2025-02-28T16:05:24-06:00 2024-04-30 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2023-05-01 362548549 ROCHELLE COMMUNITY HOSPITAL ASSOCIATION ROCH 8155622181 900 NORTH 2ND STREET ROCHELLE IL 61068 LORI GUTIERREZ CFO 8155622181 2025-02-27 1 0 AMBER ROGNAN-HAMILTON P01251012 3149254300 2025-02-27 2023 2025-03-06 01:10:19Z KAREN TRACY 900 NORTH 2ND STREET ROCHELLE IL 61068 53973342 0 X WWW.ROCHELLEHOSPITAL.COM X 1965 IL PROVIDE LOCAL COMMUNITY-BASED HEALTH & WELLNESS SERVICES FOCUSED ON A SAFE & HIGH QUALITY HEALTHCARE EXPERIENCE. 12 9 390 12 0 0 71997 31939 53201880 52747402 326057 935618 174375 210015 53774309 53924974 6350 10050 0 0 26909083 25715375 0 0 0 24120101 24209372 51035534 49934797 2738775 3990177 70539393 76215227 10298299 9774759 60241094 66440468 TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING HIGH QUALITY CARE WITH COMPETENCE, EXCELLENCE AND COMPASSION. 0 0 38309055 10050 41520643 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. 3061432 0 11211543 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. 11938 0 15216 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. 41382425 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 87 0 390 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 9 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X LORI GUTIERREZ 8155622181 900 NORTH SECOND STREET ROCHELLE IL 61068 NOAH CARMICHAEL CHAIRPERSON 2.00 0.00 X X 0 0 0 JEFF GLEN VICE CHAIR 2.00 0.00 X X 0 0 0 BRENT OHLINGER TREASURER 2.00 0.00 X X 0 0 0 TODD PRUSATOR SECRETARY 2.00 0.00 X X 0 0 0 DIANE KENNEY PRESIDENT HOSPITAL AUX (TERM ENDED) 2.00 0.00 X 0 0 0 MARIA VAN HISE PRESIDENT HOSPITAL AUXILIARY 2.00 0.00 X 0 0 0 RENELLE CARMICHAEL CO- PRESIDENT HOSPITAL AUXILIARY 2.00 0.00 X 0 0 0 ADRIANA MILAN TRUSTEE (TERM ENDED) 2.00 0.00 X 0 0 0 GERI DEE HAYDEN TRUSTEE 2.00 0.00 X 0 0 0 CRYSTAL DYER TRUSTEE 2.00 0.00 X 0 0 0 KERRI VILLA-NANTZ TRUSTEE (TERM ENDED) 2.00 0.00 X 0 0 0 JASON POPP MD CHIEF OF MEDICAL STAFF 40.00 0.00 X 242144 0 43216 AJ QUERCIAGROSSA TRUSTEE - OSF HEALTHCARE 2.00 0.00 X 0 0 0 SATHISH CULLATH MD CHIEF OF MEDICAL STAFF ELECT 40.00 0.00 X 0 0 0 KAREN TRACY COO, CEO 40.00 5.00 X X 275079 0 35592 LORI GUTIERREZ CFO 40.00 5.00 X 207671 0 7441 GREGORY A OLSON PAST CEO (RETIRED 3/2023) 40.00 0.00 X 425306 0 10460 GADINI DELISCA ORTHOPEDIC PHYSICIAN 40.00 0.00 X 667185 0 11844 KENDALL ELIZABETH VOGELER PHYSICIAN 40.00 0.00 X 236470 0 6858 CHRISTINE GORMAN MD PHYSICIAN 40.00 0.00 X 224254 0 17320 RHONDA MARKS CNO 40.00 0.00 X 188714 0 10318 KYLE AUMAN CAO 40.00 0.00 X 165697 0 34653 2632520 0 177702 36 0 1 0 POINTCORE PO BOX 775982 CHICAGO IL 60677 CONTRACT SERVICES 1063968 PREMIER HEALTH GROUP LLC 921 KING CANYON DRIVE STREAMWOOD IL 60107 CONTRACT STAFFING 706115 NOVUS ILLINOIS SERVICE COPRORATION PO BOX 12766 PENSACOLA FL 32591 ANESTHESIA PROFESSIONAL SERVICES 678413 AUREUS RADIOLOGY LLC PO BOX 310856 DES MOINES IA 50331 RADIOLOGY STAFFING 597285 EMERGENCY DEPT ASSOCIATES 7032 COLLECTION CTR DR CHICAGO IL 60693 ER STAFFING 587946 25 4411 27528 31939 NET PATIENT SERVICE REVENUE 621110 41520643 41520643 EMERGENCY SERVICE REVENUE 621110 11211543 11211543 FITNESS CENTER 621110 15216 15216 52747402 836950 836950 7193 7193 139843 48368 91475 91475 91475 CAFETERIA 621110 185975 185975 LEASE REVENUE 621110 15275 15275 CREDENTIALING FEES 621110 6300 6300 2465 2465 210015 53924974 52747402 0 1145633 X 10050 10050 1167148 308173 858975 20335129 17129072 3206057 428334 357493 70841 2280552 1872214 408338 1504212 1214792 289420 69821 69821 84257 84257 15889 15889 59205 59205 6346569 5068960 1277609 339661 339179 482 4453264 4453264 332126 332126 584473 476551 107922 110090 87453 22637 168554 151698 16856 4402170 3301628 1100542 569700 569700 BAD DEBT 2715852 2715852 REPAIRS AND MAINTENANCE 2450097 1908864 541233 MEDICAID ASSESSMENT TAX 1004669 1004669 FOOD 259624 259624 243351 153189 90162 49934797 41382425 8552372 0 25764 45143 22042295 26625376 6609341 6948344 394552 415892 1228953 1415932 51492030 32882317 20345876 18609713 18946273 21527755 946339 627072 70539393 76215227 4382704 4549827 4976987 4469050 938608 755882 10298299 9774759 X 60241094 66440468 60241094 66440468 70539393 76215227 3990177 2209197 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 15889 15889 0 PART II-B, LINE 1: 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. 1453878 1453878 22243463 14995397 7248066 1490090 1170086 320004 25922835 16716834 9206001 381764 381764 18609713 DEFERRED COMPENSATION PAYABLE 145189 RIGHT OF USE LIABILITIES 610693 755882 1 1 X 1 X 1 X 1 1 1 0 1 1 515598 515598 0.01030 6499135 5040283 1458852 0.02920 7014733 5040283 1974450 0.03950 91661 91661 0.00180 13239175 7302342 5936833 0.11890 10050 10050 0.00020 13340886 7302342 6038544 0.12090 20355619 12342625 8012994 0.16040 1 991710 495855 11827428 11877168 -49740 X 1 1 1 1 ROCHELLE COMMUNITY HOSPITAL 900 N 2ND STREET ROCHELLE IL 61068 WWW.ROCHELLEHOSPITAL.COM HF105997 X X X X ROCHELLE COMMUNITY HOSPITAL ASSOCIATION 1 0 0 1 X X X X X X X X 22 1 0 0 1 X SEE PART V, PAGE 8 X 1 22 1 SEE PART V, PAGE 8 0 1 X 200.000000000000 300.000000000000 X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 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/ 3 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 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 X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 GADINI DELISCA ORTHOPEDIC PHYSICIAN 651424 0 636 0 15125 0 11250 0 594 0 679029 0 0 0 GREGORY A OLSON PAST CEO (RETIRED 3/2023) 117101 0 0 0 308205 0 3517 0 6943 0 435766 0 0 0 KAREN TRACY COO, CEO 255642 0 636 0 18801 0 8332 0 27260 0 310671 0 0 0 JASON POPP MD CHIEF OF MEDICAL STAFF 223383 0 636 0 18125 0 7691 0 35525 0 285360 0 0 0 KENDALL ELIZABETH VOGELER PHYSICIAN 224209 0 636 0 11625 0 6264 0 594 0 243328 0 0 0 CHRISTINE GORMAN MD PHYSICIAN 223493 0 636 0 125 0 1116 0 16204 0 241574 0 0 0 LORI GUTIERREZ CFO 199301 0 636 0 7734 0 4960 0 2481 0 215112 0 0 0 KYLE AUMAN CAO 159200 0 237 0 6260 0 0 0 34653 0 200350 0 0 0 RHONDA MARKS CNO 172765 0 636 0 15313 0 5659 0 4659 0 199032 0 0 0 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 A CITY OF ROCHELLE OGLE COUNTY ILLINOIS 366006075 2012-08-01 5950000 REFINANCE BOND ISSUE DATED 8/6/2009 0 0 0 B OGLE COUNTY ILLINOIS 366006637 2015-08-18 5970045 MEDICAL OFFICE BUILDING PROJECT 0 0 0 A 3951000 5950000 5950000 2009 1 0 1 1 B 1912290 5970045 119401 5850644 2017 0 0 1 1 A 0 1 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 1 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 1 0 1 0 0 0 1 A 1 B 1 PREMIER HEALTH GROUP LLC ENTITY MORE THAN 35% OWNED BY DIRECTOR SATHISH CULLATH, MD 706115 MEDICAL DIRECTOR AND HOSPITALIST FEES 0 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. ROCHELLE COMMUNITY HOSPITAL FOUNDATION 900 NORTH SECOND STREET ROCHELLE IL 61068 363719223 SUPPORT OF ROCHELLE COMMUNITY HOSPITAL ASSOCIATION IL 501(C)(3) LINE 12B, II ROCHELLE COMMUNITY HOSPITAL ASSOC 1 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 ROCHELLE COMMUNITY HOSPITAL FOUNDATION Q 54253 FMV