2011-10-31T11:31:56-00:00 2010-12-31 PriceWaterhouseCoopers LLP 2001 Market St Ste 1700 Philadelphia PA 19103 990 2010-01-01 363907436 Rockford Health Physicians ROCK 8159715000 2300 N Rockton Ave Rockford IL 61103 Henry M Seybold 8159715000 2011-10-20 true Matthew Petroski 2673303000 2011-10-20 2010 2016-03-07 17:11:31Z Gary Kaatz 2400 N Rockton Ave Rockford IL 61103 82147023 false X WWW.RHSNET.ORG X 1993 IL To improve and protect the health and welfare of the community we have 179 providers skilled at 30 specialites. Our physicians also staff the Level I Trauma Center, as well as the Brain & Spine Center, and the area's only Level III Regional Perinatal Center including a 44-bed Neonatal Intensive Care Unit. We have both adult and pediatric critical care Intensivists along with our adult & pediatric Hospitalists to care for all in-house patients. To improve and protect the health and welfare of the community we have 179 providers skilled at 30 specialites. Our physicians also staff the Level I Trauma Center, as well as the Brain Spine Center, and the areas only Level III Regional Perinatal Center including a 44-bed Neonatal Intensive Care Unit. We have both adult and pediatric critical care Intensivists along with our adult pediatric Hospitalists to care for all in-house patients. 15 8 746 12 0 31800 35954 77995168 81150885 26052 22667 294145 622692 78347165 81832198 0 0 82001622 84105815 0 0 39974779 38398767 121976401 122504582 -43629236 -40672384 55021629 57821261 79248955 78177386 -24227326 -20356125 The goal of Rockford Health Physicians RHPH is to improve and protect the health and welfare of the community in accordance with our mission Superior Care. Everyday. For all our patients. We will fulfill our committment through performance excellence, innovation, and lifelong learning. false false 93440661 68526157 Physician primary and specialty care services were provided to the community on an outpatient basis. Physician services were also provided for hospital inpatients, adult pediatric intensive care, inpatient and outpatient surgical services, and support to inpatients for anesthesia, high risk pregnancies, neonatology trauma services. These services were available at 9 locations throughout the region including 4 Convenient Care locations that provide for non-life threatening emergencies after regular hours. Physicians are available oncall 24-7 for the Level I Trauma Center. There were 401,816 office visits in 2010. 4187893 11974686 Ancillary Medical Services were performed to allow physicians to provide the proper care to achieve the best outcome for each patient. There were 315,264 ancillary procedures performed during 2010. RHPH provided 279,997 tests and procedures in clincial areas such as laboratory and radiology including CT scans and mammography. Other support services included pulmonary function testing, bone scans, and physical therapy. 404456 650042 The Clinical Research Department participates with various studies to provide additional benefits to our patients one tracks the survivors of breast cancer another pharmaceutical study evaluates the effects of a drug that treats osteo/rheumatoid arthritis and another studies gout. RHPH participates in a Physician Quality Report Incentive program through Medicare to measure data for quality evaluation. RHPH is also committed to providing services for Maternal and Child care as well as families through Illinois Health Connect, a means-tested program that helps kids and families get health care and stay healthy by choosing a medical home. RHPH also partners with neighboring schools to provide physicals and screenings. Staff and physicians participated in various health fairs and hosted educational forums in the communities to bring residents an awareness of a variety of health/wellness related topics - such as heart disease and prevention, healthy eating, childrens health concerns, and aging issues. 98033010 true true false false false false false false false true false false true false false true true false false false false false false false false false false false true true false false false false false false false false false false false false false false false true true true false false false 57 0 true 746 true false false false false false false false false false false false X 15 8 false false false false true true true true true false false true true true true true true true true true false IL X X David Vola Controller 8159715000 2400 N Rockton Avenue Rockford IL 61103 X Duane RBach 000.10 X 0 0 0 Jack JBecherer 000.60 X 0 0 0 James WBreckenridge 047.00 X 478500 0 103356 Thomas DBudd 000.30 X 0 0 0 John WChadwick 000.30 X 0 0 0 Eleanor FDoar 000.10 X 0 0 0 John TDorsey 060.00 X 273716 0 49864 Pamela SFox 000.10 X 0 0 0 Jos LGonzalez 052.20 X 374511 0 68096 Alphonso NGoode 001.00 X 0 0 0 Paul AGreen 000.10 X 0 0 0 Gary EKaatz 001.00 X X 0 969051 150705 Dennis TUehara 029.00 X 412499 0 70487 Connie MVitali 000.10 X 0 0 0 Curtis DWorden 000.30 X 0 0 0 Henry MSeybold 001.00 X 0 439583 59187 Julie APeterson 002.00 X 0 71646 27194 Kevin Ruggles 000.10 X 603200 0 103178 John Rhoades 040.00 X 326686 0 191703 James Sturm 040.00 X 1059934 0 391943 Allan Gocio 040.00 X 624284 0 22092 Scott Weintraub 040.00 X 595977 0 147216 Arthur Rettig 040.00 X 777762 0 50958 Paula Melone 040.00 X 632841 0 22961 Dennis Oltz 040.00 X 196419 0 36164 6356329 1480280 1495104 14 true true false Bratislav Velimirovic 1031 W Newport Ave 3 Chicago IL 60657 Healthcare Services 1099855 Athena Health PO Box 7247-6482 Philadelphia PA 19170 Billing Services 4060311 Rock Valley Industries 5549 International Drive Rockford IL 61109 Janitorial Services 619418 Integrity Rehab Group In 1945 Scottsville Rd B-2 PMB356 Bowling Green KY 42104 Healthcare Services 623415 CompHealth PO Box 972651 Dallas TX 753972651 Healthcare Services 754479 20 26898 9056 35954 Physician Medical Services 621110 43347401 43347401 Ancillary Medical Services 621400 7574794 7574794 Medicare/Medicaid 900099 29578648 29578648 Clinical Research 900099 112892 112892 Health Connect, PQRI and MCH 621400 537150 537150 81150885 23525 23525 539449 313937 225512 225512 225512 30 888 -858 -858 -858 Partnership Income 621300 31873 31873 Purchase Discounts 900099 9963 9963 Support Services 561499 60662 60662 294682 294682 397180 81832198 81150885 645359 0 0 0 0 3288380 2537408 750972 0 67116944 61388889 5728055 3019817 2777357 242460 7490605 6343554 1147051 3190069 2878384 311685 1750140 1750140 351674 351674 69321 69321 0 0 4770916 4149742 621174 746396 100 746296 2603353 1574080 1029273 1220139 910102 310037 0 5412768 432767 4980001 60210 35640 24570 0 94358 45704 48654 974908 974908 0 3640867 626459 3014408 2228670 1913191 315479 Bad Debt 4491610 4491610 Drugs and Medical Supplies 4432520 4431700 820 Other Purchased Services 4314045 2901113 1412932 1236872 595210 641662 122504582 98033010 24471572 0 14265 18435 2577702 3628746 7316396 7134367 474037 628180 1121536 598268 83118517 40267242 41911635 332857 325043 2917594 3576587 55021629 57821261 51231724 50160155 28017231 28017231 79248955 78177386 X -24227326 -20356125 -24227326 -20356125 55021629 57821261 -40672384 44543585 X X false true true X false X 0.00000 0.00000 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false 1539430 5611372 5534636 59640200 31244889 14385303 3189898 1942212 1942212 41911635 Bond Insurance Costs 347220 Deferred Comp Valuation 3091803 Capital Accumulation Account 137564 3576587 81832198 122504582 -40672384 44543585 44543585 3871201 82146135 313937 313937 81832198 81832198 122818519 313937 313937 122504582 122504582 X 2 - Audit Footnote for FIN 48 Rockford Health Physicians RHPH as a part of the System, Rockford Health System RHS, adopted FIN 48 in 2007 and the impact was not material. The System did not record any additional liabilities due to the implementation of FIN 48 for the years ended December 31, 2010 and 2009. XII 2d - Rental expenses deducted from Income, netted in Part VIII XIII 2d - Rental Expenses were not included with other 990 Part IX expense XI 8 - The following were adjusting items in the Audited Income Statement Pension related changes other than periodic pension cost 62,381 Post retirement medical benefit changes other than post retirement medical benefit cost 36,985 and Transfers to or from affiliates 44,642,951. The difference is due to rounding to thousands for the audit X true true X X X X true true false false false false false true false James WBreckenridge 290192 187174 1134 86160 17196 581856 79750 John TDorsey 261149 11433 1134 41395 8469 323580 31409 Jos LGonzalez 351014 22363 1134 52356 15740 442607 25212 Gary EKaatz 552287 304971 111792 124719 25986 1119755 76766 Dennis TUehara 387409 23543 1548 53266 17220 482986 Henry MSeybold 316687 115387 7509 47877 11310 498770 25145 Kevin Ruggles 408142 173768 21290 80607 22571 706378 46668 John Rhoades 263813 60785 2088 164847 26856 518389 20579 James Sturm 520870 538434 630 370928 21015 1451877 240321 Allan Gocio 622550 600 1134 5268 16824 646376 Scott Weintraub 281574 313864 540 126404 20812 743194 121030 Arthur Rettig 743025 2885 31852 22932 28026 828720 Paula Melone 522532 109239 1070 22769 192 655802 15625 Dennis Oltz 162480 30095 3843 13869 22296 232583 3820 I 1a - By policy Membership to the YWCA 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. I 4a - Chief Operating Officer left the organization in 2010 and was given a severance payment that began in 2011. The expense 139,631 was accrued in 2010 and attributed to him as deferred compensation. I 4b - The executive team receives annual additions to a non-qualified retirement plan. These amounts, accrued for 2010, are included in compensation and listed in detail in Part II for Gary Kaatz 93,816 John Rhoades 16,143 Kevin Ruggles 58,810 Dennis Oltz 4,242 and Henry Seybold 29,736. I 7 - Physician compensation for productivity-based providers is calculated using wRVU worked Relative Value Units as defined by CMS-Centers for Medicare/Medicaid Services. Short term incentive opportunities, designating threshold, target and maximum annual awards are established for physicians and executives, driven by the strategic initiatives and priorities of RHS. If incentive thresholds are not met, CEO may grant discretionary bonuses for outstanding performance within certain parameters. Illinois Finance Authority 861091967 45000GFS5 2008-12-11 29792000 Refund 1994 Series Bonds, Issuance Costs, SWAP Payment false false 29792000 464742 2008 true false true true false true true JP Morgan Chase 0000000009.600000000000 false false false Form 990 Part VI 6, 7a, b - Rockford Health System RHS is the sole corporate member of Rockford Health Physicians RHPh and has the authority to elect members to the board and ultimately has the authority to approve or deny all RHPh board actions. Form 990 Part VI 11 - The data was gathered by the accounting staff with input from RHPh and RHS executive staffs. The data was reviewed and the Form 990 prepared by the RHPh tax analyst. 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. A presentation of the return was made to the RHPh Finance Committee and at a meeting of the Board of Directors before filing. Form 990 Part VI 12 - RHS Compliance Department acting on behalf of RHPh annually sends out a copy of the policy with the Conflict of Interest form included. Each 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 are reviewed and appropriate actions are taken as a result of the review. 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 RHPh board. Form 990 Part VI 15 a, b - Compensation for executives 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 from all related entities including RHPH. 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 RHPh 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. The RHPh board of directors concedes the authority to set compensation to RHS as the sole corporate member. Form 990 Part VI 19 - Financial statements are available through the Illinois Attorney Generals Office. Governing documents are available by request from Board Secretary. Form 990 Part VII - These members of the board were compensated by related organizations for other duties as well as unpaid service as board members James Breckenridge 13.4 hrs Chair of Anesthesiology at Rockford Memorial Hospital RMH and service to RMH and RHS boards, John Dorsey 3 hrs Lead Physician for Quality Internal Medicine and RMH and RHS boards, Jose Gonzalez 8 Medical Director-Neonatology, RMH and RHS boards, Dennis Uehara 17 hrs Chairperson - Emergency Department, RMH and RHS and Foundation RMDF boards. Gary Kaatz had 41.4 additional hrs as President and CEO, Julie Peterson had 45.13 hrs as an executive secretary, and Henry Seybold had 37 hrs as CFO Sr VP of Finance these employees compensation includes duties within the RHPh organization and for supporting all of the related entities RHS/RMH/RMDF/VNA. Form 990 Part XII C - RHPh is included as part of a consolidated audit performed for RHS by independent accountants. The RHS audit committee selects and recommends the independent auditors to the RHS board and annually reviews the audit. Rockford Memorial Hospital 2400 N Rockton Ave Rockford IL 61103 362167847 Healthcare IL 501c3 3 Rockford Health System false Rockford Memorial Development Foundation 2400 N Rockton Ave Rockford IL 61103 363197918 Support of Healthcare IL 501c3 11 Rockford Health System false Visiting Nurses Assn of the Rockford Area 2400 N Rockton Ave Rockford IL 61103 362167945 Healthcare IL 501c3 9 Rockford Health System false Rockford Health System 2400 N Rockton Ave Rockford IL 61103 363197915 Support of Healthcare IL 501c3 11 N/A false Van Matre Rehabilitation Center LLC 3660 Grandview Pkwy Birmingham AL 35243 364397130 Healthcare IL N/A NA false false Rockford Health Insurance LTD Wellesley House So 2nd Flr 90 Pitts Pembrooke HM BD 08 Insurance BD N/A C Corp false false false false false false false false false false true true true true true false false false Rockford Memorial Hospital k 4868113 Financial Analysis Rockford Memorial Hospital l 226659 Financial Analysis Rockford Memorial Hospital m 406730 Financial Analysis Rockford Memorial Hospital n 5685246 Financial Analysis Rockford Memorial Hospital o 2504191 Financial Analysis Rockford Memorial Hospital p 506557 Financial Analysis