Rockford Health System: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- Rockford Health System (EIN 36-3197915)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201303189349304675
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T14:00:34-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 70 West Madison Street | AddressLine1 |
| Address Line2 | Suite 700 | AddressLine2 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 606024903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363197915 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROCKFORD HEALTH SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ROCK | NameControl |
| Phone | 8159715000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2400 N ROCKTON AVE | AddressLine1 |
| City | ROCKFORD | City |
| State | IL | State |
| ZIP Code | 61103 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | HENRY M SEYBOLD | Name |
| Title | CFO | Title |
| Date Signed | 2013-11-11 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | NICOLE BENCIK | Name |
| PTIN | P00756195 | PTIN |
| Phone | 3128997000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GARY KAATZ | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2400 N ROCKTON AVE | AddressLine1 |
| City | ROCKFORD | City |
| State | IL | State |
| ZIP Code | 61103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 7140468 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.RHSNET.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | THE MISSION IS TO IMPROVE AND PROTECT THE HEALTH AND WELFARE OF THE COMMUNITY, WITH SUPERIOR CARE, EVERYDAY, FOR ALL PATIENTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 347 | TotalNbrEmployees |
| Total Nbr Volunteers | 10 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 195935 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 5881713 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 7122919 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 16420 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 6077648 | TotalRevenuePriorYear |
| Total Revenue Current Year | 7139339 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 4879633 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 5342420 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8700142 | OtherExpensePriorYear |
| Other Expenses Current Year | 9308291 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 13579775 | TotalExpensesPriorYear |
| Total Expenses Current Year | 14650711 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -7502127 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -7511372 | RevenuesLessExpensesCY |
| Total Assets BOY | 19011931 | TotalAssetsBOY |
| Total Assets EOY | 19829128 | TotalAssetsEOY |
| Total Liabilities BOY | 9434363 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 10989346 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 9577568 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 8839782 | NetAssetsOrFundBalancesEOY |
| Mission Description | ROCKFORD 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 SUPPORT AND ENABLE THEM TO FULFILL THEIR COMMITMENT TO THE RHS VISION WITH PERFORMANCE EXCELLENCE, INNOVATION, AND LIFELONG LEARNING. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 4763789 | Expense |
| Revenue | 4772450 | Revenue |
| Description | RHS PROVIDES SUPPORT FOR ROCKFORD MEMORIAL HOSPITAL (RMH), WHICH CARED FOR AND DISCHARGED 13,643 INPATIENTS IN 2012, WITH 1,444 DELIVERIES, 400,070 OUTPATIENTS TREATED, INCLUDING 51,767 WHO VISITED THE EMERGENCY ROOM, AND PROCESSED CLOSE TO 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, 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 325 VOLUNTEERS WHO LOGGED 34,380 HOURS TO ENHANCE THE RMH EXPERIENCE FOR PATIENTS. RMH PROVIDES OUTREACH LAB SERVICES, HAS STATE-OF-THE-ART ROBOTIC SURGERY AVAILABLE, AND THE ONLY REGIONAL GENETIC SERVICES AND CYTOGENETICS LABORATORY. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2230469 | Expense |
| Revenue | 2230469 | Revenue |
| Description | RHS 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 415,814 OFFICE VISITS IN 2012 AND PROVIDED 348,564 ANCILLARY PROCEDURES AND 268,716 CLINICAL TESTS IN AREAS SUCH AS PULMONARY FUNCTION, BONE SCANS, RADIOLOGY, CT SCANS, MAMMOGRAPHY AND PHYSICAL THERAPY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 120000 | Expense |
| Revenue | 120000 | Revenue |
| Description | THE 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 (15,710 DAYS), ELDER ADULT COUNSELING/SERVICES (OVER 7,000), AND HOME HEALTH CARE (25,205 VISITS) INCLUDING THERAPISTS/AIDES (10,424 VISITS) FOR CARE THAT ALLOWS PEOPLE TO STAY IN THEIR OWN HOME TO RECOVER AND RECUPERATE. 66 VNA VOLUNTEERS GAVE 3,831 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. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 7114258 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 125 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 347 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID VOLA CONTROLLER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8159715000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2400 N ROCKTON AVE | AddressLine1 |
| City | ROCKFORD | City |
| State | IL | State |
| ZIP Code | 61103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| CONNIE M VITALI | ||||||||
| VICE-CHAIR | 0.75 | 2.10 | X | X | 0 | 0 | 0 | |
| DUANE R BACH | ||||||||
| TREASURER | 1.00 | 0.20 | X | X | 0 | 0 | 0 | |
| ELEANOR F DOAR | ||||||||
| CHAIR | 2.80 | 2.10 | X | X | 0 | 0 | 0 | |
| CURTIS D WORDEN | ||||||||
| DIRECTOR | 1.80 | 0.60 | X | 6174 | 12411 | 0 | ||
| DENNIS T UEHARA | ||||||||
| DIRECTOR | 4.00 | 51.50 | X | 0 | 507590 | 72283 | ||
| JACK J BECHERER | ||||||||
| DIRECTOR | 0.25 | 1.25 | X | 0 | 0 | 0 | ||
| JAMES W BRECKENRIDGE | ||||||||
| DIRECTOR | 2.00 | 40.00 | X | 0 | 445914 | 39060 | ||
| JOHN T DORSEY | ||||||||
| DIRECTOR | 0.60 | 60.60 | X | 0 | 409023 | 53444 | ||
| JOHN W CHADWICK | ||||||||
| DIRECTOR | 0.01 | 0.60 | X | 0 | 0 | 0 | ||
| JOSE L GONZALEZ | ||||||||
| DIRECTOR | 1.00 | 52.90 | X | 0 | 399407 | 56036 | ||
| PAMELA S FOX | ||||||||
| DIRECTOR | 0.01 | 0.20 | X | 0 | 0 | 0 | ||
| PAUL A GREEN | ||||||||
| DIRECTOR | 1.00 | 1.10 | X | 0 | 0 | 0 | ||
| STACIE TALBERT | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| THOMAS D BUDD | ||||||||
| DIRECTOR | 0.50 | 0.80 | X | 0 | 0 | 0 | ||
| GARY E KAATZ | ||||||||
| PRESIDENT & CEO | 57.00 | 3.00 | X | 961658 | 0 | 93117 | ||
| HENRY M SEYBOLD | ||||||||
| CFO | 41.00 | 4.25 | X | 494404 | 0 | 70335 | ||
| JULIE PETERSON | ||||||||
| SECRETARY | 38.25 | 3.00 | X | 75015 | 0 | 35063 | ||
| ALAN MOWBRAY | ||||||||
| INTERNAL CONSULTANT IMS APPLICATIONS | 40.00 | 0 | 259421 | 0 | 28440 | X | ||
| DANIEL PAROD | ||||||||
| SR VP HOSPITAL & ADMIN AFFAIRS | 40.00 | 0 | 376109 | 0 | 73002 | X | ||
| DENNIS L'HEUREUX | ||||||||
| VP PLANNING & CIO | 40.00 | 0 | 329784 | 0 | 71926 | X | ||
| JAMES EVANS | ||||||||
| VP LEGAL AFFAIRS | 40.00 | 0 | 392220 | 0 | 63150 | X | ||
| STEVEN STRODE | ||||||||
| VP AMBULATORY SERVICES | 40.00 | 0 | 352961 | 0 | 50756 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3247746 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1774345 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 706613 | TotalOtherCompensation |
| Number Individuals GT100 K | 31 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MCDERMOTT WILL & EMERY | |||||
| 227 W MONROE ST | CHICAGO | IL | 60606 | LEGAL SERVICES | 5038204 |
| EPIC SYSTEMS CORP | |||||
| 1979 MILKY WAY | VERONA | WI | 53593 | INSTALL/MAINTENANCE | 2710309 |
| DELOITTE CONSULTING LLP | |||||
| PO BOX 7247-6447 | PHILADELPHIA | PA | 19170 | CONSULTING | 2316227 |
| CHARLES RIVER ASSOCIATES | |||||
| PO BOX 845960 | BOSTON | MA | 022845960 | LEGAL SERVICES | 1879980 |
| NAVIGANT CONSULTING INC | |||||
| 4511 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | CONSULTING | 899162 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 27 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| COORDINATE AND SUPPORT AFFILIATE ACTIVITIES | 561000 | 7122919 | 7122919 |
| 0 | |||
| 0 | |||
| 0 | |||
| 0 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 7122919 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 17549 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1129 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 16420 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16420 | TotalRevenueColumn |
| Exclusion | $16,420 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| Total Revenue ColumnTotalRevenueColumn |
|---|
| 0 |
| 0 |
| 0 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7139339 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7122919 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $16,420 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1729593 | Total |
| Program Services | 1729593 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2804493 | Total |
| Program Services | 2804493 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50531 | Total |
| Program Services | 50531 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 541360 | Total |
| Program Services | 541360 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 216443 | Total |
| Program Services | 216443 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9703 | Total |
| Program Services | 9703 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8599942 | Total |
| Program Services | 1063489 | ProgramServices |
| Management And General | 7536453 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61890 | Total |
| Program Services | 61890 | ProgramServices |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110484 | Total |
| Program Services | 110484 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30928 | Total |
| Program Services | 30928 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 127516 | Total |
| Program Services | 127516 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34558 | Total |
| Program Services | 34558 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93113 | Total |
| Program Services | 93113 | ProgramServices |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | RECRUITING/RETENTION/EMPLOYEE APPRECIATION | Description |
| Total | 114029 | Total |
| Program Services | 114029 | ProgramServices |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 126128 | Total |
| Program Services | 126128 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14650711 | Total |
| Program Services | 7114258 | ProgramServices |
| Management And General | 7536453 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Joint Costs TotalJointCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4600425 | BOY |
| EOY | 3122026 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29955 | BOY |
| EOY | 429361 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2325498 | BOY |
| EOY | 1662438 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 48491488 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 35617786 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11215201 | BOY |
| EOY | 12873702 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 840852 | BOY |
| EOY | 1741601 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19011931 | BOY |
| EOY | 19829128 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8354767 | BOY |
| EOY | 10058346 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 250000 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1079596 | BOY |
| EOY | 681000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9434363 | BOY |
| EOY | 10989346 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9577568 | BOY |
| EOY | 8839782 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9577568 | BOY |
| EOY | 8839782 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19011931 | BOY |
| EOY | 19829128 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -7511372 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 6773586 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type3 Func Int | X | SupportingOrg509a3Type3FuncInt |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (3 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| ROCKFORD MEMORIAL HOSPITAL | |||||
| 362167847 | 3 | true | true | true | $0 |
| ROCKFORD HEALTH PHYSICIANS | |||||
| 363097436 | 3 | true | true | true | $0 |
| VISITING NURSES ASSN OF THE ROCKFORD AREA | |||||
| 362167945 | 9 | true | true | true | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 3 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
| General Explanation | DESCRIPTION OF NON-MONETARY SUPPORT, SCHEDULE A, PART I, LINE 11H, ROCKFORD MEMORIAL HOSPITAL: CORPORATE MANAGEMENT SERVICES ROCKFORD HEALTH PHYSICIANS: CORPORATE MANAGEMENT SERVICES VISITING NURSES ASSN OF THE ROCKFORD AREA: CORPORATE MANAGEMENT SERVICES , | GeneralExplanation |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $86,250 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 86250 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of the activities reported on Lines 1a through 1i | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1 | ReturnReference |
| Explanation | TWO CONSULTING FIRMS WERE ENGAGED BY RHS TO REVIEW LEGISLATION AFFECTING HOSPITALS. APPROXIMATELY 50% OF TOTAL PAYMENTS TO THE CONSULTANTS WERE ALLOCABLE TO LOBBYING ACTIVITIES. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 592271 | OtherCostOrOtherBasis |
| Depreciation | 256993 | Depreciation |
| Book Value | 335278 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 40806740 | OtherCostOrOtherBasis |
| Depreciation | 34236005 | Depreciation |
| Book Value | 6570735 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7092477 | OtherCostOrOtherBasis |
| Depreciation | 1124788 | Depreciation |
| Book Value | 5967689 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 12873702 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| CAPITAL ACCUMULATION ACCOUNTS | 499787 |
| LIFE INSURANCE VALUE | 193250 |
| DUE FROM RELATED ORGANIZATIONS | 883035 |
| SUPPLEMENTAL SURVIVOR PREMIUMS | 165529 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1741601 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPITAL ACCUMULATION LIABILITY | $499,786 |
| LIFE INSURANCE LIABILITY | $179,088 |
| DUE TO RELATED ORGANIZATIONS | $2,126 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 681000 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN48 (ASC 740) DISCLOSURE | Identifier |
| Return Reference | SCHEDULE D, PART X, LINE 2 | ReturnReference |
| Explanation | THERE IS NO FIN 48 LIABILITY AND AS SUCH, THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS DO NOT INCLUDE A FIN 48 DISCLOSURE. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALAN MOWBRAY | ||||||||||||||
| INTERNAL CONSULTANT IMS APPLICATIONS | 259234 | 0 | 0 | 0 | 187 | 0 | 7030 | 0 | 21410 | 0 | 287862 | 0 | 0 | 0 |
| DANIEL PAROD | ||||||||||||||
| SR VP HOSPITAL & ADMIN AFFAIRS | 276294 | 0 | 98644 | 0 | 1170 | 0 | 45089 | 0 | 27913 | 0 | 449111 | 0 | 0 | 0 |
| DENNIS L'HEUREUX | ||||||||||||||
| VP PLANNING & CIO | 262831 | 0 | 64865 | 0 | 2088 | 0 | 41693 | 0 | 30233 | 0 | 401710 | 0 | 0 | 0 |
| DENNIS T UEHARA | ||||||||||||||
| DIRECTOR | 0 | 504944 | 0 | 0 | 0 | 2646 | 0 | 36485 | 0 | 35798 | 0 | 579873 | 0 | 0 |
| GARY E KAATZ | ||||||||||||||
| PRESIDENT & CEO | 660277 | 0 | 270760 | 0 | 30622 | 0 | 64722 | 0 | 28395 | 0 | 1054775 | 0 | 0 | 0 |
| HENRY M SEYBOLD | ||||||||||||||
| CFO | 370116 | 0 | 122614 | 0 | 1674 | 0 | 42488 | 0 | 27848 | 0 | 564740 | 0 | 0 | 0 |
| JAMES EVANS | ||||||||||||||
| VP LEGAL AFFAIRS | 283868 | 0 | 106264 | 0 | 2088 | 0 | 37792 | 0 | 25358 | 0 | 455370 | 0 | 0 | 0 |
| JAMES W BRECKENRIDGE | ||||||||||||||
| DIRECTOR | 0 | 444366 | 0 | 0 | 0 | 1548 | 0 | 0 | 0 | 39060 | 0 | 484974 | 0 | 0 |
| JOHN T DORSEY | ||||||||||||||
| DIRECTOR | 0 | 408000 | 0 | 0 | 0 | 1024 | 0 | 22500 | 0 | 30944 | 0 | 462467 | 0 | 0 |
| JOSE L GONZALEZ | ||||||||||||||
| DIRECTOR | 0 | 398273 | 0 | 0 | 0 | 1134 | 0 | 17000 | 0 | 39036 | 0 | 455443 | 0 | 0 |
| STEVEN STRODE | ||||||||||||||
| VP AMBULATORY SERVICES | 267110 | 0 | 66501 | 0 | 19350 | 0 | 25947 | 0 | 24809 | 0 | 403716 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Health or social club dues or initiation fees | Identifier |
| Return Reference | Schedule J, Part I, Line 1a | ReturnReference |
| Explanation | BY 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. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Delegate broad authority to a committee | Form 990, Part VI, Section A, Line 1a | THE VOTING MEMBERS OF THE 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. |
| Review of form 990 by governing body | Form 990, Part VI, Section B, Line 11b | THE DATA WAS GATHERED BY THE ACCOUNTING STAFF WITH INPUT FROM THE EXECUTIVE STAFF. THE DATA WAS REVIEWED AND THE FORM 990 PREPARED BY THE RHS STAFF. ONCE THE FORM 990 WAS COMPLETED, IT WAS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 WAS MADE AVAILABLE TO ALL BOARD MEMBERS ON A SECURE INTRACOMPANY WEBSITE. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | RHS COMPLIANCE DEPARTMENT GENERALLY SENDS OUT A COPY OF THE POLICY WITH THE CONFLICT OF INTEREST FORM INCLUDED EACH YEAR. EACH BOARD MEMBER COMPLETES THE FINANCIAL INTEREST DISCLOSURE STATEMENT WHICH IS A PART OF THE POLICY. THE RHS COMPLIANCE DEPARTMENT REVIEWS AND RETAINS THESE STATEMENTS. IF A CONFLICT IS IDENTIFIED, ALL AFFECTED PARTIES ARE INFORMED. EMPLOYEES ARE GIVEN THE POLICY AND A STATEMENT TO COMPLETE AT THE BEGINNING OF THE YEAR OR AS A NEW PARTY IS HIRED OR JOINS THE BOARD. THIS PROCESS WAS LAST COMPLETED IN 2012. |
| Process used to establish compensation of top management official | Form 990, Part VI, Section B, Line 15a | COMPENSATION 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 WAS LAST COMPLETED IN 2012. |
| Process used to establish compensation of other officers/key employees | Form 990, Part VI, Section B, Line 15b | COMPENSATION 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 WAS LAST COMPLETED IN 2012. |
| Governing documents, conflict of interest policy and financial statements available to the public | Form 990, Part VI, Section C, Line 19 | FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE ILLINOIS ATTORNEY GENERAL'S OFFICE. POLICIES (INCLUDING THE CONFLICT OF INTEREST POLICY) ARE AVAILABLE ON OUR INTRACOMPANY WEBSITE AND ARE NOT ACCESSIBLE TO THE GENERAL PUBLIC. GOVERNING DOCUMENTS ARE AVAILABLE BY REQUEST FROM BOARD SECRETARY. |
| NONEMPLOYEE COMPENSATION | FORM 990, PART VII, SECTION A | CURTIS WORDEN IS NOT COMPENSATED AS A BOARD MEMBER; HE RECEIVED TAXABLE NONEMPLOYEE COMPENSATION ON A FORM 1099 FOR 2012 LEGAL SERVICES PROVIDED TO THE SYSTEM. |
| Other Expenses | Form 990, Part IX, Line 11g | AFFILIATION EXPENSES - TOTAL EXPENSE: 7189604, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 7189604, FUNDRAISING EXPENSES: ; CONSULTING FEES - TOTAL EXPENSE: 1410338, PROGRAM SERVICE EXPENSE: 1063489, MANAGEMENT AND GENERAL EXPENSES: 346849, FUNDRAISING EXPENSES: ; |
| Other changes in net assets or fund balances | Form 990 , Part XI, Line 9 | NET TRANSFERS FROM AFFILIATED ORGANIZATIONS - 6451818; ROCKFORD HEALTH PLAN ASSESSMENT REFUND - 321768; |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| ROCKFORD MEMORIAL HOSPITAL | |||||||||
| 2400 N ROCKTON AVE | ROCKFORD | IL | 61103 | HEALTHCARE | IL | 501(C)(3) | 3 | ROCKFORD HEALTH SYSTEM | true |
| ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION | |||||||||
| 2400 N ROCKTON AVE | ROCKFORD | IL | 61103 | SUPPORT OF HEALTHCARE | IL | 501(C)(3) | 11 - Type I | ROCKFORD HEALTH SYSTEM | true |
| VISITING NURSES ASSN OF THE ROCKFORD AREA | |||||||||
| 4223 E STATE STREET | ROCKFORD | IL | 61108 | HEALTHCARE | IL | 501(C)(3) | 9 | ROCKFORD HEALTH SYSTEM | true |
| ROCKFORD HEALTH PHYSICIANS | |||||||||
| 2300 N ROCKTON AVE | ROCKFORD | IL | 61103 | HEALTHCARE | IL | 501(C)(3) | 3 | ROCKFORD HEALTH SYSTEM | true |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROCKFORD HEALTH INSURANCE LTD | BusinessNameLine1 |
Address Foreign AddressForeign
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | WELLESLEY HOUSE SO 2ND FLOOR | AddressLine1 |
| Province Or State | PEMBROOKE | ProvinceOrState |
| Country | BD | Country |
| Postal Code | HM | PostalCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activity | INSURANCE | PrimaryActivity |
| Legal Domicile Foreign Country | BD | LegalDomicileForeignCountry |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORPORATION | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| ROCKFORD MEMORIAL HOSPITAL | ||
| Q | 4763789 | FMV |
| ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION | ||
| Q | 60000 | FMV |
| VISITING NURSES ASSOCIATION OF THE ROCKFORD AREA | ||
| Q | 60000 | FMV |
| ROCKFORD HEALTH PHYSICIANS | ||
| Q | 2230469 | FMV |