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COPLEY MEMORIAL HOSPITAL INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
COPLEY MEMORIAL HOSPITAL INC (EIN 36-2170840)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-14
IRS object ID
202421359349306632
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-14T12:54:02+00:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line150 S 6TH STREET SUITE 2800AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554021844ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362170840EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Copley Memorial Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOPLBusinessNameControlTxt
Phone6309786200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 Ogden AvenueAddressLine1Txt
CityAuroraCityNm
State AbbreviationILStateAbbreviationCd
ZIP605044206ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN DIEDERICHPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone6309784941PhoneNum
Signature2024-05-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstBRENDAPersonFirstNm
Person LastWYHEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANNA KOLAKALURIPreparerPersonNm
PTINP01275237PTIN
Phone6123974000PhoneNum
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1co Rush Copley Medical CenterBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN DIEDERICHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 Ogden AvenueAddressLine1Txt
CityAuroraCityNm
State AbbreviationILStateAbbreviationCd
ZIP605044206ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$547,252,566GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RUSHCOPLEY.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1886FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTHE MISSION OF RUSH COPLEY IS TO PROVIDE ADVANCED MEDICINE WITH QUALITY OUTCOMES AND EXTRAORDINARY CARE.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee2652TotalEmployeeCnt
Total Volunteers183TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,294,712PYContributionsGrantsAmt
CY Contributions Grants$5,006,880CYContributionsGrantsAmt
PY Program Service Revenue$377,387,341PYProgramServiceRevenueAmt
CY Program Service Revenue$382,790,518CYProgramServiceRevenueAmt
PY Investment Income$19,028,974PYInvestmentIncomeAmt
CY Investment Income$6,069,389CYInvestmentIncomeAmt
PY Other Revenue$7,413,907PYOtherRevenueAmt
CY Other Revenue$5,306,727CYOtherRevenueAmt
PY Total Revenue$407,124,934PYTotalRevenueAmt
CY Total Revenue$399,173,514CYTotalRevenueAmt
PY Grants And Similar Paid$500PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$178,107,474PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$184,885,111CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$182,457,578PYOtherExpensesAmt
CY Other Expenses$186,287,214CYOtherExpensesAmt
PY Total Expenses$360,565,552PYTotalExpensesAmt
CY Total Expenses$371,172,325CYTotalExpensesAmt
PY Revenues Less Expenses$46,559,382PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$28,001,189CYRevenuesLessExpensesAmt
Total Assets BOY$954,609,869TotalAssetsBOYAmt
Total Assets EOY$1,041,905,826TotalAssetsEOYAmt
Total Liabilities BOY$362,556,402TotalLiabilitiesBOYAmt
Total Liabilities EOY$389,348,515TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$592,053,467NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$652,557,311NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF RUSH COPLEY IS TO PROVIDE ADVANCED MEDICINE WITH QUALITY OUTCOMES AND EXTRAORDINARY CARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$300,091,175ExpenseAmt
Revenue$386,480,975RevenueAmt
DescTHE MISSION OF RUSH COPLEY IS TO PROVIDE ADVANCED MEDICINE WITH QUALITY OUTCOMES AND EXTRAORDINARY CARE. IN FY2023, COPLEY MEMORIAL HOSPITAL PROUDLY COLLABORATED WITH DOZENS OF CIVIC AND COMMUNITY GROUPS TO IMPACT THE KNOWLEDGE, HEALTH AND WELL-BEING OF THE COMMUNITY. COPLEY MEMORIAL HOSPITAL OFFERS FREE HEALTH EDUCATION AND WELLNESS PROGRAMS RANGING FROM DIABETES, HEART HEALTH, CANCER PREVENTION, WEIGHT CONTROL, SMOKING CESSATION, CHRONIC HEALTH, CHILDBIRTH EDUCATION AND MORE. SUMMARY OF FY23 HEALTH PROGRAMMING THE PANDEMIC HAD SIGNIFICANT IMPACT ON THE COMMUNITIES' PUBLIC PROGRAMMING AND, RELATEDLY, COPLEY MEMORIAL HOSPITAL SPONSORSHIP, PARTNERSHIP AND PARTICIPATION IN COMMUNITY PROGRAMS. IN FY23, THE HOSPITAL PARTICIPATED IN NEARLY 200 COMMUNITY-BASED PROGRAMS AND EVENTS WITH SPECIAL EMPHASIS ON IMPROVING THE HEALTH AND WELLNESS OF ADULTS, CHILDREN AND UNDERSERVED POPULATIONS. DIABETES EDUCATION PROGRAM FREE DIABETES EDUCATION IS PROVIDED TO LOW-INCOME PATIENTS, GIVING THEM THE KNOWLEDGE AND SKILLS THEY NEED TO AVOID OR DELAY LONG-TERM COMPLICATIONS OF DIABETES. IN FY23, FREE FASTING GLUCOSE SCREENINGS AND EDUCATION WERE PROVIDED TO APPROXIMATELY 246 UNIQUE COMMUNITY MEMBERS SERVED WITH 431 EDUCATION SESSIONS. FOOD INSECURITY THE RUSH COPLEY PROMISE PANTRY PROVIDES PATIENTS AND THEIR FAMILIES FACING FOOD INSECURITY WITH A BAG OF SHELF STABLE FOOD ITEMS ALONG WITH A LIST OF FOOD PANTRIES WITHIN RUSH COPLEY'S SERVICE AREA AND HANDOUT ON SNAP. IT WAS BORN FROM THE RUSH COPLEY PROMISE - A COMMITMENT WE MAKE TO ALL PATIENTS, THEIR FAMILIES AND GUESTS TO DO EVERYTHING POSSIBLE TO PROVIDE YOU WITH COMPASSIONATE AND EXCEPTIONAL CARE. RUSH COPLEY MEDICAL CENTER PARTNERS WITH LOAVES AND FISHES COMMUNITY SERVICES, A LOCAL FOOD PANTRY THAT NOW PROVIDES THE BAGS OF SHELF STABLE FOOD ITEMS FOR THE RUSH COPLEY PROMISE PANTRY. IN FY23 THE RUSH COPLEY PROMISE PANTRY PROVIDED 1,231 PROMISE PANTRY BAGS, THIS IS EQUIVALENT TO 12,310 POUNDS OF FOOD PROVIDED TO PATIENTS. ADDITIONALLY, THE COOK BOOK, "EAST WELL ON $4/DAY GOOD AND CHEAP" BY LEANNE BROWN AVAILABLE IN ENGLISH AND SPANISH ARE PROVIDED TO PATIENTS AND FAMILIES THROUGH THE RUSH COPLEY PROMISE PANTRY. COMMUNITY FOOD DISTRIBUTION RUSH COPLEY COLLABORATED WITH LOAVES AND FISHES COMMUNITY SERVICES AT ST. THERESE CHURCH IN AURORA FOR A COMMUNITY FOOD DISTRIBUTION. THE EVENT SERVED 173 HOUSEHOLDS WHICH INCLUDDS 695 RESIDENTS, 236 CHILDREN AND 3 INFANTS. PREGNANCY AND CHILDBIRTH PRE-AND POSTNATAL CLASSES ARE OFFERED TO COUPLES AND FAMILIES WHO ARE EXPECTING OR HAVE A BABY. CLASS TOPICS INCLUDE: CHILDBIRTH EDUCATION. BABY CARE BASICS, BIRTH CHOICES/WATER BIRTH, UNDERSTANDING BREASTFEEDING, BREASTFEEDING PART II, WORKING & BREASTFEEDING, BECOMING A GRANDPARENT, BOOT CAMP FOR NEW DADS, BRINGING HOME BABY, INFANT MASSAGE, FAMILY BIRTH CENTER TOURS, CHILD SEAT SAFETY, SIBLING CLASS, SIBLING TOURS, FIRST STEPS AND NOT WHAT I EXPECTED SUPPORT GROUPS, AND INFANT CPR AND HOME SAFETY. OVER 700 PEOPLE PARTICIPATED IN FY23. CHILD PASSENGER SAFETY COPLEY MEMORIAL HOSPITAL SERVES AS THE REGIONAL TRAFFIC SAFETY RESOURCE CENTER FOR SUBURBAN COOK AND SIX COLLAR COUNTIES (LAKE, DUPAGE, MCHENRY, KANE, KENDALL AND WILL). SIX OF THE SEVEN COUNTIES IN OUR REGION ARE PART OF THE ILLINOIS DEPARTMENT OF TRANSPORTATION'S 23-COUNTY MODEL. IN FY23, 1,210 CAR SEATS WERE DISTRIBUTED TO LOW-INCOME FAMILIES AND AGENCIES WHO HAVE CERTIFIED CHILD PASSENGER SAFETY TECHNICIANS ON STAFF. COPLEY MEMORIAL HOSPITAL HOSTED 25 INTRO TO CHILD SEATS EDUCATION EVENTS FOR NEW CAREGIVERS AND SOCIAL SERVICE AGENCIES FOR A TOTAL OF 300 PEOPLE EDUCATED. BETWEEN COUNTY FAIRS, FAITH AND BLUE, KISS EVENTS AND CAR SEAT EVENTS MORE THAN 10,000 INDIVIDUALS HAD THE OPPORTUNITY TO SPEAK WITH CERTIFIED TECHNICIANS AT A TABLE TOP EVENT. THE CHICAGO AUTO SHOW THEME IN 2023 WAS CHILD PASSENGER SAFETY, MORE 1,500 PEOPLE PASSED THROUGH THE BOOTH OVER 10 DAYS. TEEN PROGRAMMING FROM GIRL TO YOUNG WOMAN IS A PROGRAM FOR GIRLS 9 TO 12 YEARS OLD AND FOCUSES ON THE PHYSICAL AND MENTAL CHANGES THAT HAPPEN DURING THIS AGE. DURING FY23, 12 GIRLS AND THEIR FEMALE CAREGIVERS ATTENDED. MOVEMENT DISORDERS RUSH COPLEY'S MOVEMENT DISORDERS PROGRAM PROVIDES SUPPORT AND MANAGEMENT OF PARKINSON'S DISEASE, ESSENTIAL TREMOR, DYSTONIA AND ATAXIA, AS WELL AS OTHER MOVEMENT DISORDERS, TO HELP PARTICIPANTS MAXIMIZE THEIR MOBILITY, COORDINATION, AND QUALITY OF LIFE. PROGRAM OFFERINGS WERE OFFERED HYBRID IN FY23, AND INCLUDED MONTHLY SUPPORT GROUPS FOR PARTICIPANTS AND CARE PARTNERS/CAREGIVERS, EXERCISE CLASSES, AND MUSIC THERAPY TO MORE THAN 158 PARTICIPANTS. CANCER RESOURCE CENTER WATERFORD PLACE CANCER RESOURCE CENTER OFFERED 40 PROGRAMS PER MONTH IN FY23 IN-PERSON OR HYBRID. PROGRAMS INCLUDED WELLNESS, EXERCISE, SALON AND SPA, AND EDUCATION PROGRAMS REACHING 638 UNIQUE PARTICIPANTS WITH A TOTAL OF 5,408 VISITS. PHYSICIAN REFERRAL AND SERVICE LINE COPLEY MEMORIAL HOSPITAL OFFERS A FREE PHYSICIAN AND INFORMATION REFERRAL TELEPHONE SERVICE TO THE COMMUNITY. THIS SERVICE ALLOWS COMMUNITY MEMBERS TO TALK WITH A CALL ADVISOR TO MATCH A PERSON'S HEALTH NEEDS AND PREFERENCES WITH THE PHYSICIAN OF THEIR CHOICE, LINKS CALLERS TO SERVICES PROVIDED BY THE MEDICAL CENTER AND MANAGES REGISTRATION FOR RUSH COPLEY CLASSES AND PROGRAMS. HEALTH TALK HEALTH TALKS ARE FREE COMMUNITY HEALTH PROGRAMS HOSTED IN PERSON AND VIRTUALLY DURING FY23 ON A VARIETY OF TOPICS DESIGNED TO HELP IMPROVE WELL-BEING. RESPECTED RUSH EXPERTS SHARE INSIGHTS AND TIPS FOR HEALTHY LIVING. TOPICS INCLUDED: BREAST CANCER, CERVICAL CANCER, COLORECTAL CANCER, TOBACCO CESSATION (ENGLISH AND SPANISH). MORE THAN 250 PARTICIPANTS ATTENDED IN PERSON OR VIRTUALLY. COMMUNITY HEALTH EVENTS RUSH COPLEY PARTICIPATED IN PLANNING AND IMPLEMENTATION FOR THE AURORA AFRICAN AMERICAN HEALTH FAIR WHICH FOCUSED ON HEALTH AND WELLBEING OF THE AFRICAN AMERICAN/BLACK COMMUNITY, AND AURORA AREA INTERFAITH FOOD PANTRY EDUCATION ON STROKE AND MEDICATION REVIEW WITH A RUSH COPLEY PHARMACIST. PARTICIPATED IN THE EAST AURORA DISTRICT 131 PARENT UNIVERSITY AND WEST AURORA DISTRICT 129 COLLEGE, CAREER & WELLNESS FAIR. OVER 700 COMMUNITY MEMBERS PARTICIPATED IN THE EVENT. HEALTHCARE ENROLLMENT EVENT RUSH COPLEY COLLABORATED WITH LOCAL STATE REPRESENTATIVE AND COMMUNITY-BASED ORGANIZATIONS AND HOSTED TWO HEALTHCARE ENROLLMENT EVENTS FOR IMMIGRANT ADULTS IN FY23. BENEFIT ENROLLMENT SPECIALIST ASSISTED OVER 60 RESIDENTS APPLY FOR HEALTH BENEFITS FOR IMMIGRANT ADULTS (HBIA) AND HEALTH BENEFIT FOR IMMIGRANT SENIOR (HBIS) PROGRAMS. WEBSITE COPLEY MEMORIAL HOSPITAL'S WEBSITE, RUSHCOPLEY.COM, WITH TRANSLATION AVAILABLE INTO DOZENS OF LANGUAGES, OFFERS ACCESS TO FREE HEALTH INFORMATION. IN FY23, WWW.RUSH.EDU/RUSHCOPLEY HAD MORE THAN 130,000 SESSIONS.Desc
Total Program Service Expenses$300,091,175TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document238IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2652EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRENDA VAN WYHEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6309786200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 OGDEN AVENUEAddressLine1Txt
CityAURORACityNm
State AbbreviationILStateAbbreviationCd
ZIP60504ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Bruce W Dienst
CHAIRMAN OF THE BOARD/DIRECTOR1.03.0Yes (X)Yes (X)$0$0$0
Christine Sobek
VICE CHAIR OF THE BOARD/DIRECTOR1.02.0Yes (X)Yes (X)$0$0$0
John Diederich MA MBA FACHE
President & CEO/Director40.04.0Yes (X)Yes (X)$3,634,635$0$42,791
Andrew VanEekeren
DIRECTOR1.02.0Yes (X)$0$0$0
Catherine Cederoth
DIRECTOR1.03.0Yes (X)$0$0$0
Dave Mead
DIRECTOR1.02.0Yes (X)$0$0$0
Garrett Katula DO (END 1222)
PHYSICIAN/DIRECTOR40.02.0Yes (X)$415,826$0$39,377
Herbert Knight
DIRECTOR1.02.0Yes (X)$0$0$0
Jae B Joo MD
CHIEF OF STAFF/DIRECTOR40.02.0Yes (X)$650,257$0$40,226
James Baka
DIRECTOR1.02.0Yes (X)$0$0$0
Kalpesh Patel MD
VICE CHIEF OF STAFF/DIRECTOR1.02.0Yes (X)$0$0$0
Luis Perez
DIRECTOR1.02.0Yes (X)$0$0$0
Mark C Metzger
DIRECTOR1.03.0Yes (X)$0$0$0
Maryanne Locklin
DIRECTOR1.02.0Yes (X)$0$0$0
Maureen Strobl
DIRECTOR1.02.0Yes (X)$0$0$0
Patrick Carmody
DIRECTOR1.02.0Yes (X)$0$0$0
Richard Edelman
DIRECTOR1.02.0Yes (X)$0$0$0
Ronald Hem
DIRECTOR1.02.0Yes (X)$0$0$0
Santosh Gill MD
DIRECTOR1.02.0Yes (X)$0$0$0
Syed Zaidi MD
IMMEDIATE PAST CHIEF OF STAFF/DIRECTOR40.02.0Yes (X)$694,419$0$24,771
Trish Anen
DIRECTOR1.02.0Yes (X)$0$0$0
William Skoglund (END 0922)
DIRECTOR1.02.0Yes (X)$0$0$0
Brenda Van Wyhe
SR. VP FINANCE & CFO/TREASURER40.03.0Yes (X)$625,127$0$106,279
Ryan Asmus
VP GENERAL COUNSEL/SECRETARY40.03.0Yes (X)$449,693$0$59,039
Abigail Hornbogen
VP. PATIENT CARE & CNO40.00$343,040$0$74,193Yes (X)
Alex Pope
VP. PHILANTHROPY & CDO1.040.0$373,569$0$72,324Yes (X)
Brenda K Fann MD (END 1222)
ASSISTANT VP. MEDICAL AFFAIRS40.00$397,109$0$206,785Yes (X)
David Petasnick
ASSISTANT VP, ANCILLARY SVCS40.00$312,693$0$66,771Yes (X)
Mary F Shilkaitis
SR VP Operations & COO40.01.0$1,371,600$0$30,769Yes (X)
Steve B Lowenthal MD
SR. VP MEDICAL AFFAIRS & CMO40.00$834,178$0$28,010Yes (X)
Arif Saleem MD
PHYSICIAN40.00$954,331$0$29,748Yes (X)
Dmitry S Ruban MD
PHYSICIAN40.00$935,979$0$37,818Yes (X)
Jonathan L Tueting MD
PHYSICIAN40.00$1,265,464$0$35,919Yes (X)
Kevin V Kelly MD
PHYSICIAN40.00$934,652$0$28,517Yes (X)
Sarabjeet Singh MD
PHYSICIAN40.00$895,662$0$25,272Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$15,088,234TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$948,609TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K365IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
TRIMEDX LLC
PO BOX 636129CINCINNATIOH452636129EQUIPMENT MAINTENANCE$4,091,253
SODEXO
PO BOX 536922ATLANTAGA303536922FOOD AND CLEANING SERVICES$3,912,882
GUARDIAN ANESTHESIA ASSOC
1690 DUNLAWTON AVEPORT ORANGEFL32127ANESTHESIA SERVICES$3,147,524
VAYA WORKFORCE SOLUTIONS LLC
5930 CORNERSTONE COURT WESTSAN DIEGOCA92121TEMPORARY LABOR$2,236,006
ATOS
DEPT - 772066DETROITMI482781177MEDICAL BILLING$1,383,570PO BOX 78000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K23CntrctRcvdGreaterThan100KCnt
Related Organizations$1,234,218RelatedOrganizationsAmt
Government Grants$3,772,662GovernmentGrantsAmt
Total Contributions$5,006,880TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SVC REV621110$347,971,125$347,971,125
MEDICAID TAX REVENUE621110$33,895,387$33,895,387
OTHER PROGRAM REVENUE900009$924,006$924,006

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$382,790,518TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,758,392TotalRevenueColumnAmt
Exclusion$8,758,392ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,593,096RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$617,933RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$975,163RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$975,163TotalRevenueColumnAmt
Exclusion$975,163ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$144,450,992SecuritiesAmt
Other$321,124OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$147,148,990SecuritiesAmt
Other$312,129OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$2,697,998SecuritiesAmt
Other$8,995OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,689,003TotalRevenueColumnAmt
Exclusion-$2,689,003ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
OUTSIDE SERVICE REV621990$3,690,457$3,690,457
GIFT SHOP REVENUE453220$626,164$626,164
CAFETERIA REVENUE621990$14,943$14,943

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,331,564OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$399,173,514TotalRevenueColumnAmt
Related Or Exempt Func Income$386,480,975RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$7,685,659ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$9,104,118TotalAmt
Management And General$9,104,118ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$143,220,985TotalAmt
Program Services$107,415,739ProgramServicesAmt
Management And General$35,805,246ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,587,661TotalAmt
Program Services$2,690,746ProgramServicesAmt
Management And General$896,915ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$17,646,556TotalAmt
Program Services$13,234,917ProgramServicesAmt
Management And General$4,411,639ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,325,791TotalAmt
Program Services$8,494,343ProgramServicesAmt
Management And General$2,831,448ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$7,080,355TotalAmt
Program Services$5,310,266ProgramServicesAmt
Management And General$1,770,089ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$118,409TotalAmt
Management And General$118,409ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$159,320TotalAmt
Management And General$159,320ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$30,983TotalAmt
Management And General$30,983ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$639,912TotalAmt
Management And General$639,912ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$16,356,960TotalAmt
Program Services$12,267,720ProgramServicesAmt
Management And General$4,089,240ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$781,141TotalAmt
Program Services$781,141ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,636,527TotalAmt
Program Services$7,227,395ProgramServicesAmt
Management And General$2,409,132ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,162,671TotalAmt
Program Services$7,622,003ProgramServicesAmt
Management And General$2,540,668ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,286,728TotalAmt
Program Services$3,215,046ProgramServicesAmt
Management And General$1,071,682ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$62,925TotalAmt
Program Services$47,194ProgramServicesAmt
Management And General$15,731ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$110,108TotalAmt
Program Services$82,581ProgramServicesAmt
Management And General$27,527ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,678,557TotalAmt
Program Services$3,678,557ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$22,519,716TotalAmt
Program Services$22,519,716ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,833,065TotalAmt
Program Services$4,374,799ProgramServicesAmt
Management And General$1,458,266ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$62,164,642$62,164,642
MEDICAID PROVIDER TAX$24,564,473$24,564,473
PURCHASED SERVICES$14,803,299$11,102,474$3,700,825
COLLECTION FEES$1,204,022$1,204,022

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,093,401TotalAmt
Program Services$2,093,401ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$371,172,325TotalAmt
Program Services$300,091,175ProgramServicesAmt
Management And General$71,081,150ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$27,382,395BOYAmt
EOY$27,455,783EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$54,826,702BOYAmt
EOY$68,266,031EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,093,925BOYAmt
EOY$7,354,360EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,632,377BOYAmt
EOY$2,347,954EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$498,640,936LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$288,987,040LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$193,059,860BOYAmt
EOY$209,653,896EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$332,739,710BOYAmt
EOY$342,346,836EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$4,317,836BOYAmt
EOY$4,300,885EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$333,557,064BOYAmt
EOY$380,180,081EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$954,609,869BOYAmt
EOY$1,041,905,826EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$117,052,674BOYAmt
EOY$124,978,095EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$123,693,488BOYAmt
EOY$120,048,234EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$121,810,240BOYAmt
EOY$144,322,186EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$362,556,402BOYAmt
EOY$389,348,515EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$585,519,008BOYAmt
EOY$642,528,125EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,534,459BOYAmt
EOY$10,029,186EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$592,053,467BOYAmt
EOY$652,557,311EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$954,609,869BOYAmt
EOY$1,041,905,826EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$28,001,189ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$27,244,536NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$5,258,119OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$30,983OtherActivitiesAmt
Total Lobbying Expenditures$30,983TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationCOPLEY MEMORIAL HOSPITAL, INC. IS A MEMBER OF VARIOUS ORGANIZATIONS THAT ADVOCATE ON LEGAL AND POLICY ISSUES THAT AFFECT HEATLHCARE. A PORTION OF THE ANNUAL MEMBERSHIP DUES PAID BY COPLEY MEMORIAL HOSPITAL, INC. TO THESE ORGANIZATIONS IS ATTRIBUTABLE TO LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,852,351BeginningYearBalanceAmt
Contributions$4,031,948ContributionsAmt
Investment Earnings Or Losses$1,693,594InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$1,471,485OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$20,106,408EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,582,486BeginningYearBalanceAmt
Contributions$3,122,324ContributionsAmt
Investment Earnings Or Losses-$2,444,977InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$1,407,482OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$15,852,351EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,390,581BeginningYearBalanceAmt
Contributions$843,098ContributionsAmt
Investment Earnings Or Losses$3,086,208InvestmentEarningsOrLossesAmt
Other Expenditures$737,401OtherExpendituresAmt
End Year Balance$16,582,486EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,022,428BeginningYearBalanceAmt
Contributions$1,342,373ContributionsAmt
Investment Earnings Or Losses$326,685InvestmentEarningsOrLossesAmt
Other Expenditures$1,300,905OtherExpendituresAmt
End Year Balance$13,390,581EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,969,298BeginningYearBalanceAmt
Contributions$1,771,314ContributionsAmt
Investment Earnings Or Losses$806,653InvestmentEarningsOrLossesAmt
Other Expenditures$1,524,837OtherExpendituresAmt
End Year Balance$13,022,428EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.333BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.43PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.237TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,189,750OtherCostOrOtherBasisAmt
Book Value$19,189,750BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$268,794,490OtherCostOrOtherBasisAmt
Depreciation$156,593,251DepreciationAmt
Book Value$112,201,239BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,375,905OtherCostOrOtherBasisAmt
Depreciation$4,083,498DepreciationAmt
Book Value$292,407BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$183,710,387OtherCostOrOtherBasisAmt
Depreciation$128,310,291DepreciationAmt
Book Value$55,400,096BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,570,404OtherCostOrOtherBasisAmt
Book Value$22,570,404BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$209,653,896TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
DUE FROM RELATED PARTIES$341,090,112
INVESTMENT IN AFFILIATES$20,950,034
MALPRACTICE GROSS UP$3,850,895
RIGHT OF USE ASSET$13,934,788
OTHER RECEIVABLES$354,252
FieldValueIRS element (for citing)
Total Book Value Other Assets$380,180,081TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
LONG TERM SERP$1,150,945
LONG TERM MARKET ADJUST SWAP LIABILITY$3,027,286
DUE TO RELATED PARTY$126,364,451
UNAMORTIZED BOND DISCOUNT-$555,637
SHORT TERM/LONG TERM LEASE LIABILITY$14,335,141
COVID-19 MEDICARE ADVANCE
LONG TERM DEFERRED RENT OBLIGATION
FieldValueIRS element (for citing)
Total Liability$144,322,186TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part V, Line 4 Intended uses of endowment fundsFormAndLineReferenceDesc
ExplanationRUSH COPLEY FOUNDATION HOLDS THE VORIS (INCOME FOR CMH CANCER CARE), KOBISK (BOARD RESTRICTED INCOME TO CMH), COPLEY (INCOME RESTRICTED TO HOSPITAL OPERATIONS), DOBBINS (INCOME FOR CMH WOMEN'S HEALTH), AND MOVEMENT DISORDER (INCOME FOR CMH MOVEMENT DISORDER PROGRAM) ENDOWMENTS. RUSH COPLEY FOUNDATION ALSO HOLDS THE FOLLOWING QUASI ENDOWMENTS: NURSING (INCOME FOR CMH FUTURE OF NURSING SCHOLARSHIPS). FOX VALLEY HEART (INCOME FOR THE HEART INSTITUTE), PROMISE FUND (INCOME FOR EMPLOYEE HARDSHIPS), PART V, LINE 4: C/O RUSH COPLEY MEDICAL CENTER 36-2170840 COPLEY MEMORIAL HOSPITAL, INC. AND WATERFORD PLACE (INCOME FOR CMH CANCER RESOURCE CENTER) ENDOWMENTS. THESE FUNDS ARE HELD FOR THE BENEFIT OF COPLEY MEMORIAL HOSPITAL.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,831,080TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,831,080NetCommunityBenefitExpnsAmt
Total Expense0.0103TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$102,371,908TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$65,626,020DirectOffsettingRevenueAmt
Net Community Benefit Expns$36,745,888NetCommunityBenefitExpnsAmt
Total Expense0.0990TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$106,202,988TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$65,626,020DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,576,968NetCommunityBenefitExpnsAmt
Total Expense0.1093TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,528TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,697DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,831NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,377,377TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,245,791DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,131,586NetCommunityBenefitExpnsAmt
Total Expense0.0138TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,127,023TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$503,848DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,623,175NetCommunityBenefitExpnsAmt
Total Expense0.0529TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$77,145TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$77,145NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$26,620,073TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,768,336DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,851,737NetCommunityBenefitExpnsAmt
Total Expense0.0670TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$132,823,061TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$67,394,356DirectOffsettingRevenueAmt
Net Community Benefit Expns$65,428,705NetCommunityBenefitExpnsAmt
Total Expense0.1763TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,793TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$18,793NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$147,954TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$132,954NetCommunityBenefitExpnsAmt
Total Expense0.0004TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$166,747TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$151,747NetCommunityBenefitExpnsAmt
Total Expense0.0004TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$23,751,386BadDebtExpenseAmt
Bad Debt Expense Attributable$2,375,139BadDebtExpenseAttributableAmt
Reimbursed By Medicare$56,907,826ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$74,020,288CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$17,112,462MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COPLEY MEMORIAL HOSPITAL INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 OGDEN AVEAddressLine1Txt
CityAURORACityNm
State AbbreviationILStateAbbreviationCd
ZIP605044206ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.RUSHCOPLEY.COMWebsiteAddressTxt
State License2150791StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1COPLEY MEMORIAL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.rush.edu/about-us/rush-community/chnachip-reports-and-cbr/rush-copley-chna-reportOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.rush.edu/about-us/rush-community/chnachip-reports-and-cbr/rush-copley-chna-reportStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care600.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.rush.edu/patients-visitors/financial-assistanceFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.rush.edu/patients-visitors/financial-assistanceFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.rush.edu/patients-visitors/financial-assistanceFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - COPLEY MEMORIAL HOSPITAL INC. THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED. THIS INCLUDED COMMUNITY RESIDENTS AND EXPERTS IN A RANGE OF AREAS INCLUDING PUBLIC HEALTH, MINORITY POPULATIONS, DISPARITIES IN HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH, AND HEALTH & SOCIAL SERVICES. PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED INCLUDED: BOARD OF DIRECTORS, HOSPITAL ADMINISTRATION, COMMUNITY HEALTH NEEDS COMMITTEE, PARTNERSHIPS WITH KANE COUNTY, PARTNERSHIPS WITH KENDALL COUNTY, COMMUNITY HEALTH SURVEY, FOCUS GROUPS, AND SECONDARY DATA ANALYSIS. FOR COMPLETE DETAILS ABOUT HOW THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED, THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE ACCESSED AT: https://www.rush.edu/about-us/rush-community/chnachip-reports-and-cbr/rush-copley-chna-report
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - ASCENSION MERCY, ASCENSION ST. JOSEPH, ADVOCATE SHERMAN AND NORTHWESTERN (DELNOR). RUSH COPLEY MEDICAL CENTER CONDUCTS THE CHNA THROUGH KANE HEALTH COUNTS WHICH IS A COLLABORATION AMONG THE KANE COUNTY HEALTH DEPARTMENT, INC MENTAL HEALTH ALLIANCE AND ALL FIVE HOSPITALS IN KANE COUNTY WHICH INCLUDE RUSH COPLEY MEDICAL CENTER, ASCENSION MERCY (FORMALLY AMITY MERCY), ASCENSION ST. JOSEPH (FORMALLY AMITA ST. JOSEPH), ADVOCATE SHERMAN AND NORTHWESTER DELNOR. WE ALL FORM PART OF THE KANE HEALTH COUNTS EXECUTIVE COMMITTE. THE COMMITTEE SELECTED A THIRD PARTY VENDER, CONDUENT HEALTHY COMMUNITIES INSTITUTE, THAT PERFORMED PRIMARY DATA AND SECONDARY DATA ANALYSIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE PRIMARY DATA COLLECTION INCLUDED A COMMUNITY SURVEY AND FOCUS GROUPS CONDUCTED IN ENGLISH AND SPANISH. THE SECONDARY DATA ANALYSIS INCLUDED A COMPREHENSIVE SET OF MORE THAN 200 COMMUNITY HEALTH AND QUALITY OF LIFE INDICATORS COVERING OVER 26 TOPIC AREAS. RUSH COPLEY'S CHNA STEERING COMMITTEE LEADS THE PROCESS TO IDENTIFY, PRIORITIZE AND DEVELOP STRATEGIES TO ADDRESS THE TOP HEALTH ISSUES IN THE COMMUNITY AND DEVELOP THE THREE YEAR COMMUNITY HEALTH IMPLEMENTATION PLAN.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - KANE COUNTY COUNTS. RUSH COPLEY MEDICAL CENTER CONDUCTS THE CHNA THROUGH KANE HEALTH COUNTS WHICH IS A COLLABORATION AMONG THE KANE COUNTY HEALTH DEPARTMENT, INC MENTAL HEALTH ALLIANCE AND ALL FIVE HOSPITALS IN KANE COUNTY WHICH INCLUDE RUSH COPLEY MEDICAL CENTER, ASCENSION MERCY (FORMALLY AMITY MERCY), ASCENSION ST. JOSEPH (FORMALLY AMITA ST. JOSEPH), ADVOCATE SHERMAN AND NORTHWESTER DELNOR. WE ALL FORM PART OF THE KANE HEALTH COUNTS EXECUTIVE COMMITTE. THE COMMITTEE SELECTED A THIRD PARTY VENDER, CONDUENT HEALTHY COMMUNITIES INSTITUTE, THAT PERFORMED PRIMARY DATA AND SECONDARY DATA ANALYSIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE PRIMARY DATA COLLECTION INCLUDED A COMMUNITY SURVEY AND FOCUS GROUPS CONDUCTED IN ENGLISH AND SPANISH. THE SECONDARY DATA ANALYSIS INCLUDED A COMPREHENSIVE SET OF MORE THAN 200 COMMUNITY HEALTH AND QUALITY OF LIFE INDICATORS COVERING OVER 26 TOPIC AREAS. RUSH COPLEY'S CHNA STEERING COMMITTEE LEADS THE PROCESS TO IDENTIFY, PRIORITIZE AND DEVELOP STRATEGIES TO ADDRESS THE TOP HEALTH ISSUES IN THE COMMUNITY AND DEVELOP THE THREE YEAR COMMUNITY HEALTH IMPLEMENTATION PLAN.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - COPLEY MEMORIAL HOSPITAL INC. RUSH COPLEY IDENTIFIED THE FOLLOWING AS THE TOP HEALTH NEEDS IN THE COMMUNITY TO BE ADDRESSED IN THE 2022 COMMUNITY HEALTH NEEDS ASSSEMENT. FY 23 IS THE FIRST YEAR OF THE COMMUNITY HEALTH IMPROVEMENT PLAN FOR THE IDENTIFIED NEEDS. 2022 Community Health Needs Assessment 1. Access to Health Services: Leverage patient and community-driven data to advance health equity. 2. Behavioral Health (includes mental health and substance abuse): Increase awareness on behavioral health conditions and navigation of behavioral health services in the community. Continue focus on reducing the misuse of opioids and opioid-related deaths. 3. Chronic Disease: Health Behaviors and Management: Reduce health behaviors related to chronic health conditions and increase management of chronic: disease in the community. 4. Inequities in vulnerable populations: Reduce inequities caused by the social, economic, and structural determinants of health FY23-25 Community Health Implementation Plan 1. Access to Health Services: Leverage patient and community-driven data to advance health equity. * Increase referrals to a primary care provider or medical home for patients seen in the Emergency Room * Continue partnership with local federally qualified healthcare centers to connect uninsured patients with insurance benefits * Create culturally sensitivity training for staff on capturing Race, Ethnicity and Language (REAL) and Sexual Orientation and Gender Identity (SOGI) patient data * Continue to provide accessible community programing: Tobacco Cessation, Diabetes Management, Movement Disorders Program and Waterford Place Cancer Resource Center * Participate in local community health improvement collaborative(s) 2. Behavioral Health (includes mental health and substance abuse): Increase awareness on behavioral health conditions and navigation of behavioral health services in the community. Continue focus on reducing the misuse of opioids and opioid-related deaths. * Develop partnership with Kane County Health Department's Integrated Referral and Information System (IRIS) to provide close loop referrals * Develop partnership for "soft handoff" with community behavioral health organizations * Continue reduction on the number of opioid prescriptions and assess other opportunities to address the opioid crisis * Collaborate with local community based behavioral health organizations to establish educational opportunities * Participate in local community health improvement collaborative(s) 3. Chronic Disease: Health Behaviors and Management: Reduce health behaviors related to chronic health conditions and increase management of chronic: disease in the community. * Adopt the Steps to Healthy Living, Chronic Disease Self-Management Workshop * Leverage community referral resource system (i.e. IRIS, Now Pow, Kane 211, etc.) to generate referrals for the Chronic Disease Self-Management Workshop * Continue to provide community programing: tobacco cessation, diabetes management, Movement Disorders and Waterford Place Cancer Resource Center * Partner with Kane County Health Department to create and develop a backbone entity in the community that builds and supports community-based programming related to nutrition, exercise and weight * Participate in local community health improvement collaborative(s) 4. Inequities in vulnerable populations: Reduce inequities caused by the social, economic, and structural determinants of health * Identify benchmarks for Social Determinants of Health (SDoH) screening * Continue to develop and establish SDoH screening to emergency room and ambulatory departments * Assess potential impact of a community health worker to conduct SDoH screening in Emergency Room * Partner with local food pantry to provide a healthy box of produce and protein to patients that screen positive for the SDoH, close loop referral * Participate in local community health improvement collaborative(s) FY23 Community Health Implementation Plan 1. Access to Health Services: Leverage patient and community-driven data to advance health equity. * Development of training for Race, Ethnicity and Language (REaL) and Sexual orientation and Gender Identity (SOGI), pilot program to launch in FY24. * Development of RUSH Health Equity Strategic Plan. This plan incorporated focus groups from across RUSH and local community-based organizations. A five-year health equity strategic plan will be defined for each hospital in FY24. * Collaborated with local State Representative and community-based organizations and hosted two healthcare enrollment events for immigrant adult. Benefit enrollment specialist assisted over 60 residents apply for Health Benefits for Immigrant Adults (HBIA) and Health Benefit for Immigrant Senior (HBIS) programs. * Participate in local community health improvement collaboratives: o Kane Health Counts Executive Committee o Kane County Health Department's Action Team on Access to Health Services o Kendall County Interagency Council 2. Behavioral Health (includes mental health and substance abuse): Increase awareness on behavioral health conditions and navigation of behavioral health services in the community. Continue focus on reducing the misuse of opioids and opioid-related deaths. * Development of partnership with the Gateway Foundation and RUSH Copley Medical Center. This will provide a Gateway Engagement Specialist in RUSH Copley's Emergency Services Department to coordinate warm handoffs for substance abuse treatment centers and follow up with a recovery coach. * Continue to monitor opioid dashboards and reports to track and benchmark opioid use * Participate in local community health improvement collaboratives: o Kane Health Counts Executive Committee o Kane County Opioid Task Force o Kane County Behavioral Health Council o Rush University System for Health Opioid Workforce o Kendall County Mental Health Stakeholders Committee 3. Chronic Disease: Health Behaviors and Management: Reduce health behaviors related to chronic health conditions and increase management of chronic: disease in the community. * Developed partnership with VNA Health Care, a local Federally Qualified Healthcare Center to provide Walk with a Doc program to the indoor track the RUSH Copley Healthplex. Bi monthly walking program open to the community and employees. * Stroke educational coordinated provided stroke educational at local food pantry and Spanish interpretation was provided by the community health outreach coordinator. Additionally, a pharmacist from RUSH Copley provide education on the importance of medication review. Over 200 community members educations * RUSH Copley participated in the West Aurora College, Career and Wellness Fair focused on high school youth from three local high school in Aurora, Geneva, and Batavia. An informational table was hosted with a Rethink Your Drink interactive activity and students were provided with recipes for health snack for college students. * Launched expansion of the RUSH Alive Faith Network (AFN) to the western suburbs, hosted the RUSH Copley AFN inaugural meeting with 18 faith leaders and clergy from African American/Black faith-based organizations in the Aurora and greater Fox Valley area. * Through the Alive Faith Network, three churches from the greater Aurora area became part of the first cohort for the Keeping it Movin' community-based research project. * Assisted in coordinating, supporting, and participated in the Aurora African American Health Fair, East Aurora Parent University, Waubonsee Community College Wellness Drive, over 400 attendees. Participants received health screening, community resources and health related presentations from healthcare professionals. * Health education presentation provided on importance of breast and colorectal rectal cancer screening targeted to Hispanic/Latine and African American/Black communities throughout the greater Aurora area. * Participate in local community health improvement collaboratives: o Kane Health Counts Executive Committee o Kane County Health Department's Action Team on Nutrition, Exercise, and Weight o Kendall County Interagency Council
Schedule H, Part V, Section B, Line 11 Facility , 2Facility , 2 - COPLEY MEMORIAL HOSPITAL, INC. 4. Inequities in vulnerable populations: Reduce inequities caused by the social, economic, and structural determinants of health * Social Determinates of Health Screening implemented in all departments throughout RUSH Copley Medical Center. A list of local resources generated by NowPow based on patient's zip code and added to the patient's After Visit Summary. * Three pantries became NowPow close loop referral partners for RUSH Copley Medical Center. A close loop referral partner food pantry provides warp around services for patient that screen positive for food insecurity. Pilot close loop referrals between RUSH Copley and food pantries to launch FY24. * RUSH Copley Promise Pantry, a partnership between RUSH Copley and Loaves and Fishes Community Service provided 1,231 Promise Pantry bags to RUSH Copley patients that screened positive for food insecurity. Each Promise Pantry bag provides ten pounds of shelf stable food items which equates to 12,310 pounds of food provided to patients. * RUSH Copley administration team participated in a volunteer opportunity with Loaves and Fishes Community Services at St. Therese Church in Aurora. We helped serve 173 households last night which includes 695 residents, 236 children and 3 infants. * Dr. Kleinfeld, RUSH Copley pediatrician participated in panel discussion at the Kane County Hunger Summit * Participate in local community health improvement collaboratives: o Kane Health Counts Executive Committee o Kane County Health Department's Action Team on Access to Health Services o Kane County Health Department's Action Team on Nutrition, Exercise, and Weight o Kendall County Interagency Council
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
RADIATION THERAPY CENTER AT RIVERWEST
1221 N HIGHLAND AVENUEAURORAIL605044206JV ONCOLOGY
CASTLE SURGICENTER
2111 OGDEN AVEAURORAIL60504AMBULATORY SURGERY CENTER
RUSH COPLEY HEALTHCARE CENTER
1100 WEST VETERANS PARKWAYYORKVILLEIL60560OUTPATIENT SERVICES
MIDWEST CENTER FOR ADVANCED IMAGING
4355 MONTGOMERY ROADNAPERVILLEIL60564RADIOLOGY SERVICES
HEALTHPLEX OUTPATIENT REHABILITATION
1900 OGDEN AVENUEAURORAIL60504OUTPATIENT REHABILITATION SERVICES

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3cDETAILS ARE IDENTIFIED UNDER THE FINANCIAL ASSISTANCE POLICY, PATIENTS MUST COMPLETE AN APPLICATION, MEET THE QUALIFICATIONS AND RESPONSE WITH THE REQUESTED DOCUMENTATION UNDER THE POLICY TO DETERMINE THE DISCOUNT AMOUNT, IF ANY, THAT WOULD APPLY TO THEIR HOSPITAL BILL.
Schedule H, Part I, Line 7g Subsidized Health ServicesReported $19,623,175 costs from physician clinics
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceA COST ACCOUNTING SYSTEM WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. A COST TO CHARGE RATIO WAS UTILIZED. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS (INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED AND SELF PAY).
Schedule H, Part II Community Building ActivitiesLocal high school students come to the hospital to observe various areas of the hospital to get an understand of the work performed in each area and how patients are cared for and treated. Hopefully this encourages some of the students to persue healthcare careers.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountBAD DEBT EXPENSE IS CALCULATED BASED ON ACTUAL WRITE OFF'S DURING THE YEAR AND APPLYING HISTORICAL UNCOLLECTED PERCENTAGES TO CURRENT OUTSTANDING BALANCES.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyTHE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS 10% OF THE ORGANIZATION'S BAD DEBT EXPENSE REPORTED ON PART III, LINE 2.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteNET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM THIRD PARTY PAYORS, PATIENTS, AND OTHERS FOR SERVICES RENDERED. RCMC HAS AGREEMENTS WITH THIRD PARTY PAYORS THAT PROVIDE FOR PAYMENT AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, PER DIEM PAYMENTS, AND DISCOUNTED CHARGES, INCLUDING ESTIMATED RETROACTIVE SETTLEMENTS UNDER PAYMENT AGREEMENTS WITH THIRD PARTY PAYORS. RCMC RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENT WHO HAVE THIRD PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR SERVICES RENDERED. PROVISIONS FOR ADJUSTMENTS TO NET PATIENT SERVICE REVENUE ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED TO FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, RCMC RECOGNIZES REVENUE BASED ON ITS DISCOUNTED RATES. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OR RCMC'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED. THUS, RCMC RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PATIENT ACCOUNTS RECEIVABLE ARE BASED ON GROSS CHARGES AND STATED AT NET REALIZABLE VALUE. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS, BASED ON EXPECTED PAYMENT RATES FROM PAYORS UNDER CURRENT REIMBURSEMENT METHODOLOGIES, AND ALSO BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, RCMC ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), RCMC RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE DISCOUNTED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED UNCOLLECTIBLE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsTHE RATIO OF PATIENT COST TO CHARGES WAS CALCULATED BASED ON THE IRS 2022 INSTRUCTIONS FOR SCHEDULE H, WORKSHEET 2. RATIO OF PATIENT CARE COST TO CHARGES FOR CMH. MEDICARE REVENUES AND COSTS WERE EXTRACTED FROM THE FY2023 AS-FILED MEDICARE COST REPORT. THERE IS A MEDICARE SURPLUS/SHORTFALL OF $17,112,462. SINCE THE IRS 2022 INSTRUCTIONS STATE UNDER PART III BAD DEBT, MEDICARE, & COLLECTIONS PRACTICES, LINE 5, THE MEDICARE SHORTFALL IS FOR MEDICARE FEE FOR SERVICES ASSOCIATED WITH THE ALLOWABLE COSTS THE ORGANIZATION ENTERED IN ITS MEDICARE COST REPORT, MANAGED MEDICARE WAS NOT INCLUDED. IF SO, THE TOTAL LOSS FOR THE MEDICARE SHORTFALL WOULD HAVE BEEN $20,777,739.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceIT IS OUR POLICY NOT TO PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE. IN CERTAIN CASES IT MAY NOT BE EASILY DETERMINE WHETHER OR NOT A PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIAL ASSISTANCE. HOWEVER, IF AFTER COLLECTION PRACTICES HAVE BEGUN, IT BECOMES KNOWN THE PATIENT QUALIFIES, THE COLLECTION EFFORTS CEASE.
Schedule H, Part V, Section B, Line 16a FAP website- COPLEY MEMORIAL HOSPITAL INC: Line 16a URL: https://www.rush.edu/patients-visitors/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website- COPLEY MEMORIAL HOSPITAL INC: Line 16b URL: https://www.rush.edu/patients-visitors/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- COPLEY MEMORIAL HOSPITAL INC: Line 16c URL: https://www.rush.edu/patients-visitors/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessmentCOMMUNITY NEED IS ASSESSED THROUGH REVIEW OF COMMUNITY AND HOSPITAL DATA, PERIODIC ASSESSMENTS WITH PHYSICIAN AND CLINICIANS, AND REPORTING OF INFORMATION FROM HOSPITAL COMMITTEES. FURTHER INPUT FROM THE COMMUNITY ARISES FROM THE COMMUNITY BASED BOARD OF DIRECTORS, VARIOUS FORMS OF PATIENT INPUT, AND HOSPITAL INVOLVEMENT WITH GOVERNMENT, HEALTH INDUSTRY, AND COMMUNITY AGENCIES. THE HOSPITAL ALSO ACTIVELY PARTICIPATES IN FORMAL NEEDS ASSESSMENTS CONDUCTED BY GOVERNMENT AND COMMUNITY AGENCIES.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceAT THE TIME OF SERVICE, COPLEY MEMORIAL HOSPITAL, INC. PATIENTS ARE GIVEN A BILLING BROCHURE, WHICH DESCRIBES THE FINANCIAL ASSISTANCE/CHARITY CARE PROGRAMS AVAILABLE. THIS INFORMATION IS ALSO POSTED AT THE REGISTRATION CHECK-IN DESKS, IN AN INPATIENT GUIDE, AND ON THE RUSH COPLEY WEBSITE. FINANCIAL COUNSELORS ARE AVAILABLE TO EXPLAIN THE PROGRAM IN DETAIL TO PATIENTS WHO ARE SEEN WITHOUT INSURANCE COVERAGE. ALL PATIENT BILLING STATEMENTS ADVISE THE PATIENTS TO CALL AND INQUIRE ON THE DETAILS AS NEEDED.
Schedule H, Part VI, Line 4 Community informationCOPLEY MEMORIAL HOSPITAL INC.'S PRIMARY SERVICE AREA IS LOCATED 45 TO 55 MILES SOUTHWEST OF CHICAGO. COPLEY MEMORIAL HOSPITAL INC serves a large and diverse population. There are over 383,000 residents living in the community served by the hospital, with 33.5% of the population Hispanic or Latino. * The hospital is located in the city of Aurora, IL, which is the second largest city in Illinois. * The community served by the hospital is defined as the geographic area identified by the contiguous zip codes, from which approximately 80% of the hospital's discharged patients reside. The hospital also refers to this geographic area as the Rush-Copley Primary Service Area (PSA). - As seen in the map to the below, the community served includes all of Aurora and most of Southern Kane County and Kendall County. Kane County has the second largest Hispanic population in IL, which is concentrated in Aurora * The community served also includes very limited portions of DeKalb, LaSalle, Grundy, DuPage and Will Counties.
Schedule H, Part VI, Line 5 Promotion of community healthCOPLEY MEMORIAL HOSPITAL'S MISSION IS TO PROVIDE ADVANCED MEDICINE WITH QUALITY OUTCOMES AND EXTRAORDINARY CARE. TO THAT END, THE MEDICAL CENTER SEEKS TO SERVE THE COMMUNITY IN WAYS THAT ENGAGE, EDUCATE AND EMPOWER. COPLEY MEMORIAL HOSPITAL SERVES ALL PATIENTS WHO PRESENT FOR CARE AND SERVES THE SURROUNDING COMMUNITY ALONG WITH A BOARD OF DIRECTORS WITH A STRONG COMMUNITY BASE. THE BOARD MEMBERS ARE INDEPENDENT COMMUNITY LEADERS AND ARE SELECTED BASED UPON THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS OF BENEFIT TO THE ORGANIZATION AND THEIR ROLE AS BOARD MEMBERS WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT OUR MISSION. BOARD MEMBERS ARE NOT COMPENSATED FOR THEIR SERVICE. AS A CHARITABLE ORGANIZATION, ALL SURPLUS FUNDS ARE USED TO FURTHER OUR CHARITABLE PURPOSE, MISSION AND TO SERVE THE COMMUNITY. SOME OF OUR PRIMARY PROGRAMS ARE: COMMUNITY HEALTH FAIRS, BREASTFEEDING EDUCATION CLASSES, CHILD CARE CLASSES, FREE AND REDUCED COST HEALTH SCREENINGS, LANGUAGE ASSISTANCE SERVICES, ETC. COPLEY MEMORIAL HOSPITAL PROVIDES ACCESS TO PHYSICIAN, ACUTE CARE, DIAGNOSTIC, AND REHABILITATIVE SERVICES TO PEOPLE, REGARDLESS OF ABILITY TO PAY, THROUGH A NUMBER OF FACILITIES AND SERVICES LOCATED THROUGHOUT THE SERVICE AREA. IT PROVIDES PROGRAMMING RELATING TO HEALTH EDUCATION, PREVENTION, AND SUPPORT TARGETED TO SPECIFIC POPULATIONS. MEDICAL EDUCATION EXTENDS TO CLINICAL SETTINGS FOR NURSING EDUCATION AND A FAMILY PRACTICE RESIDENCY. EMPLOYEES FILL BOARD AND COMMITTEE LEADERSHIP POSITIONS FOR A NUMBER OF ECONOMIC DEVELOPMENT AND SOCIAL SERVICE AGENCIES IN COMMUNITIES THROUGHOUT THE SERVICE AREA.
Schedule H, Part VI, Line 6 Affiliated health care systemRUSH UNIVERSITY SYSTEM FOR HEALTH ("RUSH"), IS A MULTIHOSPITAL HEALTH SYSTEM WITH OPERATIONS THAT CONSIST OF SEVERAL DIVERSE ACTIVITIES WITH A SHARED MISSION OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. RUSH CONSISTS OF AN ACADEMIC MEDICAL CENTER, RUSH UNIVERSITY MEDICAL CENTER ("RUMC"), TWO COMMUNITY HOSPITALS, RUSH COPLEY MEDICAL CENTER ("RCMC") AND RUSH OAK PARK HOSPITAL ("RPPH"), THAT EACH SERVE DISTINCT MARKETS IN CHICAGO, ILLINOIS, METROPOLITAN AREA AND RUSH HEALTH, A PHYSICIAN HOSPITAL ORGANIZATION AND CLINICALLY INTEGRATED NETWORK.
Schedule H, Part VI, Line 7 State filing of community benefit reportIL

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredfalseSubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
John Diederich MA MBA FACHE
President & CEO/Director$692,650$0$296,561$0$2,645,424$0$10,237$0$32,554$0$3,677,426$0$648,480$0
Jae B Joo MD
CHIEF OF STAFF/DIRECTOR$537,796$0$109,644$0$2,817$0$10,250$0$29,976$0$690,483$0$0$0
Syed Zaidi MD
IMMEDIATE PAST CHIEF OF STAFF/DIRECTOR$561,655$0$123,083$0$9,681$0$6,552$0$18,219$0$719,190$0$0$0
Garrett Katula DO (END 1222)
PHYSICIAN/DIRECTOR$261,594$0$131,545$0$22,687$0$10,250$0$29,127$0$455,203$0$0$0
Ryan Asmus
VP GENERAL COUNSEL/SECRETARY$317,250$0$108,245$0$24,198$0$58,790$0$249$0$508,732$0$0$0
Brenda Van Wyhe
SR. VP FINANCE & CFO/TREASURER$419,725$0$178,200$0$27,202$0$85,639$0$20,640$0$731,406$0$0$0
Brenda K Fann MD (END 1222)
ASSISTANT VP. MEDICAL AFFAIRS$338,601$0$52,239$0$6,269$0$204,785$0$2,000$0$603,894$0$0$0
Abigail Hornbogen
VP. PATIENT CARE & CNO$235,354$0$84,866$0$22,820$0$45,713$0$28,480$0$417,233$0$0$0
Steve B Lowenthal MD
SR. VP MEDICAL AFFAIRS & CMO$502,066$0$177,072$0$155,040$0$10,229$0$17,781$0$862,188$0$0$0
David Petasnick
ASSISTANT VP, ANCILLARY SVCS$229,236$0$81,248$0$2,209$0$40,292$0$26,479$0$379,464$0$0$0
Alex Pope
VP. PHILANTHROPY & CDO$283,206$0$85,848$0$4,515$0$42,995$0$29,329$0$445,893$0$0$0
Mary F Shilkaitis
SR VP Operations & COO$369,134$0$150,400$0$852,066$0$6,833$0$23,936$0$1,402,369$0$77,770$0
Kevin V Kelly MD
PHYSICIAN$928,014$0$3,819$0$2,819$0$1,640$0$26,877$0$963,169$0$0$0
Dmitry S Ruban MD
PHYSICIAN$930,148$0$3,819$0$2,012$0$11,437$0$26,381$0$973,797$0$0$0
Arif Saleem MD
PHYSICIAN$685,419$0$266,095$0$2,817$0$2,622$0$27,126$0$984,079$0$0$0
Sarabjeet Singh MD
PHYSICIAN$526,512$0$367,257$0$1,893$0$0$0$25,272$0$920,934$0$0$0
Jonathan L Tueting MD
PHYSICIAN$788,108$0$475,067$0$2,289$0$6,042$0$29,877$0$1,301,383$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Health or social club dues or initiation feesTHE ORGANIZATION PROVIDES TO ALL EMPLOYEES THE USE OF AN ATHLETIC FACILITY THAT IS OWNED AND OPERATED BY A RELATED TAX EXEMPT ORGANIZATION. THESE AMOUNTS ARE NON-TAXABLE.
Schedule J, Part I, Line 4a Severance or change-of-control paymentBRENDA K.FANN MD, AVP MEDICAL AFFAIRS, TERMED 12/22, SIGNED A $197,952 SEVERANCE AGREEMENT IN 2022 PAYABLE IN 2023.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planCMH OFFERS A SUPPLEMENTAL RETUREMENT PLAN TO CERTAIN EMPLOYEES WHO PARTICIPATE IN THE EXECUTIVE BENEFITS PROGRAM. THERE IS NO CONSTRUCTIVE RECEIPT OF THESE AMOUNTS BY THE INDIVIDUALS UNTIL THEY ARE PAID OUT AS THEY ARE SUBJECT TO A SUBSTANDTIAL RISK OF FORFEITURE UNTIL INDIVIDUALS MEET THE REQUIRED VESTING PERIOD. ONCE VESTED, PAYOUTS WOULD BE INCLUDED AS REPOSTABLE COMPENSATION ON THE RECIPIENTS ANNUAL FORM W-2. THE AMOUNTS PAID OUT OF THIS PLAN IN 2022 WERE AS FOLLOWS: JOHN DIEDERICH - $2,619,860, MARY SHILKAITIS - $821,975, STEVE LOWENTHAL - $105,373
Schedule J, Part I, Line 7 Non-fixed paymentsINCENTIVE BONUS PLAN BASED ON A SERIES OF APPROVED STRATEGIC ACCOMPLISHMENTS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A86109196745203HS452015-02-11$105,601,668REFUND BONDS ISSUED 5/28/2008, 2/10/2009, AND 7/29/2009falsefalsefalse
ILLINOIS FINANCE AUTHORITY
B8610919670000000002019-08-29$36,752,000BUILDINGS AND EQUIPMENTfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYr
A$11,495,000$105,601,668$824,030$145$104,777,493falseYes (true)Yes (true)Yes (true)
B$2,853,000$36,752,000$252,000falsefalseYes (true)Yes (true)$36,500,0002019

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)false0.00.00.0falsefalsefalse
BfalsefalseYes (true)Yes (true)false0.00.00.0falsefalsefalse

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalsefalsefalseYes (true)falsefalsefalsefalsefalse
BfalseYes (true)falsefalseYes (true)falsefalsefalsefalse

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
Afalse
Bfalse

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part I Bond Issues(A) ISSUER NAME: ILLINOIS FINANCE AUTHORITY (F) DESCRIPTION OF PURPOSE: REFUND BONDS ISSUED 5/28/2008, 2/10/2009, AND 7/29/2009
Schedule K, Part IV, Line 6 Column ATHIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS.
Schedule K, Part IV, Line 2c COLUMN AIssuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 03/06/2020

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 15WITH RESPECT TO THE CEO/VPS OF THE ORGANIZATION AND KEY SENIOR MANAGEMENT, THE ORGANIZATION FOLLOWS A COMPENSATION APPROVAL PROCEDURE ANNUALLY THAT INVOLVES APPROVAL OF PROPOSED AND FINAL COMPENSATION ARRANGEMENTS BY THE ORGANIZATION'S COMPENSATION COMMITTEE AND FULL BOARD OF DIRECTORS USING COMPARABILITY DATA, AS WELL AS CONTEMPORANEOUS DOCUMENTATION OF COMPENSATION DECISIONS IN MINUTES.
Form 990, Part VI, Line 2 Family/business relationships amongst interested personsALL OF THE PERSONS LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON RELATED RUSH COPLEY MEDICAL CENTER ENTITY BOARDS. - Business relationship
Form 990, Part VI, Line 3 Delegation of management dutiesRESERVED POWERS OVER CERTAIN MANAGEMENT DUTIES HAVE BEEN DELEGATED TO RUSH UNIVERSITY SYSTEM FOR HEALTH ("RSH") AS THE PARENT ENTITY FOR THE RUSH SYSTEM. THESE DUTIES INCLUDE APPROVING VARIOUS RCMC ACTIONS, INCLUDING RCMC'S OPERATING BUDGET AND CERTAIN TRANSACTIONS, APPOINTMENT OF CERTAIN RCMC EXECUTIVES, APPOINTMENT OF RCMC'S BOARD MEMBERS, ETC.
Form 990, Part VI, Line 6 Classes of members or stockholdersRUSH COPLEY MEDICAL CENTER ("RCMC") IS THE SOLE CORPORATE MEMBER OF COPLEY MEMORIAL HOSPITAL, INC. ("CMH"), RUSH COPLEY MEDICAL GROUP, NFP ("RCMG"), COPLEY VENTURES, INC. ("CV"), AND RUSH COPLEY FOUNDATION ("RCF").
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyCMH'S BOARD OF DIRECTORS INCLUDES AT LEAST NINE (9) INDIVIDUALS ELECTED BY THE SOLE CORPORATE MEMBER, RCMC. EACH OF THESE ELECTED DIRECTORS IS ALSO A MEMBER OF THE GOVERNING BOARD OF CMH'S SOLE CORPORATE MEMBER, RCMC. THE ELECTION AND RE-ELECTION OF ALL CMH DIRECTORS IS AT THE DIRECTION OF RCMC AT THE ANNUAL GOVERNING BOARD MEETING. VACANCIES ON THE CMH BOARD OF DIRECTORS ARE FILLED BY CMH'S SOLE CORPORATE MEMBER, RCMC. IN ACCORDANCE WITH CERTAIN PROCEDURAL REQUIREMENTS STATED IN THE BYLAWS, ELECTED DIRECTORS MAY BE REMOVED BY THE AFFIRMATIVE VOTE OF TWO-THIRDS OF THE BOARD OF DIRECTORS OF CMH'S SOLE CORPORATE MEMBER, RCMC.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersTHE BOARD OF DIRECTORS OF CMH'S SOLE CORPORATE MEMBER, RCMC, HAS THE FOLLOWING EXCLUSIVE POWERS OVER CMH: (1) THE ELECTION OF THE BOARD OF DIRECTORS; (2) ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THIS CORPORATION (3) THE BORROWING OF ANY SUM, THE PRINCIPAL OF WHICH EXCEEDS $500,000.00, OR WHICH HAS A STATED TERM OF GREATER THAN ONE YEAR, OR WHICH IS SECURED BY A MORTGAGE OF ALL OR ANY PORTION OF THE CORPORATION'S REAL PROPERTY OR THE CREATION OF A SECURITY INTEREST IN THE CORPORATION'S ASSETS, INCLUDING PERSONAL PROPERTY AND REVENUES, FOR THE BENEFIT OF THE LENDER, LESSOR OR VENDOR, OR THE DEFEASANCE, ADVANCE PAYMENT OR CANCELLATION OF ANY OUTSTANDING DEBT OF THE CATEGORY DESCRIBED HEREIN; (4) ANY VOLUNTARY DISSOLUTION, MERGER, CONSOLIDATION, SALE OR TRANSFER OF ANY OF THE CORPORATION'S ASSETS (ABOVE A MATERIAL DOLLAR THRESHOLD AS A PERCENTAGE OF THE CORPORATION'S ASSETS AS DETERMINED IN CONJUNCTION WITH THE CORPORATE MEMBER) OR ANY CREATION OF A SUBSIDIARY OR AFFILIATE OF THIS CORPORATION; (5) APPLICATION TO THE ILLINOIS HEALTH FACILITIES PLANNING BOARD OR ANY SUCCESSOR FOR A PERMIT OR CERTIFICATE OF NEED FOR A PROPOSED ACTIVITY, WHETHER OR NOT INVOLVING A CAPITAL EXPENDITURE; (6) APPROVAL OF ALL NEW OR CHANGES TO EXISTING ANNUAL AND LONG-TERM CAPITAL AND OPERATIONAL BUDGETS OR LONG-TERM OR MASTER STRATEGIC PLANS; (7) ANY AGREEMENT OR TRANSACTION, EITHER OF WHICH IS OF A MATERIAL NATURE, WITH ANOTHER CORPORATION CONTROLLED BY OR AFFILIATED WITH THE CORPORATE MEMBER OR WHICH IS A SUBSIDIARY OF THE CORPORATE MEMBERS; (8) SALE OF ANY OF THE CORPORATION'S REAL PROPERTY OR INTEREST THEREIN OR PURCHASES OF ANY ADDITIONAL REAL ESTATE; (9) THE AUDITED FINANCIAL STATEMENTS AND BOND DISCLOSURES OF THE CORPORATION; (10) SELECTION AND ANNUAL EVALUATION OF THE PRESIDENT; AND (11) THE ANNUAL AUDITED FINANCIAL STATEMENTS AND BOND DISCLOSURES OF THE CORPORATION.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE FORM 990 TAX RETURN IS PREPARED BY OUR ORGANIZATION AND REVIEWED BY OUR EXTERNAL TAX ADVISOR. A DRAFT OF THE FORM 990 IS PROVIDED TO MANAGEMENT FOR REVIEW AND COMMENT. THE BOARD OF DIRECTORS IS PROVIDED WITH AN APPROVED COPY OF THE FORM 990 BEFORE IT IS FILED.
Form 990, Part VI, Line 12c Conflict of interest policyANNUALLY, BOARD MEMBERS, DIRECTORS, MANAGEMENT TEAM (ADMINISTRATION, DIRECTORS AND MANAGERS) AND OTHER KEY EMPLOYEES OF RUSH COPLEY MEDICAL CENTER AND SUBSIDIARIES ("RCMC") ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT TO DISCLOSE ANY PERSONAL OR BUSINESS INTERESTS THAT MAY GIVE RISE TO A CONFLICT WITH THE WORK THEY DO FOR RCMC. THE DISCLOSURES ARE SUBMITTED AND REVIEWED BY THE CORPORATE INTEGRITY OFFICER, WHO IS AN EMPLOYEE OF COPLEY MEMORIAL HOSPITAL BUT REPRESENTS RUSH COPLEY MEDICAL CENTER AND SUBSIDIARIES, AND A REPORT IS SUBMITTED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF RCMC. THOSE KEY PERSONNEL WITH CONFLICTS ARE ADVISED TO RECUSE THEMSELVES FROM PARTICIPATING IN DECISION-MAKING RELATED TO THE CONFLICT.
Form 990, Part VI, Line 19 Required documents available to the publicFORM 990 IS AVAILABLE UPON REQUEST. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. COPIES OF THE FINANCIAL STATEMENTS (WHETHER OR NOT AUDITED) ARE PROVIDED UPON REASONABLE REQUEST SUCH AS FOR A BANK LOAN OR TO A BOND RATING AGENCY. THE FINANCIAL STATEMENTS ARE AVAILABLE ON THE ATTORNEY GENERAL'S WEBSITE.
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesCHANGE IN INTEREST IN NET ASSETS OF FOUNDATION - 3494727; SWAP VALUE ADJUSTMENT - 1763192; OTHER CHANGE IN NET ASSETS - 200;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
RUSH COPLEY MEDICAL CENTER
2000 OGDEN AVENUEAURORAIL60504363193787PARENT COMPANYIL501(c)(3)Type IIRUSH UNIVERSITY SYSTEM FOR HEALTHYes (true)
RUSH COPLEY FOUNDATION
2000 OGDEN AVENUEAURORAIL60504363093877GRANTS TO CHARITABLE ORGANIZATIONSIL501(c)(3)7RUSH COPLEY MEDICAL CENTERYes (true)
COPLEY VENTURES INC
2000 OGDEN AVENUEAURORAIL60504363370216RENTAL PROP., INFIRMARY CARE, AND HEALTHPLEX FITNESS CENTERIL501(c)(3)3RUSH COPLEY MEDICAL CENTERYes (true)
RUSH UNIVERSITY MEDICAL CENTER
1700 WEST VAN BUREN STREETCHICAGOIL60612362174823HEALTHCAREIL501(c)(3)3RUSH UNIVERSITY SYSTEM FOR HEALTHYes (true)
RUSH UNIVERSITY SYSTEM FOR HEALTH
1725 W HARRISON STREETCHICAGOIL60612364046278HOSPITALIL501(c)(3)Type III-FINAfalse
RUSH OAK PARK HOSPITAL INC
520 S MAPLE AVENUEOAK PARKIL60304362183812HOSPITALIL501(c)(3)3RUSH UNIVERSITY MEDICAL CENTER INCYes (true)
AMENDED & RESTATED GENERAL MALPRACTICE & WORKER'S COMP
1700 WEST VAN BURENCHICAGOIL60612366673233HEALTHCARE INSURANCEIL501(c)(3)Type III-FIRUSH UNIVERSITY MEDICAL CENTER INCYes (true)
AUXILIARY OF RUSH OAK PARK HOSPITAL -
520 S MAPLE AVEOAK PARKIL60304362255350HOSPITAL SUPPORTIL501(c)(3)Type IRUSH OAK PARK HOSPITALYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
RUSH SURGICENTER AT THE PROFESSIONAL BUILDING LP
1725 W HARRISON STREETCHICAGOIL60612363853026SURGERY CENTERILNAN/Afalsefalse
RUSH COPLEY ORTHOPEDICS LLC
2000 OGDEN AVENUEAURORAIL60504611801175MEDICAL SERVICESILNAN/Afalsefalse
RUSH COPLEY SURGICENTER
2000 OGDEN AVENUEAURORAIL60504384012268MEDICAL SERVICESILCOPLEY MEMORIAL HOSPITAL INC CO RUSHRelatedfalseYes (true)$180,739$15,640,3910.99

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCdAddress Line2USAddress/AddressLine2Txt
RUSH UNIVERSITY MEDICAL CENTER INSURANCE
PO BOX 1051GRAND CAYMANCJINSURANCECJNAC CorporationYes (true)
RUSH COPLEY MEDICAL GROUP NFP
PHYSICIAN PRACTICESNAC CorporationYes (true)2000 OGDEN AVENUEAURORAIL60504363235315IL
ROOM FIVE HUNDRED
DINING ROOMNAC CorporationYes (true)1725 W HARRISON STREETCHICAGOIL60612237139832IL
RUSH UNIVERSITY MEDICAL CENTER MASTER RETIREMENT TRUST
PENSION TRUSTNATrustYes (true)1700 W VAN BUREN STREETCHICAGOIL60612912043520ILSUITE 501
RUSH HEALTH
CLINICALLY INTEGRATED NETWORKNAC CorporationYes (true)1645 WEST JACKSON BLVDCHICAGOIL60612363972171ILSUITE 501
RUSH HEALTH ACO INC
ACONAC CorporationYes (true)1645 WEST JACKSON BLVDCHICAGOIL60612821632136ILSUITE 501
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
RUSH COPLEY MEDICAL GROUP NFP
A$613,959FAIR MARKET VALUE
RUSH COPLEY FOUNDATION
C$1,234,218FAIR MARKET VALUE
COPLEY VENTURES INC
M$575,000FAIR MARKET VALUE
COPLEY VENTURES INC
R$126,104FMV - RENTS
RUSH UNIVERSITY MEDICAL CENTER
J$400,132FAIR MARKET VALUE
RUSH UNIVERSITY MEDICAL CENTER
P$8,032,123FAIR MARKET VALUE
RUSH COPLEY FOUNDATION
S$780,072FAIR MARKET VALUE
RUSH HEALTH
M$1,707,165FAIR MARKET VALUE
RUSH HEALTH
P$440,086FAIR MARKET VALUE
RUSH HEALTH
P$45,441FAIR MARKET VALUE
RUSH HEALTH
S$3,791,648FAIR MARKET VALUE
RUSH UNIVERSITY SYSTEM FOR HEALTH
M$320,062FAIR MARKET VALUE

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R, Part III IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS PARTNERSHIPFormAndLineReferenceDesc
ExplanationNAME OF RELATED ORGANIZATION: RUSH COPLEY SURGICENTER DIRECT CONTROLLING ENTITY: COPLEY MEMORIAL HOSPITAL, INC. C/O RUSH COPLEY MEDICAL CENTERExplanationTxt