MERCYHEALTH DEVELOPMENT FOUNDATION INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- MERCYHEALTH DEVELOPMENT FOUNDATION INC (EIN 36-3197918)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-12
- IRS object ID
- 201513169349305391
- Schema version
- 2014v5.0
- 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 G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-12T16:38:38-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | 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 | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363197918 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ROCK | BusinessNameControlTxt |
| Phone | 8159714141 | 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 & Treasurer | PersonTitleTxt |
| Signature | 2015-11-11 | 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 | 2016-02-25 16:41:14Z | 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 | $138,308,683 | 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 | 1982 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | To support the operations of all entities of Rockford Health System & provide assistance to these other 501(c)(3) non-profit organizations by receiving, maintaining, and administering funds received from the public and other available sources to further the exempt purposes of these organizations. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 6 | TotalEmployeeCnt |
| Total Volunteers | 228 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,333,954 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,407,464 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,706,283 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,615,403 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$1,722 | PYOtherRevenueAmt |
| CY Other Revenue | $75 | CYOtherRevenueAmt |
| PY Total Revenue | $9,038,515 | PYTotalRevenueAmt |
| CY Total Revenue | $10,022,942 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,051,060 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $8,293,498 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $367,048 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $354,806 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $123,859 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $644,121 | PYOtherExpensesAmt |
| CY Other Expenses | $587,779 | CYOtherExpensesAmt |
| PY Total Expenses | $2,062,229 | PYTotalExpensesAmt |
| CY Total Expenses | $9,236,083 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,976,286 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $786,859 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $132,002,135 | TotalAssetsBOYAmt |
| Total Assets EOY | $128,901,028 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $696,307 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $875,047 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $131,305,828 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $128,025,981 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The mission of Rockford Health System (RHS) is "Superior Care. Everyday. For All Our Patients." Rockford Memorial Development Foundation (RMDF) assists this mission specifically by applying resources to the vision of RHS which is "To fulfill this Commitment through Performance Excellence, Lifelong Learning, and Innovation." | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $7,818,363 | ExpenseAmt |
| Grant | $7,599,960 | GrantAmt |
| Desc | Restricted gifts and endowments to Rockford Health System help fund equipment, facilities, projects and care and comfort items for patients. RHS patients now have access to the most advanced cancer fighting treatment in the region due to the addition of a new linear accelerator during 2014. RMDF provided $7 million for the project, the largest investment RMDF has ever made in a single project. Endowments provided staff training to use the new equipment to the fullest of its capabilities. Additional education and training was also provided for employees throughout the health system - including rapid response training for intensive care areas in order to bring critically needed care to patients in trouble more quickly. The Foundation supported the purchase of computers and printers for the Children's Learning Center on the RHS campus, a new CPACs license for Mindray Ultrasound System in the Cardiac Catheterization Lab, a SimMan patient simulator to provide state-of-the-art education and training to our nursing and care staff, a glide scope for adult critical care and a cardiac chair for our adult oncology unit. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $388,374 | ExpenseAmt |
| Grant | $388,374 | GrantAmt |
| Desc | The Family Giving Campaign raised funds in 2014 for three uses: an employee crisis fund, the Wishbook catalog of care and comfort items and the employee education fund. The crisis fund provides assistance to employees who have experienced a crisis such as a flood or fire in their home or a severe illness, injury or death of a spouse or child. The Wishbook provides small items for caregiving departments throughout Rockford Health System. The employee education fund expands opportunities for employees to attend training and skills development seminars. RMDF donations were also used to assist Visiting Nurses Association, a related organization, in caring for the elderly, the homebound, the recovering and those facing end of life. In 2014, 20 new Telehealth Monitors were purchased for our Visiting Nurses Association to help keep congestive heart failure patients in touch with their health care providers while at home instead of seeking more expensive and inconvenient care in the hospital. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $305,164 | ExpenseAmt |
| Grant | $305,164 | GrantAmt |
| Desc | Through charitable contributions, RMDF supports the Ronald McDonald Care Mobile staffed and operated by Rockford Memorial Hospital, which provides free medical and dental care to uninsured and underinsured children in five counties at 12 different sites in northern Illinois. The Care Mobile visits included vaccinations, lead or blood screenings, medical diagnoses, preventative and restorative dental care and treatment/care to avoid an emergency room visit. In addition, RMDF used donated Auxiliary funds to purchase "You and Your Baby" DVDs in both English and Spanish. Donations from the Auxiliary also provided upgrades to the Discovery Center Body Shop and assisted with care on the Care Mobile, nursing scholarships for minority students, and the healing harp program that creates an atmosphere of care and comfort for hospitalized patients as well as a new pager system for the Surgical Family Waiting Area to keep loved ones informed of their family members' progress in surgery and recovery. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $8,511,901 | 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 | Yes (true) | 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 | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| 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 | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 25 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 6 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| 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 | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | 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 | false | InvestmentInJointVentureInd |
| 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 (24 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 |
|---|---|---|---|---|---|---|---|
| GARY E KAATZ | |||||||
| PRESIDENT & CEO | 1.00 | 59.00 | Yes (X) | Yes (X) | $0 | $1,046,965 | $63,100 |
| JOHN J MORRISSEY | |||||||
| CHAIRMAN | 3.00 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JULIE BOSMA | |||||||
| VICE-CHAIR | 2.00 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARC L BARBEAU | |||||||
| DIRECTOR | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| W WALTER BOOTHE | |||||||
| DIRECTOR | 1.50 | 0 | Yes (X) | $0 | $0 | $0 | |
| LIBBY CLARK | |||||||
| DIRECTOR | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| ELEANOR F DOAR | |||||||
| DIRECTOR (Partial Year) | 1.00 | 3.90 | Yes (X) | $0 | $0 | $0 | |
| Scott Ferry | |||||||
| DIRECTOR | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| LINDA HECKERT | |||||||
| DIRECTOR | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| PHILLIP AD HIGGINS | |||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $423,887 | $45,819 | |
| JOHN J HOLEVAS | |||||||
| DIRECTOR | 0.10 | 0 | Yes (X) | $0 | $0 | $0 | |
| SCOTT K LAUE | |||||||
| DIRECTOR | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| JAY MADDOX | |||||||
| DIRECTOR | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| Patrick O'Keefe | |||||||
| DIRECTOR | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| MILTON G SCHMITT | |||||||
| DIRECTOR | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| JEFF R SMITH MD | |||||||
| Director | 1.00 | 42.00 | Yes (X) | $0 | $372,057 | $27,970 | |
| DENNIS T UEHARA | |||||||
| Director | 1.00 | 54.50 | Yes (X) | $0 | $534,513 | $44,010 | |
| Bruce D Vandegrift | |||||||
| DIRECTOR | 1.00 | 0.40 | Yes (X) | $0 | $0 | $0 | |
| Connie Vitali | |||||||
| DIRECTOR | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| KATHY WEBER | |||||||
| DIRECTOR | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| Helen Brooks | |||||||
| Executive Director | 4.00 | 36.00 | Yes (X) | $22,771 | $204,935 | $31,752 | |
| HENRY M SEYBOLD | |||||||
| CFO & Treasurer | 0.30 | 45.00 | Yes (X) | $0 | $474,282 | $33,136 | |
| Sharon Mattis | |||||||
| SECRETARY (9/17/14-12/31/14) | 40.00 | 0 | Yes (X) | $12,550 | $0 | $272 | |
| VICKI WOODHOUSE | |||||||
| SECRETARY (1/1/14-5/29/14) | 40.00 | 0.00 | Yes (X) | $22,361 | $0 | $1,960 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $57,681 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,056,639 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $248,019 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $207,357 | FundraisingAmt |
| Related Organizations | $335,426 | RelatedOrganizationsAmt |
| All Other Contributions | $864,681 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $1,407,464 | TotalContributionsAmt |
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 | $0 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,337,985 | TotalRevenueColumnAmt |
| Exclusion | $2,337,985 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $134,418,122 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $128,140,704 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,277,418 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,277,418 | TotalRevenueColumnAmt |
| Exclusion | $6,277,418 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $135,193 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $207,357 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $145,037 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$9,844 | TotalRevenueColumnAmt |
| Exclusion | -$9,844 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $9,840 | GamingGrossIncomeAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,840 | TotalRevenueColumnAmt |
| Exclusion | $9,840 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $79 | TotalRevenueColumnAmt |
| Exclusion | $79 | 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 | $79 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,022,942 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,615,478 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,293,498 | TotalAmt |
| Program Services | $8,293,498 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,088 | TotalAmt |
| Program Services | $25,235 | ProgramServicesAmt |
| Management And General | $25,235 | ManagementAndGeneralAmt |
| Fundraising | $12,618 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,800 | TotalAmt |
| Program Services | $83,120 | ProgramServicesAmt |
| Management And General | $72,501 | ManagementAndGeneralAmt |
| Fundraising | $52,179 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,851 | TotalAmt |
| Program Services | $3,510 | ProgramServicesAmt |
| Management And General | $2,155 | ManagementAndGeneralAmt |
| Fundraising | $2,186 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,658 | TotalAmt |
| Program Services | $25,681 | ProgramServicesAmt |
| Management And General | $19,016 | ManagementAndGeneralAmt |
| Fundraising | $14,961 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,409 | TotalAmt |
| Program Services | $6,564 | ProgramServicesAmt |
| Management And General | $5,907 | ManagementAndGeneralAmt |
| Fundraising | $3,938 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,110 | TotalAmt |
| Management And General | $12,110 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,772 | TotalAmt |
| Management And General | $280,772 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,337 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $140,337 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,375 | TotalAmt |
| Program Services | $1,085 | ProgramServicesAmt |
| Management And General | $3,290 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,070 | TotalAmt |
| Program Services | $63,954 | ProgramServicesAmt |
| Management And General | $21,385 | ManagementAndGeneralAmt |
| Fundraising | $33,731 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,326 | TotalAmt |
| Management And General | $1,326 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,107 | TotalAmt |
| Management And General | $2,107 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $886 | TotalAmt |
| Program Services | $354 | ProgramServicesAmt |
| Management And General | $319 | ManagementAndGeneralAmt |
| Fundraising | $213 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,893 | TotalAmt |
| Program Services | $757 | ProgramServicesAmt |
| Management And General | $682 | ManagementAndGeneralAmt |
| Fundraising | $454 | FundraisingAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Food | Desc |
| Total | $11,414 | TotalAmt |
| Program Services | $6,848 | ProgramServicesAmt |
| Management And General | $2,283 | ManagementAndGeneralAmt |
| Fundraising | $2,283 | FundraisingAmt |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,489 | TotalAmt |
| Program Services | $1,295 | ProgramServicesAmt |
| Management And General | $10,898 | ManagementAndGeneralAmt |
| Fundraising | $1,296 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,236,083 | TotalAmt |
| Program Services | $8,511,901 | ProgramServicesAmt |
| Management And General | $600,323 | ManagementAndGeneralAmt |
| Fundraising | $123,859 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,333,674 | BOYAmt |
| EOY | $1,518,233 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,840,000 | BOYAmt |
| EOY | $14,840,000 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,197 | BOYAmt |
| EOY | $179,829 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,232 | BOYAmt |
| EOY | $9,887 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $86,080 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $86,080 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,079,329 | BOYAmt |
| EOY | $100,540,398 | 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 | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,664,703 | BOYAmt |
| EOY | $11,812,681 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,002,135 | BOYAmt |
| EOY | $128,901,028 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $586,906 | BOYAmt |
| EOY | $764,919 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,401 | BOYAmt |
| EOY | $110,128 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $696,307 | BOYAmt |
| EOY | $875,047 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,867,551 | BOYAmt |
| EOY | $111,489,406 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,420,934 | BOYAmt |
| EOY | $10,385,562 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,017,343 | BOYAmt |
| EOY | $6,151,013 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,305,828 | BOYAmt |
| EOY | $128,025,981 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,002,135 | BOYAmt |
| EOY | $128,901,028 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $786,859 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$4,066,706 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | 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 | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Supported Organizations | 3 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (3 entries)
| EINEIN | Organization TypeOrganizationTypeDesc | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| ROCKFORD MEMORIAL HOSPITAL | ||||
| 362167847 | 3 | Yes (true) | $8,059,943 | $0 |
| VISITING NURSES ASSN OF THE ROCKFORD AREA | ||||
| 362167945 | 9 | Yes (true) | $144,205 | $0 |
| ROCKFORD HEALTH PHYSICIANS | ||||
| 363907436 | 3 | Yes (true) | $19,753 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 3 | SupportedOrganizationsTotalCnt |
| Support Sum | $8,223,901 | SupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | false | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | false | OperateBenefitNonSuprtOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part IV, Section B, Line 1 Power to elect or appoint | FormAndLineReferenceDesc |
| Explanation | The Bylaws of Rockford Memorial Development Foundation (Foundation) provide that Rockford Health System (RHS) is the sole corporate member of the Foundation. RHS is also the sole corporate member of each of the supported organizations-Rockford Memorial Hospital, Rockford Health Physicians, and Visiting Nurses Association of the Rockford Area-and has the power to appoint each member of the respective Boards of Directors. Pursuant to a written determination from the Internal Revenue Service, the Foundation is operated, supervised, or controlled by the supported organizations, and thus the Foundation is a Type I supporting organization. | ExplanationTxt |
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 | $2,280,090 | BeginningYearBalanceAmt |
| Contributions | $56,884 | ContributionsAmt |
| Investment Earnings Or Losses | $206,118 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $149,952 | OtherExpendituresAmt |
| Administrative Expenses | $6,342 | AdministrativeExpensesAmt |
| End Year Balance | $2,386,798 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,859,405 | BeginningYearBalanceAmt |
| Contributions | $148,494 | ContributionsAmt |
| Investment Earnings Or Losses | $368,484 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $91,187 | OtherExpendituresAmt |
| Administrative Expenses | $5,106 | AdministrativeExpensesAmt |
| End Year Balance | $2,280,090 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,635,655 | BeginningYearBalanceAmt |
| Contributions | $69,541 | ContributionsAmt |
| Investment Earnings Or Losses | $273,774 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $112,660 | OtherExpendituresAmt |
| Administrative Expenses | $6,905 | AdministrativeExpensesAmt |
| End Year Balance | $1,859,405 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,571,000 | BeginningYearBalanceAmt |
| Contributions | $95,812 | ContributionsAmt |
| Investment Earnings Or Losses | $23,498 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $45,097 | OtherExpendituresAmt |
| Administrative Expenses | $9,558 | AdministrativeExpensesAmt |
| End Year Balance | $1,635,655 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,091,439 | BeginningYearBalanceAmt |
| Contributions | $320,215 | ContributionsAmt |
| Investment Earnings Or Losses | $225,711 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $57,724 | OtherExpendituresAmt |
| Administrative Expenses | $8,641 | AdministrativeExpensesAmt |
| End Year Balance | $1,571,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.156 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.46 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.384 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,779 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,779 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $83,301 | OtherCostOrOtherBasisAmt |
| Depreciation | $83,301 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| LIFE INSURANCE | $81,790 |
| EMPLOYEE REC-SUPPLEMENTAL SURVIVOR PREMIUM | $40,348 |
| INTEREST IN BENEFICIAL TRUST | $11,646,956 |
| DUE FROM RELATED ORGANIZATIONS | $37,798 |
| CAPITAL ACCUMULATION ACCOUNTS | $5,789 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $11,812,681 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| LIFE INSURANCE VALUE | $81,790 |
| CAPITAL ACCUMULATION ACCOUNTS | $5,789 |
| DUE TO RELATED ORGANIZATIONS | $22,549 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $110,128 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part X, Line 2 FIN48 (ASC 740) DISCLOSURE | 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 G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Gala | Event1Nm |
| Gross Receipts Event1 | $280,295 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $174,186 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $106,109 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $58,684 | RentFacilityCostsEvent1Amt |
| Entertainment Event1 | $16,762 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $42,332 | OtherDirectExpensesEvent1Amt |
| Event2 | Golf | Event2Nm |
| Gross Receipts Event2 | $54,038 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $25,150 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $28,888 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $2,807 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $18,861 | RentFacilityCostsEvent2Amt |
| Other Direct Expenses Event2 | $2,817 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $8,217 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $8,021 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $196 | GrossRevenueOtherEventsAmt |
| Non Cash Prizes Other Events | $88 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $642 | RentFcltyCostsOtherEventsAmt |
| Entertainment Other Events | $750 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $1,294 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $342,550 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $207,357 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $135,193 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $2,895 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $78,187 | RentFcltyCostsTotalEventsAmt |
| Entertainment Total Events | $17,512 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $46,443 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $145,037 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$9,844 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Rockford Memorial Hospital | |||||||
| 2400 N Rockton Ave | Rockford | IL | 61103 | 362167847 | 501(c)(3) | $8,059,943 | SUPPORT FOR PROGRAM SERVICES |
| Rockford Health Physicians | |||||||
| 2300 N Rockton Ave | Rockford | IL | 61103 | 363907436 | 501(c)(3) | $19,753 | SUPPORT FOR PROGRAM SERVICES |
| Visiting Nurses Association of the Rockford Area | |||||||
| 4223 E State Street | Rockford | IL | 61108 | 362167945 | 501(c)(3) | $144,205 | SUPPORT FOR PROGRAM SERVICES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | 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 Foundation verifying a need for funds or products (i.e. Automatic Electronic Defibrilators-AED). 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 for the amount of the appeal and for a specified need. The Foundation requests a grant feedback form from grant recipients as a way to monitor grant funds after they have been paid. |
| Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | Applications are submitted to the Foundation verifying a need for funds or products (i.e. Automatic Electronic Defibrilators-AED). 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 for the amount of the appeal and for a specified need. The Foundation requests a grant feedback form from grant recipients as a way to monitor grant funds after they have been paid. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GARY E KAATZ | ||||||||||||||
| PRESIDENT & CEO | $0 | $686,868 | $0 | $242,722 | $0 | $117,374 | $0 | $56,476 | $0 | $6,624 | $0 | $1,110,065 | $0 | $0 |
| PHILLIP AD HIGGINS | ||||||||||||||
| DIRECTOR | $0 | $422,753 | $0 | $0 | $0 | $1,134 | $0 | $37,500 | $0 | $8,319 | $0 | $469,706 | $0 | $0 |
| JEFF R SMITH MD | ||||||||||||||
| Director | $0 | $371,283 | $0 | $0 | $0 | $774 | $0 | $20,000 | $0 | $7,970 | $0 | $400,027 | $0 | $0 |
| DENNIS T UEHARA | ||||||||||||||
| Director | $0 | $531,867 | $0 | $0 | $0 | $2,646 | $0 | $37,500 | $0 | $6,510 | $0 | $578,524 | $0 | $0 |
| Helen Brooks | ||||||||||||||
| Executive Director | $22,771 | $194,204 | $0 | $9,549 | $0 | $1,183 | $3,023 | $27,204 | $153 | $1,373 | $25,946 | $233,511 | $0 | $0 |
| HENRY M SEYBOLD | ||||||||||||||
| CFO & Treasurer | $0 | $385,657 | $0 | $58,079 | $0 | $30,547 | $0 | $22,793 | $0 | $10,343 | $0 | $507,418 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | FormAndLineReferenceDesc |
| Explanation | THE PRESIDENT & CEO OF ROCKFORD HEALTH SYSTEM (RHS), THE SOLE CORPORATE MEMBER, IS CONSIDERED THE TOP MANAGEMENT OFFICIAL OF ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION. THE RHS BOARD OF DIRECTORS HAS A COMPENSATION COMMITTEE THAT REVIEWS EXECUTIVE COMPENSATION. THEY ALSO AUTHORIZE AN INDEPENDENT FIRM TO PROVIDE DATA FOR ANALYSIS OF THE INDUSTRY AND THE MARKET TO OUR COMPENSATION DEPARTMENT. THE DEPARTMENT AND COMMITTEE REVIEWS THE RESULTS AND MAKE A RECOMMENDATION TO THE BOARD WHO THEN ACTS UPON THIS INFORMATION TO SET COMPENSATION FOR EXECUTIVES. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 15a PROCESS USED TO ESTABLISH COMPENSATION FOR TOP MANAGEMENT OFFICIAL | COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL IS GOVERNED BY THE ROCKFORD HEALTH SYSTEM (RHS) BOARD OF DIRECTORS. THE RHS BOARD HAS ESTABLISHED A TOTAL COMPENSATION PHILOSOPHY THAT DIRECTS THE COMPENSATION PRACTICES FOR EXECUTIVES FROM RELATED ENTITIES (INCLUDING RMDF). 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 RMDF) 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 VARY FROM THIS SCHEDULE AS DIRECTED BY THE COMPENSATION COMMITTEE. THE RMDF BOARD CONCEDES THE AUTHORITY TO SET COMPENSATION TO RHS, THE SOLE CORPORATE MEMBER. |
| Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION FOR OTHER OFFICERS | COMPENSATION FOR EXECUTIVES, INCLUDING OTHER OFFICERS, IS GOVERNED BY THE ROCKFORD HEALTH SYSTEM (RHS) BOARD OF DIRECTORS. THE RHS BOARD HAS ESTABLISHED A TOTAL COMPENSATION PHILOSOPHY THAT DIRECTS THE COMPENSATION PRACTICES FOR EXECUTIVES FROM RELATED ENTITIES (INCLUDING RMDF). 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 RMDF) 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 VARY FROM THIS SCHEDULE AS DIRECTED BY THE COMPENSATION COMMITTEE. THE RMDF BOARD CONCEDES THE AUTHORITY TO SET COMPENSATION TO RHS, THE SOLE CORPORATE MEMBER. |
| Form 990, Part VI, Line 1a Delegate broad authority to a committee | THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR AND VICE-CHAIR AND AT LEAST ONE ADDITIONAL DIRECTOR. IT SHALL MEET AS NEEDED. THE EXECUTIVE COMMITTEE SHALL MONITOR THE PERFORMANCE OF THE PRESIDENT AND EXECUTIVE DIRECTOR AGAINST ANNUAL OBJECTIVES AND REPORT THE RESULTS TO THE CHAIR OF THE ROCKFORD HEALTH SYSTEM BOARD. 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. THE STAFF OF THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE PRESIDENT AND EXECUTIVE DIRECTOR, AS WELL AS OTHER SENIOR EXECUTIVES OF THE FOUNDATION AND ITS AFFILIATED CORPORATIONS SO DESIGNATED BY THE PRESIDENT WITH INPUT FROM THE CHAIR OF THE FOUNDATION. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | The Foundation shall have one member, which shall be RHS. The sole member shall have powers and voting rights to do the following: (a) Appoint all the directors of the Foundation. (b) Nominate to the Foundation's board of directors all candidates for selection as the Foundation's president. (c) Approve expressly all amendments to the Foundation's articles of incorporation and by-laws. (d) Approve annual budgets and long-range plans of the Foundation. (e) Approve all contracts (including contracts of indebtedness) effective for longer than eighteen months. (f) Approve capital or operating expenditures in excess of amounts specified in the expenditure authorization policy as approved by the RHS Board of Directors. (g) Approve expenditures (including grants) from restricted and unrestricted donated funds in excess of $1,000,000. (h) Approve all plans of merger or consolidation. (i) Approve the sale, lease, exchange, mortgage, pledge or other disposition of all or substantially all, the property and assets of the Foundation. (j) Approve a voluntary dissolution of the Foundation. (k) Require the Foundation to take any action (including amending that Foundation's 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 the Foundation'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 Part VI, line 6. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | See narrative for 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 | RHS Compliance Department (acting on behalf of RMDF and following guidelines set forth in the policy) generally sends out a copy of the policy with the Conflict of Interest form included. Employees and each board member complete the Financial Interest Disclosure Statement which is a part of the policy. The RHS Compliance Department reviews and retains these statements. If a conflict is identified, all affected parties are informed, potential conflicts reviewed and appropriate actions are taken as a result of the review. Employees are usually given the policy and a statement to complete annually at the beginning of the year or as a new party is hired or joins the RMDF board. This process was last completed in 2015, when the questionnaires were sent to address any 2014 conflicts identified. 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 Board Secretary. The conflict of interest policy is not published but is available upon request. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| ROCKFORD MEMORIAL HOSPITAL | ||||||||||
| 2400 N ROCKTON AVE | ROCKFORD | IL | 61103 | 362167847 | HEALTHCARE | IL | 501(c)(3 | 3 | 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 | NA | false |
| 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 PHYSICIANS | ||||||||||
| 2300 N ROCKTON AVE | ROCKFORD | IL | 61103 | 363097436 | HEALTHCARE | IL | 501(c)(3 | 3 | ROCKFORD HEALTH SYSTEM | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROCKFORD HEALTH INSURANCE LTD | |||||||||||||
| WELLESLEY HOUSE SO 2ND FLOOR | PEMBROOKE | BD | HM | INSURANCE | BD | NA | C Corporation | false | |||||
| CHARITABLE REMAINDER TRUST | |||||||||||||
| TRUST | NA | Trust | false | C/O 2400 ROCKTON AVE | ROCKFORD | IL | 61103 | IL | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | 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 | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |