Riverside BlvdAddressLine1Txt
CityRockfordCityNm
State AbbreviationILStateAbbreviationCd
ZIP61114ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJavon BeaPersonNm
Person TitlePresident/CEOPersonTitleTxt
Signature2024-05-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJavonPersonFirstNm
Person LastBeaPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTROY MARINE CPAPreparerPersonNm
PTINP00187863PTIN
Phone6087525835PhoneNum
Preparation2023-05-15PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1JAVON BEABusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18201 E Riverside BlvdAddressLine1Txt
CityRockfordCityNm
State AbbreviationILStateAbbreviationCd
ZIP61114ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$604,848,240GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MERCYHEALTHSYSTEM.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1883FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionJAVON BEA HOSPITAL'S ACTIVITIES ARE TO IMPROVE AND PROTECT THE HEALTH AND WELFARE OF THE COMMUNITY IN ACCORDANCE WITH OUR MISSION. THE MISSION OF JAVON BEA HOSPITAL IS "EXCEPTIONAL HEALTH CARE SERVICES WITH A PASSION FOR MAKING LIVES BETTER". WITH A VISION OF QUALITY - EXCELLENCE IN PATIENT CARE, SERVICE - EXCEPTIONAL PATIENT AND CUSTOMER CARE, PARTNERING - BEST PLACE TO WORK AND COST - COST-EFFECTIVE CARE AND A COMMITMENT TO THE VALUES OF: HEALING IN THE BROADEST SENSE, PATIENTS COME FIRST, TREAT EACH OTHER LIKE FAMILY AND ALWAYS SEEK EXCELLENCE.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee2455TotalEmployeeCnt
Total Volunteers180TotalVolunteersCnt
Total Gross UBI-$106,427TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$19,538,096PYContributionsGrantsAmt
CY Contributions Grants$3,133,715CYContributionsGrantsAmt
PY Program Service Revenue$388,656,826PYProgramServiceRevenueAmt
CY Program Service Revenue$389,096,645CYProgramServiceRevenueAmt
PY Investment Income$2,953,089PYInvestmentIncomeAmt
CY Investment Income$3,646,005CYInvestmentIncomeAmt
PY Other Revenue$3,020,040PYOtherRevenueAmt
CY Other Revenue$3,360,996CYOtherRevenueAmt
PY Total Revenue$414,168,051PYTotalRevenueAmt
CY Total Revenue$399,237,361CYTotalRevenueAmt
PY Grants And Similar Paid$1,019,383PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$754,233CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$145,769,576PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$144,473,347CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$267,630,349PYOtherExpensesAmt
CY Other Expenses$243,454,697CYOtherExpensesAmt
PY Total Expenses$414,419,308PYTotalExpensesAmt
CY Total Expenses$388,682,277CYTotalExpensesAmt
PY Revenues Less Expenses-$251,257PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$10,555,084CYRevenuesLessExpensesAmt
Total Assets BOY$718,787,941TotalAssetsBOYAmt
Total Assets EOY$686,310,894TotalAssetsEOYAmt
Total Liabilities BOY$617,999,239TotalLiabilitiesBOYAmt
Total Liabilities EOY$594,584,113TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$100,788,702NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$91,726,781NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe Mission of Javon Bea Hospital is "Exceptional health care services with a passion for making lives better". With a vision of quality - excellence in patient care, service - exceptional patient and customer care, partnering - best place to work and cost - cost-effective care and a commitment to the values of: healing in the broadest sense, patients come first, treat each other like family and always seek excellence.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$189,335,549ExpenseAmt
Grant$24,617GrantAmt
Revenue$221,597,305RevenueAmt
DescJavon Bea Hospital (JBH) is a not-for-profit charitable healthcare institution that functions in accordance with all applicable laws and regulations. In the course of operations, JBH is committed to providing superior care every day for all its patients. JBH Is a 285 licensed bed, regional referral hospital which includes a Level 1 Trauma Center, Level III Neonatal Intensive Care Unit and Level III Regional Perinatal Center. In fiscal year 2023, patient care was rendered to 7,363 individuals who presented themselves for inpatient services, 883 infant deliveries and 1,256 inpatient surgeries along with supporting 22,536 emergency room visits. The subacute long-term care inpatient department provided long-term care to 84 patients released from basic hospital care but not ready to go home or to move on to a rehab or nursing facility.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$129,226,322ExpenseAmt
Grant$131,097GrantAmt
Revenue$163,902,001RevenueAmt
DescJavon Bea Hospital (JBH) is designated by the IL Dept of Public Health as the Disaster POD hospital for the Northern IL EMS region. As a Level I Trauma Center, JBH provides patient care and diagnostic services 24/7 to all who present themselves for service. In fiscal year 2023, that included 1,345 visits to the sleep lab; 70,910 diagnostic radiology procedures; 6,531 Chemotherapy infusion visits; 31,834 cardiac procedures or tests; 6,516 visits to the Pain Clinic; and 113,395 respiratory therapy treatments. JBH has an in-house laboratory that provides testing for all who present themselves at the hospital for treatment. JBH provided 781,603 laboratory tests.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$14,114,480ExpenseAmt
Grant$437,119GrantAmt
Revenue$1,232,607RevenueAmt
DescJBH HAS PROVIDED HEALTH EDUCATION AND OUTREACH IN A VARIETY FORMS WITHIN THE ELEVEN COUNTY AREA THAT INCLUDES SEVERAL SCHOOL PARTNERSHIPS, MENTORING, HEALTH PROGRAMS, TEACHING, JOB SHADOWING AND VOLUNTEERING. JBH HOSTS SUPPORT GROUPS, TRAINING CLASSES AND LECTURES SERIES FOR HEALTH AND SAFETY RELATED TOPICS. EMPLOYEES STAFF COMMUNITY HEALTH FAIRS AND OPEN HEALTH SCREENINGS. The Ronald McDonald Care Mobile which provides free dental and medical care to uninsured and underinsured children in five northern counties. The 40-foot, 26,000-pound mobile unit houses two patient exam rooms, a central waiting room, and a sterilization area and has provided care to more than 9,865 children since the inception of the program in 2003. This totals more than $3.1 million in free care over the life of the program. The care mobile is completely funded by philanthropy from the Mercyhealth Development Foundation, Javon Bea Hospital Auxiliary, and the Ronald McDonald Charities of Madison. JBH ALSO PROVIDES LANGUAGE ASSISTANCE TO PATIENTS AND THEIR FAMILIES WHO NEED TO COMMUNICATE WITH MEDICAL PERSONNEL FOR TREATMENT AND MEETING SPACE FOR VARIOUS MEDICAL AND SOCIAL SERVICE SUPPORT GROUPS. FUNDS WERE ALSO USED TO SUPPORT HEALTHCARE CONDITIONS THROUGHOUT THE STATE OF ILLINOIS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$273,606ExpenseAmt
Grant$161,400GrantAmt
Revenue$2,470,376RevenueAmt
DescThrough Mercyhealth Volunteer Association, JBH is able to provide extra funds and services to support its mission. The Volunteer Association has 174 volunteers who logged approximately 18,520 hours while assisting with greeting visitors, transporting patients, floral or gift deliveries, thrift shop and gift shop activities, and other services as requested. The volunteers' efforts provide extra funds and enhance the overall hospital experience for patients, visitors, and staff.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$273,606TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$161,400TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$2,470,376TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$332,949,957TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document198IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2455EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryBDForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TODD ANDERSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8159716738PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18201 E Riverside BlvdAddressLine1Txt
CityROCKFORDCityNm
State AbbreviationILStateAbbreviationCd
ZIP61114ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Javon R Bea
PRESIDENT/CEO (see schedule J, see pages 64-65)1.066.0Yes (X)Yes (X)$0$11,130,143$430,877
Rowland J McClellan
Chair & Director1.06.0Yes (X)Yes (X)$0$19,324$0
Thomas D Budd
secretary & treasurer1.06.0Yes (X)Yes (X)$0$12,086$0
Thomas R Pool
Vice Chair & Director1.06.0Yes (X)Yes (X)$0$13,500$0
Dave L Syverson
Director1.06.0Yes (X)$0$17,334$0
Katherine A Schack
Director1.06.0Yes (X)$0$13,500$0
Mark L Goelzer MD
Director/Physician1.061.0Yes (X)$0$504,123$29,529
Wesley M Jost
Director1.06.0Yes (X)$0$13,955$0
Kimberly Scaccia
VP - Revenue Cycle1.061.0Yes (X)$0$499,300$64,924
Robert Walters
VP HOME CARE55.00.0Yes (X)$372,028$0$50,414
Todd Anderson
Vice President/CFO1.061.0Yes (X)$0$828,491$76,813
Barbara Holland
Registered Nurse40.00.0$213,875$0$27,524Yes (X)
Brian Myers
Sr. Director, Campus Development, Environmental Services & Food and Nutrition Services40.00.0$203,508$0$46,395Yes (X)
Dennis Magdadaro
adv practitioner40.00.0$311,785$0$21,860Yes (X)
John Dorsey
VP CLINICAL INTERGRATION55.00.0$707,745$0$45,751Yes (X)
Wendi L Aubry
Regional Pharmacy Manager40.00.0$221,914$0$29,977Yes (X)
James Davis
former VICE-PRESIDENT0.00.0$0$213,871$34,294Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,030,855TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$13,265,627TotReportableCompRltdOrgAmt
Total Other Compensation$858,358TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K182IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ARX AN ASPIRION COMPANY
PO BOX 1437COLUMBUSGA31902ACCOUNTS RECEIVABLE MANAGEMENT$3,522,233
MED ONE CAPITAL FUNDING LLC
PO Box 35145SeattleWA981245145CAPITAL FUNDING$1,345,861
Optum 360 LLC
3436 Momentum PlChicagoIL606895334REVENUE COMPLIANCE SERVICE$825,295
Rock Valley Industries
5549 International DrROCKFORDIL61109janitorial services$719,017
Todd Alexander
2853 Cottswold CircleROCKFORDIL61114Physician Services$618,668
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
Related Organizations$334,095RelatedOrganizationsAmt
Government Grants$2,796,000GovernmentGrantsAmt
All Other Contributions$3,620AllOtherContributionsAmt
Total Contributions$3,133,715TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICARE/MEDICAID621110$130,940,939$130,940,939
OUTPATIENT & EMERGENCY621400$135,423,954$135,529,598-$105,644
INPATIENT ROUTINE & ANCILIARY621110$102,267,396$102,267,396
DIAGNOSTIC & MEDICAL Laboratory621500$2,180,478$2,180,478
All Other Program Revenue900099$18,283,878$18,283,878

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$389,096,645TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,240,769TotalRevenueColumnAmt
Exclusion$1,240,769ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$257,939RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$542,394RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$284,455RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$284,455TotalRevenueColumnAmt
Exclusion-$284,455ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$140,274,429SecuritiesAmt
Other$67,199,292OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$137,443,148SecuritiesAmt
Other$67,625,337OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,831,281SecuritiesAmt
Other-$426,045OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,405,236TotalRevenueColumnAmt
Exclusion$2,405,236ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CAFETERIA/FOOD SERVICES722210$1,631,161-$783$1,631,944
Clinical Flight Crew and Marketing Fee621990$1,369,280$1,369,280
Interest on IL Medicaid payments621110$66,923$66,923

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$578,087TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$578,087ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,645,451OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$399,237,361TotalRevenueColumnAmt
Related Or Exempt Func Income$389,202,289RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$106,427UnrelatedBusinessRevenueAmt
Exclusion$7,007,784ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$754,233TotalAmt
Program Services$754,233ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$120,972,110TotalAmt
Program Services$98,342,873ProgramServicesAmt
Management And General$22,629,237ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,347,543TotalAmt
Program Services$3,478,034ProgramServicesAmt
Management And General$869,509ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,700,950TotalAmt
Program Services$8,560,760ProgramServicesAmt
Management And General$2,140,190ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,452,744TotalAmt
Program Services$6,931,250ProgramServicesAmt
Management And General$1,521,494ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$537,317TotalAmt
Program Services$171,230ProgramServicesAmt
Management And General$366,087ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$145,094TotalAmt
Management And General$145,094ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$74,482TotalAmt
Management And General$74,482ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$64,396TotalAmt
Management And General$64,396ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,943,356TotalAmt
Program Services$1,371,598ProgramServicesAmt
Management And General$571,758ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$976,225TotalAmt
Program Services$195,245ProgramServicesAmt
Management And General$780,980ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,384,247TotalAmt
Program Services$5,711,336ProgramServicesAmt
Management And General$4,672,911ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$11,513,425TotalAmt
Program Services$9,210,740ProgramServicesAmt
Management And General$2,302,685ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,258,970TotalAmt
Program Services$4,528,338ProgramServicesAmt
Management And General$2,730,632ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$289,944TotalAmt
Program Services$159,469ProgramServicesAmt
Management And General$130,475ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$214,220TotalAmt
Program Services$192,798ProgramServicesAmt
Management And General$21,422ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$18,678,286TotalAmt
Program Services$14,942,629ProgramServicesAmt
Management And General$3,735,657ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$33,196,254TotalAmt
Program Services$23,237,378ProgramServicesAmt
Management And General$9,958,876ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,445,168TotalAmt
Program Services$7,613,895ProgramServicesAmt
Management And General$1,831,273ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
HEALTHCARE SERVICES$64,758,450$64,499,423$259,027
Supplies & Drugs$59,031,481$58,723,116$308,365
MEDICAID ASSESSMENT TAX EXPENSE$16,830,623$16,830,623
bad debt$5,293,205$5,293,205

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,819,554TotalAmt
Program Services$2,201,784ProgramServicesAmt
Management And General$617,770ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$388,682,277TotalAmt
Program Services$332,949,957ProgramServicesAmt
Management And General$55,732,320ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$46,688,280BOYAmt
EOY$10,827,479EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$23,292,910BOYAmt
EOY$44,180,564EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$432,818BOYAmt
EOY$649,365EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,576,684BOYAmt
EOY$6,635,652EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$6,212,590BOYAmt
EOY$3,181,031EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$11,907,864BOYAmt
EOY$8,928,487EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,306,482BOYAmt
EOY$3,034,169EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$801,771,139LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$382,984,744LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$447,070,228BOYAmt
EOY$418,786,395EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$148,625,663BOYAmt
EOY$163,690,482EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$11,757,503BOYAmt
EOY$10,242,202EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$10,916,919BOYAmt
EOY$16,155,068EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$718,787,941BOYAmt
EOY$686,310,894EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$38,090,316BOYAmt
EOY$32,541,046EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$655,440BOYAmt
EOY$1,114,167EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$579,253,483BOYAmt
EOY$560,928,900EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$617,999,239BOYAmt
EOY$594,584,113EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$88,234,214BOYAmt
EOY$78,325,009EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,554,488BOYAmt
EOY$13,401,772EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$100,788,702BOYAmt
EOY$91,726,781EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$718,787,941BOYAmt
EOY$686,310,894EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$10,555,084ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$11,797,039NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$31,414,044OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$74,482OtherActivitiesAmt
Total Lobbying Expenditures$74,482TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationA PERCENTAGE OF THE 2023 ILLINOIS HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION DUES WERE USED FOR LOBBYING. TWO CONSULTING FIRMS WERE ENGAGED TO REVIEW LEGISLATION AFFECTING HOSPITALS. APPROXIMATELY 50% OF TOTAL PAYMENTS TO THE CONSULTANTS WERE ALLOCABLE TO LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,651,262BeginningYearBalanceAmt
Investment Earnings Or Losses$2,627,808InvestmentEarningsOrLossesAmt
Other Expenditures$1,768OtherExpendituresAmt
Administrative Expenses$6,994AdministrativeExpensesAmt
End Year Balance$14,270,308EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,271,344BeginningYearBalanceAmt
Investment Earnings Or Losses-$544,633InvestmentEarningsOrLossesAmt
Other Expenditures$74,653OtherExpendituresAmt
Administrative Expenses$796AdministrativeExpensesAmt
End Year Balance$11,651,262EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,197,286BeginningYearBalanceAmt
Contributions$200ContributionsAmt
Investment Earnings Or Losses$1,182,560InvestmentEarningsOrLossesAmt
Other Expenditures$107,994OtherExpendituresAmt
Administrative Expenses$708AdministrativeExpensesAmt
End Year Balance$12,271,344EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,816,953BeginningYearBalanceAmt
Contributions$37,162ContributionsAmt
Investment Earnings Or Losses$359,599InvestmentEarningsOrLossesAmt
Other Expenditures$15,545OtherExpendituresAmt
Administrative Expenses$883AdministrativeExpensesAmt
End Year Balance$11,197,286EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,051,014BeginningYearBalanceAmt
Contributions$3,382ContributionsAmt
Investment Earnings Or Losses$1,190,683InvestmentEarningsOrLossesAmt
Other Expenditures$423,923OtherExpendituresAmt
Administrative Expenses$4,203AdministrativeExpensesAmt
End Year Balance$10,816,953EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.177BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.3434PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.4796TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,754,082OtherCostOrOtherBasisAmt
Book Value$8,754,082BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$582,773,203OtherCostOrOtherBasisAmt
Depreciation$220,060,934DepreciationAmt
Book Value$362,712,269BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,602,087OtherCostOrOtherBasisAmt
Depreciation$9,151,112DepreciationAmt
Book Value$4,450,975BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$196,269,611OtherCostOrOtherBasisAmt
Depreciation$153,772,698DepreciationAmt
Book Value$42,496,913BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$372,156OtherCostOrOtherBasisAmt
Book Value$372,156BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$418,786,395TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
Inter-entity bonds$479,166,010
DUE TO THIRD PARTY PAYORS$27,795,896
Due to Affiliates$6,488,764
ACCRUED LIABILITY, SELF INSURANCE LESS CURRENT$35,639,791
OTHER LIABILITIES$10,887,498
Current Maturities LT Debt$950,941
FieldValueIRS element (for citing)
Total Liability$560,928,900TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part V, Line 4 Intended uses of endowment fundsFormAndLineReferenceDesc
ExplanationFUNDS WERE USED TO PROVIDE A LECTURE SERIES, FOR CONTINUING EDUCATION FOR EMPLOYEES WANTING TO IMPROVE THEIR CREDENTIALS OR TO FOCUS ON A NEW SKILL OR SOME TECHNOLOGY NOT CURRENTLY AVAILABLE IN THE ROCKFORD COMMUNITY. THERE WERE ALSO MISCELLANEOUS PROJECTS DESIGNATED BY THE FOUNDATION BOARD IN ACCORDANCE WITH THE SPECIFIC ENDOWMENT. ALL FUNDS WERE EXPENDED PER THE SPECIFIC DIRECTION OF EACH ENDOWMENT.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedInvestmentsTypeOfActivitiesConductedTxt
Specific Services ProvidedN/ASpecificServicesProvidedTxt
Region Total Expenditures$5,587,415RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$5,587,415SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$5,587,415TotalSpentAmt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule F, Part I, Line 3 Method used to account for expenditures on org's financial statementsFormAndLineReferenceDesc
ExplanationCENTRAL AMERICA AND THE CARIBBEAN-Other:Equity MethodExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
Indiv Hospital Tailored PolicyYes (X)IndivHospitalTailoredPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,774,854TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,774,854NetCommunityBenefitExpnsAmt
Total Expense0.0046TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$70,895,098TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$55,238,933DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,656,165NetCommunityBenefitExpnsAmt
Total Expense0.0408TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$72,669,952TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$55,238,933DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,431,019NetCommunityBenefitExpnsAmt
Total Expense0.0455TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,244,737TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$220,999DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,023,738NetCommunityBenefitExpnsAmt
Total Expense0.0027TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,881,572TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$743,700DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,137,872NetCommunityBenefitExpnsAmt
Total Expense0.0291TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,468,385TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,359,291DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,109,094NetCommunityBenefitExpnsAmt
Total Expense0.0029TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$261,634TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$261,634NetCommunityBenefitExpnsAmt
Total Expense0.0007TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$36,856,328TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,323,990DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,532,338NetCommunityBenefitExpnsAmt
Total Expense0.0353TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$109,526,280TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$78,562,923DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,963,357NetCommunityBenefitExpnsAmt
Total Expense0.0808TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$5,293,205BadDebtExpenseAmt
Reimbursed By Medicare$54,099,735ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$53,968,154CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$131,581MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndChildrens HospitalChildrensHospitalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdOtherOtherDesc
JAVON BEA HOSPITAL
18201 E Riverside BlvdRockfordIL61114https://www.mercyhealthsystem.org/about-us/community-needs/0002048Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)1
VANMATRE HEALTH SOUTH
2950 S MULFORD RDROCKFORDIL61108https://www.mercyhealthsystem.org/about-us/community-needs/0005215Yes (X)2REHABILITATION

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndResidency CriteriaResidencyCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndNo Emergency CareNoEmergencyCareIndProspective Medicare MedicaidProspectiveMedicareMedicaidInd
1
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Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility 1, 1Facility 1, 1 - JAVON BEA HOSPITAL. Javon Bea Hospital completed a community health needs assessment that collaborated with and referenced a variety of sources to better understand community needs. One extensive data source referenced was the Rockford Regional Health Council 2023 Healthy Community Study. This study complemented other data sources and led to a strategic plan with identified goals and priorities. The Rockford Regional Health Council is a non-partisan organization that focuses on improving the quality of our region's health. The focus of the Council is on improving the quality of our region's health through data gathering and analysis, education, action, and advocacy. The Council worked with a Steering Committee consisting of Boone County Health Department, Mercyhealth (Javon Bea Hospital), OSF Healthcare, SwedishAmercian Health System, United Way of Rock River Valley, University of Illinois College of Medicine Rockford, Department of Family & Community Medicine and the Division of Health Policy and Social Science Research to plan, complete, and analyze the results of the 2023 Healthy Community Study. This wide array of organizations who specialize in healthcare and meeting community needs covers a large portion of the Winnebago County community who partnered together to conduct this study and to collectively identify areas of the community where there are public health concerns. Subsequently, Javon Bea Hospital completed an individual report based on these findings and input. Javon Bea Hospital also created an improvement plan specific to the hospital's efforts. The Healthy Community Study included a community survey which received 548 anonymous responses from individuals. The survey was available in English and Spanish and was distributed via email and a paper survey. To encourage input from medically underserved populations, the paper survey was distributed at sites including the YMCA, public libraries, and federally qualified health center locations. The Healthy Community Study also included a facilitated discussion with 38 local organizations representing the local community to examine the strengths, weaknesses, and opportunities for growth in the local public health system. These organizations included Boone County Health Department, City of Rockford Head Start, Crusader Clinic, Harlem School District #122, Illinois Department of Public Health, NAMI Northern Illinois, Pecatonica Community School District, Rockford Rescue Mission, Rockford Public Schools, Rosecrance, Rockford Fire Department, and the Winnebago County Health Department.
Schedule H, Part V, Section B, Line 6a Facility 1, 1Facility 1, 1 - Van Matre Encompass Health, Rosecrance, and Crusader Clinic. THE HOSPITAL'S CHNA WAS CONDUCTED IN COLLABORATION WITH Van Matre Encompass Health, Rosecrance, and Crusader Clinic.
Schedule H, Part V, Section B, Line 6b Facility 1, 1Facility 1, 1 - ROCKFORD REGIONAL HEALTH COUNCIL. The hospital's CHNA was conducted in collaboration with ROCKFORD REGIONAL HEALTH COUNCIL.
Schedule H, Part V, Section B, Line 11 Facility 1, 1Facility 1, 1 - JAVON BEA HOSPITAL. Javon Bea Hospital created an independent Implementation Plan to meet community needs based on the results of the 2023 Healthy Community Study and other data sources. The result was a multifaceted community benefit plan to improve the health and wellbeing of residents in the primary service area. The Survey identified multiple needs within the community. The needs identified included a shortage of mental health treatment; Provider and affordable health care shortages, chronic disease; nutrition, physical activity and childhood obesity, community and domestic violence and trauma. The Implementation Plan focuses on many of the areas identified to help improve the general health of individuals living in the primary service area including: 1. Improve health care access by developing and offering various access sites and venues for primary care medical services. 2. Improve behavioral health status of community members. 3. Improve the health status of individuals with chronic illnesses and promote healthy lifestyles through educational offerings. 4. Improve the health of patients with specific needs, including geriatric health needs and substance abuse. 5. Reduce likelihood of opioid addiction beginning and/or continuing. JBH is represented in Mercyhealth's system-wide Opioid Stewardship Steering Committee, which is responsible for reviewing data related to opioid prescribing and dispensing patterns, as well as nursing pain assessment and reassessment practices. 6. Maintain active involvement in Vermont Oxford Collaborative (VON) to promote quality outcomes in the Neonatal Intensive Care Unit (NICU). JBH NICU continues its active involvement with VON. Currently JBH NICU's focus is on VON's Chronic Lung Disease project. 7. Maintain commitment to the women and children in the community as a provider of comprehensive tertiary services JBH continues to maintain its status as the State of Illinois Regional Perinatal Center for 11 counties. JBH is the only hospital in the Rockford Region and surrounding areas to have a Small Baby Unit in its in its NICU. The JBH NICU employs a highly skilled transport team that travels to regional hospitals to care for and safely transport neonatal patients to the NICU. 8. Provide job training and employment opportunities to disabled young adult community members JBH participates in Project SEARCH, a 10-month school-to-work transition program for students with disabilities that takes place entirely in the workplace. Project SEARCH students work in three internships supported by an onsite skills trainer and supervised by a Mercyhealth manager. Through participation in Project SEARCH, students acquire competitive and transferable job skills, as well as increased independence, confidence, and self-esteem. 9. Respond to COVID-19 to effectively care for the needs of our community and to ensure up-to-date education and preparedness during a pandemic. The implementation plan does not address issues around violence in the community, as this need is better addressed by organizations more versed in the multidimensional factors affecting community violence & crime.
Schedule H, Part V, Section B, Line 5 Facility 2, 1Facility 2, 1 - VANMATRE HEALTH SOUTH. Van Matre South completed a community health needs assessment that collaborated with and referenced a variety of sources to better understand community needs. One extensive data source referenced was the Rockford Regional Health Council 2023 Healthy Community Study. This study complemented other data sources and led to a strategic plan with identified goals and priorities. The Rockford Regional Health Council is a non-partisan organization that focuses on improving the quality of our region's health. The focus of the Council is on improving the quality of our region's health through data gathering and analysis, education, action and advocacy. The Council worked with a Steering Committee consisting of Boone County Health Department, Mercyhealth (Javon Bea Hospital), OSF Healthcare, SwedishAmercian Health System, United Way of Rock River Valley, University of Illinois College of Medicine Rockford, Department of Family & Community Medicine and the Division of Health Policy and Social Science Research to plan, complete, and analyze the results of the 2023 Healthy Community Study. This wide array of organizations who specialize in healthcare and meeting community needs covers a large portion of the Winnebago County community who partnered together to conduct this study and to collectively identify areas of the community where there are public health concerns. Subsequently, Van Matre South completed an individual report based on these findings and input. Van Matre South also created an improvement plan specific to the hospital's efforts. The Healthy Community Study included a community survey which received 548 anonymous responses from individuals. The survey was available in English and Spanish, and was distributed via email, social media, and a paper survey. To encourage input from medically underserved populations, the paper survey was distributed at sites including elementary schools, public housing providers, Federally Qualified Health Center clinics, and a food pantry. The Healthy Community Study also included a facilitated discussion with 38 local organizations representing the local community to examine the strengths, weaknesses, and opportunities for growth in the local public health system. These organizations included Boone County Health Department, City of Rockford Head Start, Crusader Clinic, Harlem School District #122, Illinois Department of Public Health, NAMI Northern Illinois, Pecatonica Community School District, Rockford Rescue Mission, Rockford Public Schools, Rosecrance, Rockford Fire Department, and the Winnebago County Health Department.
Schedule H, Part V, Section B, Line 6a Facility 2, 1Facility 2, 1 - VAN MATRE ENCOMPASS HEALTH, ROSECRANCE, AND CRUSADER CLINIC. THE HOSPITAL'S CHNA WAS CONDUCTED IN COLLABORATION WITH VAN MATRE ENCOMPASS HEALTH, ROSECRANCE, AND CRUSADER CLINIC.
Schedule H, Part V, Section B, Line 6b Facility 2, 1Facility 2, 1 - ROCKFORD REGIONAL HEALTH COUNCIL & WINNEBAGO COUNTY HEALTH DEPARTMENT. The hospital's CHNA was conducted in collaboration with ROCKFORD REGIONAL HEALTH COUNCIL & WINNEBAGO COUNTY HEALTH DEPARTMENT.
Schedule H, Part V, Section B, Line 11 Facility 2, 1Facility 2, 1 - VANMATRE HEALTH SOUTH. Van Matre Encompass Health Rehabilitation Hospital created an independent Implementation Plan to meet community needs based on the results of the 2023 Healthy Community Study and other data sources. The result was a multifaceted community benefit plan to improve the health and wellbeing of residents in the primary service area. The Survey identified multiple needs within the community. The needs identified included Alcohol, Opioid & other Substance Abuse issues, Chronic Disease, Maternal/prenatal/early childhood health, Geriatric health needs, health equity, and a shortage of mental health services, job training and employment for people with disabilities. The Implementation Plan focuses on many of the areas identified to help improve the general health of individuals living in the primary service area including: 1. Enhance quality of care by focusing on care coordination between hospital, primary care, and inpatient rehab facility. 2. Reduce likelihood of opioid addiction beginning and/or continuing. 3. Increase accuracy of disposition to ensure care is delivered in the right setting. 4. Safe Care Commitment - In response to COVID-19 to effectively care for the needs of our community and to ensure up-to-date education and preparedness during a pandemic, coordinate with local, regional and state organizations regarding surge planning, response, and information sharing, including enhanced safety and treatment protocols. Expand COVID 19 response, screening, and effective transport of patients suspected or confirmed for COVID-19. Reassure patients of extra safety precautions taken to ensure the health and safety of our patients including enhanced cleaning, masking, screening and social distancing.
FieldValueIRS element (for citing)
Facility0FacilityNum

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation5293205
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceThe Hospital utilized both the medicare cost report CCR (Cost-to-Charge Ratio) and our cost accounting system to determine the cost of charges, bad debt and charity care expense included in line 7. The subsidized programs also include the costs (based on a calculated CCR) from the related company Rockford Health Physicians (RHPH) because there are no physician costs included in the hospital cost accounting analysis. Bad debt and charity at cost have been removed from the lines 7a, 7f, 7g since those costs were previously included.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountAll charges for any service provided by Javon Bea Hospital are the very same for every individual, regardless of whether it is for emergency or standard care and regardless of the patient's ability to pay. Each patient is then assessed for eligibility for financial assistance based on predefined criteria of financial status and income level. If the patient qualifies for financial assistance, the expected reimbursement is based on charity care policy guidelines. The organization maintains a bad debt reserve on the Balance Sheet. Any bad debt write-offs of patient accounts will go against the bad debt reserve. At each month end based on the accounts receivable by financial class and aging bucket, the reserve amount is re-evaluated. The amount needed to maintain the appropriate reserve level is the bad debt expense. Any payments received on patient accounts previously written off to bad debt will offset the bad debt expense.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteBAD DEBT EXPENSE IS ACCOUNTED FOR IN THE FOLLOWING MANNER (AS DETAILED IN NOTE 1 OF THE AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH CORPORATION). Generally, patients who are covered by third-party payors are responsible for related deductibles and coinsurance, which vary in amount. The Corporation also provides services to uninsured patients, and offers those uninsured patients a discount, either by policy or law, from standard charges. The Corporation estimates the transaction price for patients with deductibles and coinsurance and for those who are uninsured based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charge by any contractual adjustments, discounts, and implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay are recorded as bad debt expense. Bad debt expense for the years ended June 30, 2023 and 2022, was not significant. Consistent with the Corporation's mission, care is provided to patients regardless of their ability to pay. Therefore, the Corporation has determined it has provided implicit price concessions to uninsured patients and patients with other uninsured balances (for example, copays and deductibles). The implicit price concessions included in estimating the transaction price represent the difference between amounts billed to patients and the amounts the Corporation expects to collect based on its collection history with those patients. The Corporation's policy is to provide a discount from established charges to uninsured patients. This policy did not change in 2023 and 2022.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsReported on Line 6 are allowable Medicare costs provided by the cost report. Medicare costs are eliminated from the subsidized programs on Part 1, Line 7g as calculated by our cost accounting analysis. A combination of cost accounting and the Medicare CCR was used for the computation of subsidized programs.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceJavon Bea Hospital has a strong commitment to provide quality patient care for all individuals. Our mission is to provide health care to everyone who comes to our door, regardless of their ability to pay. We help patients apply for insurance assistance including, automobile accidents, crime victims, workers compensation, Medicaid, COBRA, local assistance and/or hospital financial assistance, and copay assistance programs. If patients do not qualify for any of these, we may extend payment options such as monthly payments, credit card payments or financial assistance. Per our policy, Mercyhealth will suspend any effort to collect payment for care when a patient submits an application for Financial Assistance until either: (i) Mercyhealth has determined whether the individual is eligible for Financial Assistance based on a complete application; or (ii) in the case of an incomplete application, the individual has failed to respond to requests for additional information and/or documentation within a reasonable period of time given to respond to such requests. If the patient is eligible for Financial Assistance, Mercyhealth will: (i) refund to the patient any amount he or she has paid for care that exceeds the patient's calculated personal responsibility; (ii) provide the patient a billing statement that indicates the amount the patient owes for the care as a Financial Assistance eligible patient and an explanation of how the amount was calculated, including a description of how the patient can get information regarding the Amount Generally Billed (as defined in Mercyhealth Hospital Financial Assistance policy); and (iii) take all reasonably available measures to reverse any Extraordinary Collection Actions (ECAs) (except the sale of debt) taken against the patient to obtain payment for the care.
Schedule H, Part V, Section B, Line 16a FAP website1 - JAVON BEA HOSPITAL: Line 16a URL: mercyhealthsystem.org/patientsvisitors/billing-information/financial-assistance/; 2 - VANMATRE HEALTH SOUTH: Line 16a URL: https://encompasshealth.com/locations/vanmatrerehab/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website1 - JAVON BEA HOSPITAL: Line 16b URL: mercyhealthsystem.org/patientsvisitors/billing-information/financial-assistance/; 2 - VANMATRE HEALTH SOUTH: Line 16b URL: https://encompasshealth.com/locations/vanmatrerehab/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website1 - JAVON BEA HOSPITAL: Line 16c URL: mercyhealthsystem.org/patientsvisitors/billing-information/financial-assistance/; 2 - VANMATRE HEALTH SOUTH: Line 16c URL: https://encompasshealth.com/locations/vanmatrerehab/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessmentIn addition to the Health Needs Assessment - Mercy Health is working to: - work with other community services and through Medicare ACO to proactively manage and improve the chronic disease state of our patients, and to continue Medicare ACO Wellness visits to proactively manage the health of Medicare patients. - Maintain clinical teams to work with selected nursing home patients to ensure appropriate transitional care and manage and provide interventions as necessary for various acute and chronic diseases. In addition, sub-acute care was added to allow patients to transition after a major illness or injury and maintain a healthy lifestyle. - Maintain multidisciplinary palliative care services for adults to formulate plans of care, identify resources, and provide support for both patients and families for various chronic and acute diseases. - Improve the health of patients with specific needs, including geriatric health needs and substance abuse by offering a wide array of community educational health & screening programs. - Reduce the likelihood of opioid addiction beginning or continuing by monitoring opioid prescriptions among physicians, offering provider education, and offering addiction counseling. - Maintain our commitment to the women and children of the community as a provider of comprehensive tertiary services and to ensure excellent outcomes for mothers and infants by remaining the State of IL Regional Perinatal Center for 11 counties and participating in ILPQC (Illinois Perinatal Quality Collaborative) initiatives. Like promoting vaginal birth for low risk first pregnancy women, maintaining the Hypertension bundle to assess quick response to increased blood pressures of peripartum mothers and the Neonatal Abstinence Syndrome (NAS) bundle focusing on intervention for babies of addicted mothers. - Provide job training and employment opportunities to disabled young adult community members in collaboration with RAMP and the Illinois Department of Human Services by establishing Project SEARCH.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceAll uninsured patients are notified of Mercy's financial assistance policy upon registration. Information is also available at the Health Systems' website, in our emergency rooms, financial assistance offices, and with the patient financial counselors. Appropriate personnel have been trained on how to interact with patients about financial aid availability, and how to direct patients to appropriate financial aid staff. The hospitals and clinics have translation services available as needed.
Schedule H, Part VI, Line 4 Community informationJavon Bea Hospital is located in Rockford, IL (Winnebago County). According to the US Census Bureau from the 2020 Census the population of Winnebago County was measured at 285,350. Located in northern Illinois, the county is characterized as largely rural and populated with very small communities with the exception of the neighboring cities of Rockford, Loves Park, and Machesney Park which comprise approximately 195,000 individuals. The vast majority of the population reside in Urban Areas and the majority of patients reside in Winnebago County. As a community that relies heavily on manufacturing companies and small businesses, the area was particularly hard hit in recent years. Currently, the largest employers include the Rockford Public Schools and the three Rockford health care providers. The most recent median household incomes in Winnebago County were $62,011 compared to the state median household income of $76,708 and the national median income of $74,755. These disparities are also reflected in education and poverty rates. Unemployment rates as of December 2023 figures for Winnebago County at 5.7% but are high in comparison to the state at 4.8% and the nation at 3.7%. Only 26.7% of Winnebago County residents attain a bachelor's degree or higher compared with those in the state at 37.7% and 35.7% in the nation. More than 15.6% of the residents in Winnebago County live below the poverty line compared to state levels of 11.9% and national levels of 12.6%. This is important because poverty creates barriers to access including health services, healthy food, and other necessities that contribute to poor health status as well the lack of internet access for an estimated 15.6% of the households in Winnebago County.
Schedule H, Part VI, Line 5 Promotion of community healthLed by a governing body comprised of a majority of independent persons representative of the community, Javon Bea Hospital (JBH) and its affiliates are very involved in promoting a healthier community. As one of Rockford's largest employers, the organization takes a leading role in financially supporting not only health-related initiatives, but also community-building activities across the region. This includes providing financial support and talent for economic development and business-related activities. As well as quality of life and educational initiatives. Employees participate on community boards and are actively involved in promoting the region and its assets. Based on the results of the Rockford Health Councils 2023 healthy community study, the community benefit implementation plan identified several key areas to focus efforts. For example, as the predominant provider of pediatric services, JBH maintains its commitment to the children of our community. This is evident in our support of the Ronald McDonald Care Mobile which provides free dental and medical care to uninsured and underinsured children in five northern counties. The 40-foot, 26,000-pound mobile unit houses two patient exam rooms, a central waiting room, and a sterilization area and has provided care to more than 9,865 children since the inception of the program in 2003. This totals more than $3.1 million in free care over the life of the program. The care mobile is completely funded by philanthropy from the Mercyhealth Development Foundation, Javon Bea Hospital Auxiliary, and the Ronald McDonald Charities of Madison. The Bridge Clinic is yet another venue for un- and under-insured adults to receive free medical treatment for chronic medical issues. Since its opening in 2008, hundreds of people from our community have received care. Many physicians and other health care providers give freely of their time to provide these services to the less fortunate individuals in our community to better manage their chronic conditions. Since 2012, JBH continues to partner with a Silver Lining Foundation to provide free breast health services to the un- under-insured women in the community. Hundreds of women have received free screening mammograms and other breast related services and procedures since the program's inception. These are only some of the many contributions that JBH makes to promote and improve the health of the community. JBH remains committed to educating the public about various health care issues and initiatives and improving the lives of our citizens. JBH does not restrict admission of providers and provides an open medical staff.
Schedule H, Part VI, Line 7 State filing of community benefit reportIL

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
AMERICAN CANCER SOCIETY
255 N Michigan Ave Ste 1200ChicagoIL60601131788491501(c)(3)$5,000Program Support
Anderson Japenese Gardens
318 Spring Creek RoadRockfordIL61107364201695501(c)(3)$7,500Program Support
Regional Access & Mobilization Project (RAMP)
202 Market StreetRockfordIL611073954363149827501(c)(3)$6,000Program Support
Rock River Development Partnership
124 N Water StRockfordIL611073960271153597501(c)(3)$42,000Program Support
Rockford Area Convention & Visitor's Bureau Charitable Foundation
102 N Main StreetRockfordIL61101474742025501(c)(3)$7,500Program Support
Remedies Renewing Lives
220 Easton ParkwayRockfordIL61108362464898501(c)(3)$5,000Program Support
Rockford Regional Health Council
1601 Parkview AveRockfordIL61107363229371501(c)(3)$24,250Program Support
Rockford University
5050 E State StRockfordIL61107362167842501(c)(3)$5,000Program Support
Rosecrance Foundation
1021 N Mulford RdRockfordIL61107364167891501(c)(3)$5,000Program Support
Rock Valley College Foundation
6520 Spring Brook RoadRockfordIL61114363037232501(c)(3)$5,000Program Support
University of IL Foundation
1305 W Green StUrbanaIL618012900376006007501(c)(3)$10,000Program Support
Discovery Center Museum
711 N Main StreetRockfordIL611036990363292135501(c)(3)$22,000Program Support
The Haven Network
124 N Water St Ste 201RockfordIL611073959200620800501(c)(3)$5,000Program Support
YMCA Of Metropolitan Chicago
1030 W Van Buren StreetChicagoIL60607362179782501(c)(3)$17,500Program Support
Mercyhealth Development Foundation
8201 E Riverside BlvdRockfordIL61114363197918501(c)(3)$20,000Program Support
Salvation Army Rockford
1720 18th AvenueRockfordIL61104362167912501(c)(3)Program Support$24,110OTHERVarious Donations
FieldValueIRS element (for citing)
Total501c3 Org16Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationAPPLICATIONS ARE SUBMITTED TO THE HOSPITAL VERIFYING A NEED FOR FUNDS OR PRODUCTS (IE AUTOMATIC ELECTRONIC DEFIBRILLATORS-AED). A DETERMINATION IS MADE THROUGH A PREDETERMINED SCORING METHOD AS TO WHAT ORGANIZATIONS WILL BE RECIPIENTS OF THE FUNDS OR PRODUCTS. CASH CONTRIBUTIONS ARE MADE ONLY TO RECOGNIZED CHARITIES FOR WHICH GOOD FAITH REGARDING FUND USE HAS BEEN ESTABLISHED. THE CONTRIBUTION IS ONLY FOR THE AMOUNT OF THE APPEAL AND FOR A SPECIFIED NEED. USABLE EXPIRED MEDICAL INVENTORY WAS DONATED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Javon R Bea
PRESIDENT/CEO (see schedule J, see pages 64-65)$0$2,193,820$0$1,660,233$0$7,276,090$0$413,098$0$17,779$0$11,561,020$0$4,953,609
Mark L Goelzer MD
Director/Physician$0$312,319$0$187,404$0$4,400$0$12,200$0$17,329$0$533,652$0$0
James Davis
former VICE-PRESIDENT$0$79,369$0$0$0$134,502$0$4,471$0$29,823$0$248,165$0$0
Todd Anderson
Vice President/CFO$0$564,084$0$252,851$0$11,556$0$40,746$0$36,067$0$905,304$0$0
Robert Walters
VP HOME CARE$248,324$0$120,538$0$3,166$0$15,626$0$34,788$0$422,442$0$0$0
Kimberly Scaccia
VP - Revenue Cycle$0$314,004$0$147,040$0$38,256$0$21,669$0$43,255$0$564,224$0$0
Wendi L Aubry
Regional Pharmacy Manager$200,878$0$20,760$0$276$0$13,819$0$16,158$0$251,891$0$0$0
Dennis Magdadaro
adv practitioner$308,191$0$0$0$3,594$0$18,436$0$3,424$0$333,645$0$0$0
Barbara Holland
Registered Nurse$156,911$0$51,974$0$4,990$0$10,908$0$16,616$0$241,399$0$0$0
Brian Myers
Sr. Director, Campus Development, Environmental Services & Food and Nutrition Services$171,849$0$27,082$0$4,577$0$12,782$0$33,613$0$249,903$0$0$0
John Dorsey
VP CLINICAL INTERGRATION$478,782$0$224,391$0$4,572$0$36,075$0$9,676$0$753,496$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationTHE CEO IS PAID FROM A RELATED ORGANIZATION, MERCY HEALTH SYSTEM OF THE CEO: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. THE VICE CHAIR, AND SECRETARY/TREASURER. THE COMPENSATION COMMITTEE IS ASSISTED CORPORATION (MHSC). MHSC USES THE FOLLOWING TO ESTABLISH THE COMPENSATION FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION MERCY COMPENSATION COMMITTEE OF MHSC IS COMPRISED OF THE BOARD CHAIRPERSON, BY INDEPENDENT LEGAL COUNSEL AND AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE, LEGAL COUNSEL, AND THE COMPENSATION CONSULTANT MEET THROUGHOUT THE YEAR AND REPORT DIRECTLY TO THE BOARD OF DIRECTORS ANNUALLY. THIS PROCESS WAS COMPLETED FOR 2022.
Schedule J, Part I, Line 4a Severance or change-of-control paymentJames Davis received 26 weeks severance pay $119,025 in 2022.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planINCENTIVE PLAN DISTRIBUTION: JAVON R. BEA - $4,953,609 Todd Anderson & John Dorsey participated in the 457(f) plan during Calendar year 2022. However, they did not receive a payout during calendar year 2022.
Schedule J, Part IIJAVON R. BEA - DEFERRED COMPENSATION PAYMENT MR. BEA HAS BEEN EMPLOYED BY MHSC AS PRESIDENT AND CEO OVER THE PAST 30 YEARS. DURING THIS TIME, MR. BEA HAS LED AN INCREDIBLE TRANSFORMATION TAKING A SMALL, SINGLE, STAND-ALONE COMMUNITY HOSPITAL AND CREATING A VERTICALLY INTEGRATED HEALTH SYSTEM WITH 85 FACILITIES IN 50 COMMUNITIES THROUGHOUT SOUTHERN WISCONSIN AND NORTHERN ILLINOIS, INCREASING GROSS REVENUE FROM $33 MILLION TO OVER $3.6 BILLION IN FY2023. THIS HAS ALLOWED THE HEALTH SYSTEM TO GO FROM SERVING 89,000 PATIENTS IN 1989 TO OVER 1.8 MILLION PATIENTS TODAY WORKING TOGETHER WITH OVER 7,500+ PARTNERS IN HEALTH CARE. TODAY, MHSC HAS BECOME THE LARGEST EMPLOYER IN SOUTHERN WISCONSIN AND NORTHERN ILLINOIS. THIS GROWTH CAN BE ATTRIBUTED TO MR. BEA'S VISIONARY LEADERSHIP. LEADERSHIP THAT HAS LED TO MHSC RECEIVING NUMEROUS NATIONAL RECOGNIZED AWARDS INCLUDING BEING NAMED THE FIRST FULLY INTEGRATED HEALTH SYSTEM TO RECEIVE THE MALCOLM BALDRIGE NATIONAL QUALITY AWARD, THE MAGNET RECOGNITION AWARD, BEING RANKED #1 AND #2 ON AARP'S TOP 100 BEST PLACES TO WORK FOR WORKERS OVER 50, AND BEING RANKED IN THE TOP 25 ON THE TOP 100 INTEGRATED HEALTHCARE NETWORKS LIST BY MODERN HEALTHCARE FOR OVER 12 STRAIGHT YEARS. THE TURNAROUND OF THE MHSC IMPLEMENTED BY MR. BEA IS UNPARALLELED. BY PIONEERING A "PARTNERSHIP MODEL" OF COMPENSATION AND DESIGNING A CUSTOM CULTURE OF EXCELLENCE, MR. BEA IS VITAL TO THE DECADES-LONG AND CONTINUING GROWTH AT MHSC. THIS SUCCESS HAS MADE MR. BEA A HIGHLY SOUGHT AFTER SPEAKER AND CONSULTANT AS HE IS NOW WELL-RENOWNED FOR HIS INNOVATIONS IN THE AREAS OF INTEGRATED HEALTHCARE AND PHYSICIAN PARTNERSHIP MODELS. THE TREMENDOUS SUCCESS OF MHSC UNDER THE LEADERSHIP OF MR. BEA HAS ALLOWED HIM TO RECEIVE PAYOUTS FROM A DEFERRED COMPENSATION PACKAGE WHICH MHSC HAS BEEN PAYING INTO OVER MANY YEARS. THESE PAYMENTS ONLY BECAME PAYABLE IF MHSC ATTAINED CERTAIN DEFINED FINANCIAL AND STRATEGIC GOALS AND THE AMOUNTS ARE AT RISK EVERY SINGLE YEAR. AS INDICATED ABOVE, MANY OF THESE GOALS WERE ACHIEVED WITHIN THE PAST FEW YEARS RESULTING IN A RELEASE OF THESE DEFERRED PAYMENTS WHICH IMPACTED MR. BEA'S COMPENSATION REPORTING. THE SETTING OF THESE GOALS WERE LAID OUT BY THE BOARD OF DIRECTORS IN COOPERATION WITH NATIONALLY RECOGNIZED COMPENSATION ATTORNEYS AND CONSULTANTS TO MAKE SURE ALL FACTORS WERE TAKEN INTO CONSIDERATION. MR. BEA'S COMPENSATION HAS ALSO BEEN SCRUTINIZED BY NUMEROUS OUTSIDE ORGANIZATIONS AND MOST IMPORTANTLY, THE INTERNAL REVENUE SERVICE; AND HAS PASSED INSPECTION IN EACH CASE. TOTAL COMPENSATION IS APPROVED ANNUALLY BY THE BOARD OF DIRECTORS OF MHSC.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services(Expenses $ 273,606 including grants of $ 161,400)(Revenue $ 2,470,376) Through Mercyhealth Volunteer Association, JBH is able to provide extra funds and services to support its mission. The Volunteer Association has 174 volunteers who logged approximately 18,520 hours while assisting with greeting visitors, transporting patients, floral or gift deliveries, thrift shop and gift shop activities, and other services as requested. The volunteers' efforts provide extra funds and enhance the overall hospital experience for patients, visitors, and staff.
Form 990, Part VI, Line 1a Delegate broad authority to a committeeTHE VOTING MEMBERS OF THE EXECUTIVE COMMITTEE CONSISTS OF SEVEN INDIVIDUALS, EACH OF WHOM SHALL HAVE A VOTE, INCLUDING THE CEO, THE CHAIRMAN, VICE-CHAIRMAN, IMMEDIATE PAST CHAIRMAN, TREASURER, AND TWO ADDITIONAL DIRECTORS OF THE BOARD. AT LEAST ONE MEMBER OF THE EXECUTIVE COMMITTEE SHALL BE A PHYSICIAN. THE EXECUTIVE COMMITTEE SHALL IN ALL INSTANCES BE COMPRISED OF AT LEAST 51% COMMUNITY MEMBERS. IN THE EVENT THAT ONE OR MORE OF THE AFOREMENTIONED VOTING MEMBERS OF THE EXECUTIVE COMMITTEE IS UNABLE TO SERVE IN SUCH CAPACITY, THEN THE CHAIRMAN OF THE CORPORATION SHALL DESIGNATE A REPLACEMENT FROM AMONG THE BOARD MEMBERS. THE EXECUTIVE COMMITTEE SHALL MEET AS NEEDED. WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, THE EXECUTIVE COMMITTEE SHALL HAVE ALL THE POWERS, DUTIES, RESPONSIBILITIES AND AUTHORITY OF THE BOARD, EXCEPT AS PROHIBITED BY LAW.
Form 990, Part VI, Line 6 Classes of members or stockholdersMERCY HEALTH CORPORATION (MHC) IS THE SOLE CORPORATE MEMBER OF JAVON BEA HOSPITAL (JBH). THE SOLE MEMBER SHALL HAVE POWERS AND VOTING RIGHTS TO DO THE FOLLOWING: (A) APPOINT ALL THE DIRECTORS OF THE CORPORATION (B) NOMINATE TO CORPORATION'S BOARD OF DIRECTORS ALL CANDIDATES FOR SELECTION AS THE CORPORATION PRESIDENT (C) APPROVE EXPRESSLY ALL AMENDMENTS TO THE CORPORATIONS ARTICLES OF INCORPORATION AND BYLAWS (D) APPROVE ANNUAL BUDGETS, AND STRATEGIC, LONG-RANGE AND HEALTH MANPOWER DEVELOPMENT PLANS OF THE CORPORATION (E) REQUIRE THE CORPORATION'S BOARD OF DIRECTORS TO TAKE ANY ACTION (INCLUDING AUTHORIZING THE PLEDGE OR TRANSFER OF ASSETS TO MHC OR AS DIRECTED BY MHC, OR THE EXECUTION OF CONTRACTS) WHICH WOULD IMPROVE THE CREDIT WORTHINESS OR OTHERWISE RESULT IN FINANCIAL BENEFIT TO MHC AND ITS TAX-EXEMPT AFFILIATED CORPORATIONS (PROVIDED THAT UNDER NO CIRCUMSTANCES MAY MHC REQUIRE TRANSFER OF ASSETS IN VIOLATION OF LAW OR THE TERMS OF ANY CHARITABLE TRUST OR DONATION). (F) APPROVE ALL CONTRACTS OF INDEBTEDNESS EFFECTIVE FOR LONGER THAN EIGHTEEN MONTHS. (G) APPROVE ALL PLANS OF MERGER OR CONSOLIDATION (H) APPROVE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE CORPORATION (I) APPROVE A VOLUNTARY DISSOLUTION OF THE CORPORATION (J) APPROVE MATERIAL AMENDMENTS TO THE CORPORATIONS STANDARD FORM OF PHYSICIAN EMPLOYMENT AGREEMENT, PROVIDED THE CORPORATION SHALL HAVE THE AUTHORITY TO NEGOTIATE THE TERMS AND CONDITIONS OF INDIVIDUAL PHYSICIAN EMPLOYMENT AGREEMENTS SO LONG AS THE NEGOTIATED TERMS AND CONDITIONS ARE CONSISTENT WITH THE REQUIREMENTS OF APPLICABLE LAW AND THE STRATEGIC, LONG-RANGE AND HEALTH MANPOWER DEVELOPMENT PLANS APPROVED BY MHC. (K) APPROVE MATERIAL AMENDMENTS TO THE STANDARD COMPENSATION SYSTEM USED BY THE CORPORATION TO ESTABLISH INDIVIDUAL PHYSICIAN COMPENSATION (L) REQUIRE THE CORPORATION'S BOARD OF DIRECTORS TO TAKE ANY ACTION (INCLUDING AMENDING THE ARTICLES OF INCORPORATION OR BYLAWS), OR TO MODIFY OR RESCIND AN ACTION ALREADY TAKEN, IF MHC DETERMINES THAT FAILURE TO TAKE THE ACTION, OR TO MODIFY OR RESCIND AN ACTION ALREADY TAKEN, MAY RESULT IN THE CORPORATIONS FAILURE TO OBTAIN OR MAINTAIN ITS EXEMPTION AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodySEE NARRATIVE FOR PART VI, LINE 6
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersSEE NARRATIVE FOR PART VI, LINE 6
Form 990, Part VI, Line 11b Review of form 990 by governing bodyMANAGEMENT REVIEWS THE FORM 990 BEFORE FILING AND IT IS AVAILABLE TO THE BOARD OF DIRECTORS.
Form 990, Part VI, Line 12c Conflict of interest policyBY WRITTEN POLICY, MHC SENDS OUT, ON AN ANNUAL BASIS, THE CORPORATE CONFLICT AND DUALITY OF INTEREST POLICY TO ALL BOARD MEMBERS, CORPORATE OFFICERS, AND OTHER KEY INDIVIDUALS (THOSE HAVING RESPONSIBILITY AND AUTHORITY TO MAKE FINAL DECISIONS REGARDING THE ACQUISITION OF PRODUCTS OR SERVICES). EACH RECIPIENT IS REQUIRED TO COMPLETE A FINANCIAL INTEREST DISCLOSURE STATEMENT, WHICH IS SUBMITTED TO THE VICE PRESIDENT, LEGAL SERVICES/GENERAL COUNSEL FOR REVIEW. WITH RESPECT TO PHYSICIANS AND MANAGERS WHO ARE KEY INDIVIDUALS, ANY POTENTIAL CONFLICT OF INTEREST IS REVIEWED WITH THE APPROPRIATE EXECUTIVE STAFF MEMBER FOR FOLLOW UP WITH THE DISCLOSING PARTY IN ORDER TO REVIEW THE MATTER IN MORE DETAIL. THIS INCLUDES EMPHASIZING THAT THE DISCLOSING PARTY IS NOT PERMITTED TO PARTICIPATE IN ANY NEGOTIATIONS FOR THE PURCHASE OF ANY PRODUCTS OR SERVICES WHERE THE CONFLICT IS DEEMED MATERIAL OR AUTHORIZE THE SUBSEQUENT PURCHASE OF RELATED GOODS AND SERVICES. THE DISCLOSING PARTY IS ALSO REQUIRED TO IDENTIFY EACH AND EVERY INSTANCE OF A POTENTIAL CONFLICT AS THEY MAY ARISE IN THE ORDINARY COURSE OF BUSINESS. A SIMILAR PROCESS IS FOLLOWED FOR THE BOARD OF DIRECTORS, EXCEPT THAT ANY POTENTIAL CONFLICT IS REVIEWED BY THE BOARD'S GOVERNANCE COMMITTEE. BOARD MEMBERS MAY COMMENT ON TRANSACTIONS WHERE THERE IS A POTENTIAL CONFLICT BUT CANNOT VOTE ON THE RELATED MATTER AND MAY BE REQUIRED TO LEAVE ANY MEETING WHERE THE POTENTIAL CONFLICT IS REVIEWED BY THE BOARD OR WHERE THE BOARD TAKES ACTION TO EITHER APPROVE OR NOT APPROVE THE PROPOSED TRANSACTION. A BOARD MEMBER ALSO HAS A CONTINUING DUTY TO REPORT ANY CONFLICTS AS THEY MAY ARISE IN THE ORDINARY COURSE OF BUSINESS. IN THE EVENT THAT A POTENTIAL CONFLICT OF INTEREST IS REPORTED OR DISCOVERED OUTSIDE THE ESTABLISHED PROCESS, APPROPRIATE REVIEW AND ACTION WOULD BE TAKEN. THIS PROCESS WAS LAST COMPLETED IN 2023, WHEN THE QUESTIONNAIRES WERE SENT TO ADDRESS ANY 2022 CONFLICTS IDENTIFIED. MHC AND JBH HAVE THE SAME BOARD, AND THEREFORE THE MHC QUESTIONNAIRE IS USED TO ALSO ADDRESS POTENTIAL AND ACTUAL CONFLICTS FOR THE FILING ORGANIZATION. THE Mercy Health Corporation CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST.
Form 990, Part VI, Line 19 Required documents available to the publicNO DOCUMENTS AVAILABLE TO THE PUBLIC.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenueother revenue - Total Revenue: 578087, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 578087;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesCHANGES IN PENSION OBLIGATION OTHER THAN PENSION EXPENSE - 17404185; POST RETIREMENT MEDICAL BENEFIT ADJUSTMENT - -253628; NET TRANSFERS TO AFFILIATES - -535612; UPMIFA - -109935; MISCELLANEOUS ADJUSTMENT - -223940; Forgiveness of RHPH Due From - -34133370; transfer from restricted funds - -2959; Actuarial adjustment - -13558785;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ROCKFORD HEALTH SYSTEM VENTURES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18201 E Riverside BlvdAddressLine1Txt
CityROCKFORDCityNm
State AbbreviationILStateAbbreviationCd
ZIP61114ZIPCd
FieldValueIRS element (for citing)
EIN364366881EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Total Income$2,236,534TotalIncomeAmt
End Of Year Assets$10,016,319EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1JAVON BEA HOSPITALBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MERCYHEALTH VISITING NURSES ASSOCIATION
4223 E STATE STREETROCKFORDIL61108362167945HEALTHCAREIL501(c)(3)10MERCY HEALTH CORPORATIONfalse
MERCYHEALTH DEVELOPMENT FOUNDATION
8201 E Riverside BlvdROCKFORDIL61114363197918HEALTHCAREIL501(c)(3)Type IMERCY HEALTH CORPORATIONfalse
ROCKFORD HEALTH PHYSICIANS
8201 E Riverside BlvdROCKFORDIL61114363907436HEALTHCAREIL501(c)(3)3MERCY HEALTH CORPORATIONfalse
MERCY HEALTH CORPORATION
8201 E Riverside BlvdROCKFORDIL61114472158680HEALTHCAREIL501(c)(3)Type IINAfalse
MERCY HEALTH SYSTEM ASSOCIATION OF VOLUNTEERS
1000 MINERAL POINT AVEJANESVILLEWI53548390912682HEALTHCAREWI501(c)(3)Type III-FIMERCY HEALTH SYSTEM CORPORATIONfalse
MERCY HEALTH SYSTEM CORPORATION
1000 MINERAL POINT AVEJANESVILLEWI53548390816848HEALTHCAREWI501(c)(3)3MERCY HEALTH CORPORATIONfalse
MERCY ASSISTED CARE INC
901 MINERAL POINT AVEJANESVILLEWI53548391035110HEALTHCAREWI501(c)(3)10MERCY HEALTH CORPORATIONfalse
MERCY HARVARD HOSPITAL INC
901 GRANT STREETHARVARDIL60033311551871HEALTHCAREIL501(c)(3)3MERCY HEALTH CORPORATIONfalse
MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER
200 LAKE AVEWOODSTOCKIL60098201673011HEALTHCAREIL501(c)(3)3MERCY HEALTH CORPORATIONfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCd
ROCKFORD HEALTH INSURANCE LTD
INSURANCEBDJAVON BEA HOSPITALC Corporation$1,676,500$225,883Yes (true)
JANESVILLE MEDICAL CENTER INC
MANAGEMENT OF UNION EMPLOYEESNAC Corporationfalse1000 MINERAL POINT AVEJANESVILLEWI53548391520130WI
MERCYCARE INSURANCE COMPANY
INSURANCENAC Corporationfalse580 N WASHINGTON STJANESVILLEWI53546391768192WI
MERCYCARE HMO INC - CONSOLIDATED WITH MERCYCARE INSURANCE CO
INSURANCENAC Corporationfalse580 N WASHINGTON STJANESVILLEWI53546201482553WI
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ROCKFORD HEALTH INSURANCE LTD
B$1,676,500AMOUNTS PAID
rockford health insurance LTD
R$225,883NET BOOK VALUE