ROCKFORD HEALTH PHYSICIANS: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- ROCKFORD HEALTH PHYSICIANS (EIN 36-3907436)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-12
- IRS object ID
- 201543169349305404
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-12T16:38:19-06:00 | 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 | 363907436 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROCKFORD HEALTH PHYSICIANS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ROCK | BusinessNameControlTxt |
| Phone | 8159715000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2300 N ROCKTON AVE | AddressLine1Txt |
| City | ROCKFORD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61103 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Henry M Seybold | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 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 | 2016-04-25 22:37:26Z | 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 | 2300 N ROCKTON AVE | AddressLine1Txt |
| City | ROCKFORD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $121,815,734 | 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 | 1993 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | To 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 Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 810 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $27,391 | PYContributionsGrantsAmt |
| CY Contributions Grants | $19,753 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $85,832,961 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $90,117,406 | CYProgramServiceRevenueAmt |
| PY Investment Income | $19,312 | PYInvestmentIncomeAmt |
| CY Investment Income | $40,307 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,901,135 | PYOtherRevenueAmt |
| CY Other Revenue | $31,515,809 | CYOtherRevenueAmt |
| PY Total Revenue | $88,780,799 | PYTotalRevenueAmt |
| CY Total Revenue | $121,693,275 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $92,978,586 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $103,736,287 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $46,794,856 | PYOtherExpensesAmt |
| CY Other Expenses | $48,213,758 | CYOtherExpensesAmt |
| PY Total Expenses | $139,773,442 | PYTotalExpensesAmt |
| CY Total Expenses | $151,950,045 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$50,992,643 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$30,256,770 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $54,596,824 | TotalAssetsBOYAmt |
| Total Assets EOY | $54,211,140 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $72,355,578 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $76,606,525 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$17,758,754 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$22,395,385 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The 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 Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $105,485,156 | ExpenseAmt |
| Revenue | $74,980,130 | RevenueAmt |
| Desc | ROCKFORD HEALTH PHYSICIANS (RHPH) IS A 188 MULTI-SPECIALTY PHYSICIAN GROUP THAT HAS 9 SATELLITE AMBULATORY OFFICES AS WELL AS 5 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 23 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 455,822 OFFICE VISITS IN 2014. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $10,399,129 | ExpenseAmt |
| Revenue | $14,312,959 | RevenueAmt |
| Desc | ANCILLARY MEDICAL SERVICES WERE PERFORMED TO ALLOW PHYSICIANS TO PROVIDE THE PROPER CARE TO ACHIEVE THE BEST OUTCOME FOR EACH PATIENT. THERE WERE 380,503 ANCILLARY TESTS AND PROCEDURES PERFORMED DURING 2014. 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $86,699 | ExpenseAmt |
| Revenue | $824,317 | RevenueAmt |
| Desc | THE 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $115,970,984 | 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 | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 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 | 98 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 810 | 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 | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | 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 (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| GARY E KAATZ | |||||||||
| PRESIDENT & CEO | 1.00 | 59.00 | Yes (X) | Yes (X) | $0 | $1,046,965 | $63,100 | ||
| CONNIE M VITALI | |||||||||
| CHAIR | 0.10 | 2.80 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DENNIS T UEHARA | |||||||||
| VICE-CHAIR | 30.00 | 25.50 | Yes (X) | Yes (X) | $534,513 | $0 | $44,010 | ||
| THOMAS D BUDD | |||||||||
| TREASUER | 0.50 | 0.80 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DUANE R BACH | |||||||||
| TREASURER (PARTIAL YEAR) | 0.10 | 1.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JACK J BECHERER | |||||||||
| DIRECTOR | 0.30 | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| JOHN W CHADWICK | |||||||||
| DIRECTOR | 0.30 | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| ELEANOR F DOAR | |||||||||
| DIRECTOR | 0.10 | 4.80 | Yes (X) | $0 | $0 | $0 | |||
| PAMELA S FOX | |||||||||
| DIRECTOR | 0.10 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| JOSE L GONZALEZ | |||||||||
| DIRECTOR | 52.20 | 1.70 | Yes (X) | $373,660 | $0 | $27,255 | |||
| PAUL A GREEN | |||||||||
| DIRECTOR | 0.10 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JEFF R SMITH MD | |||||||||
| Medical Director | 40.00 | 3.00 | Yes (X) | $372,057 | $0 | $27,970 | |||
| CURTIS D WORDEN | |||||||||
| DIRECTOR | 0.10 | 2.30 | Yes (X) | $0 | $1,429 | $0 | |||
| JULIE PETERSON | |||||||||
| SECRETARY | 2.00 | 39.30 | Yes (X) | $0 | $79,211 | $4,320 | |||
| Dr Kevin Ruggles | |||||||||
| Chief Phy Exec | 40.00 | 0 | Yes (X) | $579,985 | $0 | $49,525 | |||
| HENRY M SEYBOLD | |||||||||
| CFO | 1.00 | 44.30 | Yes (X) | $0 | $474,282 | $33,136 | |||
| Abdullah Altayeh | |||||||||
| PHYSICIAN | 40.00 | 0 | $718,537 | $0 | $32,981 | Yes (X) | |||
| Greg Nowak | |||||||||
| PHYSICIAN | 40.00 | 0 | $725,207 | $0 | $22,877 | Yes (X) | |||
| Zaher Qassem | |||||||||
| PHYSICIAN | 40.00 | 0 | $700,683 | $0 | $33,643 | Yes (X) | |||
| Craig Rogers | |||||||||
| PHYSICIAN | 40.00 | 0 | $664,156 | $0 | $40,919 | Yes (X) | |||
| Bharati Roy | |||||||||
| PHYSICIAN | 40.00 | 0 | $801,612 | $0 | $24,943 | Yes (X) | |||
| JOHN T DORSEY | |||||||||
| Director | 40.00 | $0 | $388,306 | $25,372 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,470,412 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,990,193 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $430,053 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 196 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ATHENA HEALTH INC | |||||
| PO BOX 415615 | BOSTON | MA | 02241 | BILLING SERVICES | $4,643,684 |
| ROCKFORD HEALTH SYSTEM | |||||
| 2400 N ROCKTON AVE | ROCKFORD | IL | 61103 | ADMINISTRATIVE SERVICES | $4,436,283 |
| LOCUM TENNENSCOM | |||||
| PO BOX 405547 | ATLANTA | GA | 303845547 | HEALTHCARE SERVICES | $653,137 |
| LINDE HEALTHCARE | |||||
| PO BOX 915241 | DALLAS | TX | 75391 | HEALTHCARE SERVICES | $509,191 |
| RODNEY BRIGGS | |||||
| 7200 SHERWOOD DR | KNOXVILLE | TN | 37919 | HEALTHCARE SERVICES | $467,477 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 19 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $19,753 | RelatedOrganizationsAmt |
| Total Contributions | $19,753 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PHYSICIAN MEDICAL SERVICES | 621110 | $42,798,021 | $42,798,021 |
| MEDICARE/MEDICAID | 900099 | $8,169,715 | $8,169,715 |
| ANCILLARY MEDICAL SERVICES | 621400 | $38,325,353 | $38,325,353 |
| HEALTH CONNECT, PQRI AND MCH | 621400 | $808,096 | $808,096 |
| CLINICAL RESEARCH | 900099 | $16,221 | $16,221 |
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 | $90,117,406 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,092 | TotalRevenueColumnAmt |
| Exclusion | $41,092 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $244,043 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $116,575 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $127,468 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $127,468 | TotalRevenueColumnAmt |
| Exclusion | $127,468 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,099 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,884 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | -$785 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$785 | TotalRevenueColumnAmt |
| Exclusion | -$785 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Reimbursed Program cost of Physicians from RMH | 900099 | $29,302,600 | $29,302,600 |
| MEANINGFUL USE INCENTIVES | 900099 | $1,176,538 | $1,176,538 |
| PARTNERSHIP INCOME | 900099 | $27,621 | $27,621 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $881,582 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $881,582 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $31,388,341 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $121,693,275 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $90,117,406 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $31,556,116 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,008,976 | TotalAmt |
| Program Services | $1,379,465 | ProgramServicesAmt |
| Management And General | $629,511 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,388,739 | TotalAmt |
| Program Services | $77,691,442 | ProgramServicesAmt |
| Management And General | $8,697,297 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,570,466 | TotalAmt |
| Program Services | $3,377,952 | ProgramServicesAmt |
| Management And General | $192,514 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,852,786 | TotalAmt |
| Program Services | $6,735,096 | ProgramServicesAmt |
| Management And General | $1,117,690 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,915,320 | TotalAmt |
| Program Services | $3,522,035 | ProgramServicesAmt |
| Management And General | $393,285 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,751 | TotalAmt |
| Management And General | $109,751 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,696 | TotalAmt |
| Management And General | $144,696 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,267,764 | TotalAmt |
| Program Services | $7,064,196 | ProgramServicesAmt |
| Management And General | $11,203,568 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $695,409 | TotalAmt |
| Management And General | $695,409 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,516,055 | TotalAmt |
| Program Services | $478,563 | ProgramServicesAmt |
| Management And General | $1,037,492 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,282,043 | TotalAmt |
| Program Services | $956,276 | ProgramServicesAmt |
| Management And General | $325,767 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,666,916 | TotalAmt |
| Program Services | $877,293 | ProgramServicesAmt |
| Management And General | $2,789,623 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,393 | TotalAmt |
| Program Services | $28,530 | ProgramServicesAmt |
| Management And General | $35,863 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,450 | TotalAmt |
| Program Services | $50,364 | ProgramServicesAmt |
| Management And General | $63,086 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $928,499 | TotalAmt |
| Management And General | $928,499 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,875,711 | TotalAmt |
| Program Services | $2,829,609 | ProgramServicesAmt |
| Management And General | $3,046,102 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,028,926 | TotalAmt |
| Management And General | $4,028,926 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DRUGS AND MEDICAL SUPPLIES | $5,819,061 | $5,819,061 | |
| Bad Debt Expense | $4,284,726 | $4,284,726 | |
| physician business expense | $502,541 | $501,891 | $650 |
| banking fees | $279,480 | $279,480 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $634,337 | TotalAmt |
| Program Services | $374,485 | ProgramServicesAmt |
| Management And General | $259,852 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,950,045 | TotalAmt |
| Program Services | $115,970,984 | ProgramServicesAmt |
| Management And General | $35,979,061 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,033 | BOYAmt |
| EOY | $1,006,966 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,621,713 | BOYAmt |
| EOY | $8,917,596 | 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 |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $746,085 | BOYAmt |
| EOY | $757,538 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $492,064 | BOYAmt |
| EOY | $383,281 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $88,801,474 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $55,257,531 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,270,747 | BOYAmt |
| EOY | $33,543,943 | 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 | $288,845 | BOYAmt |
| EOY | $276,779 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,492,834 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,065,337 | BOYAmt |
| EOY | $6,832,203 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,596,824 | BOYAmt |
| EOY | $54,211,140 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,479,976 | BOYAmt |
| EOY | $43,046,808 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,017,231 | BOYAmt |
| EOY | $28,017,231 | 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 | $4,858,371 | BOYAmt |
| EOY | $5,542,486 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,355,578 | BOYAmt |
| EOY | $76,606,525 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$17,758,754 | BOYAmt |
| EOY | -$22,395,385 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$17,758,754 | BOYAmt |
| EOY | -$22,395,385 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,596,824 | BOYAmt |
| EOY | $54,211,140 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$30,256,770 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $25,620,139 | 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,933,927 | BeginningYearBalanceAmt |
| Contributions | $56,884 | ContributionsAmt |
| Investment Earnings Or Losses | $164,099 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $131,058 | OtherExpendituresAmt |
| Administrative Expenses | $5,475 | AdministrativeExpensesAmt |
| End Year Balance | $2,018,377 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,559,618 | BeginningYearBalanceAmt |
| Contributions | $148,494 | ContributionsAmt |
| Investment Earnings Or Losses | $305,391 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $75,210 | OtherExpendituresAmt |
| Administrative Expenses | $4,366 | AdministrativeExpensesAmt |
| End Year Balance | $1,933,927 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,376,820 | BeginningYearBalanceAmt |
| Contributions | $69,541 | ContributionsAmt |
| Investment Earnings Or Losses | $213,330 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $94,236 | OtherExpendituresAmt |
| Administrative Expenses | $5,837 | AdministrativeExpensesAmt |
| End Year Balance | $1,559,618 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,318,056 | BeginningYearBalanceAmt |
| Contributions | $95,814 | ContributionsAmt |
| Investment Earnings Or Losses | $10,219 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $39,270 | OtherExpendituresAmt |
| Administrative Expenses | $7,999 | AdministrativeExpensesAmt |
| End Year Balance | $1,376,820 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $872,520 | BeginningYearBalanceAmt |
| Contributions | $320,215 | ContributionsAmt |
| Investment Earnings Or Losses | $177,228 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $44,769 | OtherExpendituresAmt |
| Administrative Expenses | $7,138 | AdministrativeExpensesAmt |
| End Year Balance | $1,318,056 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.184 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.361 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.455 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,389,430 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $5,798,418 | OtherCostOrOtherBasisAmt |
| Book Value | $7,187,848 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $59,922,653 | OtherCostOrOtherBasisAmt |
| Depreciation | $38,741,230 | DepreciationAmt |
| Book Value | $21,181,423 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,479,402 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,352,794 | DepreciationAmt |
| Book Value | $1,126,608 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,718,696 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,897,245 | DepreciationAmt |
| Book Value | $2,821,451 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,492,875 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,266,262 | DepreciationAmt |
| Book Value | $1,226,613 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $33,543,943 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BOND ISSUE COSTS | $280,665 |
| CAA-FAS124 VALUATION | $7,715 |
| DEFERRED COMP VALUATION | $5,224,164 |
| CAPITAL ACCUMULATION ACCOUNT | $134,978 |
| DUE FROM RELATED ORGANIZATIONS | $15,139 |
| OTHER RECEIVABLES | $1,169,542 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $6,832,203 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| CAA-FAS124 VALUATION | $7,715 |
| DEFERRED COMPENSATION VALUATION | $5,232,144 |
| ASSET RECOVERY OBLIGATION | $150,000 |
| CAPITAL ACCUMULATION LIABILITY | $134,977 |
| DUE TO RELATED ORGANIZATIONS | $17,650 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,542,486 | 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 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 | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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 |
| DENNIS T UEHARA | ||||||||||||||
| VICE-CHAIR | $531,867 | $0 | $0 | $0 | $2,646 | $0 | $37,500 | $0 | $6,510 | $0 | $578,524 | $0 | $0 | $0 |
| JOHN T DORSEY | ||||||||||||||
| Director | $0 | $340,752 | $0 | $17,043 | $0 | $30,511 | $0 | $19,897 | $0 | $5,475 | $0 | $413,678 | $0 | $0 |
| JOSE L GONZALEZ | ||||||||||||||
| DIRECTOR | $372,112 | $0 | $0 | $0 | $1,548 | $0 | $20,000 | $0 | $7,255 | $0 | $400,914 | $0 | $0 | $0 |
| JEFF R SMITH MD | ||||||||||||||
| Medical Director | $371,283 | $0 | $0 | $0 | $774 | $0 | $20,000 | $0 | $7,970 | $0 | $400,027 | $0 | $0 | $0 |
| Dr Kevin Ruggles | ||||||||||||||
| Chief Phy Exec | $461,286 | $0 | $36,972 | $0 | $81,727 | $0 | $42,138 | $0 | $7,388 | $0 | $629,511 | $0 | $0 | $0 |
| HENRY M SEYBOLD | ||||||||||||||
| CFO | $0 | $385,657 | $0 | $58,079 | $0 | $30,547 | $0 | $22,793 | $0 | $10,343 | $0 | $507,418 | $0 | $0 |
| Abdullah Altayeh | ||||||||||||||
| PHYSICIAN | $717,997 | $0 | $0 | $0 | $540 | $0 | $27,500 | $0 | $5,481 | $0 | $751,518 | $0 | $0 | $0 |
| Greg Nowak | ||||||||||||||
| PHYSICIAN | $724,433 | $0 | $0 | $0 | $774 | $0 | $20,000 | $0 | $2,877 | $0 | $748,085 | $0 | $0 | $0 |
| Zaher Qassem | ||||||||||||||
| PHYSICIAN | $700,143 | $0 | $0 | $0 | $540 | $0 | $27,500 | $0 | $6,143 | $0 | $734,327 | $0 | $0 | $0 |
| Craig Rogers | ||||||||||||||
| PHYSICIAN | $661,510 | $0 | $0 | $0 | $2,646 | $0 | $37,500 | $0 | $3,419 | $0 | $705,075 | $0 | $0 | $0 |
| Bharati Roy | ||||||||||||||
| PHYSICIAN | $800,838 | $0 | $0 | $0 | $774 | $0 | $20,000 | $0 | $4,943 | $0 | $826,556 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | THE ROCKFORD HEALTH SYSTEM BOARD OF DIRECTORS HAS A COMPENSATION COMMITTEE THAT REVIEWS EXECUTIVE COMPENSATION FOR THE SYSTEM, INCLUDING ROCKFORD HEALTH PHYSICIANS. 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. |
| Schedule J, Part I, Line 7 Non-fixed payments | MANAGEMENT AND EMPLOYEES ARE PERIODICALLY FINANCIALLY REWARDED FOR EXCEEDING COMPANY AND DEPARTMENT PERFORMANCE GOALS. THE AMOUNTS ARE DISCRETIONARY AND ARE NOT RELATED TO NET EARNINGS OF THE ORGANIZATION. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ILLINOIS FINANCE AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 861091967 | BondIssuerEIN |
| CUSIP | 45200FSG5 | CUSIPNum |
| Bond Issued | 2008-12-11 | BondIssuedDt |
| Issue Price | $28,017,231 | IssuePriceAmt |
| Purpose | REFUND 1994 SERIES BONDS | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $0 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $28,017,231 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $437,056 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $14,976 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $0 | CapitalExpendituresAmt |
| Other Spent Proceeds | $27,565,199 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2008 | SubstantialCompletionYr |
| Current Refunding | Yes (true) | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Private Business Use | 0.0 | TotalPrivateBusinessUsePct |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| No Rebate Due | Yes (true) | NoRebateDueInd |
| Variable Rate Issue | Yes (true) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | Yes (true) | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JP MORGAN CHASE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 10.3 | TermOfHedgePct |
| Superintegrated Hedge | false | SuperintegratedHedgeInd |
| Hedge Terminated | false | HedgeTerminatedInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part I, Column (e) Issue Price Not Identical to Form 8038 | The 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. |
| Schedule K, Part IV, Line 2c Rebate Calculation | Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 06/04/2013 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 15a PROCESS USED TO ESTABLISH COMPENSATION FOR TOP MANAGEMENT OFFICIAL | ROCKFORD HEALTH PHYSICIANS' TOP MANAGEMENT OFFICIAL IS THE PRESIDENT & CEO OF ROCKFORD HEALTH SYSTEMS (RHS), THE SOLE CORPORATE MEMBER. 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 OFFICERS | 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 committee | THE 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 stockholders | Rockford 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 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 | By written policy, RHS sends out, on an annual basis, the corporate Conflict and Duality of Interest policy to all Board members, corporate officers and other key individuals (those having responsibility and authority to make final decisions regarding the acquisition of products or services). Each recipient is required to complete a Financial Interest Disclosure Statement, which is submitted to the Vice President, Legal Services/General Counsel for review. With respect to physicians and managers who are key individuals, any potential conflict of interest is reviewed with the appropriate executive staff member for follow up with the disclosing party in order to review the matter in more detail. This includes emphasizing that the disclosing party is not permitted to participate in any negotiations for the purchase of any products or services where the conflict is deemed material, or authorize the subsequent purchase of related goods and services. The disclosing party is also required to identify each and every instance of a potential conflict as they may arise in the ordinary course of business. A similar process is followed for the Board of Directors, except that any potential conflict is reviewed by the Board's Governance Committee. Board members may comment on transactions where there is a potential conflict, but cannot vote on the related matter and may be required to leave any meeting where the potential conflict is reviewed by the Board or where the Board takes action to either approve or not approve the proposed transaction. A board member also has a continuing duty to report any conflicts as they may arise in the ordinary course of business. In the event that a potential conflict of interest is reported or discovered outside the established process, appropriate review and action would be taken. This process was last completed in 2015, when the questionnaires were sent to address any 2014 conflicts identified. 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. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | All other Revenue - Total Revenue: 881582, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 881582; |
| Form 990, Part IX, Line 11g Other Fees | RHS management fee - Total Expense: 4436283, Program Service Expense: , Management and General Expenses: 4436283, Fundraising Expenses: ; Other Purchased Services - Total Expense: 4568386, Program Service Expense: 2496013, Management and General Expenses: 2072373, Fundraising Expenses: ; PURCHASED LABOR - Total Expense: 4734865, Program Service Expense: 4568183, Management and General Expenses: 166682, Fundraising Expenses: ; BILLING AND COLLECTION FEES - Total Expense: 4528230, Program Service Expense: , Management and General Expenses: 4528230, Fundraising Expenses: ; OTHER FEES FOR SERVICES - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Cum Eff Chg in Acct - Pension - -2313616; Cum Eff Chg in Acct - Post Retirement - 116034; Transfer to Affiliates - -469479; Transfer from Affiliates - 28287200; |
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 MEMORIAL DEVELOPMENT FOUNDATION | ||||||||||
| 2400 N ROCKTON AVE | ROCKFORD | IL | 61103 | 363197918 | SUPPORT OF HEALTHCARE | IL | 501(c)(3 | Type I | ROCKFORD HEALTH SYSTEM | Yes (true) |
| VISITING NURSES ASSN OF THE ROCKFORD AREA | ||||||||||
| 4223 E STATE STREET | ROCKFORD | IL | 61108 | 362167945 | HEALTHCARE | IL | 501(c)(3 | 9 | ROCKFORD HEALTH SYSTEM | Yes (true) |
| ROCKFORD HEALTH SYSTEM | ||||||||||
| 2400 N ROCKTON AVE | ROCKFORD | IL | 61103 | 363197915 | SUPPORT OF HEALTHCARE | IL | 501(c)(3 | Type III-FI | NA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KSB-RMHSC PARTNERSHIP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2400 N ROCKTON AVE | AddressLine1Txt |
| City | ROCKFORD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364143516 | EIN |
| Primary Activities | RENTAL | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Excluded | PredominantIncomeTypeTxt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (true) | GeneralOrManagingPartnerInd |
| Ownership | 0.274 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROCKFORD HEALTH INSURANCE LTD | BusinessNameLine1Txt |
Foreign Address ForeignAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | WELLESLEY HOUSE SO 2ND FLOOR | AddressLine1Txt |
| Province Or State | PEMBROOKE | ProvinceOrStateNm |
| Country | BD | CountryCd |
| Foreign Postal | HM | ForeignPostalCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | INSURANCE | PrimaryActivitiesTxt |
| Legal Domicile Foreign Country | BD | LegalDomicileForeignCountryCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C Corporation | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 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 | Yes (true) | 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 | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |