JAVON BEA HOSPITAL: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: JAVON BEA HOSPITAL (EIN 36-2167847)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-16
IRS object ID: 202241369349312769
Schema version: 2020v4.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-05-16T15:31:55-05:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390859910	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BAKER TILLY US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 MIDLAND COURT PO BOX 8130	AddressLine1Txt
City	JANESVILLE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	535478130	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	362167847	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JAVON BEA HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	JAVO	BusinessNameControlTxt
Phone	8159715000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2400 N ROCKTON AVE	AddressLine1Txt
City	ROCKFORD	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61103	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JAVON BEA	PersonNm
Person Title	PRESIDENT/CEO	PersonTitleTxt
Phone	8159715000	PhoneNum
Signature	2022-05-16	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JAVON	PersonFirstNm
Person Last	BEA	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	TROY MARINE CPA	PreparerPersonNm
PTIN	P00187863	PTIN
Phone	6087525835	PhoneNum
Preparation	2022-05-16	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JAVON BEA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2400 N ROCKTON AVE	AddressLine1Txt
City	ROCKFORD	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61103	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$455,716,077	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MERCYHEALTHSYSTEM.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1883	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	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 Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	2924	TotalEmployeeCnt
Total Volunteers	140	TotalVolunteersCnt
Total Gross UBI	$518,913	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,802,342	PYContributionsGrantsAmt
CY Contributions Grants	$21,041,187	CYContributionsGrantsAmt
PY Program Service Revenue	$426,188,016	PYProgramServiceRevenueAmt
CY Program Service Revenue	$395,600,410	CYProgramServiceRevenueAmt
PY Investment Income	$928,926	PYInvestmentIncomeAmt
CY Investment Income	$4,753,918	CYInvestmentIncomeAmt
PY Other Revenue	$5,455,326	PYOtherRevenueAmt
CY Other Revenue	$3,940,407	CYOtherRevenueAmt
PY Total Revenue	$444,374,610	PYTotalRevenueAmt
CY Total Revenue	$425,335,922	CYTotalRevenueAmt
PY Grants And Similar Paid	$427,408	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$179,545	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$179,007,594	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$146,978,814	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$298,803,051	PYOtherExpensesAmt
CY Other Expenses	$297,373,964	CYOtherExpensesAmt
PY Total Expenses	$478,238,053	PYTotalExpensesAmt
CY Total Expenses	$444,532,323	CYTotalExpensesAmt
PY Revenues Less Expenses	-$33,863,443	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$19,196,401	CYRevenuesLessExpensesAmt
Total Assets BOY	$768,876,966	TotalAssetsBOYAmt
Total Assets EOY	$764,323,993	TotalAssetsEOYAmt
Total Liabilities BOY	$635,650,039	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$612,995,444	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$133,226,927	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$151,328,549	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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.	MissionDesc
Significant New Program Srvc	Yes (1)	SignificantNewProgramSrvcInd
Significant Change	Yes (1)	SignificantChangeInd
Expense	$208,380,147	ExpenseAmt
Revenue	$299,377,246	RevenueAmt
Desc	JAVON 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 2021, PATIENT CARE WAS RENDERED TO 8,456 INDIVIDUALS WHO PRESENTED THEMSELVES FOR SERVICE INCLUDING 1,083 DELIVERIES AND 1,728 INPATIENT SURGERIES ALONG WITH SUPPORTING 32,717 EMERGENCY ROOM VISITS. IN ADDITION, A SUBACUTE LONG-TERM CARE INPATIENT DEPARTMENT BEGAN TO CARE FOR PATIENTS IN MAY 2021. THE SUBACUTE CARE UNIT PROVIDES LONG-TERM CARE TO 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

Field	Value	IRS element (for citing)
Expense	$155,586,385	ExpenseAmt
Revenue	$94,222,215	RevenueAmt
Desc	JAVON 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 2021, THAT INCLUDED 1,428 VISITS TO THE SLEEP LAB; 86,075 DIAGNOSTIC RADIOLOGY PROCEDURES; 6,797 RADIATION ONCOLOGY TREATMENTS; 37,744 CARDIAC PROCEDURES OR TESTS; 6,449 VISITS TO THE PAIN CLINIC; AND 125,866 RESPIRATORY THERAPY TREATMENTS.JBH HAS AN IN-HOUSE LABORATORY THAT PROVIDES TESTING FOR ALL WHO PRESENT THEMSELVES AT THE HOSPITAL FOR TREATMENT. IN FISCAL YEAR 2021, JBH PERFORMED 925,698 TESTS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$5,157,526	ExpenseAmt
Grant	$150,267	GrantAmt
Revenue	$1,379,062	RevenueAmt
Desc	JBH HAS PROVIDED HEALTH EDUCATION AND OUTREACH IN A VARIETY OF 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. IN A PROGRAM JOINTLY SPONSORED WITH RONALD MCDONALD CHARITIES, JBH STAFFS THE CAREMOBILE WHICH PROVIDED 28 HEALTH CHECKUPS, 35 IMMUNIZATIONS AND BASIC HEALTH SERVICES TO 16 UNDERINSURED AND UNINSURED CHILDREN. 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

Field	Value	IRS element (for citing)
Expense	$124,675	ExpenseAmt
Grant	$29,278	GrantAmt
Revenue	$103,207	RevenueAmt
Desc	THROUGH JAVON BEA HOSPITAL AUXILIARY, JBH IS ABLE TO PROVIDE EXTRA FUNDS AND SERVICES TO SUPPORT ITS MISSION.THE AUXILIARY HAS 445 VOLUNTEERS WHO LOGGED APPROXIMATELY 33,029 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

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$124,675	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$29,278	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$103,207	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$369,248,733	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	183	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2924	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	BD	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TODD ANDERSON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8159716738	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2400 N ROCKTON AVE	AddressLine1Txt
City	ROCKFORD	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61103	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JAVON R BEA
PRESIDENT & CEO (SEE PAGES 74-77)	1.00	66.00	Yes (X)	Yes (X)	$0	$5,057,986	$7,074,160
JOHN DORSEY
VP CLINICAL INTERGRATION	40.00	0.00			$614,588	$0	$51,816	Yes (X)
TODD ANDERSON
VP & CFO (AS OF 05/2020)	1.00	56.00		Yes (X)	$0	$542,858	$18,158
MARK L GOELZER MD
DIRECTOR/PHYSICIAN	1.00	45.00	Yes (X)		$0	$501,965	$29,148
ROBERT WALTERS
VP HOME CARE	40.00	0.00			$295,804	$0	$42,785	Yes (X)
SHANNON DUNPHY-ALEXANDER
SR EXECUTIVE DIRECTOR	1.00	56.00		Yes (X)	$0	$313,241	$15,917
WENDI AUBRY
REGIONAL PHARMACY MANAGER	40.00	0.00			$200,227	$0	$88,091	Yes (X)
PAUL VAN DEN HEUVEL FORMER
VICE PRESIDENT (THROUGH 04/2020)	0.00	55.00			$0	$240,858	$27,557		Yes (X)
MATTHEW PYCIOR
PERFUSIONIST	40.00	0.00			$220,528	$0	$36,495	Yes (X)
SUE SCHRIEBER
VP BUSINESS INTELLIGENCE	40.00	0.00			$220,895	$0	$21,272	Yes (X)
ROWLAND J MCCLELLAN
CHAIR & DIRECTOR	1.00	6.00	Yes (X)	Yes (X)	$0	$15,634	$0
WESLEY M JOST
DIRECTOR	1.00	6.00	Yes (X)		$0	$15,557	$0
THOMAS D BUDD
SECRETARY & TREASURER	1.00	6.00	Yes (X)	Yes (X)	$0	$15,308	$0
DAVE L SYVERSON
DIRECTOR	1.00	6.00	Yes (X)		$0	$15,110	$0
KATHERINE A SCHACK
DIRECTOR	1.00	6.00	Yes (X)		$0	$15,000	$0
THOMAS R POOL
VICE CHAIR & DIRECTOR	1.00	6.00	Yes (X)	Yes (X)	$0	$15,000	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,552,042	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,748,517	TotReportableCompRltdOrgAmt
Total Other Compensation	$7,405,399	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	127	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
BAKER TILLY US LLP
PO BOX 78975	MILWAUKEE	WI	532788975	TAX AND CONSULTING	$1,384,786
RED DOT MANAGEMENT LLC
1401 SOUTH VIRGINIA ST SUITE 225	RENO	NV	89502	ACCOUNTS RECEIVABLE MANAGEMENT	$1,283,841
ACCELERATED SOLUTIONS LLC
725 COOL SPRINGS BOULEVARD SUITE 3	FRANKLIN	TN	37067	ACCOUNTS RECEIVABLE MANAGEMENT	$1,281,115
MED ONE CAPITAL FUNDING LLC
PO BOX 35145	SEATTLE	WA	981245145	CLAIMS PROCESSING	$1,222,302
ROCK VALLEY INDUSTRIES LLC
5549 INTERNATIONAL DRIVE	ROCKFORD	IL	61109	JANITORIAL SERVICE	$639,470

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	16	CntrctRcvdGreaterThan100KCnt
Related Organizations	$330,421	RelatedOrganizationsAmt
Government Grants	$20,710,766	GovernmentGrantsAmt
Total Contributions	$21,041,187	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICARE/MEDICAID	621110	$178,981,673	$178,981,673
OUTPATIENT & EMERGENCY	621400	$107,859,637	$107,340,957	$518,680
INPATIENT ROUTINE & ANCILLARY	621110	$79,017,441	$79,017,441
ALL OTHER PROGRAM REVENUE	900099	$26,730,126	$26,730,126
DIAGNOSTIC & MEDICAL LABORATORY	621500	$3,011,533	$3,011,533

Field	Value	IRS element (for citing)
Total Program Service Revenue	$395,600,410	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$442,297	TotalRevenueColumnAmt
Exclusion	$442,297	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$402,090	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$219,392	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$182,698	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$182,698	TotalRevenueColumnAmt
Exclusion	$182,698	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$31,112,501	SecuritiesAmt
Other	$3,359,883	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$27,668,631	SecuritiesAmt
Other	$2,492,132	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,443,870	SecuritiesAmt
Other	$867,751	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,311,621	TotalRevenueColumnAmt
Exclusion	$4,311,621	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
INTEREST ON IL MEDICAID PAYMENTS	621110	$1,344,936	$1,344,936
CAFETERIA/FOOD SERVICE/CATERING	722210	$1,222,410	$1,222,177	$233
CLINICAL FLIGHT CREW AND MARKETIN	621990	$1,014,798	$1,014,798

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$175,565	TotalRevenueColumnAmt
Exclusion	$175,565	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,757,709	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$425,335,922	TotalRevenueColumnAmt
Related Or Exempt Func Income	$395,081,730	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$518,913	UnrelatedBusinessRevenueAmt
Exclusion	$8,694,092	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$179,545	TotalAmt
Program Services	$179,545	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$119,790,609	TotalAmt
Program Services	$94,291,085	ProgramServicesAmt
Management And General	$25,499,524	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,840,928	TotalAmt
Program Services	$4,675,092	ProgramServicesAmt
Management And General	$1,165,836	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,954,852	TotalAmt
Program Services	$10,440,710	ProgramServicesAmt
Management And General	$2,514,142	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,392,425	TotalAmt
Program Services	$6,849,374	ProgramServicesAmt
Management And General	$1,543,051	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$978,355	TotalAmt
Management And General	$978,355	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$171,294	TotalAmt
Management And General	$171,294	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$150,874	TotalAmt
Management And General	$150,874	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,664,980	TotalAmt
Program Services	$34,067	ProgramServicesAmt
Management And General	$1,630,913	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,968,949	TotalAmt
Program Services	$413,922	ProgramServicesAmt
Management And General	$1,555,027	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,935,173	TotalAmt
Program Services	$2,575,214	ProgramServicesAmt
Management And General	$4,359,959	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$13,288,716	TotalAmt
Program Services	$2,291,842	ProgramServicesAmt
Management And General	$10,996,874	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,706,658	TotalAmt
Program Services	$10,549,774	ProgramServicesAmt
Management And General	$4,156,884	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$144,858	TotalAmt
Program Services	$79,843	ProgramServicesAmt
Management And General	$65,015	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$282,409	TotalAmt
Program Services	$135,228	ProgramServicesAmt
Management And General	$147,181	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$19,506,441	TotalAmt
Program Services	$15,605,153	ProgramServicesAmt
Management And General	$3,901,288	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$36,078,691	TotalAmt
Program Services	$24,986,892	ProgramServicesAmt
Management And General	$11,091,799	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$16,655,530	TotalAmt
Program Services	$14,757,904	ProgramServicesAmt
Management And General	$1,897,626	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES/DRUGS	$63,332,601	$62,992,817	$339,784
HEALTHCARE SERVICES	$57,980,617	$57,654,408	$326,209
BAD DEBT EXPENSE	$36,528,032	$36,528,032
MEDICAID ASSESSMENT TAX	$14,790,065	$14,790,065

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,209,721	TotalAmt
Program Services	$9,417,766	ProgramServicesAmt
Management And General	$2,791,955	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$444,532,323	TotalAmt
Program Services	$369,248,733	ProgramServicesAmt
Management And General	$75,283,590	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$15,347,351	BOYAmt
EOY	$23,379,433	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,498,940	BOYAmt
EOY	$24,493,806	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$568,104	BOYAmt
EOY	$2,895,787	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$76,475,679	BOYAmt
EOY	$26,824,907	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,736,431	BOYAmt
EOY	$2,733,516	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,892,356	BOYAmt
EOY	$11,580,220	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,168,478	BOYAmt
EOY	$2,349,269	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$855,405,999	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$380,917,752	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$503,096,143	BOYAmt
EOY	$474,488,247	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$136,134,533	BOYAmt
EOY	$172,459,455	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$9,247,880	BOYAmt
EOY	$12,844,829	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,711,071	BOYAmt
EOY	$10,274,524	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$768,876,966	BOYAmt
EOY	$764,323,993	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$52,557,459	BOYAmt
EOY	$43,784,637	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$11,084,577	BOYAmt
EOY	$655,440	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$572,008,003	BOYAmt
EOY	$568,555,367	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$635,650,039	BOYAmt
EOY	$612,995,444	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$121,039,715	BOYAmt
EOY	$138,466,567	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,187,212	BOYAmt
EOY	$12,861,982	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$133,226,927	BOYAmt
EOY	$151,328,549	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$768,876,966	BOYAmt
EOY	$764,323,993	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$19,196,401	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$32,099,310	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$5,198,713	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Political Expenditures	$0	PoliticalExpendituresAmt
Volunteer Hours	0	VolunteerHoursCnt
Section4955 Organization Tax	$0	Section4955OrganizationTaxAmt
Section4955 Managers Tax	$0	Section4955ManagersTaxAmt
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$105,848	OtherActivitiesAmt
Total Lobbying Expenditures	$105,848	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	A PERCENTAGE OF THE 2021 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

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,051,014	BeginningYearBalanceAmt
Contributions	$3,382	ContributionsAmt
Investment Earnings Or Losses	$1,190,683	InvestmentEarningsOrLossesAmt
Other Expenditures	$423,923	OtherExpendituresAmt
Administrative Expenses	$4,203	AdministrativeExpensesAmt
End Year Balance	$10,816,953	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,434,350	BeginningYearBalanceAmt
Contributions	$2,045	ContributionsAmt
Investment Earnings Or Losses	$861,213	InvestmentEarningsOrLossesAmt
Other Expenditures	$232,378	OtherExpendituresAmt
Administrative Expenses	$14,217	AdministrativeExpensesAmt
End Year Balance	$10,051,014	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,795,769	BeginningYearBalanceAmt
Contributions	$11,630	ContributionsAmt
Investment Earnings Or Losses	$773,001	InvestmentEarningsOrLossesAmt
Other Expenditures	$132,571	OtherExpendituresAmt
Administrative Expenses	$13,479	AdministrativeExpensesAmt
End Year Balance	$9,434,350	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.04400	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.42300	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.53300	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$65,484	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$8,103,281	OtherCostOrOtherBasisAmt
Book Value	$8,168,765	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$401,570,198	OtherCostOrOtherBasisAmt
Depreciation	$66,084,976	DepreciationAmt
Book Value	$335,485,222	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,925,003	OtherCostOrOtherBasisAmt
Depreciation	$8,844,522	DepreciationAmt
Book Value	$5,080,481	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$431,126,058	OtherCostOrOtherBasisAmt
Depreciation	$305,988,254	DepreciationAmt
Book Value	$125,137,804	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$615,975	OtherCostOrOtherBasisAmt
Book Value	$615,975	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$474,488,247	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
ACCRUED PENSION	-$32,620
ACCRUED POST RETIREMENT MEDICAL BENEFITS	$4,057,684
DUE TO THIRD PARTY PAYORS	$18,590,164
DUE TO MERCY HEALTH CORPORATION	$513,936,903
ACCRUED LIABILITY, SELF INSURANCE LESS CURRENT	$23,809,221
OTHER LIABILITIES	$8,194,015

Field	Value	IRS element (for citing)
Total Liability	$568,555,367	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	FUNDS 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

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConductedTxt
Region Total Expenditures	$4,230,266	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$4,230,266	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$4,230,266	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART III ACCOUNTING METHOD:
SCHEDULE F, PART I:	METHOD USED TO REPORT ENDING BALANCE: EQUITY METHOD

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
Indiv Hospital Tailored Policy	Yes (X)	IndivHospitalTailoredPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	600.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,901,658	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,901,658	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,519,583	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,035,651	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,483,932	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,421,241	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,035,651	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,385,590	NetCommunityBenefitExpnsAmt
Total Expense	0.00990	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,270,706	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$146,270	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,124,436	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,768,569	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$972,414	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,796,155	NetCommunityBenefitExpnsAmt
Total Expense	0.01980	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,591,916	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,954,944	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,636,972	NetCommunityBenefitExpnsAmt
Total Expense	0.01490	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$166,851	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$166,851	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,798,042	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,073,628	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,724,414	NetCommunityBenefitExpnsAmt
Total Expense	0.03760	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$112,219,283	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$91,109,279	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,110,004	NetCommunityBenefitExpnsAmt
Total Expense	0.04750	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$36,231,669	BadDebtExpenseAmt
Reimbursed By Medicare	$64,378,965	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$71,045,849	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,666,884	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
JAVON BEA HOSPITAL
1	2400 N ROCKTON AVE	ROCKFORD	IL	61103	HTTPS://MERCYHEALTHSYSTEM.ORG/	0002048	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
VANMATRE HEALTH SOUTH
2	950 S MULFORD RD	ROCKFORD	IL	61108	WEBSITE: SEE SCH H, PART VI (PAGE 63)	0005215	Yes (X)					REHABILITATION

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit Report To Credit AgencyPermitReportToCreditAgencyInd	Permit Selling DebtPermitSellingDebtInd	Permit Defer Deny Rqr PaymentPermitDeferDenyRqrPaymentInd	Permit Legal Judicial ProcessPermitLegalJudicialProcessInd	Permit Other ActionsPermitOtherActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	No Emergency CareNoEmergencyCareInd	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd
JAVON BEA HOSPITAL
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	0	Yes (1)	Yes (1)	Yes (X)	MERCYHEALTHSYSTEM.ORG/COMMUNITY-NEEDS/	Yes (X)	WCHD.ORG	Yes (1)	19	Yes (1)	MERCYHEALTHSYSTEM.ORG/COMMUNITY-NEEDS/	0	Yes (1)	Yes (X)	200.000000000000	600.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	MERCYHEALTHSYSTEM.ORG/FINANCIAL-POLICIES	Yes (X)	MERCYHEALTHSYSTEM.ORG/FINANCIAL-POLICIES	Yes (X)	MERCYHEALTHSYSTEM.ORG/FINANCIAL-POLICIES	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
VANMATRE HEALTH SOUTH
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	0	Yes (1)	Yes (1)	Yes (X)	MERCYHEALTHSYSTEM.ORG/COMMUNITY-NEEDS/	Yes (X)	WCHD.ORG	Yes (1)	19	Yes (1)	MERCYHEALTHSYSTEM.ORG/COMMUNITY-NEEDS/	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000						Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE PART VI	Yes (X)	SEE PART VI	Yes (X)	SEE PART VI	Yes (X)	Yes (X)	Yes (X)			Yes (X)	Yes (1)				Yes (X)		0		Yes (X)			0		0	0	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
JAVON BEA HOSPITAL	PART V, SECTION B, LINE 5: JAVON BEA HOSPITAL COMPLETED AN INDEPENDENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE ROCKFORD REGIONAL HEALTH COUNCIL 2020 HEALTHY COMMUNITY STUDY WAS A KEY SOURCE OF DATA USED TO INFORM THE ASSESSMENT AND IMPLEMENTATION PLAN. THE ROCKFORD REGIONAL COUNCIL IS A NON-PARTISAN ORGANIZATION THAT FOCUSES ON IMPROVING THE QUALITY OF OUR REGION'S HEALTH. THE COUNCIL RECEIVED THE MAJORITY OF THE INFORMATION FOR THE 2020 COMMUNITY ANALYSIS FROM THE CENTER FOR APPLIED RESEARCH & ENGAGEMENT SYSTEMS (CARES). CARES IS A TECHNOLOGY ORGANIZATION HOUSED IN EXTENSION AT THE UNIVERSITY OF MISSOURI WHICH PROVIDES COMPREHENSIVE REPORTS IN A STANDARDIZED FORMAT SO THAT RESEARCHERS NO LONGER HAVE TO DOWNLOAD INDIVIDUAL PIECES OF INFORMATION TO PREPARE THESE REPORTS. 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 DATA AND FINDINGS FROM THIS COMPREHENSIVE STUDY PROVIDE THE FRAMEWORK FOR OUR ASSESSMENT AND IMPLEMENTATION PLAN WITH IDENTIFIED GOALS AND PRIORITIES. THE ROCKFORD REGIONAL HEALTH COUNCIL WORKED WITH A STEERING COMMITTEE CONSISTING OF BOONE COUNTY HEALTH DEPARTMENT, MERCYHEALTH, OSF HEALTHCARE, SWEDISHAMERICAN 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 PREPARE THE COMMUNITY ANALYSIS 2020 HEALTHY COMMUNITY STUDY. THIS IS A WIDE ARRAY OF ORGANIZATIONS WHO SPECIALIZE IN HEALTHCARE AND IN MEETING COMMUNITY NEEDS IN A LARGE PORTION OF THE WINNEBAGO COMMUNITY WHO PARTNERED TOGETHER TO PREPARE THIS REPORT AND TO IDENTIFY AREAS OF THE COMMUNITY WHERE THERE ARE PUBLIC HEALTH CONCERNS. THE 2020 STUDY INCLUDED THE FOLLOWING FOUR COMPONENTS: 1) A COMMUNITY ANALYSIS - FROM THE CENTER FOR APPLIED RESEARCH AND ENGAGEMENT SYSTEMS (CARES) - A COMPILATION OF DATA ON THE REPORT LOCATION (WINNEBAGO AND BOONE COUNTIES) FOR A WIDE VARIETY OF COMMUNITY HEALTH ISSUES AND TRENDS. 2) A QUICK FACTS HEALTH INDICATORS REPORT - A "GAS GAUGE" CHART THAT SHOWS DATA POINTS FOR VARIOUS METRICS FOR THE REPORT LOCATION COMPARED TO THE STATE AND THE U.S. THIS VISUALIZATION PROVIDED A SUPERIOR "DATA AT A GLANCE" FORMAT IN COMPARISON TO THE REST OF THE STATE AND THE NATION. 3) THE 2019 ILLINOIS REPORT FOR COUNTY HEALTH RANKINGS (CHR) AND ROADMAPS INCLUDING KEY COMPONENTS OF DEMOGRAPHICS, PHYSICAL ENVIRONMENT, SOCIAL AND ECONOMIC FACTORS, CLINICAL CARE, HEALTH BEHAVIORS, AND HEALTH OUTCOMES. COMMUNITIES USE THE RANKINGS TO GARNER SUPPORT FOR LOCAL HEALTH IMPROVEMENT INITIATIVES AMONG GOVERNMENT AGENCIES, HEALTH CARE PROVIDERS, COMMUNITY ORGANIZATIONS, BUSINESS LEADERS, POLICYMAKERS, AND THE PUBLIC. 4) AN ALTERNATIVE ANALYSIS FOR THE CHR METHODOLOGY USING COMPARABLE COUNTIES AND MSAS FROM ACROSS THE U.S. THAT WAS SELECTED BY TRANSFORM ROCKFORD (A LOCAL ROCKFORD ORGANIZATION).
VANMATRE HEALTH SOUTH	PART V, SECTION B, LINE 5: VAN MATRE ENCOMPASS HEALTH REHABILITATION HOSPITAL COMPLETED AN INDEPENDENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE ROCKFORD REGIONAL HEALTH COUNCIL 2020 HEALTHY COMMUNITY STUDY WAS A KEY SOURCE OF DATA USED TO INFORM THE ASSESSMENT AND IMPLEMENTATION PLAN. THE ROCKFORD REGIONAL COUNCIL IS A NON-PARTISAN ORGANIZATION THAT FOCUSES ON IMPROVING THE QUALITY OF OUR REGION'S HEALTH. THE COUNCIL RECEIVED THE MAJORITY OF THE INFORMATION FOR THE 2020 COMMUNITY ANALYSIS FROM THE CENTER FOR APPLIED RESEARCH & ENGAGEMENT SYSTEMS (CARES). CARES IS A TECHNOLOGY ORGANIZATION HOUSED IN EXTENSION AT THE UNIVERSITY OF MISSOURI WHICH PROVIDES COMPREHENSIVE REPORTS IN A STANDARDIZED FORMAT SO THAT RESEARCHERS NO LONGER HAVE TO DOWNLOAD INDIVIDUAL PIECES OF INFORMATION TO PREPARE THESE REPORTS. 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 DATA AND FINDINGS FROM THIS COMPREHENSIVE STUDY PROVIDE THE FRAMEWORK FOR OUR ASSESSMENT AND IMPLEMENTATION PLAN WITH IDENTIFIED GOALS AND PRIORITIES. THE ROCKFORD REGIONAL HEALTH COUNCIL WORKED WITH A STEERING COMMITTEE CONSISTING OF BOONE COUNTY HEALTH DEPARTMENT, MERCYHEALTH, OSF HEALTHCARE, SWEDISHAMERICAN 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 PREPARE THE COMMUNITY ANALYSIS 2020 HEALTHY COMMUNITY STUDY. THIS IS A WIDE ARRAY OF ORGANIZATIONS THAT SPECIALIZE IN HEALTHCARE AND IN MEETING COMMUNITY NEEDS IN A LARGE PORTION OF THE WINNEBAGO COMMUNITY WHO PARTNERED TOGETHER TO PREPARE THIS REPORT AND TO IDENTIFY AREAS OF THE COMMUNITY WHERE THERE ARE PUBLIC HEALTH CONCERNS. THE 2020 STUDY INCLUDED THE FOLLOWING FOUR COMPONENTS: 1) A COMMUNITY ANALYSIS - FROM THE CENTER FOR APPLIED RESEARCH AND ENGAGEMENT SYSTEMS (CARES) - A COMPILATION OF DATA ON THE REPORT LOCATION (WINNEBAGO AND BOONE COUNTIES) FOR A WIDE VARIETY OF COMMUNITY HEALTH ISSUES AND TRENDS. 2) A QUICK FACTS HEALTH INDICATORS REPORT - A "GAS GAUGE" CHART THAT SHOWS DATA POINTS FOR VARIOUS METRICS FOR THE REPORT LOCATION COMPARED TO THE STATE AND THE U.S. THIS VISUALIZATION PROVIDED A SUPERIOR "DATA AT A GLANCE" FORMAT IN COMPARISON TO THE REST OF THE STATE AND THE NATION. 3) THE 2019 ILLINOIS REPORT FOR COUNTY HEALTH RANKINGS (CHR) AND ROADMAPS INCLUDING KEY COMPONENTS OF DEMOGRAPHICS, PHYSICAL ENVIRONMENT, SOCIAL AND ECONOMIC FACTORS, CLINICAL CARE, HEALTH BEHAVIORS, AND HEALTH OUTCOMES. COMMUNITIES USE THE RANKINGS TO GARNER SUPPORT FOR LOCAL HEALTH IMPROVEMENT INITIATIVES AMONG GOVERNMENT AGENCIES, HEALTH CARE PROVIDERS, COMMUNITY ORGANIZATIONS, BUSINESS LEADERS, POLICYMAKERS, AND THE PUBLIC. 4) AN ALTERNATIVE ANALYSIS FOR THE CHR METHODOLOGY USING COMPARABLE COUNTIES AND MSAS FROM ACROSS THE U.S. THAT WAS SELECTED BY TRANSFORM ROCKFORD (A LOCAL ROCKFORD ORGANIZATION).
JAVON BEA HOSPITAL	PART V, SECTION B, LINE 6B: ROCKFORD REGIONAL HEALTH COUNCIL
VANMATRE HEALTH SOUTH	PART V, SECTION B, LINE 6B: ROCKFORD REGIONAL HEALTH COUNCILWINNEBAGO COUNTY HEALTH DEPARTMENT
JAVON BEA HOSPITAL	PART V, SECTION B, LINE 11: THE HOSPITAL USED THE ROCKFORD REGIONAL HEALTH COUNCIL'S 2020 HEALTHY COMMUNITY STUDY FOR THE LOCAL ASSESSMENT OF NEEDS AND THE COMMUNITY BENEFIT IMPLEMENTATION PLAN WAS COMPLETED IN 2020 BASED ON THIS STUDY. THE PLAN IS TO DEVELOP AND IMPLEMENT A MULTIFACETED COMMUNITY BENEFIT PLAN TO IMPROVE THE HEALTH AND WELL BEING 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 TO IMPROVE THE GENERAL HEALTH OF INDIVIDUALS LIVING IN THE PRIMARY SERVICE AREA INCLUDING:IMPROVE HEALTH CARE ACCESS BY DEVELOPING AND OFFERING VARIOUS ACCESS SITES AND VENUES FOR PRIMARY CARE MEDICAL SERVICES. ESTABLISH PHYSICIAN RESIDENCY PROGRAMS IN ROCKFORD. SUPPORT BRIDGE CLINIC SERVICES AND THE RONALD MCDONALD CARE MOBILE FOR NON- AND UNDER-INSURED PATIENTS AND CHILDREN.SAFE CARE COMMITMENT - IN RESPONSE TO COVID-19 AND TO EFFECTIVELY CARE FOR THE NEEDS OF THE COMMUNITY, JAVON BEA HOSPITAL PROVIDED ALTERNATIVE EDUCATION TO EMERGENCY MEDICAL SERVICE (EMS) PERSONNEL FOR ENHANCED SAFETY AND TREATMENT PROTOCOLS. JAVON BEA HOSPITAL EXPANDED TELEMEDICINE SERVICES TO INCREASE VIRTUAL ACCESS FOR OUR PATIENTS AND ALLOW EMS CREWS TO BE AVAILABLE FOR THOSE WITH CRITICAL ILLNESSES. JAVON BEA HOSPITAL PROVIDED COMMUNITY EDUCATION VIDEOS ADDRESSING COVID-19 QUESTIONS AND CONCERNS ALONG WITH HOW TO SAFELY WEAR A MASK.JAVON BEA HOSPITAL PARTNERS WITH MULTIPLE COMMUNITY-BASED ORGANIZATIONS IN WINNEBAGO COUNTY TO ACCOMPLISH SUCCESSFUL IMPLEMENTATION OF THESE STRATEGIES. DURING THE COURSE OF THIS TAX YEAR 2020 (FISCAL YEAR JULY 1, 2020-JUNE 30, 2021), AND THE PRIOR TAX YEARS, JAVON BEA HOSPITAL PARTICIPATED IN NUMEROUS COMMUNITY HEALTH FAIRS, PROVIDED FREE SCREENINGS AT OUR CLINICS AND IN CONJUNCTION WITH COMMUNITY-BASED ORGANIZATIONS, OFFERED SCREENINGS TO FREE AND SLIDING FEE SCHEDULE PRIMARY CARE CLINICS, AND SCHOOL DISTRICTS IN THE COUNTY. JAVON BEA HOSPITAL ALSO PROVIDES FINANCIAL INCENTIVES FOR THEIR EMPLOYEES TO PARTICIPATE IN SMOKING CESSATION PROGRAMS. ALL OF THESE EFFORTS ARE SUPPORTED THROUGH BROAD BASED MARKETING AND ADVERTISING PROGRAMS DIRECTED TO AUDIENCES IN BOTH COUNTIES PROMOTING THESE PROGRAMS.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.
VANMATRE HEALTH SOUTH	PART V, SECTION B, LINE 11: THE HOSPITAL USED THE ROCKFORD REGIONAL HEALTH COUNCIL'S 2020 HEALTHY COMMUNITY STUDY FOR THE LOCAL ASSESSMENT OF NEEDS AND THE COMMUNITY BENEFIT IMPLEMENTATION PLAN WAS COMPLETED IN 2020 BASED ON THIS STUDY. THE PLAN IS TO DEVELOP AND IMPLEMENT A MULTIFACETED COMMUNITY BENEFIT PLAN TO IMPROVE THE HEALTH AND WELL BEING 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 TO IMPROVE THE GENERAL HEALTH OF INDIVIDUALS LIVING IN THE PRIMARY SERVICE AREA INCLUDING:IMPROVE HEALTH CARE ACCESS BY DEVELOPING AND OFFERING VARIOUS ACCESS SITES AND VENUES FOR PRIMARY CARE MEDICAL SERVICES. ESTABLISH FAMILY PRACTICE AND INTERNAL MEDICINE PHYSICIAN RESIDENCY PROGRAMS IN ROCKFORD. SUPPORT BRIDGE CLINIC SERVICES AND THE RONALD MCDONALD CARE MOBILE FOR NON- AND UNDER-INSURED PATIENTS AND CHILDREN AND OFFER A WIDE VARIETY OF COMMUNITY EDUCATION HEALTH AND SCREENING PROGRAMS.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 EMS SURGE PLANNING, RESPONSE AND INFORMATION SHARING. PROVIDE ALTERNATIVE EDUCATION FOR EMERGENCY MEDICAL SERVICES. INCLUDING ENHANCED SAFETY AND TREATMENT PROTOCOLS BY OUR EMS SYSTEM AND THE REACT AIR MEDICAL CRITICAL CARE TRANSPORT PROGRAM. EXPANDED TELEMEDICINE SERVICES TO INCREASE VIRTUAL ACCESS FOR OUR PATIENTS AND ALLOW EMS CREWS TO BE AVAILABLE FOR THOSE WITH CRITICAL ILLNESSES DURING PANDEMIC. EXPANDED 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 AT ALL FACILITIES.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.
VANMATRE HEALTH SOUTH	PART V, SECTION B, LINE 16J: HTTPS://ENCOMPASSHEALTH.COM/LOCATIONS/VANMATREREHAB/FINANCIAL-ASSISTANCE
JAVON BEA HOSPITAL	PART V, SECTION B, LINE 18E: DEFERRING, DENYING OR REQUIRING A PAYMENT BEFORE PROVIDING MEDICALLY NECESSARY CARE DUE TO NONPAYMENT OF A PREVIOUS BILL FOR CARE COVERED UNDER THE HOSPITAL FACILITY'S FAP.
PART V, SECTION B, LINE 22D:	JAVON BEA HOSPITALTHE HOSPITAL FACILITY USED A LOOK-BACK METHOD BASED ON CLAIMS ALLOWED BY MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE HEALTH INSURERS THAT PAY CLAIMS TO THE HOSPITAL FACILITY DURING A PRIOR 12-MONTH PERIOD.
PART V, SECTION B, LINE 22D:	VANMATRE HEALTH SOUTHTHE HOSPITAL FACILITY USED A PROSPECTIVE MEDICARE OR MEDICAID METHOD.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE 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 PHYSICIANS COSTS INCLUDED IN THE HOSPITAL COST ACCOUNTING ANALYSIS. BAD DEBT AND CHARITY AT COST HAVE BEEN REMOVED FROM LINES 7A/7F/7G SINCE THOSE COSTS WERE PREVIOUSLY INCLUDED.
PART III, LINE 2:	ALL 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. IF THE PATIENT HAS NO INSURANCE AND DOESN'T QUALIFY FOR FINANCIAL ASSISTANCE, THE EXPECTED REIMBURSEMENT IS 75% OF BILLED CHARGES. 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.
PART III, LINE 4:	BAD DEBT EXPENSE IS ACCOUNTED FOR IN THE FOLLOWING MANNER (AS DETAILED IN NOTE 1 OF THE AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH CORPORATION, INC.) MERCY HEALTH CORPORATION, INC. IS THE PARENT COMPANY OF JAVON BEA HOSPITAL.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 FROM 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 ADJUSTMENT, 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.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 2021 AND 2020.
PART III, LINE 8:	REPORTED ON LINE 6 ARE ALLOWABLE MEDICARE COSTS PROVIDED BY THE COST REPORT. MEDICARE COSTS ARE ELIMINATED FROM THE SUBSIDIZED PROGRAMS ON PART 1, LN 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.
PART III, LINE 9B:	JAVON 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 WILL SUBMIT A CLAIM TO ALL 3RD PARTY PAYORS ON BEHALF OF THE PATIENT. WE HELP PATIENTS APPLY FOR ALL POSSIBLE INSURANCE OR ASSISTANCE SUCH AS CRIME VICTIMS, AN AUTOMOBILE ACCIDENT, WORKERS COMPENSATION, MEDICAID, COBRA, LOCAL ASSISTANCE AND/OR HOSPITAL FINANCIAL ASSISTANCE. IF THEY DO NOT QUALIFY FOR ANY OF THESE, WE CAN EXTEND PAYMENT OPTIONS SUCH AS MONTHLY PAYMENTS, CREDIT CARD PAYMENTS OR FINANCIAL ASSISTANCE. THIS IS OFFERED TO PATIENTS WHO ARE EXPERIENCING LEGITIMATE FINANCIAL HARDSHIPS AND ARE UNABLE TO PAY FOR ALL OR PART OF THE PATIENT'S MEDICAL CARE. FORGIVENESS MAY APPLY TO AN AMOUNT AFTER APPLYING ALL PAYMENTS SUCH AS AN INSURNACE COMPANY, HEALTH PLAN OR PERSONAL PAYMENTS, ANY NEGOTIATED DISCOUNTS OR ANY UNINSURED DISCOUNTS. IF A PATIENT ELIGIBLE FOR CHARITY CARE OR PARTIAL FINANCIAL ASSISTANCE STILL HAS A PORTION OF THE OUTSTANDING BALANCE DUE, OTHER ARRANGEMENTS ARE MADE. MONTHLY STATEMENTS ARE SENT AS PAYMENT REMINDERS FOR CONTRACTED ARRANGEMENTS. IN CASE OF DEFAULT, ADDITIONAL LETTERS AND CALLS ARE MADE TO BRING IT TO A CURRENT STATUS. AN ACCOUNT IS TURNED OVER TO A COLLECTION AGENCY ONLY AFTER NON-PAYMENT OR NO CONTACT IN 120 DAYS ALTHOUGH JBH WILL SUSPEND COLLECTION EFFORTS ONCE A COMPLETED APPLICATION HAS BEEN RECIEVED AND IS PENDING APPROVAL OR DENIAL.
PART V, SECTION A, LINE 3 FOOTNOTE VANMATRE:	VANMATRE HEALTH SOUTHDUE TO MAJOR COMPLICATIONS WITH COVID-19 ISSUES, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DID NOT GET POSTED ON TIME AND ONLINE. BUT IT IS POSTED NOW.
PART V, SECTION A VANMATRE WEBSITE:	VANMATRE HEALTH SOUTHHTTPS://MERCYHEALTHSYSTEM.ORG/LOCATION/VAN-MATRE-ENCOMPASS-HEALTH-REHABILITATION-HOSPITAL/
PART VI, LINE 2:	IN 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.
PART VI, LINE 3:	ALL 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.
PART VI, LINE 4:	JAVON 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 MORE THAN 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 $55,310 COMPARED TO THE STATE MEDIAN HOUSEHOLD INCOME OF $68,428 AND THE NATIONAL MEDIAN INCOME OF $64,994. THESE DISPARITIES ARE ALSO REFLECTED IN EDUCATION AND POVERTY RATES. UNEMPLOYMENT RATES HAVE IMPROVED WITH MOST RECENT FIGURES FOR WINNEBAGO COUNTY AT 8.1% BUT ARE STILL HIGH COMPARED TO THE STATE AT 7.1% AND THE NATION AT 6.0%. ONLY 23.0% OF WINNEBAGO COUNTY RESIDENTS ATTAIN A BACHELOR'S DEGREE OR HIGHER COMPARED WITH THOSE IN THE STATE AT 35.5% AND 32.9% IN THE NATION. MORE THAN 15.64% OF THE RESIDENTS IN WINNEBAGO COUNTY LIVE BELOW THE POVERTY LINE COMPARED TO STATE LEVELS OF 11.0% AND NATIONAL LEVELS OF 14.6%. 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 15.7% OF THE HOUSEHOLDS IN WINNEBAGO COUNTY.
PART VI, LINE 5:	LED 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 2020 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 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 9,301 CHILDREN SINCE THE INCEPTION OF THE PROGRAM IN 2003. THIS TOTALS MORE THAN $3.17 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. OVER 640 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.
PART VI, LINE 7, REPORTS FILED WITH STATES	IL
PART V, LINE 16A, FAP WEBSITE:	VANMATRE HEALTH SOUTHVANMATREREHAB.COM/EN/PATIENTS-AND-FAMILY/FINANCIAL-ASSISTANCE
PART V, LINE 16B, FAP APPLICATION WEBSITE:	VANMATRE HEALTH SOUTHVANMATREREHAB.COM/EN/PATIENTS-AND-FAMILY/FINANCIAL-ASSISTANCE
PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:	VANMATRE HEALTH SOUTHVANMATREREHAB.COM/EN/PATIENTS-AND-FAMILY/FINANCIAL-ASSISTANCE

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN CANCER SOCIETY
255 N MICHIGAN AVE STE 1200	CHICAGO	IL	60601	131788491	501(C)(3)	$5,000	PROGRAM SUPPORT
THE HAVEN NETWORK
124 N WATER ST	ROCKFORD	IL	61107	200620800	501(C)(3)	$5,000	PROGRAM SUPPORT
REGIONAL ACCESS MOBILIZATION PROJECT INC
202 MARKET ST	ROCKFORD	IL	61107	363149827	501(C)(3)	$5,000	PROGRAM SUPPORT
ROCKFORD UNIVERSITY
5050 E STATE ST	ROCKFORD	IL	61107	362167842	501(C)(3)	$5,000	PROGRAM SUPPORT
UNIVERSITY OF IL FOUNDATION
1305 W GREEN ST	URBANA	IL	618012900	376006007	501(C)(3)	$50,000	PROGRAM SUPPORT
ROCK RIVER DEVELOPMENT PARTNERSHIP
124 N WATER ST	ROCKFORD	IL	611073960	271153597	501(C)(3)	$40,000	PROGRAM SUPPORT
WINNEBAGO COUNTY ETSB (PULSEPOINT) - CITY OF ROCKFORD FIRE DEPT
204 SOUTH FIRST STREET	ROCKFORD	IL	61104	366006082	501(C)(3)	$13,000	PROGRAM SUPPORT
REMEDIES RENEWING LIVES
220 EASTON PARKWAY	ROCKFORD	IL	61108	362464898	501(C)(3)	$5,000	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	8	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	APPLICATIONS 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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAVON R BEA
PRESIDENT & CEO (SEE PAGES 74-77)	$0	$1,471,858	$0	$0	$0	$3,586,128	$0	$7,056,412	$0	$17,748	$0	$12,132,146	$0	$0
JOHN DORSEY
VP CLINICAL INTERGRATION	$448,378	$0	$161,638	$0	$4,572	$0	$34,353	$0	$17,463	$0	$666,404	$0	$0	$0
TODD ANDERSON
VP & CFO (AS OF 05/2020)	$0	$355,005	$0	$182,313	$0	$5,540	$0	$0	$0	$18,158	$0	$561,016	$0	$0
MARK L GOELZER MD
DIRECTOR/PHYSICIAN	$0	$355,312	$0	$142,289	$0	$4,364	$0	$11,400	$0	$17,748	$0	$531,113	$0	$0
ROBERT WALTERS
VP HOME CARE	$217,148	$0	$77,410	$0	$1,246	$0	$8,687	$0	$34,098	$0	$338,589	$0	$0	$0
SHANNON DUNPHY-ALEXANDER
SR EXECUTIVE DIRECTOR	$0	$237,151	$0	$75,861	$0	$229	$0	$11,400	$0	$4,517	$0	$329,158	$0	$0
WENDI AUBRY
REGIONAL PHARMACY MANAGER	$185,615	$0	$13,765	$0	$847	$0	$12,772	$0	$75,319	$0	$288,318	$0	$0	$0
PAUL VAN DEN HEUVEL FORMER
VICE PRESIDENT (THROUGH 04/2020)	$0	$141,873	$0	$66,244	$0	$32,741	$0	$17,847	$0	$9,710	$0	$268,415	$0	$0
MATTHEW PYCIOR
PERFUSIONIST	$213,898	$0	$0	$0	$6,630	$0	$35,568	$0	$927	$0	$257,023	$0	$0	$0
SUE SCHRIEBER
VP BUSINESS INTELLIGENCE	$81,343	$0	$5,436	$0	$134,116	$0	$5,668	$0	$15,604	$0	$242,167	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	THE CEO IS PAID FROM A RELATED ORGANIZATION, MERCY HEALTH SYSTEM CORPORATION (MHSC). MHSC USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE CEO: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. THE MERCY COMPENSATION COMMITTEE OF MHSC IS COMPRISED OF THE BOARD CHAIRPERSON, VICE CHAIR, AND SECRETARY/TREASURER. THE COMPENSATION COMMITTEE IS ASSISTED 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 2020.
PART I, LINES 4A-B	PAUL VAN DEN HEUVEL RECEIVED SEVERANCE OF $27,693 IN 2020 FROM MERCY HEALTH SYSTEM CORPORATION, A RELATED ORGANIZATION. INCENTIVE PLAN DISTRIBUTION: JAVON R. BEA - $2,627,335. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DURING FY2021 THAT WAS SPONSORED BY THE ORGANIZATION: JOHN DORSEY AND SUE SCHRIEBER. THERE WERE NO AMOUNTS PAID TO ANY PARTICIPANTS DURING THE YEAR UNDER THE PLAN.
PART II, LINE 2:	JAVON 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 $3.3 BILLION IN FY2021. THIS HAS ALLOWED THE HEALTH SYSTEM TO GO FROM SERVING 89,000 PATIENTS IN 1989 TO OVER 2.1 MILLION PATIENTS TODAY WORKING TOGETHER WITH OVER 7,300+ 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 11 STRAIGHT YEARS. THE TURNAROUND OF 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 TWO 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 ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 2	IN MAY 2021, THE LONG-TERM CARE DEPARTMENT (SUB-ACUTE CARE) OPENED.
FORM 990, PART III, LINE 3	AFTER OPENING THE LONG-TERM CARE DEPARTMENT (SUB-ACUTE CARE) IN MAY 2021, JBH REDUCED THE LICENSE FOR PSYCHIATRIC BEDS.
FORM 990, PART VI, SECTION A, LINE 1	THE 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, SECTION A, LINE 6	MERCY 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 CORPORATION'S 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, SECTION A, LINE 7A	SEE NARRATIVE FOR PART VI, LINE 6.
FORM 990, PART VI, SECTION A, LINE 7B	SEE NARRATIVE FOR PART VI, LINE 6.
FORM 990, PART VI, SECTION B, LINE 11B	MANAGEMENT REVIEWS THE FORM 990 BEFORE FILING AND IT IS AVAILABLE TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C	BY 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 MHC COMPLIANCE DEPARTMENT 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 2021, WHEN THE QUESTIONNAIRES WERE SENT TO ADDRESS ANY 2020 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 MHC CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19	NO DOCUMENTS AVAILABLE TO THE PUBLIC
FORM 990, PART XI, LINE 9:	CHANGES IN PENSION OBLIGATION OTHER THAN PENSION EXPENSE 11,356,503. POST RETIREMENT MEDICAL BENEFIT ADJUSTMENT -426,093. NET TRANSFERS TO AFFILIATES -6,137,281. UPMIFA 143,693. NET CHANGE IN BENEFICIAL INTEREST IN TRUST 531,077. MISCELLANEOUS ADJUSTMENT -274,224. RHIL TRANSFER 5,038.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ROCKFORD HEALTH SYSTEM VENTURES LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2400 N ROCKTON AVE	AddressLine1Txt
City	ROCKFORD	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61103	ZIPCd

Field	Value	IRS element (for citing)
EIN	364366881	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	IL	LegalDomicileStateCd
Total Income	$3,499,732	TotalIncomeAmt
End Of Year Assets	$12,691,768	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	JAVON BEA HOSPITAL	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
MERCYHEALTH VISITING NURSES ASSOCIATION
4223 E STATE STREET	ROCKFORD	IL	61108	362167945	HEALTHCARE	IL	501(C)(3)	LINE 10	MERCY HEALTH CORPORATION	0
MERCYHEALTH DEVELOPMENT FOUNDATION
2400 N ROCKTON AVEYUP	ROCKFORD	IL	61103	363197918	SUPPORT OF HEALTHCARE	IL	501(C)(3)	LINE 12A, I	MERCY HEALTH CORPORATION	0
ROCKFORD HEALTH PHYSICIANS
2400 N ROCKTON AVE	ROCKFORD	IL	61103	363907436	HEALTHCARE	IL	501(C)(3)	LINE 3	MERCY HEALTH CORPORATION	0
MERCY HEALTH CORPORATION
2400 N ROCKTON AVE	ROCKFORD	IL	61103	472158680	SUPPORT OF HEALTHCARE	IL	501(C)(3)	LINE 12B, II		0	N/A
MERCY HEALTH ASSOCIATION OF VOLUNTEERS
1000 MINERAL POINT AVE	JANESVILLE	WI	53548	390912682	SUPPORT OF HEALTHCARE	WI	501(C)(3)	LINE 12C, III-FI	MERCY HEALTH SYSTEM CORPORATION	0
MERCY HEALTH SYSTEM CORPORATION
1000 MINERAL POINT AVE	JANESVILLE	WI	53548	390816848	HEALTHCARE	WI	501(C)(3)	LINE 3	MERCY HEALTH CORPORATION	0
MERCY ASSISTED CARE INC
901 MINERAL POINT AVE	JANESVILLE	WI	53548	391035110	HEALTHCARE	WI	501(C)(3)	LINE 10	MERCY HEALTH CORPORATION	0
MERCY HARVARD HOSPITAL INC
901 GRANT STREET	HARVARD	IL	60033	311551871	HEALTHCARE	IL	501(C)(3)	LINE 3	MERCY HEALTH CORPORATION	0
MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER
200 LAKE AVE	WOODSTOCK	IL	60098	201673011	NONE	IL	501(C)(3)	LINE 3	MERCY HEALTH CORPORATION	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
ROCKFORD HEALTH INSURANCE LTD
WELLESLEY HOUSE SO 2ND FL	PEMBROKE HM	BD	INSURANCE	BD	JAVON BEA HOSPITAL	C	-$584,106	$4,230,266	1.00000	Yes (1)
JANESVILLE MEDICAL CENTER INC
			MANAGEMENT OF UNION EMPLOYEES			C				0	1000 MINERAL POINT AVE	JANESVILLE	WI	53548	391520130	WI	N/A
MERCYCARE INSURANCE COMPANY
			INSURANCE			C				0	580 N WASHINGTON ST	JANESVILLE	WI	53546	391768192	WI	N/A
MERCYCARE HMO INC - CONSOLIDATED WITH MERCYCARE INSURANCE CO
			INSURANCE			C				0	580 N WASHINGTON ST	JANESVILLE	WI	53546	201482553	WI	N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ROCKFORD HEALTH INSURANCE LTD
R	$153,061	NET BOOK VALUE
ROCKFORD HEALTH INSURANCE LTD
R	$836,000	AMOUNTS PAID