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JAVON BEA HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
JAVON BEA HOSPITAL (EIN 36-2167847)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-10-31
IRS object ID
201413049349301166
Schema version
2013v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-10-31T16:40:44-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line170 WEST MADISON STREETAddressLine1
Address Line2SUITE 700AddressLine2
CityCHICAGOCity
StateILState
ZIP Code606024903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362167847EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROCKFORD MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlROCKBusinessNameControlTxt
Phone8159715000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12400 N ROCKTON AVEAddressLine1
CityROCKFORDCity
StateILState
ZIP Code61103ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonHENRY M SEYBOLDPersonNm
Person TitleCFOPersonTitleTxt
Signature2014-10-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNICOLE BENCIKPreparerPersonNm
PTINP00756195PTIN
Phone3128997000PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Principal Ofcr Business Address PrincipalOfcrBusinessAddress

FieldValueIRS element (for citing)
Business Name Line1GARY KAATZBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line12400 N ROCKTON AVEAddressLine1
CityROCKFORDCity
StateILState
ZIP Code61103ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$488,447,032GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RHSNET.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1883FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTO IMPROVE AND PROTECT THE HEALTH AND WELFARE OF THE COMMUNITY IN ACCORDANCE WITH OUR MISSION: SUPERIOR CARE, EVERY DAY, FOR ALL OUR PATIENTS. A 396-BED HOSPITAL WITH A LEVEL 1 TRAUMA CENTER, LEVEL III NEONATAL INTENSIVE CARE UNIT, THE REGION'S ONLY PEDIATRIC INTENSIVE CARE UNIT & DESIGNATED DISASTER POD HOSPITAL.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee2422TotalEmployeeCnt
Total Volunteers309TotalVolunteersCnt
Total Gross UBI$51,654TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,807,034PYContributionsGrantsAmt
CY Contributions Grants$7,717,024CYContributionsGrantsAmt
PY Program Service Revenue$322,774,917PYProgramServiceRevenueAmt
CY Program Service Revenue$326,155,534CYProgramServiceRevenueAmt
PY Investment Income$10,581,871PYInvestmentIncomeAmt
CY Investment Income$10,344,420CYInvestmentIncomeAmt
PY Other Revenue$1,928,538PYOtherRevenueAmt
CY Other Revenue$2,010,494CYOtherRevenueAmt
PY Total Revenue$341,092,360PYTotalRevenueAmt
CY Total Revenue$346,227,472CYTotalRevenueAmt
PY Grants And Similar Paid$492,362PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$657,863CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$139,266,562PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$145,187,551CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$141,390,627PYOtherExpensesAmt
CY Other Expenses$151,222,443CYOtherExpensesAmt
PY Total Expenses$281,149,551PYTotalExpensesAmt
CY Total Expenses$297,067,857CYTotalExpensesAmt
PY Revenues Less Expenses$59,942,809PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$49,159,615CYRevenuesLessExpensesAmt
Total Assets BOY$341,780,038TotalAssetsBOYAmt
Total Assets EOY$338,477,988TotalAssetsEOYAmt
Total Liabilities BOY$188,477,035TotalLiabilitiesBOYAmt
Total Liabilities EOY$156,022,822TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$153,303,003NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$182,455,166NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF ROCKFORD HEALTH SYSTEM AND ROCKFORD MEMORIAL HOSPITAL IS "SUPERIOR CARE, EVERY DAY, FOR ALL OUR PATIENTS". WE WILL FULFILL OUR COMMITMENT THROUGH PERFORMANCE EXCELLENCE, INNOVATION, AND LIFELONG LEARNING.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$172,735,229ExpenseAmt
Revenue$211,880,362RevenueAmt
DescROCKFORD MEMORIAL HOSPITAL IS A NOT-FOR-PROFIT CHARITABLE HEALTHCARE INSTITUTION THAT FUNCTIONS IN ACCORDANCE WITH ALL APPLICABLE LAWS AND REGULATIONS. IN THE COURSE OF OPERATIONS, RMH IS COMMITTED TO PROVIDE SUPERIOR CARE EVERY DAY FOR ALL ITS PATIENTS. RMH IS A 396-BED REGIONAL REFERRAL HOSPITAL WHICH INCLUDES A LEVEL I TRAUMA CENTER, LEVEL III NEONATAL INTENSIVE CARE UNIT AND THE REGION'S ONLY PEDIATRIC INTENSIVE CARE UNIT. IN 2013 PATIENT CARE WAS RENDERED TO 12,532 INDIVIDUALS WHO PRESENTED THEMSELVES FOR SERVICE INCLUDING 1,377 DELIVERIES AND 3,603 INPATIENT SURGERIES ALONG WITH SUPPORTING 49,377 EMERGENCY VISITS. CHARITY CARE PROVIDED IN 2013 AMOUNTED TO $33,923,122.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$68,219,918ExpenseAmt
Revenue$113,812,046RevenueAmt
DescRMH IS DESIGNATED BY THE IL DEPT OF PUBLIC HEALTH AS THE DISASTER POD HOSPITAL FOR THE NORTHERN IL EMS REGION. AS A LEVEL I TRAUMA CENTER, RMH PROVIDES PATIENT CARE, DIAGNOSTIC AND THERAPEUTIC SERVICES 24/7 TO ALL WHO PRESENT THEMSELVES FOR SERVICE. IN 2013, THAT INCLUDED 1,522 VISITS TO THE SLEEP LAB; 85,087 DIAGNOSTIC RADIOLOGY PROCEDURES OR TESTS; 9,310 RADIATION ONCOLOGY TREATMENTS; 32,478 CARDIAC PROCEDURES OR TESTS; 3,781 VISITS TO THE PAIN CLINIC; AND 203,065 RESPIRATORY THERAPY TREATMENTS. THROUGH THE OUTREACH SERVICES OF ROCKFORD HEALTH MEDICAL LABORATORIES (RHML), RMH HAS PROVIDED TIMELY AND RESPONSIVE LAB SERVICES TO OTHER HOSPITALS, PHYSICIANS' OFFICES, AND GOVERNMENT AGENCIES, WHILE THE IN-HOUSE LABORATORY PROVIDES TESTING FOR ALL WHO PRESENT THEMSELVES AT THE HOSPITAL FOR TREATMENT. IN 2013, RHML PERFORMED 1,515,131 TESTS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$7,482,457ExpenseAmt
Grant$487,863GrantAmt
Revenue$70,130RevenueAmt
DescRMH HAS PROVIDED HEALTH EDUCATION AND OUTREACH IN A VARIETY OF FORMS WITHIN THE ELEVEN COUNTY AREA THAT INCLUDES SEVERAL SCHOOL PARTNERSHIPS, MENTORING, HEALTH PROGRAMS, TEACHING, JOB SHADOWING AND VOLUNTEERING. RMH HOSTS SUPPORT GROUPS, TRAINING CLASSES, AND LECTURES SERIES FOR HEALTH AND SAFETY RELATED TOPICS. EMPLOYEES STAFF COMMUNITY HEALTH FAIRS AND OPEN HEALTH SCREENINGS. IN A PROGRAM JOINTLY SPONSORED WITH RONALD MCDONALD CHARITIES, RMH STAFFS THE CAREMOBILES WHICH PROVIDED 1,078 HEALTH AND DENTAL CHECKUPS AND BASIC HEALTH SERVICES TO 954 UNDERINSURED AND UNINSURED CHILDREN. RMH ALSO PROVIDES BOTH FOREIGN LANGUAGE AND HEARING IMPAIRED ASSISTANCE TO PATIENTS AND THEIR FAMILIES TO HELP THEM COMMUNICATE WITH MEDICAL PERSONNEL FOR TREATMENT. FUNDS WERE ALSO USED TO IMPROVE GENERAL HEALTHCARE CONDITIONS THROUGHOUT THE STATE. REVENUE USED TO HELP SUPPORT THESE ACTIVITIES IS PROVIDED BY INVESTMENT INCOME.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$868,825ExpenseAmt
Grant$170,000GrantAmt
Revenue$343,348RevenueAmt
DescTHROUGH ROCKFORD MEMORIAL HOSPITAL AUXILIARY, RMH IS ABLE TO PROVIDE EXTRA FUNDS AND SERVICES TO SUPPORT ITS MISSION. THE AUXILIARY HAS 309 VOLUNTEERS WHO LOGGED 32,266 HOURS WHILE ASSISTING WITH GREETING VISITORS, TRANSPORTING PATIENTS, FLORAL OR GIFT DELIVERIES, THRIFT SHOP AND GIFT SHOP ACTIVITIES, AND OTHER SERVICES AS REQUESTED. THE VOLUNTEERS' EFFORTS PROVIDE EXTRA FUNDS AND ENHANCE THE OVERALL HOSPITAL EXPERIENCE FOR PATIENTS, VISITORS AND STAFF.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$868,825TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$170,000TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$343,348TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$249,306,429TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document258IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2422EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryBDForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID VOLA CONTROLLERBusinessNameLine1
FieldValueIRS element (for citing)
Phone8159715000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12400 N ROCKTON AVEAddressLine1
CityROCKFORDCity
StateILState
ZIP Code61103ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
CONNIE M VITALI
VICE-CHAIR2.000.85Yes (X)Yes (X)$0$0$0
DUANE R BACH
TREASURER0.101.10Yes (X)Yes (X)$0$0$0
ELEANOR F DOAR
CHAIR1.003.90Yes (X)Yes (X)$0$0$0
GARY E KAATZ
PRESIDENT & CEO1.0059.00Yes (X)Yes (X)$0$1,022,487$54,975
CURTIS D WORDEN
DIRECTOR0.501.90Yes (X)$0$4,568$0
DENNIS T UEHARA
DIRECTOR20.5035.00Yes (X)$0$517,998$42,292
JACK J BECHERER
DIRECTOR1.000.50Yes (X)$0$0$0
JAMES W BRECKENRIDGE
DIRECTOR1.0041.00Yes (X)$0$259,859$24,631
JEFF R SMITH MD
Director1.0042.00Yes (X)$0$481,744$21,910
JOHN W CHADWICK
DIRECTOR0.300.31Yes (X)$0$0$0
JOSE L GONZALEZ
DIRECTOR0.7053.20Yes (X)$0$379,146$28,049
PAMELA S FOX
DIRECTOR0.100.11Yes (X)$0$0$0
PAUL A GREEN
DIRECTOR1.001.10Yes (X)$0$0$0
STACIE TALBERT
DIRECTOR1.002.00Yes (X)$0$0$0
THOMAS D BUDD
DIRECTOR0.301.00Yes (X)$0$0$0
HENRY M SEYBOLD
CFO3.0042.25Yes (X)$0$495,528$28,346
JULIE PETERSON
SECRETARY1.0040.25Yes (X)$0$77,351$9,182
CAROLYN BENGTSON
VP UTILIZATION MANAGEMENT40.000$355,946$0$29,264Yes (X)
JOHN T DORSEY
VP Clinical Integration60.501.30$343,105$0$23,565Yes (X)
MICHAEL TYRKUS
DIRECTOR OF CYTOGENETICS40.000$225,600$0$20,976Yes (X)
RO NGUYEN
PHARMACIST40.000$180,848$0$14,883Yes (X)
SUSAN SCHREIER
CHIEF NURSING OFFICER40.000$258,262$0$18,967Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,363,761TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,238,681TotReportableCompRltdOrgAmt
Total Other Compensation$317,041TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K54IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
ROCKFORD HEALTH SYSTEM
2400 N ROCKTON AVEROCKFORDIL61103ADMINISTRATIVE SERVICES$4,621,481
PHILIPS MEDICAL SYSTEM
PO BOX 100355ATLANTAGA30384CONTRACT MAINTENANCE$2,188,303
WILSON ELECTRIC
113 S MADISON STROCKFORDIL611041195ELECTRICAL CONTRACTOR$1,231,190
ADVANCED ICU CARE INC
PO BOX 671773DALLASTX752671773REMOTE MONITORING$1,223,400
CARDIAC SURGERY ASSOCIATES
2650 WARRENVILLE ROAD STE 280DOWNERS GROVEIL60515SURGICAL SERVICES$1,170,635
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K50CntrctRcvdGreaterThan100KCnt
Related Organizations$818,754RelatedOrganizationsAmt
Government Grants$6,894,297GovernmentGrantsAmt
All Other Contributions$3,973AllOtherContributionsAmt
Total Contributions$7,717,024TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
INPATIENT ROUTINE & ANCILLARY900099$57,008,369$57,008,369
OUTPATIENT & EMERGENCY621400$50,933,039$50,933,039
DIAGNOSTIC & MEDICAL LABORATORY621500$12,850,779$12,808,943$41,836
MEDICARE/MEDICAID900099$199,697,696$199,697,696
OTHER900099$5,665,651$5,657,839$7,812

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$326,155,534TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,783,880TotalRevenueColumnAmt
Exclusion$3,783,880ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$538,853RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$316,055RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$222,798RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$222,798TotalRevenueColumnAmt
Exclusion$222,798ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$147,405,127SecuritiesAmt
Other$1,058,918OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$141,654,941SecuritiesAmt
Other$248,563OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,750,186SecuritiesAmt
Other$810,355OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,560,540TotalRevenueColumnAmt
Exclusion$6,560,540ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CAFETERIA/FOOD SERVICE/CATERING722320$1,787,696$2,006$1,785,690
$0
$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,787,696OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$346,227,472TotalRevenueColumnAmt
Related Or Exempt Func Income$326,105,886RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$51,654UnrelatedBusinessRevenueAmt
Exclusion$12,352,908ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$657,863TotalAmt
Program Services$657,863ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$107,852,225TotalAmt
Program Services$91,429,184ProgramServicesAmt
Management And General$16,423,041ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,795,566TotalAmt
Program Services$4,545,926ProgramServicesAmt
Management And General$1,249,640ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$24,696,649TotalAmt
Program Services$20,963,319ProgramServicesAmt
Management And General$3,733,330ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,843,111TotalAmt
Program Services$6,151,616ProgramServicesAmt
Management And General$691,495ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$263,542TotalAmt
Program Services$0ProgramServicesAmt
Management And General$263,542ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$311,019TotalAmt
Management And General$311,019ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$359,667TotalAmt
Management And General$359,667ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$19,746,537TotalAmt
Program Services$12,166,809ProgramServicesAmt
Management And General$7,579,728ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$917,715TotalAmt
Program Services$7,030ProgramServicesAmt
Management And General$910,685ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,375,636TotalAmt
Program Services$7,158,081ProgramServicesAmt
Management And General$2,217,555ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,790,754TotalAmt
Program Services$4,610,970ProgramServicesAmt
Management And General$4,179,784ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,243,922TotalAmt
Program Services$6,853,068ProgramServicesAmt
Management And General$2,390,854ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$104,905TotalAmt
Program Services$86,901ProgramServicesAmt
Management And General$18,004ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$574,574TotalAmt
Program Services$118,780ProgramServicesAmt
Management And General$455,794ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,492,675TotalAmt
Program Services$1,492,675ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,879,925TotalAmt
Program Services$11,426,824ProgramServicesAmt
Management And General$4,453,101ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,925,965TotalAmt
Program Services$5,587,481ProgramServicesAmt
Management And General$1,338,484ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES/DRUGS$49,383,186$49,339,802$43,384
HEALTHCARE SERVICES$13,289,797$13,284,797$5,000
MEDICAID ASSESSMENT TAX$12,254,427$12,254,427
BAD DEBT EXPENSE$334,131$334,131

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,974,066TotalAmt
Program Services$836,745ProgramServicesAmt
Management And General$1,137,321ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$297,067,857TotalAmt
Program Services$249,306,429ProgramServicesAmt
Management And General$47,761,428ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$44,316,689BOYAmt
EOY$37,268,913EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,925,609BOYAmt
EOY$5,967,442EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,375,860BOYAmt
EOY$665,327EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$71,148,268BOYAmt
EOY$58,570,326EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$4,325BOYAmt
EOY$2,373EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,050,023BOYAmt
EOY$7,324,270EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,538,962BOYAmt
EOY$1,498,711EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$312,868,191LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$216,569,869LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$91,752,100BOYAmt
EOY$96,298,322EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$98,629,353BOYAmt
EOY$108,088,445EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$8,585,231BOYAmt
EOY$8,969,096EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$12,453,618BOYAmt
EOY$13,824,763EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$341,780,038BOYAmt
EOY$338,477,988EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$91,027,514BOYAmt
EOY$84,226,729EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$66,349,107BOYAmt
EOY$63,307,216EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,100,414BOYAmt
EOY$8,488,877EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$188,477,035BOYAmt
EOY$156,022,822EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$144,823,779BOYAmt
EOY$172,790,119EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,854,065BOYAmt
EOY$7,039,887EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,625,159BOYAmt
EOY$2,625,160EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$153,303,003BOYAmt
EOY$182,455,166EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$341,780,038BOYAmt
EOY$338,477,988EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$49,159,615ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$8,195,117NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$28,202,569OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$48,020OtherActivitiesAmt
Total Lobbying Expenditures$48,020TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1iFormAndLineReferenceDesc
ExplanationA PERCENTAGE OF THE 2013 ILLINOIS HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION DUES WERE USED FOR LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,847,928BeginningYearBalanceAmt
Contributions$148,494ContributionsAmt
Investment Earnings Or Losses$1,068,646InvestmentEarningsOrLossesAmt
Other Expenditures$186,672OtherExpendituresAmt
Administrative Expenses$11,431AdministrativeExpensesAmt
End Year Balance$7,866,965EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,085,799BeginningYearBalanceAmt
Contributions$69,541ContributionsAmt
Investment Earnings Or Losses$933,066InvestmentEarningsOrLossesAmt
Other Expenditures$224,548OtherExpendituresAmt
Administrative Expenses$15,930AdministrativeExpensesAmt
End Year Balance$6,847,928EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,926,437BeginningYearBalanceAmt
Contributions$95,812ContributionsAmt
Investment Earnings Or Losses$130,832InvestmentEarningsOrLossesAmt
Other Expenditures$44,441OtherExpendituresAmt
Administrative Expenses$22,841AdministrativeExpensesAmt
End Year Balance$6,085,799EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,988,438BeginningYearBalanceAmt
Contributions$320,215ContributionsAmt
Investment Earnings Or Losses$756,626InvestmentEarningsOrLossesAmt
Other Expenditures$117,358OtherExpendituresAmt
Administrative Expenses$21,484AdministrativeExpensesAmt
End Year Balance$5,926,437EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,071,454BeginningYearBalanceAmt
Contributions$369,919ContributionsAmt
Investment Earnings Or Losses$2,640,776InvestmentEarningsOrLossesAmt
Other Expenditures$76,266OtherExpendituresAmt
Administrative Expenses$17,445AdministrativeExpensesAmt
End Year Balance$4,988,438EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.05000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.45300PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.49700TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$65,484InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$2,535,488OtherCostOrOtherBasisAmt
Book Value$2,600,972BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$544,835InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$61,133,467OtherCostOrOtherBasisAmt
Depreciation$45,310,484DepreciationAmt
Book Value$16,367,818BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$99,060OtherCostOrOtherBasisAmt
Depreciation$98,821DepreciationAmt
Book Value$239BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$244,832,955OtherCostOrOtherBasisAmt
Depreciation$171,160,564DepreciationAmt
Book Value$73,672,391BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,656,902OtherCostOrOtherBasisAmt
Book Value$3,656,902BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$96,298,322TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCRUED PENSION$2,577,822
ACCRUED POST RETIREMENT MEDICAL BENEFITS$5,911,055
FieldValueIRS element (for citing)
Total Liability$8,488,877TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4, Intended uses of endowment fundsFUNDS WERE USED TO PROVIDE A LECTURE SERIES, FOR CONTINUING EDUCATION FOR EMPLOYEES WANTING TO IMPROVE THEIR CREDENTIALS OR TO FOCUS ON A NEW SKILL OR SOME TECHNOLOGY NOT CURRENTLY AVAILABLE IN THE ROCKFORD COMMUNITY. THERE WERE ALSO MISCELLANEOUS PROJECTS DESIGNATED BY THE FOUNDATION BOARD IN ACCORDANCE WITH THE SPECIFIC ENDOWMENT. ALL FUNDS WERE EXPENDED PER THE SPECIFIC DIRECTION OF EACH ENDOWMENT.
SCHEDULE D, PART X, LINE 2, FIN48 (ASC 740) DISCLOSURETHERE IS NO FIN 48 LIABILITY AND AS SUCH, THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS DO NOT INCLUDE A FIN 48 DISCLOSURE.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
Indiv Hospital Tailored PolicyYes (X)IndivHospitalTailoredPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other1.75FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,638,383TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,638,383NetCommunityBenefitExpnsAmt
Total Expense0.03580TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$74,525,255TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$79,001,285DirectOffsettingRevenueAmt
Net Community Benefit Expns-$4,476,030NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$85,163,638TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$79,001,285DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,162,353NetCommunityBenefitExpnsAmt
Total Expense0.03580TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,529,315TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,706,807DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,822,508NetCommunityBenefitExpnsAmt
Total Expense0.00950TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$562,343TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,161DirectOffsettingRevenueAmt
Net Community Benefit Expns$534,182NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$67,907,689TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$65,232,847DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,674,842NetCommunityBenefitExpnsAmt
Total Expense0.00900TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$444,722TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$444,722NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$74,444,069TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$67,967,815DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,476,254NetCommunityBenefitExpnsAmt
Total Expense0.02180TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$159,607,707TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$146,969,100DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,638,607NetCommunityBenefitExpnsAmt
Total Expense0.05760TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$19,265,461BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$81,482,385ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$99,900,024CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$18,417,639MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndChildrens HospitalChildrensHospitalIndTeaching HospitalTeachingHospitalIndCritical Access HospitalCriticalAccessHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndOtherOtherDesc
ROCKFORD MEMORIAL HOSPITAL
12400 N ROCKTON AVEROCKFORDIL61103HTTP://WWW.ROCKFORDHEALTHSYSTEM.ORG/ROCKFORD-MEMORIAL-HOSPITAL0002048Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)
VANMATRE HEALTH SOUTH
2950 S MULFORD RDROCKFORDIL61108HTTP://WWW.ROCKFORDHEALTHSYSTEM.ORG/VAN-MATRE-HEALTHSOUTH-REHABILITATION-HOSPITAL0005215Yes (X)REHABILITATION

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxtRpt Available Upon RequestRptAvailableUponRequestIndAdopt Implementation StrategyAdoptImplementationStrategyIndExec Implementation StrategyExecImplementationStrategyIndDevelop Community Wide PlanDevelopCommunityWidePlanIndExec Community Wide PlanExecCommunityWidePlanIndAdopt BudgetAdoptBudgetIndPrioritize Health NeedsPrioritizeHealthNeedsIndPrioritize ServicesPrioritizeServicesIndAll Needs AddressedAllNeedsAddressedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareIndFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctExplained BasisExplainedBasisIndIncome LevelIncomeLevelIndAsset LevelAssetLevelIndMedical IndigencyMedicalIndigencyIndInsurance StatusInsuranceStatusIndUninsured DiscountUninsuredDiscountIndMedicaid MedicareMedicaidMedicareIndState RegulationStateRegulationIndApp Financial Asst ExplnAppFinancialAsstExplnIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndPosted On WebsitePostedOnWebsiteIndPosted In Emergency RoomPostedInEmergencyRoomIndPosted In Admission OfficePostedInAdmissionOfficeIndProvided On AdmissionProvidedOnAdmissionIndAvailable On RequestAvailableOnRequestIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndCollection ActivitiesCollectionActivitiesIndFAP Notified Upon AdmissionFAPNotifiedUponAdmissionIndFAP Notified Before DischargeFAPNotifiedBeforeDischargeIndFAP Notified All PatientsFAPNotifiedAllPatientsIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndOther Method UsedOtherMethodUsedIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndNo Emergency CareNoEmergencyCareIndMedicare RatesMedicareRatesInd
ROCKFORD MEMORIAL HOSPITAL
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VANMATRE HEALTH SOUTH
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Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment(1) - ROCKFORD MEMORIAL HOSPITAL: IN 2011, THE ROCKFORD HEALTH COUNCIL PRODUCED A REGIONAL HEALTH NEEDS ASSESSMENT WITH EXTENSIVE INTERVIEWS AND SURVEYS TAKEN DURING 2010. CONTACTS INCLUDED FOCUS GROUPS, HEALTH CARE PROVIDERS, COMMUNITY ANALYSIS, HOUSEHOLD SURVEYS ALL OF WHICH INCLUDED LOCAL AND STATE GOVERNMENT ORGANIZATIONS, LOCAL BUSINESSES, AND LOCAL EDUCATORS (PRE-SCHOOL THROUGH COLLEGE). THE SURVEY WAS DONE WITH FUNDING, COOPERATION, PARTICIPATION AND ASSISTANCE FROM ALL THREE ROCKFORD HOSPITALS - RMH, SWEDISHAMERICAN HOSPITAL AND ST. ANTHONY'S MEDICAL CENTER. SURVEY IS AVAILABLE AND WAS PROMULGATED WITHIN THE COMMUNITY BY THE ROCKFORD HEALTH COUNCIL, SURVEY PARTICIPANTS AND WAS MADE AVAILABLE ON ROCKFORD HEALTH COUNCIL'S WEBSITE.;
Schedule H, Part V Sec B, Line 4, Other Hospital Facilities included in Needs Assessment(1) - ROCKFORD MEMORIAL HOSPITAL: SWEDISHAMERICAN HOSPITAL AND ST. ANTHONY'S MEDICAL CENTER.;
Schedule H, Part V Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined(1) - FACILITY A-ROCKFORD MEMORIAL HOSPITAL: ROCKFORD MEMORIAL HOSPITAL (RMH) PROVIDES CARE, WITHOUT DISCRIMINATION, FOR EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS REGARDLESS OF WHETHER THEY ARE FAP-ELIGIBLE. RMH DOES NOT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE BY DEMANDING PAYMENT PRIOR TO SERVICE. FAP-ELIGIBLE PATIENTS ARE NOT CHARGED MORE THAN AMOUNTS GENERALLY BILLED. IF THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE PATIENT WILL BE LIMITED IN LIABILITY TO 135% OF COST DETERMINED BY APPLYING RATIO OF COST TO CHARGES FROM MOST RECENTLY FILED MEDICARE COST REPORT TO UNINSURED PATIENT'S BILL. THE MAXIMUM AMOUNT RMH MAY COLLECT IN A 12-MONTH PERIOD FROM A PATIENT IS 25% OF THE FAMILY'S GROSS ANNUAL INCOME.;

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C, CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CAREROCKFORD MEMORIAL HOSPITAL (RMH) OFFERS TWO CHARITY CARE PROGRAMS - HUPDA AND OUR TRADITIONAL CHARITY CARE PROGRAM. WE WILL PROCESS CHARITY CARE FOR WHICHEVER PROVIDES THE HIGHEST PERCENTAGE OF DISCOUNT. HUPDA IS THE ILLINOIS HOSPITAL UNINSURED PATIENT DISCOUNT ACT FOR ALL UNINSURED PATIENTS. ELIGIBILITY CONSISTS OF BEING AN UNINSURED ILLINOIS RESIDENT, INCOME BELOW 600% OF FPG, BEING TREATED FOR A MEDICALLY NECESSARY CONDITION OR EVENT, LIMITED TO 25% OF ANNUAL INCOME. PATIENTS SUBMIT PROOF OF INCOME INCLUDING TAX RETURNS/PAY STUBS. TRADITIONAL DISCOUNTS FOLLOW OUR INTERNAL TRADITIONAL CHARITY CARE PROGRAM FOR THOSE WHO ARE UNINSURED OR ARE INSURED WITH A PATIENT LIABILITY. THIS INCOME LIMIT IS 300% OF FPG. PATIENT MUST SUBMIT PROOF OF INCOME THAT INCLUDES TAX RETURNS. UNDERINSURED PATIENTS MAY BE ELIGIBLE FOR OTHER DISCOUNTS TOWARDS THE PATIENT LIABILITY. THERE ARE ALSO POTENTIAL DISCOUNTS FOR CATASTROPHIC FINANCIAL ASSISTANCE AND/OR PROMPT PAY. EXTENUATING CIRCUMSTANCES MAY ALSO BE TAKEN INTO ACCOUNT. OUR PARTNER HOSPITAL VMHS IS A FOR-PROFIT HOSPITAL THAT IS PART OF A LARGER HEALTH ORGANIZATION. THEREFORE MOST OF THE RESPONSES CONCERN ONLY THE RMH PROCESS AND PROCEDURES.
SCHEDULE H, PART I, LINE 6A, COMMUNITY BENEFIT REPORTROCKFORD HEALTH SYSTEM PREPARES AN ANNUAL HOSPITAL COMMUNITY BENEFIT REPORT AS REQUIRED BY THE STATE OF ILLINOIS. THE REPORT INCLUDES DATA FOR ROCKFORD MEMORIAL HOSPITAL (RMH) AS WELL AS THE OTHER FOUR RELATED TAX-EXEMPT ORGANIZATIONS. THE REPORT IS DISTRIBUTED WITHIN THE HEALTH SYSTEM AND IS ALSO AVAILABLE UPON REQUEST. OUR PARTNER HOSPITAL VMHS IS A FOR-PROFIT HOSPITAL THAT IS PART OF A LARGER HEALTH ORGANIZATION. AS SUCH, THEY DO NOT PREPARE A COMMUNITY BENEFIT REPORT. THIS AND MOST OF THE ADDITIONAL NARRATIVE RESPONSES CONCERN ONLY THE RMH PROCESS AND PROCEDURES.
Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistanceTHE HOSPITAL UTILIZED BOTH THE MEDICARE COST REPORT CCR (COST-TO-CHARGE RATIO) AND OUR COST ACCOUNTING SYSTEM TO DETERMINE THE COST OF CHARGES, BAD DEBT AND CHARITY CARE EXPENSE INCLUDED IN LINE 7. THE SUBSIDIZED PROGRAMS ALSO INCLUDE THE COSTS (BASED ON A CALCULATED CCR) FROM OUR PHYSICIAN CLINIC BECAUSE THERE ARE NO PHYSICIANS COSTS INCLUDED IN THE HOSPITAL COST ACCOUNTING ANALYSIS. BAD DEBT AND CHARITY AT COST HAVE BEEN REMOVED FROM LINES 7E/7F/7G SINCE THOSE COSTS WERE PREVIOUSLY INCLUDED.
Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation0
Schedule H, Part III, Line 2, Bad debt expense - methodology used to estimate amountALL CHARGES FOR ANY SERVICE PROVIDED BY ROCKFORD MEMORIAL HOSPITAL ARE THE VERY SAME FOR EVERY INDIVIDUAL, REGARDLESS OF WHETHER IT IS FOR EMERGENCY OR STANDARD CARE AND REGARDLESS OF THE PATIENT'S ABILITY TO PAY. EACH PATIENT IS THEN ASSESSED FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE BASED ON PREDEFINED CRITERIA OF FINANCIAL STATUS AND INCOME LEVEL. IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THE EXPECTED REIMBURSEMENT IS BASED ON CHARITY CARE POLICY GUIDELINES. IF THE PATIENT HAS NO INSURANCE AND DOESN'T QUALIFY FOR FINANCIAL ASSISTANCE, THE EXPECTED REIMBURSEMENT IS 75% OF BILLED CHARGES. THE ORGANIZATION MAINTAINS A BAD DEBT RESERVE ON THE BALANCE SHEET. ANY BAD DEBT WRITE-OFFS OF PATIENT ACCOUNTS WILL GO AGAINST THE BAD DEBT RESERVE. AT EACH MONTH END BASED ON THE ACCOUNTS RECEIVABLE BY FINANCIAL CLASS AND AGING BUCKET, THE RESERVE AMOUNT IS RE-EVALUATED. THE AMOUNT NEEDED TO MAINTAIN THE APPROPRIATE RESERVE LEVEL IS THE BAD DEBT EXPENSE. ANY PAYMENTS RECEIVED ON PATIENT ACCOUNTS PREVIOUSLY WRITTEN OFF TO BAD DEBT WILL OFFSET THE BAD DEBT EXPENSE.
Schedule H, Part III, Line 4, Bad debt expense - financial statement footnoteROCKFORD HEALTH SYSTEM CONSOLIDATED AUDIT REPORTS: NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED. CONTRACTUAL ADJUSTMENTS REPRESENT THE DIFFERENCE BETWEEN ESTABLISHED RATES FOR SERVICES AND AMOUNTS PAID BY THIRD-PARTY PAYORS. PAYMENTS UNDER THESE AGREEMENTS AND PROGRAMS ARE BASED ON EITHER A SPECIFIC AMOUNT PER CASE; COSTS, AS DEFINED, OF RENDERING SERVICES TO PROGRAM BENEFICIARIES; OR CONTRACTED PRICE. AMOUNTS FOR UNCOLLECTIBLE ACCOUNTS ARE ALSO INCLUDED AS REDUCTIONS TO NET PATIENT SERVICE REVENUE. CONTRACTUAL ADJUSTMENTS AND BAD DEBTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND ARE ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED.
Schedule H, Part III, Line 8, Community benefit & methodology for determining medicare costsTHE DATA REPORTED FOR MEDICARE CHARGES AND PAYMENTS IS FROM THE FINAL MANAGEMENT REPORT PRODUCED BY THE FIRM THAT PREPARED THE 2013 COST REPORT AS SUBMITTED TO THE FISCAL INTERMEDIARY IN 2014 IN COMPLIANCE WITH ALL CURRENT REGULATIONS. REPORTED ON LINE 6 ARE ALLOWABLE MEDICARE COSTS PROVIDED BY THE COST REPORT. MEDICARE COSTS ARE ELIMINATED FROM THE SUBSIDIZED PROGRAMS ON PART 1 LN 7G AS CALCULATED BY OUR COST ACCOUNTING ANALYSIS. A COMBINATION OF COST ACCOUNTING AND THE MEDICARE CCR WAS USED FOR THE COMPUTATION OF SUBSIDIZED PROGRAMS. THIS SECTION B-MEDICARE ALSO INCLUDES 50% OF THE MEDICARE ACTIVITY FROM VAN MATRE HEALTH SOUTH (VMHS) AND THE CORRESPONDING COST BASED ENTIRELY ON THEIR MEDICARE CCR.
Schedule H, Part III, Line 9b, Collection practices for patients eligible for financial assistanceROCKFORD MEMORIAL HOSPITAL HAS A STRONG COMMITMENT TO PROVIDE QUALITY PATIENT CARE FOR ALL INDIVIDUALS. OUR MISSION IS TO PROVIDE HEALTH CARE TO EVERYONE WHO COMES TO OUR DOOR, REGARDLESS OF THEIR ABILITY TO PAY. WE WILL SUBMIT A CLAIM TO ALL 3RD PARTY PAYORS ON BEHALF OF THE PATIENT. WE HELP PATIENTS APPLY FOR ALL POSSIBLE INSURANCE OR ASSISTANCE SUCH AS CRIME VICTIMS, AN AUTOMOBILE ACCIDENT, WORKERS' COMPENSATION, MEDICAID, COBRA, LOCAL ASSISTANCE AND/OR HOSPITAL FINANCIAL ASSISTANCE. IF THEY DO NOT QUALIFY FOR ANY OF THESE, WE CAN EXTEND PAYMENT OPTIONS SUCH AS MONTHLY PAYMENTS, CREDIT CARD PAYMENTS OR FINANCIAL ASSISTANCE. THIS IS OFFERED TO PATIENTS WHO ARE EXPERIENCING LEGITIMATE FINANCIAL HARDSHIPS AND ARE UNABLE TO PAY FOR ALL OR PART OF THE PATIENT'S MEDICAL CARE. FORGIVENESS MAY APPLY TO AN AMOUNT AFTER APPLYING ALL PAYMENTS SUCH AS ANY INSURANCE COMPANY, HEALTH PLAN OR PERSONAL PAYMENTS, ANY NEGOTIATED DISCOUNTS OR ANY UNINSURED DISCOUNTS. IF A PATIENT ELIGIBLE FOR CHARITY CARE OR PARTIAL FINANCIAL ASSISTANCE STILL HAS A PORTION OF THE OUTSTANDING BALANCE DUE, OTHER ARRANGEMENTS ARE MADE. RMH ACCEPTS A VARIETY OF PAYMENTS AND ALTERNATIVE PAYMENT PLANS. MONTHLY STATEMENTS ARE SENT AS PAYMENT REMINDERS FOR CONTRACTED ARRANGEMENTS. IN CASE OF DEFAULT, ADDITIONAL LETTERS AND CALLS ARE MADE TO BRING IT TO A CURRENT STATUS. AN ACCOUNT IS TURNED OVER TO A COLLECTION AGENCY ONLY AFTER NON-PAYMENT OR NO CONTACT IN 120 DAYS ALTHOUGH RMH WILL SUSPEND COLLECTION EFFORTS ONCE A COMPLETED APPLICATION HAS BEEN RECEIVED AND IS PENDING APPROVAL OR DENIAL. OUR PARTNER HOSPITAL VMHS IS A FOR-PROFIT HOSPITAL THAT IS PART OF A LARGER HEALTH ORGANIZATION. MUCH OF THE INFORMATION THAT WOULD NORMALLY BE REQUIRED FOR A NON-PROFIT IS NOT PERTINENT. THEREFORE MOST OF THE RESPONSES CONCERN ONLY THE RMH PROCESS AND PROCEDURES.
SCHEDULE H, PART V, GENERAL INFORMATION REGARDING HOSPITAL #2OUR PARTNER HOSPITAL VMHS IS A FOR-PROFIT HOSPITAL THAT IS PART OF A LARGER HEALTH ORGANIZATION. MUCH OF THE INFORMATION THAT WOULD NORMALLY BE REQUIRED FOR A NON-PROFIT IS NOT PERTINENT. THEREFORE MOST OF THE DETAILED RESPONSES CONCERN ONLY THE RMH PROCESS AND PROCEDURES.
SCHEDULE H, PART V, SECTION B, LINE 20, MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALSALL CHARGES FOR ANY SERVICE PROVIDED BY ROCKFORD MEMORIAL HOSPITAL ARE THE VERY SAME FOR EVERY INDIVIDUAL, REGARDLESS OF WHETHER IT IS FOR EMERGENCY OR STANDARD CARE AND REGARDLESS OF THE PATIENT'S ABILITY TO PAY. EACH PATIENT IS THEN ASSESSED FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE BASED ON PREDEFINED CRITERIA OF FINANCIAL STATUS AND INCOME LEVEL. IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THE EXPECTED REIMBURSEMENT IS BASED ON CHARITY CARE POLICY GUIDELINES. IF THE PATIENT HAS NO INSURANCE AND DOESN'T QUALIFY FOR FINANCIAL ASSISTANCE, THE EXPECTED REIMBURSEMENT IS 75% OF BILLED CHARGES.
SCHEDULE H, PART V, SECTION B, LINE 21, CHARGES BILLEDTHE CHARGES BILLED ARE ALWAYS UNIFORM, THE COLLECTED AMOUNTS MAY VARY DEPENDING ON APPLICABLE DISCOUNTS.
Schedule H, Part VI, Line 2, Needs assessment.IN 2010 THE ROCKFORD HEALTH COUNCIL BEGAN TO GATHER DATA FROM THE NORTHERN ILLINOIS REGION ENCOMPASSING WINNEBAGO AND BOONE COUNTIES. RHS SUPPORT WAS FINANCIAL, TECHNICAL AND INCLUDED SIGNIFICANT REPRESENTATION ON BOTH THE ROCKFORD HEALTH COUNCIL BOARD OF DIRECTORS AND THE SURVEYING STAFF. THIS COLLABORATIVE EFFORT, PARTNERING HEALTHCARE AND EDUCATION, GATHERED, ANALYZED AND REPORTED ON THE HEALTH NEEDS OF THE COMMUNITY. THE OTHER TWO AREA HOSPITALS BOTH SUPPORTED AND PARTICIPATED TO PRODUCE A MAJOR EFFORT WHICH WAS RELEASED TO THE COMMUNITY IN JULY 2011. IT REVEALED TRENDS, CHANGES AND UNMET NEEDS. THE SURVEY IS AVAILABLE ON THE ROCKFORD HEALTH COUNCIL WEBSITE. THIS ASSESSMENT SERVES AS A BLUEPRINT FOR FUTURE HEALTH CARE INITIATIVES AND POINTS TOWARD GROWTH IN OUR REGION. THE PRIORITIES IDENTIFIED WERE USED AS THE FRAMEWORK IN THE DEVELOPMENT OF THE RHS COMMUNITY BENEFIT PLAN. EACH PRIORITY HAS A SPECIFIC OVERRIDING STRATEGY WITH STATED DETAILED TACTICS AND MEASURABLE OBJECTIVES. AN EXECUTIVE SUMMARY DETAILING THE PROCESS AND FINDINGS, THE RHS COMMUNITY PLAN DOCUMENT, AND A PARTIAL INVENTORY DETAILING MANY OF THE SIGNIFICANT PROGRAMS AND INITIATIVES THAT SUPPORT RHS COMMITMENT TO IMPROVING THE OVERALL HEALTH AND WELL-BEING OF THE COMMUNITY RESIDENTS WERE INCLUDED. IN DECEMBER 2011, THE BOARD OF DIRECTORS APPROVED THE RESOLUTION TO ADOPT THE ROCKFORD HEALTH SYSTEM COMMUNITY BENEFIT PLAN AND SUBSEQUENT IMPLEMENTATION OF ITS RECOMMENDATIONS. RHS IS CONTINUING WITH DEVELOPMENT AND IMPLEMENTATION OF A COMPREHENSIVE MULTIFACETED COMMUNITY BENEFIT PLAN TO IMPROVE THE OVERALL HEALTH AND WELL-BEING OF RESIDENTS IN THE PRIMARY SERVICE AREA.
Schedule H, Part VI, Line 3, Patient education of eligibility for assistance.RMH POSTS SIGNS IN ALL GENERAL REGISTRATION AREAS AND THE EMERGENCY DEPARTMENT IN BOTH SPANISH AND ENGLISH TO INDICATE THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR THOSE WHO QUALIFY. THE ORGANIZATION'S WEBSITE STATES "PATIENTS THROUGHOUT ROCKFORD HEALTH SYSTEM ARE TREATED REGARDLESS OF THEIR ABILITY TO PAY. CLICK ON THE ENTITY ABOVE TO LEARN MORE." THE RMH LINK TO FINANCIAL ASSISTANCE AND DISCOUNT PROGRAMS EXPLAINS THE PROCESS IN THIS MANNER "ROCKFORD HEALTH SYSTEM PROVIDES HEALTH CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR SUCH CARE. THESE GUIDELINES ARE INTENDED TO PROVIDE A FRAMEWORK TO OFFER ASSISTANCE TO PATIENTS AND FAMILIES WITH LEGITIMATE FINANCIAL HARDSHIP, WHO ARE UNABLE TO PAY FOR ALL OR A PORTION OF THEIR MEDICAL CARE. COVERED SERVICES ARE THOSE WHICH ARE DETERMINED MEDICALLY NECESSARY BY A PHYSICIAN. OUR FINANCIAL ASSISTANCE PROGRAMS ARE BASED ON WHETHER YOU HAVE INSURANCE COVERAGE OF ANY KIND OR ARE UNINSURED."
Schedule H, Part VI, Line 4, Community information.ROCKFORD MEMORIAL HOSPITAL IS LOCATED IN ROCKFORD, IL (WINNEBAGO COUNTY) WITH A DEFINED PRIMARY SERVICE AREA THAT INCLUDES WINNEBAGO, BOONE AND OGLE COUNTIES. 2012 US CENSUS BUREAU ESTIMATES PROJECT THE POPULATION FOR THE ENTIRE PRIMARY SERVICE AREA AT CLOSE TO 399,000 INDIVIDUALS WITH A LITTLE MORE THAN 73% LIVING IN WINNEBAGO COUNTY (APPROXIMATELY 295,000). THE HOSPITAL ALSO SERVES THE SECONDARY SERVICE AREA WHICH INCLUDES DEKALB, MCHENRY, WHITESIDE, LEE, LASALLE, STEPHENSON AND ROCK COUNTIES FOR SELECT TERTIARY SERVICES. LOCATED IN NORTHERN ILLINOIS, THE PRIMARY SERVICE AREA IS CHARACTERIZED AS LARGELY RURAL AND POPULATED WITH VERY SMALL COMMUNITIES WITH THE EXCEPTION OF THE NEIGHBORING CITIES OF ROCKFORD, LOVES PARK, AND MACHESNEY PARK WHICH COMPRISE NEARLY 198,000 INDIVIDUALS. THE NEXT LARGEST COMMUNITY IS BELVIDERE, LOCATED IN BOONE COUNTY, WHERE THE ENTIRE COUNTY HAS A POPULATION OF APPROXIMATELY 54,000 INDIVIDUALS. IN CALENDAR YEAR 2012, APPROXIMATELY 85% OF HOSPITAL INPATIENTS WERE FROM THE PRIMARY SERVICE AREA. AS A COMMUNITY THAT RELIES HEAVILY ON MANUFACTURING COMPANIES AND SMALL BUSINESSES, THE AREA HAS BEEN PARTICULARLY HARD HIT IN RECENT ECONOMIC TIMES. CURRENTLY THE LARGEST EMPLOYERS INCLUDE CHRYSLER (BOONE COUNTY), THE ROCKFORD SCHOOL DISTRICT, AND THE THREE ROCKFORD HEALTH CARE PROVIDERS. THE MOST RECENT MEDIAN HOUSEHOLD INCOME FIGURES (U.S. CENSUS BUREAU) IN WINNEBAGO COUNTY WERE $47,600 COMPARED TO THE STATE'S MEDIAN HOUSEHOLD INCOME OF APPROXIMATELY $56,600. THESE DISPARITIES ARE ALSO REFLECTED IN UNEMPLOYMENT, EDUCATION AND POVERTY RATES. UNEMPLOYMENT RATES REMAIN HIGH AT 10.2% IN ROCKFORD IN APRIL 2014 COMPARED TO STATE FIGURES AT 7.5%. ONLY 21% OF WINNEBAGO COUNTY RESIDENTS ATTAIN A BACHELOR'S DEGREE OR HIGHER, WHILE IN THE STATE 31% DO. 17% OF RESIDENTS LIVING IN WINNEBAGO COUNTY ARE BELOW THE POVERTY LINE COMPARED TO OVERALL STATE LEVELS OF SLIGHTLY MORE THAN 13%. CHILDREN IN THE COMMUNITY HAVE BEEN PARTICULARLY HARD HIT WITH CLOSE TO 28% CONSIDERED AT OR BELOW POVERTY LEVELS. (WINNEBAGO COUNTY HEARTLAND ALLIANCE 2011) ALL OF THESE CONDITIONS HAVE RESULTED IN INCREASING PRESSURES ON THE COMMUNITY. ROCKFORD MEMORIAL HOSPITAL IS LOCATED IN THE OLDER, WESTERN PORTION OF THE COMMUNITY AND SERVES A SIGNIFICANT INDIGENT AND ELDERLY POPULATION. THIS IS EVIDENT WHEN LOOKING AT INCOME LEVELS FOR HOUSEHOLDS LOCATED IN ZIP CODES IN WESTERN ROCKFORD WHERE THE HOSPITAL RESIDES. FOR EXAMPLE, THE U.S. CENSUS BUREAU 2008-2012 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES FOR INDIVIDUAL ZIP CODES LISTS MEDIAN HOUSEHOLD INCOME FOR WEST SIDE ZIP CODES AS FOLLOWS: 61103 $35,960; 61102 $31,701; 61101 - $29,909. THE GEOGRAPHIC DISPARITIES ARE EVIDENT WHEN THESE NUMBERS ARE COMPARED TO HOUSEHOLDS LOCATED IN THE EASTERN PORTION OF ROCKFORD. IN COMPARISON, THE 3 LARGEST EAST-SIDE ZIP CODES HAVE THE FOLLOWING MEDIAN HOUSEHOLD INCOMES: 61107 $56,348; 61108 - $47,067; 61109 - $41,315. (NOTE THAT 61109 IS THE THIRD LARGEST EAST-SIDE ZIP, IN TOTAL POPULATION). AS THE ONLY AREA AND NORTHERN ILLINOIS HOSPITAL OFFERING LEVEL III NEONATAL INTENSIVE CARE AND COMPREHENSIVE PEDIATRIC AND PEDIATRIC INTENSIVE CARE SERVICES, ROCKFORD MEMORIAL HOSPITAL IS COMMITTED TO CHILDREN AND IS THE MAIN PROVIDER OF CHILDREN'S SERVICES IN THE AREA AND THE GREATER TERTIARY SERVICE AREA. WITH ONE IN THREE CHILDREN CURRENTLY AT OR BELOW FEDERAL POVERTY LEVELS IN WINNEBAGO COUNTY AND THE OVERALL ECONOMIC CONDITION OF THE COMMUNITY, THE HOSPITAL CONTINUES TO SEE INCREASING NUMBERS OF UNINSURED AND PUBLIC AID PATIENTS IN RECENT YEARS AND THIS TREND CONTINUES TO GROW.
Schedule H, Part VI, Line 5, Promotion of community healthLED BY COMMUNITY BOARDS OF DIRECTORS, ROCKFORD MEMORIAL HOSPITAL (RMH) AND ITS AFFILIATES ARE EXTREMELY INVOLVED IN PROMOTING A HEALTHIER COMMUNITY. AS ONE OF ROCKFORD'S LARGEST EMPLOYERS, THE ORGANIZATION TAKES A LEADING ROLE IN FINANCIALLY SUPPORTING NOT ONLY HEALTH-RELATED INITIATIVES, BUT ALSO COMMUNITY-BUILDING ACTIVITIES ACROSS THE REGION. IT INCLUDES PROVIDING FINANCIAL SUPPORT AND TALENT FOR ECONOMIC DEVELOPMENT AND BUSINESS-RELATED ACTIVITIES, AS WELL AS QUALITY OF LIFE AND EDUCATIONAL INITIATIVES. EMPLOYEES PARTICIPATE IN COMMUNITY BOARDS AND ARE ACTIVELY INVOLVED IN PROMOTING THE REGION AND ITS ASSETS. THE RHS BOARD IS COMPRISED OF PERSONS WHO RESIDE WITHIN THE ORGANIZATION'S PRIMARY SERVICE AREA , WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME AND/OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. ROCKFORD MEMORIAL HOSPITAL IS COMMITTED TO TREATING ALL PATIENTS IN IMMEDIATE NEED OF MEDICAL SERVICES REGARDLESS OF THEIR ABILITY TO PAY. WE ALSO PROVIDE EXTENSIVE OUTREACH, EDUCATION AND HEALTH SCREENINGS TO BENEFIT THE COMMUNITY. COMMUNITY OUTREACH - IN 2013, ROCKFORD HEALTH SYSTEM HELD A SERIES OF FREE COMMUNITY PROGRAMS DESIGNED TO EDUCATE THE PUBLIC ON IMPORTANT HEALTH ISSUES. COMMUNITY SCREENINGS AND WELLNESS EVENTS INCLUDED CAR SEAT SAFETY CHECKS, BLOOD PRESSURE, WEIGHT, CHOLESTEROL AND DIABETES. SOME OF THE TOPICS COVERED IN THIS YEAR'S PROGRAMMING INCLUDED STROKE EDUCATION, URINARY INCONTINENCE, MENOPAUSE, HEART HEALTH, END OF LIFE PLANNING AND CPR. RONALD MCDONALD CARE MOBILE - IN 2003, THE ROCKFORD MEMORIAL HOSPITAL CHILDREN'S MEDICAL CENTER BEGAN A PARTNERSHIP WITH RONALD MCDONALD HOUSE CHARITIES TO PROVIDE FREE DENTAL AND MEDICAL CARE TO UNINSURED AND UNDERINSURED CHILDREN IN FIVE NORTHERN ILLINOIS COUNTIES VIA THE RONALD MCDONALD CARE MOBILE, THE 40-FOOT, 26,000-POUND MOBILE UNIT THAT HOUSES TWO PATIENT EXAM ROOMS AND A STERILIZATION AREA. IN 2012, THE PROGRAM CELEBRATED THE MILESTONE OF PROVIDING CARE TO MORE THAN 5,000 CHILDREN, NOW TOTALING MORE THAN $1.5 MILLION IN FREE CARE OVER THE LIFE OF THE PROGRAM. THE PARTNERSHIP HAS PROVIDED MORE THAN 6,900 DENTAL VISITS, 1,500 MEDICAL VISITS, AND 1,300 IMMUNIZATIONS. IN ADDITION, MORE THAN 600 FAMILIES RECEIVED MEDICAL AND DENTAL INSURANCE COVERAGE THROUGH ALL KIDS/KIDCARE AS A RESULT OF THEIR INTERACTION WITH THE CARE MOBILE. FOR THE FIRST YEARS OF THE PROGRAM, THE MEDICAL/DENTAL CLINIC ON WHEELS WAS SHARED WITH ANOTHER HOSPITAL IN MADISON. IN 2012, ROCKFORD MEMORIAL HOSPITAL WAS EXCITED TO TAKE FULL OWNERSHIP OF THE CARE MOBILE VEHICLE, GREATLY EXPANDING THE FREE MEDICAL AND DENTAL CARE WE PROVIDE TO NEEDY CHILDREN IN NORTHERN ILLINOIS BY MORE THAN DOUBLING THE MONTHS OF OPERATION. THE CARE MOBILE IS COMPLETELY FUNDED BY PHILANTHROPY INCLUDING THE ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION, ROCKFORD MEMORIAL HOSPITAL AUXILIARY, AND THE RONALD MCDONALD HOUSE CHARITIES OF MADISON. THE BRIDGE CLINIC - ROCKFORD HEALTH SYSTEM PARTNERS WITH THE FIRST PRESBYTERIAN CHURCH AND SECOND CONGREGATIONAL CHURCH OF ROCKFORD TO OPERATE THE BRIDGE CLINIC. VOLUNTEER PHYSICIANS, MEDICAL STUDENTS, NURSE PRACTITIONERS AND NURSES PROVIDE BASIC MEDICAL CARE TO UNINSURED AND UNDERINSURED ADULTS AT THIS FREE SATURDAY CLINIC HOUSED IN A DOWNTOWN ROCKFORD CHURCH. THE BRIDGE CLINIC ALSO OFFERS FREE CLASSES AND EDUCATIONAL RESOURCES SUCH AS DIABETES EDUCATION. MANY OF THE PHYSICIANS AND STAFF ARE VOLUNTEERS FROM ROCKFORD MEMORIAL HOSPITAL AND COSTS FOR OPERATING THE CLINIC ARE COVERED THROUGH PHILANTHROPY SPONSORED BY ROCKFORD HEALTH SYSTEM. SINCE ITS OPENING IN 2008, HUNDREDS OF PEOPLE HAVE BEEN CARED FOR FROM OUR COMMUNITY. WITH THE ROCKFORD REGION'S UNEMPLOYMENT RATES THE HIGHEST IN ILLINOIS, THE BRIDGE CLINIC AND ITS STAFF HELP RELIEVE STRESS, PARTICULARLY FOR UNEMPLOYED INDIVIDUALS WITH CHRONIC MEDICAL ISSUES. THE BRIDGE CLINIC IS A SAFE PLACE TO RECEIVE THE BASIC MEDICAL ATTENTION THEY NEED, FREE OF CHARGE. VIDEO INTERPRETATION - PATIENTS WHO SEEK MEDICAL CARE AT ROCKFORD HEALTH SYSTEM HAVE VERY DIVERSE NEEDS. FOR SOME, HAVING A DIRECT CONVERSATION WITH A DOCTOR CAN BE CHALLENGING. IT MAY BE BECAUSE THEY CANNOT HEAR OR SPEAK ANOTHER LANGUAGE. SINCE 2011, VIDEO INTERPRETATION IS AVAILABLE FOR THE DEAF AND HARD OF HEARING, AS WELL AS SPANISH-SPEAKING PATIENTS. LAPTOP COMPUTERS WITH VIDEO CAMERAS, IN ROCKFORD MEMORIAL HOSPITAL AND ACROSS ROCKFORD HEALTH PHYSICIAN OFFICES, QUICKLY LINK SKILLED INTERPRETERS WITH PATIENTS AND CAREGIVERS. BOTH PATIENTS AND HEALTH CARE PROFESSIONALS CAN REST ASSURED THAT THERE HAS BEEN AN ACCURATE EXCHANGE OF INFORMATION FOR PURPOSES OF DIAGNOSIS AND TREATMENT. AUTOMATIC EXTERNAL DEFIBRILLATORS - FOR MORE THAN 10 YEARS, ROCKFORD HEALTH SYSTEM, IN PARTNERSHIP WITH THE ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION, HAS BEEN HELPING COMMUNITY NON-PROFIT ORGANIZATIONS OBTAIN AUTOMATIC EXTERNAL DEFIBRILLATORS (AEDS). THESE PORTABLE, EASY-TO-USE DEVICES ADMINISTER IMMEDIATE, LIFE-SAVING TREATMENT THAT SHOCKS A HEART IN CARDIAC ARREST BACK TO A REGULAR HEARTBEAT. FROM THE INCEPTION OF THE PROGRAM IN 1999 THROUGH 2012, THE FOUNDATION HAS DONATED 126 AEDS TO COMMUNITY ORGANIZATIONS AND FACILITIES IN THE ROCKFORD AREA THROUGH ITS EXTERNAL GRANTS PROGRAM. THERE ARE MANY STORIES OF LIVES SAVED IN OUR COMMUNITY, THANKS TO THE DONATED AEDS. THE WINNEBAGO COUNTY SHERRIFF'S OFFICE, WHICH HAS RECEIVED 13 AEDS FROM THE ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION, HAS USED THESE LIFE-SAVING DEVICES 16 TIMES AND ALONE HAS REPORTED FIVE "SAVES." REACT AIR TRANSPORT SERVICES - THE ROCKFORD MEMORIAL HOSPITAL REACT TRANSPORT PROGRAM IS ACCREDITED THROUGH THE COMMISSION OF AIR MEDICAL TRANSPORT SYSTEMS (CAMTS) AND IS AVAILABLE TO PROVIDE ACUTE CLINICAL EXPERTISE AT THE SCENE OF THE ACCIDENT. IN 2013, OUR HELICOPTER AND HIGHLY TRAINED STAFF WERE AT ACCIDENT SCENES TO STABILIZE AND TRANSPORT EMERGENT PATIENTS TO THE HOSPITAL. THE HELICOPTER AND CREW COMPLETED 151 TRANSPORTS DURING 2013. THE REACT CREW CONSISTS OF CRITICAL CARE TRAINED NURSES WITH A MINIMUM OF 5 YEARS OF INTENSIVE CARE EXPERIENCE. THESE INDIVIDUALS HAVE RECEIVED ADDITIONAL TRAINING IN ADVANCED CARDIAC LIFE SUPPORT (ACLS), PEDIATRIC ADVANCED LIFE SUPPORT (PALS), ARE MEMBERS OF THE NEONATAL RESUSCITATION PROGRAM AND ARE SPECIFICALLY TRAINED AS TRAUMA NURSE SPECIALISTS. IN ADDITION, THEY ARE INTERNATIONAL TRAUMA LIFE SUPPORT (ITLS) TRAINED, AMERICAN HEART ASSOCIATION CPR TRAINED, CRITICAL CARE RN (CCRN) CERTIFIED AND CRITICAL CARE FLIGHT NURSE (CFRN) TRAINED. FLU SHOT PARTNERSHIP - FOR THE SECOND YEAR, ROCKFORD MEMORIAL HOSPITAL AND THE WINNEBAGO COUNTY HEALTH DEPARTMENT CREATED A UNIQUE COALITION TO IMPROVE COMMUNITY DISASTER PREPAREDNESS AND HEALTH PREVENTION ACTIVITIES. THE PARTNERSHIP COMBINED A PANDEMIC DISASTER DRILL AND THE OPPORTUNITY TO PROVIDE INFLUENZA IMMUNIZATIONS TO AT-RISK MEMBERS OF THE COMMUNITY. IN 2012, ROCKFORD MEMORIAL DEPLOYED REGION 1 DISASTER EQUIPMENT TO FIVE COMMUNITY SITES (INCLUDING A LOCAL FOOD PANTRY), COORDINATING PARTICIPATION BY SIX HEALTH SCIENCE SCHOOLS. IN ALL OVER 100 NEW VOLUNTEERS PARTICIPATED IN THE DISASTER DRILL AND OVER 450 FLU SHOTS WERE PROVIDED TO COMMUNITY MEMBERS.
Schedule H, Part VI, Line 6, Affiliated health care systemALL OF ROCKFORD HEALTH SYSTEM (RHS) ENTITIES WORK CLOSELY WITH THE COMMUNITY AND ROCKFORD MEMORIAL HOSPITAL (RMH) TO ADDRESS IMPORTANT HEALTH NEEDS OF THE COMMUNITY. TIME, TALENT AND RESOURCE DONATIONS - BOTH FINANCIAL AND IN-KIND CONTRIBUTIONS TO LOCAL COMMUNITY NONPROFIT ORGANIZATIONS WERE MADE BY ROCKFORD HEALTH SYSTEM IN 2013. THOSE DONATIONS RANGE FROM MANPOWER AT NONPROFIT ORGANIZATION'S FUNDRAISING EVENTS, TO FINANCIAL SUPPORT OF QUALITY OF LIFE INITIATIVES TO PROVISION OF NO-COST HEALTHCARE EDUCATION AND SERVICES. IN 2013, FINANCIAL DONATIONS ALONE AMOUNTED TO MORE THAN $400,000. OUR EMPLOYEES, MANAGEMENT STAFF, AND LEADERSHIP ALSO SERVE HUNDREDS OF HOURS ON COMMUNITY BOARDS AND WE PARTNER WITH MANY ORGANIZATIONS ON MAJOR COMMUNITY-CENTERED INITIATIVES, SHARING TIME AND EXPERTISE. FREE MAMMOGRAM PROGRAM - IN 2012, RHS LAUNCHED A PARTNERSHIP WITH A SILVER LINING FOUNDATION TO PROVIDE NO-COST MAMMOGRAMS AND FOLLOW-UP DIAGNOSTIC SERVICES TO UNINSURED AND UNDERINSURED WOMEN IN THE REGION, ENSURING THAT MEDICALLY UNDERSERVED WOMEN HAVE ACCESS TO QUALITY BREAST CANCER SCREENING AND EDUCATION. IN 2013, THE FIRST FULL YEAR OF THE PROGRAM, THE ROCKFORD HEALTH SYSTEM WOMEN'S CENTER PROVIDED 139 SCREENING MAMMOGRAMS, 46 DIAGNOSTIC MAMMOGRAMS, 33 BREAST ULTRASOUND SCREENINGS AND 9 STEREOTACTIC BIOPSIES AT NO COST TO AREA WOMEN, TOTALING ABOUT $52,000 IN CARE. THE PROGRAM IS COMPLETELY FUNDED BY PHILANTHROPY AND INCLUDES SUPPORT FROM INDEPENDENT PATHOLOGISTS AND RADIOLOGISTS. THANKS TO THE PROGRAM, A NUMBER OF WOMEN HAD THEIR BREAST CANCER DETECTED AND TREATED. FOR OTHERS, THE PROGRAM PROVIDED PEACE OF MIND THAT THEY HAVE ACCESS TO THIS POTENTIALLY LIFE-SAVING SCREENING. NORTHWEST COMMUNITY CENTER - THANKS TO FINANCIAL SUPPORT FROM ROCKFORD HEALTH SYSTEM, OVER 5,000 BREAKFASTS WERE SERVED IN 2013 AT NORTHWEST COMMUNITY CENTER ON ROCKFORD'S WEST SIDE. THE BEFORE SCHOOL BREAKFAST PROGRAM ALLOWS WORKING PARENTS TO DROP OFF THEIR ELEMENTARY AND MIDDLE SCHOOL CHILDREN AT THE CENTER FOR A HOT, NUTRITIOUS BREAKFAST. BESIDES THEIR FIRST MEAL OF THE DAY, THE CHILDREN ALSO GET HELP WITH HOMEWORK, COMPUTER AND SOCIALIZATION SKILLS, AS WELL AS A RIDE TO SCHOOL. STUDIES HAVE SHOWN THAT CHILDREN HAVING A HEALTHY BREAKFAST IN THE MORNING ARE MORE LIKELY TO BE ATTENTIVE IN THE CLASSROOM. OTHER PROGRAMS SUPPORTED BY ROCKFORD HEALTH SYSTEM RELATED TO ACCESS TO HEALTHY FOOD INCLUDE SUPPORT FOR THE ROCKFORD RESCUE MISSION, THE NORTHERN ILLINOIS FOOD BANK, AND THE ROCK RIVER VALLEY FOOD PANTRY. ADOPT A SCHOOL - FOR WELL OVER 10 YEARS, ROCKFORD HEALTH SYSTEM HAS COLLABORATED WITH NEIGHBORHOOD ELEMENTARY SCHOOLS ASSISTING THEM WITH SPECIAL NEEDS. NEARLY 90% OF THE CHILDREN ATTENDING OUR NEIGHBORHOOD SCHOOLS LIVE IN POVERTY. AT THE ELEMENTARY SCHOOL LEVEL WE PARTNER WITH TWO SCHOOLS, CONKLIN AND WELSH. AT WELSH, RHS EMPLOYEES VISITED CLASSROOMS ON A WEEKLY BASIS THROUGHOUT THE SCHOOL YEAR, TALKING ABOUT CAREERS AND HELPING TO PREPARE STUDENTS FOR THE ANNUAL CAREER FAIR. IN TURN, WELSH TEACHERS SPENT A DAY AT RHS LEARNING ABOUT VARIOUS CAREERS. ADDITIONALLY, BEGINNING AT YEAR-END 2013, RHS STAFF HELPED THE WELSH STUDENT COUNCIL SET UP AND PREPARE STUDENTS TO RUN A SUPPLY STORE AT THE SCHOOL. AT CONKLIN, YOU WILL FIND RHS EMPLOYEES CHAPERONING EVENING EVENTS, WORKING ON CLASSROOM READING, AND RAISING FUNDS TO SUPPORT NEEDY FAMILIES WITH HOLIDAY GIFTS. OTHER EDUCATION-RELATED ORGANIZATIONS INITIATIVES SUPPORTED BY ROCKFORD HEALTH SYSTEM INCLUDE ALIGNMENT ROCKFORD AND GOLDEN APPLE OF ROCKFORD. GIGI'S PLAYHOUSE - AS A CHILDREN'S MEDICAL CENTER - INCLUDING THE REGION'S ONLY HIGH-RISK MATERNITY, NEONATAL INTENSIVE CARE AND PEDIATRIC INTENSIVE CARE UNITS - RHS WORKS COLLABORATIVELY WITH A VARIETY OF COMMUNITY ORGANIZATIONS THAT PROVIDE SERVICES TO CHILDREN AND FAMILIES. FOR EXAMPLE, RHS HAD BEEN A MAJOR SUPPORTER OF GIGI'S PLAYHOUSE, A DOWN SYNDROME AWARENESS AND EDUCATIONAL CENTER, HELPING THE ROCKFORD AREA CENTER TO OPEN IN 2010. GIGI'S PLAYHOUSE PROVIDES NO-COST RESOURCES, SPECIALIZED TEACHING, AWARENESS/EDUCATION AND SUPPORT TO INDIVIDUALS WITH DOWN SYNDROME, THEIR FAMILIES AND THE COMMUNITY. SINCE OPENING, GIGI'S PLAYHOUSE HAS BEEN A "HOME, A HAVEN, AND A HANGOUT" FOR OVER 50 FAMILIES WITH DOWN SYNDROME. MARCH OF DIMES - LIKEWISE, RHS HAS LONG BEEN A COLLABORATOR WITH AND SUPPORTER OF THE MARCH OF DIMES, JOINTLY FOCUSED ON HELPING EVERY BABY HAVE A HEALTHY START TO LIFE. WE WORK TOGETHER TO HELP MOMS HAVE HEALTHY PREGNANCIES, MANAGE RISKS THAT ARISE, AND PROVIDE A HEALTHY START TO LIFE FOR THEIR BABIES. WE ALSO WORK TOGETHER TO PROVIDE CARE, TREATMENT AND SUPPORT WHEN THERE ARE COMPLICATIONS IN THE PREGNANCY, WHEN A BABY BORN IS PREMATURELY, OR WHEN A NEWBORN FACES OTHER CHALLENGES AT BIRTH AND BEYOND. OTHER CHILDREN'S ORGANIZATIONS WITH WHICH WE PARTNER AND TO WHOM WE PROVIDED CHARITABLE SUPPORT IN 2013 INCLUDE EASTER SEALS, THE HAVEN NETWORK, MILESTONE, INC., THE NORTHERN REGION CHILDREN'S HOME & AID SOCIETY, ROCKFORD MELD, THE CARRIE LYNN CHILDREN'S CENTER, THE BOYS & GIRLS CLUBS OF ROCKFORD, AND THE ROCKFORD PARK DISTRICT. REMEDIES - ANOTHER OF THE COMMUNITY CHARITIES SUPPORTED BY ROCKFORD HEALTH SYSTEM IN 2013 IS REMEDIES, A HEALTH AND HUMAN SERVICES AGENCY THAT HELPS ADULTS AND THEIR CHILDREN DEAL WITH PROBLEMS ARISING FROM SUBSTANCE ABUSE OR DOMESTIC VIOLENCE. THE DOMESTIC VIOLENCE PROGRAM PROVIDES A 24-HOUR EMERGENCY SHELTER, CRISIS HOTLINE, AND A BROAD ARRAY OF COUNSELING, EDUCATION AND OTHER ASSISTANCE. SUPPORT FROM ROCKFORD HEALTH SYSTEM ALLOWS REMEDIES TO PROVIDE OVER-THE-COUNTER MEDICINES AND OTHER SUPPORT TO ADULTS AND CHILDREN FLEEING VIOLENCE. ROCKFORD HEALTH SYSTEM ALSO PROVIDES SUPPORT TO OTHER ORGANIZATIONS PROVIDING COMMUNITY RESOURCES FOR SUCH IMPORTANT ISSUES AS POVERTY, VIOLENCE, MENTAL HEALTH AND SUBSTANCE ABUSE INCLUDING: ROCKFORD SEXUAL ASSAULT COUNSELING, THE ROCKFORD RESCUE MISSION, THE SALVATION ARMY, THE ROSECRANCE FOUNDATION, AND NAMI NORTHERN ILLINOIS MENTAL HEALTH AWARENESS. SUPPORT FOR OTHER COMMUNITY RESOURCES - ROCKFORD HEALTH SYSTEM PARTNERS WITH A WIDE VARIETY OF COMMUNITY ORGANIZATIONS THAT PROVIDE DIRECT SUPPORT AND SERVICES TO AREA CITIZENS. AMONG THE COMMUNITY ORGANIZATIONS SUPPORTED BY ROCKFORD HEALTH SYSTEM IN 2013 ARE: THE ALZHEIMER'S ASSOCIATION, THE AMERICAN CANCER SOCIETY, THE EPILEPSY FOUNDATION, HEALING PATHWAYS CANCER RESOURCE CENTER, AND RAMP. DIVERSE NEEDS - ROCKFORD HEALTH SYSTEM COLLABORATES WITH ORGANIZATIONS ACROSS OUR COMMUNITY ENSURING THAT MANY DIVERSE POPULATIONS BENEFIT FROM OUR SUPPORT. IN 2013, ROCKFORD HEALTH SYSTEM PROVIDED SUPPORT FOR MINORITY NURSING SCHOLARSHIPS, THE ROCKFORD AREA MINORITY MANAGEMENT ORGANIZATION, THE BLACK HEALTHCARE INITIATIVE, AND LA VOZ LATINA. EMPLOYEE CRISIS FUND - PHILANTHROPY HAS ALWAYS BEEN A VITAL PART OF ROCKFORD HEALTH SYSTEM SINCE ITS VERY BEGINNINGS. THROUGH THE RHS FAMILY CAMPAIGN, WE EXTEND THAT SAME OPPORTUNITY AND SATISFACTION TO ALL OUR EMPLOYEES AND VOLUNTEERS. ONE OF THE COMPONENTS OF THE ANNUAL RHS FAMILY CAMPAIGN IS THE EMPLOYEE CRISIS FUND WHICH IS TOTALLY FUNDED BY EMPLOYEE AND VOLUNTEER DONATIONS AND SUPPORTS RHS EMPLOYEES DURING TIMES OF NEED. RHS PROVIDES A ONE-THIRD MATCH TO THE TOTAL GIFTS FROM EMPLOYEES. SINCE ITS INCEPTION IN 2007, THROUGH 2013, THE FUND HAS PROVIDED MORE THAN $364,000 IN ASSISTANCE TO FELLOW EMPLOYEES FACING DIFFICULTIES. SUPPORT OF MORE THAN $50,000 WAS PROVIDED IN 2013 ALONE. THE ASSISTANCE COMES IN MANY FORMS AND MAY INCLUDE PAID TIME OFF FOR EMPLOYEES WHO HAVE LOVED ONES WITH SIGNIFICANT MEDICAL CONDITIONS OR TO HELP PAY EXPENSES RELATED TO HOMES DAMAGED BY FIRE AND FLOOD. THESE ARE ONLY A COUPLE OF EXAMPLES OF HOW RHS AND OUR EMPLOYEES COME TOGETHER TO HELP THOSE IN NEED. HEALTHY WOMAN - CLOSE TO 600 WOMEN FROM THE ROCK RIVER VALLEY ATTENDED HEALTHY WOMAN 2013. THE ANNUAL EVENT, SPONSORED BY THE WOMEN'S CENTER AT ROCKFORD HEALTH SYSTEM FEATURES A KEYNOTE SPEAKER, FREE HEALTH SCREENINGS, AND A HEALTH AND WELLNESS EXPO THAT FEATURES INFORMATION ABOUT VARIOUS RHS PROGRAMS AND PREVENTATIVE MEASURES TO OPTIMIZE WOMEN'S HEALTH. ROCKFORD HEALTH SYSTEM CAREGIVERS ALSO PROVIDED A VARIETY OF COMMUNITY EDUCATION, HEALTH PROMOTION AND EDUCATION EVENTS THROUGHOUT THE COMMUNITY IN 2013. TOPICS INCLUDED STROKE AWARENESS AND PREVENTION, PERIMENOPAUSE, ENDOMETRIOSIS, DEPRESSION SCREENINGS AND ADVANCED ILLNESS MANAGEMENT AND PALLIATIVE CARE. (SEE CONTINUATION #1 BELOW)
SCHEDULE H, PART VI, LINE 6, AFFILIATED HEALTH CARE SYSTEM (CONTINUATION #1)ELDER ABUSE PROGRAM - THE ELDER ABUSE NEGLECT AND EXPLOITATION STAFF FROM VISITING NURSES ASSOCIATION WAS INSTRUMENTAL IN FORMING THE WINNEBAGO AND BOONE COUNTIES ELDER FATALITY REVIEW BOARD, A MULTIDISCIPLINARY TEAM COMPRISED OF CORONERS, LAWYERS, POLICE OFFICIALS, AND ELDER ABUSE STAFF. THE PURPOSE OF THE BOARD IS TO REVIEW QUESTIONABLE DEATHS OF AREA SENIORS THAT MAY POTENTIALLY BE ATTRIBUTED TO ABUSE. INPUT FROM INDIVIDUALS WHO INTERVENE IN ELDER ABUSE CAN ACTUALLY CLOSE THE DOOR ON A QUESTIONABLE DEATH OR OPEN IT TO FURTHER INVESTIGATION. REVIEW BOARDS SUCH AS THIS HAVE HELPED WITH THE PROSECUTION OF THOSE WHO ABUSE SENIOR CITIZENS. NEIGHBORHOOD HOME OWNERSHIP PROGRAM - ROCKFORD HEALTH SYSTEM OWNS APPROXIMATELY 40 HOMES AND/OR APARTMENT BUILDINGS CLOSE TO THE WEST-SIDE CAMPUS. THESE HOMES AND APARTMENTS ARE RENTED AND SOLD TO EMPLOYEES IN AN EFFORT TO MAINTAIN THE LONG-TERM STABILITY OF THE NEIGHBORHOOD. WITH A PREDOMINATELY OLDER WEST-SIDE NEIGHBORHOOD IN AN AREA THAT HAS BEEN PLAGUED WITH SIGNIFICANT INCIDENCES OF CRIME, LONG-TERM STABILITY IS CRUCIAL TO THE AREA. IN ADDITION TO PROVIDING RENTAL OPPORTUNITIES FOR EMPLOYEES, RHS OFFERS A NEIGHBORHOOD HOME OWNERSHIP PROGRAM WHICH PROVIDES NO INTEREST LOANS TO COVER DOWN-PAYMENT AND CLOSING COSTS FOR EMPLOYEES PURCHASING HOMES IN THE IMMEDIATE AREA AROUND THE HOSPITAL'S N. ROCKTON AVE. CAMPUS. ROCKFORD POLICE DEPARTMENT AND NEIGHBORHOOD WATCH INITIATIVES - ROCKFORD HEALTH SYSTEM IS PARTNERING WITH THE CITY OF ROCKFORD AND THE ROCKFORD POLICE DEPARTMENT TO FIGHT CRIME IN OUR WEST SIDE NEIGHBORHOOD, INCLUDING HOSTING NEIGHBORHOOD WATCH MEETINGS AT ROCKFORD MEMORIAL HOSPITAL. HUNDREDS OF RESIDENTS HAVE ATTENDED AND ARE ENCOURAGED TO ASSIST POLICE IN IDENTIFYING PROBLEMS AND IMPROVING THE NEIGHBORHOOD BY REPORTING CRIME OR SUSPICIOUS ACTIVITY. THE MEETINGS HAVE PROMPTED THE POLICE DEPARTMENT TO SET UP PATROLS AND HAVE AN ONGOING DIALOGUE WITH RESIDENTS.
Schedule H, Part VI, Line 7, State filing of community benefit reportIL

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (14 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2
ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION
2400 N ROCKTON AVEROCKFORDIL61103363197918501(C)(3)$170,300PROGRAM SUPPORT
UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE
1601 PARKVIEW AVEROCKFORDIL61107376000511501(C)(3)$40,000PROGRAM SUPPORT
GIGI'S PLAYHOUSE ROCKFORD
8801 N SECOND ST SUITE 2MACHESNEY PARKIL61115462014837501(C)(3)$25,000PROGRAM SUPPORT
KISHWAUKEE COLLEGE FOUNDATION
21193 MALTA RDMALTAIL601509600237433949501(C)(3)$15,000PROGRAM SUPPORT
ROCKFORD SYMPHONY ORCHESTRA
711 N MAIN STROCKFORDIL61103261180940501(C)(3)$5,936PROGRAM SUPPORT
EASTER SEALS OF METROPOLITAN CHICAGO
1939 WEST 13TH STCHICAGOIL60608362169153501(C)(3)$12,488PROGRAM SUPPORTSTE 300
OSF HEALTHCARE FOUNDATION
800 NE GLEN OAK AVEPEORIAIL616033255371259284501(C)(3)$10,088PROGRAM SUPPORT
AMERICAN CANCER SOCIETY
225 N MICHIGAN AVECHICAGOIL60601362167721501(C)(3)$11,000PROGRAM SUPPORTSTE 1200
HEALING PATHWAYS - CANCER RESOURCE CENTER
3921 E STATE STROCKFORDIL611082053262173633501(C)(3)$10,000PROGRAM SUPPORTSTE D
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVEDALLASTX752315129135613797501(C)(3)$10,000PROGRAM SUPPORT
MARCH OF DIMES
1275 MAMARONECK AVEWHITE PLAINSNY106055201131846366501(C)(3)$10,000PROGRAM SUPPORT
ANDERSON GARDENS
318 SPRING CREEK ROADROCKFORDIL61107364201695501(C)(3)$7,500PROGRAM SUPPORT
GOLDEN APPLE FOUNDATION
6870 ROTE ROADROCKFORDIL611072690363890062501(C)(3)$5,750PROGRAM SUPPORTSTE 103
ALZHEIMER'S ASSOCIATION
225 N MICHIGAN AVECHICAGOIL606017633133039601501(C)(3)$5,500PROGRAM SUPPORTSUITE 17TH FLR
FieldValueIRS element (for citing)
Total501c3 Org14Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2, Procedures for monitoring use of grant fundsFormAndLineReferenceDesc
ExplanationAPPLICATIONS ARE SUBMITTED TO THE HOSPITAL VERIFYING A NEED FOR FUNDS OR PRODUCTS (I.E. AUTOMATIC ELECTRONIC DEFIBRILATORS-AED). DETERMINATION IS MADE THROUGH A PREDETERMINED SCORING METHOD AS TO WHAT ORGANIZATIONS WILL BE RECIPIENTS OF THE FUNDS OR PRODUCTS. CASH CONTRIBUTIONS ARE MADE ONLY TO RECOGNIZED CHARITIES FOR WHICH GOOD FAITH REGARDING FUND USE HAS BEEN ESTABLISHED. THE CONTRIBUTION IS ONLY FOR THE AMOUNT OF THE APPEAL AND FOR A SPECIFIED NEED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GARY E KAATZ
PRESIDENT & CEO$0$686,128$0$226,760$0$109,600$0$48,223$0$6,752$0$1,077,462$0$0
JAMES W BRECKENRIDGE
DIRECTOR$0$227,262$0$0$0$32,597$0$20,000$0$4,631$0$284,491$0$0
JOSE L GONZALEZ
DIRECTOR$0$377,598$0$0$0$1,548$0$20,000$0$8,049$0$407,195$0$0
JEFF R SMITH MD
DIRECTOR$0$468,970$0$12,000$0$774$0$20,000$0$1,910$0$503,653$0$0
DENNIS T UEHARA
DIRECTOR$0$515,352$0$0$0$2,646$0$37,500$0$4,792$0$560,290$0$0
HENRY M SEYBOLD
CFO$0$378,047$0$76,079$0$41,402$0$22,952$0$5,394$0$523,875$0$0
CAROLYN BENGTSON
VP UTILIZATION MANAGEMENT$299,379$0$43,391$0$13,176$0$19,393$0$9,871$0$385,210$0$0$0
JOHN T DORSEY
VP CLINICAL INTEGRATION$342,331$0$0$0$774$0$19,195$0$4,370$0$366,671$0$0$0
RO NGUYEN
PHARMACIST$159,531$0$16,766$0$4,551$0$9,636$0$5,247$0$195,731$0$0$0
SUSAN SCHREIER
CHIEF NURSING OFFICER$214,964$0$32,580$0$10,718$0$12,528$0$6,439$0$277,229$0$0$0
MICHAEL TYRKUS
DIRECTOR OF CYTOGENETICS$206,621$0$9,252$0$9,728$0$14,060$0$6,915$0$246,576$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3, Arrangement used to establish the top management official's compensationTHE ROCKFORD HEALTH SYSTEM BOARD OF DIRECTORS HAS A COMPENSATION COMMITTEE THAT REVIEWS EXECUTIVE COMPENSATION FOR THE SYSTEM. THEY ALSO AUTHORIZE AN INDEPENDENT FIRM TO PROVIDE DATA FOR ANALYSIS OF THE INDUSTRY AND THE MARKET TO OUR COMPENSATION DEPARTMENT. THE DEPARTMENT AND COMMITTEE REVIEWS THE RESULTS AND MAKES A RECOMMENDATION TO THE BOARD WHO THEN ACTS UPON THIS INFORMATION TO SET COMPENSATION FOR RMH EXECUTIVES.
Schedule J, Part I, Line 7, Non-fixed paymentsMANAGEMENT AND EMPLOYEES ARE PERIODICALLY FINANCIALLY REWARDED FOR EXCEEDING COMPANY AND DEPARTMENT PERFORMANCE GOALS. THE AMOUNTS ARE DISCRETIONARY AND ARE NOT RELATED TO NET EARNINGS OF THE ORGANIZATION AND ARE APPROVED BY THE CEO PRIOR TO PAYMENT WITH BOARD OVERSIGHT OF SUCH PAYMENTS. THE CEO'S FINANCIAL INCENTIVES ARE APPROVED BY THE BOARD OF DIRECTORS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingIndCUSIPCUSIPNum
ILLINOIS FINANCE AUTHORITY
A8610919672012-05-02$35,075,000REFUND 1997 SERIES BONDSfalsefalsefalse
ILLINOIS FINANCE AUTHORITY
B8610919672008-12-11$32,782,769REFUND 1994 SERIES BONDSfalsefalsefalse45200FSG5

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$4,495,000$0$35,075,000$0$0$0$536,807$0$0$0$34,538,193$02012Yes (true)falseYes (true)Yes (true)
B$0$0$32,782,769$0$0$0$511,397$17,524$0$0$32,253,849$02008Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePct
A0.000000.000000.00000
B0.000000.000000.00000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctGross Proceeds Invested In GICGrossProceedsInvestedInGICIndTerm Of GICTermOfGICPctGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
(no name)
AfalseYes (true)falsefalse0.0false0.0falseYes (true)
JP MORGAN CHASE
BfalsefalseYes (true)Yes (true)10.3falsefalseYes (true)falseYes (true)falsefalse

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN (E), ISSUE PRICE NOT IDENTICAL TO FORM 8038THE TOTAL ISSUANCE OF THE 2008 BONDS ISSUED FROM ILLINOIS FINANCE AUTHORITY WERE ISSUED TO RMH AND A RELATED ORGANIZATION, ROCKFORD HEALTH PHYSICIANS (RHPH). RMH HAS REPORTED ITS SHARE OF THE ISSUANCE ON FORM 990, PART X, LINE 20, AND ACCORDINGLY HAS REPORTED CONSISTENTLY FOR PURPOSES OF SCHEDULE K. THE TOTAL ISSUE PRICE PER THE FORM 8038 IS $60,800,000, AND RHPH REPORTS THE DIFFERENCE ON ITS FORM 990.
Sch K, Part IV, Line 2c, ISSUER NAME: ILLINOIS FINANCE AUTHORITY: No Rebate Due.THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 6/4/13.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RMH PATHOLOGISTS LTDBusinessNameLine1
FieldValueIRS element (for citing)
Relationship DescriptionPARTNERSHIP OWNED 25% BY CONNIE VITALI, CURRENT DIRECTORRelationshipDescriptionTxt
Transaction$237,113TransactionAmt
TransactionCONTRACT FOR PATHOLOGY SERVICESTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Sec A, Line 1a, Delegate broad authority to a committeeTHE VOTING MEMBERS OF THE RHS EXECUTIVE COMMITTEE CONSISTS OF SEVEN INDIVIDUALS, EACH OF WHOM SHALL HAVE A VOTE, INCLUDING: THE RHS CEO, THE CHAIRMAN, VICE-CHAIRMAN, IMMEDIATE PAST CHAIRMAN, TREASURER, AND 2 ADDITIONAL DIRECTORS OF THE BOARD. AT LEAST ONE MEMBER OF THE EXECUTIVE COMMITTEE SHALL BE A PHYSICIAN. THE EXECUTIVE COMMITTEE SHALL IN ALL INSTANCES BE COMPRISED OF AT LEAST 51% COMMUNITY MEMBERS. IN THE EVENT THAT ONE OR MORE OF THE AFOREMENTIONED VOTING MEMBERS OF THE EXECUTIVE COMMITTEE IS UNABLE TO SERVE IN SUCH CAPACITY, THEN THE CHAIRMAN OF THE CORPORATION SHALL DESIGNATE A REPLACEMENT FROM AMONG THE BOARD MEMBERS. THE EXECUTIVE COMMITTEE SHALL MEET AS NEEDED. THE EXECUTIVE COMMITTEE SHALL REVIEW REPORTS FROM THE RHS CEO REGARDING THE PERFORMANCE OF EXECUTIVES OF THE CORPORATION AND AFFILIATED CORPORATIONS, MONITOR THE PERFORMANCE OF THE RHS CEO OF THE CORPORATION AGAINST ANNUAL OBJECTIVES, AND DETERMINE THE COMPENSATION LEVEL OF THE RHS CEO. IN ADDITION, WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, THE EXECUTIVE COMMITTEE SHALL HAVE ALL THE POWERS, DUTIES, RESPONSIBILITIES AND AUTHORITY OF THE BOARD, EXCEPT AS PROHIBITED BY LAW.
Form 990, Part VI, Sec A, Line 6, Classes of members or stockholdersROCKFORD HEALTH SYSTEM (RHS) IS THE SOLE MEMBER. RHS'S RIGHTS ARE AS FOLLOWS: (A) APPOINT ALL THE DIRECTORS OF THE CORPORATION. (B) NOMINATE TO THE CORPORATION'S BOARD OF DIRECTORS ALL CANDIDATES FOR SELECTION AS THE CORPORATION'S PRESIDENT. (C) APPROVE EXPRESSLY ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BY-LAWS. (D) APPROVE ANNUAL BUDGETS, AND STRATEGIC, LONG-RANGE AND HEALTH MANPOWER DEVELOPMENT PLANS OF THE CORPORATION. (E) REQUIRE THE CORPORATION'S BOARD OF DIRECTORS TO TAKE ANY ACTION (INCLUDING AUTHORIZING THE PLEDGE OR TRANSFER OF ASSETS TO RHS OR AS DIRECTED BY RHS, OR THE EXECUTION OF CONTRACTS) WHICH WOULD IMPROVE THE CREDIT WORTHINESS OR OTHERWISE RESULT IN FINANCIAL BENEFIT TO RHS AND ITS TAX-EXEMPT AFFILIATED CORPORATIONS (PROVIDED THAT UNDER NO CIRCUMSTANCES MAY RHS REQUIRE TRANSFER OF ASSETS IN VIOLATION OF LAW OR THE TERMS OF ANY CHARITABLE TRUST OR DONATION). (F) APPROVE ALL CONTRACTS OF INDEBTEDNESS EFFECTIVE FOR LONGER THAN EIGHTEEN MONTHS. (G) APPROVE ALL PLANS OF MERGER OR CONSOLIDATION. (H) APPROVE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE CORPORATION. (I) APPROVE A VOLUNTARY DISSOLUTION OF THE CORPORATION. (J) APPROVE MATERIAL AMENDMENTS TO THE CORPORATION'S STANDARD FORM OF PHYSICIAN EMPLOYMENT AGREEMENT, PROVIDED, THE CORPORATION SHALL HAVE THE AUTHORITY TO NEGOTIATE THE TERMS AND CONDITIONS OF INDIVIDUAL PHYSICIAN EMPLOYMENT AGREEMENTS SO LONG AS THE NEGOTIATED TERMS AND CONDITIONS ARE CONSISTENT WITH THE REQUIREMENTS OF APPLICABLE LAW AND THE STRATEGIC, LONG-RANGE AND HEALTH MANPOWER DEVELOPMENT PLANS APPROVED BY RHS. (K) APPROVE MATERIAL AMENDMENTS TO THE STANDARD COMPENSATION SYSTEM USED BY THE CORPORATION TO ESTABLISH INDIVIDUAL PHYSICIAN COMPENSATION; AND (L) REQUIRE THE CORPORATION'S BOARD OF DIRECTORS TO TAKE ANY ACTION (INCLUDING AMENDING THE CORPORATION'S ARTICLES OF INCORPORATION OR BY-LAWS), OR TO MODIFY OR RESCIND AN ACTION ALREADY TAKEN, IF THE MEMBER DETERMINES THAT FAILURE TO TAKE THE ACTION, OR TO MODIFY OR RESCIND AN ACTION ALREADY TAKEN, MAY RESULT IN THE CORPORATION'S FAILURE TO OBTAIN OR MAINTAIN ITS EXEMPTION AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE;
Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing bodySEE NARRATIVE FOR FORM 990, PART VI, LINE 6.
Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholdersSEE NARRATIVE FOR FORM 990, PART VI, LINE 6.
Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing bodyTHE DATA WAS GATHERED BY THE ACCOUNTING STAFF WITH INPUT FROM RMH AND RHS EXECUTIVE STAFFS. THE DATA WAS REVIEWED AND THE FORM 990 PREPARED BY THE RMH SENIOR ACCOUNTANT. DURING THE PROCESS, THERE WERE ONGOING MEETINGS HELD WITH A GROUP CONSISTING OF THE RHS CFO, THE CONTROLLER, AND THE SENIOR ACCOUNTANT. ONCE THE FORM 990 WAS COMPLETED, IT WAS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 WAS MADE AVAILABLE TO ALL BOARD MEMBERS ON A SECURE INTRACOMPANY WEBSITE BEFORE FILING WITH THE IRS.
Form 990, Part VI, Sec B, Line 12c, Conflict of interest policyBY WRITTEN POLICY, RHS SENDS OUT, ON AN ANNUAL BASIS, THE CORPORATE CONFLICT AND DUALITY OF INTEREST POLICY TO ALL BOARD MEMBERS, CORPORATE OFFICERS AND OTHER KEY INDIVIDUALS (THOSE HAVING RESPONSIBILITY AND AUTHORITY TO MAKE FINAL DECISIONS REGARDING THE ACQUISITION OF PRODUCTS OR SERVICES). EACH RECIPIENT IS REQUIRED TO COMPLETE A FINANCIAL INTEREST DISCLOSURE STATEMENT, WHICH IS SUBMITTED TO THE VICE PRESIDENT, LEGAL SERVICES/GENERAL COUNSEL FOR REVIEW. WITH RESPECT TO PHYSICIANS AND MANAGERS WHO ARE KEY INDIVIDUALS, ANY POTENTIAL CONFLICT OF INTEREST IS REVIEWED WITH THE APPROPRIATE EXECUTIVE STAFF MEMBER FOR FOLLOW UP WITH THE DISCLOSING PARTY IN ORDER TO REVIEW THE MATTER IN MORE DETAIL. THIS INCLUDES EMPHASIZING THAT THE DISCLOSING PARTY IS NOT PERMITTED TO PARTICIPATE IN ANY NEGOTIATIONS FOR THE PURCHASE OF ANY PRODUCTS OR SERVICES WHERE THE CONFLICT IS DEEMED MATERIAL, OR AUTHORIZE THE SUBSEQUENT PURCHASE OF RELATED GOODS AND SERVICES. THE DISCLOSING PARTY IS ALSO REQUIRED TO IDENTIFY EACH AND EVERY INSTANCE OF A POTENTIAL CONFLICT AS THEY MAY ARISE IN THE ORDINARY COURSE OF BUSINESS. A SIMILAR PROCESS IS FOLLOWED FOR THE BOARD OF DIRECTORS, EXCEPT THAT ANY POTENTIAL CONFLICT IS REVIEWED BY THE BOARD'S GOVERNANCE COMMITTEE. BOARD MEMBERS MAY COMMENT ON TRANSACTIONS WHERE THERE IS A POTENTIAL CONFLICT, BUT CANNOT VOTE ON THE RELATED MATTER AND MAY BE REQUIRED TO LEAVE ANY MEETING WHERE THE POTENTIAL CONFLICT IS REVIEWED BY THE BOARD OR WHERE THE BOARD TAKES ACTION TO EITHER APPROVE OR NOT APPROVE THE PROPOSED TRANSACTION. A BOARD MEMBER ALSO HAS A CONTINUING DUTY TO REPORT ANY CONFLICTS AS THEY MAY ARISE IN THE ORDINARY COURSE OF BUSINESS. IN THE EVENT THAT A POTENTIAL CONFLICT OF INTEREST IS REPORTED OR DISCOVERED OUTSIDE THE ESTABLISHED PROCESS, APPROPRIATE REVIEW AND ACTION WOULD BE TAKEN. THIS PROCESS WAS LAST COMPLETED IN 2014, WHEN THE QUESTIONNAIRES WERE SENT TO ADDRESS ANY 2013 CONFLICTS IDENTIFIED. THE RHS CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST.
FORM 990, PART VI, LINE 15A, PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALCOMPENSATION FOR EXECUTIVES, INCLUDING THE TOP MANAGEMENT OFFICIAL, IS GOVERNED BY THE RHS BOARD OF DIRECTORS. THE RHS BOARD HAS ESTABLISHED A TOTAL COMPENSATION PHILOSOPHY THAT DIRECTS THE COMPENSATION PRACTICES FOR ALL EXECUTIVES. THIS BOARD HAS ESTABLISHED A COMPENSATION COMMITTEE TO ESTABLISH AND REVIEW ALL EXECUTIVE COMPENSATION ANNUALLY BASED ON THE ESTABLISHED PHILOSOPHY. AN EXTERNAL EXECUTIVE COMPENSATION FIRM PROVIDES CONSULTING ON RHS SALARY RANGES AND COMPENSATION PHILOSOPHY. THE APPROPRIATE PEER GROUP FOR COMPENSATION COMPARISON PURPOSES IS OTHER NOT-FOR-PROFIT HEALTHCARE SYSTEMS SIMILAR IN SIZE AND COMPLEXITY. RHS GENERALLY CONDUCTS AN ANALYSIS OF TOTAL COMPENSATION EVERY THREE YEARS BUT MAY CHOOSE TO VARY FROM THIS SCHEDULE AS DETERMINED BY THE COMPENSATION COMMITTEE.
FORM 990, PART VI, LINE 15B, PROCESS USED TO ESTABALISH COMPENSATION FOR OTHER OFFICERSCOMPENSATION FOR EXECUTIVES, INCLUDING OTHER OFFICERS AND KEY EMPLOYEES, IS GOVERNED BY THE RHS BOARD OF DIRECTORS. THE RHS BOARD HAS ESTABLISHED A TOTAL COMPENSATION PHILOSOPHY THAT DIRECTS THE COMPENSATION PRACTICES FOR ALL EXECUTIVES. THIS BOARD HAS ESTABLISHED A COMPENSATION COMMITTEE TO ESTABLISH AND REVIEW ALL EXECUTIVE COMPENSATION ANNUALLY BASED ON THE ESTABLISHED PHILOSOPHY. AN EXTERNAL EXECUTIVE COMPENSATION FIRM PROVIDES CONSULTING ON RHS SALARY RANGES AND COMPENSATION PHILOSOPHY. THE APPROPRIATE PEER GROUP FOR COMPENSATION COMPARISON PURPOSES IS OTHER NOT-FOR-PROFIT HEALTHCARE SYSTEMS SIMILAR IN SIZE AND COMPLEXITY.
Form 990, Part VI, Sec C, Line 19, Required documents available to the publicFINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE ILLINOIS ATTORNEY GENERAL'S OFFICE. GOVERNING DOCUMENTS ARE AVAILABLE BY REQUEST FROM THE BOARD SECRETARY. THE CONFLICT OF INTEREST POLICY IS NOT PUBLISHED BUT IS AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION A, NONEMPLOYEE COMPENSATIONCURTIS WORDEN IS NOT COMPENSATED AS A BOARD MEMBER; HE RECEIVED TAXABLE NONEMPLOYEE COMPENSATION FROM RHS, A RELATED ORGANIZATION, ON A FORM 1099 FOR 2013 LEGAL SERVICES PROVIDED TO THE SYSTEM.
Form 990 , Part XI, Line 9, Other changes in net assets or fund balancesPENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST - 19750046; POST-RETIREMENT MEDICAL BENEFIT-RELATED CHANGES OTHER THAN NET PERIODIC POST-RETIREMENT COST - 1096475; NET ASSETS RELEASED FROM RESTRICTIONS USED FOR CAPITAL - 20163; TRANSFER TO/FROM AFFILIATES - -50255075; NET CHANGE IN BENEFICIAL INTEREST IN TRUST - 885914; UPMIFA - 299908;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ROCKFORD HEALTH SYSTEM VENTURES LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line12400 N ROCKTON AVEAddressLine1
CityROCKFORDCity
StateILState
ZIP Code61103ZIPCode
FieldValueIRS element (for citing)
EIN364366881EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Total Income$3,316,891TotalIncomeAmt
End Of Year Assets$8,969,096EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
VISITING NURSES ASSN OF THE ROCKFORD AREA
4223 E STATE STREETROCKFORDIL61108362167945HEALTHCAREIL501(C)(3)9ROCKFORD HEALTH SYSTEMYes (true)
ROCKFORD HEALTH SYSTEM
2400 N ROCKTON AVEROCKFORDIL61103363197915SUPPORT OF HEALTHCAREIL501(C)(3)11 - Type III - FINAfalse
ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION
2400 N ROCKTON AVEROCKFORDIL61103362197918SUPPORT OF HEALTHCAREIL501(C)(3)11 - Type IROCKFORD HEALTH SYSTEMYes (true)
ROCKFORD HEALTH PHYSICIANS
2300 N ROCKTON AVEROCKFORDIL61103363097436HEALTHCAREIL501(C)(3)3ROCKFORD HEALTH SYSTEMYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ROCKFORD HEALTH INSURANCE LTDBusinessNameLine1

Foreign Address ForeignAddress

FieldValueIRS element (for citing)
Address Line1BUTTERFIELD BANK BUILDING 6TH FLOORAddressLine1
CityHAMILTONCity
Province Or StateHAMILTONProvinceOrState
CountryBDCountry
Postal Code12PostalCode
FieldValueIRS element (for citing)
Primary ActivitiesINSURANCEPrimaryActivitiesTxt
Legal Domicile Foreign CountryBDLegalDomicileForeignCountryCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Entity TypeC CORPORATIONEntityTypeTxt
Share Of Total Income$22,923ShareOfTotalIncomeAmt
Share Of EOY Assets$579,451ShareOfEOYAssetsAmt
Ownership1OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd