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MERCYHEALTH DEVELOPMENT FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MERCYHEALTH DEVELOPMENT FOUNDATION INC (EIN 36-3197918)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201323199349306067
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

FieldValueIRS element (for citing)
Timestamp2013-11-15T12:46:24-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line170 West Madison StreetAddressLine1
Address Line2Suite 700AddressLine2
CityChicagoCity
StateILState
ZIP Code606024903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN363197918EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ROCKFORD MEMORIAL DEVELOPMENT FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlROCKNameControl
Phone8159714141Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameHENRY M SEYBOLDName
TitleCFOTitle
Date Signed2013-11-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameNicole BencikName
PTINP00756195PTIN
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1GARY KAATZBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12400 N ROCKTON AVEAddressLine1
CityROCKFORDCity
StateILState
ZIP Code61103ZIPCode
FieldValueIRS element (for citing)
Gross Receipts242650571GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.RHSNET.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTO SUPPORT THE OPERATIONS OF ALL ENTITIES OF ROCKFORD HEALTH SYSTEM & PROVIDE ASSISTANCE TO THESE OTHER 501(C)(3) NON-PROFIT ORGANIZATIONS BY RECEIVING, MAINTAINING, AND ADMINISTERING FUNDS RECEIVED FROM THE PUBLIC AND OTHER AVAILABLE SOURCES TO FURTHER THE EXEMPT PURPOSES OF THESE ORGANIZATIONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees5TotalNbrEmployees
Total Nbr Volunteers185TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1524646ContributionsGrantsPriorYear
Contributions Grants Current Year1316718ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year2018524InvestmentIncomePriorYear
Investment Income Current Year6684393InvestmentIncomeCurrentYear
Other Revenue Prior Year-18532OtherRevenuePriorYear
Other Revenue Current Year3098OtherRevenueCurrentYear
Total Revenue Prior Year3524638TotalRevenuePriorYear
Total Revenue Current Year8004209TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1361232GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1393977GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year553812SalariesEtcPriorYear
Salaries Etc Current Year497133SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year145957TotalFundrsngExpCurrentYear
Other Expense Prior Year802422OtherExpensePriorYear
Other Expenses Current Year656667OtherExpensesCurrentYear
Total Expenses Prior Year2717466TotalExpensesPriorYear
Total Expenses Current Year2547777TotalExpensesCurrentYear
Revenues Less Expenses Prior Year807172RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5456432RevenuesLessExpensesCY
Total Assets BOY106074709TotalAssetsBOY
Total Assets EOY115803465TotalAssetsEOY
Total Liabilities BOY1145594TotalLiabilitiesBOY
Total Liabilities EOY1019657TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY104929115NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY114783808NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF ROCKFORD HEALTH SYSTEM (RHS) IS "SUPERIOR CARE. EVERYDAY. FOR ALL OUR PATIENTS." ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION (RMDF) ASSISTS THIS MISSION SPECIFICALLY BY APPLYING RESOURCES TO THE VISION OF RHS WHICH IS "TO FULFILL THIS COMMITMENT THROUGH PERFORMANCE EXCELLENCE, LIFELONG LEARNING, AND INNOVATION."MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense849043Expense
Grants574449Grants
DescriptionRESTRICTED GIFTS AND ENDOWMENTS TO ROCKFORD HEALTH SYSTEM HELP FUND EQUIPMENT, FACILITIES PROJECTS AND CARE AND COMFORT ITEMS TO BENEFIT PATIENTS. IN 2012, ENDOWMENT PROCEEDS SUPPORTED EDUCATION AND TRAINING FOR RHS EMPLOYEES TO HELP ENHANCE THE CARE THEY PROVIDE. THE FOUNDATION TRANSFERRED $300,000 TO ASSIST WITH THE MOTHER-BABY UNIT RENOVATIONS. IN 2012, THE FOUNDATION TRANSFERRED $137,000 TO THE WOMEN'S CENTER TO PURCHASE A SOFTWARE UPGRADE THAT ALLOWS FOR THE MOST UP-TO-DATE MAMMOGRAMS IN THE REGION. TOMOSYNTHESIS ALLOWS FOR EASIER DETECTION OF BREAST CANCERS WHILE REDUCING THE NUMBER OF TIMES A WOMAN HAS TO COME BACK FOR RE-EVALUATION. ANOTHER $25,000 WAS USED TO SUPPORT A PARTNERSHIP WITH THE SILVER LINING FOUNDATION TO PROVIDE NO-COST MAMMOGRAMS AND DIAGNOSTIC PROCEDURES TO WOMEN WHO ARE UNDER OR NOT INSURED. FUNDS WERE ALSO USED TO PURCHASE EQUIPMENT SUCH AS A NEW VIDEO LARYNGOSCOPE AND ACCESSORIES, PORTABLE OXYGEN CONCENTRATORS, BLOOD PRESSURE MACHINES AND MOUNTS, AND CARDIAC EVENT MONITORS AND REHABILITATION EQUIPMENT.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense525770Expense
Grants525770Grants
DescriptionTHROUGH CHARITABLE CONTRIBUTIONS RMDF SUPPORTS THE RONALD MCDONALD CARE MOBILE, STAFFED AND OPERATED BY ROCKFORD MEMORIAL HOSPITAL, WHICH PROVIDES FREE MEDICAL AND DENTAL CARE TO UNINSURED AND UNDERINSURED CHILDREN IN FIVE COUNTIES AT 12 DIFFERENT SITES IN NORTHERN ILLINOIS. THE CARE MOBILE VISITS INCLUDED VACCINATIONS, LEAD AND/OR BLOOD SCREENINGS, MEDICAL DIAGNOSES, PREVENTATIVE AND RESTORATIVE DENTAL CARE AND TREATMENT/CARE TO AVOID AN EMERGENCY ROOM VISIT. IN ADDITION, RMDF USED DONATED AUXILIARY FUNDS FOR IMPROVEMENTS IN THE SURGICAL WAITING AREA ($213,000) AND THE MOTHER BABY UNIT ($100,000). RMDF DONATIONS FROM THE AUXILIARY ALSO PROVIDED SOME OF THE CARE MOBILE FUNDING AS WELL AS HEALTH AND WELLNESS RESOURCES FOR PATIENTS, NURSING SCHOLARSHIPS FOR MINORITY STUDENTS, THE HEALING HARP PROGRAM THAT CREATES AN ATMOSPHERE OF CARE AND COMFORT FOR HOSPITALIZED PATIENTS AND A VIDEO PROGRAM (IN BOTH ENGLISH AND SPANISH) THAT HELPS PARENTS PROVIDE CARE FOR THEIR NEWBORN BABIES AND OTHER SUPPORT FOR THE SYSTEM.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense293758Expense
Grants293758Grants
DescriptionTHE FAMILY GIVING CAMPAIGN RAISED FUNDS IN 2012 FOR THREE USES: AN EMPLOYEE CRISIS FUND, THE WISHBOOK CATALOGUE OF CARE AND COMFORT ITEMS AND THE EMPLOYEE EDUCATION FUND. THE CRISIS FUND PROVIDES ASSISTANCE TO EMPLOYEES WHO HAVE EXPERIENCED A CRISIS SUCH AS A FLOOD OR FIRE IN THEIR HOME, OR THE SEVERE ILLNESS, TRAUMATIC INJURY OR DEATH OF A SPOUSE OR CHILD. THE WISHBOOK PROVIDES SMALL ITEMS FOR CAREGIVING DEPARTMENTS THROUGHOUT ROCKFORD HEALTH SYSTEM. THE EMPLOYEE EDUCATION FUND EXPANDS OPPORTUNITIES FOR EMPLOYEES TO ATTEND TRAINING AND SKILLS DEVELOPMENT SEMINARS. RMDF DONATIONS WERE ALSO USED TO ASSIST VISITING NURSES ASSOCIATION TO CARE FOR THE ELDERLY, THE HOMEBOUND, THE RECOVERING AND THOSE FACING END OF LIFE.Description
FieldValueIRS element (for citing)
Total Program Service Expense1668571TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109620NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees5NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DAVID VOLA CONTROLLERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8159715000TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
GARY E KAATZ
PRESIDENT & CEO1.0059.00XX096165893117
JOHN J MORRISSEY
CHAIRMAN3.000XX000
JULIE BOSMA
VICE-CHAIR2.000XX000
CAROL ARMSTRONG
DIRECTOR0.100X000
DENNIS T UEHARA
DIRECTOR1.0054.50X050759072283
ELEANOR F DOAR
DIRECTOR1.003.90X000
GEORGE BATES
DIRECTOR0.100X000
JAY MADDOX
DIRECTOR1.000X000
JOHN J HOLEVAS
DIRECTOR0.100X000
JOHN VAN LANDINGHAM
DIRECTOR1.000X000
LINDA HECKERT
DIRECTOR1.000X000
MARC L BARBEAU
DIRECTOR1.000X000
MARK D ZARNKE
DIRECTOR2.000.00X01553000
PHILLIP AD HIGGINS
DIRECTOR1.000X000
SCOTT K LAUE
DIRECTOR2.000X000
W WALTER BOOTHE
DIRECTOR1.500X000
HELEN BROOKS
EXECUTIVE DIRECTOR40.000X1727774502658098
HENRY M SEYBOLD
CFO0.2545.00X049440470335
VICKI WOODHOUSE
SECRETARY40.000X43270012998
FieldValueIRS element (for citing)
Total Reportable Comp From Org216047TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2163979TotalReportableCompFrmRltdOrgs
Total Other Compensation306831TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events268913FundraisingEvents
Related Organizations150600RelatedOrganizations
All Other Contributions897205AllOtherContributions
Total Contributions1316718TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

Total Revenue ColumnTotalRevenueColumn
0
0
0
0
0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1377075TotalRevenueColumn
Exclusion$1,377,075ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities239821040Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities234513722Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities5307318Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column5307318TotalRevenueColumn
Exclusion$5,307,318ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events123450GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events268913CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses132640FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-9190TotalRevenueColumn
Exclusion-$9,190ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming12220GrossIncomeGaming

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column12220TotalRevenueColumn
Exclusion$12,220ExclusionAmount

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MISCELLANEOUS90009968$68
0
0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue68TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8004209TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$6,687,491ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1393977Total
Program Services1393977ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total220273Total
Program Services88110ProgramServices
Management And General79298ManagementAndGeneral
Fundraising52865Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total194206Total
Program Services77682ProgramServices
Management And General69914ManagementAndGeneral
Fundraising46610Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total9578Total
Program Services4467ProgramServices
Management And General2600ManagementAndGeneral
Fundraising2511Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total59454Total
Program Services25960ProgramServices
Management And General18499ManagementAndGeneral
Fundraising14995Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total13622Total
Program Services5449ProgramServices
Management And General4904ManagementAndGeneral
Fundraising3269Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9180Total
Management And General9180ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total449657Total
Management And General449657ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total60000Total
Program Services0ProgramServices
Management And General60000ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total6345Total
Program Services3509ProgramServices
Management And General2836ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total102844Total
Program Services58765ProgramServices
Management And General23322ManagementAndGeneral
Fundraising20757Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1892Total
Management And General1892ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2631Total
Management And General2631ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total14059Total
Program Services8055ProgramServices
Management And General3116ManagementAndGeneral
Fundraising2888Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3351Total
Program Services1340ProgramServices
Management And General1207ManagementAndGeneral
Fundraising804Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total324Total
Management And General324ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6384Total
Program Services1257ProgramServices
Management And General3869ManagementAndGeneral
Fundraising1258Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2547777Total
Program Services1668571ProgramServices
Management And General733249ManagementAndGeneral
Fundraising145957Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10693BOY
EOY64375EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1405822BOY
EOY15704879EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY589587BOY
EOY578760EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY14395BOY
EOY7235EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis153405LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec149674LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3731BOY
EOY3731EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY94296913BOY
EOY88935778EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9753568BOY
EOY10508707EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY106074709BOY
EOY115803465EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1021777BOY
EOY931028EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY123817BOY
EOY88629EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1145594BOY
EOY1019657EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY90760806BOY
EOY99938223EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8911007BOY
EOY9297921EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5257302BOY
EOY5547664EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY104929115BOY
EOY114783808EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY106074709BOY
EOY115803465EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5456432ReconcilationRevenueExpenses
Reconciliation Unrealized Invest3780111ReconciliationUnrealizedInvest
Reconcilation Other Changes618150ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (3 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocAmountAmount
ROCKFORD MEMORIAL HOSPITAL
3621678473true$870,128
VISITING NURSES ASSN OF THE ROCKFORD AREA
3621679459true$145,481
ROCKFORD HEALTH PHYSICIANS
3639074363true$302,706
FieldValueIRS element (for citing)
Total Number Of Supported Orgs3TotalNumberOfSupportedOrgs
Sum Of Amounts1318315SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1635655BeginningOfYearBalance
Contributions69541Contributions
Investment Earnings Or Losses273774InvestmentEarningsOrLosses
Other Expenditures112660OtherExpenditures
Administrative Expenses6905AdministrativeExpenses
End Of Year Balance1859405EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1571000BeginningOfYearBalance
Contributions95812Contributions
Investment Earnings Or Losses23498InvestmentEarningsOrLosses
Other Expenditures45097OtherExpenditures
Administrative Expenses9558AdministrativeExpenses
End Of Year Balance1635655EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1091439BeginningOfYearBalance
Contributions320215Contributions
Investment Earnings Or Losses225711InvestmentEarningsOrLosses
Other Expenditures57724OtherExpenditures
Administrative Expenses8641AdministrativeExpenses
End Of Year Balance1571000EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance543880BeginningOfYearBalance
Contributions369919Contributions
Investment Earnings Or Losses183002InvestmentEarningsOrLosses
Administrative Expenses5362AdministrativeExpenses
End Of Year Balance1091439EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance726474BeginningOfYearBalance
Contributions40484Contributions
Investment Earnings Or Losses-218351InvestmentEarningsOrLosses
Administrative Expenses4727AdministrativeExpenses
End Of Year Balance543880EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.18500BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.49800PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.31700TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis60859OtherCostOrOtherBasis
Depreciation60859Depreciation
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis83301OtherCostOrOtherBasis
Depreciation83301Depreciation
Book Value0BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9245OtherCostOrOtherBasis
Depreciation5514Depreciation
Book Value3731BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3731TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
EMPLOYEE REC-SUPPLEMENTAL SURVIVOR PREMIUM41020
INTEREST IN BENEFICIAL TRUST10384253
LIFE INSURANCE AND OTHERS73515
DUE FROM RELATED ORGANIZATIONS9919
FieldValueIRS element (for citing)
Total Book Value Other Assets10508707TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
LIFE INSURANCE VALUE$60,686
CAPITAL ACCUMULATION ACCOUNT$12,300
CAA FAS 124 VALUATION$529
DUE TO RELATED ORGANIZATIONS$15,114
FieldValueIRS element (for citing)
Total Of Amounts88629TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

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

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event1321578GrossReceiptsEvent1
Charitable Contributions Event1229113CharitableContributionsEvent1
Gross Revenue Event192465GrossRevenueEvent1
Rent Facility Costs Event156219RentFacilityCostsEvent1
Entertainment Event19000EntertainmentEvent1
Other Direct Expenses Event139491OtherDirectExpensesEvent1
Name Of Event2GOLFNameOfEvent2
Gross Receipts Event247230GrossReceiptsEvent2
Charitable Contributions Event221180CharitableContributionsEvent2
Gross Revenue Event226050GrossRevenueEvent2
Cash Prizes Event21835CashPrizesEvent2
Rent Facility Costs Event217768RentFacilityCostsEvent2
Other Direct Expenses Event22486OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events23555GrossReceiptsOtherEvents
Charitable Contrib Other Events18620CharitableContribOtherEvents
Gross Revenue Other Events4935GrossRevenueOtherEvents
Other Direct Expenses Other Events5841OtherDirectExpensesOtherEvents
Gross Receipts Total392363GrossReceiptsTotal
Charitable Contributions Total268913CharitableContributionsTotal
Gross Revenue Total Events123450GrossRevenueTotalEvents
Cash Prizes Total Events1835CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events73987RentFacilityCostsTotalEvents
Food And Beverage Total Events0FoodAndBeverageTotalEvents
Entertainment Total Events9000EntertainmentTotalEvents
Other Direct Expenses Total Events47818OtherDirectExpensesTotalEvents
Direct Expense Summary Events132640DirectExpenseSummaryEvents
Net Income Summary-9190NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
ROCKFORD HEALTH COUNCIL
1601 PARKVIEW AVEROCKFORDIL61107363229371501(C)(3)20000COMMUNITY PROGRAM
MCHC CHICAGO HOSPITAL COUNCIL
222 S RIVERSIDE PLAZA STE 1900CHICAGOIL60606362167008501(C)(3)13642COMMUNITY POISON CONTROL
MARCH OF DIMES FOUNDATION
5411 E STATE ST 8ROCKFORDIL61108131846366501(C)(3)10000COMMUNITY PROGRAM
REGIONAL ACCESS & MOBILIZATION PROJECT
202 MARKET STREETROCKFORDIL61107363149827501(C)(3)7500COMMUNITY PROGRAM
ROCKFORD MEMORIAL HOSPITAL
2400 N ROCKTON AVEROCKFORDIL61103362167847501(C)(3)870128SUPPORT FOR PROGRAM SERVICES
ROCKFORD HEALTH PHYSICIANS
2300 N ROCKTON AVEROCKFORDIL61103363907436501(C)(3)302706SUPPORT FOR PROGRAM SERVICES
VISITING NURSES ASSOCIATION OF THE ROCKFORD AREA
4223 E STATE STREETROCKFORDIL61108362167945501(C)(3)145481SUPPORT FOR PROGRAM SERVICES
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants7TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationAPPLICATIONS ARE SUBMITTED TO THE FOUNDATION VERIFYING A NEED FOR FUNDS OR PRODUCTS (I.E. AUTOMATIC ELECTRONIC DEFIBRILATORS-AED). DETERMINATION IS MADE THROUGH A PREDETERMINED SCORING METHOD AS TO WHAT ORGANIZATIONS WILL BE RECIPIENTS OF THE FUNDS OR PRODUCTS. CASH CONTRIBUTIONS ARE MADE ONLY FOR THE AMOUNT OF THE APPEAL AND FOR A SPECIFIED NEED.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DENNIS T UEHARA
DIRECTOR05049440002646036485035798057987300
GARY E KAATZ
PRESIDENT & CEO066027702707600306220647220283950105477500
HELEN BROOKS
EXECUTIVE DIRECTOR142760363072931185147062053522710227979928452178035809800
HENRY M SEYBOLD
CFO0370116012261401674042488027848056474000
MARK D ZARNKE
DIRECTOR015530000000000015530000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierArrangement used to establish the top management official's compensationIdentifier
Return ReferenceSchedule J, Part I, Line 3ReturnReference
ExplanationTHE PRESIDENT & CEO OF ROCKFORD HEALTH SYSTEM (RHS), THE SOLE CORPORATE MEMBER, IS CONSIDERED THE TOP MANAGEMENT OFFICIAL OF ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION. THE RHS BOARD OF DIRECTORS HAS A COMPENSATION COMMITTEE THAT REVIEWS EXECUTIVE COMPENSATION. THE ALSO AUTHORIZE AN INDEPENDENT FIRM TO PROVIDE DATA FOR ANALYSIS OF THE INDUSTRY AND THE MARKET TO OUR COMPENSATION DEPARTMENT. THE DEPARTMENT AND COMMITTEE REVIEWS THE RESULTS AND MAKE A RECOMMENDATION TO THE BOARD WHO THEN ACTS UPON THIS INFORMATION TO SET COMPENSATION FOR EXECUTIVES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Material differences in voting rightsForm 990, Part VI, Section A, Line 1aROCKFORD HEALTH SYSTEM (RHS) IS THE SOLE CORPORATE MEMBER OF THE FOUNDATION AND HAS THE AUTHORITY TO ELECT MEMBERS TO THE BOARD AND ULTIMATELY HAS THE AUTHORITY TO APPROVE OR DENY ALL RMDF BOARD ACTIONS.
Delegate broad authority to a committeeForm 990, Part VI, Section A, Line 1aTHE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR AND VICE-CHAIR AND AT LEAST ONE ADDITIONAL DIRECTOR. IT SHALL MEET AS NEEDED. THE EXECUTIVE COMMITTEE SHALL MONITOR THE PERFORMANCE OF THE PRESIDENT AND EXECUTIVE DIRECTOR AGAINST ANNUAL OBJECTIVES AND REPORT THE RESULTS TO THE CHAIR OF THE ROCKFORD HEALTH SYSTEM BOARD. 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. THE STAFF OF THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE PRESIDENT AND EXECUTIVE DIRECTOR, AS WELL AS OTHER SENIOR EXECUTIVES OF THE FOUNDATION AND ITS AFFILIATED CORPORATIONS SO DESIGNATED BY THE PRESIDENT WITH INPUT FROM THE CHAIR OF THE FOUNDATION.
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6THE FOUNDATION SHALL HAVE ONE MEMBER, WHICH SHALL BE RHS. THE SOLE MEMBER SHALL HAVE POWERS AND VOTING RIGHTS TO DO THE FOLLOWING: (A) APPOINT ALL THE DIRECTORS OF THE FOUNDATION. (B) NOMINATE TO THE FOUNDATION'S BOARD OF DIRECTORS ALL CANDIDATES FOR SELECTION AS THE FOUNDATION'S PRESIDENT. (C) APPROVE EXPRESSLY ALL AMENDMENTS TO THE FOUNDATION'S ARTICLES OF INCORPORATION AND BY-LAWS. (D) APPROVE ANNUAL BUDGETS AND LONG-RANGE PLANS OF THE FOUNDATION. (E) APPROVE ALL CONTRACTS (INCLUDING CONTRACTS OF INDEBTEDNESS) EFFECTIVE FOR LONGER THAN EIGHTEEN MONTHS. (F) APPROVE CAPITAL OR OPERATING EXPENDITURES IN EXCESS OF AMOUNTS SPECIFIED IN THE EXPENDITURE AUTHORIZATION POLICY AS APPROVED BY THE RHS BOARD OF DIRECTORS. (G) APPROVE EXPENDITURES (INCLUDING GRANTS) FROM RESTRICTED AND UNRESTRICTED DONATED FUNDS IN EXCESS OF $1,000,000. (H) APPROVE ALL PLANS OF MERGER OR CONSOLIDATION. (I) APPROVE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE FOUNDATION. (J) APPROVE A VOLUNTARY DISSOLUTION OF THE FOUNDATION. (K) REQUIRE THE FOUNDATION TO TAKE ANY ACTION (INCLUDING AMENDING THAT FOUNDATION'S ARTICLES OF INCORPORATION OR BY-LAWS), OR TO MODIFY OR RESCIND AN ACTION ALREADY TAKEN, IF RHS DETERMINES THAT FAILURE TO TAKE THE ACTION, OR TO MODIFY OR RESCIND AN ACTION ALREADY TAKEN, MAY RESULT IN THE MEMBER'S OR THE FOUNDATION'S FAILURE TO OBTAIN OR MAINTAIN ITS EXEMPTION AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aSEE NARRATIVE FOR PART VI, LINE 6.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bSEE NARRATIVE FOR PART VI, LINE 6.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bTHE DATA WAS GATHERED BY THE ACCOUNTING STAFF WITH INPUT FROM RMDF AND RHS EXECUTIVE STAFFS. 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 policyForm 990, Part VI, Section B, Line 12cRHS COMPLIANCE DEPARTMENT (ACTING ON BEHALF OF RMDF AND FOLLOWING GUIDELINES SET FORTH IN THE POLICY) GENERALLY SENDS OUT A COPY OF THE POLICY WITH THE CONFLICT OF INTEREST FORM INCLUDED. EMPLOYEES AND 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, POTENTIAL CONFLICTS REVIEWED AND APPROPRIATE ACTIONS ARE TAKEN AS A RESULT OF THE REVIEW. EMPLOYEES ARE USUALLY GIVEN THE POLICY AND A STATEMENT TO COMPLETE ANNUALLY AT THE BEGINNING OF THE YEAR OR AS A NEW PARTY IS HIRED OR JOINS THE RMDF BOARD. THE PROCESS WAS LAST COMPLETED IN 2012.
PROCESS USED TO ESTABLISH COMPENSATION FOR TOP MANAGEMENT OFFICIALFORM 990, PART VI, LINE 15ACOMPENSATION FOR THE TOP MANAGEMENT OFFICIAL IS GOVERNED BY THE ROCKFORD HEALTH SYSTEM (RHS) BOARD OF DIRECTORS. THE RHS BOARD HAS ESTABLISHED A TOTAL COMPENSATION PHILOSOPHY THAT DIRECTS THE COMPENSATION PRACTICES FOR EXECUTIVES FROM RELATED ENTITIES (INCLUDING RMDF). THIS BOARD HAS ESTABLISHED A COMPENSATION COMMITTEE TO ESTABLISH AND REVIEW ALL EXECUTIVE COMPENSATION ANNUALLY BASED ON THE ESTABLISHED PHILOSOPHY. AN INDEPENDENT EXTERNAL EXECUTIVE COMPENSATION FIRM PROVIDES CONSULTING ON RHS (INCLUDING RMDF) 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 VARY FROM THIS SCHEDULE AS DIRECTED BY THE COMPENSATION COMMITTEE. THE RMDF BOARD CONCEDES THE AUTHORITY TO SET COMPENSATION TO RHS, THE SOLE CORPORATE MEMBER.
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bCOMPENSATION FOR EXECUTIVES, INCLUDING OTHER OFFICERS, IS GOVERNED BY THE ROCKFORD HEALTH SYSTEM (RHS) BOARD OF DIRECTORS. THE RHS BOARD HAS ESTABLISHED A TOTAL COMPENSATION PHILOSOPHY THAT DIRECTS THE COMPENSATION PRACTICES FOR EXECUTIVES FROM RELATED ENTITIES (INCLUDING RMDF). THIS BOARD HAS ESTABLISHED A COMPENSATION COMMITTEE TO ESTABLISH AND REVIEW ALL EXECUTIVE COMPENSATION ANNUALLY BASED ON THE ESTABLISHED PHILOSOPHY. AN INDEPENDENT EXTERNAL EXECUTIVE COMPENSATION FIRM PROVIDES CONSULTING ON RHS (INCLUDING RMDF) 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 VARY FROM THIS SCHEDULE AS DIRECTED BY THE COMPENSATION COMMITTEE. THE RMDF BOARD CONCEDES THE AUTHORITY TO SET COMPENSATION TO RHS, THE SOLE CORPORATE MEMBER.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE ILLINOIS ATTORNEY GENERAL'S OFFICE. GOVERNING DOCUMENTS ARE AVAILABLE BY REQUEST FROM BOARD SECRETARY.
Other changes in net assets or fund balancesForm 990 , Part XI, Line 9CHG IN UNEXPENDED RESTRICTED FUNDS - -183403; ENDOWMENTS EXPENDED - 801553;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ROCKFORD MEMORIAL HOSPITAL
2400 N ROCKTON AVEROCKFORDIL61103HEALTHCAREIL501(C)(3)3ROCKFORD HEALTH SYSTEMtrue
ROCKFORD HEALTH SYSTEM
2400 N ROCKTON AVEROCKFORDIL61103SUPPORT OF HEALTHCAREIL501(C)(3)11 - Type III - FINAfalse
VISITING NURSES ASSN OF THE ROCKFORD AREA
4223 E STATE STREETROCKFORDIL61108HEALTHCAREIL501(C)(3)9ROCKFORD HEALTH SYSTEMtrue
ROCKFORD HEALTH PHYSICIANS
2300 N ROCKTON AVEROCKFORDIL61103HEALTHCAREIL501(C)(3)3ROCKFORD HEALTH SYSTEMtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressForeign/AddressLine1Province Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodePrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileState
ROCKFORD HEALTH INSURANCE LTD
WELLESLEY HOUSE SO 2ND FLOORPEMBROOKEBDHMINSURANCEBDNAC CORPORATION
CHARITABLE REMAINDER TRUST
TRUSTNATRUSTC/O 2400 ROCKTON AVEROCKFORDIL61103IL
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg