JAVON BEA HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: JAVON BEA HOSPITAL (EIN 36-2167847)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-07
IRS object ID: 201243169349300604
Schema version: 2011v1.2
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-07T15:57:14-00:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PricewaterhouseCoopers	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 Market St Ste 1700	AddressLine1
City	Philadelphia	City
State	PA	State
ZIP Code	19103	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	362167847	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Rockford Memorial Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ROCK	NameControl
Phone	8159715000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2400 N Rockton Ave	AddressLine1
City	Rockford	City
State	IL	State
ZIP Code	61103	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Henry M Seybold	Name
Title	Senior VP of Finance CFO	Title
Date Signed	2012-11-06	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Matthew Petroski	Name
Phone	2673303000	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	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	472436585	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.rhsnet.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1905	YearFormation
State Legal Domicile	IL	StateLegalDomicile
Activity Or Mission Description	To improve and protect the health and welfare of the community in accordance with our mission Superior Care, Every Day, For all our patients. A 396-bed hospital with a Level 1 Trauma Center, Level III Neonatal Intensive Care Unit, regions only Pediatric Intensive Care Unit designated Disaster POD hospital.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	2808	TotalNbrEmployees
Total Nbr Volunteers	368	TotalNbrVolunteers
Total Gross UBI	686584	TotalGrossUBI
Net Unrelated Business Txbl Income	-67770	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	4003677	ContributionsGrantsPriorYear
Contributions Grants Current Year	5435291	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	349978108	ProgramServiceRevenuePriorYear
Program Service Revenue CY	339566034	ProgramServiceRevenueCY
Investment Income Prior Year	6026508	InvestmentIncomePriorYear
Investment Income Current Year	2459256	InvestmentIncomeCurrentYear
Other Revenue Prior Year	164128	OtherRevenuePriorYear
Other Revenue Current Year	1986709	OtherRevenueCurrentYear
Total Revenue Prior Year	360172421	TotalRevenuePriorYear
Total Revenue Current Year	349447290	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	845017	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	580004	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	137556563	SalariesEtcPriorYear
Salaries Etc Current Year	144424398	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	146852556	OtherExpensePriorYear
Other Expenses Current Year	153454823	OtherExpensesCurrentYear
Total Expenses Prior Year	285254136	TotalExpensesPriorYear
Total Expenses Current Year	298459225	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	74918285	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	50988065	RevenuesLessExpensesCY
Total Assets BOY	372867851	TotalAssetsBOY
Total Assets EOY	363793401	TotalAssetsEOY
Total Liabilities BOY	208340079	TotalLiabilitiesBOY
Total Liabilities EOY	206619071	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	164527772	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	157174330	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	The Mission of Rockford Health System and Rockford Memorial Hospital is Superior Care, Every Day, 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	162083950	Expense
Revenue	207940086	Revenue
Description	Rockford Memorial Hospital is a not-for-profit charitable healthcare institution that functions in accordance with all applicable laws and regulations. In the course of operations, RMH is committed to provide superior care every day for all its patients. RMH is a 396-bed regional referral hospital which includes a Level I Trauma Center, Level III Neonatal Intensive Care Unit and the regions only Pediatric Intensive Care Unit. In 2011 patient care was rendered to 12,849 individuals who presented themselves for service including 1,529 deliveries and 3,673 inpatient surgeries along with supporting 50,800 emergency visits.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	74655776	Expense
Revenue	128814607	Revenue
Description	RMH is designated by the IL Dept of Health as the Disaster POD hospital for the Northern IL EMS region. As a Level I Trauma Center, RMH provides patient care, diagnostic and therapeutic services 24/7 to all who present themselves for service. In 2011 that included 1,261 visits to the sleep lab 89,946 diagnostic radiology procedures or tests 8,029 Radiation Oncology treatments 35,044 cardiac prodcures or tests 5,089 visits to the Pain Clinic and 200,374 respiratory therapy treatments. Through the outreach services of Rockford Health Medical Laboratories RHML, RMH has provided timely and responsive lab services to other hospitals, physicians offices, and government agencies, while the in-house laboratory provides testing for all who present themselves at the hospital for treatment. In 2011, RHML performed 1,474,737 tests.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	4456509	Expense
Grants	420004	Grants
Revenue	64642	Revenue
Description	RMH has provided health education and putreach in a variety of forms within the eleven country area that includes several school partnerships, mentoring, health programs, teaching, job shadowing and volunteering. RMH hosts support groups, training classses, and lectures series for health and safety related topics. Employees staff community health fairs and open health screenings. In a program jointly sponsored with Ronald McDonald Charities, RMH staffs the Caremobiles which provided 711 health and dental checkups and basic health services to 496 underinsured and uninsured chilldren. RMH also provides both foreign language and hearing impaired assistance to patients and their families to help them communicate with medical personnal for treatment. Funds were also used to improve general healthcare conditions throughout the state.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	820140	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	160000	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	388931	TotalOfOtherProgramServiceRev
Total Program Service Expense	242016375	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
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	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
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	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	true	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	193	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	2808	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	BD	NameOfForeignCountry
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	7	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	false	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	David Vola Controller	NamePerson
Telephone Number	8159715000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2400 N Rockton Avenue	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 (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	FormerFormer	Highest Compensated EmployeeHighestCompensatedEmployee
James WBreckenridge
Director	001.00	X	0	454003	37875
Thomas DBudd
Director	000.30	X	0	0	0
John WChadwick
Director	000.30	X	0	0	0
Eleanor FDoar
Director	001.00	X	0	0	0
John TDorsey
Director	000.10	X	0	326375	51104
Pamela SFox
Director	000.10	X	0	0	0
Jos LGonzalez
Director	000.70	X	0	397162	54899
Alphonso NGoode
Director	001.00	X	0	0	0
Jack WPackard
Director	000.50	X	0	0	0
Dennis TUehara
Director	020.50	X	0	469530	71890
Connie MVitali
Director	002.00	X	0	0	0
Curtis DWorden
Director	000.50	X	0	0	0
Paul AGreen
Chairman	001.00	X	0	0	0	X
Duane RBach
Treas/Vice-Chair	000.10	X	0	0	0	X
Gary EKaatz
President	001.00	X	0	1065011	210096	X
Henry MSeybold
Treasurer	003.00		0	494320	104980	X
Julie APeterson
Secretary	001.00		0	77262	34984	X
Gordon Langejans
VP Med Affairs	031.30		313003	0	53612	X
Kerry Hill
VP Finance	040.00		0	243925	87263		X
Carolyn Bengtson
VP Utilization Management	040.00		331849	0	71478			X
Michael Tyrkus
Director of Cytogentics	040.00		226874	0	54374			X
Susan Schreier
Chief Nursing Officer	040.00		252442	0	67288			X
Curt Lesher
Pharmacy Manager	040.00		186569	0	38928			X
Lawrence Verfurth
VP Clinical Integration	040.00		344624	0	70608			X
Dan Parod
VP Hospital Admin COO	040.00		0	398441	90152	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1655361	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3926029	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1099531	TotalOtherCompensation
Number Individuals GT100 K	15	NumberIndividualsGT100K
Formers Listed	true	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
Philips Medical System
PO Box 100355	Atlanta	GA	30384	Contract Maintenance	2066730
Cardiac Surgery Associates
PO Box 1285	Joliet	IL	604341285	Healthcare Provider	1200000
Schmeling Construction Co
315 Harrison Ave	Rockford	IL	61104	General Contractors	2391554
HLS Wheeling LLC
45 W Hintz	Wheeling	IL	600906073	Laundry Services	1112330
Air Methods Corp
PO Box 676592	Dallas	TX	752676592	Helicopter Pilot/Services	1213288

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	69	NumberOfContractorsGT100K
Related Organizations	855610	RelatedOrganizations
Government Grants	4577402	GovernmentGrants
All Other Contributions	2279	AllOtherContributions
Total Contributions	5435291	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Inpatient Routine Ancillary	900099	95781125	95781125
Outpatient Emergency	621400	77980458	77980458
Diagnostic Medical Laboratory	621500	11592548	10922229	670319
Medicare/Medicaid	900099	149839565	149839565

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	4372338	TotalRevenueColumn
Related Or Exempt Function Income	1856087	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	11425	UnrelatedBusinessRevenue
Exclusion	$2,493,400	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	339566034	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	942146	TotalRevenueColumn
Exclusion	$942,146	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	501884	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	328376	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	173508	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	173508	TotalRevenueColumn
Related Or Exempt Function Income	142218	RelatedOrExemptFunctionIncome
Exclusion	$31,290	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	124164954	Securities
Other	13075	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	122630955	Securities
Other	29964	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1533999	Securities
Other	-16889	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1517110	TotalRevenueColumn
Exclusion	$1,517,110	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Cafeteria/Food Service/Catering	Description
Business Code	722320	BusinessCode
Total Revenue Column	1813201	TotalRevenueColumn
Unrelated Business Revenue	4840	UnrelatedBusinessRevenue
Exclusion	$1,808,361	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1813201	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	349447290	TotalRevenueColumn
Related Or Exempt Function Income	336521682	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	686584	UnrelatedBusinessRevenue
Exclusion	$6,792,307	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	580004	Total
Program Services	580004	ProgramServices

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	369086	Total
Management And General	369086	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	107475700	Total
Program Services	85795649	ProgramServices
Management And General	21680051	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	7875308	Total
Program Services	3433571	ProgramServices
Management And General	4441737	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	21494708	Total
Program Services	19799336	ProgramServices
Management And General	1695372	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7209596	Total
Program Services	6243896	ProgramServices
Management And General	965700	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	4028495	Total
Program Services	18688	ProgramServices
Management And General	4009807	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	170195	Total
Management And General	170195	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	177702	Total
Management And General	177702	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Fees For Services Prof Fundraising		FeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	722261	Total
Management And General	722261	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	869474	Total
Program Services	376209	ProgramServices
Management And General	493264	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	984572	Total
Program Services	3305	ProgramServices
Management And General	981267	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	9968619	Total
Program Services	6234613	ProgramServices
Management And General	3734006	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	8878695	Total
Program Services	3733206	ProgramServices
Management And General	5145489	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	9665537	Total
Program Services	6233824	ProgramServices
Management And General	3431713	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	161014	Total
Program Services	129975	ProgramServices
Management And General	31039	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	625743	Total
Program Services	181816	ProgramServices
Management And General	443927	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2664447	Total
Program Services	2664447	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	16035682	Total
Program Services	10308375	ProgramServices
Management And General	5727307	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	5401312	Total
Program Services	4274318	ProgramServices
Management And General	1126994	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Medicaid Assessment Tax	9947850	9947850
Supplies/Drugs	47898838	47653459	245379
Healthcare Services	12069966	12069966
Bad Debt Expense	15733857	15733857

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	7450564	Total
Program Services	6600011	ProgramServices
Management And General	850553	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	298459225	Total
Program Services	242016375	ProgramServices
Management And General	56442849	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	3500	BOY
EOY	4300	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	56353959	BOY
EOY	24657024	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	494476	BOY
EOY	393042	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	44815243	BOY
EOY	63598137	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	12713	BOY
EOY	8339	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	6056539	BOY
EOY	6499050	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	6805891	BOY
EOY	6476302	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	285367409	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	196889444	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	79293676	BOY
EOY	88477965	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	158236077	BOY
EOY	153262728	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	20795777	BOY
EOY	20416514	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	372867851	BOY
EOY	363793401	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	108410765	BOY
EOY	113099756	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	70987769	BOY
EOY	67936205	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	685072	BOY
EOY	174834	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	28256473	BOY
EOY	25408276	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	208340079	BOY
EOY	206619071	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	156330922	BOY
EOY	148928034	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5571691	BOY
EOY	5621137	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2625159	BOY
EOY	2625159	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	164527772	BOY
EOY	157174330	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	372867851	BOY
EOY	363793401	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	50988065	ReconcilationRevenueExpenses
Reconcilation Other Changes	-58341507	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii
Public Support Pertcentage170	0.00000	PublicSupportPertcentage170
Public Support Percentage509	0.00000	PublicSupportPercentage509
Investment Income Percentage	0.00000	InvestmentIncomePercentage

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

Field	Value	IRS element (for citing)
Included On FS	false	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4630241	BeginningOfYearBalance
Contributions	857889	Contributions
Investment Earnings Or Losses	-82645	InvestmentEarningsOrLosses
Grants Or Scholarships	170000	GrantsOrScholarships
Other Expenditures	687889	OtherExpenditures
Administrative Expenses	28254	AdministrativeExpenses
End Of Year Balance	4519342	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4309770	BeginningOfYearBalance
Contributions	748599	Contributions
Investment Earnings Or Losses	347198	InvestmentEarningsOrLosses
Grants Or Scholarships	190000	GrantsOrScholarships
Other Expenditures	558599	OtherExpenditures
Administrative Expenses	26727	AdministrativeExpenses
End Of Year Balance	4630241	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3472212	BeginningOfYearBalance
Contributions	555556	Contributions
Investment Earnings Or Losses	938002	InvestmentEarningsOrLosses
Grants Or Scholarships	250000	GrantsOrScholarships
Other Expenditures	381821	OtherExpenditures
Administrative Expenses	24179	AdministrativeExpenses
End Of Year Balance	4309770	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4463526	BeginningOfYearBalance
Contributions	800219	Contributions
Investment Earnings Or Losses	-1259075	InvestmentEarningsOrLosses
Grants Or Scholarships	200000	GrantsOrScholarships
Other Expenditures	305881	OtherExpenditures
Administrative Expenses	26577	AdministrativeExpenses
End Of Year Balance	3472212	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
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	468730	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	2111708	OtherCostOrOtherBasis
Book Value	2580438	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	5460891	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	48690900	OtherCostOrOtherBasis
Depreciation	37693422	Depreciation
Book Value	16458369	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	99060	OtherCostOrOtherBasis
Depreciation	91690	Depreciation
Book Value	7370	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	212480448	OtherCostOrOtherBasis
Depreciation	153714230	Depreciation
Book Value	58766218	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16055672	OtherCostOrOtherBasis
Depreciation	5390102	Depreciation
Book Value	10665570	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	88477965	TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
Deferred Financing Costs	591145
Other	5113654
Land Held for Future Use	6422260
Partnerships	8289455
Deposits

Field	Value	IRS element (for citing)
Total Book Value Other Assets	20416514	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
Post Retirement	$5,379,032
Basic Pension	$19,706,195
Capital Lease	$323,049

Field	Value	IRS element (for citing)
Total Of Amounts	25408276	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	X	Identifier
Return Reference	2	ReturnReference
Explanation	- Rockford Memorial Hospital as a part of RHS Rockford Health System adopted FIN 48 in 2007 and the impact was not material. Therefore there was no audit footnote in 2011.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Tailored To Ind Hospitals	X	PolicyTailoredToIndHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	0000000175.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8668477	TotalCommunityBenefitExpense
Net Community Benefit Expense	8668477	NetCommunityBenefitExpense
Percent Of Total Expense	0.02820	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	75103382	TotalCommunityBenefitExpense
Direct Offsetting Revenue	83356760	DirectOffsettingRevenue
Net Community Benefit Expense	-8253378	NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	83771859	TotalCommunityBenefitExpense
Direct Offsetting Revenue	83356760	DirectOffsettingRevenue
Net Community Benefit Expense	415099	NetCommunityBenefitExpense
Percent Of Total Expense	0.02820	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1660967	TotalCommunityBenefitExpense
Direct Offsetting Revenue	734255	DirectOffsettingRevenue
Net Community Benefit Expense	926712	NetCommunityBenefitExpense
Percent Of Total Expense	0.00310	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1854173	TotalCommunityBenefitExpense
Direct Offsetting Revenue	179627	DirectOffsettingRevenue
Net Community Benefit Expense	1674546	NetCommunityBenefitExpense
Percent Of Total Expense	0.00560	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	25696858	TotalCommunityBenefitExpense
Direct Offsetting Revenue	22760647	DirectOffsettingRevenue
Net Community Benefit Expense	2936211	NetCommunityBenefitExpense
Percent Of Total Expense	0.00980	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	485891	TotalCommunityBenefitExpense
Net Community Benefit Expense	485891	NetCommunityBenefitExpense
Percent Of Total Expense	0.00160	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	29697889	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23674529	DirectOffsettingRevenue
Net Community Benefit Expense	6023360	NetCommunityBenefitExpense
Percent Of Total Expense	0.02010	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	113469748	TotalCommunityBenefitExpense
Direct Offsetting Revenue	107031289	DirectOffsettingRevenue
Net Community Benefit Expense	6438459	NetCommunityBenefitExpense
Percent Of Total Expense	0.04830	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$15,761,729	BadDebtExpenseAmount
Amount Reimbursed By Medicare	82677418	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	84499414	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1821996	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	VanMatre Health South	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	Rehab Hospital	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.50000	OrganizationProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Childrens HospitalChildrensHospital	Teaching HospitalTeachingHospital	Critical Access HospitalCriticalAccessHospital	Er24 HoursEr24Hours	OtherOther
Rockford Memorial Hospital
1	2400 N Rockton Avenue	Rockford	IL	61103	X	X	X	X	X	X
VanMatre Health South
2	950 S Mulford	Rockford	IL	61108	X						Rehabilitation

Form990 Schedule H Part VI Form990ScheduleHPartVI (66 entries)

IdentifierIdentifier	ExplanationExplanation
Part I line 3c	Rockford Memorial Hospital RMH offers two charity care programs - HUPDA and our traditional charity care program. We will process charity care for whichever provides the highest percentage of discount. These criteria are determined as early as possible, preferably before or at the time of service. HUPDA is the Illinois Hospital Uninsured Patient Discount Act for all uninsured patients. Eligibility consists of being an uninsured Illinois resident, income below 600 of FPG, being
Part I line 3c	continued treated for a medically necessary condition or event, limited to 25 of annual income. Patients submit proof of income including tax returns/pay stubs within 60 days of discharge. Traditional discounts follow our internal traditional charity care program for those who are uninsured or are insured with a patient liability. This income limit is 300 of FPG. Patient must submit proof of income that includes tax returns. Underinsured patients may be eligible for other
Part I line 3c	continued discounts towards the patient liability. There are also potential discounts for Catastrophic Financial Assistance and/or Prompt Pay. Extenuating circumstances may also be taken into account. Our partner hospital VMHS is a for-profit hospital that is part of a larger health organization. Therefore most of the responses concern only the RMH process and procedures.
Part I line 6a	Rockford Health System prepares an annual Hospital Community Benefit Report as required by the State of Illinois. The report includes data for Rockford Memorial Hospital RMH as well as the other four related tax-exempt organizations. The report is distributed within the health system and is also available upon request.
Part I line 6a	continued Our partner hospital VMHS is a for-profit hospital that is part of a larger health organization. As such, they do not prepare a community benefit report. This and most of the following responses concern only the RMH process and procedures.
Part I line 7	The hospital utilized both the Medicare Cost Report CCR cost-to-charge ratio and our cost accounting system to determine the cost of charges, bad debt and charity care expense included in Line 7. The subsidized programs also include the costs based on a calculated CCR from our physician clinic because there are no physicians costs included in the hospital cost accounting analysis. Bad debt and charity at cost have been removed from lines 7e/7f/7g since those costs were previously included.
Part III line 4	Rockford Health System Consolidated Audit reports The Systems policy is to provide medically necessary health care services regardless of the patients ability to pay for such care. RHS maintains records to identify and monitor the charity, uncompensated care and community benefit it provides. These records include the cost for services and supplies furnished under its policies as well as the estimated difference between the cost of the services provided to Medicaid patients and the reimbursement received from the state for this care. The costs of service are estimated using the annual cost-to-charge ratio.
Part III line 4	cont During the years ended December 31, 2011 and 2010, the following levels of charity care and community service, including serviced for which the System received no reimbursement or was reimbursed below cost, were provided. Estimated costs and expenses incurred for charity care in 000s 2011 -10,185 2010 - 10,772. Estimated cost over reimbursement for Medicaid patients care 2011 - 9,388 2010 - 4,299. Cost of other Charity Care and Community Benefits 2011 - 25,385 2010 - 21,668.
Part III line 4	cont In addition to the above, the System received no reimbursement or is reimbursed below cost for these services, for the years ended December 31, 2011 and 2010 Estimated cost over reimbursement for Medicare patients care 2011 - 32,608 2010 - 26,273. Estimated costs for bad debt 2011 - 9,029 2010 - 7,847.
Part III line 4	cont Total cost of Charity, Uncompensated Care Other Community Services 2011 - 67,022 2010 - 55,788 community service, research and education 2011 - 5,812 2010 - 6,597. The System actively sponsors community benefits that respond to community needs. These programs focus on the underserved with the intention of improving the overall health of the entire community. Examples of this outreach include mobile clinics, partnering with local schools and employers to provide health
Part III line 4	cont screenings, support and health education providing social services, such as multi-faith ministry, intepreters and support groups providing emergency medical training to other providers across the region and serving as the regions emergency disaster response center. Our 24 hour emergency room, mental health services, and multiple convenient care locations provide for various
Part III line 4	cont and timely health care needs throughout the region. Since bad debt is often difficult to distinguish from charity care due to insufficient data provided by the patient, RMH continues to provide superior care to all patients as a part of its mission and considers the cost of bad debt writeoffs as a substantial benefit to the community.
Part III line 4	continued Van Matre Health South is a partnership 50 owned by Rockford Health System Ventures LLC, a disregarded entity owned 100 by Rockford Memorial Hospital. It is a for-profit organization that does not report any separate footnote regarding charity care or bad debt.
Part III line 8	The data reported for Medicare charges and payments is from the final Management Report produced by the firm that prepared the 2011 Cost Report as submitted to the Fiscal Intermediary in 2012 in compliance with all current regulations. Reported on Line 6 are allowable Medicare Costs provided by the Cost Report. Medicare costs are eliminated from the Subsidized Programs on Part 1 Ln 7g as calculated by our cost accounting analysis.
Part III line 8	continued A combination of cost accounting and the Medicare CCR was used for the computation of subsidized programs. This Section B-Medicare also includes 50 of the Medicare activity from Van Matre Health South VMHS and the corresponding cost based entirely on their Medicare CCR.
Part III line 9b	Rockford Memorial Hospital has a strong commitment to provide quality patient care for all individuals. Our mission is to provide health care to everyone who comes to our door, regardless of their ability to pay. We will submit a claim to all 3rd party payors on behalf of the patient. We help patients apply for all possible insurance or assistance such as crime victims, an automobile accident, workers compensation, Medicaid, COBRA, local assistance and/or hospital financial assistance.
Part III line 9b	cont If they do not qualify for any of these, we can extend payment options such as monthly payments, credit card payments or financial assistance. This is offered to patients who are experiencing legitimate financial hardships and are unable to pay for all or part of the patients medical care. Forgiveness may apply to an amount after applying all payments such as any insurance company, health plan or personal payments, any negotiated discounts or any uninsured discounts.
Part III line 9b	cont If a patient eligible for charity care or partial financial assistance still has a portion of the outstanding balance due, other arrangements are made. RMH accepts a variety of payments and alternative payment plans. Monthly statements are sent as payment reminders for contracted arrangements. In case of default, additional letters and calls are made to bring it to a current status. An account is turned over to a collection agency only after non-payment or no contact in 120 days.
Part III line 9b	Our partner hospital VMHS is a for-profit hospital that is part of a larger health organization. Much of the information that would normally be required for a non-profit is not pertinent. Therefore most of the responses concern only the RMH process and procedures.
Part V	Line 3 - In 2011 The Rockford Health Council produced a regional health needs assessment with extensive interviews and surveys taken during 2010. Contacts included Focus groups, health care providers, Community analysis, Household surveys all of which included local and state government organizations, local businesses, and local educators pre-school through college.
Part V	Line 3 cont The survey was done with funding, cooperation, participation and assistance from all three Rockford hospitals - RMH, SwedishAmerican Hospital and St. Anthonys Medical Center. Survey is available and was promulgated within the community by the Rockford Health Council, survey participants and was made available on several websites.
Part V	Line 19 d - All patient accounts are reviewed for insurance, for other potential providers or government assistance. Then all discounts available to either insured, self-pay, underinsured or uninsured people are applied. After determining the liability for each person at the time of billing,
Part V	Line 19 d cont - other requests for financial assistance are processed, further assistance may be offered and discounts applied, payment plans are set up, and payment agreements reached. Then, after 120 days of no contact or inactivity on a past due balance, the account may be turned over to a collection agency.
Part V	Line 20 - All charges for any service provided by Rockford Memorial Hospital are the very same for every individual, regardless of whether it is for emergent or standard care and regardless of the patients ability to pay. Once a patient is determined to be eligible for financial assistance, the applicable discounts are applied to his/her account.
Part V	Line 21 - The charges billed are always uniform, the amount collected amounts may vary depending on applicable discounts.
Part V	General information regarding Hospital 2 - Our partner hospital VMHS is a for-profit hospital that is part of a larger health organization. Much of the information that would normally be required for a non-profit is not pertinent. Therefore most of the detailed responses concern only the RMH process and procedures.
Part VI Line 2	In 2010 the Rockford Health Council began to gather data from the Northern Illinois region encompassing Winnebago and Boone Counties. RHS support was financial, technical and included significant representation on both the Rockford Health Council Board of Directors and the surveying staff. This collaborative effort, partnering healthcare and education, gathered, analyzed and reported on the health needs of the community. The other two area hospitals both supported and participated
Part VI Line 2	to produce a major effort which was released to the community in July 2011. It revealed trends, changes and unmet needs. The survey is available on the Rockford Health Council website. This assessment serves as a blueprint for future health care initiatives and points toward growth in our region.The priorities identified were used as the framework in the development of the RHS Community Benefit Plan. Each priority has a specific overriding strategy with stated detailed tactics
Part VI Line 2	and measureable objectives. An executive summary detailing the process and findings, the RHS Community Plan document, and a partial inventory detailing many of the significant programs and initiatives that support RHS commitment to improving the overall health and well-being of the community residents were included. In December 2011, the Board of Directors approved the resolution to adopt of the Rockford Health System Community Benefit
Part VI Line 2	Plan and subsequent implementation of its recommendations. RHS is continuing with development and implementation of a comprehensive multifaceted community benefit plan to improve the overall health and well-being of residents in the primary service area.
Part VI Line 3	RMH posts signs in all general registration areas and the emergency department in both Spanish and English to indicate that financial assistance is available for those who qualify. The organizations web site states Patients throughout Rockford Health System are treated regardless of their ability to pay. Click on the entity above to learn more. The RMH link to Financial Assistance and Discount Programs explains the process in this manner Rockford Health System provides health
Part VI Line 3	care regardless of the patients ability to pay for such care. These guidelines are intended to provide a framework to offer assistance to patients and families with legitimate financial hardship, who are unable to pay for all or a portion of their medical care. Covered services are those which are determined medically necessary by a physician. Our Financial Assistance Programs are based on whether you have insurance coverage of any kind or are uninsured.
Part VI Line 4	RMH is located in Rockford, IL Winnebago County with a defined primary service area that includes Winnebago, Boone and Ogle counties. 2010 US Census Bureau data places the population for this service area at approximately 403,000 individuals with close to 3/4 living in Winnebago County approximately 295,000. This represents a drop in population of approximately 6000 individuals from 2009 Census information and 2011 US Census estimates project another decrease to 401,500 residents.
Part VI Line 4	Located in northern Illinois, the primary service area is characterized as largely rural and populated with very small communities with the exception of the neighboring cities of Rockford, Loves Park, and Machesney Park which comprise more than 200,000 individuals. The hospital also serves the secondary service area which includes DeKalb, McHenry, Whiteside, Lee, LaSalle, Stephenson and Rock counties for select tertiary services.
Part VI Line 4	The next largest community is Belvidere, located in Boone County, where the entire county has just over 54,000 residents. More than 86 of hospital inpatients are from the Primary Service Area. As a community that relies heavily on manufacturing companies and small businesses, the area continues to experience difficult economic times. Currently the largest employers include Chrysler Boone County, the Rockford school district, and the three Rockford health care providers.
Part VI Line 4	Median household income in 2010 inflation adjusted dollars per the U.S. Census Bureau in Winnebago County was 43,792 representing a drop from 2009 median income levels of 47,600. In comparison, the states 2009 median household income was approximately 53,974. These disparities are also reflected in unemployment, education and poverty rates. Rockford April 2012 unemployment rate was 10.7 significantly higher than the overall state rate of 8.7.
Part VI Line 4	Most recent census figures estimate 20 of Winnebago County residents attain a bachelors degree while in the state more than 29 attain one. Poverty levels continue to rise with approximately 18 of Winnebago County residents below the poverty level compared to state levels of 13. The 2010 Illinois Kids Count report stated 34 of children in Rockford live at or below the federal poverty rate, placing Rockford with the highest rate in the state of Illinois.
Part VI Line 4	These conditions have resulted in increasing pressures on the community. RMH is located in the older, western portion of the city and serves a significant indigent and elderly population. This is evident when looking at income levels for households located in zip codes in western Rockford where the hospital resides. U.S. Census Bureau profile for individual zip codes lists median household income for west side zip codes as follows 61103 - 37,000 61102 - 34,000 61101 - 31,700. Bad debts from these zip codes accounted for more than7.6 million - 42 of the hospital total.
Part VI Line 4	The geographic disparities are evident, compared to households on the east side of Rockford. The 3 largest east side zip codes have median household incomes of 61107 - 49,000 61108 - 44,700 61114 - 67,000. As the only northern Illinois hospital with Level III neonatal intensive care, comprehensive pediatric and pediatric intensive care, RMH is committed to children
Part VI Line 4	as the main provider of childrens services in the immediate and greater tertiary service area. With 1 in 3 children currently at or below federal poverty levels in the county and the overall economic condition of the community, the hospital has seen increases in uninsured and public aid patients and this trend continues to grow.
Part VI Line 5	Led by Community Boards of Directors, Rockford Memorial Hospital RMH and its affiliates are extremely involved in promoting a healthier community. As one of Rockfords largest employers, the organization takes a leading role in financially supporting not only health-related initiatives, but also community-building activities across the region. It includes providing financial support and talent for economic development and business-related activities, as well as quality of life and
Part VI Line 5	and educational initiatives. Employees participate in community boards and are actively involved in promoting the region and its assets. Whether it was active participation in the Keep Northern Illinois Beautiful Medication Collection to protect the environment, donations for Gigis Playhouse supporting Down syndrome families, or providing an on-going educational program for seniors at a neighborhood independent living facility, the hospitals presence is broad in our community.
Part VI Line 5	In 2011, RMH and its affiliates promoted community health in many ways. One way was to continue to raise the bar on clinical quality across services. In doing so, we also helped to boost the local economy working with over 200 local vendors and supported 76 full-time construction-related jobs in the region. An investment of 15.2 million went toward major improvements at its facilities. The largest construction projects were the 4.5 million development of the
Part VI Line 5	Womens Center, and the 2.9-million MRI Addition at Rockford Memorial Hospital. Other significant projects include the renovations to Interventional Radiology, enhancements to A2 Mother Baby, development of an IV Infusion area within the hospitals Cancer Center, introduction of Advanced Tele-medicine in the ICU.
Part VI Line 5	Our support, including both experienced staff and fiscal resources, led to the community health needs assessment for the Rockford region that was produced by the Rockford Health Council. The priorities include 1 improving access to care, 2 creating partnerships to improve basic needs for residents at the poverty level, 3 improving the health status of the chronically ill and promoting healthy lifestyles, 4 providing comprehensive prenatal and maternal services for excellent outcomes, 5 improving
Part VI Line 5	the behavioral health status of the community, 6 ensuring equitable health services to all, 7 partnering with local law enforcement to reduce crime and violence, and 8 supporting community efforts to improve educational efforts and the labor force. Based upon that assessment, the Board of Directors approved community benefit plan aimed at improving the overall health and well-being of residents in the primary service area. The RMH plan outlines initiatives to address the key priorities identified in the study and was
Part VI Line 5	developed to ensure that RHS along with RMH allocates resources, time and talent in strategies that will directly impact community health needs. Some significant examples of the ways the organization addressed health needs was to enhance access to medical and dental care for uninsured and underinsured adults and children with programs such as the Bridge Clinic a joint partnership with a local church that brought health care to almost 600 people in their neighborhood and through the Ronald McDonald
Part VI Line 5	cont CareMobile that provided medical and dental care for over 500 needy children-representing over 181,000 in free care. In partnership with other community organizations, RMH sought to support families at poverty level in many ways, such as supporting a school breakfast program at Northwest Community Center, where many underpriviledged children are served, adopting a neighborhood school where nearly 90 of the children line in a family at or below the poverty level.
Part VI Line 5	cont RMH and its employees donate both food and dollars to local food banks and support of the United Way as a Golden Campaign Leader. We provided external community grants for like purposes by partnering with A Silver Lining Foundation that provide free mammograms and breast diagnostic services for uninsured women supporting other non-profit, health-related organizations that also address the health needs of chronically-ill patients in our community. Coupled with internal clinical teams
Part VI Line 5	working to manage of diseases such as diabetes and congestive heart failure, RHS professionals serve as educators, not only for patients and their families, but also for caregivers outside our walls. Our clinicians work with local nursing homes to establish appropriate monitoring and treatment once our patients are discharged to other settings. As the regions leading provider of
Part VI Line 5	comprehensive prenatal and maternal services for mothers and infants, RMH caregivers help connect at-risk patients to appropriate services across the community. Besides having a premier maternity service and the only Level III Neonatal Intensive Care Unit in the region, our obstetricians and midwives provide comprehensive care to many low income mothers and help educate teens on pregnancy and on developing parenting skills.
Part VI Line 5	Addressing another reagional health priority, the behavioral health status of the community, RMH has long been a lead provider of inpatient behavioral health services. Through primary care and specialty physician offices, the organization seeks to screen and identify at risk individuals at early stages where intervention and treatment are most successful. In all clinical programs, we seek to ensure that we are providing equitable care for all patients. Recognizing that there is a low
Part VI Line 5	level of awareness of health disparities, RMH participates in community dialogue, supports community initiatives such as the Black Healthcare Coalition, promotes diversity and cultural educational programs internally and is working to identify internal disparities in relation to patient outcomes. To address crime and violence issues in the community, RMH hosts neighborhood meetings on violence in partnership with the Rockford Police Department and Rockford Neighborhood Network.
Part VI Line 5	RMH also represents one of Rockfords largest employers. As such, the organization is committed to supporting community initiatives to prepare an excellent labor force to help in providing continuing health education opportunities for residents, as well as employees. Besides offering a medical science elective course for high school students, the organization participates in
Part VI Line 5	the Northern Illinois Healthcare Collaborative, sends professionals into the schools to volunteer and share knowledge and each year grants nursing scholarships to minorities in our region. Rockford Memorial Hospital continues to use these identified community needs as the blueprint for its community benefit efforts.
Part VI Line 6	All of Rockford Health System RHS entities work closely with the community and Rockford Memorial Hospital RMH to address important health needs of the community. In 2011, volunteers from the Visiting Nurses Association VNA, Rockford Health Physicians RHPH, Rockford Memorial Development Foundation RMDF and RMH donated their time and talents to volunteer on behalf of the community. The affiliates also continued or launched new and innovative programming to reach out into the community
Part VI Line 6	with health education and support. The outreach addresses needs identified in the regional health assessment done by the Rockford Health Council. In 2011, RMH and RHPH began using a new video interpretation system to ensure that all residents receive quality care and understand their diagnosis and course of treatment. Video interpretation was introduced for the Deaf and Hard of Hearing, as well as Spanish-speaking patients.
Part VI Line 6	Laptop computers, with video cameras, in both the hospital and physician offices, quickly link skilled interpreters with patients and caregivers. It enables an accurate exchange of information for purposes of diagnosis and treatment. The video system compliments a language line service. Here are just some examples of how specific entities served unique community health needs. In 2011, the VNAs Older Adult Care program reached the 25th anniversary
Part VI Line 6	of operation with its Elder Abuse, Neglect and Exploitation Services. VNA was originally selected as one of the five demonstration sites for the program in 1986. Today, VNAs Elder Abuse program is a program of excellence, one that others in the state benchmark against. Over the course of 25 years, strong relationships have emerged between the elder abuse staff and those within our regional and local law enforcement offices and legal and judicial systems.
Part VI Line 6	These ties lead to the recent development of the Winnebago/Boone County Elder Abuse Fatality Review Team. Purpose of the board is to review questionable deaths of seniors. And, if necessary, recommend a more intense investigation into the cause of death. In 2011, VNAs Older Adult Care also continued its Money Follows the Person Program. The program is designed to help older adults who have lived in the nursing home for more than three months, move out, and back into their communities.
Part VI Line 6	Qualified care coordinators determine eligibility. Mental and physical health are assessed, finances reviewed and existing and potential support systems evaluated. The care coordinator helps develop a plan for living. RHPH, the employed physicians group participates in and supports numerous initiatives on behalf of the communities it serves. These physicians support the hospitals clinical programs, such as the hospitalist program in obstetrics and in pediatrics,
Part VI Line 6	where the majority of patients are indigent as well as providing critical staff for the 24-hr. emergency department. Physicians also actively participate in community outreach efforts. The Bridge Clinic, which serves the immediate medical needs of underinsured adults is staffed by RHPH physicians, the Centering Pregnancy Program, a support group initiated by our midwives for primarily low income pregnant women and significant continuing financial and physician support for a
Part VI Line 6	local child abuse program called MERIT. Throughout the region, the physician group helps to support initiatives with schools and village government services. Our physicians and employees also provided community education. CPR training, financial support and volunteers for a pediatric diabetes camp and an educational partnership with the Golden Apple Foundation are a few of the other initiatives by the medical group.
Part VI Line 6	In 2011, the external grants program of the RMDF provided nearly 100,000 in support to other community not-for-profits. Among the organizations, programs and services supported by those grants were RAMP a non-profit, non-residential Center for Independent Living that partners and empowers people with disabilities Remedies, a non-profit organization assisting those fleeing violent relationships a parent academy at a local school serving low income children
Part VI Line 6	perinatal bereavement services a summer camp for children with Muscular Dystrophy and an exercise program through the YMCA to name a few. The Foundation also supported the Ronald McDonald Care Mobile and provided automatic external defibrillators AED to organizations that serve a wide variety of citizens.
Part VI Line 7	Part VI Line 7, IL

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (20 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
The Rosecrance Foundation
1021 N Mulford Road	Rockford	IL	611073877	364167891	501c3	5000	Community Program
Univ of IL-College of Medicine
1601 Parkview	Rockford	IL	61107	376000511	501c3	90000	Support healthcare
Rockford Symphony Orchestra
711 N Main St	Rockford	IL	61103	261180940	501c3	17500	Support Fine Arts
Community Foundation of No IL
946 N Second St	Rockford	IL	61107	364402089	501c3	5000	General support
Easter Seals Metropolitan Chicago
233 South Wacker Drive Suite 2400	Chicago	IL	60616	362171729	501c3	11500	Support Handicapped
Rock Valley College
3301 N Mulford Rd	Rockford	IL	61114	363037232	501c3	30000	Community Education
The Haven Network for Perinatal Death and Bereavement
124 N WATER ST STE 303B	Rockford	IL	611073975	200620800	501c3	5000	Support healthcare
Rock River Valley Pantry
1080 Short Elm St	Rockford	IL	611022217	363135643	501c3	5500	Community Program
Growth Dimensions
200 S State St	Belvidere	IL	61008	363196645	501c6	7500	Community Development
Epilepsy Found North Central IL
3815 Harrison Ave	Rockford	IL	61101	362741730	501c3	5000	Support healthcare
Retreat & Refresh Stroke Camp
425 W Giles Ln	Peoria	IL	61614	640954851	501c3	5000	Support healthcare
Coalition to Protect America's Health Care
PO Box 30211	Bethesda	MD	208240211	522253225	501c4	5000	General support
Gigi's Playhouse
8801 N Second St Suite 2	Machesney Park	IL	61115	272251844	501c3	25150	Support healthcare
Crusaders Health Foundation
1200 West State Street	Rockford	IL	61102	363259761	501c3	5000	Support healthcare
Boys and Girls Club
1275 Peachtree Street	Atlanta	GA	30309	135562976	501c3	5000	Community Program
United Way of Rock River Valley
612 N Main St	Rockford	IL	61103	362167843	501c3	30000	Community Program
March of Dimes
1275 Mammaroneck Ave	White Plains	NY	10605	131846366	501c3	5000	Support infant healthcare
OSF St Anthony Medical Center
PO Box 6087	Rockford	IL	61125	370813229	501c3	13300	Support healthcare
American Heart Association
7272 Greenville Ave	Dallas	TX	752315129	135613797	501c3	7500	Support healthcare
Midwest Fdn for Orthopaedic Research & Education (MFORE)
324 Roxbury Road	Rockford	IL	61107	362691111	501c3	6000	Support healthcare

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	18	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	2	TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	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	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs	Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg
James WBreckenridge
409662	42793	1548	20000	17875	491878
John TDorsey
323591	1650	1134	42000	9104	377479
Jos LGonzalez
394428	1600	1134	36500	18399	452061
Dennis TUehara
455767	12215	1548	58500	13390	541420
Gary EKaatz
627315	369197	68499	84178	125919	1275108	89051
Henry MSeybold
357107	128327	8886	41536	63444	599300	24857
Gordon Langejans
							229261	72918	10823	26954	26658	366614	22829
Kerry Hill
196865	44801	2259	51383	35880	331188	8353
Carolyn Bengtson
							266774	63941	1134	34415	37063	403327	11742
Michael Tyrkus
							202574	13926	10373	34966	19408	281247
Susan Schreier
							197290	53498	1655	32654	34633	319730	5180
Curt Lesher
							168255	11076	7237	20347	18581	225496
Lawrence Verfurth
							291854	51600	1170	11708	58900	415232
Dan Parod
276968	120303	1170	44319	45833	488593	32720

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
I	1a	- By policy Membership to the YMCA is paid for the CEO. Two social club memberships are paid for by the organization for the CEO and any personal use of these facilities is reimbursed in full. The actual cost of these memberships are prorated for personal vs business use and that percentage is added to taxable wages.
I	4b	- The executive team receives annual additions to a non-qualified retirement plan. These amounts, accrued for 2011, are included in compensation and listed in detail in Part II for Carolyn Bengtson 12,104 Gary Kaatz 97,196 Sue Schreier 8,369 Henry Seybold 37168 Kerry Hill, 9,932 Lawrence Verfurth 23,592.
I	7	- Short term incentive opportunities, designating threshold, target and maximum annual awards are established for all 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.
I	3	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 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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

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	45000GFS5	CUSIPNumber
Date Issued	2008-12-11	DateIssued
Issue Price	31008000	IssuePrice
Description Of Purpose	Refund 1994 Series Bonds, Issuance Costs, SWAP Payment	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)
Total Proceeds	31008000	TotalProceeds
Issuance Costs From Proceeds	483711	IssuanceCostsFromProceeds
Credit Enhancement	16125	CreditEnhancement
Other Spent Proceeds	30508164	OtherSpentProceeds
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 IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
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	0000000010.300000000000	TermOfHedge
Superintegrated Hedge	false	SuperintegratedHedge
Hedge Terminated	false	HedgeTerminated
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	false	ExceptionToRebate

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	Connie Vitale RMH Board member	NamePerson

Field	Value	IRS element (for citing)
Relationship	Partner, RMH Pathologists Ltd	Relationship
Amount Of Transaction	290117	AmountOfTransaction
Description Of Transaction	Contract for pathology services	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990 Part XI	5	Other changes in Net Assets Unrealized gain/loss on investments 6,694,029, pension-related changes other than net periodic pension cost 2,157,503, Postretirement medical benefit cost 283,252, Net assets released from restrictions used for capital 224,610, transfers to affiliates 53,819,357, change in FAS 124 valuation 23,573, change in termporarily restricted net assets 106,730, UPMIFA 156,175.
Form 990 Part VI	12C	The RHS conflict of interest policy says that all board members will be asked annually to fill out a document concerning any conflict of interest they might have. Due to an oversight, only the new board members were asked to do so in 2011, but all board members have been requested to do so in 2012.
Form 990 Part VII	1a	- These members of the board were compensated by related organizations for other duties as well as unpaid service as board members James Breckenridge 41 hrs Anesthesiologist with Rockford Health Physicians RHPH and service to RHPH and RHS boards, John Dorsey 61 hrs RHPH Internal Medicine physician and RHPH and RHS boards, Jose Gonzalez 51 RHPH Neonatologist and RHPH and RHS boards, Dennis Uehara 35 hrs RHPH Emergency Services physician, RHPH and RHS and Foundation RMDF boards. Gary Kaatz had 42 additional hrs as President and CEO, Julie Peterson had 41 hrs as executive secretary, and Henry Seybold had 42.5 hrs as CFO Sr VP of Finance these employees compensation includes duties within RMH organization and for supporting all of the related entities RHS/RHPH/RMDF/VNA.
Form 990 Part VI	11a	- The data was gathered by the accounting staff with input from RMH and RHS executive staffs. The data was reviewed and the Form 990 prepared by the RMH tax analyst. During the process, there were ongoing meetings held with a group consisting of the RHS CFO, the VP of Finance, the Controller, and the 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 RMH Finance Committee and at a meeting of the Board of Directors prior to filing.
Form 990 Part VI	15 a,b	- RHS is 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 the board secretary.
Form 990 Part III Program Service Accomplishments	Line 4d Other Activities	Program Service Expenses 820,140, Grants and allocations 160,000, Revenue 388,931 Through Rockford Memorial Hospital Auxiliary, RMH is able to provide extra funds and services to support its mission. The Auxiliary has 368 volunteers who logged 35,381 hours while assisting with greeting visitors, transporting patients, floral or gift deliveries, thrift shop and gift shop activities, and other services as requested. The volunteers efforts provide extra funds and enhance the overall hospital experience for patients, visitors and staff.
		Form 990, Part III, Line 4d Program Service Expenses 820,140, Grants and allocations 160,000, Revenue 388,931 Through Rockford Memorial Hospital Auxiliary, RMH is able to provide extra funds and services to support its mission. The Auxiliary has 368 volunteers who logged 35,381 hours while assisting with greeting visitors, transporting patients, floral or gift deliveries, thrift shop and gift shop activities, and other services as requested. The volunteers efforts provide extra funds and enhance the overall hospital experience for patients, visitors and staff. Form 990 Part XI Line 5 Other changes in Net Assets Unrealized gain/loss on investments 6,694,029, pension-related changes other than net periodic pension cost 2,157,503, Postretirement medical benefit cost 283,252, Net assets released from restrictions used for capital 224,610, transfers to affiliates 53,819,357, change in FAS 124 valuation 23,573, change in termporarily restricted net assets 106,730, UPMIFA 156,175. Form 990 Part VI Section B Line 12C The RHS conflict of interest policy says that all board members will be asked annually to fill out a document concerning any conflict of interest they might have. Due to an oversight, only the new board members were asked to do so in 2011, but all board members have been requested to do so in 2012. Form 990 Part VII Section A Line 1a - These members of the board were compensated by related organizations for other duties as well as unpaid service as board members James Breckenridge 41 hrs Anesthesiologist with Rockford Health Physicians RHPH and service to RHPH and RHS boards, John Dorsey 61 hrs RHPH Internal Medicine physician and RHPH and RHS boards, Jose Gonzalez 51 RHPH Neonatologist and RHPH and RHS boards, Dennis Uehara 35 hrs RHPH Emergency Services physician, RHPH and RHS and Foundation RMDF boards. Gary Kaatz had 42 additional hrs as President and CEO, Julie Peterson had 41 hrs as executive secretary, and Henry Seybold had 42.5 hrs as CFO Sr VP of Finance these employees compensation includes duties within RMH organization and for supporting all of the related entities RHS/RHPH/RMDF/VNA. Form 990 Part VI Section A Line 11a - The data was gathered by the accounting staff with input from RMH and RHS executive staffs. The data was reviewed and the Form 990 prepared by the RMH tax analyst. During the process, there were ongoing meetings held with a group consisting of the RHS CFO, the VP of Finance, the Controller, and the 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 RMH Finance Committee and at a meeting of the Board of Directors prior to filing. Form 990 Part VI Section B Line 15 a,b - RHS is the sole corporate member. 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 the board secretary.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Rockford Health System Ventures LLC	BusinessNameLine1

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)
EIN	364366881	EIN
Primary Activities	Healthcare	PrimaryActivities
Legal Domicile State	IL	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
Visiting Nurses Assn of the Rockford Area
2400 N Rockton Ave	Rockford	IL	61103	362167945	Healthcare	IL	501c3	9	Rockford Health System	true
Rockford Health System
2400 N Rockton Ave	Rockford	IL	61103	363197915	Support of Healthcare	IL	501c3	11c		false	N/A
Rockford Health Physicians
2300 N Rockton Ave	Rockford	IL	61103	363097436	Healthcare	IL	501c3	3	Rockford Health System	true
Rockford Memorial Development Foundation
2400 N Rockton Ave	Rockford	IL	61103	362197918	Support of Healthcare	IL	501c3	11a	Rockford Health System	true

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Van Matre Rehabilitation Center LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3660 Grandview Parkway Ste 200	AddressLine1
City	Birmingham	City
State	AL	State
ZIP Code	35243	ZIPCode

Field	Value	IRS element (for citing)
EIN	364397130	EIN
Primary Activity	Healthcare	PrimaryActivity
Legal Domicile State	IL	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeType
Share Of Total Income	2524675	ShareOfTotalIncome
Share Of EOY Assets	7608987	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
General Or Managing Partner	true	GeneralOrManagingPartner
Percentage Ownership	0.50000	PercentageOwnership

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 Flr 90 Pitts	AddressLine1
City	Pembrooke	City
Province Or State	HM	ProvinceOrState
Country	BD	Country
Postal Code	08	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 Corp	TypeOfEntity
Share Of Total Income	48256	ShareOfTotalIncome
Share Of EOY Assets	533960	ShareOfEOYAssets
Percentage Ownership	1.00000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	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
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	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
VanMatre Rehabilitation Center LLC
j	155959
VanMatre Rehabilitation Center LLC
k	568055
VanMatre Rehabilitation Center LLC
l	77710