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Rockford Health System: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
Rockford Health System (EIN 36-3197915)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-10-31
IRS object ID
201413049349301171
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)
Return2014-10-31T17:52:31-05:00ReturnTs
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)
EIN363197915EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROCKFORD HEALTH SYSTEMBusinessNameLine1
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$6,727,415GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RHSNET.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTHE MISSION IS TO IMPROVE AND PROTECT THE HEALTH AND WELFARE OF THE COMMUNITY, WITH SUPERIOR CARE, EVERYDAY, FOR ALL PATIENTS.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee355TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$7,122,919PYProgramServiceRevenueAmt
CY Program Service Revenue$6,727,415CYProgramServiceRevenueAmt
PY Investment Income$16,420PYInvestmentIncomeAmt
CY Investment Income-$649CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$7,139,339PYTotalRevenueAmt
CY Total Revenue$6,726,766CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,342,420PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,463,240CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,308,291PYOtherExpensesAmt
CY Other Expenses$5,193,443CYOtherExpensesAmt
PY Total Expenses$14,650,711PYTotalExpensesAmt
CY Total Expenses$9,656,683CYTotalExpensesAmt
PY Revenues Less Expenses-$7,511,372PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,929,917CYRevenuesLessExpensesAmt
Total Assets BOY$19,829,128TotalAssetsBOYAmt
Total Assets EOY$16,312,843TotalAssetsEOYAmt
Total Liabilities BOY$10,989,346TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,177,511TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,839,782NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,135,332NetAssetsOrFundBalancesEOYAmt
MissionROCKFORD HEALTH SYSTEM (RHS) IS RESPONSIBLE FOR SUPPORTING THE ENTITIES THAT COMPRISE THE SYSTEM - ROCKFORD MEMORIAL HOSPITAL (RMH), ROCKFORD HEALTH PHYSICIANS (RHPH), THE VISITING NURSES ASSOCIATION OF THE ROCKFORD AREA (VNA), AND ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION (RMDF) - TO ENABLE THEM TO FULFILL THEIR COMMITMENT TO THE RHS VISION WITH PERFORMANCE EXCELLENCE, INNOVATION, AND LIFELONG LEARNING.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$4,621,481ExpenseAmt
Revenue$4,631,155RevenueAmt
DescRHS PROVIDES SUPPORT FOR ROCKFORD MEMORIAL HOSPITAL (RMH), WHICH CARED FOR AND DISCHARGED 12,532 INPATIENTS IN 2013, WITH 1,377 DELIVERIES, 421,193 OUTPATIENTS TREATED, 49,377 VISITS TO THE EMERGENCY ROOM, AND PROCESSED OVER 1.5 MILLION LABORATORY TESTS. RMH IS THE REGIONAL DISASTER PREPAREDNESS CENTER FOR NORTHERN ILLINOIS AND PROVIDES TRAINING AND EDUCATION FOR COMMUNITY PREPAREDNESS, AND ASSISTS 14 OTHER HOSPITALS WITH THEIR EMERGENCY PREPAREDNESS. RMH HAS A LEVEL I TRAUMA CENTER, AND OPERATES A STATE-DESIGNATED PERINATAL CENTER WITH THE ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT IN NORTHERN ILLINOIS, WITH 46 BEDS, PLUS A 7 BED PEDIATRIC INTENSIVE CARE UNIT. THROUGH THE AUXILIARY, RMH IS ABLE TO PROVIDE EXTRA FUNDS AND SERVICES TO SUPPORT ITS MISSION. THE AUXILIARY HAS 309 VOLUNTEERS WHO LOGGED 32,266 HOURS TO ENHANCE THE RMH EXPERIENCE FOR PATIENTS. RMH PROVIDES OUTREACH LAB SERVICES, HAS STATE-OF-THE-ART ROBOTIC SURGERY AVAILABLE, AND HAS THE ONLY REGIONAL GENETIC SERVICES AND CYTOGENETICS LABORATORY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,976,260ExpenseAmt
Revenue$1,976,260RevenueAmt
DescRHS PROVIDES SUPPORT FOR ROCKFORD HEALTH PHYSICIANS (RHPH) ,WHICH INCLUDES STAFFING FOR RMH'S SPECIALIZED UNITS SUCH AS THE NICU AND THE PICU, ADULT AND PEDIATRIC HOSPITALISTS, AS WELL AS NEUROLOGISTS, NEURO AND TRAUMA SURGEONS. RHPH ALSO PROVIDES ANESTHESIOLOGISTS TO ASSIST THE RMH SURGICAL PROGRAM. RHPH PHYSICIANS, WITH SPECIALTIES IN BRAIN, SPINE, AND ORTHOPEDICS, AS WELL AS TRAINED EMERGENCY MEDICINE SPECIALISTS, ARE AVAILABLE 24/7 TO STAFF THE EMERGENCY DEPARTMENT AND FILL IMMEDIATE NEEDS IN THE LEVEL I TRAUMA CENTER. RHPH EMPLOYS OVER 150 PHYSICIANS OF VARYING SPECIALTIES AND CONTINUES TO ASSESS AND RESPOND TO THE COMMUNITY NEEDS WHEN RECRUITING NEW PHYSICIANS. RHPH HAD A TOTAL OF 423,732 OFFICE VISITS IN 2013 AND PROVIDED 358,339 ANCILLARY PROCEDURES AND 281,519 CLINICAL TESTS IN AREAS SUCH AS PULMONARY FUNCTION, BONE SCANS, RADIOLOGY, CT SCANS, MAMMOGRAPHY AND PHYSICAL THERAPY.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$120,000ExpenseAmt
Revenue$120,000RevenueAmt
DescTHE RHS COMMITMENT TO SUPPORT THE ENTITIES WITHIN THE SYSTEM INCLUDES COLLABORATION WITH COMMUNITY PARTNERS IN BOTH TIME (STAFF & VOLUNTEERS) AND MONEY TO IMPROVE THE QUALITY OF LIFE. TO FULFILL THE VISION, RHS PROVIDES SUPPORT FOR THE VISITING NURSES ASSOCIATION OF THE ROCKFORD AREA (VNA) SERVING THE COMMUNITY WITH HOSPICE CARE (21,318 DAYS), ELDER ADULT COUNSELING/SERVICES (OVER 7,000), AND HOME HEALTH CARE (25,077 VISITS) INCLUDING THERAPISTS/AIDES (10,899 VISITS) FOR CARE THAT ALLOWS PEOPLE TO STAY IN THEIR OWN HOME TO RECOVER AND RECUPERATE. 72 VNA VOLUNTEERS GAVE 4,192 HOURS TO MEET NEEDS OF THE ELDERLY. STAFF PARTICIPATED IN COMMUNITY HEALTH/WELLNESS EVENTS TO BRING AWARENESS, EDUCATION AND MEDICAL SCREENINGS TO OVER 100 EVENTS. RHS ALSO PROVIDES SUPPORT FOR ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION WHICH, THROUGH FUNDRAISING ACTIVITIES, PROVIDES RESOURCES TO ENHANCE ALL AREAS OF RHS. RMDF FUNDS ARE USED FOR SPECIAL CAPITAL PROJECTS, ASSISTING VNA IN HOSPICE AND HOME CARE, ADDING COMFORT AND EXTENDED CARE ITEMS FOR RMH AND RHPH, AS WELL AS CRISIS SUPPORT AND EDUCATION FOR EMPLOYEES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$6,717,741TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
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 HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document74IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee355EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
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
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
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 CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
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 (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CONNIE M VITALI
VICE-CHAIR0.752.10Yes (X)Yes (X)$0$0$0
DUANE R BACH
TREASURER1.000.20Yes (X)Yes (X)$0$0$0
ELEANOR F DOAR
CHAIR2.802.10Yes (X)Yes (X)$0$0$0
GARY E KAATZ
PRESIDENT & CEO57.003.00Yes (X)Yes (X)$1,022,487$0$54,975
CURTIS D WORDEN
DIRECTOR1.800.60Yes (X)$4,568$0$0
DENNIS T UEHARA
DIRECTOR4.0051.50Yes (X)$0$517,998$42,292
JACK J BECHERER
DIRECTOR0.251.25Yes (X)$0$0$0
JAMES W BRECKENRIDGE
DIRECTOR2.0040.00Yes (X)$0$259,859$24,631
JEFF R SMITH MD
Director1.0042.00Yes (X)$0$481,744$21,910
JOHN W CHADWICK
DIRECTOR0.010.60Yes (X)$0$0$0
JOSE L GONZALEZ
DIRECTOR1.0052.90Yes (X)$0$379,146$28,049
PAMELA S FOX
DIRECTOR0.010.20Yes (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
DIRECTOR0.500.80Yes (X)$0$0$0
HENRY M SEYBOLD
CFO41.004.25Yes (X)$495,528$0$28,346
JULIE PETERSON
SECRETARY38.253.00Yes (X)$77,351$0$9,182
DANIEL PAROD
SR VP HOSPITAL & ADMIN AFFAIRS40.000$369,379$0$38,076Yes (X)
DENNIS L'HEUREUX
VP PLANNING & CIO40.000$339,145$0$43,844Yes (X)
DOUG BROOKS
VP CAMPUS DEVELOPMENT40.000$232,741$0$32,072Yes (X)
JAMES EVANS
VP LEGAL AFFAIRS40.000$354,274$0$23,242Yes (X)
KERRY HILL
VP FINANCE (Partial Year)40.000$277,476$0$37,874Yes (X)
JOHN T DORSEY
DIRECTOR0.6061.20$0$343,105$23,565Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,172,949TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,981,852TotReportableCompRltdOrgAmt
Total Other Compensation$408,060TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K36IndivRcvdGreaterThan100KCnt
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
EPIC SYSTEMS CORP
1979 MILKY WAYVERONAWI53593INSTALL/MAINTENANCE$3,878,889
NAVIGANT CONSULTING INC
4511 PAYSPHERE CIRCLECHICAGOIL60674CONSULTING$1,814,319
OXFORD GLOBAL RESOURCES INC
PO BOX 3256BOSTONMA022413256IT SUPPORT SERVICES$1,743,417
DELOITTE CONSULTING LLP
PO BOX 7247-6447PHILADELPHIAPA19170CONSULTING$1,686,986
HURON CONSULTING SERVICES
3005 MOMENTUM PLCHICAGOIL606895330CONSULTING$827,242
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K30CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
COORDINATE AND SUPPORT AFFILIATE ACTIVITIES561000$6,727,415$6,727,415
$0
$0
$0
$0

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$6,727,415TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

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

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$649OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other-$649OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$649TotalRevenueColumnAmt
Exclusion-$649ExclusionAmt

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)

Total Revenue ColumnTotalRevenueColumnAmt
$0
$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$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,726,766TotalRevenueColumnAmt
Related Or Exempt Func Income$6,727,415RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$649ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$1,687,870TotalAmt
Program Services$1,687,870ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,992,830TotalAmt
Program Services$1,992,830ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$134,095TotalAmt
Program Services$134,095ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$463,081TotalAmt
Program Services$463,081ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$185,364TotalAmt
Program Services$185,364ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$92,259TotalAmt
Program Services$92,259ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,495,970TotalAmt
Program Services$1,557,028ProgramServicesAmt
Management And General$2,938,942ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$300TotalAmt
Program Services$300ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$52,060TotalAmt
Program Services$52,060ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$110,484TotalAmt
Program Services$110,484ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$39,884TotalAmt
Program Services$39,884ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$55,607TotalAmt
Program Services$55,607ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$43,855TotalAmt
Program Services$43,855ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$71,292TotalAmt
Program Services$71,292ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
RECRUITING/RETENTION/EMPLOYEE APPRECIATION$118,779$118,779
DUES & MEMBERSHIPS$54,661$54,661

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$58,292TotalAmt
Program Services$58,292ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,656,683TotalAmt
Program Services$6,717,741ProgramServicesAmt
Management And General$2,938,942ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,122,026BOYAmt
EOY$5,320,790EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$429,361BOYAmt
EOY$283,707EOYAmt

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,662,438BOYAmt
EOY$1,609,816EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$46,415,470LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$38,505,805LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,873,702BOYAmt
EOY$7,909,665EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,741,601BOYAmt
EOY$1,188,865EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$19,829,128BOYAmt
EOY$16,312,843EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,058,346BOYAmt
EOY$8,250,029EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$250,000BOYAmt
EOY$200,000EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$681,000BOYAmt
EOY$727,482EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,989,346BOYAmt
EOY$9,177,511EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,839,782BOYAmt
EOY$7,135,332EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,839,782BOYAmt
EOY$7,135,332EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,829,128BOYAmt
EOY$16,312,843EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,929,917ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$1,225,467OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
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 RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
CertificationYes (X)CertificationInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp (3 entries)

EINEINOrganization TypeOrganizationTypeDescGoverning Document ListedGoverningDocumentListedIndSupported Org NotifiedSupportedOrgNotifiedIndUS OrganizedUSOrganizedIndSupportSupportAmt
ROCKFORD MEMORIAL HOSPITAL
3621678473Yes (true)Yes (true)Yes (true)$0
ROCKFORD HEALTH PHYSICIANS
3630974363Yes (true)Yes (true)Yes (true)$0
VISITING NURSES ASSN OF THE ROCKFORD AREA
3621679459Yes (true)Yes (true)Yes (true)$0
FieldValueIRS element (for citing)
Supported Organizations Total3SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part I, Line 11h, Description of non-monetary SupportFormAndLineReferenceDesc
ExplanationROCKFORD MEMORIAL HOSPITAL: CORPORATE MANAGEMENT SERVICES ROCKFORD HEALTH PHYSICIANS: CORPORATE MANAGEMENT SERVICES VISITING NURSES ASSN OF THE ROCKFORD AREA: CORPORATE MANAGEMENT SERVICESExplanationTxt

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$90,000OtherActivitiesAmt
Total Lobbying Expenditures$90,000TotalLobbyingExpendituresAmt
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
ExplanationTWO CONSULTING FIRMS WERE ENGAGED BY RHS TO REVIEW LEGISLATION AFFECTING HOSPITALS. APPROXIMATELY 50% OF TOTAL PAYMENTS TO THE CONSULTANTS WERE ALLOCABLE TO LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$592,271OtherCostOrOtherBasisAmt
Depreciation$311,884DepreciationAmt
Book Value$280,387BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$41,477,035OtherCostOrOtherBasisAmt
Depreciation$36,319,614DepreciationAmt
Book Value$5,157,421BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,346,164OtherCostOrOtherBasisAmt
Depreciation$1,874,307DepreciationAmt
Book Value$2,471,857BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,909,665TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
SUPPLEMENTAL SURVIVOR PREMIUMS$165,692
LIFE INSURANCE VALUE$244,998
DUE FROM RELATED ORGANIZATIONS$284,046
CAPITAL ACCUMULATION ACCOUNTS$494,129
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,188,865TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO RELATED ORGANIZATIONS$2,517
CAPITAL ACCUMULATION LIABILITY$494,129
LIFE INSURANCE LIABILITY$230,836
FieldValueIRS element (for citing)
Total Liability$727,482TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART X, LINE 2, FIN48 (ASC 740) DISCLOSUREFormAndLineReferenceDesc
ExplanationTHERE IS NO FIN 48 LIABILITY AND AS SUCH, THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS DO NOT INCLUDE A FIN 48 DISCLOSURE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
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 (12 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$686,128$0$226,760$0$109,600$0$48,223$0$6,752$0$1,077,462$0$0$0
JOHN T DORSEY
DIRECTOR$0$342,331$0$0$0$774$0$19,195$0$4,370$0$366,671$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$378,047$0$76,079$0$41,402$0$22,952$0$5,394$0$523,875$0$0$0
DOUG BROOKS
VP CAMPUS DEVELOPMENT$202,109$0$29,318$0$1,314$0$29,580$0$2,491$0$264,812$0$0$0
JAMES EVANS
VP LEGAL AFFAIRS$289,005$0$58,440$0$6,829$0$19,350$0$3,893$0$377,516$0$0$0
KERRY HILL
VP FINANCE (PARTIAL YEAR)$126,150$0$35,906$0$115,419$0$31,480$0$6,394$0$315,350$0$0$0
DENNIS L'HEUREUX
VP PLANNING & CIO$273,571$0$54,984$0$10,591$0$36,226$0$7,618$0$382,990$0$0$0
DANIEL PAROD
SR VP HOSPITAL & ADMIN AFFAIRS$281,646$0$57,208$0$30,525$0$30,738$0$7,338$0$407,455$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a, Health or social club dues or initiation feesBY POLICY: MEMBERSHIP TO THE YMCA IS PAID FOR THE CEO. TWO SOCIAL CLUB MEMBERSHIPS ARE PAID FOR BY THE ORGANIZATION FOR THE CEO AND ANY PERSONAL USE OF THESE FACILITIES IS REIMBURSED IN FULL. THE ACTUAL COST OF THESE MEMBERSHIPS IS PRORATED FOR PERSONAL VS BUSINESS USE AND THAT PERCENTAGE IS ADDED TO TAXABLE WAGES.
Schedule J, Part I, Line 4a, Severance or change-of-control paymentKERRY HILL BEGAN RECEIVING SEVERANCE PAYMENTS DURING THE 8/23/13 PAY PERIOD AND WILL CONTINUE TO RECEIVE SEVERANCE THROUGH THE 8/24/14 PAY PERIOD. TOTAL PAYMENTS RECEIVED BY KERRY HILL IN 2013 WAS $73,812.
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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 5, AVERAGE COMPENSATION PER EMPLOYEEPART I OF THE FORM 990, LINE 5 REPORTS 355 TOTAL EMPLOYEES OF ROCKFORD HEALTH SYSTEM. TOTAL SALARIES AND OTHER COMPENSATION REPORTED ON THE FORM 990, PART I, LINE 15 IS $4,463,240. THE AVERAGE COMPENSATION FOR ROCKFORD HEALTH SYSTEM IS HIGHER THAN THIS DATA PRESENTS; THE SALARIES AND BENEFITS REPORTED DO NOT INCLUDE THE SALARIES AND BENEFITS THAT WERE ALLOCATED TO ROCKFORD MEMORIAL HOSPITAL, ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION, VISITING NURSES ASSOCIATION OF THE ROCKFORD AREA, AND ROCKFORD HEALTH PHYSICIANS, FOUR RELATED ENTITIES OF WHICH ROCKFORD HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER.
Form 990, Part VI, Sec A, Line 1a, Delegate broad authority to a committeeTHE 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 B, Line 11b, Review of form 990 by governing bodyTHE DATA WAS GATHERED BY THE ACCOUNTING STAFF WITH INPUT FROM THE EXECUTIVE STAFF. THE DATA WAS REVIEWED AND THE FORM 990 PREPARED BY THE RHS STAFF. ONCE THE FORM 990 WAS COMPLETED, IT WAS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. 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, Sec B, Line 15a, Process to establish compensation of top management officialCOMPENSATION FOR THE TOP MANAGEMENT OFFICIAL IS GOVERNED BY THE RHS BOARD OF DIRECTORS, AND OVERSEEN BY THE EXECUTIVE COMMITTEE. 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. THIS PROCESS IS DOCUMENTED, AND WAS LAST COMPLETED IN 2013.
Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employeesCOMPENSATION FOR 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. 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. THIS PROCESS IS DOCUMENTED, AND WAS LAST COMPLETED IN 2013.
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 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 ON A FORM 1099 FOR 2013 LEGAL SERVICES PROVIDED TO THE SYSTEM.
Form 990, Part IX, Line 11g, Other ExpensesAFFILIATION EXPENSES - TOTAL EXPENSE: 2375936, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 2375936, FUNDRAISING EXPENSES: ; CONSULTING FEES - TOTAL EXPENSE: 2120034, PROGRAM SERVICE EXPENSE: 1557028, MANAGEMENT AND GENERAL EXPENSES: 563006, FUNDRAISING EXPENSES: ;
Form 990 , Part XI, Line 9, Other changes in net assets or fund balancesNET TRANSFERS FROM AFFILIATED ORGANIZATIONS - 671485; ROCKFORD HEALTH PLAN ASSESSMENT REFUND - 553982;

Schedule R IRS990ScheduleR

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
ROCKFORD MEMORIAL HOSPITAL
2400 N ROCKTON AVEROCKFORDIL61103362167847HEALTHCAREIL501(C)(3)3ROCKFORD HEALTH SYSTEMYes (true)
ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION
2400 N ROCKTON AVEROCKFORDIL61103363197918SUPPORT OF HEALTHCAREIL501(C)(3)11 - Type IROCKFORD HEALTH SYSTEMYes (true)
VISITING NURSES ASSN OF THE ROCKFORD AREA
4223 E STATE STREETROCKFORDIL61108362167945HEALTHCAREIL501(C)(3)9ROCKFORD 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 Line1WELLESLEY HOUSE SO 2ND FLOORAddressLine1
Province Or StatePEMBROOKEProvinceOrState
CountryBDCountry
Postal CodeHMPostalCode
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
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
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 ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
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 OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ROCKFORD MEMORIAL HOSPITAL
Q$4,621,481FMV
ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION
Q$60,000FMV
VISITING NURSES ASSOCIATION OF THE ROCKFORD AREA
Q$60,000FMV
ROCKFORD HEALTH PHYSICIANS
Q$1,976,260FMV