2013-11-14T14:00:34-06:00 2012-12-31 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2012-01-01 363197915 ROCKFORD HEALTH SYSTEM ROCK 8159715000 2400 N ROCKTON AVE ROCKFORD IL 61103 HENRY M SEYBOLD 2013-11-11 true NICOLE BENCIK P00756195 3128997000 2012 2016-02-24 21:20:13Z GARY KAATZ 2400 N ROCKTON AVE ROCKFORD IL 61103 7140468 false X WWW.RHSNET.ORG X 1982 IL THE MISSION IS TO IMPROVE AND PROTECT THE HEALTH AND WELFARE OF THE COMMUNITY, WITH SUPERIOR CARE, EVERYDAY, FOR ALL PATIENTS. 14 9 347 10 0 0 195935 0 5881713 7122919 0 16420 0 0 6077648 7139339 0 0 0 0 4879633 5342420 0 0 0 8700142 9308291 13579775 14650711 -7502127 -7511372 19011931 19829128 9434363 10989346 9577568 8839782 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. false false 4763789 4772450 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. 2230469 2230469 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. 120000 120000 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. 7114258 true false false true false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 125 0 true 347 true false false false false false false false false false false false X 14 9 false false false false false false false true true false false true true true true true true true true false IL X DAVID VOLA CONTROLLER 8159715000 2400 N ROCKTON AVE ROCKFORD IL 61103 X CONNIE M VITALI 0.75 2.10 X X 0 0 0 DUANE R BACH 1.00 0.20 X X 0 0 0 ELEANOR F DOAR 2.80 2.10 X X 0 0 0 CURTIS D WORDEN 1.80 0.60 X 6174 12411 0 DENNIS T UEHARA 4.00 51.50 X 0 507590 72283 JACK J BECHERER 0.25 1.25 X 0 0 0 JAMES W BRECKENRIDGE 2.00 40.00 X 0 445914 39060 JOHN T DORSEY 0.60 60.60 X 0 409023 53444 JOHN W CHADWICK 0.01 0.60 X 0 0 0 JOSE L GONZALEZ 1.00 52.90 X 0 399407 56036 PAMELA S FOX 0.01 0.20 X 0 0 0 PAUL A GREEN 1.00 1.10 X 0 0 0 STACIE TALBERT 1.00 2.00 X 0 0 0 THOMAS D BUDD 0.50 0.80 X 0 0 0 GARY E KAATZ 57.00 3.00 X 961658 0 93117 HENRY M SEYBOLD 41.00 4.25 X 494404 0 70335 JULIE PETERSON 38.25 3.00 X 75015 0 35063 ALAN MOWBRAY 40.00 0 X 259421 0 28440 DANIEL PAROD 40.00 0 X 376109 0 73002 DENNIS L'HEUREUX 40.00 0 X 329784 0 71926 JAMES EVANS 40.00 0 X 392220 0 63150 STEVEN STRODE 40.00 0 X 352961 0 50756 3247746 1774345 706613 31 false true false 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 27 0 COORDINATE AND SUPPORT AFFILIATE ACTIVITIES 561000 7122919 7122919 0 0 0 0 0 0 0 0 7122919 0 0 0 0 0 0 17549 1129 0 16420 16420 16420 0 0 0 0 0 0 0 0 0 0 0 7139339 7122919 0 16420 0 0 0 0 1729593 1729593 0 2804493 2804493 50531 50531 541360 541360 216443 216443 0 9703 9703 0 0 0 0 8599942 1063489 7536453 0 0 61890 61890 0 0 110484 110484 30928 30928 0 127516 127516 0 0 34558 34558 93113 93113 RECRUITING/RETENTION/EMPLOYEE APPRECIATION 114029 114029 126128 126128 0 0 14650711 7114258 7536453 0 0 4600425 3122026 29955 429361 0 0 2325498 1662438 48491488 35617786 11215201 12873702 0 0 0 0 840852 1741601 19011931 19829128 8354767 10058346 250000 0 1079596 681000 9434363 10989346 X 9577568 8839782 9577568 8839782 19011931 19829128 X -7511372 6773586 X false true X true false X X X false false false 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 3 0 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 , false false false false false false false false true 86250 86250 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 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. 0 0 592271 256993 335278 40806740 34236005 6570735 7092477 1124788 5967689 12873702 CAPITAL ACCUMULATION ACCOUNTS 499787 LIFE INSURANCE VALUE 193250 DUE FROM RELATED ORGANIZATIONS 883035 SUPPLEMENTAL SURVIVOR PREMIUMS 165529 1741601 0 CAPITAL ACCUMULATION LIABILITY 499786 LIFE INSURANCE LIABILITY 179088 DUE TO RELATED ORGANIZATIONS 2126 681000 FIN48 (ASC 740) DISCLOSURE SCHEDULE D, PART X, LINE 2 THERE IS NO FIN 48 LIABILITY AND AS SUCH, THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS DO NOT INCLUDE A FIN 48 DISCLOSURE. X true true X X X X false false false false false false false false false ALAN MOWBRAY 259234 0 0 0 187 0 7030 0 21410 0 287862 0 0 0 DANIEL PAROD 276294 0 98644 0 1170 0 45089 0 27913 0 449111 0 0 0 DENNIS L'HEUREUX 262831 0 64865 0 2088 0 41693 0 30233 0 401710 0 0 0 DENNIS T UEHARA 0 504944 0 0 0 2646 0 36485 0 35798 0 579873 0 0 GARY E KAATZ 660277 0 270760 0 30622 0 64722 0 28395 0 1054775 0 0 0 HENRY M SEYBOLD 370116 0 122614 0 1674 0 42488 0 27848 0 564740 0 0 0 JAMES EVANS 283868 0 106264 0 2088 0 37792 0 25358 0 455370 0 0 0 JAMES W BRECKENRIDGE 0 444366 0 0 0 1548 0 0 0 39060 0 484974 0 0 JOHN T DORSEY 0 408000 0 0 0 1024 0 22500 0 30944 0 462467 0 0 JOSE L GONZALEZ 0 398273 0 0 0 1134 0 17000 0 39036 0 455443 0 0 STEVEN STRODE 267110 0 66501 0 19350 0 25947 0 24809 0 403716 0 0 0 Health or social club dues or initiation fees Schedule J, Part I, Line 1a 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. 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; 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 ROCKFORD HEALTH INSURANCE LTD WELLESLEY HOUSE SO 2ND FLOOR PEMBROOKE BD HM INSURANCE BD NA C CORPORATION false false false false false false false false false false false false false true true false true true true 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