ROCKFORD HEALTH PHYSICIANS: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ROCKFORD HEALTH PHYSICIANS (EIN 36-3907436)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201313189349304716
- 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 | 2013-11-14T14:00:25-06:00 | 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 | 363907436 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROCKFORD HEALTH PHYSICIANS | 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 | 2300 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 | 89655553 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.RHSNET.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1993 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | TO IMPROVE AND PROTECT THE HEALTH AND WELFARE OF THE COMMUNITY, WE HAVE 175 PROVIDERS SKILLED AT 30 SPECIALITIES. OUR PHYSICIANS ALSO PROVIDE STAFF FOR ROCKFORD MEMORIAL HOSPITAL PATIENTS' NEEDS (I.E. LEVEL I TRAUMA CENTER; BRAIN & SPINE CENTER; LEVEL III REGIONAL PERINATAL CENTER & 44-BED NEONATAL ICU). | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 756 | TotalNbrEmployees |
| Total Nbr Volunteers | 10 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 26723 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 305393 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 84069085 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 85448764 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -54947 | InvestmentIncomePriorYear |
| Investment Income Current Year | -207162 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 508101 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2164321 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 84548962 | TotalRevenuePriorYear |
| Total Revenue Current Year | 87711316 | 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 | 90705421 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 92249380 | 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 | 43534166 | OtherExpensePriorYear |
| Other Expenses Current Year | 44054772 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 134239587 | TotalExpensesPriorYear |
| Total Expenses Current Year | 136304152 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -49690625 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -48592836 | RevenuesLessExpensesCY |
| Total Assets BOY | 61311050 | TotalAssetsBOY |
| Total Assets EOY | 58352194 | TotalAssetsEOY |
| Total Liabilities BOY | 82651803 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 76401818 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -21340753 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -18049624 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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 COMMITMENT THROUGH PERFORMANCE EXCELLENCE, INNOVATION, AND LIFELONG LEARNING. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 96403842 | Expense |
| Revenue | 71157737 | Revenue |
| Description | ROCKFORD HEALTH PHYSICIANS (RHPH) IS A 175 MULTI-SPECIALTY PHYSICIAN GROUP THAT HAS 10 SATELLITE AMBULATORY OFFICES AS WELL AS 5 CONVENIENT CARE LOCATIONS THAT PROVIDE FOR NON-LIFE THREATENING EMERGENCIES AFTER REGULAR OFFICE HOURS. OUR PATIENTS HAVE ACCESS TO BOARD CERTIFIED PRIMARY CARE PHYSICIANS WHO COORDINATE CARE WITH BOARD CERTIFIED SPECIALTY PHYSICIANS. IN ADDITION TO AMBULATORY PRACTICES, MANY OF OUR PHYSICIANS PROVIDE INPATIENT SERVICES AT ROCKFORD MEMORIAL HOSPITAL, A LEVEL I TRAUMA CENTER, A PSYCHIATRIC UNIT, ADULT AND PEDIATRIC INTENSIVE CARE UNITS, A DESIGNATED CHILDREN'S MEDICAL CENTER, AND A LEVEL III NEONATAL INTENSIVE CARE UNIT. PHYSICIANS ARE AVAILABLE ON CALL 24-7. THERE WERE 415,814 OFFICE VISITS IN 2012. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 10139519 | Expense |
| Revenue | 13370172 | Revenue |
| Description | ANCILLARY MEDICAL SERVICES WERE PERFORMED TO ALLOW PHYSICIANS TO PROVIDE THE PROPER CARE TO ACHIEVE THE BEST OUTCOME FOR EACH PATIENT. THERE WERE 348,564 ANCILLARY PROCEDURES PERFORMED DURING 2012. RHPH PROVIDED 268,716 TESTS AND PROCEDURES IN CLINICAL AREAS SUCH AS LABORATORY AND RADIOLOGY INCLUDING CT SCANS AND MAMMOGRAPHY. OTHER SUPPORT SERVICES INCLUDED CARDIAC TESTING, GENETIC SERVICES, PULMONARY FUNCTION TESTING, BONE SCANS, PAIN MANAGEMENT, AND PHYSICAL THERAPY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 531215 | Expense |
| Revenue | 920855 | Revenue |
| Description | THE CLINICAL RESEARCH DEPARTMENT PARTICIPATES IN STUDIES TO PROVIDE ADDITIONAL BENEFITS TO OUR PATIENTS, I.E. TRACKING BREAST CANCER SURVIVORS; A PHARMACEUTICAL STUDY TO EVALUATE A DRUG THAT TREATS OSTEO/RHEUMATOID ARTHRITIS; AND ANOTHER THAT STUDIES GOUT. RHPH PARTICIPATES IN A MEDICARE PHYSICIAN QUALITY REPORT INCENTIVE PROGRAM TO MEASURE DATA FOR QUALITY EVALUATION. RHPH IS COMMITTED TO PROVIDING SERVICES FOR MATERNAL AND CHILD CARE 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 PARTNERS WITH NEIGHBORING SCHOOLS TO PROVIDE FREE PHYSICALS AND COMMUNITY ORGANIZATIONS TO PROVIDE FREE SCREENINGS. STAFF AND PHYSICIANS PARTICIPATED IN VARIOUS HEALTH FAIRS AND HOSTED EDUCATIONAL FORUMS IN THE COMMUNITIES TO BRING RESIDENTS AN AWARENESS OF HEALTH/WELLNESS RELATED TOPICS - SUCH AS HEART DISEASE AND PREVENTION, HEALTHY EATING, CHILDREN'S HEALTH CONCERNS, AND AGING ISSUES. RHPH ALSO PARTNERS WITH A LOCAL CHURCH IN THE BRIDGE CLINIC TO SERVE UNINSURED AND/OR HOMELESS PEOPLE. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 107074576 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | 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 | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| 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 | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 61 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 756 | 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 |
| 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 | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | 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 | false | 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 (23 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 | 0.10 | 2.75 | X | X | 0 | 0 | 0 | |
| DUANE R BACH | ||||||||
| TREASURER | 0.10 | 1.10 | X | X | 0 | 0 | 0 | |
| ELEANOR F DOAR | ||||||||
| CHAIR | 0.10 | 4.80 | X | X | 0 | 0 | 0 | |
| CURTIS D WORDEN | ||||||||
| DIRECTOR | 0.10 | 2.30 | X | 12411 | 6174 | 0 | ||
| DENNIS T UEHARA | ||||||||
| DIRECTOR | 30.00 | 25.50 | X | 507590 | 0 | 72283 | ||
| JACK J BECHERER | ||||||||
| DIRECTOR | 0.25 | 1.25 | X | 0 | 0 | 0 | ||
| JAMES W BRECKENRIDGE | ||||||||
| DIRECTOR | 39.00 | 3.00 | X | 445914 | 0 | 39060 | ||
| JOHN T DORSEY | ||||||||
| DIRECTOR | 60.50 | 0.70 | X | 409023 | 0 | 53444 | ||
| JOHN W CHADWICK | ||||||||
| DIRECTOR | 0.30 | 0.31 | X | 0 | 0 | 0 | ||
| JOSE L GONZALEZ | ||||||||
| DIRECTOR | 52.20 | 1.70 | X | 399407 | 0 | 56036 | ||
| PAMELA S FOX | ||||||||
| DIRECTOR | 0.10 | 0.11 | X | 0 | 0 | 0 | ||
| PAUL A GREEN | ||||||||
| DIRECTOR | 0.10 | 2.00 | 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 | ||
| DR KEVIN RUGGLES | ||||||||
| Chief Phy Exec | 40.00 | 0 | X | 623849 | 0 | 82614 | ||
| GARY E KAATZ | ||||||||
| PRESIDENT & CEO | 1.00 | 59.00 | X | 0 | 961658 | 93117 | ||
| HENRY M SEYBOLD | ||||||||
| CFO | 1.00 | 44.25 | X | 0 | 494404 | 70335 | ||
| JULIE PETERSON | ||||||||
| SECRETARY | 2.00 | 39.25 | X | 0 | 75015 | 35063 | ||
| ARTHUR RETTIG | ||||||||
| PHYSICIAN | 40.00 | 0 | 809611 | 0 | 93400 | X | ||
| BHARATI ROY | ||||||||
| PHYSICIAN | 40.00 | 0 | 779374 | 0 | 58359 | X | ||
| GREG NOWAK | ||||||||
| PHYSICIAN | 40.00 | 0 | 771483 | 0 | 49651 | X | ||
| LANDON PRYOR | ||||||||
| PHYSICIAN | 40.00 | 0 | 783408 | 0 | 17259 | X | ||
| SCOTT WEINTRAUB | ||||||||
| PHYSICIAN | 40.00 | 0 | 705069 | 0 | 60817 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6247138 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1537252 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 781439 | TotalOtherCompensation |
| Number Individuals GT100 K | 173 | 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 |
|---|---|---|---|---|---|
| ATHENA HEALTH INC | |||||
| PO BOX 415615 | BOSTON | MA | 02241 | BILLING SERVICES | 4185229 |
| ROCKFORD HEALTH SYSTEM | |||||
| 2400 N ROCKTON AVE | ROCKFORD | IL | 61103 | ADMINISTRATIVE SERVICES | 2230469 |
| BRATISLAV VELIMIROVIC | |||||
| 425 DILLINGHAM LN | KALAMAZOO | MI | 49009 | HEALTHCARE SERVICES | 826959 |
| WEATHERBY LOCUMS | |||||
| PO BOX 972633 | DALLAS | TX | 75237 | HEALTHCARE SERVICES | 722001 |
| STAFF CARE | |||||
| PO BOX 281923 | ATLANTA | GA | 30384 | HEALTHCARE SERVICES | 698399 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 28 | NumberOfContractorsGT100K |
| Related Organizations | 302706 | RelatedOrganizations |
| All Other Contributions | 2687 | AllOtherContributions |
| Total Contributions | 305393 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PHYSICIAN MEDICAL SERVICES | 621110 | 45008217 | 45008217 |
| MEDICARE/MEDICAID | 900099 | 31062880 | 31062880 |
| ANCILLARY MEDICAL SERVICES | 621400 | 8456812 | 8456812 |
| HEALTH CONNECT, PQRI AND MCH | 621400 | 856426 | 856426 |
| CLINICAL RESEARCH | 900099 | 64429 | 64429 |
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 | 85448764 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 35253 | TotalRevenueColumn |
| Exclusion | $35,253 | ExclusionAmount |
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 |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 507719 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 294444 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 213275 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 213275 | TotalRevenueColumn |
| Exclusion | $213,275 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1407378 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1649793 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | -242415 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -242415 | TotalRevenueColumn |
| Exclusion | -$242,415 | 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)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| MEANINGFUL USE INCENTIVES | 900099 | 1555198 | $1,555,198 |
| PARTNERSHIP INCOME | 900099 | 27621 | $27,621 |
| 0 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 368227 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $368,227 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1951046 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 87711316 | TotalRevenueColumn |
| Related Or Exempt Function Income | 85448764 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,957,159 | 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 | 2689220 | Total |
| Program Services | 1926019 | ProgramServices |
| Management And General | 763201 | ManagementAndGeneral |
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 | 75368825 | Total |
| Program Services | 67491704 | ProgramServices |
| Management And General | 7877121 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3275968 | Total |
| Program Services | 3234108 | ProgramServices |
| Management And General | 41860 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7459027 | Total |
| Program Services | 6270506 | ProgramServices |
| Management And General | 1188521 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3456340 | Total |
| Program Services | 3119319 | ProgramServices |
| Management And General | 337021 | ManagementAndGeneral |
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 | 176429 | Total |
| Management And General | 176429 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98469 | Total |
| Management And General | 98469 | ManagementAndGeneral |
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 | 16230487 | Total |
| Program Services | 8394990 | ProgramServices |
| Management And General | 7835497 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 605543 | Total |
| Management And General | 605543 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1447839 | Total |
| Program Services | 476852 | ProgramServices |
| Management And General | 970987 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1941237 | Total |
| Program Services | 1576513 | ProgramServices |
| Management And General | 364724 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3256493 | Total |
| Program Services | 859864 | ProgramServices |
| Management And General | 2396629 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71041 | Total |
| Program Services | 30697 | ProgramServices |
| Management And General | 40344 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101792 | Total |
| Program Services | 48363 | ProgramServices |
| Management And General | 53429 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 875909 | Total |
| Management And General | 875909 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5895070 | Total |
| Program Services | 2531368 | ProgramServices |
| Management And General | 3363702 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1444050 | Total |
| Management And General | 1444050 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 4985430 | 4985430 | |
| DRUGS AND MEDICAL SUPPLIES | 5460975 | 5458741 | 2234 |
| PHYSICIAN BUSINESS EXPENSE | 455177 | 455177 | |
| BANKING FEES | 296583 | 296583 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 712248 | Total |
| Program Services | 214925 | ProgramServices |
| Management And General | 497323 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 136304152 | Total |
| Program Services | 107074576 | ProgramServices |
| Management And General | 29229576 | 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 | 17615 | BOY |
| EOY | 18430 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2725571 | BOY |
| EOY | 1396866 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7660257 | BOY |
| EOY | 9564999 | 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 |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 629688 | BOY |
| EOY | 727257 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 804328 | BOY |
| EOY | 555825 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 89808446 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 48392062 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45428007 | BOY |
| EOY | 41416384 | 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 | 312977 | BOY |
| EOY | 300911 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3732607 | BOY |
| EOY | 4371522 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61311050 | BOY |
| EOY | 58352194 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51016131 | BOY |
| EOY | 44125157 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28017231 | BOY |
| EOY | 28017231 | 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 | 3618441 | BOY |
| EOY | 4259430 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82651803 | BOY |
| EOY | 76401818 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -21340753 | BOY |
| EOY | -18049624 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -21340753 | BOY |
| EOY | -18049624 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61311050 | BOY |
| EOY | 58352194 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -48592836 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 51883965 | 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) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1376820 | BeginningOfYearBalance |
| Contributions | 69541 | Contributions |
| Investment Earnings Or Losses | 213330 | InvestmentEarningsOrLosses |
| Other Expenditures | 94236 | OtherExpenditures |
| Administrative Expenses | 5837 | AdministrativeExpenses |
| End Of Year Balance | 1559618 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1318056 | BeginningOfYearBalance |
| Contributions | 95814 | Contributions |
| Investment Earnings Or Losses | 10219 | InvestmentEarningsOrLosses |
| Other Expenditures | 39270 | OtherExpenditures |
| Administrative Expenses | 7999 | AdministrativeExpenses |
| End Of Year Balance | 1376820 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 872520 | BeginningOfYearBalance |
| Contributions | 320215 | Contributions |
| Investment Earnings Or Losses | 177228 | InvestmentEarningsOrLosses |
| Other Expenditures | 44769 | OtherExpenditures |
| Administrative Expenses | 7138 | AdministrativeExpenses |
| End Of Year Balance | 1318056 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 372396 | BeginningOfYearBalance |
| Contributions | 369919 | Contributions |
| Investment Earnings Or Losses | 134193 | InvestmentEarningsOrLosses |
| Administrative Expenses | 3988 | AdministrativeExpenses |
| End Of Year Balance | 872520 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 474280 | BeginningOfYearBalance |
| Contributions | 40484 | Contributions |
| Investment Earnings Or Losses | -139221 | InvestmentEarningsOrLosses |
| Administrative Expenses | 3147 | AdministrativeExpenses |
| End Of Year Balance | 372396 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.22000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.40200 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.37800 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1389430 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 5756867 | OtherCostOrOtherBasis |
| Book Value | 7146297 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 58733845 | OtherCostOrOtherBasis |
| Depreciation | 33691610 | Depreciation |
| Book Value | 25042235 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2859131 | OtherCostOrOtherBasis |
| Depreciation | 989100 | Depreciation |
| Book Value | 1870030 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15844369 | OtherCostOrOtherBasis |
| Depreciation | 11906942 | Depreciation |
| Book Value | 3937428 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5224804 | OtherCostOrOtherBasis |
| Depreciation | 1804410 | Depreciation |
| Book Value | 3420394 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 41416384 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| BOND ISSUANCE COSTS | 313942 |
| DEFERRED COMP VALUATION | 3889237 |
| CAPITAL ACCUMULATION ACCOUNT | 161404 |
| CAA - FAS124 VALUATION | 6939 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 4371522 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO RELATED ORGANIZATIONS | $53,974 |
| CAPITAL ACCUMULATION LIABILITY | $161,404 |
| CAA-FAS 124 VALUATION | $6,939 |
| DEFERRED COMPENSATION VALUATION | $3,887,113 |
| ASSET RECOVERY OBLIGATION | $150,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4259430 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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. |
| Intended uses of endowment funds | Schedule D, Part V, Line 4 | FUNDS 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 J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ARTHUR RETTIG | ||||||||||||||
| PHYSICIAN | 791864 | 0 | 0 | 0 | 17747 | 0 | 62802 | 0 | 30598 | 0 | 903011 | 0 | 0 | 0 |
| BHARATI ROY | ||||||||||||||
| PHYSICIAN | 778600 | 0 | 0 | 0 | 774 | 0 | 17000 | 0 | 41359 | 0 | 837732 | 0 | 0 | 0 |
| DENNIS T UEHARA | ||||||||||||||
| DIRECTOR | 504944 | 0 | 0 | 0 | 2646 | 0 | 36485 | 0 | 35798 | 0 | 579873 | 0 | 0 | 0 |
| DR KEVIN RUGGLES | ||||||||||||||
| CHIEF PHY EXEC | 444413 | 0 | 177348 | 0 | 2088 | 0 | 56551 | 0 | 26063 | 0 | 706463 | 0 | 0 | 0 |
| GARY E KAATZ | ||||||||||||||
| PRESIDENT & CEO | 0 | 660277 | 0 | 270760 | 0 | 30622 | 0 | 64722 | 0 | 28395 | 0 | 1054775 | 0 | 0 |
| GREG NOWAK | ||||||||||||||
| PHYSICIAN | 770853 | 0 | 0 | 0 | 630 | 0 | 17000 | 0 | 32651 | 0 | 821135 | 0 | 0 | 0 |
| HENRY M SEYBOLD | ||||||||||||||
| CFO | 0 | 370116 | 0 | 122614 | 0 | 1674 | 0 | 42488 | 0 | 27848 | 0 | 564740 | 0 | 0 |
| JAMES W BRECKENRIDGE | ||||||||||||||
| DIRECTOR | 444366 | 0 | 0 | 0 | 1548 | 0 | 0 | 0 | 39060 | 0 | 484974 | 0 | 0 | 0 |
| JOHN T DORSEY | ||||||||||||||
| DIRECTOR | 408000 | 0 | 0 | 0 | 1024 | 0 | 22500 | 0 | 30944 | 0 | 462467 | 0 | 0 | 0 |
| JOSE L GONZALEZ | ||||||||||||||
| DIRECTOR | 398273 | 0 | 0 | 0 | 1134 | 0 | 17000 | 0 | 39036 | 0 | 455443 | 0 | 0 | 0 |
| LANDON PRYOR | ||||||||||||||
| PHYSICIAN | 782886 | 0 | 0 | 0 | 522 | 0 | 0 | 0 | 17259 | 0 | 800666 | 0 | 0 | 0 |
| SCOTT WEINTRAUB | ||||||||||||||
| PHYSICIAN | 704439 | 0 | 0 | 0 | 630 | 0 | 17000 | 0 | 43817 | 0 | 765886 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Arrangement used to establish the top management official's compensation | Identifier |
| Return Reference | Schedule J, Part I, Line 3 | ReturnReference |
| Explanation | THE BOARD OF DIRECTORS HAS A COMPENSATION COMMITTEE THAT REVIEWS EXECUTIVE COMPENSATION. THEY ALSO AUTHORIZE AN INDEPENDENT FIRM TO PROVIDE DATA FOR ANALYSIS OF THE INDUSTRY AND THE MARKET. THE COMMITTEE REVIEWS RESULTS AND MAKES A RECOMMENDATION TO THE BOARD WHICH ACTS UPON THIS INFORMATION TO SET COMPENSATION FOR THE CEO. THE EMPLOYMENT CONTRACT IS DRAFTED BY THE COO AND VP OF ADMINISTRATION BUT AUTHORED BY THE CHAIRMAN OF THE COMPENSATION COMMITTEE AND PRESENTED TO THE CEO. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ILLINOIS FINANCE AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 861091967 | IssuerEIN |
| CUSIP Number | 45200FSG5 | CUSIPNumber |
| Date Issued | 2008-12-11 | DateIssued |
| Issue Price | 28017231 | IssuePrice |
| Description Of Purpose | REFUND 1994 SERIES BONDS | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 0 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 28017231 | TotalProceeds |
| Amount In Reserve Fund | 0 | AmountInReserveFund |
| Capitalized Interest | 0 | CapitalizedInterest |
| Refunding Escrow | 0 | RefundingEscrow |
| Issuance Costs From Proceeds | 437056 | IssuanceCostsFromProceeds |
| Credit Enhancement | 14976 | CreditEnhancement |
| Working Capital Expenditures | 0 | WorkingCapitalExpenditures |
| Capital Expenditures | 0 | CapitalExpenditures |
| Other Spent Proceeds | 27565198 | OtherSpentProceeds |
| Amount Unspent | 0 | AmountUnspent |
| Year Of Subst Completion | 2008 | YearOfSubstCompletion |
| Current Refunding | true | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Engage Bond Counsel Contracts | false | EngageBondCounselContracts |
| Any Research Agreements | false | AnyResearchAgreements |
| Engage Bond Counsel Research | false | EngageBondCounselResearch |
| Prcntge Prvt Business Use By Others | 0.0000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.0000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.0000 | TotalPrivateBusinessUse |
| Bond Iss Meet Prvt Security Pay Test | false | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedProp |
| Prcntge Bond Financed Prop | 0.000000 | PrcntgeBondFinancedProp |
| Remedial Action Taken | false | RemedialActionTaken |
| Non Qualified Bond Remed Procdrs | false | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiled |
| Rebate Not Due Yet | true | RebateNotDueYet |
| Exception To Rebate | false | ExceptionToRebate |
| No Rebate Due | false | NoRebateDue |
| Variable Rate Issue | true | VariableRateIssue |
| Hedge Identified In Books And Recds | true | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JP MORGAN CHASE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 10.3 | TermOfHedge |
| Superintegrated Hedge | false | SuperintegratedHedge |
| Hedge Terminated | false | HedgeTerminated |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Term Of GIC | 0 | TermOfGIC |
| Regulatory Safe Harbor Satisfied | false | RegulatorySafeHarborSatisfied |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Written Proc To Monitor Reqs | true | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | true | ProcToUndertkCorrectiveAction |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ISSUE PRICE NOT IDENTICAL TO FORM 8038 | Identifier |
| Return Reference | SCHEDULE K, PART I, COLUMN (E) | ReturnReference |
| Explanation | THE TOTAL ISSUANCE OF THE 2008 BONDS ISSUED FROM ILLINOIS FINANCE AUTHORITY WERE ISSUED TO RHPH AND A RELATED ORGANIZATION, ROCKFORD MEMORIAL HOSPITAL (RMH). RHPH HAS REPORTED ITS SHARE OF THE ISSUANCE ON FORM 990, PART X, LINE 20, AND ACCORDINGLY HAS REPORTED CONSISTENTLY FOR PURPOSES OF SCHEDULE K. THE TOTAL ISSUE PRICE PER THE FORM 8038 IS $60,800,000, AND RMH REPORTS THE DIFFERENCE ON ITS FORM 990. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 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 SHALL BE THE THE FOLLOWING INDIVIDUALS, EACH OF WHOM SHALL HAVE A VOTE: RHS CEO, CHAIRMAN, VICE-CHAIRMAN, IMMEDIATE PAST CHAIRMAN, TREASURER AND TWO ADDITIONAL DIRECTORS. AT LEAST ONE MEMBER OF THE EXECUTIVE COMMITTEE SHALL BE A PHYSICIAN. THE EXECUTIVE COMMITTEE SHALL BE COMPRISED OF AT LEAST 51% COMMUNITY MEMBERS. 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. |
| Classes of members or stockholders | Form 990, Part VI, Section A, Line 6 | ROCKFORD HEALTH SYSTEM (RHS) IS THE SOLE CORPORATE MEMBER OF ROCKFORD HEALTH PHYSICIANS (RHPH). THE SOLE MEMBER SHALL HAVE POWERS AND VOTING RIGHTS TO DO THE FOLLOWING: (A) APPOINT ALL THE DIRECTORS OF RHPH. (B) NOMINATE TO RHPH'S BOARD OF DIRECTORS ALL CANDIDATES FOR SELECTION AS THE RHPH PRESIDENT. (C) APPROVE EXPRESSLY ALL AMENDMENTS TO RHPH'S ARTICLES OF INCORPORATION AND BY-LAWS. (D) APPROVE ANNUAL BUDGETS, AND STRATEGIC, LONG-RANGE AND HEALTH MANPOWER DEVELOPMENT PLANS OF RHPH. (E) APPROVE ALL CONTRACTS (INCLUDING CONTRACTS OF INDEBTEDNESS) EFFECTIVE FOR LONGER THAN EIGHTEEN MONTHS. (F) APPROVE ALL PLANS OF MERGER OR CONSOLIDATION. (G) APPROVE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF RHPH. (H) APPROVE A VOLUNTARY DISSOLUTION OF THE RHPH. (I) APPROVE MATERIAL AMENDMENTS TO RHPH'S STANDARD FORM OF PHYSICIAN EMPLOYMENT AGREEMENT. (J) APPROVE MATERIAL AMENDMENTS TO THE STANDARD COMPENSATION SYSTEM USED BY RHPH TO ESTABLISH INDIVIDUAL PHYSICIAN COMPENSATION. (K) REQUIRE RHPH TO TAKE ANY ACTION (INCLUDING AMENDING THE 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 RHPH'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 body | Form 990, Part VI, Section A, Line 7a | SEE NARRATIVE FOR PART VI, LINE 6 |
| Decisions requiring approval by members or stockholders | Form 990, Part VI, Section A, Line 7b | SEE NARRATIVE FOR PART VI, LINE 6 |
| Review of form 990 by governing body | Form 990, Part VI, Section B, Line 11b | THE DATE 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 STAFF. ONCE THE FORM 990 WAS MADE AVAILABLE IT WAS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 WAS MADE AVAILABLE TO ALL BOARD MEMBERS ON A SECURE INTERCOMPANY WEBSITE. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | RHS COMPLIANCE DEPARTMENT (ACTING ON BEHALF OF RHPH) IS REQUIRED TO ANNUALLY SEND OUT A COPY OF THE POLICY WITH THE CONFLICT OF INTEREST FORM INCLUDED. EACH MEMBER IS TO COMPLETE THE FINANCIAL INTEREST DISCLOSURE STATEMENT WHICH IS 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 STATEMENT TO COMPLETE AT THE BEGINNING OF THE YEAR OR AS A NEW PARTY IS HIRED OR JOINS THE RHPH BOARD. THIS PROCESS IS COMPLETED ANNUALLY, AND WAS LAST PERFORMED IN 2012. |
| PROCESS USED TO ESTABLISH COMPENSATION FOR TOP MANAGEMENT OFFICIAL | FORM 990, PART VI, LINE 15A | ROCKFORD HEALTH PHYSICIANS' TOP MANAGEMENT OFFICIAL IS THE PRESIDENT & CEO OF ROCKFORD HEALTH SYSTEMS (RHS), THE SOLE CORPORATE MEMBER. COMPENSATION FOR EXECUTIVES, INCLUDING THE TOP MANAGEMENT OFFICIAL, 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 DETERMINED BY THE COMPENSATION COMMITTEE. THE RHPH BOARD OF DIRECTORS CONCEDES THE AUTHORITY TO SET COMPENSATION TO RHS. |
| Process used to establish compensation of other officers/key employees | Form 990, Part VI, Section B, Line 15b | COMPENSATION FOR EXECUTIVES, INCLUDING 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 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 DETERMINED BY THE COMPENSATION COMMITTEE. THE RHPH BOARD OF DIRECTORS CONCEDES THE AUTHORITY TO SET COMPENSATION TO RHS. 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 GENERALS OFFICE. 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 | OTHER EXPENSES - TOTAL EXPENSE: 416216, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 416216, FUNDRAISING EXPENSES: ; ADMINISTRATIVE FEE PAID TO RHS - TOTAL EXPENSE: 2230469, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 2230469, FUNDRAISING EXPENSES: ; OTHER PURCHASED SERVICES - TOTAL EXPENSE: 2751089, PROGRAM SERVICE EXPENSE: 1747506, MANAGEMENT AND GENERAL EXPENSES: 1003583, FUNDRAISING EXPENSES: ; BILLING AND COLLECTION AGENCY FEES - TOTAL EXPENSE: 4185229, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 4185229, FUNDRAISING EXPENSES: ; PURCHASED LABOR - TOTAL EXPENSE: 6647484, PROGRAM SERVICE EXPENSE: 6647484, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; |
| Other changes in net assets or fund balances | Form 990 , Part XI, Line 9 | CUM EFF CHG IN ACCT - PENSION - -784155; CUM EFF CHG IN ACCT - POST RETIREMENT - -72053; TRANSFER FROM AFFILIATES - 52740173; |
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 SYSTEM | |||||||||
| 2400 N ROCKTON AVE | ROCKFORD | IL | 61103 | SUPPORT OF HEALTHCARE | IL | 501(C)(3) | 11 - Type III - FI | NA | false |
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 | true | 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 | true | 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 | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
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