JAVON BEA HOSPITAL: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: JAVON BEA HOSPITAL (EIN 36-2167847)
Tax period: 2015-01-01 to 2015-06-30
Filed: 2016-03-29
IRS object ID: 201630899349300703
Schema version: 2014v6.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-03-29T08:01:02-05:00	ReturnTs
Tax Period End	2015-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE HORWATH LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	225 West Wacker Drive	AddressLine1Txt
Address Line2	Suite 2600	AddressLine2Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	606061224	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	362167847	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Rockford Memorial Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ROCK	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	Henry M Seybold	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2016-03-29	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	NICOLE BENCIK	PreparerPersonNm
PTIN	P00756195	PTIN
Phone	3128997000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JAVON BEA	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)
Gross Receipts	$224,385,676	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.RHSNET.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: Superior Care, Every Day, For all our patients. A 396-bed hospital with a Level 1 Trauma Center, Level III Neonatal Intensive Care Unit, the region's only Pediatric Intensive Care Unit & designated Disaster POD hospital.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	304	TotalVolunteersCnt
Total Gross UBI	$18,987	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$12,588,560	PYContributionsGrantsAmt
CY Contributions Grants	$1,951,521	CYContributionsGrantsAmt
PY Program Service Revenue	$353,344,658	PYProgramServiceRevenueAmt
CY Program Service Revenue	$182,126,903	CYProgramServiceRevenueAmt
PY Investment Income	$9,404,200	PYInvestmentIncomeAmt
CY Investment Income	$1,270,897	CYInvestmentIncomeAmt
PY Other Revenue	$1,949,518	PYOtherRevenueAmt
CY Other Revenue	$951,447	CYOtherRevenueAmt
PY Total Revenue	$377,286,936	PYTotalRevenueAmt
CY Total Revenue	$186,300,768	CYTotalRevenueAmt
PY Grants And Similar Paid	$770,756	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$442,201	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$145,668,209	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$73,756,811	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$185,681,108	PYOtherExpensesAmt
CY Other Expenses	$89,623,154	CYOtherExpensesAmt
PY Total Expenses	$332,120,073	PYTotalExpensesAmt
CY Total Expenses	$163,822,166	CYTotalExpensesAmt
PY Revenues Less Expenses	$45,166,863	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$22,478,602	CYRevenuesLessExpensesAmt
Total Assets BOY	$351,371,483	TotalAssetsBOYAmt
Total Assets EOY	$355,531,714	TotalAssetsEOYAmt
Total Liabilities BOY	$170,546,679	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$167,868,923	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$180,824,804	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$187,662,791	NetAssetsOrFundBalancesEOYAmt
Mission	The Mission of Rockford Health System and Rockford Memorial Hospital is "Superior Care, Every Day, For All Our Patients". We will fulfill our commitment through performance excellence, innovation, and lifelong learning.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$93,458,321	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$122,353,221	RevenueAmt
Desc	ROCKFORD MEMORIAL HOSPITAL IS A NOT-FOR-PROFIT CHARITABLE HEALTHCARE INSTITUTION THAT FUNCTIONS IN ACCORDANCE WITH ALL APPLICABLE LAWS AND REGULATIONS. IN THE COURSE OF OPERATIONS, RMH IS COMMITTED TO PROVIDE SUPERIOR CARE EVERY DAY FOR ALL ITS PATIENTS. RMH IS A 396-BED REGIONAL REFERRAL HOSPITAL WHICH INCLUDES A LEVEL I TRAUMA CENTER, LEVEL III NEONATAL INTENSIVE CARE UNIT AND THE REGION'S ONLY PEDIATRIC INTENSIVE CARE UNIT. DURING THE SIX MONTHS ENDED JUNE 30, 2015 PATIENT CARE WAS RENDERED TO 5,963 INDIVIDUALS WHO PRESENTED THEMSELVES FOR SERVICE INCLUDING 793 DELIVERIES AND 1,670 INPATIENT SURGERIES ALONG WITH SUPPORTING 26,940 EMERGENCY VISITS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$38,583,352	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$57,896,624	RevenueAmt
Desc	RMH 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, RMH PROVIDES PATIENT CARE, DIAGNOSTIC AND THERAPEUTIC SERVICES 24/7 TO ALL WHO PRESENT THEMSELVES FOR SERVICE. DURING THE SIX MONTHS ENDED JUNE 30, 2015, THAT INCLUDED 777 VISITS TO THE SLEEP LAB; 42,692 DIAGNOSTIC RADIOLOGY PROCEDURES OR TESTS; 3,008 RADIATION ONCOLOGY TREATMENTS; 16,799 CARDIAC PROCEDURES OR TESTS; 1,978 VISITS TO THE PAIN CLINIC; AND 90,785 RESPIRATORY THERAPY TREATMENTS. THROUGH THE OUTREACH SERVICES OF ROCKFORD HEALTH MEDICAL LABORATORIES (RHML), RMH HAS PROVIDED TIMELY AND RESPONSIVE LAB SERVICES TO OTHER HOSPITALS, PHYSICIANS' OFFICES, AND GOVERNMENT AGENCIES, WHILE THE IN-HOUSE LABORATORY PROVIDES TESTING FOR ALL WHO PRESENT THEMSELVES AT THE HOSPITAL FOR TREATMENT. DURING THE PERIOD 1/1/15-6/30/15, RHML PERFORMED 766,668 TESTS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$5,076,564	ExpenseAmt
Grant	$442,201	GrantAmt
Revenue	$1,699,950	RevenueAmt
Desc	RMH 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. RMH 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, RMH STAFFS THE CAREMOBILE WHICH PROVIDED 233 HEALTH AND DENTAL CHECKUPS AND BASIC HEALTH SERVICES TO 248 UNDERINSURED AND UNINSURED CHILDREN. RMH ALSO PROVIDES BOTH FOREIGN LANGUAGE AND HEARING IMPAIRED ASSISTANCE TO PATIENTS AND THEIR FAMILIES TO HELP THEM COMMUNICATE WITH MEDICAL PERSONNEL FOR TREATMENT. FUNDS WERE ALSO USED TO IMPROVE GENERAL HEALTHCARE CONDITIONS THROUGHOUT THE STATE. REVENUE USED TO HELP SUPPORT THESE ACTIVITIES IS PROVIDED BY INVESTMENT INCOME.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$247,403	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$159,367	RevenueAmt
Desc	THROUGH ROCKFORD MEMORIAL HOSPITAL AUXILIARY, RMH IS ABLE TO PROVIDE EXTRA FUNDS AND SERVICES TO SUPPORT ITS MISSION. THE AUXILIARY HAS 304 VOLUNTEERS WHO LOGGED NEARLY 15,000 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	$247,403	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$159,367	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$137,365,640	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	BD	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	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	DAVID VOLA CONTROLLER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
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

Form990 Part VII Section A Form990PartVIISectionAGrp (19 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
THOMAS D BUDD
TREASURER	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
GARY E KAATZ
PRESIDENT & CEO (Partial Year)	1.00	59.00	Yes (X)	Yes (X)	$0	$0	$0
DENNIS T UEHARA
VICE-CHAIR	20.50	6.00	Yes (X)	Yes (X)	$0	$0	$0
CONNIE M VITALI
CHAIR	2.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
NEYSA ALICEA
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
JACK J BECHERER
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
JOHN W CHADWICK
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
PAMELA S FOX
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
MICHAEL J FUMO MD
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
MARK L GOELZER MD
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
PAUL A GREEN
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
JOHN J MORRISSEY
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
JEFF R SMITH MD
Director	1.00	3.00	Yes (X)		$0	$0	$0
LARRY E SQUIRE
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
CURTIS D WORDEN
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
Jose L Gonzalez
Director (Partial Year)	1.00	53.00	Yes (X)		$0	$0	$0
JAVON BEA
CEO	1.00	41.00		Yes (X)	$0	$0	$0
JULIE PETERSON
SECRETARY	1.00	39.30		Yes (X)	$0	$0	$0
HENRY M SEYBOLD
CFO	3.00	43.00		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$516,941	RelatedOrganizationsAmt
Government Grants	$1,434,240	GovernmentGrantsAmt
All Other Contributions	$340	AllOtherContributionsAmt
Total Contributions	$1,951,521	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
INPATIENT ROUTINE & ANCILLARY	900099	$18,343,770	$18,343,770
OUTPATIENT & EMERGENCY	621400	$18,814,404	$18,814,404
DIAGNOSTIC & MEDICAL LABORATORY	621500	$7,169,306	$7,155,675	$13,631
MEDICARE/MEDICAID	900099	$136,530,653	$136,530,653
OTHER	900099	$1,268,770	$1,264,660	$4,110

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$182,126,903	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,011,603	TotalRevenueColumnAmt
Exclusion	$1,011,603	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$264,902	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$200,199	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$64,703	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$64,703	TotalRevenueColumnAmt
Exclusion	$64,703	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$38,096,603	SecuritiesAmt
Other	$47,400	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$37,864,856	SecuritiesAmt
Other	$19,853	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$231,747	SecuritiesAmt
Other	$27,547	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$259,294	TotalRevenueColumnAmt
Exclusion	$259,294	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA/FOOD SERVICE/CATERING	Desc
Business	722320	BusinessCd
Total Revenue Column	$886,744	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,246	UnrelatedBusinessRevenueAmt
Exclusion	$885,498	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$886,744	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$186,300,768	TotalRevenueColumnAmt
Related Or Exempt Func Income	$182,109,162	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$18,987	UnrelatedBusinessRevenueAmt
Exclusion	$2,221,098	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$442,201	TotalAmt
Program Services	$442,201	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$52,991,852	TotalAmt
Program Services	$43,265,795	ProgramServicesAmt
Management And General	$9,726,057	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,542,434	TotalAmt
Program Services	$2,339,102	ProgramServicesAmt
Management And General	$1,203,332	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,821,376	TotalAmt
Program Services	$11,858,471	ProgramServicesAmt
Management And General	$1,962,905	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,401,149	TotalAmt
Program Services	$3,103,704	ProgramServicesAmt
Management And General	$297,445	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$112,756	TotalAmt
Management And General	$112,756	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$165,505	TotalAmt
Management And General	$165,505	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$223,470	TotalAmt
Management And General	$223,470	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,269,666	TotalAmt
Program Services	$684,517	ProgramServicesAmt
Management And General	$585,149	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$641,035	TotalAmt
Program Services	$4,464	ProgramServicesAmt
Management And General	$636,571	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,460,602	TotalAmt
Program Services	$2,556,994	ProgramServicesAmt
Management And General	$1,903,608	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,059,795	TotalAmt
Program Services	$2,640,062	ProgramServicesAmt
Management And General	$2,419,733	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,716,301	TotalAmt
Program Services	$3,697,422	ProgramServicesAmt
Management And General	$1,018,879	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$69,387	TotalAmt
Program Services	$53,487	ProgramServicesAmt
Management And General	$15,900	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$371,075	TotalAmt
Program Services	$98,316	ProgramServicesAmt
Management And General	$272,759	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$653,660	TotalAmt
Program Services	$25,125	ProgramServicesAmt
Management And General	$628,535	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,919,933	TotalAmt
Program Services	$6,846,082	ProgramServicesAmt
Management And General	$2,073,851	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,047,948	TotalAmt
Program Services	$2,949,530	ProgramServicesAmt
Management And General	$98,418	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES/DRUGS	$23,810,627	$23,721,429	$89,198
HEALTHCARE SERVICES	$22,419,557	$22,407,056	$12,501
MEDICAID ASSESSMENT TAX	$6,311,690	$6,311,690
EQUIPMENT RENTAL/LEASE	$688,263	$324,754	$363,509

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,681,884	TotalAmt
Program Services	$4,035,439	ProgramServicesAmt
Management And General	$2,646,445	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$163,822,166	TotalAmt
Program Services	$137,365,640	ProgramServicesAmt
Management And General	$26,456,526	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$39,298,575	BOYAmt
EOY	$45,416,757	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,939,279	BOYAmt
EOY	$5,875,930	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$529,025	BOYAmt
EOY	$459,834	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$56,298,807	BOYAmt
EOY	$49,285,322	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,348	BOYAmt
EOY	$1,754,020	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,844,471	BOYAmt
EOY	$8,333,912	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,461,338	BOYAmt
EOY	$1,489,727	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$316,710,630	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$212,254,953	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$103,903,837	BOYAmt
EOY	$104,455,677	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$110,751,877	BOYAmt
EOY	$114,766,443	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$9,697,774	BOYAmt
EOY	$10,497,355	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$15,644,152	BOYAmt
EOY	$13,196,737	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$351,371,483	BOYAmt
EOY	$355,531,714	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$87,126,737	BOYAmt
EOY	$90,165,344	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$60,110,325	BOYAmt
EOY	$60,111,880	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$973,275	BOYAmt
EOY	$1,815,893	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$22,336,342	BOYAmt
EOY	$15,775,806	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$170,546,679	BOYAmt
EOY	$167,868,923	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$170,814,135	BOYAmt
EOY	$177,585,955	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,385,509	BOYAmt
EOY	$7,451,676	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,625,160	BOYAmt
EOY	$2,625,160	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$180,824,804	BOYAmt
EOY	$187,662,791	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$351,371,483	BOYAmt
EOY	$355,531,714	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$22,478,602	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,916,080	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$17,556,695	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	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 D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,393,620	BeginningYearBalanceAmt
Contributions	$27,318	ContributionsAmt
Investment Earnings Or Losses	$173,760	InvestmentEarningsOrLossesAmt
Other Expenditures	$31,796	OtherExpendituresAmt
Administrative Expenses	$7,371	AdministrativeExpensesAmt
End Year Balance	$8,555,531	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,866,965	BeginningYearBalanceAmt
Contributions	$56,884	ContributionsAmt
Investment Earnings Or Losses	$749,923	InvestmentEarningsOrLossesAmt
Other Expenditures	$266,529	OtherExpendituresAmt
Administrative Expenses	$13,623	AdministrativeExpensesAmt
End Year Balance	$8,393,620	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,847,928	BeginningYearBalanceAmt
Contributions	$148,494	ContributionsAmt
Investment Earnings Or Losses	$1,068,646	InvestmentEarningsOrLossesAmt
Other Expenditures	$186,672	OtherExpendituresAmt
Administrative Expenses	$11,431	AdministrativeExpensesAmt
End Year Balance	$7,866,965	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,085,799	BeginningYearBalanceAmt
Contributions	$69,541	ContributionsAmt
Investment Earnings Or Losses	$933,066	InvestmentEarningsOrLossesAmt
Other Expenditures	$224,548	OtherExpendituresAmt
Administrative Expenses	$15,930	AdministrativeExpensesAmt
End Year Balance	$6,847,928	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,926,437	BeginningYearBalanceAmt
Contributions	$95,812	ContributionsAmt
Investment Earnings Or Losses	$130,832	InvestmentEarningsOrLossesAmt
Other Expenditures	$44,441	OtherExpendituresAmt
Administrative Expenses	$22,841	AdministrativeExpensesAmt
End Year Balance	$6,085,799	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.043	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.439	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.518	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$65,484	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$2,535,488	OtherCostOrOtherBasisAmt
Book Value	$2,600,972	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$559,677	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$61,486,316	OtherCostOrOtherBasisAmt
Depreciation	$47,226,394	DepreciationAmt
Book Value	$14,819,599	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$99,060	OtherCostOrOtherBasisAmt
Depreciation	$98,965	DepreciationAmt
Book Value	$95	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$245,835,212	OtherCostOrOtherBasisAmt
Depreciation	$164,929,594	DepreciationAmt
Book Value	$80,905,618	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,129,393	OtherCostOrOtherBasisAmt
Book Value	$6,129,393	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$104,455,677	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Accrued PENSION	$10,667,779
Accrued POST RETIREMENT Medical Benefits	$5,108,027

Field	Value	IRS element (for citing)
Total Liability	$15,775,806	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part X FIN48 (ASC 740)

THERE IS NO FIN 48 LIABILITY AND AS SUCH, THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS DO NOT INCLUDE A FIN 48 DISCLOSURE.

Schedule D, Part V, Line 4 Intended uses of endowment funds

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.

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	175	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$923,959	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$923,959	NetCommunityBenefitExpnsAmt
Total Expense	0.0056	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$58,199,733	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,063,670	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,136,063	NetCommunityBenefitExpnsAmt
Total Expense	0.0314	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$59,123,692	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,063,670	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,060,022	NetCommunityBenefitExpnsAmt
Total Expense	0.0370	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$641,560	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,987	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$596,573	NetCommunityBenefitExpnsAmt
Total Expense	0.0036	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,106,673	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$260,641	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$846,032	NetCommunityBenefitExpnsAmt
Total Expense	0.0052	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,971,585	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,458,572	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$513,013	NetCommunityBenefitExpnsAmt
Total Expense	0.0031	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,295,696	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,295,696	NetCommunityBenefitExpnsAmt
Total Expense	0.0201	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$28,015,514	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,764,200	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,251,314	NetCommunityBenefitExpnsAmt
Total Expense	0.0321	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$87,139,206	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$75,827,870	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,311,336	NetCommunityBenefitExpnsAmt
Total Expense	0.0690	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,958,042	BadDebtExpenseAmt
Reimbursed By Medicare	$42,944,210	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$47,476,020	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,531,810	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	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	Critical Access HospitalCriticalAccessHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
ROCKFORD MEMORIAL HOSPITAL
1	2400 N ROCKTON AVE	ROCKFORD	IL	61103	HTTP://WWW.ROCKFORDHEALTHSYSTEM.ORG/ROCKFORD-MEMORIAL-HOSPITAL	0002048	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
VANMATRE HEALTH SOUTH
2	950 S MULFORD RD	ROCKFORD	IL	61108	HTTP://WWW.ROCKFORDHEALTHSYSTEM.ORG/VAN-MATRE-HEALTHSOUTH-REHABILITATION-HOSPITAL	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	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Strategy AttachedStrategyAttachedInd	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	Income Level CriteriaIncomeLevelCriteriaInd	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	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Collection ActivitiesCollectionActivitiesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Other Method UsedOtherMethodUsedInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	No Emergency CareNoEmergencyCareInd	Medicare RatesMedicareRatesInd
ROCKFORD MEMORIAL HOSPITAL
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	14	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	http://www.rockfordhealthcouncil.org/RHorg2013/?page_id=2879	Yes (X)	Yes (true)	14	Yes (true)	http://www.rockfordhealthsystem.org/about-us/community-benefit	false	false	Yes (true)	Yes (X)	1.75	3.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	http://www.rockfordhealthsystem.org/rmh-financial-assistance	Yes (X)	http://www.rockfordhealthsystem.org/rmh-financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (true)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
VANMATRE HEALTH SOUTH
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		14	Yes (true)	Yes (true)	false	Yes (true)				Yes (true)	14	Yes (true)	HTTP://WWW.ROCKFORDHEALTHSYSTEM.ORG/ABOUT-US/COMMUNITY-BENEFIT	false	false	Yes (true)	Yes (X)	2.0	4.0	Yes (X)						Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)					Yes (X)	Yes (X)		false	false			Yes (X)	Yes (X)	false		false	false	Yes (X)	http://www.rockfordhealthsystem.org/about-us/community-benefit	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - ROCKFORD MEMORIAL HOSPITAL. IN 2014, THE ROCKFORD HEALTH COUNCIL PRODUCED A REGIONAL HEALTH NEEDS ASSESSMENT WITH EXTENSIVE INTERVIEWS AND SURVEYS TAKEN DURING 2014. CONTACTS INCLUDED FOCUS GROUPS, HEALTH CARE PROVIDERS, COMMUNITY ANALYSIS, HOUSEHOLD SURVEYS ALL OF WHICH INCLUDED LOCAL AND STATE GOVERNMENT ORGANIZATIONS, LOCAL BUSINESSES, AND LOCAL EDUCATORS (PRE-SCHOOL THROUGH COLLEGE). THE SURVEY WAS DONE WITH FUNDING, COOPERATION, PARTICIPATION AND ASSISTANCE FROM ALL THREE ROCKFORD HOSPITALS - RMH, SWEDISHAMERICAN HOSPITAL AND ST. ANTHONY'S MEDICAL CENTER. SURVEY IS AVAILABLE AND WAS PROMULGATED WITHIN THE COMMUNITY BY THE ROCKFORD HEALTH COUNCIL, SURVEY PARTICIPANTS AND WAS MADE AVAILABLE ON ROCKFORD HEALTH COUNCIL'S WEBSITE.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - ROCKFORD MEMORIAL HOSPITAL. SWEDISHAMERICAN HOSPITAL AND ST. ANTHONY'S MEDICAL CENTER
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - ROCKFORD MEMORIAL HOSPITAL. The 2014 Healthy Community Study included analysis of various extant data related to demographics, social and economic factors, physical environment, clinical care, healthy behaviors, and health outcomes. In addition, the survey tool that was used targeted the following health related areas: general health, chronic disease/obesity, behavioral health, and maternal/prenatal and early childhood. The latter three areas had been identified in previous studies as priority areas. By focusing on these health related areas, more focused, timely, and longitudinal information will be available to evaluate effects of targeted efforts. In the analysis, some demographic and social and economic deficits were revealed. Specifically, the local community showed deficits around poverty percentages as compared to the state and to the US. In addition, the data revealed deficits in educational attainment rates around high school and college diploma rates as compared to the state. While these are crucial areas that need to be addressed by the community, many other organizations are more knowledgeable and better equipped to develop strategies to improve these areas. Programs and strategies have been and are being developed by a multitude of community organizations to begin to affect the educational attainment and poverty deficits. Some of these organizations include The Rockford Public School System, Rock Valley College, Alignment Rockford, Transform Rockford, Rockford Literacy Council, etc. While Rockford Health System does play a role in supporting these organizations and efforts, our community benefit plan focuses on affecting the health needs/deficits of the local community.
Schedule H, Part V, Section B, Line 22 Facility , 1	Facility , 1 - FACILITY A-ROCKFORD MEMORIAL HOSPITAL. ROCKFORD MEMORIAL HOSPITAL (RMH) PROVIDES CARE, WITHOUT DISCRIMINATION, FOR EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS REGARDLESS OF WHETHER THEY ARE FAP-ELIGIBLE. RMH DOES NOT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE BY DEMANDING PAYMENT PRIOR TO SERVICE. FAP-ELIGIBLE PATIENTS ARE NOT CHARGED MORE THAN AMOUNTS GENERALLY BILLED. IF THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE PATIENT WILL BE LIMITED IN LIABILITY TO 135% OF COST DETERMINED BY APPLYING RATIO OF COST TO CHARGES FROM MOST RECENTLY FILED MEDICARE COST REPORT TO UNINSURED PATIENT'S BILL. . THE MAXIMUM AMOUNT RMH MAY COLLECT IN A 12-MONTH PERIOD FROM A PATIENT IS 25% OF THE FAMILY'S GROSS ANNUAL INCOME. THIS POLICY DEFINES THE ILLINOIS HOSPITAL UNINSURED PATIENT DISCOUNT ACT. RMH ALSO PROVIDES TWO OTHER FINANCIAL ASSISTANCE PROGRAMS, TRADITIONAL AND CATASTROPHIC, ALONG WITH HUPDA AND WE APPLY THE HIGHEST DISCOUNT AMONG THE THREE PROGRAMS. THE AGB DISCOUNT PERCENTAGE IS TO BE DETERMINED UNDER A LOOK-BACK METHOD OF VARIOUS COMBINATIONS OF MEDICARE, COMMERCIAL INSURERS AND MEDICAID OR A PROSPECTIVE METHOD OF WHAT MEDICARE OR MEDICAID WOULD PAY.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - Van Matre HealthSouth Rehabilitation Hospital. SwedishAmerican Hospital and St. Anthony's Medical Center.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - VAN MATRE HEALTHSOUTH REHABILITATION HOSPITAL. AS THE PREMIER REHABILITATION FACILITY IN NORTHERN ILLINOIS, VAN MATRE, A 61-BED INPATIENT REHABILITATION HOSPITAL HAS BEEN FOCUSING ON PATIENT REHABILITATION BOTH IN INPATIENT REHABILITATION AS WELL AS OUTPATIENT THERAPY. THE NEED FOR REHABILITATION DUE TO STROKE AND NEUROLOGICAL DISORDERS IN NORTHERN ILLINOIS PROMPTED AN EXPANSION OF THE FACILITIES IN 2014. NEEDS OF THE COMMUNITY ARE CONTINUALLY REEVALUATED SO THAT VAN MATRE PATIENTS CAN QUICKLY RETURN TO LEADING ACTIVE AND INDEPENDENT LIVES.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	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 7E/7F/7G SINCE THOSE COSTS WERE PREVIOUSLY INCLUDED.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	All charges for any service provided by Rockford Memorial 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.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	Page 14. "Patient Service Revenue," The System recognizes patient service revenue associated with services provided to patients who have third-party payor coverage primarily on the basis of contractual rates for the services rendered. For uninsured patients that do not qualify for charity care, the System recognizes revenue on the basis of discounted rates established under the System's uninsured patient policy. The provision for contractual allowances (that is, the differences between established rates and expected third-party payor payments) and the discounts (that is, the difference between established rates and the amount billable) are recognized on the accrual basis. These amounts are deducted from gross patient service revenue to determine patient service revenue (net of contractual allowances and discounts). Based on the historical experience of the System, a significant portion of uninsured patients will be unwilling or unable to pay for services provided. Thus, the System records a provision for patient bad debts related to uninsured patients in the period the services are provided. The provision for patient bad debts is based on historical loss experience and is deducted from patient service revenue (net of contractual allowances and discounts) to determine net patient service revenue less provision for bad debts. The System also accrues retroactive adjustments under reimbursement agreements with third-party payors on an estimated basis in the period the related services are provided. Estimates are adjusted in future periods as final settlements are determined.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	The data reported for Medicare charges and payments is from the final Management Report produced by the firm that prepared the 2014 Cost Report as submitted to the Fiscal Intermediary in 2015 in compliance with all current regulations. 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. This Section B-Medicare also includes 50% of the Medicare activity from Van Matre Health South (VMHS) and the corresponding cost based entirely on their Medicare CCR.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	Rockford Memorial 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 any insurance 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. RMH accepts a variety of payments and alternative payment plans. 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 RMH will suspend collection efforts once a completed application has been received and is pending approval or denial.
Schedule H, Part V, Section B, Line 16a FAP website	- ROCKFORD MEMORIAL HOSPITAL: Line 16a URL: http://www.rockfordhealthsystem.org/rmh-financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- ROCKFORD MEMORIAL HOSPITAL: Line 16b URL: http://www.rockfordhealthsystem.org/rmh-financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	In 2014, Rockford Health System partnered with other local health care providers and educational, government, and business leaders to support the efforts of the Rockford Health Council in developing a tool and completing a study that identified various areas affecting the quality of life for our residents. Formed in 1995 as a not-for-profit community membership collaborative, Rockford Health Council is comprised of various community leaders and is committed to promoting health and improving access for the residents of northern Illinois. The 2014 Healthy Community Study included a comprehensive community analysis that reviewed demographic, socioeconomic, general health behavior, and disease incidence and mortality information for the residents of Winnebago and Boone Counties and provided comparisons to state and national data. A household survey which focused on demographic, general health conditions, behavioral health, maternal, prenatal, and early childhood health, and chronic disease and obesity was also distributed to residents throughout the community. In addition, a key informant questionnaire was conducted with various individuals throughout the community to identify health and human service needs. The completed study is available on the Rockford Health System and Rockford Health Council respective websites. In addition to the 2014 Healthy Community Study, Rockford Health System completed a community needs assessment in order to plan for and anticipate future clinical program needs and related physician requirements specific to our local and regional community. This study analyzed physicians by specialty within the community including review of suggested physician manpower requirements as determined by population forecasts, physician age, and physician accessibility of the local area and forms the basis for physician recruitment and succession planning. Out-migration analysis was also completed. Understanding why residents of the local community leave the area for various inpatient services is used to plan for future clinical programs and services that may not be readily available in our local community. The study looks at pediatric versus adult patients, actual patient diagnosis and hospital services received. All of these tools were used to develop the Rockford Health System Community Benefit Implementation Plan which was approved by the Board of Directors in 2014. An oversight committee meets routinely to ensure plan implementation of the various strategies and tactics with a progress report provided to the Board on an annual basis.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	RMH posts signs in both Spanish and English in all general registration areas and the Emergency Department to indicate that financial assistance is available for those who qualify. The organization's website states "Patients throughout Rockford Health System are treated regardless of their ability to pay. Click on the entity above to learn more." The RMH link to financial assistance and discount programs explains the process in this manner "Rockford Health System provides health care regardless of the patient's ability to pay for such care. These guidelines are intended to provide a framework to offer assistance to patients and families with legitimate financial hardship, who are unable to pay for all or a portion of their medical care. Covered services are those which are determined medically necessary by a physician. Our financial assistance programs are based on whether you have insurance coverage of any kind or are uninsured."
Schedule H, Part VI, Line 4 Community information	Rockford Memorial Hospital is located in Rockford, IL (Winnebago County) with a defined primary service area that includes Winnebago, Boone, and Ogle Counties. 2013 US Census Bureau estimates project the population for the entire area at slightly more than 400,500 individuals with a little more than 73% living in Winnebago County (approximately 293,000). Located in northern Illinois, the primary service area 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 197,000 individuals. The next largest community is Belvidere, located in Boone County where the entire county has a population of approximately 54,000 people. In calendar year 2014, approximately 84% of hospital inpatients were from the Primary Service Area. 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 Chrysler (Boone County), the Rockford Public Schools, and the three Rockford health care providers. The most recent median household income figures (U.S. Census Bureau) in Winnebago County were $47,000 compared to the state's median household income of $54,000. These disparities are also reflected in unemployment, education and poverty rates. Unemployment rates have improved with most recent figures for Rockford at 7.2%. Only 21% of Winnebago County residents attain a bachelor's degree or higher while in the state 31% do. More than 17% of the residents in Winnebago County live below the poverty line and children in the community have been particularly hit with more than 27% considered at or below poverty levels. The hospital also serves the secondary service area which includes DeKalb, McHenry, Whiteside, Lee, LaSalle, Stephenson and Rock counties for select tertiary services.
Schedule H, Part VI, Line 5 Promotion of community health	Led by a community board of directors, Rockford Memorial Hospital (RMH) 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 Council 2013 Healthy Community Study, the 2014 - 2017 Community Benefit Implementation Plan identified several key areas to focus efforts. For example, as the predominate provider of pediatric services, Rockford Memorial maintains its commitment to the children of our community. This is evident in our support of the Ronald McDonald Care Mobile which provides free dental and medical care to uninsured and underinsured children in five northern Illinois 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 6,500 children since the inception of the program in 2003. This totals more than $1.85 million in free care over the life of the program. The Care Mobile is completely funded by philanthropy from the Rockford Memorial Development foundation, Rockford Memorial Hospital Auxiliary, and the Ronald McDonald House 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 less fortunate individuals in our community to better manage their chronic conditions. Since 2012, Rockford Memorial continues to partner with A Silver Lining Foundation to provide free breast health services to un- and under-insured women in the community. Approximately 500 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 Rockford Memorial makes to promote and improve the health of the community. Rockford Memorial remains committed to educating the public about various health care issues and initiatives and improving the lives of our citizens. RMH does not restrict admission of providers and provides an open medical staff.
Schedule H, Part VI, Line 7 State filing of community benefit report	IL

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
GIGI'S PLAYHOUSE ROCKFORD
8801 N Second St Suite 2	MACHESNEY PARK	IL	61115	462014837	501(C)(3)	$16,667	Program Support
AMERICAN CANCER SOCIETY
225 N MICHIGAN AVE	CHICAGO	IL	60601	362167721	501(C)(3)	$10,000	PROGRAM SUPPORT	STE 1200
HEALING PATHWAYS - CANCER RESOURCE CENTER
3921 E STATE ST	ROCKFORD	IL	611082053	262173633	501(C)(3)	$7,200	PROGRAM SUPPORT	STE D
MARCH OF DIMES
1275 MAMARONECK AVE	WHITE PLAINS	NY	106055201	131846366	501(C)(3)	$10,000	Program Support
MCHC Chicago Hospital Council
222 S RIVERSIDE PLAZA 19TH FLOOR	Chicago	ID	606065808	362167008	501(c)(3)	$16,294	PROGRAM SUPPORT
ROCK VALLEY COLLEGE
3301 N MULFORD RD	Rockford	ID	611145640	363037232	501(c)(3)	$27,000	PROGRAM SUPPORT
ROCKFORD HEALTH COUNCIL
1601 PARKVIEW AVE	Rockford	ID	611071822	363229371	501(c)(3)	$22,000	PROGRAM SUPPORT
University of Illinois College of Medicine
Harker Hall	Urbana	IL	61801	376006007	501(c)(3)	$25,000	PROGRAM SUPPORT	1305 W Green St
Rockford Rescue Mission
715 W State St	Rockford	IL	611022203	366132381	501(c)(3)	$18,167	PROGRAM SUPPORT
Community Foundation of Northern Illinois
946 N Second St	Rockford	IL	61107	364402089	501(c)(3)	$18,000	PROGRAM SUPPORT
Alignment Rockford
815 N Church Street Suite 201	Rockford	IL	61103	271329316	501(c)(3)	$7,500	PROGRAM SUPPORT
Rockford University
5050 E State St	Rockford	IL	611082311	362167842	501(c)(3)	$7,100	PROGRAM SUPPORT
Black Healthcare Initiative Coalition
PO Box 8382	Rockford	IL	61126	363863054	501(c)(3)	$6,500	PROGRAM SUPPORT
Regional Access Mobilization Project Inc
202 Market St	Rockford	IL	611073954	363149827	501(c)(3)	$6,000	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	14	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds

APPLICATIONS ARE SUBMITTED TO THE HOSPITAL VERIFYING A NEED FOR FUNDS OR PRODUCTS (I.E. AUTOMATIC ELECTRONIC DEFIBRILATORS-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.

Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
ILLINOIS FINANCE AUTHORITY
A	861091967	2012-05-02	$35,075,000	REFUND 1997 SERIES BONDS	false	false	false
ILLINOIS FINANCE AUTHORITY
B	861091967	2008-12-11	$32,782,769	REFUND 1994 SERIES BONDS	false	false	false	45200FSG5

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$7,695,000	$0	$35,075,000	$0	$0	$0	$536,807	$0	$0	$0	$34,538,193	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$32,782,769	$0	$0	$0	$511,397	$17,524	$0	$0	$32,253,849	$0	2008	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Total Private Business UseTotalPrivateBusinessUsePct
A	0.0
B	0.0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
(no name)
A	false	Yes (true)	false	false	false	false	false	false	Yes (true)
JP MORGAN CHASE
B	false	Yes (true)	false	false	Yes (true)	Yes (true)	false	false	Yes (true)	10.3	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule K, Part I, Column (e) Issue Price Not Identical to Form 8038	FormAndLineReferenceDesc
Explanation	The total issuance of the 2008 bonds issued from Illinois Finance Authority were issued to RMH and a related organization, Rockford Health Physicians (RHPH). RMH has reported its share of the issuance on Form 990, Part X, line 20, and accordingly has reported consistently for purposes of Schedule K. The total issue price per the Form 8038 is $60,800,000, and RHPH reports the difference on its Form 990.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RMH PATHOLOGISTS LTD	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	PARTNERSHIP OWNED 25% BY CONNIE VITALI, CURRENT DIRECTOR	RelationshipDescriptionTxt
Transaction	$109,031	TransactionAmt
Transaction	CONTRACT FOR PATHOLOGY SERVICES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CoreFormPartIII_PartIIILine4d Description of other program services	(Expenses $ 247,403 including grants of $ 0)(Revenue $ 159,367) THROUGH ROCKFORD MEMORIAL HOSPITAL AUXILIARY, RMH IS ABLE TO PROVIDE EXTRA FUNDS AND SERVICES TO SUPPORT ITS MISSION. THE AUXILIARY HAS 304 VOLUNTEERS WHO LOGGED NEARLY 15,000 HOURS WHILE ASSISTING WITH GREETING VISITORS, TRANSPORTING PATIENTS, FLORAL OR GIFT DELIVERIES, THRIFT SHOP AND GIFT SHOP ACTIVITIES, AND OTHER SERVICES AS REQUESTED. THE VOLUNTEERS' EFFORTS PROVIDE EXTRA FUNDS AND ENHANCE THE OVERALL HOSPITAL EXPERIENCE FOR PATIENTS, VISITORS AND STAFF.
Form 990, Part V, Line 1a Form 1096	The organization is filing for a short year for the period 1/1/15-6/30/15; as such, no calendar year ended within its tax year. Therefore, in accordance with the instructions, the organization has reported zero on this line.
Form 990, Part V, Line 2a Form W-3	The organization is filing for a short year for the period 1/1/15-6/30/15; as such, no calendar year ended within its tax year. Therefore, in accordance with the instructions, the organization has reported zero on this line.
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION FOR TOP MANAGEMENT OFFICIAL	NOTE THAT NO COMPENSATION REVIEW WAS COMPLETED FOR THE SHORT PERIOD 1/1/15-6/30/15 FOR WHICH THIS RETURN IS BEING FILED. COMPENSATION FOR EXECUTIVES, INCLUDING THE TOP MANAGEMENT OFFICIAL, IS GOVERNED BY THE RHS BOARD OF DIRECTORS. THE RHS BOARD HAS ESTABLISHED A TOTAL COMPENSATION PHILOSOPHY THAT DIRECTS THE COMPENSATION PRACTICES FOR ALL EXECUTIVES. THIS BOARD HAS ESTABLISHED A COMPENSATION COMMITTEE TO ESTABLISH AND REVIEW ALL EXECUTIVE COMPENSATION ANNUALLY BASED ON THE ESTABLISHED PHILOSOPHY. AN EXTERNAL EXECUTIVE COMPENSATION FIRM PROVIDES CONSULTING ON RHS SALARY RANGES AND COMPENSATION PHILOSOPHY. THE APPROPRIATE PEER GROUP FOR COMPENSATION COMPARISON PURPOSES IS OTHER NOT-FOR-PROFIT HEALTHCARE SYSTEMS SIMILAR IN SIZE AND COMPLEXITY. RHS GENERALLY CONDUCTS AN ANALYSIS OF TOTAL COMPENSATION EVERY THREE YEARS BUT MAY CHOOSE TO VARY FROM THIS SCHEDULE AS DETERMINED BY THE COMPENSATION COMMITTEE.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION FOR OTHER OFFICERS	NOTE THAT NO COMPENSATION REVIEW WAS COMPLETED FOR THE SHORT PERIOD 1/1/15-6/30/15 FOR WHICH THIS RETURN IS BEING FILED. COMPENSATION FOR EXECUTIVES, INCLUDING OTHER OFFICERS AND KEY EMPLOYEES, IS GOVERNED BY THE RHS BOARD OF DIRECTORS. THE RHS BOARD HAS ESTABLISHED A TOTAL COMPENSATION PHILOSOPHY THAT DIRECTS THE COMPENSATION PRACTICES FOR ALL EXECUTIVES. THIS BOARD HAS ESTABLISHED A COMPENSATION COMMITTEE TO ESTABLISH AND REVIEW ALL EXECUTIVE COMPENSATION ANNUALLY BASED ON THE ESTABLISHED PHILOSOPHY. AN EXTERNAL EXECUTIVE COMPENSATION FIRM PROVIDES CONSULTING ON RHS SALARY RANGES AND COMPENSATION PHILOSOPHY. THE APPROPRIATE PEER GROUP FOR COMPENSATION COMPARISON PURPOSES IS OTHER NOT-FOR-PROFIT HEALTHCARE SYSTEMS SIMILAR IN SIZE AND COMPLEXITY.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	The voting members of the RHS Executive Committee consists of seven individuals, each of whom shall have a vote, including: the RHS CEO, the chairman, vice-chairman, immediate past chairman, treasurer, and 2 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. The executive committee shall review reports from the RHS CEO regarding the performance of executives of the corporation and affiliated corporations, monitor the performance of the RHS CEO of the corporation against annual objectives, and determine the compensation level of the RHS CEO. In addition, when the board of directors is not in session, the executive committee shall have all the powers, duties, responsibilities and authority of the board, except as prohibited by law.
Form 990, Part VI, Line 6 Classes of members or stockholders	Rockford Health System (RHS) is the sole member. RHS's rights are as follows: (a) Appoint all the directors of the corporation. (b) Nominate to the corporation's board of directors all candidates for selection as the corporation's president. (c) Approve expressly all amendments to the corporation's articles of incorporation and by-laws. (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 RHS or as directed by RHS, or the execution of contracts) which would improve the credit worthiness or otherwise result in financial benefit to RHS and its tax-exempt Affiliated Corporations (provided that under no circumstances may RHS 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 corporation's 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 RHS. (k) Approve material amendments to the standard compensation system used by the corporation to establish individual physician compensation; and (l) Require the corporation's board of directors to take any action (including amending the corporation's articles of incorporation or by-laws), or to modify or rescind an action already taken, if the member determines that failure to take the action, or to modify or rescind an action already taken, may result in the corporation's failure to obtain or maintain its exemption as an organization described in Section 501(c)(3) of the Code;
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	SEE NARRATIVE FOR FORM 990, PART VI, LINE 6.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	SEE NARRATIVE FOR FORM 990, PART VI, LINE 6.
Form 990, Part VI, Line 11b Review of form 990 by governing body	The data was gathered by the accounting staff with input from the executive staff. The data was reviewed and the Form 990 prepared by the RHS staff. Once the Form 990 was completed, it was reviewed by an independent accounting firm and the organization's CFO.
Form 990, Part VI, Line 12c Conflict of interest policy	By written policy, RHS sends out, on an annual basis, the corporate Conflict and Duality of Interest policy to all Board members, corporate officers and other key individuals (those having responsibility and authority to make final decisions regarding the acquisition of products or services). Each recipient is required to complete a Financial Interest Disclosure Statement, which is submitted to the Vice President, Legal Services/General Counsel for review. With respect to physicians and managers who are key individuals, any potential conflict of interest is reviewed with the appropriate executive staff member for follow up with the disclosing party in order to review the matter in more detail. This includes emphasizing that the disclosing party is not permitted to participate in any negotiations for the purchase of any products or services where the conflict is deemed material, or authorize the subsequent purchase of related goods and services. The disclosing party is also required to identify each and every instance of a potential conflict as they may arise in the ordinary course of business. A similar process is followed for the Board of Directors, except that any potential conflict is reviewed by the Board's Governance Committee. Board members may comment on transactions where there is a potential conflict, but cannot vote on the related matter and may be required to leave any meeting where the potential conflict is reviewed by the Board or where the Board takes action to either approve or not approve the proposed transaction. A board member also has a continuing duty to report any conflicts as they may arise in the ordinary course of business. In the event that a potential conflict of interest is reported or discovered outside the established process, appropriate review and action would be taken. This process was last completed in 2015, when the questionnaires were sent to address any 2014 conflicts identified. RHS and RMH have the same board, and therefore the RHS questionnaire is used to also address potential and actual conflicts for the filing organization. The RHS Conflict of Interest Policy is available upon request.
Form 990, Part VI, Line 19 Required documents available to the public	Financial statements are available through the Illinois Attorney General's Office. Governing documents are available by request from the board secretary. The conflict of interest policy is not published but is available upon request.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Pension-Related changes other than net periodic pension cost - 2890932; Post-retirement medical benefit-related changes other than net periodic post-retirement cost - 959649; Net assets released from restrictions used for capital - 19705; Transfer to/from affiliates - -21493148; UPMIFA - 34419; Net change in beneficial interest in trust - 31748;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ROCKFORD HEALTH SYSTEM VENTURES LLC
2400 N ROCKTON AVE	ROCKFORD	IL	61103	364366881	HEALTHCARE	IL	$1,999,073	$10,497,355	RMH
RHS Regional Health Network LLC
2400 N ROCKTON AVE	ROCKFORD	IL	61103	371755792	PROMOTION OF HEALTHCARE FOR THE COMMUNITY	IL	-$396,694	$0	Rockford Memorial Hospital

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 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
VISITING NURSES ASSN OF THE ROCKFORD AREA
4223 E STATE STREET	ROCKFORD	IL	61108	362167945	HEALTHCARE	IL	501(c)(3	9	ROCKFORD HEALTH SYSTEM	Yes (true)
ROCKFORD HEALTH SYSTEM
2400 N ROCKTON AVE	ROCKFORD	IL	61103	363197915	SUPPORT OF HEALTHCARE	IL	501(c)(3	Type III-FI	MRHS	false
ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION
2400 N ROCKTON AVE	ROCKFORD	IL	61103	362197918	SUPPORT OF HEALTHCARE	IL	501(c)(3	Type I	ROCKFORD HEALTH SYSTEM	Yes (true)
ROCKFORD HEALTH PHYSICIANS
2300 N ROCKTON AVE	ROCKFORD	IL	61103	363097436	HEALTHCARE	IL	501(c)(3	3	ROCKFORD HEALTH SYSTEM	Yes (true)
MercyRockford Health System Corporation
2400 N Rockton Ave	Rockford	IL	61103	472158680	Support of Healthcare	IL	501(c)(3	Type I	NA	false
MERCY ALLIANCE INC
1000 MINERAL POINT AVE	JANESVILLE	WI	53548	391679859	SUPPORT OF HEALTHCARE	WI	501(c)(3	Type I	MERCYROCKFORD HEALTH SYSTEM	false
MERCY HEALTH SYSTEM ASSOCIATION OF VOLUNTEERS
1000 MINERAL POINT	JANESVILLE	WI	53548	390912682	SUPPORT OF HEALTHCARE	WI	501(c)(3	Type III-FI	MERCY HEALTH SYSTEM CORPORATION	false
MERCY FOUNDATION INC
1000 MINERAL POINT	JANESVILLE	WI	53548	237275336	SUPPORT OF HEALTHCARE	WI	501(c)(3	Type I	MERCY HEALTH SYSTEM CORPORATION	false
MERCY HEALTH SYSTEM CORPORATION
1000 MINERAL POINT	JANESVILLE	WI	53548	390816848	HEALTHCARE	WI	501(c)(3	3	MERCY ALLIANCE INC	false
MERCY ASSISTED CARE INC
901 MINERAL POINT	JANESVILLE	WI	53548	391035110	HEALTHCARE	WI	501(c)(3	9	MERCY ALLIANCE INC	false
MERCY HARVARD HOSPITAL INC
901 GRANT STREET	HARVARD	IL	60033	311551871	HEALTHCARE	IL	501(c)(3	3	MERCY ALLIANCE INC	false
HARVARD MEMORIAL HOSPITAL FOUNDATION
901 GRANT STREET	HARVARD	IL	60033	364308662	SUPPORT OF HEALTHCARE	IL	501(c)(3	Type I	MERCY HARVARD HOSPITAL INC	false
MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER
1000 MINERAL POINT	JANESVILLE	WI	53548	201673011	NONE	IL	501(c)(3	3	MERCY ALLIANCE INC	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

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
ROCKFORD HEALTH INSURANCE LTD
INSURANCE	BD	NA	C Corporation	$41,372	$634,587	1	false
JANESVILLE MEDICAL CENTER INC
MANAGEMENT OF UNION EMPLOYEES		MERCY HEALTH SYSTEM CORPORATION	C Corporation				false	1000 MINERAL POINT	JANESVILLE	WI	53548	391520130	WI
MERCYCARE INSURANCE COMPANY
INSURANCE		MERCY HEALTH SYSTEM CORPORATION	C Corporation				false	3430 PALMER DRIVE	JANESVILLE	WI	53545	391768192	WI
MERCYCARE HMO INC - CONS W MERCYCARE INS CO
INSURANCE		MERCY HEALTH SYSTEM CORPORATION	C Corporation				false	3430 PALMER DRIVE	JANESVILLE	WI	53545	201482553	WI

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