Form 990 for tax year 2022
Filed by ROCHELLE COMMUNITY HOSPITAL FOUNDATION.
Totals
- Total revenue
- $67,051
- Total expenses
- $47,754
- Contributions and grants received
- $54,030
- Grants paid
- $8,000
- Program service revenue
- $0
- Investment income
- $13,713
- Other revenue
- -$692
- Total assets, end of year
- $813,964
- Total liabilities, end of year
- $18,244
- Net assets or fund balances, end of year
- $795,720
- Program services expenses (Part IX)
- $8,000
- Management and general expenses
- $39,754
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $8,000
Program services were 16.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1c · Fundraising events
$24,090
-
1f · All other contributions, gifts and grants
$29,940
-
3 · Investment income
total $13,713 · excluded $13,713
-
8a · Fundraising events: gross income
$10,120
-
8a · Fundraising events: contributions included on line 1c
$24,090
-
8b · Fundraising events: direct expenses
$10,812
-
8c · Net income from fundraising events
total -$692 · excluded -$692
Functional expenses
Part IX, the statement of functional expenses.
-
2 · Grants to domestic individuals
total $8,000 · program services $8,000
-
5 · Compensation of officers, directors and key employees
total $19,011 · management and general $19,011
-
11g · Fees: other
total $12,529 · management and general $12,529
-
13 · Office expenses
total $8,214 · management and general $8,214
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $367,130 · end of year $813,964
-
4 · Accounts receivable
beginning of year $201 · end of year $0
-
11 · Investments: publicly traded securities
beginning of year $448,256 · end of year $0
-
25 · Other liabilities
beginning of year $38,128 · end of year $18,244
-
27 · Net assets without donor restrictions
beginning of year $777,459 · end of year $795,720
Mission and programs · 2022
Mission
DEVELOP AND GROW FINANCIAL RESOURCES TO SUPPORT ROCHELLE COMMUNITY HOSPITAL IN PROVIDING EXCELLENCE IN HEALTHCARE FOR OUR COMMUNITY.
Activities or mission (Part I)
PROVIDE SUPPORT FOR HEALTH CARE SERVICES OF ROCHELLE COMMUNITY HOSPITAL AND ITS CLINICS.
-
ROCHELLE COMMUNITY HOSPITAL FOUNDATION WAS INCORPORATED FOR CHARITABLE BENEVOLENT EDUCATIONAL AND SCIENTIFIC PURPOSES AND TO SUPPORT AND ENCOURAGE HEALTH CARE SERVICES. ASSURING THAT QUALITY HEALTH AND WELLNESS SERVICES ARE AVAILABLE TO THE PEOPLE IN THE EASTERN OGLE AND NORTHERN LEE COUNTIES IS WHAT ROCHELLE COMMUNITY HOSPITAL IS ALL ABOUT. WE EDUCATE PEOPLE, GROUPS AND ORGANIZATIONS REGARDING THE AVAILABILITY AND APPROPRIATE USE OF THESE HEALTHCARE SERVICES.
Expenses $8,000 · Grants $8,000
As filed on the 2022 return.
Listed in Part VII
-
Reed HarrisREED HARRIS
PRESIDENT
- Total calculated
- $0
- Hours/week
- 0.5
-
Earl FlemingEARL FLEMING
TREASURER
- Total calculated
- $0
- Hours/week
- 0.5
-
Debbie KerstenDEBBIE KERSTEN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5
-
Pat ZilmPAT ZILM
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5
-
Darlyne KellerDARLYNE KELLER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5
-
Will McLachlanWILL MCLACHLAN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5
-
Stephanie CrawfordSTEPHANIE CRAWFORD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5
-
Carol ElliottCAROL ELLIOTT
AUXILIARY REPRESENTATIVE
- Total calculated
- $0
- Hours/week
- 0.5
-
Robert JohnsROBERT JOHNS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5
-
Tonya SarverTONYA SARVER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5
-
Gregory A OlsonGREGORY A OLSON
CEO & TRUSTEE
- Total calculated
- $372,609
- From this org
- $0
- From related orgs
- $330,349
- Other
- $42,260
- Hours/week
- 5 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $309,849 related
- Bonus
- $0 + $18,547 related
- Other
- $0 + $1,953 related
- Deferred
- $0 + $10,074 related
- Nontaxable benefits
- $0 + $32,186 related
- Filer's total
- $0 + $372,609 related
-
Lori GutierrezLORI GUTIERREZ
CFO
- Total calculated
- $199,828
- From this org
- $0
- From related orgs
- $194,343
- Other
- $5,485
- Hours/week
- 5 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $181,852 related
- Bonus
- $0 + $11,190 related
- Other
- $0 + $1,301 related
- Deferred
- $0 + $3,574 related
- Nontaxable benefits
- $0 + $1,911 related
- Filer's total
- $0 + $199,828 related
-
Michelle LapageMICHELLE LAPAGE
FOUNDATION COORDINATOR
- Total calculated
- $118,278
- From this org
- $0
- From related orgs
- $97,667
- Other
- $20,611
- Hours/week
- 10 + 30 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3
- THE FOLLOWING METHODS WERE USED BY ROCHELLE COMMUNITY HOSPITAL ASSOCIATION, A RELATED 501(C)(3) PUBLIC CHARITY, TO DETERMINE THE CEO'S COMPENSATION: 1. COMPENSATION COMMITTEE 2. WRITTEN EMPLOYMENT CONTRACT 3. COMPENSATION SURVEY OR STUDY 4. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
ROCHELLE COMMUNITY HOSPITAL ASSOCIATION
501(C)(3) · HOSPITAL · IL
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 12 December 2023
- IRS schema version
- 2022v5.0
- Source object
- 202323489349300712
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