ROCHELLE COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- ROCHELLE COMMUNITY HOSPITAL ASSOCIATION (EIN 36-2548549)
- Tax period
- 2023-05-01 to 2024-04-30
- Filed
- 2025-02-28
- IRS object ID
- 202500599349300025
- Schema version
- 2023v6.0
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-02-28T16:05:24-06:00 | ReturnTs |
| Tax Period End | 2024-04-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 WASHINGTON AVENUE SUITE 1800 | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-05-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362548549 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROCHELLE COMMUNITY HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ROCH | BusinessNameControlTxt |
| Phone | 8155622181 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 NORTH 2ND STREET | AddressLine1Txt |
| City | ROCHELLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61068 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LORI GUTIERREZ | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8155622181 | PhoneNum |
| Signature | 2025-02-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMBER ROGNAN-HAMILTON | PreparerPersonNm |
| PTIN | P01251012 | PTIN |
| Phone | 3149254300 | PhoneNum |
| Preparation | 2025-02-27 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KAREN TRACY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 NORTH 2ND STREET | AddressLine1Txt |
| City | ROCHELLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61068 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $53,973,342 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ROCHELLEHOSPITAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1965 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE LOCAL COMMUNITY-BASED HEALTH & WELLNESS SERVICES FOCUSED ON A SAFE & HIGH QUALITY HEALTHCARE EXPERIENCE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 390 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $71,997 | PYContributionsGrantsAmt |
| CY Contributions Grants | $31,939 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $53,201,880 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $52,747,402 | CYProgramServiceRevenueAmt |
| PY Investment Income | $326,057 | PYInvestmentIncomeAmt |
| CY Investment Income | $935,618 | CYInvestmentIncomeAmt |
| PY Other Revenue | $174,375 | PYOtherRevenueAmt |
| CY Other Revenue | $210,015 | CYOtherRevenueAmt |
| PY Total Revenue | $53,774,309 | PYTotalRevenueAmt |
| CY Total Revenue | $53,924,974 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $6,350 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $10,050 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $26,909,083 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $25,715,375 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $24,120,101 | PYOtherExpensesAmt |
| CY Other Expenses | $24,209,372 | CYOtherExpensesAmt |
| PY Total Expenses | $51,035,534 | PYTotalExpensesAmt |
| CY Total Expenses | $49,934,797 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,738,775 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,990,177 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $70,539,393 | TotalAssetsBOYAmt |
| Total Assets EOY | $76,215,227 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,298,299 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,774,759 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $60,241,094 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $66,440,468 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING HIGH QUALITY CARE WITH COMPETENCE, EXCELLENCE AND COMPASSION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $38,309,055 | ExpenseAmt |
| Grant | $10,050 | GrantAmt |
| Revenue | $41,520,643 | RevenueAmt |
| Desc | HOSPITAL PATIENT CARE OPERATIONS (EXCLUDING ER) - IN FISCAL YEAR 4/30/24, ROCHELLE HOSPITAL HAD 1,067 INPATIENT DAYS AND PERFORMED 36,227 OUTPATIENT REGISTRATIONS. THE HOSPITAL IS COMMITTED TO PROVIDING THE HIGHEST LEVEL OF HEALTHCARE FOR EVERYONE REGARDLESS OF ABILITY TO PAY. THE HOSPITAL SUBSIDIZES THE COST OF TREATING PATIENTS WHO ARE UNINSURED OR UNABLE TO PAY OR REQUIRE GOVERNMENT ASSISTANCE WHERE REIMBURSEMENT IS LIMITED. ROCHELLE HOSPITAL IS ALSO COMMITTED TO EDUCATING THE COMMUNITY REGARDING HEALTHCARE ISSUES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,061,432 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $11,211,543 | RevenueAmt |
| Desc | ROCHELLE HOSPITAL PROVIDES 24-HOUR EMERGENCY SERVICES IN THE EMERGENCY ROOM, WHICH IS STAFFED BY FULL-TIME ATTENDING PHYSICIANS. PATIENTS ARE SEEN REGARDLESS OF ABILITY TO PAY. THE EMERGENCY ROOM HAD 8,960 VISITS IN FISCAL YEAR 4/30/24. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,938 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $15,216 | RevenueAmt |
| Desc | HEALTHWORKS FITNESS PROMOTES THE BELIEF THAT A HEALTHIER LIFESTYLE THROUGH EXERCISES AND EDUCATION REALLY DOES WORK! WE DO THIS NOT ONLY BY WORKING WITH YOU AFTER AN ILLNESS OR SURGERY, BUT BY TRAINING YOU IN PREVENTION AS WELL. THAT'S WHY HEALTHWORKS WAS CREATED. IT'S OUR GOAL TO HELP SATISFY THE HEALTH AND FITNESS NEEDS TO THE COMMUNITY BY PROVIDING FITNESS EQUIPMENT, TRAINING AND SPECIAL INDIVIDUALIZED EXERCISE PRESCRIPTIONS.HEALTHWORKS FITNESS ALSO HOUSES CARDIOPULMONARY REHABILITATION. THIS AREA INCLUDES A CONSULTATION ROOM, REHAB CHECK-IN AREA WHERE PAITENTS CAN MEET WITH CARDIOPULMONARY STAFF TO GET THEIR VITAL READINGS AND DISCUSS REHABILITIATION. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $41,382,425 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 87 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 390 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | 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 | LORI GUTIERREZ | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8155622181 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 NORTH SECOND STREET | AddressLine1Txt |
| City | ROCHELLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61068 | 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 |
|---|---|---|---|---|---|---|---|---|
| NOAH CARMICHAEL | ||||||||
| CHAIRPERSON | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JEFF GLEN | ||||||||
| VICE CHAIR | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BRENT OHLINGER | ||||||||
| TREASURER | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TODD PRUSATOR | ||||||||
| SECRETARY | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DIANE KENNEY | ||||||||
| PRESIDENT HOSPITAL AUX (TERM ENDED) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARIA VAN HISE | ||||||||
| PRESIDENT HOSPITAL AUXILIARY | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RENELLE CARMICHAEL | ||||||||
| CO- PRESIDENT HOSPITAL AUXILIARY | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ADRIANA MILAN | ||||||||
| TRUSTEE (TERM ENDED) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GERI DEE HAYDEN | ||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CRYSTAL DYER | ||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KERRI VILLA-NANTZ | ||||||||
| TRUSTEE (TERM ENDED) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JASON POPP MD | ||||||||
| CHIEF OF MEDICAL STAFF | 40.00 | 0.00 | Yes (X) | $242,144 | $0 | $43,216 | ||
| AJ QUERCIAGROSSA | ||||||||
| TRUSTEE - OSF HEALTHCARE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SATHISH CULLATH MD | ||||||||
| CHIEF OF MEDICAL STAFF ELECT | 40.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KAREN TRACY | ||||||||
| COO, CEO | 40.00 | 5.00 | Yes (X) | Yes (X) | $275,079 | $0 | $35,592 | |
| LORI GUTIERREZ | ||||||||
| CFO | 40.00 | 5.00 | Yes (X) | $207,671 | $0 | $7,441 | ||
| GREGORY A OLSON | ||||||||
| PAST CEO (RETIRED 3/2023) | 40.00 | 0.00 | Yes (X) | $425,306 | $0 | $10,460 | ||
| GADINI DELISCA | ||||||||
| ORTHOPEDIC PHYSICIAN | 40.00 | 0.00 | $667,185 | $0 | $11,844 | Yes (X) | ||
| KENDALL ELIZABETH VOGELER | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $236,470 | $0 | $6,858 | Yes (X) | ||
| CHRISTINE GORMAN MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $224,254 | $0 | $17,320 | Yes (X) | ||
| RHONDA MARKS | ||||||||
| CNO | 40.00 | 0.00 | $188,714 | $0 | $10,318 | Yes (X) | ||
| KYLE AUMAN | ||||||||
| CAO | 40.00 | 0.00 | $165,697 | $0 | $34,653 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,632,520 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $177,702 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 36 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| POINTCORE | |||||
| PO BOX 775982 | CHICAGO | IL | 60677 | CONTRACT SERVICES | $1,063,968 |
| PREMIER HEALTH GROUP LLC | |||||
| 921 KING CANYON DRIVE | STREAMWOOD | IL | 60107 | CONTRACT STAFFING | $706,115 |
| NOVUS ILLINOIS SERVICE COPRORATION | |||||
| PO BOX 12766 | PENSACOLA | FL | 32591 | ANESTHESIA PROFESSIONAL SERVICES | $678,413 |
| AUREUS RADIOLOGY LLC | |||||
| PO BOX 310856 | DES MOINES | IA | 50331 | RADIOLOGY STAFFING | $597,285 |
| EMERGENCY DEPT ASSOCIATES | |||||
| 7032 COLLECTION CTR DR | CHICAGO | IL | 60693 | ER STAFFING | $587,946 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 25 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $4,411 | RelatedOrganizationsAmt |
| All Other Contributions | $27,528 | AllOtherContributionsAmt |
| Total Contributions | $31,939 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $41,520,643 | $41,520,643 |
| EMERGENCY SERVICE REVENUE | 621110 | $11,211,543 | $11,211,543 |
| FITNESS CENTER | 621110 | $15,216 | $15,216 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $52,747,402 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $836,950 | TotalRevenueColumnAmt |
| Exclusion | $836,950 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,193 | TotalRevenueColumnAmt |
| Exclusion | $7,193 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $139,843 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $48,368 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $91,475 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $91,475 | TotalRevenueColumnAmt |
| Exclusion | $91,475 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA | 621110 | $185,975 | $185,975 |
| LEASE REVENUE | 621110 | $15,275 | $15,275 |
| CREDENTIALING FEES | 621110 | $6,300 | $6,300 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,465 | TotalRevenueColumnAmt |
| Exclusion | $2,465 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $210,015 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $53,924,974 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $52,747,402 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,145,633 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,050 | TotalAmt |
| Program Services | $10,050 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,167,148 | TotalAmt |
| Program Services | $308,173 | ProgramServicesAmt |
| Management And General | $858,975 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,335,129 | TotalAmt |
| Program Services | $17,129,072 | ProgramServicesAmt |
| Management And General | $3,206,057 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $428,334 | TotalAmt |
| Program Services | $357,493 | ProgramServicesAmt |
| Management And General | $70,841 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,280,552 | TotalAmt |
| Program Services | $1,872,214 | ProgramServicesAmt |
| Management And General | $408,338 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,504,212 | TotalAmt |
| Program Services | $1,214,792 | ProgramServicesAmt |
| Management And General | $289,420 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,821 | TotalAmt |
| Management And General | $69,821 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,257 | TotalAmt |
| Management And General | $84,257 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,889 | TotalAmt |
| Management And General | $15,889 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,205 | TotalAmt |
| Management And General | $59,205 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,346,569 | TotalAmt |
| Program Services | $5,068,960 | ProgramServicesAmt |
| Management And General | $1,277,609 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,661 | TotalAmt |
| Program Services | $339,179 | ProgramServicesAmt |
| Management And General | $482 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,453,264 | TotalAmt |
| Program Services | $4,453,264 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $332,126 | TotalAmt |
| Management And General | $332,126 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $584,473 | TotalAmt |
| Program Services | $476,551 | ProgramServicesAmt |
| Management And General | $107,922 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,090 | TotalAmt |
| Program Services | $87,453 | ProgramServicesAmt |
| Management And General | $22,637 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,554 | TotalAmt |
| Program Services | $151,698 | ProgramServicesAmt |
| Management And General | $16,856 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,402,170 | TotalAmt |
| Program Services | $3,301,628 | ProgramServicesAmt |
| Management And General | $1,100,542 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $569,700 | TotalAmt |
| Program Services | $569,700 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT | $2,715,852 | $2,715,852 | |
| REPAIRS AND MAINTENANCE | $2,450,097 | $1,908,864 | $541,233 |
| MEDICAID ASSESSMENT TAX | $1,004,669 | $1,004,669 | |
| FOOD | $259,624 | $259,624 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $243,351 | TotalAmt |
| Program Services | $153,189 | ProgramServicesAmt |
| Management And General | $90,162 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,934,797 | TotalAmt |
| Program Services | $41,382,425 | ProgramServicesAmt |
| Management And General | $8,552,372 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,764 | BOYAmt |
| EOY | $45,143 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,042,295 | BOYAmt |
| EOY | $26,625,376 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,609,341 | BOYAmt |
| EOY | $6,948,344 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $394,552 | BOYAmt |
| EOY | $415,892 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,228,953 | BOYAmt |
| EOY | $1,415,932 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $51,492,030 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $32,882,317 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,345,876 | BOYAmt |
| EOY | $18,609,713 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,946,273 | BOYAmt |
| EOY | $21,527,755 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $946,339 | BOYAmt |
| EOY | $627,072 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,539,393 | BOYAmt |
| EOY | $76,215,227 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,382,704 | BOYAmt |
| EOY | $4,549,827 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,976,987 | BOYAmt |
| EOY | $4,469,050 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $938,608 | BOYAmt |
| EOY | $755,882 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,298,299 | BOYAmt |
| EOY | $9,774,759 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,241,094 | BOYAmt |
| EOY | $66,440,468 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,241,094 | BOYAmt |
| EOY | $66,440,468 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,539,393 | BOYAmt |
| EOY | $76,215,227 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,990,177 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,209,197 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $15,889 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $15,889 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | ROCHELLE COMMUNITY HOSPITAL IS A MEMBER OF THE ILLINOIS HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION, BOTH OF WHICH CONDUCT LOBBYING ON BEHALF OF THEIR MEMBERS. THE AMOUNT REPORTED IS THE PORTION OF MEMBERSHIP DUES SPENT ON LOBBYING. NO OTHER LOBBYING ACTIVITIES WERE CONDUCTED. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,453,878 | OtherCostOrOtherBasisAmt |
| Book Value | $1,453,878 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,243,463 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,995,397 | DepreciationAmt |
| Book Value | $7,248,066 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,490,090 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,170,086 | DepreciationAmt |
| Book Value | $320,004 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,922,835 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,716,834 | DepreciationAmt |
| Book Value | $9,206,001 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $381,764 | OtherCostOrOtherBasisAmt |
| Book Value | $381,764 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $18,609,713 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION PAYABLE | $145,189 |
| RIGHT OF USE LIABILITIES | $610,693 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $755,882 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $515,598 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $515,598 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01030 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,499,135 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,040,283 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,458,852 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02920 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,014,733 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,040,283 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,974,450 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03950 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $91,661 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $91,661 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,239,175 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,302,342 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,936,833 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11890 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,050 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,050 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,340,886 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,302,342 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,038,544 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12090 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,355,619 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,342,625 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,012,994 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16040 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $991,710 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $495,855 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $11,827,428 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $11,877,168 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$49,740 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROCHELLE COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 N 2ND STREET | AddressLine1Txt |
| City | ROCHELLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61068 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.ROCHELLEHOSPITAL.COM | WebsiteAddressTxt |
| State License | HF105997 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROCHELLE COMMUNITY HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, PAGE 8 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, PAGE 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, PAGE 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ROCHELLE COMMUNITY HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BY GATHERING DATA THROUGH FOCUS GROUPS, SECONDARY DATA ANALYSIS AND KEY STAKEHOLDER INTERVIEWS. FOUR FOCUS GROUPS WERE SCHEDULED IN MARCH 2022. FOUR FOCUS GROUPS WERE SCHEDULED TO OCCUR OVER THE COURSE OF TWO WEEKS IN MARCH 2022 TO OBTAIN INFORMATION FROM COMMUNITY RESIDENTS. RCH PROVIDED NAMES AND CONTACT INFORMATION FOR 96 POTENTIAL ATTENDEES. RHI REACHED OUT TO ALL 96 TO INVITE THEM TO PARTICIPATE. ATTENDEES COULD CHOOSE THE FOCUS GROUP THEY PREFERRED TO ATTEND BASED ON THEIR AVAILABILITY. EACH FOCUS GROUP INCLUDED A MIX OF ATTENDEES REPRESENTING THEIR COMMUNITY. ATTENDEES INCLUDED SENIORS, REPRESENTATIVES FROM BUSINESSES, HEALTH CARE CONSUMERS, AND SOCIAL SERVICES. 15 PEOPLE PARTICIPATED IN TOTAL. SECONDARY DATA ANALYSIS WAS CONDUCTED TO COMPARE OGLE COUNTY WITH HENRY AND LASALLE COUNTIES, THE STATE OF ILLINOIS AND THE NATION ON POPULATION CHANGES AND DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, BEHAVIORAL HEALTH RISK FACTORS AND HEALTH OUTCOMES. FIFTEEN RESIDENTS WERE IDENTIFIED BY THE HOSPITAL TO POTENTIALLY PARTICIPATE IN KEY STAKEHOLDER INTERVIEWS IN MARCH 2022. THE KEY STAKEHOLDERS WERE IDENTIFIED BASED ON THE VARIOUS CONSUMER GROUPS OF LOCAL HEALTH SERVICES INCLUDING SENIOR CITIZENS, YOUNG PARENTS, HEALTH CARE PROVIDERS, AND COMMUNITY LEADERS. INVITATIONS WERE EMAILED WITH THE KEY STAKEHOLDER QUESTIONS ATTACHED OR A PHONE CALL WAS MADE TO INVITE THEM. NINE PEOPLE AGREED TO PARTICIPATE. IN TOTAL, FOUR MEN AND FIVE WOMEN PARTICIPATED. THREE PEOPLE CHOSE TO SEND EMAIL RESPONSES TO THE INTERVIEW QUESTIONS. SIX VIRTUAL MEETING SESSIONS WERE APPROXIMATELY 20 MINUTES IN LENGTH AND INCLUDED A REVIEW OF THE SECONDARY DATA AT THE BEGINNING. EACH KEY STAKEHOLDER WAS ASKED THE SAME QUESTIONS. RESULTS WERE PRESENTED IN A TWO PART PROCESS: 1) WEBINAR TO THE ADMINISTRATIVE TEAM HIGHLIGHTING NATIONAL CHANGES IN THE HEALTH CARE SYSTEM AND FINDINGS FROM THE FOCUS GROUPS, KEY STAKEHOLDER INTERVIEWS AND SECONDARY DATA ANALYSIS AND 2) A DISCUSSION WITH A BROAD CROSS SECTION OF THE COMMUNITY TO IDENTIFY COMMUNITY HEALTH PRIORITIES AND TAKE INVENTORY OF LOCAL RESOURCES AND COMMUNITY HEALTH INITIATIVES. INDIVIDUALS WHO PARTICIPATED INCLUDED: HOSPITAL CEO, CFO, CNO, CAO, COO, EMERGENCY DEPARTMENT MANAGER, OUTPATIENT SERVICES MANAGER, MARKETING INTERN, FOUNDATION AND COMMUNITY EVENTS MANAGER, FAMILY PRACTICE PHYSICIAN, OGLE COUNTY HEALTH DEPT, ROCHELLE FIRE CHIEF AND SINNISSIPPI BEHAVIORAL HEALTH AND SOCIAL SERVICES COUNSELORS. |
| ROCHELLE COMMUNITY HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 11: IN MARCH 2022, ROCHELLE COMMUNITY HOSPITAL ADOPTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. AT THAT TIME, TWO OF THE PRIMARY NEEDS IDENTIFIED WERE:(1) IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES(2) ADDRESS BARRIERS TO ACCESSING CAREIN ADDRESSING THE PRIMARY NEEDS IDENTIFIED IN ROCHELLE COMMUNITY HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT DURING THE CURRENT FISCAL YEAR, THE HOSPITAL TOOK THE FOLLOWING ACTIONS:(1) ROCHELLE COMMUNITY HOSPITAL MET WITH COMMUNITY PARTNERS SUCH AS POLICE, FIRE, NURSING HOME, OUTSIDE COUNSELING SERVICES AND CLERGY TO DETERMINE WHAT MENTAL HEALTH SERVICES ARE NEEDED IN THE COMMUNITY AND RESOURCES ALREADY AVAILABLE.(2) ROCHELLE COMMUNITY HOSPITAL BEGAN WORKING ON A BEHAVIORAL HEALTH MODEL TO FIT OUR ORGANIZATION. WE HAVE DETERMINED THE MODEL WE WOULD LIKE TO USE AND THE LOCATION WE WOULD LIKE TO OFFER SERVICES. OUR PLAN IS TO HIRE A COUNSELOR AND CONTRACT FOR A PSYCHIATRIST THROUGH A TELE-HEALTH SERVICE. WE HAVE BEGUN MEETING WITH COMPANIES THAT PROVIDE THE PSYCHIATRY SERVICES TO SEE WHICH ONE WILL WORK BEST FOR RCH.(3) RCH OFFERED A DE-ESCALATION COURSE TO STAFF TO HELP THEM BECOME BETTER EQUIPPED TO DEAL WITH POTENTIALLY UNSAFE SITUATIONS.(4) RCH JOINED THE ICAHN ACCOUNTABLE CARE ORGANIZATION AND WE ARE RECEIVING GUIDANCE RELATED TO CREATING A CARE COORDINATION PROGRAM FOR OUR PATIENTS. RCH HIRED ONE CARE COORDINATOR FOR THE CLINIC PATIENTS AND IS MAKING PLANS TO HAVE A CARE COORDINATOR FOR HOSPITAL BASED PATIENTS. (5) ROCHELLE COMMUNITY HOSPITAL OPENED A SATELLITE CLINIC IN DEKALB TO OFFER ORTHOPEDIC SERVICES AND OTHER POSSIBLE SERVICES. (6) ROCHELLE COMMUNITY HOSPITAL ENROLLED ADDITIONAL BILINGUAL EMPLOYEES IN MEDICAL INTERPRETATION TRAINING COURSES TO BETTER ENGAGE THE HISPANIC COMMUNITY. MARKETING AND SIGNAGE IS CONTINUING TO BE DEVELOPED AND DISTRIBUTED IN BOTH ENGLISH AND SPANISH.(7) RCH MET WITH THE AREA HIGH SCHOOLS ON CAREER OPTIONS IN HEALTH CARE. WE HAVE HAD SEVERAL AREA STUDENTS TOUR AND/OR JOB SHADOW.(8) RCH MET WITH THE DIRECTOR OF TRANSPORTATION AND HOPING TO BRING MASS TRANSIT ROUTES TO ROCHELLE. WE ALSO WORK WITH THE LEE AND OGLE TRANSPORTATION SYSTEM TO ENSURE RIDES ARE AVAILABLE FOR PATIENTS. |
| PART V, LINE 7A, CHNA WEBSITE: | HTTPS://WWW.ROCHELLEHOSPITAL.COM/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ |
| PART V, LINE 10A, CHNA IMPLEMENTATION PLAN WEBSITE: | HTTPS://WWW.ROCHELLEHOSPITAL.COM/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ |
| PART V, LINE 16A, FAP WEBSITE: | HTTP://WWW.ROCHELLEHOSPITAL.COM/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ |
| PART V, LINE 16B, FAP APPLICATION WEBSITE: | HTTP://WWW.ROCHELLEHOSPITAL.COM/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ |
| PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: | HTTP://WWW.ROCHELLEHOSPITAL.COM/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - FAMILY HEALTHCARE CENTER | ||||
| 900 N 2ND ST | ROCHELLE | IL | 61068 | PHYSICIAN CLINIC |
| 2 - ON-THE-GO HEALTHCARE CLINIC | ||||
| 900 PETRO DRIVE | ROCHELLE | IL | 61068 | PHYSICIAN CLINIC |
| 3 - XCEL ORTHOPEDICS | ||||
| 2670 DEKALB AVENUE | SYCAMORE | IL | 60178 | PHYSICIAN CLINIC |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | THE ORGANIZATION USED THE FEDERAL POVERTY GUIDELINES (FPG) ALONG WITH OTHER FACTORS TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. PER THE ORGANIZATION'S CHARITY CARE POLICY, THESE FACTORS INCLUDE: * FAMILY INCOME RELATIVE TO FAMILY SIZE AND OTHER RELATED FACTORS SUCH AS CURRENT FINANCIAL OBLIGATIONS* EMPLOYMENT STATUS, INCLUDING, BUT NOT LIMITED TO, FUTURE EARNING CAPACITY WITH CONSIDERATION OF THE LIKELIHOOD OF A FINANCIAL CAPACITY SUFFICIENT TO MEET THE PATIENT'S FINANCIAL OBLIGATIONS IN AN ACCEPTABLE PERIOD OF TIME* FUTURE AND CURRENT ABILITY TO PAY* MEDICAL EXPENSES AS A PERCENTAGE OF A PATIENT'S ANNUAL GROSS INCOME, THE AMOUNT OF TOTAL MEDICAL BILLS OUTSTANDING, AND THE FREQUENCY OF PAYMENTS TO BE MADE IN RELATION TO THE FACTORS ABOVE* OTHER FACTORS DEEMED APPROPRIATE BY THE ORGANIZATION |
| PART I, LINE 7: | THE RESPECTIVE IRS WORKSHEETS, AS PROVIDED IN THE INSTRUCTIONS FOR SCHEDULE H, WERE USED TO CALCULATE THE COSTS OF ITEMS WITHIN SCHEDULE H, PART I, LINE 7. |
| PART I, LINE 7G: | SUBSIDIZED HEALTH SERVICES INCLUDE THE EMERGENCY DEPARTMENT AND PHYSICIAN CLINICS, INCLUDING THE FAMILY HEALTHCARE CLINIC AND OCCUPATIONAL HEALTH CLINIC. |
| PART I, LN 7 COL(F): | THE CARRYING AMOUNT OF ACCOUNTS RECEIVABLE IS REDUCED BY VALUATION ALLOWANCES THAT REFLECT MANAGEMENT'S BEST ESTIMATE OF AMOUNTS THAT WILL NOT BE COLLECTED. MANAGEMENT USES A SYSTEM FOR ESTIMATING THIRD PARTY CONTRACTUAL ALLOWANCES AND LOSSES FOR UNCOLLECTIBLE ACCOUNTS, WHEREBY CERTAIN PERCENTAGES OF PATIENT REVENUE FOR EACH OF THESE ALLOWANCES IS RECORDED ON A MONTHLY BASIS AS AN OFFSET TO REVENUE AND RECEIVABLES. THE PERCENTAGES USED BY MANAGEMENT ARE BASED OFF OF HISTORICAL TRENDS WITH FINAL ADJUSTMENTS MADE WHEN COST REPORTS ARE FILED. PERIODICALLY MANAGEMENT REVIEWS OUTSTANDING ACCOUNTS FOR CREDITWORTHINESS. IF THERE IS A DETERIORATION OF A MAJOR CUSTOMER'S OR CLASS OF CUSTOMER'S CREDIT WORTHINESS OR ACTUAL DEFAULTS ARE HIGHER THAN HISTORICAL EXPERIENCE, MANAGEMENT'S ESTIMATES OF THE RECOVERABILITY OF AMOUNTS DUE THE HOSPITAL COULD BE ADVERSELY AFFECTED. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | NO COMMUNITY BUILDING ACTIVITIES ARE REPORTED IN PART II. HOWEVER, ROCHELLE COMMUNITY HOSPITAL IS THE COMMUNITY'S PREDOMINANT LINK TO HEALTH CARE. LISTED BELOW ARE PROGRAMS THAT BENEFITED THE COMMUNITY.PROGRAMS IMPLEMENTED INCLUDE: -PATIENT EDUCATION PROGRAMS IN THE AREAS OF CONGESTIVE HEART FAILURE, CARDIAC AND PULMONARY REHABILITATION.-STROKE CARE PROGRAM USING TELEMEDICINE TO ASSURE THE MOST EFFECTIVE AND IMMEDIATE CARE TO EMERGENCY PATIENTS PRESENTING WITH SYMPTOMS OF STROKE.-DIABETES EDUCATION PROGRAM TO REACH OUT TO THE COMMUNITY. -A PART TIME STAFF POSITION TO FOCUS ON COMMUNITY HEALTH EDUCATION TO INCLUDE COMMUNITY HEALTH AND WELLNESS FAIRS.HOSPITAL EMPLOYEES ARE INVOLVED WITH LOCAL SCHOOLS BY OFFERING EDUCATIONAL PROGRAMS ABOUT SUICIDE PREVENTION, DRUG AND ALCOHOL ABUSE, PARENTING AND CHILDHOOD, SAFE CHILD CARE, FIRST AID AND CPR TRAINING. THE HOSPITAL PROVIDES SPORTS PHYSICALS AND OPPORTUNITIES FOR STUDENTS TO LEARN ABOUT CAREERS IN HEALTH CARE. THE AUXILIARY GIVES HOSPITAL TOURS TO GRADE SCHOOL STUDENTS.HOSPITAL EMPLOYEES AND VOLUNTEERS ARE INVOLVED WITH LOCAL SERVICE CLUBS SERVING ON THE BOARD OR ADVISORY COMMITTEES FOR THE CHAMBER OF COMMERCE, PLANNING AND ZONING COMMISSION, FIRE AND POLICE COMMISSION, UNITED WAY, KISHWAUKEE COLLEGE'S RADIOLOGY PROGRAM, CHILDREN'S ADVOCACY CENTER, DOMESTIC VIOLENCE SHELTER, FOCUS HOUSE FOR JUVENILES, AND THE PARISH NURSING PROGRAM. |
| PART III, LINE 2: | THE BAD DEBT EXPENSE WAS CALCULATED BY APPLYING THE COST-TO-CHARGE RATIO FROM THE MOST RECENT MEDICARE COST REPORT TO THE ORGANIZATION'S BAD DEBT EXPENSE FOR THE FISCAL YEAR. |
| PART III, LINE 3: | THE ORGANIZATION EMPLOYS FINANCIAL COUNSELORS THAT WORK WITH ALL SELF-PAY PATIENTS. BASED ON REVIEW OF TAX RETURNS, BANK STATEMENTS, AND OTHER FINANCIAL DOCUMENTS PROVIDED BY THE PATIENT, AN ESTIMATE EQUAL TO 50% OF BAD DEBT PATIENTS WOULD QUALIFY FOR CHARITY CARE BUT FAILED TO PROVIDE THE APPROPRIATE LEVEL OF DOCUMENTATION. |
| PART III, LINE 4: | THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. BAD DEBT IS LISTED AS A DEDUCTION FROM REVENUE. THIS TREATMENT IS CONSISTENT WITH THE HFMA PRINCIPLES AND PRACTICES BOARD STATEMENT NO. 15 AND WITH THE AICPA AUDIT AND ACCOUNTING GUIDE FOR HEALTHCARE ORGANIZATIONS. THE COST TO CHARGE RATIO FORMULATED ON THE 2023 MEDICARE COST REPORT WAS USED TO CALULATE BAD DEBT AT COST. PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT ARE UNKNOWN TO THE HOSPITAL ARE WRITTEN OFF TO BAD DEBT AND ARE NOT INCLUDED IN CHARITY CARE. HOWEVER, IF DURING THE COLLECTION PROCESS IT IS DETERMINED THAT THE PATIENT IS ELIGIBLE FOR CHARITY CARE THE DEBT IS RECLASSIFIED AS CHARITY CARE AND COLLECTION EFFORTS CEASE. |
| PART III, LINE 8: | THE COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT IS UTILIZED IN DETERMINING THE ORGANIZATION'S COMMUNITY BENEFIT.THE SHORTFALL REPORTED IN PART III, LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT. BY PARTICIPATING IN MEDICARE AND ABSORBING RELATED SHORTFALLS, WE ARE PROVIDING HEALTHCARE SERVICES TO MEDICARE BENEFICIARIES WHO ARE A SIGNIFICANT PORTION OF OUR COMMUNITY. |
| PART III, LINE 9B: | SELF PAY PATIENTS AND OTHER PATIENTS WHO DEMONSTRATE FINANCIAL HARDSHIP ARE GIVEN CHARITY APPLICATIONS AND ENCOURAGED TO COMPLETE AND RETURN THEM TO PATIENT FINANCIAL SERVICES. IN DISCUSSING PATIENTS CHARGES, FINANCIAL COUNSELORS WILL SUGGEST COMPLETION OF A CHARITY APPLICATION. |
| PART VI, LINE 2: | A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN FY 2022. THIS STUDY IDENTIFIED SERVICES THE PUBLIC BELIEVES ARE NECESSARY IN THE COMMUNITY. THE TOP COMMUNITY HEALTH NEEDS IDENTIFIED WERE IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES AND ADDRESS BARRIERS TO ACCESSING CARE.RCH PARTICIPATES IN THE ILLINOIS PLAN LOCAL ASSESSMENT NEEDS (IPLAN) WHICH ALSO INCLUDES THE OGLE COUNTY HEALTH DEPT AND MEMBERS OF THE COMMUNITY. THE HEALTH STATUS OF THE COUNTY, AS EVIDENCED BY A MULTITUDE OF DATA AND RISK FACTORS, IS REVIEWED BY THE COMMITTEE AND PRIORITIES ARE DETERMINED TO HELP MEET IDENTIFIED NEEDS. THE GOAL IS TO WORK TOWARD ASSURING THAT NEEDS ARE BEING MET BY THE VARIOUS HEALTH CARE PROVIDERS. |
| PART VI, LINE 3: | IT IS HOSPITAL POLICY TO TREAT ALL PATIENTS WHO PRESENT FOR CARE WITHOUT REGARD FOR THEIR ABILITY TO PAY AND TO ASSIST THEM IN RESOLVING ANY FINANCIAL ISSUES INVOLVED WITH SERVICES PROVIDED. THE HOSPITAL'S CHARITY CARE POLICIES ARE POSTED AT ALL PATIENT ACCESS AREAS, IN INDIVIDUAL PATIENT CARE AREAS, AND ON THE HOSPITAL WEB SITE. UPON REGISTRATION, STAFF WILL EXPLAIN THE POLICY AND OFFER A CHARITY/FINANCIAL ASSISTANCE APPLICATION TO ALL SELF PAY PATIENTS. PATIENT FINANCIAL COUNSELORS WILL ALSO EXPLAIN THE HOSPITAL'S CHARITY POLICY WHEN DISCUSSING A BILL WITH A PATIENT. ALL BILLING STATEMENTS INCLUDE A STATEMENT ALERTING THE PATIENT OF HIS/HER RIGHT TO ACCESS HOSPITAL ASSISTANCE. ASSISTANCE IS PROVIDED TO THE NON INSURED AND UNDER INSURED, INCLUDING ASSISTANCE IN APPLYING FOR MEDICAID IF APPROPRIATE. PATIENTS ARE ENCOURAGED TO ACCESS THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM TO INSURE THAT A TRUE NEED IS REFLECTED AS CHARITY RATHER THAN AN EVENTUAL BAD DEBT. |
| PART VI, LINE 4: | ROCHELLE COMMUNITY HOSPITAL IS A NON PROFIT 501(C)(3) CRITICAL ACCESS HOSPITAL DEDICATED TO PROVIDING QUALITY HEALTH AND WELLNESS SERVICES LOCALLY. THIS IS ACHIEVED BY PROVIDING INPATIENT MEDICAL SURGICAL, INTENSIVE CARE, AND SWING BED SERVICES, OUTPATIENT SURGICAL AND DIAGNOSTIC SERVICES, CARDIAC, PHYSICAL, AND RESPIRATORY THERAPIES, IMMEDIATE CARE, OCCUPATIONAL MEDICINE, CLINICS, AND EMPLOYED PHYSICIANS. RCH SERVES WESTERN DEKALB, NORTHERN LEE, AND OGLE COUNTIES. THE HOSPITAL SERVES A POPULATION OF APPROXIMATELY 18,000 IN THE CITY OF ROCHELLE AND SURROUNDING AREA. THE POPULATION IS DIVIDED ABOUT 25% UNDER AGE 20, 52% BETWEEN 20 AND 64, AND 23% 65 AND OVER. THE GROUP COVERED BY MEDICARE IS AT LEAST 50% OF THE HOSPITAL'S REVENUE. THE ROCHELLE AREA LAGS STATE WIDE NUMBERS IN GROWTH IN EMPLOYMENT AND PER CAPITA INCOME AND HAS A HIGHER PERCENT UNEMPLOYMENT. THE AREA IS DESIGNATED AS AN UNDERSERVED AREA BY CMS THRU HRSA. |
| PART VI, LINE 5: | ROCHELLE COMMUNITY HOSPITAL REACHES OUT TO THE COMMUNITY IN MANY WAYS TO PROMOTE WELLNESS AND IMPROVE THE OVERALL HEALTH:-FREE PUBLIC HEALTH SCREENINGS, COMMUNITY EDUCATION, HEALTH FAIRS, FIRST AID TENTS AT COMMUNITY EVENTS, FLU CLINICS, COORDINATED BLOOD DRIVES, VISITS TO SENIOR CITIZEN CENTERS, AND FIRST AID TRAINING.-EDUCATION PROGRAMS TO THE PUBLIC IN THE AREAS OF CARDIOLOGY, STROKE, DIABETES, NUTRITION, PARKINSONS, WOMEN'S HEALTH ISSUES, MEN'S HEALTH ISSUES, WELLNESS AND WEIGHT LOSS PROGRAMS.-FITNESS TRAINING CLASSES PROVIDED TO AREA SCHOOL EMPLOYEES AND HOSPITAL STAFF.-SPONSOR SUPPORT GROUPS FOR DIABETES, STROKE, PARKINSONS, ALANON, ALCOHOL ANONYMOUS, AND GROUP HOPE.-SUPPORT BY THE HOSPITAL AND STAFF FOR LOCAL HEALTH RELATED EVENTS- CANCER DRIVES, BLOOD DRIVES, UNITED WAY CAMPAIGN.-PARTICIPATE IN THE REGIONAL DISASTER PREPAREDNESS PLAN WITH OUR POD HOSPITAL AND REGIONAL HOSPITALS AND PROVIDE HAZMAT TRAINING LOCALLY.-PROVIDE SOME HOSPITAL SERVICES AT A FINANCIAL DISADVANTAGE BECAUSE THESE SERVICES ARE CRITICAL TO THE HEALTH AND WELFARE OF THE COMMUNITY, INCLUDING EMERGENCY SERVICES, INTENSIVE CARE, SEVERAL CLINICS, IMMEDIATE CARE, AND OCCUPATIONAL HEALTH. CHAPLAIN SERVICES ARE ALSO PROVIDED TO PATIENTS AND THEIR FAMILIES.-PROVIDING STUDENT INTERNSHIP AND SHADOWING OPPORTUNITIES TO ENCOURAGE INCREASED INTEREST IN HEALTHCARE CAREERS.-MENTOR STUDENTS IN THE AREA OF PHARMACY, RADIOLOGY, HEALTH INFORMATION MANAGEMENT, NURSING, AND NURSING ASSISTANT AND PROVIDE ON SITE HOSPITAL TRAINING FOR THESE PROGRAMS.-DONATE UNUSED OR EXCESS SUPPLIES AND EQUIPMENT TO A NON PROFIT GLOBAL HEALTH NETWORK.-PROVIDE PATIENTS WITH MEDICAL RECORDS UPON REQUEST WITHOUT CHARGE.-EMPLOYEES SUPPORT LOCAL CHARITIES INCLUDING UNITED WAY, LOCAL FOOD AND CLOTHING DRIVES, CURE FOR CANCER, RELAY FOR LIFE.-THE HOSPITAL CAFETERIA PROVIDES A RELAXED DINING EXPERIENCE FOR MANY LOCAL RESIDENTS INCLUDING THOSE AT A NEARBY SENIOR LOW HOUSING UNIT. THESE MEALS ARE NORMALLY SERVED AT OR BELOW HOSPITAL COST.MANY HOSPITAL EMPLOYEES AND VOLUNTEERS (AUXILIARY AND FOUNDATION) ARE NOT ONLY PART OF THE HOSPITAL BUT INTEGRAL MEMBERS OF THE COMMUNITY. THEY HELP CEMENT THE RELATIONSHIP AMONG HEALTH CARE SERVICE PROVIDERS AND THE COMMUNITY. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | IL |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GADINI DELISCA | ||||||||||||||
| ORTHOPEDIC PHYSICIAN | $651,424 | $0 | $636 | $0 | $15,125 | $0 | $11,250 | $0 | $594 | $0 | $679,029 | $0 | $0 | $0 |
| GREGORY A OLSON | ||||||||||||||
| PAST CEO (RETIRED 3/2023) | $117,101 | $0 | $0 | $0 | $308,205 | $0 | $3,517 | $0 | $6,943 | $0 | $435,766 | $0 | $0 | $0 |
| KAREN TRACY | ||||||||||||||
| COO, CEO | $255,642 | $0 | $636 | $0 | $18,801 | $0 | $8,332 | $0 | $27,260 | $0 | $310,671 | $0 | $0 | $0 |
| JASON POPP MD | ||||||||||||||
| CHIEF OF MEDICAL STAFF | $223,383 | $0 | $636 | $0 | $18,125 | $0 | $7,691 | $0 | $35,525 | $0 | $285,360 | $0 | $0 | $0 |
| KENDALL ELIZABETH VOGELER | ||||||||||||||
| PHYSICIAN | $224,209 | $0 | $636 | $0 | $11,625 | $0 | $6,264 | $0 | $594 | $0 | $243,328 | $0 | $0 | $0 |
| CHRISTINE GORMAN MD | ||||||||||||||
| PHYSICIAN | $223,493 | $0 | $636 | $0 | $125 | $0 | $1,116 | $0 | $16,204 | $0 | $241,574 | $0 | $0 | $0 |
| LORI GUTIERREZ | ||||||||||||||
| CFO | $199,301 | $0 | $636 | $0 | $7,734 | $0 | $4,960 | $0 | $2,481 | $0 | $215,112 | $0 | $0 | $0 |
| KYLE AUMAN | ||||||||||||||
| CAO | $159,200 | $0 | $237 | $0 | $6,260 | $0 | $0 | $0 | $34,653 | $0 | $200,350 | $0 | $0 | $0 |
| RHONDA MARKS | ||||||||||||||
| CNO | $172,765 | $0 | $636 | $0 | $15,313 | $0 | $5,659 | $0 | $4,659 | $0 | $199,032 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | DR. GADINI DELISCA'S COMPENSATION INCLUDES A GROSS-UP AMOUNT IN THE REIMBURSEMENT OF HIS SELF-PAID INSURANCE. |
| PART I, LINES 4A-B | GREGORY A. OLSON RECEIVED THE FOLLOWING AMOUNTS: 457(F) PLAN DISTRIBUTION - $75,000 LINE 4A PAYMENT - $217,039 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| CITY OF ROCHELLE OGLE COUNTY ILLINOIS | |||||||
| A | 366006075 | 2012-08-01 | $5,950,000 | REFINANCE BOND ISSUE DATED 8/6/2009 | 0 | 0 | 0 |
| OGLE COUNTY ILLINOIS | |||||||
| B | 366006637 | 2015-08-18 | $5,970,045 | MEDICAL OFFICE BUILDING PROJECT | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $3,951,000 | $5,950,000 | $5,950,000 | 2009 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| B | $1,912,290 | $5,970,045 | 2017 | 0 | 0 | Yes (1) | Yes (1) | $119,401 | $5,850,644 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PREMIER HEALTH GROUP LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | ENTITY MORE THAN 35% OWNED BY DIRECTOR SATHISH CULLATH, MD | RelationshipDescriptionTxt |
| Transaction | $706,115 | TransactionAmt |
| Transaction | MEDICAL DIRECTOR AND HOSPITALIST FEES | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE HOSPITAL AND UP TO TWO OTHER TRUSTEES. THE EXECUTIVE COMMITTEE MEETS AS NEEDED AND HAS THE POWER TO TRANSACT THE BUSINESS OF THE HOSPITAL DURING THE INTERIM BETWEEN MEETINGS OF THE TRUSTEES, PROVIDED THAT NO ACTION CONFLICTS WITH THE EXPRESSED POLICIES OF THE BOARD AND FURTHER PROVIDED THAT ALL ACTIONS TAKEN ON MATTERS OF MAJOR SIGNIFICANCE ARE REFERRED TO THE BOARD FOR RATIFICATION AT THE NEXT REGULAR MEETING. |
| FORM 990, PART VI, SECTION A, LINE 6 | FROM AND AFTER MAY 1, 1965, ANY PERSON WHO HAS GIVEN $25 OR MORE IN CASH OR PROPERTY CAN BECOME, UPON REQUEST, A MEMBER OF THE ORGANIZATION FOR ONE YEAR. ANY PERSON WHO HAS GIVEN $1,000 OR MORE IN CASH OR PROPERTY CAN BECOME, UPON REQUEST, A MEMBER OF THE ORGANIZATION FOR LIFE, OR IN THE CASE OF A LEGAL ENTITY, FOR THE DURATION OF ITS EXISTENCE. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE PRESIDENT/CHIEF EXECUTIVE OFFICER POSITION IS A STANDING VOTING MEMBER OF THE BOARD OF TRUSTEES. THE CHIEF OF THE MEDICAL STAFF AND THE CHIEF OF STAFF ELECT ARE STANDARD VOTING MEMBERS AND SHALL BE ELECTED IN ACCORDANCE WITH THE MEDICAL STAFF BYLAWS OF THE HOSPITAL. THE PRESIDENT OF THE ROCHELLE COMMUNITY HOSPITAL ASSOCIATION AUXILIARY IS A STANDARD VOTING MEMBER AND SHALL BE ELECTED IN ACCORDANCE WITH THE ROCHELLE COMMUNITY HOSPITAL ASSOCIATION AUXILIARY BYLAWS. THE OSF REPRESENTATIVE IS A STANDARD VOTING MEMBER OF THE BOARD OF TRUSTEES WHO SHALL BE NOMINATED BY OSF HEALTHCARE SYSTEM AND MUST BE APPROVED BY MAJORITY VOTE OF THE BOARD OF TRUSTEES, FOR A TERM THAT AUTOMATICALLY EXPIRES UPON THE TERMINATION OF HIS OR HER EMPLOYMENT OR AFFILIATION WITH OSF HEALTHCARE SYSTEM OR UPON THE TERMINATION OF THE OSF AFFILIATION AGREEMENT, WHICHEVER OCCURS FIRST. IN THE EVENT THE OSF REPRESENTATIVE IS NO LONGER EMPLOYED OR AFFILIATED WITH OSF HEALTHCARE SYSTEM, THE OSF HEALTHCARE SYSTEM SHALL APPOINT HIS OR HER REPLACEMENT. THE REMAINING TRUSTEES, APPROXIMATELY ONE-THIRD (1/3) OF WHOM SHALL BE ELECTED BY THE BOARD OF TRUSTEES EACH YEAR AT THE BOARD'S REGULAR MEETING THAT IS HELD ON THE SAME DAY AS THE ANNUAL MEETING OF THE MEMBERS, SHALL EACH HOLD OFFICE FOR A TERM OF THREE (3) YEARS; PROVIDED THAT ANY SUCH TRUSTEE SERVING THREE (3) CONSECUTIVE TERMS SHALL BE INELIGIBLE FOR RE-ELECTION FOR THREE (3) YEARS FOLLOWING THE CONCLUSION OF THE THIRD CONSECUTIVE TERM; PROVIDED, HOWEVER, THAT A TRUSTEE WHO IS SERVING OR ELECTED AS CHAIRPERSON MAY CONTINUE TO SIMULTANEOUSLY SERVE AS CHAIRPERSON AND AS A TRUSTEE DURING A FOURTH CONSECUTIVE TERM. THE NOMINATING COMMITTEE SHALL SUBMIT A SLATE OF NOMINEES TO SERVE AS TRUSTEES TO THE BOARD FOR CONSIDERATION FOR ELECTION. AFTER COMPLETING THE TERM AS CHAIRPERSON, SUCH PERSON SHALL BECOME IMMEDIATE PAST CHAIRPERSON AND BE AN EX OFFICIO MEMBER OF THE EXECUTIVE COMMITTEE. IF THE TERM AS A TRUSTEE HAS EXPIRED AND SUCH PERSON IS NOT ELIGIBLE FOR RE- ELECTION, THE PERSON SHALL BE WITHOUT VOTE. |
| FORM 990, PART VI, SECTION B, LINE 11B | A DRAFT COPY OF FORM 990 IS PROVIDED TO THE GOVERNING BODY (BOARD OF TRUSTEES) AND THE GOVERANCE COMMITTEE FOR REVIEW PRIOR TO FILING. THE ORGANIZATION'S CEO, CFO, AND OTHER MEMBERS OF THE ACCOUNTING DEPARTMENT ALSO REVIEWED A COPY OF THE RETURN. IF CHANGES ARE NECESSARY, THEY ARE REPORTED TO THE RETURN PREPARER AND INCORPORATED INTO THE FINAL RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICTS OF INTEREST ARE INVESTIGATED BY APPOINTED MEMBERS OF THE GOVERANCE COMMITTEE ON AN ONGOING BASIS. IF IT IS DETERMINED THAT AN INDIVIDUAL FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL INFORM THE INDIVIDUAL OF SUCH A BELIEF AND AFFORD HIM AN OPPORTUNITY TO EXPLAIN. AFTER SAID EXPLANATION, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION AS DEEMED NECESSARY. THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD ANNUALLY AND UPDATED AS NEEDED. THE BOARD OF TRUSTEES AND ADMINISTRATION TEAM SIGN CONFLICT OF INTEREST DISCLOSURES ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CHIEF EXECUTIVE, ADMINISTRATOR AND KEY EMPLOYEE (MANAGEMENT) COMPENSATION IS DETERMINED BY THE USE OF COMPARABLE DATA, INCLUDING INDEPENDENT SURVEYS CONDUCTED BY THE ILLINOIS HOSPITAL ASSOCIATION AND ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK. THIS INFORMATION IS COLLECTED FROM LIKE-SIZE ORGANIZATIONS. ADDITIONALLY, COMPARABLE INFORMATION WAS COLLECTED FROM AN INDEPENDENT HEALTHCARE CONSULTING FIRM WHICH INCLUDED SALARY RANGES, MEDIAN AND QUARTERLY PERCENTILE RANK OF COMPARABLE HOSPITALS. THIS INFORMATION IS REVIEWED BY THE HUMAN RESOURCES MANAGER, CHIEF EXECUTIVE AND THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. THE PROCESS WAS LAST COMPLETED IN FISCAL YEAR 2024. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST IN WRITING TO THE BUSINESS OFFICE. |
| FORM 990, PART IX, LINE 11G | MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 4,862,292. MANAGEMENT AND GENERAL EXPENSES 9,753. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,872,045. PATIENT SERVICES: PROGRAM SERVICE EXPENSES 68,031. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,031. MAINTENANCE & HOUSEKEEPING: PROGRAM SERVICE EXPENSES 100,871. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 100,871. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 858,889. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 858,889. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 408,967. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 408,967. MISCELLANEOUS FEES: PROGRAM SERVICE EXPENSES 37,766. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,766. |
| FORM 990, PAGE 12, PART XII, LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| FORM 990, PAGE 6, PART VI, SECTION A, LINE 7B | MEMBERSHIP IN THE CORPORATION SHALL NOT CONFER ANY VOTING RIGHTS; THIS INCLUDES, WITHOUT LIMITATION, THE ABILITY TO VOTE ON THE DISSOLUTION OF THE CORPORATION; THE SALE, LEASE, OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR NOMINATIONS TO THE BOARD OF TRUSTEES. ANY ISSUE SUBMITTED TO THE MEMBERS OF THE CORPORATION BY THE BOARD OF TRUSTEES SHALL BE FOR DISCUSSION PURPOSES ONLY AND ANY RECOMMENDATIONS FROM THE MEMBERS TO THE BOARD SHALL BE ADVISORY IN NATURE AND ARE SUBJECT TO THE ULTIMATE AUTHORITY OF THE BOARD OF TRUSTEES. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROCHELLE COMMUNITY HOSPITAL FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 NORTH SECOND STREET | AddressLine1Txt |
| City | ROCHELLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61068 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363719223 | EIN |
| Primary Activities | SUPPORT OF ROCHELLE COMMUNITY HOSPITAL ASSOCIATION | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12B, II | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROCHELLE COMMUNITY HOSPITAL ASSOC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROCHELLE COMMUNITY HOSPITAL FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | Q | TransactionTypeTxt |
| Involved | $54,253 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |