2026-03-10T12:07:46-05:00 2025-04-30 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2024-05-01 362548549 ROCHELLE COMMUNITY HOSPITAL ASSOCIATION ROCH 8155622181 900 NORTH 2ND STREET ROCHELLE IL 61068 LORI GUTIERREZ CFO 8155622181 2026-03-06 1 0 STEPHANIE MCCARTHY P01805699 3149254300 2026-03-06 2024 2025-03-06 01:10:19Z KAREN TRACY 900 NORTH 2ND STREET ROCHELLE IL 61068 57606760 0 X WWW.ROCHELLEHOSPITAL.COM X 1965 IL PROVIDE LOCAL COMMUNITY-BASED HEALTH & WELLNESS SERVICES FOCUSED ON A SAFE & HIGH QUALITY HEALTHCARE EXPERIENCE. 14 11 385 12 0 0 31939 62988 52747402 55879712 935618 1409425 210015 247338 53924974 57599463 10050 2650 0 0 25715375 28516351 0 0 0 24209372 26098338 49934797 54617339 3990177 2982124 76215227 79456929 9774759 8604912 66440468 70852017 TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING HIGH QUALITY CARE WITH COMPETENCE, EXCELLENCE AND COMPASSION. 0 0 41275836 2650 44000675 HOSPITAL PATIENT CARE OPERATIONS (EXCLUDING ER) - IN FISCAL YEAR 4/30/25, ROCHELLE HOSPITAL HAD 767 INPATIENT DAYS AND PERFORMED 36,976 OUTPATIENT REGISTRATIONS. THE HOSPITAL IS COMMITTED TO PROVIDING THE HIGHEST LEVEL OF HEALTHCARE FOR EVERYONE REGARDLESS OF ABILITY TO PAY. THE HOSPITAL SUBSIDIZES THE COST OF TREATING PATIENTS WHO ARE UNINSURED OR UNABLE TO PAY OR REQUIRE GOVERNMENT ASSISTANCE WHERE REIMBURSEMENT IS LIMITED. ROCHELLE HOSPITAL IS ALSO COMMITTED TO EDUCATING THE COMMUNITY REGARDING HEALTHCARE ISSUES. 4268443 0 11863746 ROCHELLE HOSPITAL PROVIDES 24-HOUR EMERGENCY SERVICES IN THE EMERGENCY ROOM, WHICH IS STAFFED BY FULL-TIME ATTENDING PHYSICIANS. PATIENTS ARE SEEN REGARDLESS OF ABILITY TO PAY. THE EMERGENCY ROOM HAD 8,737 VISITS IN FISCAL YEAR 4/30/25. 12466 0 15291 HEALTHWORKS FITNESS PROMOTES THE BELIEF THAT A HEALTHIER LIFESTYLE THROUGH EXERCISES AND EDUCATION REALLY DOES WORK! WE DO THIS NOT ONLY BY WORKING WITH YOU AFTER AN ILLNESS OR SURGERY, BUT BY TRAINING YOU IN PREVENTION AS WELL. THAT'S WHY HEALTHWORKS WAS CREATED. IT'S OUR GOAL TO HELP SATISFY THE HEALTH AND FITNESS NEEDS TO THE COMMUNITY BY PROVIDING FITNESS EQUIPMENT, TRAINING AND SPECIAL INDIVIDUALIZED EXERCISE PRESCRIPTIONS.HEALTHWORKS FITNESS ALSO HOUSES CARDIOPULMONARY REHABILITATION. THIS AREA INCLUDES A CONSULTATION ROOM, REHAB CHECK-IN AREA WHERE PAITENTS CAN MEET WITH CARDIOPULMONARY STAFF TO GET THEIR VITAL READINGS AND DISCUSS REHABILITIATION. 45556745 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 121 0 1 385 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 11 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X LORI GUTIERREZ 8155622181 900 NORTH SECOND STREET ROCHELLE IL 61068 NOAH CARMICHAEL SECRETARY 2.00 0.00 X X 0 0 0 JEFF GLEN VICE CHAIR (TERM ENDED) 2.00 0.00 X X 0 0 0 BRENT OHLINGER CHAIRMAN 2.00 0.00 X X 0 0 0 TODD PRUSATOR VICE CHAIR 2.00 0.00 X X 0 0 0 CRYSTAL DYER TREASURER 2.00 0.00 X X 0 0 0 KAREN TRACY CEO 40.00 5.00 X X 343048 0 31335 MARIA VAN HISE PRESIDENT HOSPITAL AUXILIARY 2.00 0.00 X 0 0 0 RENELLE CARMICHAEL CO- PRESIDENT HOSPITAL AUXILIARY 2.00 0.00 X 0 0 0 GERI DEE HAYDEN TRUSTEE 2.00 0.00 X 0 0 0 JASON POPP MD PAST CHIEF OF MEDICAL STAFF 40.00 0.00 X 277917 0 34110 AJ QUERCIAGROSSA TRUSTEE - OSF HEALTHCARE 2.00 0.00 X 0 0 0 SATHISH CULLATH MD CHIEF OF MEDICAL STAFF ELECT 40.00 0.00 X 0 0 0 KENDALL ELIZABETH VOGELER CHIEF OF MEDICAL STAFF ELECT 40.00 0.00 X 283358 0 6983 EARL FLEMING III TRUSTEE 2.00 0.00 X 0 0 0 ALEXANDER DUTHIE TRUSTEE 2.00 0.00 X 0 0 0 LORI GUTIERREZ CFO 40.00 5.00 X 248368 0 4603 CHRISTOPHER SWARTOUT COO 40.00 5.00 X 195780 0 26745 GADINI DELISCA ORTHOPEDIC PHYSICIAN 40.00 0.00 X 710195 0 36009 CHRISTINE GORMAN MD PHYSICIAN 40.00 0.00 X 348622 0 24200 RHONDA MARKS CNO 40.00 0.00 X 198377 0 8787 KYLE AUMAN CAO 40.00 0.00 X 189035 0 30543 DENIESE BAUER CHRO 40.00 0.00 X 202321 0 34761 2997021 0 238076 41 0 1 0 POINTCORE PO BOX 775982 CHICAGO IL 60677 CONTRACT SERVICES 1047787 AMERGIS HEALTHCARE STAFFING 12558 COLLECTIONS CENTER DR CHICAGO IL 60693 MEDICAL CONTRACT STAFFING 800959 NOVUS ILLINOIS SERVICE COPRORATION PO BOX 12766 PENSACOLA FL 32591 ANESTHESIA PROFESSIONAL SERVICES 713403 PREMIER HEALTH GROUP LLC 921 KING CANYON DR STREAMWOOD IL 60107 CONTRACT STAFFING 708000 MEDICAL OUTSOURCING 1735 DEKALB AVE SYCAMORE IL 60178 CONTRACT STAFFING AND SERVICES 613726 26 45274 12337 5377 62988 NET PATIENT SERVICE REVENUE 621110 44000675 44000675 EMERGENCY SERVICE REVENUE 621110 11863746 11863746 FITNESS CENTER 621110 15291 15291 55879712 1408122 1408122 5500 5500 3100 7297 -4197 -4197 -4197 CAFETERIA 621110 224577 224577 LEASE REVENUE 621110 12325 12325 CREDENTIALING FEES 621110 7000 7000 3436 3436 247338 57599463 55879712 0 1656763 X 2650 2650 1512615 628270 884345 21947444 18485460 3461984 585006 491830 93176 2858778 2369658 489120 1612508 1317390 295118 123594 123594 102360 102360 17628 17628 70315 70315 6836767 5518550 1318217 416667 416667 5108177 5108177 230166 230166 632914 518264 114650 99399 73679 25720 187300 168570 18730 4604247 3453187 1151060 590449 590449 BAD DEBT 2908597 2908597 REPAIRS AND MAINTENANCE 2627709 2050149 577560 MEDICAID ASSESSMENT TAX 1012171 1012171 FOOD 289463 289463 240415 153564 86851 54617339 45556745 9060594 0 45143 23870 26625376 27791916 6948344 7643641 415892 394350 1415932 1672372 51989038 34146511 18609713 17842527 21527755 23639713 627072 448540 76215227 79456929 4549827 5320107 4469050 2592164 755882 692641 9774759 8604912 X 66440468 70852017 66440468 70852017 76215227 79456929 2982124 1429425 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 0 0 0 1 17628 17628 0 PART II-B, LINE 1: ROCHELLE COMMUNITY HOSPITAL IS A MEMBER OF THE ILLINOIS HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION, BOTH OF WHICH CONDUCT LOBBYING ON BEHALF OF THEIR MEMBERS. THE AMOUNT REPORTED IS THE PORTION OF MEMBERSHIP DUES SPENT ON LOBBYING. NO OTHER LOBBYING ACTIVITIES WERE CONDUCTED. 1453878 1453878 21468395 14849869 6618526 983692 688135 295557 26222858 18608507 7614351 1860215 1860215 17842527 DEFERRED COMPENSATION PAYABLE 241466 RIGHT OF USE LIABILITIES 451175 692641 1 1 X 1 X 1 X 1 1 1 0 1 1 571330 571330 0.01100 6568513 4738803 1829710 0.03540 7139843 4738803 2401040 0.04640 109771 109771 0.00210 14884319 6141771 8742548 0.16910 2650 2650 0.00010 14996740 6141771 8854969 0.17130 22136583 10880574 11256009 0.21770 1 1099377 549688 12190597 12236472 -45875 X 1 1 1 1 ROCHELLE COMMUNITY HOSPITAL 900 N 2ND STREET ROCHELLE IL 61068 WWW.ROCHELLEHOSPITAL.COM HF105997 X X X X ROCHELLE COMMUNITY HOSPITAL ASSOCIATION 1 0 0 1 X X X X X X X X 22 1 0 0 1 X SEE PART V, PAGE 8 X 1 25 0 1 0 1 X 200.000000000000 300.000000000000 X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 1 ROCHELLE COMMUNITY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 5: PART V, SECTION B, LINE 5ROCHELLE COMMUNITY HOSPITAL'S EXECUTIVE TEAM LED THE PLANNING, CONDUCTING, AND REPORTING OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. WE CONTRACTED WITH CLIFTONLARSONALLEN LLP, A PROFESSIONAL SERVICES FIRM, TO GATHER COMMUNITY INPUT, PREPARE THIS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND PREPARE THE IMPLEMENTATION STRATEGY. INTERVIEWS WE GATHERED QUALITATIVE INFORMATION AND PERSPECTIVES ON COMMUNITY HEALTH NEEDS THROUGH ONE-ONONE AND SMALL GROUP INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS. THESE INTERVIEWS WERE CONDUCTED IN FEBRUARY 2025. THE PRIMARY GOAL OF THESE INTERVIEWS WAS TO OBTAIN A RANGE OF PERSPECTIVES ON THE COMMUNITY'S HEALTH NEEDS. WE GATHERED INFORMATION FROM THE FOLLOWING GROUPS WITHIN OUR COMMUNITY: - PEOPLE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH - GOVERNMENT HEALTH DEPARTMENTS AND OTHER GOVERNMENT AGENCIES - LEADERS, REPRESENTATIVES OR MEMBERS OF LOW-INCOME POPULATIONS - LEADERS, REPRESENTATIVES OR MEMBERS OF MINORITY POPULATIONS - LEADERS, REPRESENTATIVES OR MEMBERS OF OTHER MEDICALLY UNDERSERVED POPULATIONS, SUCH AS ADOLESCENTS, THE ELDERLY AND RURAL INDIVIDUALSIN ADDITION TO SEVERAL MEMBERS OF ROCHELLE COMMUNITY HOSPITAL'S MEDICAL STAFF AND LEADERSHIP, THE FOLLOWING AGENCIES, ORGANIZATIONS AND BUSINESSES PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS BY CONTRIBUTING THEIR PERSPECTIVES, OPINIONS AND OBSERVATIONS. WE THANK THEM FOR THEIR PAST AND CONTINUED ASSISTANCE. - OGLE COUNTY HEALTH DEPARTMENT - OSF ST. KATHARINE'S HOSPITAL - SINNISSIPPI CENTERS - OGLE COUNTY FOCUS HOUSE - ROCHELLE POLICE DEPARTMENT - ROCHELLE SCHOOL DISTRICT - CITY OF ROCHELLE - ROCK RIVER CENTER - HUB CITY SENIOR CENTER - UNIVERSITY OF ILLINOIS (EXTENSION)QUANTITATIVE DATA THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED CONSIDERATION AND ANALYSIS OF PUBLICLY AVAILABLE DATA.INFORMATION GAPS ALTHOUGH WE ARE UNABLE TO IDENTIFY ANY SPECIFIC INFORMATION GAPS, WE RECOGNIZE MEMBERS OF THE COMMUNITY REPRESENTING DIFFERENT ORGANIZATIONS, GROUPS, ETC., HAVE DIFFERING OPINIONS CONCERNING COMMUNITY HEALTH NEEDS AND PRIORITIES AND MAY HAVE PROVIDED DIFFERENT INPUT IF GIVEN THE OPPORTUNITY. ANALYTICAL METHODS APPLIED WE APPLIED VARIOUS ANALYTICAL METHODS TO THE AVAILABLE DATA. DURING INTERVIEWS, WE ASKED PARTICIPANTS FOR THEIR INPUT REGARDING HEALTH NEEDS, THE ROOT CAUSES OF THOSE NEEDS, THE PRIORITIZATION OF THOSE NEEDS, AND POTENTIAL RESPONSES TO ADDRESS THEM. WE ANALYZED THE HISTORIC PREVALENCE OF VARIOUS HEALTH ISSUES IN OUR COMMUNITY AND COMPARED THOSE WITH COUNTY, STATE AND NATIONAL DATA. FINALLY, WE REVIEWED PREVIOUSLY IDENTIFIED HEALTH PRIORITIES AS IDENTIFIED BY NATIONAL, STATE AND COUNTY HEALTH ORGANIZATIONS. REQUEST FOR FEEDBACK ROCHELLE COMMUNITY HOSPITAL WAS WILLING TO CONSIDER WRITTEN COMMENTS RELATED TO ITS LAST COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY BUT RECEIVED NO SUCH INPUT.DETERMINATION OF SIGNIFICANCE WHILE MANY NEEDS WERE IDENTIFIED DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THIS REPORT FOCUSES ON THOSE NEEDS THAT WERE DEEMED SIGNIFICANT BY ROCHELLE COMMUNITY HOSPITAL. A HEALTH NEED'S SIGNIFICANCE WAS EVALUATED BASED ON MANY FACTORS. THE FACTOR GIVEN THE MOST WEIGHT WAS THE RELATIVE IMPORTANCE PLACED ON THE HEALTH NEED BY COMMUNITY PARTICIPANTS. OTHER FACTORS INCLUDED THE NUMBER OF PEOPLE IN OUR COMMUNITY IMPACTED BY THE HEALTH NEED, THE IMPACT OF THAT HEALTH NEED ON QUALITY OF LIFE AND LENGTH OF LIFE, AND THE IMPACT ON LOW-INCOME, MINORITY, AND OTHER MEDICALLY UNDERSERVED POPULATIONS. THE DECISION WAS MADE BY ROCHELLE COMMUNITY HOSPITAL'S LEADERSHIP TEAM. PROCESS AND CRITERIA FOR PRIORITIZING IDENTIFIED HEALTH NEEDS AS WITH THE DETERMINATION OF SIGNIFICANCE, THE PRIORITIZATION OF IDENTIFIED SIGNIFICANT HEALTH NEEDS WAS DETERMINED BASED ON MANY FACTORS. THE FACTOR GIVEN THE MOST WEIGHT WAS THE RELATIVE IMPORTANCE PLACED ON THE HEALTH NEED BY COMMUNITY PARTICIPANTS. OTHER FACTORS INCLUDED THE NUMBER OF PEOPLE IN OUR COMMUNITY IMPACTED BY THE HEALTH NEED, THE IMPACT OF THAT HEALTH NEED ON QUALITY OF LIFE AND LENGTH OF LIFE, AND THE IMPACT ON LOW-INCOME, MINORITY, AND OTHER MEDICALLY UNDERSERVED POPULATIONS. THE DECISION WAS MADE BY ROCHELLE COMMUNITY HOSPITAL'S LEADERSHIP TEAM. ROCHELLE COMMUNITY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 11: IN APRIL 2025, ROCHELLE COMMUNITY HOSPITAL ADOPTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. BASED ON COMMUNITY INPUT, AS WELL AS REVIEWS OF HOSPITAL, COUNTY, STATE AND NATIONAL HEALTH DATA, ROCHELLE COMMUNITY HOSPITAL IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS:(1) BEHAVIORAL HEALTH, INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE(2) ACCESS TO HEALTHCARE SERVICES (3) OBESITY AND CHRONIC DISEASESIN ADDRESSING THE PRIMARY NEEDS IDENTIFIED IN ROCHELLE COMMUNITY HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT DURING THE CURRENT FISCAL YEAR, THE HOSPITAL TOOK THE FOLLOWING ACTIONS:(1) RCH WORKED WITH SEVERAL COMMUNITY PARTNERS WHO FELT THE IMPACT OF THE BEHAVIORAL HEALTH CRISIS IN OUR COMMUNITY. LOCAL COUNSELING ORGANIZATIONS WHO ACT AS CRISIS MANAGEMENT FACILITATORS HELP TO ENSURE THAT APPROPRIATE SERVICES INCLUDE OUTPATIENT REFERRALS TO RCH, MINIMIZING THE WAIT TIME FOR FOLLOW-UP MENTAL HEALTH SERVICES. (2) PARTNERS FROM ROCHELLE POLICE, FIRE, CLERGY AND CITY OF ROCHELLE FORMED A WORK GROUP TO AID IN THE IDENTIFICATION AND IMMEDIATE INTERVENTION OF KNOWN COMMUNITY MEMBERS WHO WOULD BENEFIT FROM BEHAVIORAL HEALTH SERVICES. (3) THE ROCHELLE COMMUNITY HOSPITAL (RCH) BEHAVIORAL HEALTH CLINIC WAS OPENED AS AN OUTPATIENT SUBSET OF FAMILY HEALTH CARE FOCUSING ON BEHAVIORAL HEALTH COUNSELING AND MEDICATION MANAGEMENT. CLIENTS HAVE TRANSFERRED CARE TO THE RCH CLINIC BECAUSE IT IS CLOSER TO THEIR HOMES AND MORE CONVENIENT TO KEEP APPOINTMENTS. THE WAITING TIME FOR OBTAINING AN APPOINTMENT IS SHORTER, WHICH HELPS WITH TIMELY MEDICATION REFILLS AND A CONSISTENT DURATION BETWEEN COUNSELING APPOINTMENTS. (4) ROCHELLE COMMUNITY HOSPITAL OPENED A SATELLITE CLINIC IN DEKALB TO OFFER ORTHOPEDIC SERVICES AND OTHER POSSIBLE SERVICES. (5) ROCHELLE COMMUNITY HOSPITAL ENROLLED ADDITIONAL BILINGUAL EMPLOYEES IN MEDICAL INTERPRETATION TRAINING COURSES TO BETTER ENGAGE THE HISPANIC COMMUNITY. MARKETING AND SIGNAGE IS CONTINUING TO BE DEVELOPED AND DISTRIBUTED IN BOTH ENGLISH AND SPANISH.(6) RCH MET WITH THE AREA HIGH SCHOOLS ON CAREER OPTIONS IN HEALTH CARE. WE HAVE HAD SEVERAL AREA STUDENTS TOUR AND/OR JOB SHADOW.(7) RCH MET WITH THE DIRECTOR OF TRANSPORTATION AND HOPING TO BRING MASS TRANSIT ROUTES TO ROCHELLE. WE ALSO WORK WITH THE LEE AND OGLE TRANSPORTATION SYSTEM TO ENSURE RIDES ARE AVAILABLE FOR PATIENTS. ROCHELLE COMMUNITY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 24: EVERYONE IS CHARGED THE SAME GROSS CHARGE AMOUNTS. FAP ELIGIBLE INDIVIDUALS THEN RECEIVE A REDUCTION ON WHAT THE HOSPITAL ACTUALLY BILLS THEM. PART V, LINE 7A, CHNA WEBSITE: HTTPS://WWW.ROCHELLEHOSPITAL.COM/WP-CONTENT/UPLOADS/2023/11/ROCHELLE-COMMUNITY-HEALTH-ASSESSMENT-IRS-REPORTING-2022.PDF PART V, LINE 10A, CHNA IMPLEMENTATION PLAN WEBSITE: HTTPS://WWW.ROCHELLEHOSPITAL.COM/WP-CONTENT/UPLOADS/2023/11/ROCHELLE-COMMUNITY-HEALTH-ASSESSMENT-IRS-REPORTING-2022.PDF PART V, LINE 16A, FAP WEBSITE: HTTP://WWW.ROCHELLEHOSPITAL.COM/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.ROCHELLEHOSPITAL.COM/WP-CONTENT/UPLOADS/2021/10/CHARITY-CARE-APPLICATION-FORM-10-15-21.PDF PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.ROCHELLEHOSPITAL.COM/WP-CONTENT/UPLOADS/2020/10/PLAIN-LANGUAGE-FINANCIAL-ASSISTANCE-COLLECTION-POLICY-SUMMARY-ENGLISH-05-2016.PDF 3 1 - XCEL ORTHOPEDICS 2670 DEKALB AVENUE SYCAMORE IL 60178 PHYSICIAN CLINIC 2 - FAMILY HEALTHCARE CENTER 900 N 2ND ST ROCHELLE IL 61068 PHYSICIAN CLINIC 3 - ON-THE-GO HEALTHCARE CLINIC 900 PETRO DRIVE ROCHELLE IL 61068 PHYSICIAN CLINIC PART I, LINE 3C: THE ORGANIZATION USED THE FEDERAL POVERTY GUIDELINES (FPG) ALONG WITH OTHER FACTORS TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. PER THE ORGANIZATION'S CHARITY CARE POLICY, THESE FACTORS INCLUDE: * FAMILY INCOME RELATIVE TO FAMILY SIZE AND OTHER RELATED FACTORS SUCH AS CURRENT FINANCIAL OBLIGATIONS* EMPLOYMENT STATUS, INCLUDING, BUT NOT LIMITED TO, FUTURE EARNING CAPACITY WITH CONSIDERATION OF THE LIKELIHOOD OF A FINANCIAL CAPACITY SUFFICIENT TO MEET THE PATIENT'S FINANCIAL OBLIGATIONS IN AN ACCEPTABLE PERIOD OF TIME* FUTURE AND CURRENT ABILITY TO PAY* MEDICAL EXPENSES AS A PERCENTAGE OF A PATIENT'S ANNUAL GROSS INCOME, THE AMOUNT OF TOTAL MEDICAL BILLS OUTSTANDING, AND THE FREQUENCY OF PAYMENTS TO BE MADE IN RELATION TO THE FACTORS ABOVE* OTHER FACTORS DEEMED APPROPRIATE BY THE ORGANIZATION PART I, LINE 7: THE RESPECTIVE IRS WORKSHEETS, AS PROVIDED IN THE INSTRUCTIONS FOR SCHEDULE H, WERE USED TO CALCULATE THE COSTS OF ITEMS WITHIN SCHEDULE H, PART I, LINE 7. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDE THE EMERGENCY DEPARTMENT AND PHYSICIAN CLINICS, INCLUDING THE FAMILY HEALTHCARE CLINIC AND OCCUPATIONAL HEALTH CLINIC. PART I, LN 7 COL(F): THE CARRYING AMOUNT OF ACCOUNTS RECEIVABLE IS REDUCED BY VALUATION ALLOWANCES THAT REFLECT MANAGEMENT'S BEST ESTIMATE OF AMOUNTS THAT WILL NOT BE COLLECTED. MANAGEMENT USES A SYSTEM FOR ESTIMATING THIRD PARTY CONTRACTUAL ALLOWANCES AND LOSSES FOR UNCOLLECTIBLE ACCOUNTS, WHEREBY CERTAIN PERCENTAGES OF PATIENT REVENUE FOR EACH OF THESE ALLOWANCES IS RECORDED ON A MONTHLY BASIS AS AN OFFSET TO REVENUE AND RECEIVABLES. THE PERCENTAGES USED BY MANAGEMENT ARE BASED OFF OF HISTORICAL TRENDS WITH FINAL ADJUSTMENTS MADE WHEN COST REPORTS ARE FILED. PERIODICALLY MANAGEMENT REVIEWS OUTSTANDING ACCOUNTS FOR CREDITWORTHINESS. IF THERE IS A DETERIORATION OF A MAJOR CUSTOMER'S OR CLASS OF CUSTOMER'S CREDIT WORTHINESS OR ACTUAL DEFAULTS ARE HIGHER THAN HISTORICAL EXPERIENCE, MANAGEMENT'S ESTIMATES OF THE RECOVERABILITY OF AMOUNTS DUE THE HOSPITAL COULD BE ADVERSELY AFFECTED. PART II, COMMUNITY BUILDING ACTIVITIES: NO COMMUNITY BUILDING ACTIVITIES ARE REPORTED IN PART II. HOWEVER, ROCHELLE COMMUNITY HOSPITAL IS THE COMMUNITY'S PREDOMINANT LINK TO HEALTH CARE. LISTED BELOW ARE PROGRAMS THAT BENEFITED THE COMMUNITY.PROGRAMS IMPLEMENTED INCLUDE: -PATIENT EDUCATION PROGRAMS IN THE AREAS OF CONGESTIVE HEART FAILURE, CARDIAC AND PULMONARY REHABILITATION.-STROKE CARE PROGRAM USING TELEMEDICINE TO ASSURE THE MOST EFFECTIVE AND IMMEDIATE CARE TO EMERGENCY PATIENTS PRESENTING WITH SYMPTOMS OF STROKE.-DIABETES EDUCATION PROGRAM TO REACH OUT TO THE COMMUNITY. -A PART TIME STAFF POSITION TO FOCUS ON COMMUNITY HEALTH EDUCATION TO INCLUDE COMMUNITY HEALTH AND WELLNESS FAIRS.HOSPITAL EMPLOYEES ARE INVOLVED WITH LOCAL SCHOOLS BY OFFERING EDUCATIONAL PROGRAMS ABOUT SUICIDE PREVENTION, DRUG AND ALCOHOL ABUSE, PARENTING AND CHILDHOOD, SAFE CHILD CARE, FIRST AID AND CPR TRAINING. THE HOSPITAL PROVIDES SPORTS PHYSICALS AND OPPORTUNITIES FOR STUDENTS TO LEARN ABOUT CAREERS IN HEALTH CARE. THE AUXILIARY GIVES HOSPITAL TOURS TO GRADE SCHOOL STUDENTS.HOSPITAL EMPLOYEES AND VOLUNTEERS ARE INVOLVED WITH LOCAL SERVICE CLUBS SERVING ON THE BOARD OR ADVISORY COMMITTEES FOR THE CHAMBER OF COMMERCE, PLANNING AND ZONING COMMISSION, FIRE AND POLICE COMMISSION, UNITED WAY, KISHWAUKEE COLLEGE'S RADIOLOGY PROGRAM, CHILDREN'S ADVOCACY CENTER, DOMESTIC VIOLENCE SHELTER, FOCUS HOUSE FOR JUVENILES, AND THE PARISH NURSING PROGRAM. PART III, LINE 2: THE BAD DEBT EXPENSE WAS CALCULATED BY APPLYING THE COST-TO-CHARGE RATIO FROM THE MOST RECENT MEDICARE COST REPORT TO THE ORGANIZATION'S BAD DEBT EXPENSE FOR THE FISCAL YEAR. PART III, LINE 3: THE ORGANIZATION EMPLOYS FINANCIAL COUNSELORS THAT WORK WITH ALL SELF-PAY PATIENTS. BASED ON REVIEW OF TAX RETURNS, BANK STATEMENTS, AND OTHER FINANCIAL DOCUMENTS PROVIDED BY THE PATIENT, AN ESTIMATE EQUAL TO 50% OF BAD DEBT PATIENTS WOULD QUALIFY FOR CHARITY CARE BUT FAILED TO PROVIDE THE APPROPRIATE LEVEL OF DOCUMENTATION. PART III, LINE 4: THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. BAD DEBT IS LISTED AS A DEDUCTION FROM REVENUE. THIS TREATMENT IS CONSISTENT WITH THE HFMA PRINCIPLES AND PRACTICES BOARD STATEMENT NO. 15 AND WITH THE AICPA AUDIT AND ACCOUNTING GUIDE FOR HEALTHCARE ORGANIZATIONS. THE COST TO CHARGE RATIO FORMULATED ON THE 2023 MEDICARE COST REPORT WAS USED TO CALULATE BAD DEBT AT COST. PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT ARE UNKNOWN TO THE HOSPITAL ARE WRITTEN OFF TO BAD DEBT AND ARE NOT INCLUDED IN CHARITY CARE. HOWEVER, IF DURING THE COLLECTION PROCESS IT IS DETERMINED THAT THE PATIENT IS ELIGIBLE FOR CHARITY CARE THE DEBT IS RECLASSIFIED AS CHARITY CARE AND COLLECTION EFFORTS CEASE. PART III, LINE 8: THE COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT IS UTILIZED IN DETERMINING THE ORGANIZATION'S COMMUNITY BENEFIT.THE SHORTFALL REPORTED IN PART III, LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT. BY PARTICIPATING IN MEDICARE AND ABSORBING RELATED SHORTFALLS, WE ARE PROVIDING HEALTHCARE SERVICES TO MEDICARE BENEFICIARIES WHO ARE A SIGNIFICANT PORTION OF OUR COMMUNITY. PART III, LINE 9B: SELF PAY PATIENTS AND OTHER PATIENTS WHO DEMONSTRATE FINANCIAL HARDSHIP ARE GIVEN CHARITY APPLICATIONS AND ENCOURAGED TO COMPLETE AND RETURN THEM TO PATIENT FINANCIAL SERVICES. IN DISCUSSING PATIENTS CHARGES, FINANCIAL COUNSELORS WILL SUGGEST COMPLETION OF A CHARITY APPLICATION. PART VI, LINE 2: A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN FY 2025. THIS STUDY IDENTIFIED SERVICES THE PUBLIC BELIEVES ARE NECESSARY IN THE COMMUNITY. THE TOP COMMUNITY HEALTH NEEDS IDENTIFIED WERE:(1) BEHAVIORAL HEALTH, INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE(2) ACCESS TO HEALTHCARE SERVICES (3) OBESITY AND CHRONIC DISEASESRCH PARTICIPATES IN THE ILLINOIS PLAN LOCAL ASSESSMENT NEEDS (IPLAN) WHICH ALSO INCLUDES THE OGLE COUNTY HEALTH DEPT AND MEMBERS OF THE COMMUNITY. THE HEALTH STATUS OF THE COUNTY, AS EVIDENCED BY A MULTITUDE OF DATA AND RISK FACTORS, IS REVIEWED BY THE COMMITTEE AND PRIORITIES ARE DETERMINED TO HELP MEET IDENTIFIED NEEDS. THE GOAL IS TO WORK TOWARD ASSURING THAT NEEDS ARE BEING MET BY THE VARIOUS HEALTH CARE PROVIDERS. PART VI, LINE 3: IT IS HOSPITAL POLICY TO TREAT ALL PATIENTS WHO PRESENT FOR CARE WITHOUT REGARD FOR THEIR ABILITY TO PAY AND TO ASSIST THEM IN RESOLVING ANY FINANCIAL ISSUES INVOLVED WITH SERVICES PROVIDED. THE HOSPITAL'S CHARITY CARE POLICIES ARE POSTED AT ALL PATIENT ACCESS AREAS, IN INDIVIDUAL PATIENT CARE AREAS, AND ON THE HOSPITAL WEB SITE. UPON REGISTRATION, STAFF WILL EXPLAIN THE POLICY AND OFFER A CHARITY/FINANCIAL ASSISTANCE APPLICATION TO ALL SELF-PAY PATIENTS. PATIENT FINANCIAL COUNSELORS WILL ALSO EXPLAIN THE HOSPITAL'S CHARITY POLICY WHEN DISCUSSING A BILL WITH A PATIENT. ALL BILLING STATEMENTS INCLUDE A STATEMENT ALERTING THE PATIENT OF HIS/HER RIGHT TO ACCESS HOSPITAL ASSISTANCE. ASSISTANCE IS PROVIDED TO THE NON-INSURED AND UNDER INSURED, INCLUDING ASSISTANCE IN APPLYING FOR MEDICAID IF APPROPRIATE. PATIENTS ARE ENCOURAGED TO ACCESS THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM TO ENSURE THAT A TRUE NEED IS REFLECTED AS CHARITY RATHER THAN AN EVENTUAL BAD DEBT. PART VI, LINE 4: ROCHELLE COMMUNITY HOSPITAL IS A NON PROFIT 501(C)(3) CRITICAL ACCESS HOSPITAL DEDICATED TO PROVIDING QUALITY HEALTH AND WELLNESS SERVICES LOCALLY. THIS IS ACHIEVED BY PROVIDING INPATIENT MEDICAL SURGICAL, INTENSIVE CARE, AND SWING BED SERVICES, OUTPATIENT SURGICAL AND DIAGNOSTIC SERVICES, CARDIAC, PHYSICAL, AND RESPIRATORY THERAPIES, IMMEDIATE CARE, OCCUPATIONAL MEDICINE, CLINICS, AND EMPLOYED PHYSICIANS. RCH SERVES WESTERN DEKALB, NORTHERN LEE, AND OGLE COUNTIES. THE HOSPITAL SERVES A POPULATION OF APPROXIMATELY 18,000 IN THE CITY OF ROCHELLE AND SURROUNDING AREA. THE POPULATION IS DIVIDED ABOUT 25% UNDER AGE 20, 52% BETWEEN 20 AND 64, AND 23% 65 AND OVER. THE GROUP COVERED BY MEDICARE IS AT LEAST 50% OF THE HOSPITAL'S REVENUE. THE ROCHELLE AREA LAGS STATE WIDE NUMBERS IN GROWTH IN EMPLOYMENT AND PER CAPITA INCOME AND HAS A HIGHER PERCENT UNEMPLOYMENT. THE AREA IS DESIGNATED AS AN UNDERSERVED AREA BY CMS THRU HRSA. PART VI, LINE 5: ROCHELLE COMMUNITY HOSPITAL REACHES OUT TO THE COMMUNITY IN MANY WAYS TO PROMOTE WELLNESS AND IMPROVE THE OVERALL HEALTH:-FREE PUBLIC HEALTH SCREENINGS, COMMUNITY EDUCATION, HEALTH FAIRS, FIRST AID TENTS AT COMMUNITY EVENTS, FLU CLINICS, COORDINATED BLOOD DRIVES, VISITS TO SENIOR CITIZEN CENTERS, AND FIRST AID TRAINING.-EDUCATION PROGRAMS TO THE PUBLIC IN THE AREAS OF CARDIOLOGY, STROKE, DIABETES, NUTRITION, PARKINSONS, WOMEN'S HEALTH ISSUES, MEN'S HEALTH ISSUES, WELLNESS AND WEIGHT LOSS PROGRAMS.-FITNESS TRAINING CLASSES PROVIDED TO AREA SCHOOL EMPLOYEES AND HOSPITAL STAFF.-SPONSOR SUPPORT GROUPS FOR DIABETES, STROKE, PARKINSONS, ALANON, ALCOHOL ANONYMOUS, AND GROUP HOPE.-SUPPORT BY THE HOSPITAL AND STAFF FOR LOCAL HEALTH RELATED EVENTS- CANCER DRIVES, BLOOD DRIVES, UNITED WAY CAMPAIGN.-PARTICIPATE IN THE REGIONAL DISASTER PREPAREDNESS PLAN WITH OUR POD HOSPITAL AND REGIONAL HOSPITALS AND PROVIDE HAZMAT TRAINING LOCALLY.-PROVIDE SOME HOSPITAL SERVICES AT A FINANCIAL DISADVANTAGE BECAUSE THESE SERVICES ARE CRITICAL TO THE HEALTH AND WELFARE OF THE COMMUNITY, INCLUDING EMERGENCY SERVICES, INTENSIVE CARE, SEVERAL CLINICS, IMMEDIATE CARE, AND OCCUPATIONAL HEALTH. CHAPLAIN SERVICES ARE ALSO PROVIDED TO PATIENTS AND THEIR FAMILIES.-PROVIDING STUDENT INTERNSHIP AND SHADOWING OPPORTUNITIES TO ENCOURAGE INCREASED INTEREST IN HEALTHCARE CAREERS.-MENTOR STUDENTS IN THE AREA OF PHARMACY, RADIOLOGY, HEALTH INFORMATION MANAGEMENT, NURSING, AND NURSING ASSISTANT AND PROVIDE ON SITE HOSPITAL TRAINING FOR THESE PROGRAMS.-DONATE UNUSED OR EXCESS SUPPLIES AND EQUIPMENT TO A NON PROFIT GLOBAL HEALTH NETWORK.-PROVIDE PATIENTS WITH MEDICAL RECORDS UPON REQUEST WITHOUT CHARGE.-EMPLOYEES SUPPORT LOCAL CHARITIES INCLUDING UNITED WAY, LOCAL FOOD AND CLOTHING DRIVES, CURE FOR CANCER, RELAY FOR LIFE.-THE HOSPITAL CAFETERIA PROVIDES A RELAXED DINING EXPERIENCE FOR MANY LOCAL RESIDENTS INCLUDING THOSE AT A NEARBY SENIOR LOW HOUSING UNIT. THESE MEALS ARE NORMALLY SERVED AT OR BELOW HOSPITAL COST.MANY HOSPITAL EMPLOYEES AND VOLUNTEERS (AUXILIARY AND FOUNDATION) ARE NOT ONLY PART OF THE HOSPITAL BUT INTEGRAL MEMBERS OF THE COMMUNITY. THEY HELP CEMENT THE RELATIONSHIP AMONG HEALTH CARE SERVICE PROVIDERS AND THE COMMUNITY. PART VI, LINE 7, REPORTS FILED WITH STATES IL 1 X X X X X 0 0 0 0 0 0 0 0 0 GADINI DELISCA ORTHOPEDIC PHYSICIAN 648956 0 61239 0 0 0 11500 0 24509 0 746204 0 0 0 KAREN TRACY CEO 318735 0 24313 0 0 0 10186 0 21149 0 374383 0 0 0 CHRISTINE GORMAN MD PHYSICIAN 256726 0 91896 0 0 0 6953 0 17247 0 372822 0 0 0 JASON POPP MD PAST CHIEF OF MEDICAL STAFF 244428 0 33489 0 0 0 8677 0 25433 0 312027 0 0 0 KENDALL ELIZABETH VOGELER CHIEF OF MEDICAL STAFF ELECT 252869 0 30489 0 0 0 6323 0 660 0 290341 0 0 0 LORI GUTIERREZ CFO 231458 0 16910 0 0 0 3943 0 660 0 252971 0 0 0 DENIESE BAUER CHRO 190262 0 12059 0 0 0 5710 0 29051 0 237082 0 0 0 CHRISTOPHER SWARTOUT COO 188802 0 6978 0 0 0 0 0 26745 0 222525 0 0 0 KYLE AUMAN CAO 175376 0 13659 0 0 0 5974 0 24569 0 219578 0 0 0 RHONDA MARKS CNO 184103 0 14274 0 0 0 5949 0 2838 0 207164 0 0 0 A OGLE COUNTY ILLINOIS 366006637 2015-08-18 5970045 MEDICAL OFFICE BUILDING PROJECT 0 0 0 A 2151327 5970045 119401 5850644 2017 0 0 1 1 A 0 1 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 A 1 PREMIER HEALTH GROUP LLC ENTITY MORE THAN 35% OWNED BY DIRECTOR SATHISH CULLATH, MD 708000 MEDICAL DIRECTOR AND HOSPITALIST FEES 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE HOSPITAL AND UP TO TWO OTHER TRUSTEES. THE EXECUTIVE COMMITTEE MEETS AS NEEDED AND HAS THE POWER TO TRANSACT THE BUSINESS OF THE HOSPITAL DURING THE INTERIM BETWEEN MEETINGS OF THE TRUSTEES, PROVIDED THAT NO ACTION CONFLICTS WITH THE EXPRESSED POLICIES OF THE BOARD AND FURTHER PROVIDED THAT ALL ACTIONS TAKEN ON MATTERS OF MAJOR SIGNIFICANCE ARE REFERRED TO THE BOARD FOR RATIFICATION AT THE NEXT REGULAR MEETING. FORM 990, PART VI, SECTION A, LINE 6 FROM AND AFTER MAY 1, 1965, ANY PERSON WHO HAS GIVEN $25 OR MORE IN CASH OR PROPERTY CAN BECOME, UPON REQUEST, A MEMBER OF THE ORGANIZATION FOR ONE YEAR. ANY PERSON WHO HAS GIVEN $1,000 OR MORE IN CASH OR PROPERTY CAN BECOME, UPON REQUEST, A MEMBER OF THE ORGANIZATION FOR LIFE, OR IN THE CASE OF A LEGAL ENTITY, FOR THE DURATION OF ITS EXISTENCE. FORM 990, PART VI, SECTION A, LINE 7A THE PRESIDENT/CHIEF EXECUTIVE OFFICER POSITION IS A STANDING VOTING MEMBER OF THE BOARD OF TRUSTEES. THE CHIEF OF THE MEDICAL STAFF AND THE CHIEF OF STAFF ELECT ARE STANDARD VOTING MEMBERS AND SHALL BE ELECTED IN ACCORDANCE WITH THE MEDICAL STAFF BYLAWS OF THE HOSPITAL. THE PRESIDENT OF THE ROCHELLE COMMUNITY HOSPITAL ASSOCIATION AUXILIARY IS A STANDARD VOTING MEMBER AND SHALL BE ELECTED IN ACCORDANCE WITH THE ROCHELLE COMMUNITY HOSPITAL ASSOCIATION AUXILIARY BYLAWS. THE OSF REPRESENTATIVE IS A STANDARD VOTING MEMBER OF THE BOARD OF TRUSTEES WHO SHALL BE NOMINATED BY OSF HEALTHCARE SYSTEM AND MUST BE APPROVED BY MAJORITY VOTE OF THE BOARD OF TRUSTEES, FOR A TERM THAT AUTOMATICALLY EXPIRES UPON THE TERMINATION OF HIS OR HER EMPLOYMENT OR AFFILIATION WITH OSF HEALTHCARE SYSTEM OR UPON THE TERMINATION OF THE OSF AFFILIATION AGREEMENT, WHICHEVER OCCURS FIRST. IN THE EVENT THE OSF REPRESENTATIVE IS NO LONGER EMPLOYED OR AFFILIATED WITH OSF HEALTHCARE SYSTEM, THE OSF HEALTHCARE SYSTEM SHALL APPOINT HIS OR HER REPLACEMENT. THE REMAINING TRUSTEES, APPROXIMATELY ONE-THIRD (1/3) OF WHOM SHALL BE ELECTED BY THE BOARD OF TRUSTEES EACH YEAR AT THE BOARD'S REGULAR MEETING THAT IS HELD ON THE SAME DAY AS THE ANNUAL MEETING OF THE MEMBERS, SHALL EACH HOLD OFFICE FOR A TERM OF THREE (3) YEARS; PROVIDED THAT ANY SUCH TRUSTEE SERVING THREE (3) CONSECUTIVE TERMS SHALL BE INELIGIBLE FOR RE-ELECTION FOR THREE (3) YEARS FOLLOWING THE CONCLUSION OF THE THIRD CONSECUTIVE TERM; PROVIDED, HOWEVER, THAT A TRUSTEE WHO IS SERVING OR ELECTED AS CHAIRPERSON MAY CONTINUE TO SIMULTANEOUSLY SERVE AS CHAIRPERSON AND AS A TRUSTEE DURING A FOURTH CONSECUTIVE TERM. THE NOMINATING COMMITTEE SHALL SUBMIT A SLATE OF NOMINEES TO SERVE AS TRUSTEES TO THE BOARD FOR CONSIDERATION FOR ELECTION. AFTER COMPLETING THE TERM AS CHAIRPERSON, SUCH PERSON SHALL BECOME IMMEDIATE PAST CHAIRPERSON AND BE AN EX OFFICIO MEMBER OF THE EXECUTIVE COMMITTEE. IF THE TERM AS A TRUSTEE HAS EXPIRED AND SUCH PERSON IS NOT ELIGIBLE FOR RE- ELECTION, THE PERSON SHALL BE WITHOUT VOTE. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT COPY OF FORM 990 IS PROVIDED TO THE GOVERNING BODY (BOARD OF TRUSTEES) AND THE GOVERANCE COMMITTEE FOR REVIEW PRIOR TO FILING. THE ORGANIZATION'S CEO, CFO, AND OTHER MEMBERS OF THE ACCOUNTING DEPARTMENT ALSO REVIEWED A COPY PRIOR TO FILING. IF CHANGES ARE NECESSARY, THEY ARE REPORTED TO THE RETURN PREPARER AND INCORPORATED INTO THE FINAL RETURN. FORM 990, PART VI, SECTION B, LINE 12C CONFLICTS OF INTEREST ARE INVESTIGATED BY APPOINTED MEMBERS OF THE GOVERANCE COMMITTEE ON AN ONGOING BASIS. IF IT IS DETERMINED THAT AN INDIVIDUAL FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL INFORM THE INDIVIDUAL OF SUCH A BELIEF AND AFFORD HIM AN OPPORTUNITY TO EXPLAIN. AFTER SAID EXPLANATION, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION AS DEEMED NECESSARY. THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD ANNUALLY AND UPDATED AS NEEDED. THE BOARD OF TRUSTEES AND ADMINISTRATION TEAM SIGN CONFLICT OF INTEREST DISCLOSURES ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE CHIEF EXECUTIVE, ADMINISTRATOR AND KEY EMPLOYEE (MANAGEMENT) COMPENSATION IS DETERMINED BY THE USE OF COMPARABLE DATA, INCLUDING INDEPENDENT SURVEYS CONDUCTED BY THE ILLINOIS HOSPITAL ASSOCIATION AND ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK. THIS INFORMATION IS COLLECTED FROM LIKE-SIZE ORGANIZATIONS. ADDITIONALLY, COMPARABLE INFORMATION WAS COLLECTED FROM AN INDEPENDENT HEALTHCARE CONSULTING FIRM WHICH INCLUDED SALARY RANGES, MEDIAN AND QUARTERLY PERCENTILE RANK OF COMPARABLE HOSPITALS. THIS INFORMATION IS REVIEWED BY THE HUMAN RESOURCES MANAGER, CHIEF EXECUTIVE AND THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. THE PROCESS WAS LAST COMPLETED IN FISCAL YEAR 2025. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST IN WRITING TO THE BUSINESS OFFICE. FORM 990, PART IX, LINE 11G MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 5,335,738. MANAGEMENT AND GENERAL EXPENSES 9,678. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,345,416. PATIENT SERVICES: PROGRAM SERVICE EXPENSES 52,003. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 52,003. MAINTENANCE & HOUSEKEEPING: PROGRAM SERVICE EXPENSES 89,909. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 89,909. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 870,021. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 870,021. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 438,518. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 438,518. MISCELLANEOUS FEES: PROGRAM SERVICE EXPENSES 40,900. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,900. FORM 990, PAGE 12, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PAGE 6, PART VI, SECTION A, LINE 7B MEMBERSHIP IN THE CORPORATION SHALL NOT CONFER ANY VOTING RIGHTS; THIS INCLUDES, WITHOUT LIMITATION, THE ABILITY TO VOTE ON THE DISSOLUTION OF THE CORPORATION; THE SALE, LEASE, OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR NOMINATIONS TO THE BOARD OF TRUSTEES. ANY ISSUE SUBMITTED TO THE MEMBERS OF THE CORPORATION BY THE BOARD OF TRUSTEES SHALL BE FOR DISCUSSION PURPOSES ONLY AND ANY RECOMMENDATIONS FROM THE MEMBERS TO THE BOARD SHALL BE ADVISORY IN NATURE AND ARE SUBJECT TO THE ULTIMATE AUTHORITY OF THE BOARD OF TRUSTEES. ROCHELLE COMMUNITY HOSPITAL FOUNDATION 900 NORTH SECOND STREET ROCHELLE IL 61068 363719223 SUPPORT OF ROCHELLE COMMUNITY HOSPITAL ASSOCIATION IL 501(C)(3) LINE 12B, II ROCHELLE COMMUNITY HOSPITAL ASSOC 1 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 ROCHELLE COMMUNITY HOSPITAL FOUNDATION Q 271303 FMV ROCHELLE COMMUNITY HOSPITAL FOUNDATION C 45274 FMV ROCHELLE COMMUNITY HOSPITAL FOUNDATION O 25919 FMV