STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

ROCKFORD HEALTH PHYSICIANS: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
ROCKFORD HEALTH PHYSICIANS (EIN 36-3907436)
Tax period
2015-01-01 to 2015-06-30
Filed
2016-03-29
IRS object ID
201640899349300604
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-03-29T08:00:33-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 West Wacker DriveAddressLine1Txt
Address Line2Suite 2600AddressLine2Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP606061224ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363907436EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Rockford Health PhysiciansBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlROCKBusinessNameControlTxt
Phone8159715000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12300 N ROCKTON AVEAddressLine1Txt
CityROCKFORDCityNm
State AbbreviationILStateAbbreviationCd
ZIP61103ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonHenry M SeyboldPersonNm
Person TitleCFOPersonTitleTxt
Signature2016-03-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNICOLE BENCIKPreparerPersonNm
PTINP00756195PTIN
Phone3128997000PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1JAVON BEABusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12300 N ROCKTON AVEAddressLine1Txt
CityROCKFORDCityNm
State AbbreviationILStateAbbreviationCd
ZIP61103ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$61,778,376GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RHSNET.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1993FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTo improve and protect the health and welfare of the community, we have 188 providers skilled at 39 specialties. Our physicians also provide staff for Rockford Memorial Hospital patients' needs (i.e. Level I Trauma Center; Brain & Spine Center; Level III Regional Perinatal Center & 44-bed Neonatal ICU).ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$19,753PYContributionsGrantsAmt
CY Contributions Grants$107,670CYContributionsGrantsAmt
PY Program Service Revenue$90,117,406PYProgramServiceRevenueAmt
CY Program Service Revenue$44,863,695CYProgramServiceRevenueAmt
PY Investment Income$40,307PYInvestmentIncomeAmt
CY Investment Income$12,698CYInvestmentIncomeAmt
PY Other Revenue$31,515,809PYOtherRevenueAmt
CY Other Revenue$16,717,589CYOtherRevenueAmt
PY Total Revenue$121,693,275PYTotalRevenueAmt
CY Total Revenue$61,701,652CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$103,736,287PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$53,763,150CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$48,213,758PYOtherExpensesAmt
CY Other Expenses$23,059,121CYOtherExpensesAmt
PY Total Expenses$151,950,045PYTotalExpensesAmt
CY Total Expenses$76,822,271CYTotalExpensesAmt
PY Revenues Less Expenses-$30,256,770PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$15,120,619CYRevenuesLessExpensesAmt
Total Assets BOY$54,211,140TotalAssetsBOYAmt
Total Assets EOY$54,669,164TotalAssetsEOYAmt
Total Liabilities BOY$76,606,525TotalLiabilitiesBOYAmt
Total Liabilities EOY$75,503,731TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$22,395,385NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$20,834,567NetAssetsOrFundBalancesEOYAmt
MissionThe goal of Rockford Health Physicians (RHPH) is to improve and protect the health and welfare of the community in accordance with our mission: "Superior Care. Everyday. For all our patients."We will fulfill our commitment through performance excellence, innovation, and lifelong learning.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$58,349,223ExpenseAmt
Grant$0GrantAmt
Revenue$40,438,750RevenueAmt
DescROCKFORD HEALTH PHYSICIANS (RHPH) IS A 188 MULTI-SPECIALTY PHYSICIAN GROUP THAT HAS 9 SATELLITE AMBULATORY OFFICES AS WELL AS 6 CONVENIENT CARE LOCATIONS THAT PROVIDE FOR NON-LIFE THREATENING EMERGENCIES AFTER REGULAR OFFICE HOURS. OUR PATIENTS HAVE ACCESS TO BOARD CERTIFIED PRIMARY CARE PHYSICIANS WHO COORDINATE CARE WITHIN OUR PATIENT CENTERED MEDICAL HOME WITH BOARD CERTIFIED SPECIALTY PHYSICIANS. RHPH ALSO OFFERS A COMPREHENSIVE, PATIENT CENTERED, COLLEGE OF SURGEON'S ACCREDITED CANCER TREATMENT CENTER WHICH INCLUDES RADIATION ONCOLOGY, AND IMAGE GUIDED TREATMENTS UTILIZING STATE OF THE ART LINEAR ACCELERATOR TECHNOLOGY. THE WOMEN'S CENTER AT RHPH PROVIDES DIGITAL MAMMOGRAPHY, BREAST ULTRASOUND, STEROTACTIC BIOPSY, OSTEOPOROSIS TESTING AND UROGYNECOLOGY SERVICES THROUGH OUR FELLOWSHIP TRAINED PHYSICIANS AND NURSE PRACTICIONERS. IN ADDITION, OUR POST ACUTE CARE TEAM PROVIDES LONG TERM CARE TO MORE THAN 1,500 PATIENTS EACH MONTH IN 24 FACILITIES ACROSS NORTHERN ILLINOIS. INPATIENT SERVICES PROVIDED AT ROCKFORD MEMORIAL HOSPITAL INCLUDE A LEVEL I TRAUMA CENTER, A PSYCHIATRIC UNIT, ADULT AND PEDIATRIC INTENSIVE CARE UNITS, A DESIGNATED CHILDREN'S MEDICAL CENTER, AND A LEVEL III NEONATAL INTENSIVE CARE UNIT. PHYSICIANS ARE AVAILABLE ON CALL 24-7. THERE WERE 236,679 OFFICE VISITS BETWEEN JAN 1 AND JUNE 30, 2015.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$5,353,223ExpenseAmt
Grant$0GrantAmt
Revenue$4,062,618RevenueAmt
DescANCILLARY MEDICAL SERVICES WERE PERFORMED TO ALLOW PHYSICIANS TO PROVIDE THE PROPER CARE TO ACHIEVE THE BEST OUTCOME FOR EACH PATIENT. THERE WERE 200,935 ANCILLARY TESTS AND PROCEDURES PERFORMED BETWEEN JANUARY 1 AND JUNE 30, 2015. RHPH PROVIDED THESE SERVICES IN CLINICAL AREAS SUCH AS LABORATORY AND RADIOLOGY INCLUDING CT SCANS AND MAMMOGRAPHY. OTHER SUPPORT SERVICES INCLUDED CARDIAC TESTING, GENETIC SERVICES, PULMONARY FUNCTION TESTING, BONE SCANS, PAIN MANAGEMENT, AND PHYSICAL THERAPY.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$70,120ExpenseAmt
Grant$0GrantAmt
Revenue$510,028RevenueAmt
DescTHE CLINICAL RESEARCH DEPARTMENT PARTICIPATES IN STUDIES TO PROVIDE ADDITIONAL BENEFITS TO OUR PATIENTS, I.E. TRACKING BREAST CANCER SURVIVORS; A PHARMACEUTICAL STUDY TO EVALUATE A DRUG THAT TREATS OSTEO/RHEUMATOID ARTHRITIS; AND ANOTHER THAT STUDIES GOUT. RHPH PARTICIPATES IN A MEDICARE PHYSICIAN QUALITY REPORT INCENTIVE PROGRAM TO MEASURE DATA FOR QUALITY EVALUATION. RHPH IS COMMITTED TO PROVIDING SERVICES FOR MATERNAL AND CHILD CARE THROUGH ILLINOIS HEALTH CONNECT, A MEANS-TESTED PROGRAM THAT HELPS KIDS AND FAMILIES GET HEALTH CARE AND STAY HEALTHY BY CHOOSING A MEDICAL HOME. RHPH PARTNERS WITH NEIGHBORING SCHOOLS TO PROVIDE FREE PHYSICALS AND COMMUNITY ORGANIZATIONS TO PROVIDE FREE SCREENINGS. STAFF AND PHYSICIANS PARTICIPATED IN VARIOUS HEALTH FAIRS AND HOSTED EDUCATIONAL FORUMS IN THE COMMUNITIES TO BRING RESIDENTS AN AWARENESS OF HEALTH/WELLNESS RELATED TOPICS- HEART DISEASE AND PREVENTION, HEALTHY EATING, CHILDREN'S HEALTH CONCERNS, AND AGING ISSUES.RHPH ALSO PARTNERS WITH A LOCAL CHURCH IN THE BRIDGE CLINIC TO SERVE UNINSURED AND/OR HOMELESS PEOPLE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$63,772,566TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID VOLA CONTROLLERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8159715000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12400 N ROCKTON AVEAddressLine1Txt
CityROCKFORDCityNm
State AbbreviationILStateAbbreviationCd
ZIP61103ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
THOMAS D BUDD
TREASURER1.002.00Yes (X)Yes (X)$0$0$0
GARY E KAATZ
PRESIDENT & CEO (Partial Year)1.0059.00Yes (X)Yes (X)$0$0$0
DENNIS T UEHARA
VICE-CHAIR1.0025.50Yes (X)Yes (X)$0$0$0
CONNIE M VITALI
CHAIR1.003.00Yes (X)Yes (X)$0$0$0
NEYSA ALICEA
DIRECTOR1.002.00Yes (X)$0$0$0
JACK J BECHERER
DIRECTOR1.002.00Yes (X)$0$0$0
JOHN W CHADWICK
DIRECTOR1.002.00Yes (X)$0$0$0
PAMELA S FOX
DIRECTOR1.002.00Yes (X)$0$0$0
MICHAEL J FUMO MD
DIRECTOR1.002.00Yes (X)$0$0$0
MARK L GOELZER MD
DIRECTOR1.002.00Yes (X)$0$0$0
PAUL A GREEN
DIRECTOR1.002.00Yes (X)$0$0$0
JOHN J MORRISSEY
DIRECTOR1.002.00Yes (X)$0$0$0
JEFF R SMITH MD
Director1.003.00Yes (X)$0$0$0
LARRY E SQUIRE
DIRECTOR1.002.00Yes (X)$0$0$0
CURTIS D WORDEN
DIRECTOR1.002.00Yes (X)$0$0$0
Jose L Gonzalez
Director (Partial Year)52.002.00Yes (X)$0$0$0
JAVON BEA
CEO1.0041.00Yes (X)$0$0$0
JULIE PETERSON
SECRETARY1.0039.30Yes (X)$0$0$0
HENRY M SEYBOLD
CFO1.0045.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsYes (true)CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$14,941RelatedOrganizationsAmt
Government Grants$92,729GovernmentGrantsAmt
Total Contributions$107,670TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PHYSICIAN MEDICAL SERVICES621110$21,045,106$21,045,106
MEDICARE/MEDICAID621110$19,393,644$19,393,644
ANCILLARY MEDICAL SERVICES621400$3,787,002$3,787,002
HEALTH CONNECT, PQRY AND MCH621400$303,226$303,226
DIAGNOSTIC & MEDICAL LABORTORY621511$59,101$59,101

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$275,616TotalRevenueColumnAmt
Related Or Exempt Func Income$275,616RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$44,863,695TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,206TotalRevenueColumnAmt
Exclusion$21,206ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$114,791RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$57,216RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$57,575RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$57,575TotalRevenueColumnAmt
Exclusion$57,575ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$11,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$19,508OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other-$8,508OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$8,508TotalRevenueColumnAmt
Exclusion-$8,508ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
REIM. PROG. COST OF PHYSICIANS FROM RMH900099$16,449,771$16,449,771
Managed Care Incentive900099$147,701$147,701
CAFETERIA/FOOD SERVICE722514$48,731$48,731

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,811TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$13,811ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$16,660,014OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$61,701,652TotalRevenueColumnAmt
Related Or Exempt Func Income$45,011,396RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$16,582,586ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,403,392TotalAmt
Program Services$949,179ProgramServicesAmt
Management And General$454,213ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$42,958,933TotalAmt
Program Services$38,821,424ProgramServicesAmt
Management And General$4,137,509ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,850,409TotalAmt
Program Services$2,642,558ProgramServicesAmt
Management And General$207,851ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,001,444TotalAmt
Program Services$3,021,319ProgramServicesAmt
Management And General$980,125ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,548,972TotalAmt
Program Services$2,433,860ProgramServicesAmt
Management And General$115,112ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$71,275TotalAmt
Management And General$71,275ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$57,346TotalAmt
Management And General$57,346ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,449,222TotalAmt
Program Services$3,634,236ProgramServicesAmt
Management And General$1,814,986ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$475,112TotalAmt
Program Services$140ProgramServicesAmt
Management And General$474,972ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,134,352TotalAmt
Program Services$1,922,189ProgramServicesAmt
Management And General$1,212,163ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,058,733TotalAmt
Program Services$279,347ProgramServicesAmt
Management And General$779,386ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,483,218TotalAmt
Program Services$1,182,938ProgramServicesAmt
Management And General$300,280ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$31,786TotalAmt
Program Services$11,431ProgramServicesAmt
Management And General$20,355ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$256,814TotalAmt
Program Services$21,465ProgramServicesAmt
Management And General$235,349ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$693,735TotalAmt
Program Services$693,735ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,482,688TotalAmt
Program Services$837,801ProgramServicesAmt
Management And General$1,644,887ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,507,391TotalAmt
Program Services$2,221,420ProgramServicesAmt
Management And General$285,971ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES/DRUGS$2,991,896$2,974,784$17,112
BAD DEBT EXPENSE$1,990,338$1,990,338
EQUIPMENT LEASE/RENTAL/OTHER$375,215$134,402$240,813

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$76,822,271TotalAmt
Program Services$63,772,566ProgramServicesAmt
Management And General$13,049,705ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,006,966BOYAmt
EOY$230,542EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,917,596BOYAmt
EOY$9,951,200EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$757,538BOYAmt
EOY$683,093EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$383,281BOYAmt
EOY$223,106EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$91,472,530LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$57,222,339LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$33,543,943BOYAmt
EOY$34,250,191EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$276,779BOYAmt
EOY$270,746EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,492,834BOYAmt
EOY$2,246,751EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,832,203BOYAmt
EOY$6,813,535EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$54,211,140BOYAmt
EOY$54,669,164EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$43,046,808BOYAmt
EOY$41,172,920EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$31,111EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$28,017,231BOYAmt
EOY$28,017,231EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,542,486BOYAmt
EOY$6,282,469EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$76,606,525BOYAmt
EOY$75,503,731EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$22,395,385BOYAmt
EOY-$20,834,567EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$22,395,385BOYAmt
EOY-$20,834,567EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$54,211,140BOYAmt
EOY$54,669,164EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$15,120,619ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$16,681,437OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,018,377BeginningYearBalanceAmt
Contributions$27,318ContributionsAmt
Investment Earnings Or Losses$59,562InvestmentEarningsOrLossesAmt
Other Expenditures$27,693OtherExpendituresAmt
Administrative Expenses$3,001AdministrativeExpensesAmt
End Year Balance$2,074,563EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,933,927BeginningYearBalanceAmt
Contributions$56,884ContributionsAmt
Investment Earnings Or Losses$164,099InvestmentEarningsOrLossesAmt
Other Expenditures$131,058OtherExpendituresAmt
Administrative Expenses$5,475AdministrativeExpensesAmt
End Year Balance$2,018,377EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,559,618BeginningYearBalanceAmt
Contributions$148,494ContributionsAmt
Investment Earnings Or Losses$305,391InvestmentEarningsOrLossesAmt
Other Expenditures$75,210OtherExpendituresAmt
Administrative Expenses$4,366AdministrativeExpensesAmt
End Year Balance$1,933,927EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,376,820BeginningYearBalanceAmt
Contributions$69,541ContributionsAmt
Investment Earnings Or Losses$213,330InvestmentEarningsOrLossesAmt
Other Expenditures$94,236OtherExpendituresAmt
Administrative Expenses$5,837AdministrativeExpensesAmt
End Year Balance$1,559,618EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,318,056BeginningYearBalanceAmt
Contributions$95,814ContributionsAmt
Investment Earnings Or Losses$10,219InvestmentEarningsOrLossesAmt
Other Expenditures$39,270OtherExpendituresAmt
Administrative Expenses$7,999AdministrativeExpensesAmt
End Year Balance$1,376,820EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.176BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.359PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.465TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,389,430InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$5,802,373OtherCostOrOtherBasisAmt
Book Value$7,191,803BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$63,798,511OtherCostOrOtherBasisAmt
Depreciation$41,408,122DepreciationAmt
Book Value$22,390,389BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,353,506OtherCostOrOtherBasisAmt
Depreciation$15,814,217DepreciationAmt
Book Value$3,539,289BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,128,710OtherCostOrOtherBasisAmt
Book Value$1,128,710BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$34,250,191TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
BOND ISSUE COSTS$272,345
DEFERRED COMP VALUATION$6,010,246
CAPITAL ACCUMULATION ACCOUNT$83,176
DUE FROM RELATED ORGANIZATIONS$26,098
OTHER RECEIVABLES$421,670
FieldValueIRS element (for citing)
Total Book Value Other Assets$6,813,535TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
CAA-FAS124 VALUATION$5,659
DEFERRED COMPENSATION VALUATION$6,042,669
ASSET RECOVERY OBLIGATION$150,000
CAPITAL ACCUMULATION LIABILITY$77,517
DUE TO RELATED ORGANIZATIONS$6,624
FieldValueIRS element (for citing)
Total Liability$6,282,469TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part X, Line 2 FIN 48 (ASC 740) DisclosureTHERE IS NO FIN 48 LIABILITY AND AS SUCH, THE ORGANIZATIONS' CONSOLIDATED FINANCIAL STATEMENTS DO NOT INCLUDE A FIN 48 DISCLOSURE.
Schedule D, Part V, Line 4 Intended uses of endowment fundsFunds 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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ILLINOIS FINANCE AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN861091967BondIssuerEIN
CUSIP45200FSG5CUSIPNum
Bond Issued2008-12-11BondIssuedDt
Issue Price$28,017,231IssuePriceAmt
PurposeREFUND 1994 SERIES BONDSPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$0RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$28,017,231TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$437,056IssuanceCostsFromProceedsAmt
Credit Enhancement$14,976CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$27,565,199OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2008SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Private Business Use0.0TotalPrivateBusinessUsePct

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecYes (true)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1JP MORGAN CHASEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Term Of Hedge10.3TermOfHedgePct
Superintegrated HedgefalseSuperintegratedHedgeInd
Hedge TerminatedfalseHedgeTerminatedInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule K, Part I, Column (e) Issue Price Not Identical to Form 8038FormAndLineReferenceDesc
ExplanationThe total issuance of the 2008 bonds issued from Illinois Finance Authority were issued to RHPH and a related organization, Rockford Memorial Hospital (RMH). RHPH 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 RMH reports the difference on its Form 990.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 1a Form 1096The 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-3The 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 OFFICIALROCKFORD HEALTH PHYSICIANS' TOP MANAGEMENT OFFICIAL IS THE PRESIDENT & CEO OF ROCKFORD HEALTH SYSTEMS (RHS), THE SOLE CORPORATE MEMBER. 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 FROM ALL RELATED ENTITIES (INCLUDING RHPH). THIS BOARD HAS ESTABLISHED A COMPENSATION COMMITTEE TO ESTABLISH AND REVIEW ALL EXECUTIVE COMPENSATION ANNUALLY BASED ON THE ESTABLISHED PHILOSOPHY. AN INDEPENDENT EXTERNAL EXECUTIVE COMPENSATION FIRM PROVIDES CONSULTING ON RHS (INCLUDING RHPH) 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 DETERMINED BY THE COMPENSATION COMMITTEE. THE RHPH BOARD OF DIRECTORS CONCEDES THE AUTHORITY TO SET COMPENSATION TO RHS.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION FOR OTHER OFFICERSNOTE 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 FROM ALL RELATED ENTITIES (INCLUDING RHPH). THIS BOARD HAS ESTABLISHED A COMPENSATION COMMITTEE TO ESTABLISH AND REVIEW ALL EXECUTIVE COMPENSATION ANNUALLY BASED ON THE ESTABLISHED PHILOSOPHY. AN INDEPENDENT EXTERNAL EXECUTIVE COMPENSATION FIRM PROVIDES CONSULTING ON RHS (INCLUDING RHPH) 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 DETERMINED BY THE COMPENSATION COMMITTEE. THE RHPH BOARD OF DIRECTORS CONCEDES THE AUTHORITY TO SET COMPENSATION TO RHS.
Form 990, Part VI, Line 1a Delegate broad authority to a committeeTHE VOTING MEMBERS OF THE EXECUTIVE COMMITTEE SHALL BE THE FOLLOWING INDIVIDUALS, EACH OF WHOM SHALL HAVE A VOTE: RHS CEO, CHAIRMAN, VICE-CHAIRMAN, IMMEDIATE PAST CHAIRMAN, TREASURER AND TWO ADDITIONAL DIRECTORS. AT LEAST ONE MEMBER OF THE EXECUTIVE COMMITTEE SHALL BE A PHYSICIAN. THE EXECUTIVE COMMITTEE SHALL BE COMPRISED OF AT LEAST 51% COMMUNITY MEMBERS. 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 stockholdersRockford Health System (RHS) is the sole corporate member of Rockford Health Physicians (RHPH). The sole member shall have powers and voting rights to do the following: (a) Appoint all the directors of RHPH. (b) Nominate to RHPH's board of directors all candidates for selection as the RHPH president. (c) Approve expressly all amendments to RHPH's articles of incorporation and by-laws. (d) Approve annual budgets, and strategic, long-range and health manpower development plans of RHPH. (e) Approve all contracts (including contracts of indebtedness) effective for longer than eighteen months. (f) Approve all plans of merger or consolidation. (g) Approve the sale, lease, exchange, mortgage, pledge or other disposition of all or substantially all, the property and assets of RHPH. (h) Approve a voluntary dissolution of the RHPH. (i) Approve material amendments to RHPH's standard form of physician employment agreement. (j) Approve material amendments to the standard compensation system used by RHPH to establish individual physician compensation. (k) Require RHPH to take any action (including amending the articles of incorporation or by-laws), or to modify or rescind an action already taken, if RHS determines that failure to take the action, or to modify or rescind an action already taken, may result in the member's or RHPH'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 bodySEE NARRATIVE FOR PART VI, LINE 6
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersSEE NARRATIVE FOR PART VI, LINE 6
Form 990, Part VI, Line 11b Review of form 990 by governing bodyThe 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 policyBy 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 RHPH 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 publicFinancial statements are available through the Illinois Attorney General's office. Governing documents are available by request from Board Secretary. The conflict of interest policy is not published but is available upon request.
Form 990, Part VIII, Line 2f Other Program Service RevenueOther Program Svc - Total Revenue: 275616, Related or Exempt Function Revenue: 275616, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous RevenuePARTNERSHIP INCOME - Total Revenue: 13811, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 13811;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesPENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST - 215700; POST-RETIREMENT MEDICAL BENEFIT-RELATED CHANGES OTHER THAN NET PERIODIC POST-RETIREMENT COST - 218751; TRANSFER TO/FROM AFFILIATES - 16246986;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ROCKFORD MEMORIAL HOSPITAL
2400 N ROCKTON AVEROCKFORDIL61103362167847HEALTHCAREIL501(c)(33ROCKFORD HEALTH SYSTEMYes (true)
ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION
2400 N ROCKTON AVEROCKFORDIL61103363197918SUPPORT OF HEALTHCAREIL501(c)(3Type IROCKFORD HEALTH SYSTEMYes (true)
VISITING NURSES ASSN OF THE ROCKFORD AREA
4223 E STATE STREETROCKFORDIL61108362167945HEALTHCAREIL501(c)(39ROCKFORD HEALTH SYSTEMYes (true)
ROCKFORD HEALTH SYSTEM
2400 N ROCKTON AVEROCKFORDIL61103363197915SUPPORT OF HEALTHCAREIL501(c)(3Type III-FIMRHSfalse
MercyRockford Health System Corporation
2400 N Rockton AveRockfordIL61103472158680Support of HealthcareIL501(c)(3Type INAfalse
MERCY ALLIANCE INC
1000 MINERAL POINT AVEJANESVILLEWI53548391679859SUPPORT OF HEALTHCAREWI501(c)(3Type IMERCYROCKFORD HEALTH SYSTEMfalse
MERCY HEALTH SYSTEM ASSOCIATION OF VOLUNTEERS
1000 MINERAL POINTJANESVILLEWI53548390912682SUPPORT OF HEALTHCAREWI501(c)(3Type III-FIMERCY HEALTH SYSTEM CORPORATIONfalse
MERCY FOUNDATION INC
1000 MINERAL POINTJANESVILLEWI53548237275336SUPPORT OF HEALTHCAREWI501(c)(3Type IMERCY HEALTH SYSTEM CORPORATIONfalse
MERCY HEALTH SYSTEM CORPORATION
1000 MINERAL POINTJANESVILLEWI53548390816848HEALTHCAREWI501(c)(33MERCY ALLIANCE INCfalse
MERCY ASSISTED CARE INC
901 MINERAL POINTJANESVILLEWI53548391035110HEALTHCAREWI501(c)(39MERCY ALLIANCE INCfalse
MERCY HARVARD HOSPITAL INC
901 GRANT STREETHARVARDIL60033311551871HEALTHCAREIL501(c)(33MERCY ALLIANCE INCfalse
HARVARD MEMORIAL HOSPITAL FOUNDATION
901 GRANT STREETHARVARDIL60033364308662SUPPORT OF HEALTHCAREIL501(c)(3Type IMERCY HARVARD HOSPITAL INCfalse
MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER
1000 MINERAL POINTJANESVILLEWI53548201673011NONEIL501(c)(33MERCY ALLIANCE INCfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1KSB-RMHSC PARTNERSHIPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12400 N ROCKTON AVEAddressLine1Txt
CityROCKFORDCityNm
State AbbreviationILStateAbbreviationCd
ZIP61103ZIPCd
FieldValueIRS element (for citing)
EIN364143516EIN
Primary ActivitiesRENTALPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeExcludedPredominantIncomeTypeTxt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd
Ownership0.274OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1ForeignAddress/AddressLine1TxtAddress Line2ForeignAddress/AddressLine2TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCd
ROCKFORD HEALTH INSURANCE LTD
WELLESLEY HOUSE SO2ND FLOORPEMBROKE HM BDBDINSURANCEBDNAC Corporationfalse
JANESVILLE MEDICAL CENTER INC
MANAGEMENT OF UNION EMPLOYEESMERCY HEALTH SYSTEM CORPORATIONC Corporationfalse1000 MINERAL POINTJANESVILLEWI53548391520130WI
MERCYCARE INSURANCE COMPANY
INSURANCEMERCY HEALTH SYSTEM CORPORATIONC Corporationfalse3430 PALMER DRIVEJANESVILLEWI53545391768192WI
MERCYCARE HMO INC - CONS W MERCYCARE INS CO
INSURANCEMERCY HEALTH SYSTEM CORPORATIONC Corporationfalse3430 PALMER DRIVEJANESVILLEWI53545201482553WI
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd